Physical inactivity as a risk factor for all-cause mortality in Brazil (1990–2017)

Abstract

Background The aim of this study was to estimate the mortality from all causes as a result of physical inactivity in Brazil and in Brazilian states over 28 years (1990–2017). Methods Data from the Global Burden of Disease (GBD) study for Brazil and states were used. The metrics used were the summary exposure value (SEV), the number of deaths, age-standardized mortality rates, and the fraction of population risk attributable to physical inactivity. Results The Brazilian population presented risk of exposure to physical inactivity of (age-standardized SEV) of 59% (95% U.I. 22–97) in 1990 and 59% in 2017 (95% U.I. 25–99). Physical inactivity contributed a significant number of deaths (1990, 22,537, 95% U.I. 12,157–34,745; 2017, 32,410, 95% U.I. 17,976–49,657) in the analyzed period. These values represented mortality rates standardized by age (per 100,000 inhabitants) of 31 (95% U.I. 17–48) in 1990 and 15 (95% U.I. 8–23) in 2017. From 1990 to 2017, a decrease in standardized death rate from all causes attributable to physical inactivity was observed in Brazil (− 52%, 95% U.I. − 54 to − 49). The Brazilian states with better socioeconomic conditions presented greater reductions in age-standardized mortality (male: rho = 0.80; female: rho 0.84) over the period of 28 years. Conclusions These findings support the promotion of physical activity in the Brazilian population for the prevention of early mortality.

Burden of disease attributable to Risk Factors in Brazil: an analysis of national and subnational estimates from the 2019 Global Burden of Disease study

“…A pre-analysis of the burden attributable to the group of RF of the GDB was conducted with estimates from the 2015 GBD 3 and later, in 2016, with revised estimates 6 , showing that a unhealthy diet, metabolic RFs, alcohol, and tobacco consumption are important protagonists in the overall death and disease burden in Brazil. More recent studies evaluated the burden attributable to specific RFs, such as hypertension 7 , obesity 8 , hyperglycemia 9 , physical inactivity 10 , and smoking 11 . However, those estimates were not calculated together, which hindered the comparison between the RFs and their consequences in the overall disease burden.…”

Physical activity to prevent stroke mortality in Brazil (1990-2019)

“…This study showed that the risk of the Brazilian population in relation to low levels of physical activity has been stable over the years (SEV) (but the ideal scenario is further improvements in the levels of physical activity for the population). The stability observed in SEV can be due to public policies implemented in Brazil especially after 2006 to improve the levels of physical activity in the population 11,[18][19][20] .…”

“…An analytical study based on estimates of the global burden of diseases for Brazil made by GBD 2019 was carried out, coordinated by the Institute for Health Metrics and Evaluation (IHME) in partnership with the Ministry of Health of Brazil 2 , 9 - 11 . In the mortality analysis, information from the Mortality Information System of the Ministry of Health was used, with adjustment for the underreporting of deaths and declaration of undefined/nonspecific causes, called garbage codes 2 , 9 .…”

Socio-demographic Determinants of Low Physical Activity in Peruvian Adults: Results of a Population-based Survey Performed in 2017-2018

“…Physical inactivity is a global health problem that increases the risk of cardiovascular disease, type 2 diabetes, obesity, and pISSN 1975-8375 eISSN 2233-4521 cancer, and impairs health-related quality of life [1][2][3][4]. Worldwide, more than a quarter of the population does not get enough physical activity (PA), with a 4.2% increase in the number of people between 2010 and 2016 [5]; furthermore, physical inactivity is more prevalent among females and in countries with high income inequality [6].…”