Preventable fractions of colon and breast cancers by increasing physical activity in Brazil: perspectives from plausible counterfactual scenarios

Rezende, Leandro F. M.; Garcia, Leandro Martin Totaro; Mielke, Grégore Iven; Lee, Dong Hoon; Wu, Kana; Giovannucci, Edward; Eluf-Neto, José

doi:10.1016/j.canep.2018.07.006

Cited by 5 publications

(7 citation statements)

References 57 publications

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“…Physical activity was obtained from a national representative health survey conducted in Brazil in 2013, the National Health Survey ( Pesquisa Nacional de Saúde – PNS 2013). Details about PNS methods have been reported elsewhere [ 12 ]. In this study, we included 57,962 adults aged 20 years or older that responded to a questionnaire about frequency and duration of recreational, occupational, commuting to work, commuting to other daily activities, and household activities in a typical week.…”

Section: Methodsmentioning

confidence: 99%

“…MET were used to weight different types of aforementioned activities according to its intensity (meaning higher intensity having higher weight), as per the 2011 compendium of physical activities [ 18 ]. Details for these methods has been described elsewhere [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

“…Of note, these estimates were calculated considering direct health-care costs, productivity losses, and disability-adjusted life-years for coronary heart disease, stroke, type 2 diabetes, breast cancer, and colon cancer attributable to insufficient physical activity [ 11 ]. In Brazil, it has been estimated that approximately 10 thousand cancer cases and 3 thousand cancer deaths per year are attributable to insufficient physical activity [ 12 ]. However, to our knowledge, the economic costs of cancer in Brazil attributable to lack of physical activity are unknown, besides its potential to inform the financial impact of this exposure on the health system [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Economic burden of colorectal and breast cancers attributable to lack of physical activity in Brazil

et al. 2021

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Background The increasing number of cancer patients has an escalating economic impact to public health systems (approximately, International dollars- Int$ 60 billion annually in Brazil). Physical activity is widely recognized as one important modifiable risk factor for cancer. Herein, we estimated the economic costs of colon and post-menopausal breast cancers in the Brazilian Unified Health System (SUS) attributable to lack of physical activity. Methods Population attributable fractions were calculated using prevalence data from 57,962 adults who answered a physical activity questionnaire in the Brazilian National Health Survey, and relative risks of colon and breast cancer from a meta-analysis. Annual costs (1 Int$ = 2.1 reais) with hospitalization, chemotherapy and radiotherapy were obtained from the Hospital and Ambulatory Information Systems of the Brazilian SUS. Two counterfactual scenarios were considered: theoretical minimum risk exposure level (≥8000 MET-min/week) and physical activity guidelines (≥600 MET-min/week). Results Annually, the Brazilian SUS expended Int$ 4.5 billion in direct costs related to cancer treatment, of which Int$ 553 million due to colon and breast cancers. Direct costs related to colon and breast cancers attributable to lack of physical activity were Int$ 23.4 million and Int$ 26.9 million, respectively. Achieving at least the physical activity guidelines would save Int$ 10.3 mi (colon, Int$ 6.4 mi; breast, Int$ 3.9 mi). Conclusions Lack of physical activity accounts for Int$ 50.3 million annually in direct costs related to colon and post-menopausal breast cancers. Population-wide interventions aiming to promote physical activity are needed to reduce the economic burden of cancer in Brazil.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Economic burden of colorectal and breast cancers attributable to lack of physical activity in Brazil

et al. 2021

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“…Em relação às estratégias de prevenção do câncer em adultos, estimativas sugerem que a prática de atividade física pode desempenhar um papel importante, evitando até 12% dos cânceres de mama na pós-menopausa e 19% dos cânceres de cólon (48). Sobre a qualidade de vida de idosos sobreviventes ao câncer de mama, próstata e colorretal, resultados de outro estudo apontam para um potencial impacto negativo em obesos e um impacto positivo em idosos que praticam atividade física e dieta saudável.…”

Section: Determinantes Do Câncer Em Adultosunclassified

Análise longitudinal das condições de vida e saúde de idosos com histórico de câncer: Estudo Saúde, Bem-Estar e Envelhecimento

Melo¹

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The use of self-reported data to estimate cancer in the population, as well as for the knowledge of its determinants, has been shown to be useful in epidemiological studies. In addition, the use of genetic data in cancer and aging research has shown promise. However, there are few longitudinal studies on aging that analyzed both the validity of self-report of cancer and the prevalence of the history of the disease, plus the analysis of living and health conditions, and the presence of pathogenic variants associated with hereditary cancer. This thesis is presented in the form of two manuscripts. The first manuscript verified the validity of the self-report of cancer history and described the prevalence of the disease, before and after the linkage, between the Health, Well-Being and Aging Study (SABE) database with the Population-Based Cancer Registry of São Paulo (RCBP-SP). The second manuscript analyzed changes in the living and health conditions of elderly people with a history of cancer over a five-year period, identified the associated factors at two different times, and described the presence of pathogenic mutations associated with hereditary cancer. Self-reported cancer had an accuracy of 98.5%, sensitivity of 82.1% (95%CI: 74.7-89.4), specificity of 95.6% (95%CI: 94.2-97.0), positive predictive value of 59.6% (95%CI: 50.6-68.6) and negative predictive value of 98.6% (95%CI: 97.8-99.3).

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“…Outros estudos analisaram a tendência temporal da atividade física no tempo de lazer utilizando a base de dados do Vigitel (MIELKE et al, 2014;HALLAL et al, 2011;SÁ et al, 2014 Porém, poucos estudos brasileiros realizaram análises de tendência da prática de atividade física no lazer em períodos superiores a dez anos. A escolha pelo estudo da atividade física no domínio do lazer justifica-se por ser uma prática voluntária e com grande relação com a melhora da qualidade de vida e também com grande contribuição na prevenção de doenças e na mortalidade precoce por doenças crônicas (PUCCI et al, 2012;REZENDE et al, 2018 Inicialmente, sorteia-se de forma sistemática um número entre 4000 e 5.000 linhas telefônicas fixas, que são fornecidas pelas empresas de telefonia fixa que atendem as cidades.…”

Section: Introductionunclassified

Nível de atividade física em adultos paulistanos: uma análise de tendência

Dias¹

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Agradeço ao meu orientador Alex Antonio Florindo pela amizade, compreensão e segura orientação ao longo deste processo de formação. Às amigas Ana Paula Barbosa e Michele Santos Cruz pela amizade e pelas horas de conversa e incentivo. Agradeço também a todos os colegas do Grupo de Estudos e Pesquisas Epidemiológicos em Atividade Física e Saúde (GEPAF) pela amizade e incentivo. Pois todas estas pessoas foram importantes na construção deste trabalho. RESUMO DIAS, Tulio Gamio. Nível de atividade física em adultos paulistanos: uma análise de tendência. 2019. 44 f. Dissertação (Mestrado

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Preventable fractions of colon and breast cancers by increasing physical activity in Brazil: perspectives from plausible counterfactual scenarios

Abstract: High levels of physical activity are required to achieve a sizable impact on breast and colon cancer prevention in Brazil.

Cited by 5 publications

References 57 publications

Economic burden of colorectal and breast cancers attributable to lack of physical activity in Brazil

Economic burden of colorectal and breast cancers attributable to lack of physical activity in Brazil

Análise longitudinal das condições de vida e saúde de idosos com histórico de câncer: Estudo Saúde, Bem-Estar e Envelhecimento

Nível de atividade física em adultos paulistanos: uma análise de tendência

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