Exposure to and Burden of Major Non-Communicable Disease Risk Factors in Brazil and its States, 1990-2019: The Global Burden of Disease Study
Rev. Soc. Bras. Med. Trop
;
55(supl.1): e0275, 2022. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1356797
ABSTRACT
Abstract INTRODUCTION:
Non-Communicable Diseases (NCDs) have become the main cause of disease burden in Brazil. Our objective was to describe trends (1990 to 2019) in prevalence and attributable burden of five modifiable risk factors and related metabolic risk factors in Brazil and its states.METHODS:
In Global Burden of Disease 2019 analyses, we described trends in prevalence of modifiable risk factors and their metabolic mediators as percentage change in Summary Exposure Value (SEV). We estimated deaths and disability-adjusted life years (DALYs) attributable to the risk factors.RESULTS:
Age-adjusted exposures to alcohol [41.0%, Uncertainty Interval (UI) 24.2 - 63.4], red meat (61.2%, UI 42.4-92.3), low physical activity (3.9%, UI -5-17.5) and ambient particulate matter pollution (3.3%, UI -48.9-128.0) have worsened. Those for smoking (-51.4%, UI -54.7- - 47.8), diet low in fruits (-28.1%, UI -39.1- -18.7) and vegetables (-19.6%, UI -32.7 - -8.7), and household air pollution (-85.3%, UI -92.9- -74.3) have improved. All mediating metabolic risk factors, except high blood pressure (0.7%, UI -6.9-8.3), have worsened BMI (110.2%, UI 78.6-161.7), hyperglycemia (15.1%, UI 9.3-21.2), kidney dysfunction (12.0%, UI 8.4-17.2), and high LDL-c (11.8%, UI 6.9-17.2).CONCLUSIONS:
A variable pattern of progress and failure in controlling modifiable risk factors has been accompanied by major worsening in most metabolic risk factors. The mixed success in public health measures to control modifiable risk factors for NCDs, when gauged by the related trends in metabolic risk factors, alert to the need for stronger actions to control NCDs in the future.
Full text:
Available
Index:
LILACS (Americas)
Type of study:
Etiology study
/
Risk factors
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Rev. Soc. Bras. Med. Trop
Journal subject:
Tropical Medicine
Year:
2022
Type:
Article
/
Project document
Affiliation country:
Brazil
/
United States
Institution/Affiliation country:
Ministério da Saúde/BR
/
Universidade Federal de Minas Gerais/BR
/
Universidade Federal do Rio Grande do Sul/BR
/
University of Washington/US
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