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

IF 3.2 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Population Health Metrics Pub Date : 2020-09-30 DOI:10.1186/s12963-020-00214-3

Diego Augusto Santos Silva, Mark Stephen Tremblay, Fatima Marinho, Antonio Luiz Pinho Ribeiro, Ewerton Cousin, Bruno Ramos Nascimento, Paulo da Fonseca Valença Neto, Mohsen Naghavi, Deborah Carvalho Malta

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引用次数: 17

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.

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缺乏身体活动是巴西全因死亡的一个风险因素(1990-2017年)。

背景:本研究的目的是估计巴西和巴西各州28年来(1990-2017年)因缺乏身体活动而导致的各种原因的死亡率。方法:采用巴西和各州全球疾病负担(GBD)研究的数据。使用的指标是总暴露值(SEV)、死亡人数、年龄标准化死亡率和归因于缺乏身体活动的人口风险比例。结果:1990年巴西人口缺乏身体活动的风险(年龄标准化SEV)为59% (95% U.I. 22-97)， 2017年为59% (95% U.I. 25-99)。缺乏身体活动造成大量死亡(1990年，22,537人，95% U.I. 12,157-34,745人;2017年，32,410,95% U.I. 17,976-49,657)。这些值代表1990年按年龄标准化的死亡率(每10万居民)为31 (95% U.I. 17-48)， 2017年为15 (95% U.I. 8-23)。从1990年到2017年，巴西观察到由缺乏身体活动引起的所有原因的标准化死亡率下降(- 52%，美国95% - 54至- 49)。巴西社会经济条件较好的州，年龄标准化死亡率下降幅度较大(男性:rho = 0.80;女性:0.84)，持续28年。结论:这些发现支持在巴西人群中促进身体活动以预防早期死亡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Population Health Metrics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.50

自引率

0.00%

发文量

审稿时长

29 weeks

期刊介绍： Population Health Metrics aims to advance the science of population health assessment, and welcomes papers relating to concepts, methods, ethics, applications, and summary measures of population health. The journal provides a unique platform for population health researchers to share their findings with the global community. We seek research that addresses the communication of population health measures and policy implications to stakeholders; this includes papers related to burden estimation and risk assessment, and research addressing population health across the full range of development. Population Health Metrics covers a broad range of topics encompassing health state measurement and valuation, summary measures of population health, descriptive epidemiology at the population level, burden of disease and injury analysis, disease and risk factor modeling for populations, and comparative assessment of risks to health at the population level. The journal is also interested in how to use and communicate indicators of population health to reduce disease burden, and the approaches for translating from indicators of population health to health-advancing actions. As a cross-cutting topic of importance, we are particularly interested in inequalities in population health and their measurement.