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身体活动不足对巴西主要非传染性疾病和预期寿命的影响。

Effect of physical inactivity on major noncommunicable diseases and life expectancy in Brazil.

作者信息

de Rezende Leandro Fornias Machado, Rabacow Fabiana Maluf, Viscondi Juliana Yukari Kodaira, Luiz Olinda do Carmo, Matsudo Victor Keihan Rodrigues, Lee I-Min

机构信息

Dept of Preventive Medicine, University of São Paulo School of Medicine, São Paulo, Brazil.

出版信息

J Phys Act Health. 2015 Mar;12(3):299-306. doi: 10.1123/jpah.2013-0241. Epub 2014 Apr 17.

DOI:10.1123/jpah.2013-0241
PMID:24769913
Abstract

BACKGROUND

In Brazil, one-fifth of the population reports not doing any physical activity. This study aimed to assess the impact of physical inactivity on major noncommunicable diseases (NCDs), all-cause mortality and life expectancy in Brazil, by region and sociodemographic profile.

METHODS

We estimated the population attributable fraction (PAF) for physical inactivity associated with coronary heart disease, type 2 diabetes, breast cancer, colon cancer, and all-cause mortality. To calculate the PAF, we used the physical inactivity prevalence from the 2008 Brazilian Household Survey and relative risk data in the literature.

RESULTS

In Brazil, physical inactivity is attributable to 3% to 5% of all major NCDs and 5.31% of all-cause mortality, ranging from 5.82% in the southeastern region to 2.83% in the southern region. Eliminating physical inactivity would increase the life expectancy by an average of 0.31 years. This reduction would affect mainly individuals with ≥ 15 years of schooling, male, Asian, elderly, residing in an urban area and earning ≥ 2 times the national minimum wage.

CONCLUSIONS

In Brazil, physical inactivity has a major impact on NCDs and mortality, principally in the southeastern and central-west regions. Public policies and interventions promoting physical activity will significantly improve the health of the population.

摘要

背景

在巴西,五分之一的人口表示未进行任何体育活动。本研究旨在按地区和社会人口学特征评估缺乏体育活动对巴西主要非传染性疾病(NCDs)、全因死亡率和预期寿命的影响。

方法

我们估计了与冠心病、2型糖尿病、乳腺癌、结肠癌和全因死亡率相关的缺乏体育活动的人群归因分数(PAF)。为计算PAF,我们使用了2008年巴西家庭调查中的缺乏体育活动患病率以及文献中的相对风险数据。

结果

在巴西,所有主要非传染性疾病的3%至5%以及全因死亡率的5.31%可归因于缺乏体育活动,范围从东南部地区的5.82%到南部地区的2.83%。消除缺乏体育活动的情况将使预期寿命平均增加0.31岁。这种减少主要会影响受教育年限≥15年、男性、亚洲人、老年人、居住在城市地区且收入≥国家最低工资两倍的人群。

结论

在巴西,缺乏体育活动对非传染性疾病和死亡率有重大影响,主要集中在东南部和中西部地区。促进体育活动的公共政策和干预措施将显著改善民众健康。

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