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2015年巴西及其联邦单位与全球疾病负担相关的风险因素。

Risk factors related to the global burden of disease in Brazil and its Federated Units, 2015.

作者信息

Malta Deborah Carvalho, Felisbino-Mendes Mariana Santos, Machado Ísis Eloah, Passos Valéria Maria de Azeredo, Abreu Daisy Maria Xavier de, Ishitani Lenice Harumi, Velásquez-Meléndez Gustavo, Carneiro Mariangela, Mooney Meghan, Naghavi Mohsen

机构信息

Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais -A Belo Horizonte (MG), Brasil.

Faculdade de Ciências Médicas de Minas Gerais - Belo Horizonte (MG), Brasil.

出版信息

Rev Bras Epidemiol. 2017 May;20Suppl 01(Suppl 01):217-232. doi: 10.1590/1980-5497201700050018.

Abstract

OBJECTIVE

: To analyze the global burden of disease related to disability adjusted life years (DALYs) attributed to selected risk factors in Brazil and its 27 Federated Units.

METHODS

: Databases from the Global Burden of Disease study in Brazil and its Federated Units were used, estimating the summary exposure value (SEV) for selected environmental, behavioral, and metabolic risk factors (RFs), and their combinations. The DALYs were used as the main metric. The ranking of major RFs between 1990 and 2015 was compiled, comparing data by sex and states.

RESULTS

: The analyzed RFs account for 38.8% of the loss of DALYs in the country. Dietary risks was the main cause of DALYs in 2015. In men, dietary risks contributed to 12.2% of DALYs and in women, to 11.1%. Other RFs were high systolic blood pressure, high body mass index, smoking, high fasting plasma glucose and, among men, alcohol and drug use. The main RFs were metabolic and behavioral. In most states, dietary risks was the main RF, followed by high blood pressure.

CONCLUSION

: Dietary risks leads the RF ranking for Brazil and its Federated Units. Men are more exposed to behavioral risk factors, and women are more exposed to metabolic ones.

摘要

目的

分析巴西及其27个联邦州中与选定风险因素所致伤残调整生命年(DALYs)相关的全球疾病负担。

方法

使用巴西及其联邦州全球疾病负担研究的数据库,估算选定的环境、行为和代谢风险因素(RFs)及其组合的汇总暴露值(SEV)。以DALYs作为主要衡量指标。编制1990年至2015年主要RFs的排名,按性别和州对数据进行比较。

结果

所分析的RFs占该国DALYs损失的38.8%。饮食风险是2015年DALYs的主要原因。在男性中,饮食风险导致12.2%的DALYs,在女性中导致11.1%的DALYs。其他RFs包括收缩压高、体重指数高、吸烟、空腹血糖高,在男性中还包括饮酒和吸毒。主要的RFs是代谢性和行为性的。在大多数州,饮食风险是主要的RF,其次是高血压。

结论

饮食风险在巴西及其联邦州的RF排名中居首。男性更多地暴露于行为风险因素,而女性更多地暴露于代谢风险因素。

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