Silva Diego Augusto Santos, Naghavi Mohsen, Duncan Bruce B, Schmidt Maria Inês, de Souza Maria de Fatima Marinho, Malta Deborah Carvalho
1Research Center in Kinanthropometry and Human Performance, Sports Centre, Postgraduate Program in Physical Education, Federal University of Santa Catarina, University Campus, Trindade, Florianópolis, SC 88010-970 Brazil.
2Institute for Health Metrics and Evaluation, Seattle, WA USA.
Diabetol Metab Syndr. 2019 Feb 28;11:23. doi: 10.1186/s13098-019-0419-9. eCollection 2019.
The aims of this study were to estimate the mortality due to diabetes mellitus attributed to physical inactivity in Brazil, to analyze these estimate in three points in time (1990, 2006 and, 2016), and to analyze these estimates according to the socioeconomic status of Brazilian states.
All deaths and diseases recorded in Brazil during this period were analyzed. Surveys of the general adult population using random sampling procedures evaluating self-reported physical activity in all life domains in Brazil were included. The total number and the age-standardized rates of deaths, and population-attributable fraction (PAF) for diabetes mellitus attributed to physical inactivity in the years 1990, 2006, and 2016 were estimated. Socioeconomic Development Index (SDI) was used as an indicator of socioeconomic status of Brazilian states.
In relation to mortality due to diabetes mellitus attributed to physical inactivity, 736 deaths were estimated in 1990, 1337 deaths were estimated in 2006, and 1897 in 2016, which represented, in 1990, an age-standardized mortality rate (per 100,000 inhabitants) of 1.2, 2.1 in 2006, and 1.1 in 2016. Approximately 3.0% (PAF) of deaths due to diabetes mellitus could be avoided if the Brazilian population were physically active. In 2006 and 2016, Brazilian states with worst socioeconomic indicators had higher age-standardized mortality rate by diabetes mellitus due to physical inactivity.
These findings are the first to estimate the burden of diabetes mellitus due to physical inactivity in Brazil and support the promotion of physical activity in the Brazilian population to prevent and manage diabetes mellitus.
本研究的目的是估计巴西因身体活动不足导致的糖尿病死亡率，分析三个时间点（1990年、2006年和2016年）的这些估计值，并根据巴西各州的社会经济状况分析这些估计值。
分析了该时期巴西记录的所有死亡和疾病情况。纳入了采用随机抽样程序对巴西成年普通人群进行的调查，这些调查评估了所有生活领域的自我报告身体活动情况。估计了1990年、2006年和2016年因身体活动不足导致的糖尿病死亡总数、年龄标准化死亡率以及人群归因分数（PAF）。社会经济发展指数（SDI）被用作巴西各州社会经济状况的指标。
关于因身体活动不足导致的糖尿病死亡率，1990年估计有736例死亡，2006年估计有1337例死亡，2016年估计有1897例死亡，1990年的年龄标准化死亡率（每10万居民）为1.2，2006年为2.1，2016年为1.1。如果巴西人群进行身体活动，约3.0%（PAF）的糖尿病死亡可避免。在2006年和2016年，社会经济指标最差的巴西各州因身体活动不足导致的糖尿病年龄标准化死亡率更高。
这些发现首次估计了巴西因身体活动不足导致的糖尿病负担，并支持在巴西人群中推广身体活动以预防和管理糖尿病。
