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巴西各首府城市老年居民的发病率、非传染性疾病的风险因素和保护因素的时间趋势。

Temporal trends of morbidities, and risk and protective factors for noncommunicable diseases in elderly residents in Brazilian capitals.

作者信息

Silva Alanna Gomes da, Andrade Fabiana Martins Dias de, Ribeiro Edmar Geraldo, Malta Deborah Carvalho

机构信息

Universidade Federal de Minas Gerais, School of Nursing, Graduate Program in Nursing - Belo Horizonte (MG), Brazil.

Universidade Federal de Minas Gerais, School of Medicine, Graduate Program in Public Health - Belo Horizonte (MG), Brazil.

出版信息

Rev Bras Epidemiol. 2023 Apr 21;26Suppl 1(Suppl 1):e230009. doi: 10.1590/1980-549720230009.supl.1. eCollection 2023.

DOI:10.1590/1980-549720230009.supl.1
PMID:39440825
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10176736/
Abstract

OBJECTIVE

To analyze the temporal trends of prevalence of morbidities, risk and protection factors for noncommunicable diseases in elderly residents in Brazilian capitals between 2006 and 2021.

METHODS

A time series study with data from the Surveillance System of Risk and Protective Factors for Chronic Diseases by Telephone Inquiry. The variables analyzed were: high blood pressure, diabetes, smoking, overweight, obesity, consumption of alcoholic beverages, soft drinks, fruits and vegetables, and the practice of physical activity. Prais-Winsten regression and Interrupted Time Series from 2006 to 2014 and 2015 to 2021 were used.

RESULTS

From 2006 to 2021, for the total elderly population, there was an increase in diabetes (19.2 to 28.4%), alcohol consumption (2.5 to 3.2%), overweight (52.4 to 60.7%) and obesity (16.8 to 21.8%), and a reduction in the prevalence of smokers (9.4 to 7.4%) and in soft drink consumption (17 to 8.7%). By the interrupted series, between 2015 and 2021, there was stability in the prevalence of diabetes, female smokers, overweight among men, obesity in the total and male population, and soft drink consumption.

CONCLUSION

Over the years, there have been changes and worsening in the indicators analyzed, such as an increase in diabetes, alcohol consumption, overweight, and obesity, which reinforces the importance of continuous monitoring and sustainability programs to promote the health, especially in the context of economic crisis, austerity, and COVID-19 pandemic.

摘要

目的

分析2006年至2021年巴西各首府城市老年居民中疾病患病率、非传染性疾病风险因素和保护因素的时间趋势。

方法

采用电话询问慢性病风险与保护因素监测系统的数据进行时间序列研究。分析的变量包括:高血压、糖尿病、吸烟、超重、肥胖、酒精饮料消费、软饮料消费、水果和蔬菜消费以及体育活动情况。使用了Prais-Winsten回归以及2006年至2014年和2015年至2021年的中断时间序列分析。

结果

2006年至2021年,在老年总人口中,糖尿病患病率(从19.2%升至28.4%)、酒精饮料消费(从2.5%升至3.2%)、超重(从52.4%升至60.7%)和肥胖(从16.8%升至21.8%)呈上升趋势,吸烟者患病率(从9.4%降至7.4%)和软饮料消费(从17%降至8.7%)呈下降趋势。通过中断时间序列分析发现,2015年至2021年期间,糖尿病患病率、女性吸烟者、男性超重、总体及男性肥胖患病率以及软饮料消费情况保持稳定。

结论

多年来,所分析的指标出现了变化且情况恶化,如糖尿病、酒精饮料消费、超重和肥胖患病率上升,这凸显了持续监测和可持续性项目对促进健康的重要性,尤其是在经济危机、财政紧缩和新冠疫情背景下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bde/10176736/5ca4a17c4fd1/1980-5497-rbepid-26-suppl1-e230009-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bde/10176736/8486606c2419/1980-5497-rbepid-26-suppl1-e230009-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bde/10176736/5ca4a17c4fd1/1980-5497-rbepid-26-suppl1-e230009-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bde/10176736/8486606c2419/1980-5497-rbepid-26-suppl1-e230009-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bde/10176736/5ca4a17c4fd1/1980-5497-rbepid-26-suppl1-e230009-gf01-pt.jpg

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