The burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/188884 |
Resumo: | Background: Diabetes, hyperglycemia, and their complications are a growing problem in Brazil. However, no comprehensive picture of this disease burden has yet been presented to date. Methods: We used Global Burden of Disease 2015 data to characterize diabetes prevalence, incidence and risk factors from 1990 to 2015 in Brazil. Additionally, we provide mortality, years of life lost prematurely (YLL), years of life lived with disability (YLD) and disability-adjusted life years (DALYs) lost due to diabetes, as well as similar data for chronic kidney disease (CKD) due to diabetes and, as an overall summary measure, for hyperglycemia, the latter expressed as high fasting plasma glucose (HFPG). Results: From 1990 to 2015 diabetes prevalence rose from around 3.6 to 6.1%, and YLLs, YLDs, and DALYs attributable to diabetes increased steadily. The crude diabetes death rate increased 90% while that of CKD due to diabetes more than doubled. In 2015, HFPG became Brazil’s 4th leading cause of disability, responsible for 65% of CKD, for 7.0% of all disability and for the staggering annual loss of 4,049,510 DALYs. Diabetes DALYs increased by 118.6% during the period, increasing 42% due to growth in Brazil´s population, 72.1% due to population ageing, and 4.6% due to the change in the underlying, age-standardized rate of DALY due to diabetes. Main risk factors for diabetes were high body mass index; a series of dietary factors, most notably low intake of whole grains and of nuts and seeds, and high intake of processed meats; low physical activity and tobacco use, in that order. Conclusions: Our study demonstrates that diabetes, CKD due to diabetes, and hyperglycemia produce a large and increasing burden in Brazil. These findings call for renewed efforts to control the joint epidemics of obesity and diabetes, and to develop strategies to deal with the ever-increasing burden resulting from these diseases. |
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Duncan, Bruce BartholowSchmidt, Maria InêsCousin Sobrinho, Ewerton Luiz PortoMoradi-Lakeh, MaziarPassos, Valéria Maria de AzeredoFrança, Elisabeth BarbozaSouza, Maria de Fatima Marinho deMokdad, Ali H.2019-02-20T02:36:39Z20171758-5996http://hdl.handle.net/10183/188884001085175Background: Diabetes, hyperglycemia, and their complications are a growing problem in Brazil. However, no comprehensive picture of this disease burden has yet been presented to date. Methods: We used Global Burden of Disease 2015 data to characterize diabetes prevalence, incidence and risk factors from 1990 to 2015 in Brazil. Additionally, we provide mortality, years of life lost prematurely (YLL), years of life lived with disability (YLD) and disability-adjusted life years (DALYs) lost due to diabetes, as well as similar data for chronic kidney disease (CKD) due to diabetes and, as an overall summary measure, for hyperglycemia, the latter expressed as high fasting plasma glucose (HFPG). Results: From 1990 to 2015 diabetes prevalence rose from around 3.6 to 6.1%, and YLLs, YLDs, and DALYs attributable to diabetes increased steadily. The crude diabetes death rate increased 90% while that of CKD due to diabetes more than doubled. In 2015, HFPG became Brazil’s 4th leading cause of disability, responsible for 65% of CKD, for 7.0% of all disability and for the staggering annual loss of 4,049,510 DALYs. Diabetes DALYs increased by 118.6% during the period, increasing 42% due to growth in Brazil´s population, 72.1% due to population ageing, and 4.6% due to the change in the underlying, age-standardized rate of DALY due to diabetes. Main risk factors for diabetes were high body mass index; a series of dietary factors, most notably low intake of whole grains and of nuts and seeds, and high intake of processed meats; low physical activity and tobacco use, in that order. Conclusions: Our study demonstrates that diabetes, CKD due to diabetes, and hyperglycemia produce a large and increasing burden in Brazil. These findings call for renewed efforts to control the joint epidemics of obesity and diabetes, and to develop strategies to deal with the ever-increasing burden resulting from these diseases.application/pdfengDiabetology & metabolic syndrome [recurso eletrônico]. London. vol. 9 (Mar. 2017), 18, 12 p.Diabetes mellitusHiperglicemiaMortalidadeMorbidadeEfeitos psicossociais da doençaDiabetesHyperglycemiaMortalityMorbidityCost of illnessThe burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015Estrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001085175.pdf.txt001085175.pdf.txtExtracted Texttext/plain44272http://www.lume.ufrgs.br/bitstream/10183/188884/2/001085175.pdf.txt4a60b1c0287bbf80dcd14b7f018ba9b1MD52ORIGINAL001085175.pdfTexto completo (inglês)application/pdf1872987http://www.lume.ufrgs.br/bitstream/10183/188884/1/001085175.pdf86896833a68271b58d7a74c580efb889MD5110183/1888842019-02-21 02:34:47.865441oai:www.lume.ufrgs.br:10183/188884Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2019-02-21T05:34:47Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
The burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015 |
title |
The burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015 |
spellingShingle |
The burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015 Duncan, Bruce Bartholow Diabetes mellitus Hiperglicemia Mortalidade Morbidade Efeitos psicossociais da doença Diabetes Hyperglycemia Mortality Morbidity Cost of illness |
title_short |
The burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015 |
title_full |
The burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015 |
title_fullStr |
The burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015 |
title_full_unstemmed |
The burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015 |
title_sort |
The burden of diabetes and hyperglycemia in Brazil-past and present : findings from the Global Burden of Disease Study 2015 |
author |
Duncan, Bruce Bartholow |
author_facet |
Duncan, Bruce Bartholow Schmidt, Maria Inês Cousin Sobrinho, Ewerton Luiz Porto Moradi-Lakeh, Maziar Passos, Valéria Maria de Azeredo França, Elisabeth Barboza Souza, Maria de Fatima Marinho de Mokdad, Ali H. |
author_role |
author |
author2 |
Schmidt, Maria Inês Cousin Sobrinho, Ewerton Luiz Porto Moradi-Lakeh, Maziar Passos, Valéria Maria de Azeredo França, Elisabeth Barboza Souza, Maria de Fatima Marinho de Mokdad, Ali H. |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Duncan, Bruce Bartholow Schmidt, Maria Inês Cousin Sobrinho, Ewerton Luiz Porto Moradi-Lakeh, Maziar Passos, Valéria Maria de Azeredo França, Elisabeth Barboza Souza, Maria de Fatima Marinho de Mokdad, Ali H. |
dc.subject.por.fl_str_mv |
Diabetes mellitus Hiperglicemia Mortalidade Morbidade Efeitos psicossociais da doença |
topic |
Diabetes mellitus Hiperglicemia Mortalidade Morbidade Efeitos psicossociais da doença Diabetes Hyperglycemia Mortality Morbidity Cost of illness |
dc.subject.eng.fl_str_mv |
Diabetes Hyperglycemia Mortality Morbidity Cost of illness |
description |
Background: Diabetes, hyperglycemia, and their complications are a growing problem in Brazil. However, no comprehensive picture of this disease burden has yet been presented to date. Methods: We used Global Burden of Disease 2015 data to characterize diabetes prevalence, incidence and risk factors from 1990 to 2015 in Brazil. Additionally, we provide mortality, years of life lost prematurely (YLL), years of life lived with disability (YLD) and disability-adjusted life years (DALYs) lost due to diabetes, as well as similar data for chronic kidney disease (CKD) due to diabetes and, as an overall summary measure, for hyperglycemia, the latter expressed as high fasting plasma glucose (HFPG). Results: From 1990 to 2015 diabetes prevalence rose from around 3.6 to 6.1%, and YLLs, YLDs, and DALYs attributable to diabetes increased steadily. The crude diabetes death rate increased 90% while that of CKD due to diabetes more than doubled. In 2015, HFPG became Brazil’s 4th leading cause of disability, responsible for 65% of CKD, for 7.0% of all disability and for the staggering annual loss of 4,049,510 DALYs. Diabetes DALYs increased by 118.6% during the period, increasing 42% due to growth in Brazil´s population, 72.1% due to population ageing, and 4.6% due to the change in the underlying, age-standardized rate of DALY due to diabetes. Main risk factors for diabetes were high body mass index; a series of dietary factors, most notably low intake of whole grains and of nuts and seeds, and high intake of processed meats; low physical activity and tobacco use, in that order. Conclusions: Our study demonstrates that diabetes, CKD due to diabetes, and hyperglycemia produce a large and increasing burden in Brazil. These findings call for renewed efforts to control the joint epidemics of obesity and diabetes, and to develop strategies to deal with the ever-increasing burden resulting from these diseases. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017 |
dc.date.accessioned.fl_str_mv |
2019-02-20T02:36:39Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
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001085175 |
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http://hdl.handle.net/10183/188884 |
dc.language.iso.fl_str_mv |
eng |
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eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Diabetology & metabolic syndrome [recurso eletrônico]. London. vol. 9 (Mar. 2017), 18, 12 p. |
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