Chronic Non-Communicable Diseases in Brazil: priorities for disease management and research

被引:81
作者
Duncan, Bruce Bartholow [1 ]
Chor, Dora [2 ]
Aquino, Estela M. L. [3 ]
Bensenor, Isabela M. [4 ]
Mill, Jose Geraldo [5 ]
Schmidt, Maria Ines [1 ]
Lotufo, Paulo Andrade [4 ]
Vigo, Alvaro [1 ]
Barreto, Sandhi Maria [6 ]
机构
[1] Univ Fed Rio Grande do Sul, Fac Med, Programa Posgrad Epidemiol, Porto Alegre, RS, Brazil
[2] Fundacao Oswaldo Cruz, Dept Epidemiol, Escola Nacl Saude Publ, Rio De Janeiro, RJ, Brazil
[3] Univ Fed Bahia, Programa Posgrad Saude Colet, Inst Saude Colet, Salvador, BA, Brazil
[4] Univ Sao Paulo, Fac Med, Univ Hosp, Sao Paulo, Brazil
[5] Univ Fed Espirito Santo, Dept Ciencias Fisiol, Ctr Ciencias Saude, Vitoria, ES, Brazil
[6] Univ Fed Minas Gerais, Fac Med, Programa Posgrad Saude Publ, Belo Horizonte, MG, Brazil
来源
REVISTA DE SAUDE PUBLICA | 2012年 / 46卷
关键词
Adult Health Chronic Disease; epidemiology; Chronic Disease; prevention; control; Cardiovascular Diseases; Obesity; Diabetes Mellitus; Cohort Studies; PRIMARY-CARE; WEIGHT-GAIN; SAO-PAULO; HEALTH; EPIDEMIOLOGY; MORTALITY; ADULTS; HOSPITALIZATIONS; INFLAMMATION; ALCOHOL;
D O I
10.1590/S0034-89102012000700017
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
Chronic Non-Communicable Diseases are the main source of disease burden in Brazil. In 2011, the Brazilian Ministry of Health launched the Strategic Plan of Action for Management of Chronic Non-Communicable Diseases focusing on population-based interventions to manage cardiovascular diseases, diabetes, cancer, and chronic respiratory diseases mainly through fighting tobacco use, unhealthy diets, physical inactivity and the harmful use of alcohol. Although a significant number of scientific studies on chronic diseases and their risk factors have been undertaken in Brazil, few are of cohort design. In this context, the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a cohort study of 15,105 Brazilian public servants reflects the reality of high prevalences of diabetes, hypertension and the main chronic diseases risk factors. The diversity of information that the Study will produce can provide important input to better understand the causes of chronic diseases and to support public policies for fighting them.
引用
收藏
页码:126 / 134
页数:9
相关论文
共 32 条
[1]
Chronic Diseases: Chronic Diseases and Development 5 Monitoring and surveillance of chronic non-communicable diseases: progress and capacity in high-burden countries [J].
Alwan, Ala ;
MacLean, David R. ;
Riley, Leanne M. ;
d'Espaignet, Edouard Tursan ;
Mathers, Colin Douglas ;
Stevens, Gretchen Anna ;
Bettcher, Douglas .
LANCET, 2010, 376 (9755) :1861-1868
[2]
Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): Objectives and Design [J].
Aquino, Estela M. L. ;
Barreto, Sandhi Maria ;
Bensenor, Isabela M. ;
Carvalho, Marilia S. ;
Chor, Dora ;
Duncan, Bruce B. ;
Lotufo, Paulo A. ;
Mill, Jose Geraldo ;
Molina, Maria Del Carmen ;
Mota, Eduardo L. A. ;
Azeredo Passos, Valeria Maria ;
Schmidt, Maria Ines ;
Szklo, Moyses .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2012, 175 (04) :315-324
[3]
Bassanesi SL, 2008, ARQ BRAS CARDIOL, V90, P403
[4]
Alma-Ata: Rebirth and revision 3 - Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care [J].
Beaglehole, Robert ;
Epping-Jordan, JoAnne ;
Patel, Vikram ;
Chopra, Mickey ;
Ebrahim, Shah ;
Kidd, Michael ;
Haines, Andy .
LANCET, 2008, 372 (9642) :940-949
[5]
Chor Dóra, 2005, Cad. Saúde Pública, V21, P1586
[6]
Passos VMD, 2011, CIENC SAUDE COLETIVA, V16, P3671, DOI 10.1590/S1413-81232011001000004
[7]
SOCIAL-INEQUALITY IN MORTALITY IN SAO-PAULO STATE, BRAZIL [J].
DUNCAN, BB ;
RUMEL, D ;
ZELMANOWICZ, A ;
MENGUE, SS ;
DOSSANTOS, S ;
DALMAZ, A .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 1995, 24 (02) :359-365
[8]
Inflammation markers predict increased weight gain in smoking quitters [J].
Duncan, BB ;
Schmidt, MI ;
Chambless, LE ;
Folsom, AR ;
Heiss, G .
OBESITY RESEARCH, 2003, 11 (11) :1339-1344
[9]
Fibrinogen, other putative markers of inflammation, and weight gain in middle-aged adults - The ARIC study [J].
Duncan, BB ;
Schmidt, MI ;
Chambless, LE ;
Folsom, AR ;
Carpenter, M ;
Heiss, G .
OBESITY RESEARCH, 2000, 8 (04) :279-286
[10]
Duncan BB, 2012, SAUDE BRASIL 2011, P95