Evolution of diabetes in Brazil

Prevalence data from the 2013 and 2019 Brazilian National Health Survey

Dados Bibliográficos

ID5166557
AutoresRodrigo Citton Padilha Dos Reis (0000-0003-1766-0964, Universidade Federal do Rio Grande do Sul), Bruce B Duncan (0000-0002-7491-2630, Universidade Federal do Rio Grande do Sul), Deborah Carvalho Malta (0000-0002-8214-5734, Universidade Federal de Minas Gerais), Betine Pinto Moehlecke Iser (0000-0001-6061-2541, Universidade Federal de Santa Catarina), Maria Ines Schmidt (0000-0002-3837-0731, Universidade Federal do Rio Grande do Sul)
Ano2022
Volume38
Fascículosuppl 1
Páginase00149321-e00149321
Data de publicação2022-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCadernos de Saude Publica (JOURNAL)
Identificadores do periódicoISSN: 0102-311X • E-ISSN: 1678-4464
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00149321
PMID35544921
OpenAlexW4285219136
SCIELO_PIDS0102-311X2022001305004
IdiomaEN
Citações recebidas4
Referências citadas12

The prevalence of diabetes has been growing worldwide. This study aimed to estimate the prevalence of self-reported diabetes in Brazil in 2019, to describe its evolution from 2013, and to evaluate the role of population growth, aging, and other factors in the changes found. The 2019 Brazilian National Health Survey, a nationally representative cross-sectional survey, queried a physician diagnosis of diabetes in a probabilistic multistage cluster sample. The crude prevalence of known diabetes in 2019 was 7.7% (7.4%-8.0%), a 24% relative increase to the prevalence of 2013. Though this increase was greater in men (30%) than women (20%), 2019 prevalence remained higher in women (8.4%) than in men (6.9%). Age-adjusted prevalence was uniformly lower in the North region, and uniformly higher in the Southeast and Central-West regions. In 2019, 12.3 million cases of diabetes were found, a 36.4% increase from the 9.0 million in 2013. Drivers of this rise include increase in size (9.9%) and aging (1.8%) of the Brazilian population, and to all other factors, including increased case-detection and incidence, as well as decreased diabetes mortality (24.7%). Main correlates of greater prevalence - adjusted by the Poisson regression with robust variance - were older age (PR = 27.2, 95%CI: 1.2-42.9 for ≥ 65 years vs. 18-24 years), hypertension (PR = 2.6, 95%CI: 2.4-2.8 vs. normotension), and obesity (PR = 2.3, 95%CI: 2.1-2.5 vs. BMI < 25kg/m2). Those with a complete higher education had a 40% lower prevalence (PR = 0.6; 95%CI: 0.54-0.70 vs. incomplete elementary education). In conclusion, accompanying a worldwide trend, Brazil presents an increasing prevalence of diabetes throughout its regions, posing a huge burden to its population and health systems

Cluster (spacecraft) · Cross-sectional study · Diabetes mellitus · Environmental health · Incidence (geometry) · National Health and Nutrition Examination Survey · Obesity · Poisson regression · Population · Prevalence · Demography · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Epidemiology · Global Public Health Policies and Epidemiology · Internal Medicine · Medicine · Gerontology