Physical activity and preventable premature deaths from non-communicable diseases in Brazil.

Publisher: Oxford University Press Country of Publication: England NLM ID: 101188638 Publication Model: Print Cited Medium: Internet ISSN: 1741-3850 (Electronic) Linking ISSN: 17413842 NLM ISO Abbreviation: J Public Health (Oxf) Subsets: MEDLINE

Original Publication: Oxford, UK : Oxford University Press, c2004-

Mortality, Premature*; Chronic Disease/*mortality ; Chronic Disease/*prevention & control ; Exercise/*physiology ; Noncommunicable Diseases/*mortality ; Noncommunicable Diseases/*prevention & control; Adult ; Aged ; Brazil/epidemiology ; Female ; Health Behavior ; Health Surveys ; Humans ; Male ; Middle Aged ; Sex Distribution

Background: Studies on the impact of counterfactual scenarios of physical activity on premature deaths from non-communicable diseases (NCDs) are sparse in the literature. We estimated preventable premature deaths from NCDs (diabetes, ischemic heart disease, stroke, and breast and colon cancers) in Brazil by increasing population-wide physical activity (i) to theoretical minimum risk exposure levels; (ii) reaching the physical activity recommendation; (iii) reducing insufficient physical activity by 10%; and (iv) eliminating the gender differences in physical activity.
Methods: Preventable fractions were estimated using data from a nationally representative survey, relative risks from a meta-analysis and number of premature deaths (30-69 years) from the Brazilian Mortality Information System.
Results: Physical activity could potentially avoid up to 16 700 premature deaths from NCDs in Brazil, corresponding to 5.75 and 3.23% of premature deaths from major NCDs and of all-causes, respectively. Other scenarios suggested the following impact on premature deaths: reaching physical activity recommendation (5000 or 1.74% of major NCDs); 10% reduction in insufficient physical activity (500 or 0.17% of major NCDs); eliminating gender differences in physical activity (1000 or 0.33% of major NCDs).
Conclusions: Physical activity may play an important role to reduce premature deaths from NCD in Brazil.
(© The Author(s) 2018. Published by Oxford University Press on behalf of Faculty of Public Health.)

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MR/K023187/1 United Kingdom MRC_ Medical Research Council

Keywords: epidemiology; non-communicable diseases; physical activity; population attributable fraction; premature mortality

Date Created: 20181023 Date Completed: 20200709 Latest Revision: 20231115

20231115

PMC6785690

10.1093/pubmed/fdy183

30346575