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dc.contributor.authorNascimento, Bruno Ramospt_BR
dc.contributor.authorBrant, Luisa Campos Caldeirapt_BR
dc.contributor.authorYadgir, Simonpt_BR
dc.contributor.authorOliveira, Glaucia Maria Moraes dept_BR
dc.contributor.authorRoth, Gregory A.pt_BR
dc.contributor.authorGlenn, Scott Devonpt_BR
dc.contributor.authorMooney, Meghan D.pt_BR
dc.contributor.authorNaghavi, Mohsenpt_BR
dc.contributor.authorPassos, Valéria Maria de Azeredopt_BR
dc.contributor.authorDuncan, Bruce Bartholowpt_BR
dc.contributor.authorSilva, Diego Augusto Santospt_BR
dc.contributor.authorMalta, Deborah Carvalhopt_BR
dc.contributor.authorRibeiro, Antônio Luiz Pinhopt_BR
dc.date.accessioned2021-09-01T04:25:17Zpt_BR
dc.date.issued2020pt_BR
dc.identifier.issn1478-7954pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/229320pt_BR
dc.description.abstractBackground: Hypertension remains the leading risk factor for cardiovascular disease (CVD) worldwide, and its impact in Brazil should be assessed in order to better address the issue. We aimed to describe trends in prevalence and burden of disease attributable to high systolic blood pressure (HSBP) among Brazilians ≥ 25 years old according to sex and federal units (FU) using the Global Burden of Disease (GBD) 2017 estimates. Methods: We used the comparative risk assessment developed for the GBD study to estimate trends in attributable deaths and disability-adjusted life-years (DALY), by sex, and FU for HSBP from 1990 to 2017. This study included 14 HSBP-outcome pairs. HSBP was defined as ≥ 140 mmHg for prevalence estimates, and a theoretical minimum risk exposure level (TMREL) of 110–115 mmHg was considered for disease burden. We estimated the portion of deaths and DALYs attributed to HSBP. We also explored the drivers of trends in HSBP burden, as well as the correlation between disease burden and sociodemographic development index (SDI). Results: In Brazil, the prevalence of HSBP is 18.9% (95% uncertainty intervals [UI] 18.5–19.3%), with an annual 0.4% increase rate, while age-standardized death rates attributable to HSBP decreased from 189.2 (95%UI 168.5–209.2) deaths to 104.8 (95%UI 94.9–114.4) deaths per 100,000 from 1990 to 2017. In spite of that, the total number of deaths attributable to HSBP increased 53.4% and HSBP raised from 3rd to 1st position, as the leading risk factor for deaths during the period. Regarding total DALYs, HSBP raised from 4th in 1990 to 2nd cause in 2017. The main driver of change of HSBP burden is population aging. Across FUs, the reduction in the age-standardized death rates attributable to HSBP correlated with higher SDI. Conclusions: While HSBP prevalence shows an increasing trend, age-standardized death and DALY rates are decreasing in Brazil, probably as results of successful public policies for CVD secondary prevention and control, but suboptimal control of its determinants. Reduction was more significant in FUs with higher SDI, suggesting that the effect of health policies was heterogeneous. Moreover, HSBP has become the main risk factor for death in Brazil, mainly due to population aging.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofPopulation health metrics. London. Vol. 18, supl 1 (2020), 17, 22 p.pt_BR
dc.rightsOpen Accessen
dc.subjectGlobal burden of diseaseen
dc.subjectCarga global da doençapt_BR
dc.subjectHipertensãopt_BR
dc.subjectHypertensionen
dc.subjectMorbidityen
dc.subjectMortalidadept_BR
dc.subjectEpidemiologiapt_BR
dc.subjectMortalityen
dc.subjectBrasilpt_BR
dc.subjectEpidemiologyen
dc.titleTrends in prevalence, mortality, and morbidity associated with high systolic blood pressure in Brazil from 1990 to 2017 : estimates from the “Global Burden of Disease 2017” (GBD 2017) studypt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001130474pt_BR
dc.type.originEstrangeiropt_BR


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