Healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in Brazil, 2019

ABSTRACT Objective: To estimate prevalence of healthy behaviors among individuals aged 30 years or more, diagnosed with arterial hypertension and diabetes mellitus, using information from the National Health Survey, 2019. Methods: Cross-sectional study with cluster sampling and simple random sampling in three stages. Individuals were aggregated according the following conditions: having arterial hypertension; arterial hypertension only; diabetes mellitus; diabetes mellitus only; arterial hypertension and diabetes mellitus only; without chronic non-communicable diseases. Poisson regression models and crude and adjusted prevalence ratios for sex, age group, and schooling were used. The proportion of recommendations received by patients with arterial hypertension and diabetes mellitus was estimated by type of care (public/private). Results: A total of 69,285 individuals aged 30 years or more was analyzed. Compared to individuals without non-communicable diseases, prevalence of consumption of fruits and vegetables ≥5 days a week was significantly higher among individuals with arterial hypertension (39.9% - 95%CI 38.8–41.0) and those with diabetes mellitus (42.8% - 95%CI 40.7–44.9). However, estimates of not having consumed ultra-processed food were low, 19.7% (95%CI 18.9–20.6) and 21.9% (95%CI 20,3–23.5), respectively. Prevalence of not smoking reached values close to 90% and significant prevalence ratios, whereas the practice of physical activity had levels below 30% and non-significant prevalence ratios. The proportion of healthy eating recommendations reached 90%, but it was close to 70% for not smoking. Conclusions: It is necessary to encourage the practice of healthy lifestyles and provide information about the benefits of physical activity and the harmful effects of unhealthy eating for well-being and aging with quality.

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Main Authors: Szwarcwald,Célia Landmann, Souza Júnior,Paulo Roberto Borges de, Damacena,Giseli Nogueira, Stopa,Sheila Rizzato, Barros,Marilisa Berti de Azevedo, Malta,Deborah Carvalho
Format: Digital revista
Language:English
Published: Associação Brasileira de Saúde Coletiva 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000300415
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spelling oai:scielo:S1415-790X20210003004152021-12-07Healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in Brazil, 2019Szwarcwald,Célia LandmannSouza Júnior,Paulo Roberto Borges deDamacena,Giseli NogueiraStopa,Sheila RizzatoBarros,Marilisa Berti de AzevedoMalta,Deborah Carvalho Healthy lifestyle Health promotion Health Care Longevity Quality of life Brazil ABSTRACT Objective: To estimate prevalence of healthy behaviors among individuals aged 30 years or more, diagnosed with arterial hypertension and diabetes mellitus, using information from the National Health Survey, 2019. Methods: Cross-sectional study with cluster sampling and simple random sampling in three stages. Individuals were aggregated according the following conditions: having arterial hypertension; arterial hypertension only; diabetes mellitus; diabetes mellitus only; arterial hypertension and diabetes mellitus only; without chronic non-communicable diseases. Poisson regression models and crude and adjusted prevalence ratios for sex, age group, and schooling were used. The proportion of recommendations received by patients with arterial hypertension and diabetes mellitus was estimated by type of care (public/private). Results: A total of 69,285 individuals aged 30 years or more was analyzed. Compared to individuals without non-communicable diseases, prevalence of consumption of fruits and vegetables ≥5 days a week was significantly higher among individuals with arterial hypertension (39.9% - 95%CI 38.8–41.0) and those with diabetes mellitus (42.8% - 95%CI 40.7–44.9). However, estimates of not having consumed ultra-processed food were low, 19.7% (95%CI 18.9–20.6) and 21.9% (95%CI 20,3–23.5), respectively. Prevalence of not smoking reached values close to 90% and significant prevalence ratios, whereas the practice of physical activity had levels below 30% and non-significant prevalence ratios. The proportion of healthy eating recommendations reached 90%, but it was close to 70% for not smoking. Conclusions: It is necessary to encourage the practice of healthy lifestyles and provide information about the benefits of physical activity and the harmful effects of unhealthy eating for well-being and aging with quality.info:eu-repo/semantics/openAccessAssociação Brasileira de Saúde ColetivaRevista Brasileira de Epidemiologia v.24 suppl.2 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000300415en10.1590/1980-549720210017.supl.2
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country Brasil
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language English
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author Szwarcwald,Célia Landmann
Souza Júnior,Paulo Roberto Borges de
Damacena,Giseli Nogueira
Stopa,Sheila Rizzato
Barros,Marilisa Berti de Azevedo
Malta,Deborah Carvalho
spellingShingle Szwarcwald,Célia Landmann
Souza Júnior,Paulo Roberto Borges de
Damacena,Giseli Nogueira
Stopa,Sheila Rizzato
Barros,Marilisa Berti de Azevedo
Malta,Deborah Carvalho
Healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in Brazil, 2019
author_facet Szwarcwald,Célia Landmann
Souza Júnior,Paulo Roberto Borges de
Damacena,Giseli Nogueira
Stopa,Sheila Rizzato
Barros,Marilisa Berti de Azevedo
Malta,Deborah Carvalho
author_sort Szwarcwald,Célia Landmann
title Healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in Brazil, 2019
title_short Healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in Brazil, 2019
title_full Healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in Brazil, 2019
title_fullStr Healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in Brazil, 2019
title_full_unstemmed Healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in Brazil, 2019
title_sort healthy lifestyle and recommendations in health care among hypertensive and diabetic patients in brazil, 2019
description ABSTRACT Objective: To estimate prevalence of healthy behaviors among individuals aged 30 years or more, diagnosed with arterial hypertension and diabetes mellitus, using information from the National Health Survey, 2019. Methods: Cross-sectional study with cluster sampling and simple random sampling in three stages. Individuals were aggregated according the following conditions: having arterial hypertension; arterial hypertension only; diabetes mellitus; diabetes mellitus only; arterial hypertension and diabetes mellitus only; without chronic non-communicable diseases. Poisson regression models and crude and adjusted prevalence ratios for sex, age group, and schooling were used. The proportion of recommendations received by patients with arterial hypertension and diabetes mellitus was estimated by type of care (public/private). Results: A total of 69,285 individuals aged 30 years or more was analyzed. Compared to individuals without non-communicable diseases, prevalence of consumption of fruits and vegetables ≥5 days a week was significantly higher among individuals with arterial hypertension (39.9% - 95%CI 38.8–41.0) and those with diabetes mellitus (42.8% - 95%CI 40.7–44.9). However, estimates of not having consumed ultra-processed food were low, 19.7% (95%CI 18.9–20.6) and 21.9% (95%CI 20,3–23.5), respectively. Prevalence of not smoking reached values close to 90% and significant prevalence ratios, whereas the practice of physical activity had levels below 30% and non-significant prevalence ratios. The proportion of healthy eating recommendations reached 90%, but it was close to 70% for not smoking. Conclusions: It is necessary to encourage the practice of healthy lifestyles and provide information about the benefits of physical activity and the harmful effects of unhealthy eating for well-being and aging with quality.
publisher Associação Brasileira de Saúde Coletiva
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000300415
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