Prevalence of chronic diseases in the indigenous populations of Aracruz, Espírito Santo State, Brazil
DOI:
https://doi.org/10.47456/rbps.v26i1.44838Keywords:
Indigenous Health, Chronic Diseases, Diabetes Mellitus, HypertensionAbstract
Introduction: Indigenous villages located near urban centers are undergoing an accelerated process of epidemiological transition, with an increase in the incidence of non-communicable chronic diseases (NCCD). Objectives: To determine the prevalence of NCCD in the indigenous population settled in Aracruz (north coast of Espírito Santo State, Brazil), and to compare the current data with those obtained in the same population in 2003-2004. Methods: The study included 1,084 adults (≥20 years old, 111 non-indigenous and 973 indigenous individuals, including 90 Guarani and 883 Tupiniquim ethnicity) from an eligible population of 2,982 residents (36.4% attending) in the villages. All data were collected at the University Hospital (HUCAM) of Ufes, including blood and urine samples (fasting), as well as anthropometric measurements, bioimpedance, blood pressure, electrocardiogram. Data are presented as mean ± standard deviation or numbers and percentages. Proportions were compared by the Chi-square test, with statistical significance set at p<0.05. Results: The mean age was 41.6 ± 14.8 years, with predominance of women (57.6%) and young adults (20-39 years, 49.9%). The prevalence of obesity was 38.6% (higher in women 47.8% vs. 25.7%; p<0.05), arterial hypertension (39.5%, with 38% with controlled blood pressure with medicines), and diabetes mellitus (13.7%, with half being new diagnosis). Compared to the survey from 2003-4, the prevalence of obesity increased 2.5 times, and diabetes 3 times. Conclusion: The prevalence of major NCCD is high in the studied population, indicating the need for prevention and earlier diagnosis interventions.
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Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico 2010 [Internet]. IBGE; 2010 [cited 2023 jul 01]. Available from: www.cidades.ibge.gov.br/brasil/es/pesquisa/23/47500.
Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico 2022 [Internet]. IBGE; 2022 [cited 2023 out 07]. Available from: https://censo2022.ibge.gov.br/panorama.
Coimbra Jr CC, Santos RV, Welch JR, Cardoso AM, de Souza MC, Garnelo L, et al. The first national survey of indigenous people’s health and nutrition in Brazil: rationale, methodology, and overview of results. BMC Public Health. 2013,13:52.
Silva MAC, Nunes K, Lemes RB, Mas-Sandoval A, Amorim CEG, Krieger JE, et al. Genomic insight into the origins and dispersal of the Brazilian coastal natives. Proc Natl Acad Sci USA. 2020, 177(5):2372-2377.
Meyerfreund D, Gonçalves C, Cunha R, Pereira AC, Krieger JE, Mill JG. Age-dependent increase in blood pressure in two different Native American communities in Brazil. J Hypertens. 2009, 27(9):1753-1760.
Ferreira MEV, Matsuo T, de-Souza RKT. Aspectos demográficos e mortalidade de populações indígenas do Estado do Mato Grosso do Sul, Brasil. Cad. Saúde Pública. 2011,27(12):2327-2339.
Mill JG, Pinto K, Griep RH, Goulart A, Foppa M, Lotufo P, et al. Medical assessments and measurements in ELSA-Brasil. Rev de Saude Pública. 2013, 47(suppl 2):54-62.
Espírito Santo. Portaria n° 63/2020, de 24 de julho de 2020. Recomendações de medidas de prevenção da transmissão de covid-19 para realização de atendimentos em consultórios ambulatoriais. Vitória, ES. 24 jul 2020.
Lovatti TMC, Boldrini NAP, Miranda AEB, Mill JG, Lara IC, Bohier IN, et al. Prevalência de alterações citológicas cervicais em indígena do município de Aracruz, ES: um estudo preliminar. Rev Bras Pesq Saúde. 2021,23(supl 1): 6-12.
Slade GD. Derivation and validation of short-form oral health impact profile. Community Dent.Oral Epidemiol. 1997, 25(4):284-290.
Sartorelli DS, Franco LJ. Tendências do diabetes mellitus no Brasil: o papel da transição nutricional. Cad. Saúde Pública. 2003, 19(Supl 1):S29-S36.
Borges GM. Health transition in Brazil: regional variations and divergence/convergence in mortality. Cad. Saúde Pública. 2017, 33(8):e00080316.
Brasil. Ministério da Saúde. VIGITEL: Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico [Internet]. Brasília: Ministério da Saúde; 2007. 297 p. [cited 2023 dez 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2006.pdf.
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