Physical inactivity as a risk factor for all-cause mortality in Brazil (1990–2017)

• Main Authors: Diego Augusto Santos Silva, Mark Stephen Tremblay, Fatima Marinho, Antonio Luiz Pinho Ribeiro, Ewerton Cousin, Bruno Ramos Nascimento, Paulo da Fonseca Valença Neto, Mohsen Naghavi, Deborah Carvalho Malta
• Format: Article
• Language: English
• Published: BMC 2020-09-01
• Series: Population Health Metrics
• Subjects: Adults; Epidemiology; Disease burden; Physical activity; Morbidity
• Online Access: http://link.springer.com/article/10.1186/s12963-020-00214-3

Abstract Background The aim of this study was to estimate the mortality from all causes as a result of physical inactivity in Brazil and in Brazilian states over 28 years (1990–2017). Methods Data from the Global Burden of Disease (GBD) study for Brazil and states were used. The metrics used were the summary exposure value (SEV), the number of deaths, age-standardized mortality rates, and the fraction of population risk attributable to physical inactivity. Results The Brazilian population presented risk of exposure to physical inactivity of (age-standardized SEV) of 59% (95% U.I. 22–97) in 1990 and 59% in 2017 (95% U.I. 25–99). Physical inactivity contributed a significant number of deaths (1990, 22,537, 95% U.I. 12,157–34,745; 2017, 32,410, 95% U.I. 17,976–49,657) in the analyzed period. These values represented mortality rates standardized by age (per 100,000 inhabitants) of 31 (95% U.I. 17–48) in 1990 and 15 (95% U.I. 8–23) in 2017. From 1990 to 2017, a decrease in standardized death rate from all causes attributable to physical inactivity was observed in Brazil (− 52%, 95% U.I. − 54 to − 49). The Brazilian states with better socioeconomic conditions presented greater reductions in age-standardized mortality (male: rho = 0.80; female: rho 0.84) over the period of 28 years. Conclusions These findings support the promotion of physical activity in the Brazilian population for the prevention of early mortality.