The huge cost of obesity for Brazilian public health: A brief literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i9.18276

Keywords:

Obesity; Non-communicable diseases; SUS; Public policy; Costs.

Abstract

Introduction: obesity, a chronic non-communicable disease (NCD), considered the most important nutritional disorder in developing and developed countries, due to its increased incidence, is a pathology that is often associated due to its high risk factor, to the possibility of corroborating other metabolic and systemic comorbidities, such as primary hypertension, diabetes mellitus and hypothyroidism. Objective: to relate obesity to other comorbidities, as well as the cost of this disease for public health in Brazil. Methodology: this is a brief literature review. The research was carried out through online access in the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (Scielo), Google Scholar, Virtual Health Library (VHL) and EBSCO Information Services databases, from April to June of 2021. Results: chronic conditions such as kidney disease, osteoarthritis, cancer, type 2 diabetes mellitus, sleep apnea, non-alcoholic fatty liver disease, systolic arterial hypertension (SAH) and, most importantly, coronary artery disease, are directly related with functional disability and obesity Conclusion: it is well known that the pathophysiology of obesity corroborates later comorbidities, such as SAH, diabetes mellitus, thyroid disorders and dyslipidemia. Allied to this, CNCDs represent a great burden for the public health system in Brazil, given that they are one of the main causes of death and illness in the population, and, in this sense, due to their direct negative effects on health, added to the indirect effects resulting from associated chronic diseases, obesity represents a double burden on health systems.

References

Anjos, L. A. (2006). Obesidade e saúde pública. Rio de Janeiro: Editora FIOCRUZ, 1-101.

Blake, J., Devereux, R. B., Borer, J. S., Szulc, M., Pappas, T. W. & Laragh, J. H. (1990). Relation of obesity, high sodium intake, and eccentric left ventricular hypertrophy to left ventricular exercise dysfunction in essential hypertension. The American Journal of Medicine, 88 (5), v. 88, 477-485. https://doi.org/10.1016/0002-9343(90)90426-E

Costa, A. F., Flor, L. S., Campos, M. R., Oliveira, A. F., Costa, M. F. S., Silva, R. S., Lobato, L. C. P. & Schramm, J. M, A. (2017). Carga do diabetes mellitus tipo 2 no Brasil. Cadernos de Saúde Pública. 33 (2), 1-14. https://doi.org/10.1590/0102-311X00197915

Felber, J. P. & Golay, A. (1995). Regulation of nutrient metabolism and energy expenditure. Metabolism. 44 (2), 4-9. https://doi.org/10.1016/0026-0495(95)90201-5

Frederiksen, H. (1969). Feedbacks in economic and demographic transition. Science. 166 (3907), 837-847. https://doi.org/10.1126/science.166.3907.837

Freitas, E. V. & Py, L. (2018). Tratado de geriatria e gerontologia. 4. ed., Rio de Janeiro: Guanabara Koogan, 1638.

Ghosh, A., Bose, K. & Chaudhuri, A. B. D. (2003). Association of food patterns, central obesity measures and metabolic risk factors for coronary heart disease (CHD) in middle aged Bengalee Hindu men, Calcutta, India. Asia Pacific Journal of Clinical Nutrition. 12 (2), 166-171.

Gouvea, H. R., Faria, S. L., Faria, O. P., Cardeal, M. A., Bezerra, A. & Ito, M. K. (2013). Validação da ultrassonografia para a avaliação da gordura abdominal visceral em obesos clinicamente graves. Arq. Bras. Cir. Dig. 26 (1), 43-46. https://doi.org/10.1590/S0102-67202013000600010

Guh, D. P., Zhang, W., Bansback, N., Amarsi, Z., Birmingham, C. L. & Anis, A. H. (2009). The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health. 88 (9). https://doi.org/10.1186/1471-2458-9-88

Haffner, S. M., Valdez, R. A., Mitchell, B. D., Morales, P. A. & Stern, M. P. (1992). Prospective analysis of the insulin-resistance syndrome (syndrome X). Diabetes. 41 (6), 715-722. https://doi.org/10.2337/diab.41.6.715

Hegarty, B. D., Cooney, G. J., Kraegen, E. W. & Furler, S. M. (2002). Increased efficiency of fatty acid uptake contributes to lipid accumulation in skeletal muscle of high fat-fed insulin-resistant rats. Diabetes. 51 (5), 1477-1484. https://doi.org/10.2337/diabetes.51.5.1477

Kjeldsen, S. E., Dahlof, B., Devereux, R. B., Julius, S., Aurup, P., Edelman, J., Beevers, G., Faire, U., Fyhrquist, F., Ibsen, H., Kristianson, K., Pedersen, O. L., Lindholm, L. H., Nieminen, M. S., Omvik, P., Oparil, S., Snapinn, S. & Wedel, H. (2002). Effects of losartan on cardiovascular morbidity and mortality in patients with isolated systolic hypertension and left ventricular hypertrophy: a Losartan Intervention for Endpoint Reduction (LIFE) substudy. Jama. 288 (12), 1491-1498. https://doi.org/10.1001/jama.288.12.1491

Koeppen, B. M. & Stanton, B. A. (2020). Berne e Levy - Fisiologia. 7. ed., Rio de Janeiro: Editora Guanabara Koogan Ltda., 829.

Laurenti, R. (1990). Transição demográfica e transição epidemiológica. Anais do I Congresso Brasileiro de Epidemiologia, 143-165.

Marques-Lopes, I., Marti, A., Aliaga, M. J. M. & Martínez, A. (2004). Aspectos genéticos da obesidade. Revista de Nutrição. 17 (3), 327-338. https://doi.org/10.1590/S1415-52732004000300006

McNamara, D. J. & Howell, W. H. (1992). Epidemiologic data linking diet to hyperlipidemia and arteriosclerosis. Seminars in liver disease by Thieme Medical Publishers. 12 (4), 347-355. https://doi.org/10.1055/s-2008-1040404

Monteiro, C. A. & Conde, W. L. (1999). A tendência secular da obesidade segundo estratos sociais: nordeste e sudeste do Brasil. Arq Bras Endocrinol Metabol, 43 (3), 186-194. https://doi.org/10.1590/S0004-27301999000300004

Marie, N. G, Fleming, T, Robinson, M., Thomson, B., Graetz, N. & Gakidou, E. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet. 384 (9945), 766-781. https://doi.org/10.1016/S0140-6736(14)60460-8

Nilson, E. A. F., Andrade, R. C. S., Brito, D. A. & Oliveira, M. L. (2019). Custos atribuíveis à obesidade, hipertensão e diabetes no Sistema Único de Saúde, Brasil, 2018. Revista Panamericana de Salud Publica. 44 (32), 1-7. https://doi.org/10.26633/RPSP.2020.32

Oliveira, M. L., Santos, L. M. P. & Silva, E. N. (2014). Bases metodológicas para estudos de custos da doença no Brasil. Rev Nutr. 27 (5), 585-595. https://doi.org/10.1590/1415-52732014000500007

Pereira, L. O., Francischi, R. P. & Júnior, A. H. L. (2003). Obesidade: hábitos nutricionais, sedentarismo e resistência à insulina. Arq Bras Endocrinol Metabol. 47 (2), 111-127. https://doi.org/10.1590/S0004-27302003000200003

Pinheiro, A. R. O., Freitas, S. F. T. & Corso, A. C. T. (2004). Uma abordagem epidemiológica da obesidade. Revista Nutrição, 17 (4), 523-533. https://doi.org/10.1590/S1415-52732004000400012

Popkin, B. M. & Bisgrove, E. Z. (1998). Urbanization and nutrition in lownincome countries. Food Nutr Bull. 10 (1), 3-23.

Ribeiro, S. M. L., Lima, S. M. & Melo. C. M. (2018). Avaliação nutricional: teoria e prática. 2. ed., Rio de Janeiro: Guanabara Koogan, 340.

Rosa, E. C., Zanella, M. T., Ribeiro, A. B. & Kohlmann, O. J. (2005). Obesidade visceral, hipertensão arterial e risco cárdio-renal: uma revisão. Arq Bras Endocrinol Metabol. 49 (2), 196-204. https://doi.org/10.1590/S0004-27302005000200005

Sichieri, R., Coitinho, D. C., Pereira, R. A., Marins, V. M. R. & Moura, A. S. (1997). Variações temporais do estado nutricional e do consumo alimentar no Brasil. Revista de Saúde Coletiva. 7 (2), 31-50. https://doi.org/10.1590/S0103-73311997000200003

Siqueira, A. S. E., Filho, A. G. S. & Land, M. G. P. (2017). Análise do impacto econômico das doenças cardiovasculares nos últimos cinco anos no Brasil. Arq. Bras. Cardiol. 109 (1), 39-46. https://doi.org/10.5935/abc.20170068

Souza, R. G. M., Gomes, A. C., Prado, C. M. M. & Mota, J. F. (2014). Métodos de análise da composição corporal em adultos obesos. Revista de Nutrição. 27 (5), 569-583. https://doi.org/10.1590/1415-52732014000500006

Wanderley, E. N. & Ferreira, V. A. (2010). Obesidade: uma perspectiva plural. Ciência Saúde Coletiva. 15 (1), 185-194. https://doi.org/10.1590/S1413-81232010000100024

Published

28/07/2021

How to Cite

FIGUEIREDO, B. Q. de; SOUTO, B. O. V.; NOGUEIRA, C. F. R.; SILVA, I. T. da .; BERNARDES, L. B. R.; PERES, M. L. A.; OLIVEIRA, R. C. The huge cost of obesity for Brazilian public health: A brief literature review. Research, Society and Development, [S. l.], v. 10, n. 9, p. e33610918276, 2021. DOI: 10.33448/rsd-v10i9.18276. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18276. Acesso em: 18 sep. 2021.

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Section

Health Sciences