Relation of smoking, physical inactivity, alcohol consumption and elderly population with mortality from noncommunicable diseases: a worldwide database ecological study

Authors

DOI:

https://doi.org/10.33448/rsd-v12i3.40643

Keywords:

Risk factors; Chronic disease; Sedentary lifestyle; Tobacco use disorder; Alcoholism.

Abstract

Introduction: Noncommunicable Diseases (NCDs) are conditions that result from a multifactorial combination of the individual. They are mainly represented by chronic respiratory and cardiovascular diseases, cancer and diabetes. They are related to some risk factors that increase the incidence of morbidity and mortality, such as smoking, consumption of alcoholic beverages, physical inactivity and the natural aging process. Objectives: to analyze the association between smoking, physical inactivity, aging and alcoholism with NCDs mortality worldwide. Materials and Methods: An ecological observational study was carried out, with the population studied being composed by world regions and countries, with their respective data on the prevalence of mortality from NCDs, prevalence of elderly people aged 65 years and over, smokers, physically inactive and consumption of alcoholic beverages estimated in liters of alcohol per capita. Results: 253 regions and countries available in the world bank were evaluated. The mean prevalence (±SD) of mortality from NCDs was 70.2 (±20.2)%. Evaluating the elderly population, it was noticed that for every 1% increase in its prevalence, there is an increase of 2.3% in NCDs mortality (p<0.001). Using the same parameter for smoking, the increment was 1.2% (p<0.001). For alcohol consumption, there was an increase of 1.8% (p<0.001). Physical inactivity presented the lowest correlation index, increasing 0.6% in the NCDs mortality numbers for each 1% of additional prevalence (p<0.001). Conclusion: Thus, all risk factors had an influence when related to the outcome, with advanced age being denoted as the greatest risk factor associated with mortality from NCDs.

References

Allen, L., Cobiac, L., & Townsend, N. (2017). Quantifying the global distribution of premature mortality from non-communicable diseases. Journal of public health (Oxford, England), 39(4), 698–703. https://doi.org/10.1093/pubmed/fdx008.

Allen, L., Williams, J., Townsend, N., Mikkelsen, B., Roberts, N., Foster, C., & Wickramasinghe, K. (2017). Socioeconomic status and non-communicable disease behavioural risk factors in low-income and lower-middle-income countries: a systematic review. The Lancet. Global health, 5(3), e277–e289. https://doi.org/10.1016/S2214-109X(17)30058-X.

Aune, D., Norat, T., Leitzmann, M., Tonstad, S., & Vatten, L. J. (2015). Physical activity and the risk of type 2 diabetes: a systematic review and dose-response meta-analysis. European journal of epidemiology, 30(7), 529–542. https://doi.org/10.1007/s10654-015-0056-z

Beydoun, M. A., Beydoun, H. A., Gamaldo, A. A., Teel, A., Zonderman, A. B., & Wang, Y. (2014). Epidemiologic studies of modifiable factors associated with cognition and dementia: systematic review and meta-analysis. BMC public health, 14, 643. https://doi.org/10.1186/1471-2458-14-643

Booth, F. W., Roberts, C. K., Thyfault, J. P., Ruegsegger, G. N., & Toedebusch, R. G. (2017). Role of Inactivity in Chronic Diseases: Evolutionary Insight and Pathophysiological Mechanisms. Physiological reviews, 97(4), 1351–1402. https://doi.org/10.1152/physrev.00019.2016

Boyle, T., Keegel, T., Bull, F., Heyworth, J., & Fritschi, L. (2012). Physical activity and risks of proximal and distal colon cancers: a systematic review and meta-analysis. Journal of the National Cancer Institute, 104(20), 1548–1561. https://doi.org/10.1093/jnci/djs354

Bray, F., Jemal, A., Grey, N., Ferlay, J., & Forman, D. (2012). Global cancer transitions according to the Human Development Index (2008-2030): a population-based study. The Lancet. Oncology, 13(8), 790–801. https://doi.org/10.1016/S1470-2045(12)70211-5

Budreviciute, A., Damiati, S., Sabir, D. K., Onder, K., Schuller-Goetzburg, P., Plakys, G., Katileviciute, A., Khoja, S., & Kodzius, R. (2020). Management and Prevention Strategies for Non-communicable Diseases (NCDs) and Their Risk Factors. Frontiers in public health, 8, 574111. https://doi.org/10.3389/fpubh.2020.574111

Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., Lambert, E., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

Ferrucci, L., & Fabbri, E. (2018). Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty. Nature reviews. Cardiology, 15(9), 505–522. https://doi.org/10.1038/s41569-018-0064-2

GBD 2017 Risk Factor Collaborators (2018). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet (London, England), 392(10159), 1923–1994. https://doi.org/10.1016/S0140-6736(18)32225-6

Global status report on noncommunicable diseases 2014. (2014)“Attaining the nine global noncommunicable diseases targets; a shared responsibility. https://apps.who.int/iris/bitstream/handle/10665/148114/9789241564854_eng.pdf

Haileamlak A. (2019). Physical Inactivity: The Major Risk Factor for Non-Communicable Diseases. Ethiopian journal of health sciences, 29(1), 810. https://doi.org/10.4314/ejhs.v29i1.1

Huston P. (2022). A Sedentary and Unhealthy Lifestyle Fuels Chronic Disease Progression by Changing Interstitial Cell Behaviour: A Network Analysis. Frontiers in physiology, 13, 904107. https://doi.org/10.3389/fphys.2022.904107

Lynch, B. M., Neilson, H. K., & Friedenreich, C. M. (2011). Physical activity and breast cancer prevention. Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer, 186, 13–42. https://doi.org/10.1007/978-3-642-04231-7_2

Malta, D., C. (2014) Chronic non-communicable diseases, a major challenge facing contemporary society. Cien Saude Colet,19(1):4–4. https://doi.org/10.1590/1413-81232014191.0084

Manton K. G. (1988). The global impact of noncommunicable diseases: estimates and projections. World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales, 41(3-4), 255–266. https://pubmed.ncbi.nlm.nih.gov/3232413/

Menezes, A. M., Perez-Padilla, R., Jardim, J. R., Muiño, A., Lopez, M. V., Valdivia, G., Montes de Oca, M., Talamo, C., Hallal, P. C., Victora, C. G., & PLATINO Team (2005). Chronic obstructive pulmonary disease in five Latin American cities (the PLATINO study): a prevalence study. Lancet (London, England), 366(9500), 1875–1881. https://doi.org/10.1016/S0140-6736(05)67632-5

Merchán-Hamann, E.; & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos Epidemiol. Serv. Saude. 30(1),e2018126. https://doi.org/10.1590/s1679-49742021000100026

Ministério da Saúde (BR) (2012). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Atenção Básica / Ministério da Saúde. Secretaria de Atenção à Saúde. Brasília: Ministério da Saúde.

Mishra, V. K., Srivastava, S., Muhammad, T., & Murthy, P. V. (2022). Relationship between tobacco use, alcohol consumption and non-communicable diseases among women in India: evidence from National Family Health Survey-2015-16. BMC public health, 22(1), 713. https://doi.org/10.1186/s12889-022-13191-z

Mokdad, A. H., Forouzanfar, M. H., Daoud, F., Mokdad, A. A., El Bcheraoui, C., Moradi-Lakeh, M., Kyu, H. H., Barber, R. M., Wagner, J., Cercy, K., Kravitz, H., Coggeshall, M., Chew, A., O'Rourke, K. F., Steiner, C., Tuffaha, M., Charara, R., Al-Ghamdi, E. A., Adi, Y., Afifi, R. A., … Murray, C. J. (2016). Global burden of diseases, injuries, and risk factors for young people's health during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet (London, England), 387(10036), 2383–2401. https://doi.org/10.1016/S0140-6736(16)00648-6

Ng, R., Sutradhar, R., Yao, Z., Wodchis, W. P., & Rosella, L. C. (2020). Smoking, drinking, diet and physical activity-modifiable lifestyle risk factors and their associations with age to first chronic disease. International journal of epidemiology, 49(1), 113–130. https://doi.org/10.1093/ije/dyz078

Parry, C. D., Patra, J., & Rehm, J. (2011). Alcohol consumption and non-communicable diseases: epidemiology and policy implications. Addiction (Abingdon, England), 106(10), 1718–1724. https://doi.org/10.1111/j.1360-0443.2011.03605.x

Rehm, J., Samokhvalov, A. V., & Shield, K. D. (2013). Global burden of alcoholic liver diseases. Journal of hepatology, 59(1), 160–168. https://doi.org/10.1016/j.jhep.2013.03.007

Saqib, Z. A., Dai, J., Menhas, R., Mahmood, S., Karim, M., Sang, X., & Weng, Y. (2020). Physical Activity is a Medicine for Non-Communicable Diseases: A Survey Study Regarding the Perception of Physical Activity Impact on Health Wellbeing. Risk management and healthcare policy, 13, 2949–2962. https://doi.org/10.2147/RMHP.S280339

Schuch, F. B., Vancampfort, D., Richards, J., Rosenbaum, S., Ward, P. B., & Stubbs, B. (2016). Exercise as a treatment for depression: A meta-analysis adjusting for publication bias. Journal of psychiatric research, 77, 42–51. https://doi.org/10.1016/j.jpsychires.2016.02.023

The World Bank (2018). Total alcohol consumption per capita (liters of pure alcohol, projected estimates, 15+ years of age). Worldbank.org. https://data.worldbank.org/indicator/SH.ALC.PCAP.LI?end=2018&start=2018

The World Bank (2019). Cause of death, by non-communicable diseases (% of total). Worldbank.org. https://data.worldbank.org/indicator/SH.DTH.NCOM.ZS?view=chart

The World Bank (2020). Population ages 65 and above (% of total population). Worldbank.org. https://data.worldbank.org/indicator/SP.POP.65UP.TO.ZS?start=2020&view=chart

The World Bank (2020). Prevalence of current tobacco use (% of adults). Worldbank.org. https://data.worldbank.org/indicator/SH.PRV.SMOK

United Nations. (2022)

World Population Prospects 2022 Summary of Results. https://www.un.org/development/desa/pd/content/World-Population-Prospects-2022

Wheaton, A. G., Liu, Y., Croft, J. B., Vanfrank, B., Croxton, T. L., Punturieri A., et al. (2017) Morbidity and Mortality Weekly Report Chronic Obstructive Pulmonary Disease and Smoking Status-United States, 2017. Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/cme/conted_info.html#weekly.

World Health Organization (WHO). (2016). Prevalence of insufficient physical activity among adults. https://apps.who.int/gho/data/view.main.2463?lang=en

World Health Organization (WHO). (2018). Global status report on alcohol and health 2018. Geneva, World Health Organization. https://www.who.int/publications/i/item/9789241565639

World Health Organization (WHO). (2022) Global Health Observatory Data Repository. https://www.who.int/data/gho

World Health Organization (WHO). (2022). Noncommunicable diseases. Geneva, World Health Organization. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Yusuf, S., Hawken, S., Ounpuu, S., Dans, T., Avezum, A., Lanas, F., McQueen, M., Budaj, A., Pais, P., Varigos, J., Lisheng, L., & INTERHEART Study Investigators (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet (London, England), 364(9438), 937–952. https://doi.org/10.1016/S0140-6736(04)17018-9

Published

03/03/2023

How to Cite

FERNANDES, L. de O. .; TEIXEIRA, N. W. .; KOCK, K. de S. . Relation of smoking, physical inactivity, alcohol consumption and elderly population with mortality from noncommunicable diseases: a worldwide database ecological study. Research, Society and Development, [S. l.], v. 12, n. 3, p. e14812340643, 2023. DOI: 10.33448/rsd-v12i3.40643. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40643. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences