Souza E1, Lisboa E2, Willerson S1
1Instituto Federal de Educação, Ciência e Tecnologia de Minas Gerais, Engineering, Governador Valadares, Brazil, 2Commonwealth Sports Club, Physical Education, Boston, United States
Background: The World Health Organization (WHO) has described that hypertension and diabetes are a worldwide public health problem. Both diabetes and hypertension contribute to an increase in heart diseases, stroke and kidney failure. They have been growing all over the world. WHO estimates that over 1 billion people have hypertension and 425 million adults have diabetes. In Brazil with an estimated population of 208,665,293 (2018) has predicted over 30 million people with hypertension and 16 million with diabetes mellitus. Thus, many branches of health knowledge will have to work together to improve the quality of life in these population. Physiotherapy is undoubtedly a pivotal approach to prevent the patient's impairment or disability. Physical activity has a positive effect on the person´s quality of life. Therefore, controlled exercises can reduce high medication dosages, avoiding muscle impairment and functional dependence. Physiotherapy has also been involved in patients with lower limb amputation and stroke sequelae. Physiotherapeutic rehabilitation provides the patient with mobility, muscle strength gains and returns on daily living activities (ADLs).
Purpose: This study aims to compare and investigate data from the Department of Information Technology (DATASUS), identify the population with a diagnosis of hypertension and diabetes mellitus. The states of Brazil with a high (>0.80) Human Development Index (HDI) were compared with those with low ( 0.65) HDI. The states health care system with well-established physiotherapeutic programs were compared with those with poor physiotherapeutic programs.
Methods: A metanalysis cohort study was conducted between the years 2002 to 2013, between groups of 20 to 59 years and over 60 years. The data came from the DATASUS database. All information is publicly available at the site: http://datasus.saude.gov.br. The 26 states of Brazil were compared according to the HDI and availability of the physiotherapeutic program. It was considered a well established physiotherapeutic program, applications with high detailed information and more the ten years of activities. The software R was used to the statistical analysis.
Results: The studied population consisted of 7,471,911 hypertension and 476,159 people divided into two groups of 20-59 and 60+ years. The wealthiest state of São Paulo (HDI 0.83) was compared to one of the poorest, Maranhão (HDI 0.63). The studied proportion was the number of hypertension with the stroke cases and the number of diabetes with amputations. The ratio in the group of 20-59 has shown no difference between these two states (p-value = 0.74). But when the comparison was performed in the 60+ group the difference was very significant (p-value = 1e-6 ).
Conclusion(s): As the only significative difference between proportions in the two states was in the 60+ group. The come out analysis pointed out that a well established physiotherapeutic program could effectively make a difference in the quality of life in the elderly population with hypertension and diabetes.
Implications: Many variables can affect the proportions in the health care system. Nevertheless, a well-established physiotherapy approach could effectively contribute to a better life for older adults avoiding the worse consequences of these chronic diseases.
Keywords: Chronic diseases, epidemiology, rehabilitate
Funding acknowledgements: FAPEMIG
Purpose: This study aims to compare and investigate data from the Department of Information Technology (DATASUS), identify the population with a diagnosis of hypertension and diabetes mellitus. The states of Brazil with a high (>0.80) Human Development Index (HDI) were compared with those with low ( 0.65) HDI. The states health care system with well-established physiotherapeutic programs were compared with those with poor physiotherapeutic programs.
Methods: A metanalysis cohort study was conducted between the years 2002 to 2013, between groups of 20 to 59 years and over 60 years. The data came from the DATASUS database. All information is publicly available at the site: http://datasus.saude.gov.br. The 26 states of Brazil were compared according to the HDI and availability of the physiotherapeutic program. It was considered a well established physiotherapeutic program, applications with high detailed information and more the ten years of activities. The software R was used to the statistical analysis.
Results: The studied population consisted of 7,471,911 hypertension and 476,159 people divided into two groups of 20-59 and 60+ years. The wealthiest state of São Paulo (HDI 0.83) was compared to one of the poorest, Maranhão (HDI 0.63). The studied proportion was the number of hypertension with the stroke cases and the number of diabetes with amputations. The ratio in the group of 20-59 has shown no difference between these two states (p-value = 0.74). But when the comparison was performed in the 60+ group the difference was very significant (p-value = 1e-6 ).
Conclusion(s): As the only significative difference between proportions in the two states was in the 60+ group. The come out analysis pointed out that a well established physiotherapeutic program could effectively make a difference in the quality of life in the elderly population with hypertension and diabetes.
Implications: Many variables can affect the proportions in the health care system. Nevertheless, a well-established physiotherapy approach could effectively contribute to a better life for older adults avoiding the worse consequences of these chronic diseases.
Keywords: Chronic diseases, epidemiology, rehabilitate
Funding acknowledgements: FAPEMIG
Topic: Globalisation: health systems, policies & strategies; Health promotion & wellbeing/healthy ageing
Ethics approval required: No
Institution: Instituto Federal de Educação, Ciência e Tecnologia de Minas Gerais
Ethics committee: Not Applicable
Reason not required: The data research was performed using meta analysis just comparing public data with related publications.
All authors, affiliations and abstracts have been published as submitted.
