Prevalência de insuficiência cardíaca e associação com saúde autorreferida no Brasil: Pesquisa Nacional de Saúde - 2013

Autores

DOI:

https://doi.org/10.11606/issn.2317-0190.v26i2a164952

Palavras-chave:

Inquéritos Epidemiológicos, Prevalência, Nível de Saúde, Insuficiência Cardíaca, Doença Crônica, Sistema Único de Saúde, Brasil

Resumo

A insuficiência cardíaca (IC) é um desafio na saúde mundial. A saúde autorreferida (SAR) é preditora de morbimortalidade e é categorizada em saúde autorreferida boa (SAR B) e precária (SAR P). Objetivo: Estimar a prevalência da IC e associação com a SAR no Brasil. Métodos: Este estudo utilizou dados da Pesquisa Nacional de Saúde (PNS) em 2013, com dados válidos para 59.655 adultos (≥ 18 anos). A prevalência de IC relacionou-se às características sociodemográficas, percepção do estado de saúde (SAR, percepções de saúde física e mental), diagnóstico de depressão e prática de exercício físico. Utilizou-se a regressão de Poisson com variância robusta. Resultados: O diagnóstico de IC foi referido por 1,1% dos entrevistados. Observou-se que ter o diagnóstico médico de IC aumenta em quatro vezes a chance de ter pior percepção de saúde (OR = 4,17; IC95% 3,65–4,76), contudo essa medida reduz para menos da metade, quando ajustado por faixa etária e percepção da saúde física (OR = 1,78; IC95% 1,52–2,08). Conclusão: A prevalência de IC representou 1,7 milhões de indivíduos com essa enfermidade na população brasileira. A estreita associação entre IC e SAR precária evidenciou aumento de 78% de chance do indivíduo que tenha IC relatar SAR precária.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

Bui AL, Horwich TB, Fonarow GC. Epidemiology and risk profile of heart failure. Nat Rev Cardiol. 2011;8(1):30-41. DOI: http://dx.doi.org/10.1038/nrcardio.2010.165

Farré N, Vela E, Clèries M, Bustins M, Cainzos-Achirica M, Enjuanes C, et al. Real world heart failure epidemiology and outcome: A population-based analysis of 88,195 patients. PLoS One. 2017;12(2):e0172745. DOI: http://dx.doi.org/10.1371/journal.pone.0172745

Rajadurai J, Tse HF, Wang CH, Yang NI, Zhou J, Sim D. Understanding the Epidemiology of Heart Failure to Improve Management Practices: An Asia-Pacific Perspective. J Card Fail. 2017;23(4):327-39. DOI: http://dx.doi.org/10.1016/j.cardfail.2017.01.004

Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016;37(27):2129–2200. DOI: http://dx.doi.org/10.1093/eurheartj/ehw128

Ghosh RK, Ball S, Prasad V, Gupta A. Depression in heart failure: Intricate relationship, pathophysiology and most updated evidence of interventions from recent clinical studies. Int J Cardiol. 2016;224:170-7. DOI: http://dx.doi.org/10.1016/j.ijcard.2016.09.063

Böhme S, Renneberg B. Predicting Self-Rated Health in Diabetes and Chronic Heart Failure - A Multiple Mediation Model. Front Public Health. 2015;3:266. DOI: http://dx.doi.org/10.3389/fpubh.2015.00266

Foraker RE, Rose KM, Chang PP, McNeill AM, Suchindran CM, Selvin E, et al. Socioeconomic status and the trajectory of self-rated health. Age Ageing. 2011;40(6):706-11. DOI: http://dx.doi.org/10.1093/ageing/afr069

Liu F, Zhang C, Liang Y, Deng Q, Hang D, Pan Y, et al. Epidemiology of self-rated health in rural China: a population-based cross-sectional study. Sci Rep. 2017;7(1):4459. DOI: http://dx.doi.org/10.1038/s41598-017-04381-6

Inkrot S, Lainscak M, Edelmann F, Loncar G, Stankovic I, Celic V, et al. Poor self-rated health predicts mortality in patients with stable chronic heart failure. Eur J Cardiovasc Nurs. 2016;15(7):504-12. DOI: http://dx.doi.org/10.1177/1474515115615254

Babones SJ. The consistency of self-rated health in comparative perspective. Public Health. 2009;123(2):199–201. DOI: http://dx.doi.org/10.1016/j.puhe.2008.12.016

Xu J, Zhang J, Feng L, Qiu J. Self-rated health of population in Southern China: association with socio-demographic characteristics measured with multiple-item self-rated health measurement scale. BMC Public Health. 2010;10:393. DOI: http://dx.doi.org/10.1186/1471-2458-10-393

Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde - PNS 2013: percepção do estado de saúde, estilos de vida e doenças crônicas. Rio de Janeiro: IBGE; 2014.

Mielke GI, Malta DC, Sá GBAR, Reis RS, Hallal PC. Regional differences and correlates of leisure time physical activity in Brazil: results from the Brazilian National Health Survey-2013. Rev Bras Epidemiol. 2015;18 Suppl 2:158-69. DOI: http://dx.doi.org/10.1590/1980-5497201500060014

Melin M, Hagerman I, Gonon A, Gustafsson T, Rullman E. Variability in Physical Activity Assessed with Accelerometer Is an Independent Predictor of Mortality in CHF Patients. PLoS One. 2016;11(4):e0153036. DOI: http://dx.doi.org/10.1371/journal.pone.0153036

Echouffo-Tcheugui JB, Greene SJ, Papadimitriou L, Zannad F, Yancy CW, Gheorghiade M, et al. Population risk prediction models for incident heart failure: a systematic review. Circ Heart Fail. 2015;8(3):438-47. DOI: http://dx.doi.org/10.1161/CIRCHEARTFAILURE.114.001896

Rich MW. Office management of heart failure in the elderly. Am J Med. 2005;118(4):342–348. DOI: http://dx.doi.org/10.1016/j.amjmed.2004.12.019

Clegg D, Hevener AL, Moreau KL, Morselli E, Criollo A, Van Pelt RE, et al. Sex Hormones and Cardiometabolic Health: Role of Estrogen and Estrogen Receptors. Endocrinology. 2017;158(5):1095-1105. DOI: http://dx.doi.org/10.1210/en.2016-1677

Asfar T, Ahmad B, Rastam S, Mulloli TP, Ward KD, Maziak W. Self-rated health and its determinants among adults in Syria: a model from the Middle East. BMC Public Health. 2007;7:177. DOI: http://dx.doi.org/10.1186/1471-2458-7-177

Ozieranski K, Balsam P, Tyminska A, Peller M, Kaplon-Cieslicka A, Marchel M, et al. Heart failure in elderly patients: differences in clinical characteristics and predictors of 1-year outcome in the Polish ESC-HF Long-Term Registry. Pol Arch Med Wewn. 2016;126(7-8):502-13. DOI: http://dx.doi.org/10.20452/pamw.3490

Guo L, Guo X, Chang Y, Yang J, Zhang L, Li T, et al. Prevalence and Risk Factors of Heart Failure with Preserved Ejection Fraction: A Population-Based Study in Northeast China. Int J Environ Res Public Health. 2016;13(8):770. DOI: http://dx.doi.org/10.3390/ijerph13080770

Gaui EN, Klein CH, Oliveira GM. Proportional Mortality due to Heart Failure and Ischemic Heart Diseases in the Brazilian Regions from 2004 to 2011. Arq Bras Cardiol. 2016;107(3):230-8. DOI: http://dx.doi.org/10.5935/abc.20160119

Vidán MT, Blaya-Novakova V, Sánchez E, Ortiz J, Serra-Rexach JA, Bueno H. Prevalence and prognostic impact of frailty and its components in non-dependent elderly patients with heart failure. Eur J Heart Fail. 2016;18(7):869-75. DOI: http://dx.doi.org/10.1002/ejhf.518

Bann D, Hamer M, Parsons S, Ploubidis GB, Sullivan A. Does an elite education benefit health? Findings from the 1970 British Cohort Study. Int J Epidemiol. 2017;46(1):293-302. DOI: http://dx.doi.org/10.1093/ije/dyw045

Honjo K, Kawakami N, Takeshima T, Tachimori H, Ono Y, Uda H, et al. Social class inequalities in self-rated health and their gender and age group differences in Japan. J Epidemiol. 2006;16(6):223-32. DOI: http://dx.doi.org/10.2188/jea.16.223

Theodoro M, Jaccoud L, Osório R, Soares S. As políticas públicas e a desigualdade racial no Brasil: 120 anos após a abolição. Brasília: Ipea; 2008. [citado 2017 Jun 15]. Disponível em: http://www.ipea.gov.br/portal/images/stories/Livro_desigualdadesraciais.pdf

Araújo EM, Costa MCN, Hogan VK, Araújo TM, Batista A, Oliveira LOA. The use of the variable of race/color within public health: Possibilities and limits. Interface Comunic Saude Educ. 2009;13(31):383-94. DOI: http://dx.doi.org/10.1590/S1414-32832009000400012

Arruda GO, Santos Ade L, Teston EF, Cecilio HP, Radovanovic CA, Marcon SS. Associação entre autopercepção de saúde e características sociodemográficas com doenças cardiovasculares em indivíduos adultos. Rev Esc Enferm USP. 2015;49(1):61-8. DOI: http://dx.doi.org/10.1590/S0080-623420150000100008

Cooper LB, Mentz RJ, Sun JL, Schulte PJ, Fleg JL, Cooper LS, et al. Psychosocial Factors, Exercise Adherence, and Outcomes in Heart Failure Patients: Insights From Heart Failure: A Controlled Trial Investigating Outcomes of Exercise Training (HF-ACTION) Circ Heart Fail. 2015;8(6):1044-51. DOI: http://dx.doi.org/10.1161/CIRCHEARTFAILURE.115.002327

Edelmann F, Bobenko A, Gelbrich G, Hasenfuss G, Herrmann-Lingen C, Duvinage A, et al. Exercise training in Diastolic Heart Failure (Ex-DHF): rationale and design of a multicentre, prospective, randomized, controlled, parallel group trial. Eur J Heart Fail. 2017;19(8):1067-74. DOI: http://dx.doi.org/10.1002/ejhf.862

Chen H, Liu Y, Zhu Z, Li Z. Does where you live matter to your health? Investigating factors that influence the self-rated health of urban and rural Chinese residents: evidence drawn from Chinese General Social Survey data. Health Qual Life Outcomes. 2017;15(1):78. DOI: http://dx.doi.org/10.1186/s12955-017-0658-0

Nayak S, Hubbard A, Sidney S, Syme SL. Characteristics associated with self-rated health in the CARDIA study: Contextualising health determinants by income group. Prev Med Rep. 2016;4:199–208. DOI: http://dx.doi.org/10.1016/j.pmedr.2016.06.001

Shields M, Shooshtari S. Determinants of self-perceived health. Health Rep. 2001;13(1):35-52.

Alexopoulos EC, Geitona M. Self-rated health: inequalities and potential determinants. Int J Environ Res Public Health. 2009;6(9):2456-69. DOI: http://dx.doi.org/10.3390/ijerph6092456

Putcha N, Puhan MA, Hansel NN, Drummond MB, Boyd CM. Impact of co-morbidities on self-rated health in self-reported COPD: an analysis of NHANES 2001-2008. COPD. 2013;10(3):324-32. DOI: http://dx.doi.org/10.3109/15412555.2012.744963

Lee HW, Song M, Yang JJ, Kang D. Determinants of Poor Self-rated Health in Korean Adults With Diabetes. J Prev Med Public Health. 2015;48(6):287-300. DOI: http://dx.doi.org/10.3961/jpmph.15.048

Warnoff C, Lekander M, Hemmingsson T, Sorjonen K, Melin B, Andreasson A. Is poor self-rated health associated with low-grade inflammation in 43,110 late adolescent men of the general population? A cross-sectional study. BMJ Open. 2016;6(4):e009440. DOI: http://dx.doi.org/10.1136/bmjopen-2015-009440

Chamberlain AM, Manemann SM, Dunlay SM, Spertus JA, Moser DK, Berardi C, et al. Self-rated health predicts healthcare utilization in heart failure. J Am Heart Assoc. 2014;3(3):e000931. DOI: http://dx.doi.org/10.1161/JAHA.114.000931

Chamberlain AM, McNallan SM, Dunlay SM, Spertus JA, Redfield MM, Moser DK, et al. Physical health status measures predict all-cause mortality in patients with heart failure. Circ Heart Fail. 2013;6(4):669-75. DOI: http://dx.doi.org/10.1161/CIRCHEARTFAILURE.112.000291

Downloads

Publicado

2019-06-30

Edição

Seção

Artigo Original

Como Citar

1.
Prevalência de insuficiência cardíaca e associação com saúde autorreferida no Brasil: Pesquisa Nacional de Saúde - 2013. Acta Fisiátr. [Internet]. 30º de junho de 2019 [citado 19º de março de 2024];26(2):95-101. Disponível em: https://www.revistas.usp.br/actafisiatrica/article/view/164952