Evidence map›Paper›PMID 32284708›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2020

[Costs attributable to obesity, hypertension, and diabetes in the Unified Health System, Brazil, 2018Costos atribuibles a la obesidad, la hipertensión y la diabetes en el Sistema Único de Salud de Brasil, 2018].

Eduardo Augusto Fernandes Nilson, Rafaella da Costa Santin Andrade, Daniela Aquino de Brito, Michele Lessa de Oliveira

Open access · diamondAbstract readEnglish Abstract
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
26.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 183 citations in OpenAlex.

  1. Pooled it
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  6. Impact of a low-carbohydrate diet on cardiometabolic parameters in individuals with and without diabetes: An 8-year longitudinal study within the ELSA-Brasil cohort.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  7. Article
  8. Telenutrition promoting equity of access in the SUS: a descriptive study.Sao Paulo medical journal = Revista paulista de medicina · 2026
    Article
  9. Article
  10. Article
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  12. Household Food Insecurity and Feeding Practices in Brazilian Children < 5 Years: Results From Brazilian National Survey on Child Nutrition.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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  17. Cardiovascular risk and statin prescription in primary care: an observational study, São Leopoldo, 2018-2021.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Eduardo Augusto Fernandes NilsonMinistério da Saúde Coordenação-Geral de Alimentação e Nutrição Brasília (DF) Brasil Ministério da Saúde, Coordenação-Geral de Alimentação e Nutrição, Brasília (DF), Brasil.
Rafaella da Costa Santin AndradeMinistério da Saúde Coordenação-Geral de Alimentação e Nutrição Brasília (DF) Brasil Ministério da Saúde, Coordenação-Geral de Alimentação e Nutrição, Brasília (DF), Brasil.
Daniela Aquino de BritoMinistério da Saúde Coordenação-Geral de Alimentação e Nutrição Brasília (DF) Brasil Ministério da Saúde, Coordenação-Geral de Alimentação e Nutrição, Brasília (DF), Brasil.
Michele Lessa de OliveiraMinistério da Educação Fundo Nacional de Desenvolvimento da Educação (FNDE) Brasília (DF) Brasil Ministério da Educação, Fundo Nacional de Desenvolvimento da Educação (FNDE), Brasília (DF), Brasil.
Ministério da Saúde · STMinistry of Education · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the cost attributable to arterial hypertension, diabetes and obesity in the Unified Health System of Brazil in 2018.

methodThe study estimated the cost attributable to non-communicable chronic diseases based on relative risk and population prevalence of hypertension, diabetes, and obesity, considering the cost of hospitalizations, outpatient procedures, and medications distributed by the SUS to treat these diseases. Cost data were obtained from SUS information systems. The analysis explored the cost of disease according to sex and age in the adult populatio

resultsThe total cost of hypertension, diabetes, and obesity in the SUS reached R$ 3.45 billion (95%CI: 3.15-3.75) in 2018, that is, more than US$ 890 million. Of this amount, 59% referred to the treatment of hypertension, 30% to diabetes, and 11% to obesity. The age group from 30 to 69 years accounted for 72% of the total costs, and women accounted for 56%. When obesity was considered separately as a risk factor for hypertension and diabetes, the cost attributable to this diseases reached R$ 1.42 billion (95%CI: 0.98-1.87), i.e., 41% of the total cost.

conclusionsThe estimates of costs attributable to the main chronic diseases associated with inadequate diet revealed a heavy economic burden of these disorders for the SUS. The data show the need to prioritize integrated and intersectoral policies for the prevention and control of hypertension, diabetes, and obesity, and may support the advocacy for interventions such as fiscal and regulatory measures to ensure that the objectives of the United Nations Decade of Action on Nutrition are met.

Indexed as

Brazildiabetes mellitushypertensionNon communicable disease, costs and cost analysisobesitypublic policy

Identifiers

PMID32284708
PMCPMC7147115
OpenAlexW3015206026

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.