Intersectoral Actions for the Promotion and Prevention of Obesity, Diabetes and Hypertension in Brazilian Cities: A Systematic Review and Meta-Analysis

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dc.contributor.authorKunihiro, Stephen [UNESP]
dc.contributor.authorda Silva Vernasque, Juliana Ribeiro [UNESP]
dc.contributor.authorda Silva, Celso [UNESP]
dc.contributor.authorSantos, Marcela Facina dos
dc.contributor.authorCremasco, Camila Pires [UNESP]
dc.contributor.authorGabriel Filho, Luís Roberto Almeida [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionFAMEMA
dc.contributor.institutionMaurício de Nassau University Center (UNINASSAU)
dc.contributor.institutionThe Regional Council of Administration—CRA/SP
dc.date.accessioned2023-07-29T12:34:25Z
dc.date.available2023-07-29T12:34:25Z
dc.date.issued2022-10-01
dc.description.abstractThis study showed the effectiveness of biomedical interventions in obesity, diabetes and hypertension (NCDs), but innovative and intersectoral elements in the fight against obesity, type 2 diabetes and hypertension were rare. Background: Is it possible to find effective and innovative actions to promote health and prevent NCDs in Brazilian municipalities? Can they be replicated? Objective: Our objectives were to identify innovative and effective intersectoral actions for promoting and preventing NCDs in Brazilian municipalities. Methods: This is a systematic review in an exploratory theoretical essay with a qualitative and quantitative approach. It is descriptive and analytical in terms of reporting findings and results. Inclusion and exclusion criteria favored health promotion work. Bias risk assessments was performed using the Cochrane GRADE and bias risk, with meta-analyses using RevMan and Iramuteq. Results: Meta-analysis of biometric markers resulted in −4.46 [95% IC; −5.42, −3.49], p = 0.00001, indicating a reduction in NCD risk rates. The textual meta-analysis revealed P(r) ≈ 83% (Reinert), meaning low connectivity between the ‘halos’. Conclusions: There is evidence of the effectiveness in interventions, but innovative and intersectoral elements to combat and prevent NCDs were barely seen. While evidence of intervention effectiveness was observed, innovative and intersectoral elements to combat and prevent NCDs were barely noticed.en
dc.description.affiliationSchool of Sciences and Engineering São Paulo State University (UNESP)
dc.description.affiliationFaculty of Medical and Biological Sciences São Paulo State University (Unesp)
dc.description.affiliationMarília Medical School FAMEMA
dc.description.affiliationMaurício de Nassau College—Dean’s Office Maurício de Nassau University Center (UNINASSAU)
dc.description.affiliationThe Regional Council of Administration—CRA/SP
dc.description.affiliationUnespSchool of Sciences and Engineering São Paulo State University (UNESP)
dc.description.affiliationUnespFaculty of Medical and Biological Sciences São Paulo State University (Unesp)
dc.identifierhttp://dx.doi.org/10.3390/ijerph192013059
dc.identifier.citationInternational Journal of Environmental Research and Public Health, v. 19, n. 20, 2022.
dc.identifier.doi10.3390/ijerph192013059
dc.identifier.issn1660-4601
dc.identifier.issn1661-7827
dc.identifier.scopus2-s2.0-85140930005
dc.identifier.urihttp://hdl.handle.net/11449/246202
dc.language.isoeng
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.sourceScopus
dc.subjectdiabetes mellitus
dc.subjecthypertension
dc.subjectintersectoral actions
dc.subjectNCDs
dc.subjectnon-communicable chronic diseases
dc.subjectobesity
dc.subjectprevention of diseases
dc.titleIntersectoral Actions for the Promotion and Prevention of Obesity, Diabetes and Hypertension in Brazilian Cities: A Systematic Review and Meta-Analysisen
dc.typeResenha
unesp.author.orcid0000-0002-6003-1218[2]
unesp.author.orcid0000-0002-2049-0858[3]
unesp.author.orcid0000-0003-2465-1361[5]
unesp.author.orcid0000-0002-7269-2806[6]

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