Abstract Aim: The study aimed to conduct a cost-utility analysis of traditional drug therapy (TDT) provided for hypertensive patients at primary care in comparison to the protocol based on combination with an exercise program (TDT+E) in real-life conditions, adopting a health system perspective. Methods: Longitudinal study based on enrollment of 49 hypertensive adults distributed into two groups, for 12 months. Quality-adjusted life years were estimated using health-related quality of life. Direct health care costs were calculated including inputs and human resources in primary care from medical records. Sensitivity analysis was performed based on multivariate and probabilistic scenarios. Results: Incremental cost-effectiveness ratios of TDT+E in comparison to TDT were +79.69. Sensitivity analysis showed that TDT+E presented advantages considering uncertainties. Conclusion: Our findings show that exercise programs may improve quality of life and life expectancy among hypertensive patients.

Resumo A fruticultura tem grande importância no agronegócio brasileiro, pois o País é o terceiro maior produtor mundial de frutas. Apesar dessa notabilidade, o mercado de frutas apresenta entraves especialmente relacionados ao comércio internacional. Assim, o presente trabalho buscou determinar o posicionamento e a evolução do Brasil frente ao mercado internacional de frutas in natura. Os dados para a pesquisa foram obtidos a partir da Organização das Nações Unidas para Alimentação e Agricultura (FAO) (1986 a 2017) e Banco Mundial (2018), utilizando métricas de fluxo de exportação, quantidade e renda dos países em questão, relacionados às principais frutas exportadas pelo Brasil no primeiro trimestre de 2020. Os dados foram manipulados, transformados em figuras e grafos para melhor visualização das informações. O posicionamento do Brasil no ranking de exportação de frutas in natura mostrou-se pouco dinâmico durante o período avaliado, sendo dependente da demanda de países europeus de renda alta.

Abstract The fruit growing activity is of great importance for Brazilian agribusiness as the country is the third largest fruit producer in the world. Despite this notability, the fruit market presents obstacles especially related to international trade. Thus, the present study sought to determine the positioning and evolution of Brazil in the international fresh fruit market. Data used in the research were obtained from the Food and Agriculture Organization of the United Nations (FAO) (1986 to 2017) and the World Bank (2018), using metrics of export flow, quantity and income of countries related to the main fruits exported by Brazil in the first quarter of 2020. Data were manipulated, transformed into figures and graphs for better visualization of information. The Brazilian position in the in the ranking of fresh fruit exports was not very dynamic during the evaluation period, being dependent on the demand from high-income European countries.