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Navegando por Palavras-chave "Chronic Disease"

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Análise multinível das variações no índice de massa corporal entre adultos, Brasil, 2006
(Faculdade de Saúde Pública da Universidade de São Paulo, 2009-11-01) Sichieri, Rosely; Moura, Erly Catarina de [UNIFESP]; Universidade do Estado do Rio de Janeiro Departamento de Epidemiologia; Universidade Federal de São Paulo (UNIFESP); Ministério da Saúde Secretaria de Vigilância em Saúde Coordenação Geral de Doenças Crônicas não Transmissíveis
OBJECTIVE: To analyze the variation in body mass index (BMI) among adults according to individual factors and environmental characteristics of their city of residence. METHODS: Data generated in 2006 by the Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL - Telephone-based Surveillance of Risk and Protective Factors for Chronic Diseases) system. This survey is based on telephone interviews carried out among probabilistic samples of the population of adults aged >18 years from the 26 Brazilian state capitals and Federal District. Analysis of associated factors included individual socioeconomic and demographic variables and environmental variables pertaining to the city of residence of the 49,395 VIGITEL subjects. Food intake was evaluated based on a healthy diet score and on five-a-day fruit and vegetable intake. Physical activity was evaluated based on frequency and duration of exercise and presence of a place in which to perform physical activity. Associations were tested using multilevel linear models (p<0.05). RESULTS: Associations between BMI and individual explanatory variables differed according to sex. Schooling was positively associated with BMI among men, and negatively among women. Five-a-day fruit and vegetable intake was positively associated with BMI among men. In both sexes, presence of a place for physical activity was negatively associated with BMI. CONCLUSIONS: Mean BMI differed substantially among Brazilian capitals; however little of this variation could be explained by presence of a place for physical activity or by socioeconomic and diet-related variables.
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Avaliação Dos Sintomas Depressivos De Pacientes Com Rinossinusite Crônica E Sua Correlação Com Questionário Snot-22
(Universidade Federal de São Paulo (UNIFESP), 2018-11-29) Cavalhieri, Laise Teixeira [UNIFESP]; Kosugi, Eduardo Macoto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Introduction: Chronic Rhinosinusitis (Crs) Is Defined As An Inflammation Of The Nose And Paranasal Sinuses Persisting For More Than 12 Weeks With Symptoms Significantly Negative In The Patient's Quality Of Life (Qol). Specific Questionnaires Are Used To Assess The Qol In Crs And In Brazil, The Most Used Is Snot-22. Depressive Disorders Are Highly Prevalent And In Order To Grade Their Symptoms And Diagnose Depression, International Questionnaires Have Been Created, Such As The Hamilton Depression Rating Scale (Ham-D). Objectives: To Evaluate Prevalence Of Depression In Patients With Crs Using An Objective Scale (Ham-17), Compare The Severity Of Crs In Patients With And Without Depression, Through The Snot-22 And Ham-17 And Correlate Snot-22 And Ham-17 Scores In Patients With Crs And Its Subgroups. Method: A Cross-Sectional Study Was Conducted Where The Snot-22 And Ham-17 Were Applied To 76 Patients With Crs. Data Were Analyzed Through The Anova And Pearson Correlation Test To Estimate The Ratio Of Depressive S
Acesso aberto (Open Access)
Biópsia transbrônquica em pneumonite de hipersensibilidade crônica
(Universidade Federal de São Paulo (UNIFESP), 2019-06-27) Botelho, Andre Bezerra [UNIFESP]; Pereira, Carlos Alberto De Castro [UNIFESP]; http://lattes.cnpq.br/5439717016826243; Universidade Federal de São Paulo (UNIFESP)
Introduction: The diagnosis of chronic hypersensitivity pneumonitis (cHP) is based on clinical data, tomographic patterns and, in several cases, on pathologic findings. There are some proposed diagnostic criteria, but none is widely accepted. The role of transbronchial biopsy (TBB) in HP is still uncertain. Aim: To analyze the yield of the TBB in patients with cHP according tomographic findings and to evaluate the importance of the bronchoalveolar lavage (BAL) in the diagnosis approach. Methods: Retrospective study of patients with cHP submitted to TBB in two specialized centers in interstitial lung diseases in São Paulo - Brazil, between 1999 and 2017. Diagnostic criteria according Salisbury et al were applied to diagnosis. The disease was classified as non-fibrotic or fibrotic according findings of fibrosis on HRCT. Findings in TBB were classified as definitive (granulomas and/or multinucleated giant’s cells, associated or not with peribronchiolar infiltration of lymphocytes and plasma cells and bronchiolocentric distribution) and compatible (indicative of small airway injury, such as peribronchiolar metaplasia, organizing pneumonia and intra-alveolar xanthomatous macrophages). Results: One hundred and nine patients were included, with female predominance (70.6%), mean age 61.4 years and mean FVC 72.1%. The main symptom was dyspnea, in 95 cases (87.1%). The tomographic finding more common was ground-glass, in 90 cases (82.6%), followed by any indicative findings of fibrosis, in 76 (69.7%) and mosaic attenuation/air trapping, in 67 (61.5%). The main identified exposures were to molds (60.6%) and birds (48.6%). The presence of definitive findings of HP were seen in 15 cases (13.8%) and compatible findings in 33 (30.2%), with total yield of 44%. Pathologic definite findings were more common in cases without fibrosis on HRCT (24,2% vs. 9,2%, p= 0.036), whereas the presence compatible findings were more common in fibrotic HP (38.1% vs. 12.1%, p= 0.007). The number of samples obtained in the TBB did not influences the results. 52 patients had differential cytology of the BAL. Lymphocytosis (> 20%) was present in 51.9% of the patients. The median of the percentage of lymphocytes in the BAL was 20,0% (interquartile interval: 11,5% to 29,5%). There wasn’t difference in the median of the lymphocytes according tomographic patterns. Conclusion: The TBB has a considerable yield to the diagnosis of HP and in association with BAL should be used as the initial option in the investigation of the disease.
Acesso aberto (Open Access)
Confiabilidade do questionário Pediatric Quality of Life Inventory – Healthcare Satisfaction Generic Module versão 3.0 para a avaliação da qualidade do atendimento de crianças com doenças crônicas
(Universidade Federal de São Paulo (UNIFESP), 2011-10-27) Souza, Fernanda Medeiros de [UNIFESP]; Len, Claudio Arnaldo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Introdução: A satisfação dos pais com o atendimento de saúde, prestados aos seus filhos, vem assumindo um importante papel na sociedade. Dessa forma faz-se necessário o desenvolvimento de instrumentos capazes de avaliar essa satisfação, promovendo conforto e segurança para as crianças e suas famílias. Objetivo: 1) Traduzir e avaliar a confiabilidade do questionário de Satisfação com os Serviços de Saúde do Module SSS-PedsQL versão 3.0 para o idioma português e para a cultura brasileira. Método: Utilizamos a metodologia proposta pelos autores da versão original do questionário: 1) Tradução por especialistas bilíngües; 2) Tradução reversa para o inglês com avaliação pelos autores da versão original; 3) Estudo piloto envolvendo 10 pais (entrevista cognitiva) e 4) Avaliação das propriedades de medida do questionário, sendo administrado a um grupo de 60 pais de crianças e adolescentes com doenças crônicas em acompanhamento nos departamentos de Pediatria de um hospital escola. Resultados: Obtivemos alpha de Cronbach entre 0,57 a 0,78 para os domínios do questionário (informação, inclusão familiar, comunicação, habilidades técnicas, necessidades emocionais e satisfação geral), demonstrando uma boa consistência interna. Foi avaliada a reprodutibilidade interobservador em 20% da amostra, com coeficiente de correlação de Spearman de 0,909. Ótimo escore de satisfação com as equipes multiprofissionais para todos os domínios (> 4,3 pontos) exceto para os domínios necessidades emocionais com 3,5 pontos e comunicação com 3,9. Conclusão: a versão brasileira do SSS-PedsQL é válida e confiável, sendo capaz de mensurar a satisfação global dos pais e/ou cuidadores com o tratamento multiprofissional dos seus filhos.
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Escore Multidimensional Simples Para Predição Do Curso Clínico Da Sarcoidose Na Avaliação Inicial
(Universidade Federal de São Paulo (UNIFESP), 2017-11-30) Castro, Marina Dornfeld Cunha [UNIFESP]; Pereira, Carlos Alberto De Castro [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Sarcoidosis is a systemic granulomatous disease of unknown etiology. The outcome is variable and is mainly related to persistent inflammation process and development of fibrosis. Prognostic features have been described, but there is no validated model to predict the evolution of the disease. Aim: To find predictive features associated to clinical course of sarcoidosis at initial evaluation and develop a predictive score. Methods: This was a retrospective study of a cohort of patients with diagnosis of sarcoidosis, followed in reference centers involved in interstitial lung disease. Clinical, radiographic and functional data were compared by univariate analysis between patients with limited course – spontaneous involution or stability after a course of therapy and persistent – relapse or resistance to treatment, persistent treatment or chronic stable disease. Data related to persistent disease were selected by multivariate analysis and a prognostic score was developed.Results: 200 patients were included. 63% were female. Mean age at diagnosis was 50 years old. Median of time of symptoms was 12 months. Early diagnosis was characterized by time of symptoms ≤ 12 months and was found in 57% of cases. Dyspnea and cough were the most common pulmonary symptoms. Treatment for tuberculosis was prescribed before diagnosis in 44 patients. The most common radiologic stage was II (lung parenchyma and thoracic adenopathy). Mean forced vital capacity (FVC) was 84.9 ± 18.8% of predicted, with 37% of the cases with FVC below lower limit of reference. Relevant systemic involvement was detected in 37% of the patients. During the evolution, 77% of the cases needed immunosuppressive treatment and the course of disease was classified as persistent in 115 cases. By logistic regression, excluding 40 patients with pulmonary fibrosis, the findings related to persistent disease were: parenchymal lung involvement [odds ratio (OR) 3.83], late diagnosis (OR 2.82), dyspnea (OR 2.80), systemic involvement (OR 2.55) and reduced FVC (OR 2.33). A score was developed, taking into account the weight of the variable (1 point each), with positive predictive value for persistent disease in A score (≤ 1 point) and C score (≥ 4 points) of 17% and 88% respectively. Conclusion: A predictive score for sarcoidosis outcome can be derived by multiple variables at initial evaluation, allowing prediction of the clinical course of disease in a significant number of cases. The results should be confirmed in a validation cohort.
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Estado funcional de pacientes internados em unidade de terapia intensiva pediátrica
(Universidade Federal de São Paulo (UNIFESP), 2021) Gasparetti, Regina Melittio [UNIFESP]; Konstantyner, Tulio [UNIFESP]; Universidade Federal de São Paulo
Objective: To evaluate the prevalence and factors associated with impaired functional capacity in the Pediatric Intensive Care Unit (PICU). Methods: A prospective, multicenter, observational cohort study with patients under 18 years of age admitted to three PICUs of the State of São Paulo. They will be recruited over a one-year period (12/03/2019-11/03/2020) and monitored during the hospitalization. Demographic, socioeconomic and health background characteristics will be collected. Hospitalization data such as admission causes, comorbidities, clinical evolution, laboratory tests and functional capacity in three moments: admission, discharge from the PICU and hospital discharge will be recorded. The data will be collected from the medical records and an interview will be held with the parents/guardians at the hospital. To estimate the functional loss, the functional status scale (FSS) was used, which is composed of six categories: Mental State, Sensory, Communication, Motor, Respiratory and Food. Change in functional capacity was defined as the occurrence of new morbidity (change in a domain of the FSS equal to or greater than 3), which was estimated at hospital discharge in relation to admission. Qualitative variables were described as absolute and relative frequencies and quantitative variables as median and interquartile range. To study the associations between the explanatory variables and the outcome of the evolution of functional capacity, the x2 test, Fisher and Mann-Whitney U test and multiple logistic regression analysis were performed. Results: A total of inpatients during the recruitment period were studied. New morbidity discharge from the PICU occurred in 14.6% of patients, whereas upon discharge from hospital it was 12.3%. The factors that maintained an independent risk association with new morbidity at hospital discharge in relation to admission to the PICU were: diagnosis heart disease (OR=3.53;95% CI:1.08-11.44), age in years (OR=1.16; 95% CI:1.07-1.27), length of stay in the PICU in days (OR=1.08; 95% CI: 1.05-1.11) and score of severity PELOD2 (OR=1.09; IC95%: 1.04-1.14). Conclusion: the identification of factors associated with new morbidity functional points to the importance of adopting strategies to prevent multiple organ dysfunction and early recognition of heart disease in patients admitted to PICU.
Acesso aberto (Open Access)
Fatores determinantes do envelhecimento saudável em idosos residentes em centro urbano: Projeto Epidoso, São Paulo
(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2003-06-01) Ramos, Luiz Roberto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Population aging leads to an increase in the prevalence of chronic and disabling diseases, as well as a change in the public health paradigm. Diseases diagnosed in the elderly are generally not curable; if not properly treated and monitored over time, they tend to generate complications and sequelae that impair patients' independence and autonomy. Health is no longer measured by the presence or absence of disease, but by the degree of preservation of functional capacity. Factors for healthy aging with good functional capacity and those which increase the risk of death and disability need to be identified by longitudinal surveys that include the elderly population living in the community. This article presents data from the first follow-up survey of senior citizens in Brasil, called the Epidoso Project (from epi as in epidemiologic and idoso or elderly in Portuguese) implemented since 1991 in the city of São Paulo. The socio-demographic, clinical, and functional characteristics of a cohort of elderly are discussed, with a risk analysis for death and disability, and the implications for health planning are considered.
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Fatores relacionados ao preparo para transição de pacientes crônicos pediátricos para a assistência em clínicas de adulto
(Universidade Federal de São Paulo (UNIFESP), 2021) Bafi, Fernanda Souza Angotti Carrara [UNIFESP]; Terreri, Maria Teresa De Sande E Lemos Ramos Ascensao [UNIFESP]; Universidade Federal de São Paulo
Objective: The aim of this study was to verify the readiness and factors related to the transition process of pediatric chronic patients to care in adult clinics through the use of the specific instrument - Transition Readiness Assessment Questionnaire (TRAQ). Method: In this cross-sectional prospective study, with 308 patients aged from 16 to 21 years under follow-up in various medical pediatrics specialties, the degree of readiness for transition was assessed using the Transition Readiness Assessment Questionnaire (TRAQ) and its domains and associations with demographic data, clinical data, socioeconomic level, medication adherence, family functionality and parental satisfaction with the health service were evaluated. Results: The following participants were included: 101 patients from the rheumatology, 84 from the hematology, 45 from the gastroenterology, 34 from the cardiology, 22 from the nephrology and 22 from the pneumology. The median TRAQ score was 3.7 (3.2 – 4.2) and in the univariate analysis, the best preparation was associated with female patients, socioeconomic class AB, active job, with higher level of education, with nonfailure school year, going to consultations alone, with a functional family, with good knowledge of the disease and medications, and those belonging to the specialty of rheumatology. The sample showed a low correlation between TRAQ and age, except for the domain “Talking to the team” that showed no correlation. TRAQ had good internal consistency (alpha-Cronbach 0.86). In the multiple linear regression with the dependent variable TRAQ score, the variables that showed significance were female gender, older patients, socioeconomic class A-B, adolescents with better knowledge of the disease and medications and with independence to go to consultations alone. Conclusion: The TRAQ instrument can guide healthcare professionals to identify specific areas of approach in order to support adolescents with chronic diseases to set goals for their own personal development and better prepare them to enter the adult healthcare system. In this study, female patients, advanced age, better socioeconomic level, with better knowledge of the disease and medications and with independence to go to appointments alone had better TRAQ scores.
Acesso aberto (Open Access)
Incidence of metabolic syndrome and related diseases in the Khisêdjê indigenous people of the Xingu, Central Brazil, from 1999-2000 to 2010-2011
(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2014-11-01) Mazzucchetti, Lalucha; Galvão, Patrícia Paiva de Oliveira; Tsutsui, Mario Luiz da Silva; Santos, Kennedy Maia dos; Rodrigues, Douglas Antônio; Mendonça, Sofia Beatriz; Gimeno, Suely Godoy Agostinho [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
The aim of this study was to identify the incidence of metabolic syndrome and related diseases in the Khisêdjê population living in the Xingu Indigenous Park, Mato Grosso State, Brazil, from 1999‐2000 to 2010‐2011. The study included 78 individuals aged ≥20 years. Data were analyzed using Student t test, linear regression, and Poisson regression. In 10 years of follow-up, cumulative incidence rates were 37.5% for metabolic syndrome, 47.4% for hypetriglyceridemia, 38.9% for arterial hypertension, 32% for central obesity, 30.4% for excess weight, 29.1% for hypercholesterolemia, 25% for low HDLc, 10.4% for high LDLc, and 2.9% for diabetes mellitus. Age proved to be a risk factor for incidence of hypertension, diabetes, and elevated LDLc, regardless of gender; male gender was a protective factor against incidence of central obesity, independently of age. The study showed deterioration of most target health indicators and exposure of the Khisêdjê to high cardiometabolic risk. These results may be related to changes in traditional lifestyle.
Acesso aberto (Open Access)
Pediatric hospital admissions from influenza A (H1N1) in Brazil: effects of the 2010 vaccination campaign
(Faculdade de Medicina / USP, 2012-10-01) Marcos, Ana Carolina Cavalcanti [UNIFESP]; Pelissoni, Fernanda D'angelo Monteiro [UNIFESP]; Cunegundes, Kelly Simone Almeida [UNIFESP]; Abramczyk, Marcelo Luiz [UNIFESP]; Bellei, Nancy Cristina Junqueira [UNIFESP]; Sanches, Nivea Aparecida Pissaia [UNIFESP]; De Moraes-Pinto, Maria Isabel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
lIn 2009, the influenza A (H1N1) virus spread rapidly around the world, causing the first pandemic of the 21st Century. In 2010, there was a vaccination campaign against this new virus subtype to reduce the morbidity and mortality of the disease in some countries, including Brazil. Herein, we describe the clinical and epidemiological characteristics of patients under 19 years of age who were hospitalized with confirmed influenza A (H1N1) infection in 2009 and 2010. We retrospectively reviewed files from the pediatric patients who were admitted to a university hospital with real-time polymerase chain reaction (RT-PCR) confirmed influenza A (H1N1) infection in 2009 and 2010. There were 37 hospitalized patients with influenza A (H1N1) in 2009 and 2 in 2010. In 2009, many of the hospitalized children had an underlying chronic disease and a lower median age than those not hospitalized. Of the hospitalized patients, 78% had a chronic disease, primarily pneumopathy (48%). The main signs and symptoms of influenza were fever (97%), cough (76%), and dyspnea (59%). Complications occurred in 81% of the patients. The median length of hospitalization was five days; 27% of the patients required intensive care, and two died. In 2010, two patients were hospitalized with influenza A (H1N1): one infant with adenovirus co-infection who had received one previous H1N1 vaccine dose and presented with respiratory sequelae and a 2-month-old infant who had a hospital-acquired infection. An impressive reduction in hospital admissions was observed in 2010 when the vaccination campaign took place in Brazil.
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Percepção das mães sobre a qualidade de vida de irmãos de crianças com Transtorno do Espectro Autista
(Universidade Federal de São Paulo (UNIFESP), 2019-06-28) Mattos, Natalia Magalhaes De [UNIFESP]; Puccini, Rosana Fiorini [UNIFESP]; http://lattes.cnpq.br/1088228713801713; http://lattes.cnpq.br/2780642216244262; Universidade Federal de São Paulo (UNIFESP)
The chronic health conditions that affect the child and youth population require a reorganization of the family system. This process can last for days, months or years, and it can change the family dynamics, from financial aspects to those related to the physical, psychological and social quality of life (QoL), as well as values and roles. The increased demand for care and attention is a cause for friction. The process of acceptance, understanding, and adaptation of each family and, more specifically, each member that makes up the familial structure is very particular and depends on multiple social and psychological factors. However, certain types of chronic conditions may affect fraternal relationships. It is possible to think of the difference in the construction of the relationship between the dyad in the face of diseases that present cognitive, language and/or social interaction impairment of those that have exclusively physical limitations. In the case of Autism Spectrum Disorder (ASD), there is impairment in two groups of symptoms: a deficit in communication and social interaction, and a pattern of restricted and repetitive behaviors. Objective: To evaluate the quality of life of siblings of ASD patients from the perspective of mothers. Method: Quantitative-qualitative study using the PedsQLTM 4.0 quality of life questionnaire and a semi-structured interview with the mothers of 26 siblings of children with ASD accompanied at the Social Cognition Outpatient Clinic of the Federal University of São Paulo, conducted between February 2017 to April 2019. Results: The qualitative analysis revealed four main topics: (a) diagnostic process, revelation, and acceptance; (b) support from family members; (c) fraternal relationship, understanding, and involvement of the sibling in the care of the child and impact on the daily life of the family; (d) understanding of the disease. Quantitative and sociodemographic data complemented the information collected in the interviews. Conclusion: The impact of having a sibling with ASD is reflected in routine changes, financial reorganization, and family dynamics. These changes require all family members to psychologically adjust, including siblings. Although they may develop the capacity to understand diversity and its social aspects, family and professional support should lead them to it. There is a gap to be filled in health services for the care and support of siblings of patients with ASD and their families.
Acesso aberto (Open Access)
Percepções sobre dor crônica e o cuidado à saúde na atenção básica
(Universidade Federal de São Paulo (UNIFESP), 2019-12-02) Tanaka, Roberta Aoqui [UNIFESP]; Poletto, Patricia Rios [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
In daily work in primary health care, the high demand of patients with complaints of chronic pain has provided questions on the resolution of care actions performed in primary health care. Thus, it is necessary to improve attention to the patient with chronic pain, seeking to ensure a more resolute and integral care in health education practices. This study aims to understand the perception of chronic pain, the self-care strategies of patients participating in a chronic pain group in a health service of São Bernardo do Campo/SP, and the understanding of the team responsible for the group about the health education process in this group. A cartography of an experience was performed in a group of chronic pain, in a health service, from the knowledge of the trajectories of the patients who participate in it, the look of the health professionals who perform it, and this researcher. Most patients have reported that the start of pain they feel is related to work. Pain is present in life, causing limitations in daily activities and work, dependence and support of family members. For some patients the pain is accepted as part of life and the suffering is evident. Patients reported benefits and improvement in pain after group activities, the benefits reflect in decreased medication use, and the importance of the interaction between them in the activities. The health professionals who care in the group describe it as a multidisciplinary teamwork, in which each one have a function in the activity. They promote in health education actions a change to a "healthier" lifestyle and there is a stimulus to self-care, with an opening to listen to the topics of interest to patients to then elaborate the activity that will be performed, considered as a space that reinforces the exchange of experiences. Patients report an improvement with group participation that is related to decreased pain, medication use, emotional well being, socialization and quality of life. The various contexts and life trajectories allowed to expose the experience of illness, making it possible to understand pain, its limiting aspects and strategies to care of pain, being a possibility of promoting care and an educational process with autonomy. Dialogic practices can represent advances for the clinic in primary health care, more comprehensive actions and more effective care.
Acesso aberto (Open Access)
Perfil metabólico e antropométrico de índios Aruák: Mehináku, Waurá e Yawalapití, Alto Xingu, Brasil Central, 2000/2002
(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2007-08-01) Gimeno, Suely Godoy Agostinho [UNIFESP]; Rodrigues, Douglas Antonio [UNIFESP]; Pagliaro, Heloisa [UNIFESP]; Cano, Eduardo Nozaki [UNIFESP]; Lima, Evandro Emilio de Souza [UNIFESP]; Baruzzi, Roberto Geraldo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
The objective of this study was to describe the anthropometric and metabolic profile of Aruák Indians (Mehináku, Waurá, and Yawalapití) in the Upper Xingu, Central Brazil. In July 2000 and October 2002, 201 subjects of both genders and aged > 20 years were submitted to physical (anthropometric and blood pressure measures) and laboratory (fasting blood glucose, serum lipids, and uric acid) examination. As compared to females, males had lower mean skinfold thickness measurements and serum HDL cholesterol, and higher body mass index, arm circumference, systolic and diastolic blood pressure, serum triglycerides, VLDL cholesterol, and uric acid. The prevalence rates for overweight (51.8%), obesity (15%), dyslipidemia (77.1%), and hypertension (37.7%) were higher among men than women, but prevalence of abdominal obesity (52.1%) was higher among women than men, independently of age and origin. These results corroborate the need to implement measures to control and prevent obesity and other cardiovascular risk factors among these indigenous peoples.
Acesso aberto (Open Access)
Prevalence of self-reported chronic diseases in individuals over the age of 40 in São Paulo, Brazil: the Platino study
(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2012-05-01) Carvalho, Andréa K. [UNIFESP]; Menezes, Ana Maria Baptista; Camelier, Aquiles Assunção [UNIFESP]; Rosa, Fernanda Warken [UNIFESP]; Nascimento, Oliver Augusto [UNIFESP]; Pérez-Padilla, Rogelio; Jardim, José Roberto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Lar Escola São Francisco; Universidade Federal de Pelotas Faculdade de Medicina; Instituto Nacional de Enfermedades Respiratorias
Few studies have been conducted to determine the prevalence of chronic diseases and its impact in individuals aged 40 years or over in Brazil. The objective of this study is to evaluate the prevalence of some common chronic diseases in the Brazilian subgroup assessed by the PLATINO study using a self-reported survey. A total of 918 individuals (55% women) with a mean age of 54.6 ± 10.9 years were evaluated. The most prevalent diseases were obesity (62.5%), hypertension (39.2%) and gastritis (30.9%). We conclude from this study that there is a high prevalence of chronic diseases in the population over 40 years of age: 88% of the population suffers from a minimum of one disease and 26% of the sample suffers from at least three diseases. We also observed that the number of comorbidities increases with age.
Acesso aberto (Open Access)
Prevalência de diagnóstico auto-referido de osteoporose, Brasil, 2006
(Faculdade de Saúde Pública da Universidade de São Paulo, 2009-11-01) Martini, Lígia Araujo [UNIFESP]; Moura, Erly Catarina de; Santos, Luana Caroline dos; Malta, Deborah Carvalho; Pinheiro, Marcelo de Medeiros [UNIFESP]; Universidade de São Paulo (USP); Ministério da Saúde Secretaria de Vigilância em Saúde Coordenação Geral de Doenças e Agravos Não Transmissíveis; Universidade Federal de Minas Gerais Departamento de Enfermagem Materno-Infantil e Saúde Pública Curso de Nutrição; UFMG Departamento de Enfermagem Materno-Infantil e Saúde Pública. Escola de Enfermagem; Universidade Federal de São Paulo (UNIFESP)
OBJECTIVE: To estimate the prevalence of self-reported osteoporosis (with previous medical diagnosis) and the associated risk and protection factors. METHODS: A cross-sectional study was carried out, based on data from the system Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL - telephone-based surveillance of risk and protective factors for chronic diseases). A total of 54,369 individuals aged >18 years living in homes served by at least one fixed telephone line in Brazilian state capitals and the Federal District in 2006 were interviewed. Estimates of osteoporosis in relation to socioeconomic and behavioral factors and the body mass index were stratified according to sex. The risk of occurrence of osteoporosis was calculated for each variable separately and through a multivariate model, taking the odds ratio to be a proxy for the prevalence ratio. RESULTS: The reported prevalence of osteoporosis was 4.4%, predominantly among women (7.0%) >45 years of age whose marital status was not single and who were former smokers. Among men, age > 65 years, married or widowed status and sedentarism were positively associated with this outcome. CONCLUSIONS: Among the factors associated with osteoporosis, modifiable characteristics relating to disease prevention were highlighted, such as physical activity and smoking habits.
Acesso aberto (Open Access)
Resultado perinatal em mulheres portadoras de hipertensão arterial crônica: revisão integrativa da literatura
(Associação Brasileira de Enfermagem, 2012-12-01) Henrique, Angelita José; Borrozzino, Nélio Fernandes; Gabrielloni, Maria Cristina [UNIFESP]; Barbieri, Márcia [UNIFESP]; Schirmer, Janine [UNIFESP]; Universitário São Camilo; ProCare Serviços de Saúde e Informar Saúde - Grupo BEM; Universidade Federal de São Paulo (UNIFESP)
The study aimed to identify patterns in the evolution of risk of perinatal outcomes of pregnant women with chronic hypertension in order to compare the results of the pregnancy outcome. It was held an integrative literature with time span between the years 1990 and 2010, in the databases LILACS, SciELO and MEDLINE. As results, it was observed that pregnant women had chronic hypertensive superimposed preeclampsia (20% to 78%), fetal growth restriction (8.5% to 30.7%), prematurity (32.4% to 86.4%), cesarean section (69 2%), placental abruption (3.75% to 8.4%), fetal death (9.5% to 27.2%), cardiovascular complications, maternal kidney and lung. We conclude that the association of chronic hypertension and pregnancy shows strong risk for maternal and perinatal complications, especially when associated with the severity and etiology of hypertension, showing no trend during the two decades studied on perinatal outcome.
Acesso aberto (Open Access)
Tempo, corpo e interações face a face: corporeidades de crianças com doenças crônicas neurológicas. Uma etnografia entre o hospital e a escola.
(Universidade Federal de São Paulo (UNIFESP), 2019-06-12) Marques, Mariana Pasqual [UNIFESP]; Freitas, Marcos Cezar De [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
This thesis investigated the logic that transforms certain singularities of the body of children with chronic neurological diseases into social vulnerabilities or sufferings. The ethnographic research was conducted between 2016 and 2017 at the pediatric neurology clinic of Hospital das Clinicas, in the city of São Paulo, and in a public school of early childhood education in the city of Embu das Artes, in the metropolitan region of São Paulo. The field work was organized from experimental tables with a fixed transverse column (scenarios). This form of organizing, articulating and analyzing the ethnographic findings resulted from the encounter with the work “Practical Reasons - On the Theory of Action” of Pierre Bourdieu (1996). From the tables, the field research was articulated with the main theoretical references of this research: the interactionist literature of Erving Goffman (2012, 1981); the current debate on body and corporality, above all from Thomaz Csordas (2015); the readings that he and Loic Wacquan (2006, 2007) make of Pierre Bordieu (1983, 1996, 1998) and the notion of time constructed by Norbert Elias (1998). This articulation provided critical arguments regarding the naturalization of the logics of analysis and intervention that predominate in the experience of children with reduced mobility. This thesis integrates the set of research of LAEVI - Laboratory of Educational Anthropology and Infantile Vulnerabilities of Unifesp Guarulhos, and reaffirms the importance of studies of everyday life, of looking "inside" institutions - spaces and times in which the interactions constructed, lived and linked by symbolic networks and sociability, conform identities and their possibilities to exist. In the end, the research reaffirmed that the logic that produces vulnerabilities and social suffering in children with chronic neurological diseases and in their families, especially women-mothers, is binary, practical, linear, dualistic, adult-centric and the perpetuator of gender inequalities.

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