Navegando por Palavras-chave "Men"

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    Associação De Fatores De Saúde Global E Escores De Risco Para Eventos Patológicos Com A Ocorrência De Sintomas Do Trato Urinário Inferior Em Uma População De Homens Acima De 40 Anos!
    (Universidade Federal de São Paulo (UNIFESP), 2018-10-26) Silvino, Jose Ricardo Cruz [UNIFESP]; Mesquita, Roberto Andre Soler [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Lower Urinary Tract Symptoms (Luts) Can Be Progressive And Are Age Related But Not Gender Specific. In The Past, It Was Thought That Luts Were Solely Related To The Increase Of The Prostate Volume And The Increase Of The Urethral Resistance; However, The Influence Of Other Factors On Luts, Like Obesity, Diabetes, Depression And Others, Have Been Increasingly Reported. Therefore, The Objective Of This Study Was To Evaluate The Association Of Global Health Factors And Risk Scores For Pathological Events With The Occurrence Of Lower Urinary Tract Symptoms In Men. Methods: This Was A Crosssectional, Retrospective Study Using Clinical And Laboratory Data Of Individuals Seen In The Continued Health Review (Check-Up) Program At Hospital Israelita Albert Einstein, In São Paulo, Brazil, From 2007 To 2014. The Association Between Male Luts And Global Health Conditions, Habits And Risk Scores Was Assessed By Multivariate Analysis. Results: A Total Of 13,187 Men Was Included In The Study. Based On Multiple
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    Association between sex hormone-binding globulin (SHBG) and metabolic syndrome among men
    (Associação Paulista de Medicina - APM, 2014-01-01) Callou, Emmanuela Quental [UNIFESP]; Sá, Francisco Carleial Feijó de; Oliveira, Kelly Cristina de [UNIFESP]; Feres, Fausto; Verreschi, Ieda Therezinha do Nascimento [UNIFESP]; Universidade Federal do Ceará; Universidade Federal de São Paulo (UNIFESP); Instituto Dante Pazzanese de Cardiologia
    CONTEXT AND OBJECTIVE:Metabolic syndrome consists of a set of factors that imply increased risk of cardiovascular diseases. The objective here was to evaluate the association between sex hormone-binding globulin (SHBG), sex hormones and metabolic syndrome among men.DESIGN AND SETTING:Retrospective analysis on data from the study Endogenous oestradiol but not testosterone is related to coronary artery disease in men, conducted in a hospital in São Paulo.METHODS:Men (aged 40-70) who underwent coronary angiography were selected. The age, weight, height, waist circumference, body mass index and prevalence of dyslipidemia, hypertension and diabetes of each patient were registered. Metabolic syndrome was defined in accordance with the criteria of the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (NCEP-ATPIII). Serum samples were collected to assess the levels of glucose, total cholesterol, HDL-cholesterol (high density lipoprotein), triglycerides, albumin, SHBG, estradiol and total testosterone (TT). The levels of LDL-cholesterol (low density lipoprotein) were calculated using Friedewald's formula and free testosterone (FT) and bioavailable testosterone (BT) using Vermeulen's formula.RESULTS:141 patients were enrolled in the study. The prevalence of metabolic syndrome was significantly higher in the first SHBG tercile than in the second and third terciles. A statistically significant positive association between the SHBG and TT values was observed, but no such association was seen between SHBG, BT and FT.CONCLUSION:Low serum levels of SHBG are associated with higher prevalence of metabolic syndrome among male patients, but further studies are required to confirm this association.
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    The association of testosterone, sleep, and sexual function in men and women
    (Elsevier B.V., 2011-10-06) Andersen, Monica L. [UNIFESP]; Alvarenga, Tathiana F. [UNIFESP]; Mazaro-Costa, Renata; Hachul, Helena C. [UNIFESP]; Tufik, Sergio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Goiás (UFG)
    Testosterone has been the focus of several investigations and review studies in males, but few have addressed its effects on sleep and sexual function, despite evidence of its androgenic effects on circadian activity in both sexes. Studies have been conducted to understand how sleeping increases (and how waking decreases) testosterone levels and how this rhythm can be related to sexual function. This review addresses the inter-relationships among testosterone, sexual function and sleep, including sleep-disordered breathing in both sexes, specifically its effects related to sleep deprivation. in addition, hormonal changes in testosterone that occur in the gonadal and adrenal axis with obstructive sleep apnea and other conditions of chronic sleep deprivation, and which consequently affect sexual life, have also been explored. Nevertheless, hormone-associated sleep disruptions occur across a lifetime, particularly in women. the association between endogenous testosterone and sex, sleep and sleep disturbances is discussed, including the results of clinical trials as well as animal model studies. Evidence of possible pathophysiological mechanisms underlying this relationship is also described. Unraveling the associations of sex steroid hormone concentrations with sleep and sexual function may have clinical implications, as sleep loss reduces testosterone levels in males, and low sex steroid hormone concentrations have been associated with sexual dysfunction. (C) 2011 Elsevier B.V. All rights reserved.
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    Body composition analysis by DXA (dual X-ray absorptiometry) in Brazilian men: normative data
    (Springer Japan Kk, 2017) Ushida, Marcela [UNIFESP]; Pinheiro, Marcelo de Medeiros [UNIFESP]; de Moura Castro, Charlles Heldan [UNIFESP]; Szejnfeld, Vera Lucia [UNIFESP]
    Considering ethnic and anthropometric differences, it is important to obtain specific normative data on body composition (BC) for each population. The objectives of this study were to obtain the normative curve for the BC of Brazilian men and to compare them to the North American male population. A total of 403 healthy Brazilian men 20 years and older were included in the study. Data on concomitant diseases and physical activity were investigated using a structured questionnaire. Conditions that could affect lean and fat mass were excluded. BC was assessed via whole-body dual-energy X-ray absorptiometry (DXA) using a GE-Lunar device. Significance level was set as p < 0.05. Mean age and body mass index (BMI) were 46.0 +/- 17.9 years and 26.2 +/- 3.14 kg/m(2), respectively. Mean skeletal mass index (SMI), appendicular lean mass by BMI (ALM(BMI)), and fat mass index (FMI) were 8.38 +/- 0.85, 0.949 +/- 0.138, and 6.87 +/- 2.43 kg/m(2), respectively. There were negative associations among SMI (p < 0.001), ALM(BMI) (p < 0.001), and FMI (p = 0.002) with age. Comparison with the National Health and Nutrition Examination Survey (NHANES) III data, originally performed with a Hologic device, showed that Brazilian men had lower FMI and BF. This difference was minimized after converting the NHANES results to the GE-Lunar database. Brazilian men had lower SMI than American men measured in NHANES III. FMI was less influenced by ethnicity than by BMI, and it could be used as a standard measure for assessing fat excess or adiposity. Our data suggest that conversion to each specific manufacturer's database should be performed to minimize differences in body composition between populations.
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    Caracterização dos homens usuários de crack no Brasil
    (Universidade Federal de São Paulo, 2021-08-06) Silva, Larissa [UNIFESP]; Nappo, Solange Aparecida [UNIFESP]; http://lattes.cnpq.br/4675292090990088; http://lattes.cnpq.br/9912942272951934
    Introdução: Entre as modalidades de consumo da cocaína, os usuários de crack são um grupo específico com histórico de marginalização que manifestam uma série de vulnerabilidades, sendo que desde a disseminação do crack no Brasil, os homens sempre foram maioria dentro da cultura de uso do crack. Objetivo: Traçar um perfil dos homens usuários de crack no Brasil por meio de uma revisão bibliográfica, analisando a trajetória de uso a partir de um recorte de gênero. Método: O presente trabalho foi elaborado a partir de uma revisão da literatura entre os anos de 2010 à 2020, abordando temas específicos para os homens usuários de crack no Brasil. Os temas escolhidos foram: recorte de gênero, perfil sociodemográfico, início do uso, meios para obtenção da droga, tratamento e a visão da mídia e da sociedade a respeito desses usuários. Resultados/Discussão: Os homens são maioria dentro do cenário de uso de crack no Brasil e estão expostos extensivamente a situações e comportamentos de risco físico, como descuido com a própria saúde, alto índice de infecções sexualmente transmissíveis e exposição a uma série de doenças, como comportamentos de risco social, como a vivência em situação de rua e a alta taxa de atos delitivos que exercem a fim de comprar drogas. Conclusão: O poder de dependência da droga, a fissura provocada e a facilidade de acesso são fatores que não ajudam os usuários quando decidem por parar o consumo. O tratamento desses usuários deve envolver uma série de profissionais centrados no indivíduo de maneira humanizada. Por fim, ficou evidente a necessidade de uma aborgadem multidisciplinar no tratamento dos usuários em situação de dependência.
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    Dietary patterns and bone mineral density in brazilian postmenopausal women with osteoporosis: a cross-sectional study
    (Nature publishing group, 2016) de Franca, N. A. G.; Camargo, Marilia Brasilio Rodrigues [UNIFESP]; Lazaretti-Castro, Marise [UNIFESP]; Peters, Barbara Santarosa Emo; Martini, Lígia Araújo
    BACKGROUND/OBJECTIVES: The aim of this study was to investigate the association between dietary patterns and bone mineral density (BMD) in postmenopausal women with osteoporosis. SUBJECTS/METHODS: This cross-sectional study included 156 postmenopausal and osteoporotic Brazilian women aged over 45 years. BMD of lumbar spine, total femur (TF), femoral neck and of total body (TB), as well as body composition (fat and lean mass), was assessed by dual-energy X-ray absorptiometry. Body mass index and lifestyle information were also obtained. Dietary intake was assessed by using a 3-day food diary. Dietary patterns were obtained by principal component factor analysis. Adjusted multiple linear regression analysis was applied in order to evaluate the predictive effect of dietary patterns on BMD. Significance was set at P<0.05. RESULTS: Five patterns were retained: 'healthy', 'red meat and refined cereals', 'low-fat dairy', 'sweet foods, coffee and tea' and 'Western'. The 'sweet foods, coffee and tea' pattern was inversely associated with TF BMD (beta = -0.178
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    Drinking patterns between men and women in two distinct Brazilian communities
    (Associação Brasileira de Psiquiatria - ABP, 2008-09-01) Kerr-Corrêa, Florence; Tucci, Adriana Marcassa [UNIFESP]; Hegedus, Andrea Mary; Trinca, Luzia Aparecida; Oliveira, Janaina Barbosa de; Floripes, Tricia Maria Feitosa; Kerr, Ligia Regina Franco Sansigolo; Universidade Estadual Paulista (UNESP); Universidade Federal de São Paulo (UNIFESP); Northrop Grumman; Universidade de São Paulo (USP); Universidade Federal do Ceará Department of Community Health
    OBJECTIVE: A survey was conducted to compare gender differences in patterns of drinking in two stratified, urban and representative samples from two communities (B and RJr). METHOD: The Genacis (Gender, Alcohol, and Culture: an International Study) questionnaire was used. RESULTS: There were several significant differences in the demographics and patterns of alcohol use between these two samples. One had an older, more Catholic, educated, Caucasian population, with more women in the labor force. Data from B community showed that women and men had similar patterns of drinking. RJr had much higher use of alcohol among men, and almost 22% of those under 49 years old were binge drinkers. DISCUSSION: Access, smoking, income and having a heavy drinker partner were important risk factors for women's drinking. CONCLUSIONS: This study shows that when women's roles become more similar to men's, so do their drinking patterns.
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    Erectile Dysfunction Symptoms in Polydrug Dependents Seeking Treatment
    (Taylor & Francis Inc, 2017) Clemente, Jales [UNIFESP]; Diehl, Alessandra [UNIFESP]; Santana, Paulo Roberto Oliveira Henrique; Silva, Cláudio Jerônimo da [UNIFESP]; Pillon, Sandra Cristina; Mari, Jair de Jesus [UNIFESP]
    Objective: To assess erectile dysfunction (ED) symptom prevalence, sexual behavior conditions, and risk factors associated to ED in a male polydrug dependent sample. Methods: A cross-sectional design study was conducted with 102 substance-dependent male polydrug users who sought outpatient treatment in Sao Paulo, Brazil. Sociodemographic data, drug of choice, chronic disease questions, sexually transmitted infections, International Index of Erectile Function (IIEF) scale, Sexual Addiction Screening Test (SAST), and WHOQOL-Bref instrument were used. Results: The erectile dysfunction prevalence was 32.3% and it was related to the marital status (single) (p < 0.001), occupational status (fully unemployed) (p < 0.001), presenting a chronic disease (p = 0.027), and with types of sexual partnerships (occasional partner) (p < 0.001). Alcohol (73.5%), tobacco (79.4%), cannabis (83.3%), and cocaine (snorted 78.4% and smoked 42.2%) were the drugs of choice. The ED risk decreased when marital status was married (odds ratio = 3.2 CI95% 1.411-7.518) and with chronic disease (odds ratio 0.06 CI95% 0.00-0.97), while having occasional sexual partners increased 14 times ED risk (OR 14.0 CI95% 1.62-122.18). There were no significant associations between quality of life, DOC and ED. Conclusion: Approximately one third of the substance dependents in this sample presented ED. There is a need to integrate psychiatric and clinical care in substance treatment services, and to improve the provision of sexual health care and support available for this population.
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    Genital prevalence of HPV types and co-infection in men
    (Brazilian Soc Urol, 2014-01-01) Freire, Marcos P. [UNIFESP]; Pires, Daniel; Forjaz, Raphael; Sato, Sergio; Cotrim, Ismael [UNIFESP]; Stiepcich, Monica; Scarpellini, Bruno; Truzzi, Jose C. [UNIFESP]; Fleury Grp; Anhembi Morumbi Med Sch; Universidade Federal de São Paulo (UNIFESP)
    Introduction: HPV infection is a highly prevalent sexually transmitted disease and there is evidence of the relationship of HPV infection and the development of genital warts, penile intraepitelial neoplasia, invasive penile carcinoma and cervical cancer. However, there is sparse data regarding the prevalence of HPV types and co-infection of different HPV types among men.Objectives: To assess the prevalence of HPV subtypes infections and rates of co-infection among men.Materials and Methods: 366 men were evaluated from March to October 2010. Men were referred to our institution for HPV diagnostic evaluation based on the following criteria: 1. presence of a genital wart; 2. presence of an atypical genital lesion; 3. absence of symptoms and a partner with a HPV diagnosis; 4. absence of symptoms and a desire to undergo a full STD diagnostic evaluation. Genital samples were collected from the urethra, penile shaft, scrotum and anus with Digene (R) collection and preservation kit and submitted to HPV genotype microarray detection (Papillocheck (R)). All men were tested for the low-risk HPV types 6-11-40-42-43-44 and for the high-risk HPV types 16-18-31-33-35-39-45-51-52-53-56-58-59-66-68-70-73-82.Results: of the 366 men, 11 were tested inconclusive and were excluded from the analysis. 256 men (72.1% of the men from the cohort referred to our institution) tested positive with genotype micro-array detection and 99 tested negative. the most prevalent HPV-subtypes in the studied population were 6, 42, 51 and 16. Co-infection was found in 153 men. of those, 70 (19.7%) had a co-infection by 2 types, 37 (10.4%) by 3 types; 33 men (9.2%) by 4 types; 8 men (2.2%) by 5 types; 1 man (0.3%) by 6 types; 1 man (0.3%) by 7 types; 2 men (0.6%) by 8 types and 1 man (0.3%) by 9 types.Conclusion: the most frequent HPV types were 6, 16, 42 and 51. Co-infection was found in 59% of our patients. This information is vital to drive future public health policies including massive public vaccination campaign.
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    O homem na atenção primária à saúde: discutindo (in)visibilidade a partir da perspectiva de gênero
    (UNESP, 2010-06-01) Couto, Márcia Thereza [UNIFESP]; Pinheiro, Thiago Félix; Valença, Otávio; Machin, Rosana [UNIFESP]; Silva, Geórgia Sibele Nogueira da; Gomes, Romeu; Schraiber, Lilia Blima; Figueiredo, Wagner dos Santos; Universidade de São Paulo (USP); Conselho Regional de Medicina de Pernambuco; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Rio Grande do Norte Departamento de Psicologia; Fundação Oswaldo Cruz Instituto Fernandes Figueira
    This paper presents an ethnographic study on the relationship between men and primary healthcare in eight clinics in four Brazilian states. The objective was to comprehend the (in)visibility of men within the daily routine of care, based on gender perspectives, with discussion of the mechanisms that favor inequalities in healthcare work. Different dimensions of male (in)visibility were identified within this context: targeting of men in interventions within the field of public healthcare policies; male users who face difficulties in seeking attendance; difficulty in stimulating effective participation among men; and male subjects of care (for themselves and for others). The paper emphasizes the importance of gender studies and their relationship with health, while discussing the production of social inequalities that are (re)produced by the gender inequalities that are present in the social imaginary and in healthcare services.
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    Homens e transtornos alimentares: imagem corporal, comportamento alimentar e sexualidade
    (Universidade Federal de São Paulo, 2023-02-24) Falcão, Carime Bittar [UNIFESP]; Frutuoso, Maria Fernanda Petroli [UNIFESP]; Cordás, Táki Athanássios; http://lattes.cnpq.br/5000045365489355; http://lattes.cnpq.br/4750299902344077; http://lattes.cnpq.br/2429731466145572; Universidade Federal de São Paulo (UNIFESP)
    Os transtornos alimentares (TA) são psicopatologias cada vez mais frequentes, influenciadas pela pressão estética, pelo ideal de magreza e pela enorme quantidade de informações sobre dietas e alimentos. A crescente demanda de cuidado para homens com TA justifica a importância da produção de conhecimento sobre este público, reforçada pelos inúmeros estereótipos que cercam a doença e dificultam a busca por ajuda profissional. Este estudo teve como objetivo identificar a relação dos TA em homens com a imagem corporal, comportamento alimentar e orientação sexual. Trata-se de um estudo qualitativo produzido a partir do registro em diários de campo, cuja fundamentação metodológica se desdobrou da seguinte forma: (A) entrevistas semiestruturadas on-line com cinco pessoas masculinas; e (B) observações, realizadas por meio de encontros virtuais, com oito homens acompanhados pelo GEAHTA (Grupo Especializado em Homens com Transtornos Alimentares). Todos os indivíduos são pacientes do AMBULIM (Ambulatório de Transtornos Alimentares) do Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Os achados mostram que todos os pacientes têm histórico de inúmeras dietas restritivas ao longo da vida, assim como condutas purgativas, práticas de atividades físicas excessivas, uso de medicamentos e anabolizantes; e apresentam ou já apresentaram relações conflituosas com o peso e o corpo. Os que se declaram homossexuais referem pressão estética sofrida dentro da comunidade LGBTQIA+ e, independente da orientação sexual, os indivíduos negros, gordos, pobres e com características femininas relataram situações de exclusão na comunidade. Os relatos indicam conflitos, que provocam sofrimento entre o que é ser homem e de como performar essa masculinidade na sociedade, principalmente nas relações interpessoais. O acompanhamento do grupo aponta que a regulação das emoções pode melhorar significantemente comportamentos disfuncionais em relação à alimentação, imagem corporal e orientação sexual e que se faz necessário assumir a pluralidade de formas de ser homem para a construção de novas relações com a comida e com o comer.
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    Mortalidade em efetivos da polícia militar do Estado de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2010-03-31) Merino, Paulo Sérgio [UNIFESP]; Marcopito, Luiz Francisco [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Justification: The few national studies about police mortality show higher rates of death from external causes compared to the general population. Most of international research reports similar results. In their conclusions, these studies show the police profession as a risk factor for violent deaths, diseases of the circulatory system, neoplasms and disorders arising from emotional distress. Objectives: To calculate the mortality rate of the International Diseases Classification chapters (IDC-10th revision) of police officers from the Military Police of Sao Paulo, active duty, between 2002 and 2006, and compare them to the population of Sao Paulo state. Method; The policemen and population deaths were provided by the State System of Data Analysis of the State of Sao Paulo (SEADE) and the Brazilian Health Ministry, respectively. Results: The overall mortality rate of policemen was lower than the population (247.1 from 450.5 deaths per 100 thousand people), possibly, this reduction was result of the hiring process that selects healthier police than population average. However, the rate of natural deaths causes defined among policemen aged more than 44 years, as infectious and parasitic diseases; endocrine, nutritional and metabolic diseases, circulatory and digestive diseases; cancer and mental and behavioral disorders, was higher than the population. With regard to external causes category, the rate of police officers was 11% higher, especially the suicide rate was twice and traffic accidents, 26% higher. The soldiers reached higher mortality rates than their superiors. Conclusion: The military police activity exposes its members to the risk of death by violence deaths, and tends to increase the natural death rate after 44 years old.
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    Nutritional knowledge, eating attitudes and chronic dietary restraint among men with eating disorders
    (Elsevier B.V., 2009-12-01) Scagliusi, Fernanda Baeza [UNIFESP]; Nakagawa, Katia Akemi; Campos, Rosana Maria; Kotait, Marcela; Fabbri, Alessandra; Sato, Priscila; Cordás, Táki Athanássios; Universidade Federal de São Paulo (UNIFESP); NUTRADO; Universidade de São Paulo (USP)
    We compared nutritional knowledge, eating attitudes and chronic dietary restraint scores among 17 men (10 with bulimia nervosa and 7 with anorexia nervosa) and 50 women (20 with bulimia nervosa and 30 with anorexia nervosa), who were consecutive patients at a major treatment center in Brazil. There were no differences in nutritional knowledge and concern with food between men and women. for both genders, chronic dietary restraint scores were higher among bulimics. Men with eating disorders had better eating attitudes scores than women. Anorexic men tended to have worse eating attitudes scores than bulimic men, while the opposite was observed for women, suggesting an interaction between gender and diagnosis. (C) 2009 Published by Elsevier B.V.
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    Predictive validity analysis of six reference equations for the 6-minute walk test in healthy Brazilian men: a cross-sectional study
    (Associacao Brasileira Pesquisa Pos-Graduacao Fisioterapia-Abrapg-Ft, 2017) Negreiros, Alexandher; Padula, Rosimeire Simprini; Bretas Bernardes, Rosane Andrea; de Moraes, Monica Vasconcelos; Pires, Raquel Simoni; Chiavegato, Luciana Dias [UNIFESP]
    Background: The six-minute walk test (6MWT) is an important tool for evaluating functional capacity and exercise tolerance. The reference equations for the 6MWT in healthy subjects were established on the basis of American and European populations, but reference equations have been proposed with different variables for the Brazilian population. Objective: To analyze the predictive validity of six reference equations for the six-minute walking distance (6MWD) in healthy adult men. Methods: We evaluated 103 individuals in relation to level of physical activity (IPAQ), respiratory symptoms (MRC), handgrip strength, and 6MWD test. The data were submitted to a normality test, then the Bland-Altman agreement test was used to compare individual 6MWD values with that expected for each equation. Results: The subjects were active, with a mean age of 34.12 (SD = 8.88) years and no respiratory symptoms. The mean of the 6MWD was 663.43 (SD = 93.01) m. The 6MWD's predicted values came closest to the walked distance covered by Britto et al.'s equation (using BMI) of 647.62 (SD = 38.62) m. Conclusions: The equation proposed by Britto et al. using body mass index (BMI) was the closest to the 6MWD for the individuals studied and could be widely used as a reference tool during the 6MWT in healthy Brazilian men. (C) 2017 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved.
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    Prevalence and risk factors associated with low-impact fractures in men with rheumatoid arthritis
    (Springer, 2014-10-01) Amaral Filho, Jose Carlos; Pinheiro, Marcelo Medeiros [UNIFESP]; Moura Castro, Charlles Heldan de [UNIFESP]; Szejnfeld, Vera Lucia [UNIFESP]; Univ Fed Mato Grosso; Universidade Federal de São Paulo (UNIFESP)
    The aim of this study is to describe the prevalence of fractures in men with rheumatoid arthritis (RA) and identify potential risk factors associated with skeletal fragility. We consecutively studied 50 men with RA. Clinical risk factors were evaluated by clinical questionnaire, functional capacity by M-HAQ1, and disease activity by DAS-28. RA men were compared to 52 healthy controls paired for age and BMI. Bone mineral density (BMD) and quantitative ultrasound (QUS) at the heel were performed in all participants. Morphometric vertebral fractures (VF) were classified by a semiquantitative method. Men with RA were 51.7 years old on average and had mean disease duration of 115 months. Fragility fractures were found in 40 % of individuals, of which 36 % were VF, significantly higher than in healthy controls (p < 0.01). Age, anthropometric data, and lifestyle were similar between RA men with and without fractures. About 94 % of the men with RA were on long-term glucocorticoid (GC) use. Patients with fractures were more frequently positive for rheumatoid factor (RF), had longer morning stiffness, and higher DAS-28 when compared to patients without fractures (p a parts per thousand currency signaEuro parts per thousand 0.05). in addition, they had significantly lower spine and hip BMD as well as a lower stiffness index (p a parts per thousand currency signaEuro parts per thousand 0.05). There was no statistically significant correlation between fracture and cumulative GC use. the final model of logistic regression showed a significant association and interaction between lower weight and physical activity in men with RA and fragility fractures. RA in men as well as in women is a risk factor for fragility fractures. the risk of fractures is higher in patients with positive RF, prolonged morning stiffness, higher scores of disease activity, and lower values of BMD and QUS.
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    Prevalência de lesões em praticantes de futevôlei: um estudo transversal
    (Universidade Federal de São Paulo, 2024-11-22) Busanelli, Kadu [UNIFESP]; Guerra, Ricardo Luís Fernandes [UNIFESP]; http://lattes.cnpq.br/3856113753837921; http://lattes.cnpq.br/8228824321252579; Universidade Federal de São Paulo (UNIFESP)
    Introdução: O futevôlei é um esporte em ascensão que vem ganhando popularidade nos últimos anos nas praias e arenas do país como prática esportiva recreacional, amadora e profissional. Como qualquer outra modalidade esportiva, seus praticantes estão sujeitos a lesões. A literatura científica carece de estudos sobre lesões que acometem seus praticantes com maior prevalência. Estudos recentes apontaram diferenciações nas ações técnicas predominantes realizadas pelos diferentes sexos durante uma partida, demonstrando que estas podem, por sua vez, acometer diferentes regiões do corpo. Objetivo: Verificar a hipótese de que existam diferenças na prevalência de lesões entre os homens e mulheres praticantes de futevôlei recreacional. Métodos: Trata-se de um estudo transversal analítico, onde foi utilizado o inquérito de morbidade referida adaptado para coleta de dados. Responderam a pesquisa 109 participantes, sendo 56 mulheres (51,4%) e 53 homens (48,6%), entre 18 e 40 anos. Resultados: Os homens relataram predominantemente lesões ou dores no joelho (32,1%), segmento lombar da coluna vertebral (18,9%) e parte anterior da coxa (11,3%). Quanto ao mecanismo de lesão, o mais relatado foi o levantamento de peito (18,9%), ataque de cabeça (17,0%) e deslocamento em quadra (15,1%), respectivamente. Já as mulheres relataram o tornozelo (21,4%), joelho (16,1%) e segmento lombar da coluna vertebral (10,7%) como locais de maior acometimento. Os mecanismos de lesão mais citados foram ataques de cabeça (23,2%), ”salvando bola” (14,3%), e deslocamento em quadra (14,3%). Os tipos de lesão mais recorrentes foram semelhantes nos dois grupos. Entre os homens, as lesões musculares foram mais comuns (34,0%), seguidas por dores agudas ou crônicas (15,1%) e lesões ligamentares (15,1%). Entre as mulheres, as lesões musculares também predominam (28,6%), seguidas por dores agudas ou crônicas (21,4%) e lesões ligamentares (14,3%). Conclusão: Existem diferenças nas prevalências de lesões entre homens e mulheres praticantes de futevôlei, muito provalvelmente devido às diferentes ações técnicas realizadas durante a prática.
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    Propriedades psicométricas da Escala de Atitudes Alimentares Transtornadas para adultos do sexo masculino
    (Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, 2013-12-01) Alvarenga, Marle dos Santos; Carvalho, Pedro Henrique Berbert de; Philippi, Sonia Tucunduva; Scagliusi, Fernanda Baeza [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de Juiz de Fora Programa de Pós-Graduação em Psicologia; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To evaluate psychometric properties of the Disordered Eating Attitude Scale (DEAS) for men. METHODS: Two hundred and twenty-eight undergraduate male students (18-39 years old) answered the DEAS, originally developed and validated for women. Internal consistency was evaluated by Cronbach's Alpha; convergent validity by comparing DEAS and the Eating Attitude (EAT) and Restraint Scale (RS) scores using Pearson's coefficient. Test-retest reliability was evaluated with a subsample (n = 38) in a month interval by means of intraclass correlation coefficient (ICC). Known-groups validity was obtained comparing scores in DEAS among undergraduate students and men with eating disorders (ED) (n = 28). RESULTS: Internal consistency of scale was 0.63. DEAS score correlated with EAT (r = 0.65) and RS (r = 0.51); ICC between test and retest was 0.948. Known-groups analysis differentiated ED patients and undergraduate students (p < 0.001). CONCLUSIONS: The scale presented adequate psychometric properties and could be used in studies with adult men, since the construct is not explored among males. Nevertheless, it is recommended to revise the scale and to develop specific instruments for male public.
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    Sleep disorder or simple sleep ontogeny? Tendency for morningness is associated with worse sleep quality in the elderly
    (Termedia Publishing House Ltd, 2016) Barbosa, A. A. [UNIFESP]; Miguel, M. A. L.; Tufik, S. [UNIFESP]; Sabino, F. C. [UNIFESP]; Cendoroglo, M. S. [UNIFESP]; Pedrazzoli, M.
    The objective of this study was to evaluate the alterations in sleep and circadian parameters during the aging process. The study sample comprises volunteers older than 18 up to 90 years of age that answered the Pittsburgh Sleep Quality Index (PSQI) and the Horne and Ostberg circadian preference questionnaire. We observed that the shift to morningness with increasing age is associated with a significant worsening in sleep quality. We discuss that this sleep profile characterized by morningness and worse sleep quality observed in elderly, when compared to younger people, reflects not necessarily a pathological state, but an expected profile for this age group.
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    Testosterona, estradiol e doença arterial coronariana em homens adultos
    (Universidade Federal de São Paulo (UNIFESP), 2010-04-28) Callou, Emmanuela Quental [UNIFESP]; Verreschi, Ieda Therezinha do Nascimento [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Cardiovascular diseases (CVDs) represent the main cause of death in Brazil, and among them especially the coronary artery diseases (CADs). Men present higher incidence and mortality rates for CAD than women. One of the explanations for this fact may be the possibly deleterious effect of testosterone on the male cardiovascular system and the protective effect of estradiol on the female cardiovascular system. However, recent studies in the literature indicate that testosterone has an either protective or neutral effect on the male cardiovascular system, while high levels of estradiol in men have been correlated to higher rates of morbidity and mortality from cardiovascular diseases. Objectives: To carry out a review of the literature regarding the relationship between testosterone and cardiovascular disease in men, to evaluate the existing relationships among total testosterone, bioavailable testosterone, free testosterone, free androgen index (FAI), sex hormone binding globulin, estradiol, free estrogen index (FEI), estradiol/testosterone ratio and FEI/FAI ratio and coronary artery disease in men; to understand the role of the sex hormone binding globulin as a new component of the metabolic syndrome. Material and Methods: The review of the literature regarding the relationship between testosterone and cardiovascular disease was performed using the PubMed database and the keywords testosterone and cardiovascular disease. The relationship between sex steroids and CAD was evaluated by a case-control study performed on men submitted to coronary angiography at the Instituto Dante Pazzanese de Cardiologia. The role of the sex hormone binding globulin (SHBG) as a new component of the metabolic syndrome was evaluated using the data obtained by the study “Estradiol but not Testosterone is Related to Coronary Artery Disease”. Results: The results were presented in three articles, namely: ARTICLE 1 - “Serum Testosterone and Cardiovascular Disease in Men”; ARTICLE 2 - “Estradiol but not Testosterone is Related to Coronary Artery Disease in Men”; ARTICLE 3 - (being prepared for submission) - “Sex hormone binding globulin, the novel component of metabolic syndrome?”. Conclusions: The studies retrieved from the literature which evaluated the relationship between testosterone and cardiovascular disease presented small numbers of participants and selected samples, which indicated the need for further studies to evaluate the role of testosterone in CVD in men. The findings presented suggest a positive correlation between estradiol and FEI levels with CAD. A neutral effect of total testosterone, bioavailable testosterone, free testosterone, free androgen index, SHBG, estradiol/testosterone ratio and FEI/FAI ratio on the incidence of this pathology was observed. Low levels of SHBG seem to correlate positively with the components of the metabolic syndrome, but further studies are necessary to evaluate this parameter as a new component of this syndrome.