Influência do sobrepeso sobre a Estrutura de Sustentação Osteomuscular

In this century, among the numerous chronic diseases, we highlight obesity and osteoporosis as a result of the growing and high prevalence which are now considered epidemic and two major public health problems. There is little multidisciplinary research related to musculoskeletal clinical symptoms in patients with overweight and simultaneously evaluating the state of the musculoskeletal support structure and bone composition. The New Biology Bone, from an early age enables to trace the two bone matrix (protein and inorganic) that make up the support structure of the entire musculoskeletal system. Nowadays you can trace comprehensively bone protein matrix and detect early changes resulting from the habits, drugs, idleness, hormone deficiencies, obesity, chronic diseases among others. The old understanding that obesity exerts protective action to fractures was commuted by research in molecular level, which found that adipocytes and osteoblasts share the same progenitor cell. Objective: To trace the two bone matrix and compare the pattern of bone support structure in healthy young adults and on overweight. Result: The comparison showed that both qualitative tools accused significant difference at p <0.001. Stratification of UBPI tool revealed bone quality was poor in 7.7% of the patients with overweight and none in the control group. Stratification Profile Biophysical Bone (PBO) detected in 43.1% of overweight with Inverse Profile and none in the control group. Regarding quantitative tool (T-score) we didn´t detect differences in its three stratifications. Conclusion: In patients with overweight an early analysis of two bone-qualitative tools (PBO and UBPI) provide important information about the musculoskeletal support structure and enables the clinical nutrition specialist to develop preventive actions in the short term

Climaterium, food intake and medicines

Background: Polytherapy treatment is a common practice observed among menopausal patients. This study aimed to quantify food intake and medications in climacteric patients living in community. Methods: Eligible patients from Climacteric Outpatient Clinic (HCFMRP/USP) were recruited. The collected data were: food intake records, age, body weight, height, levels of physical activity and medications in use. Results: Eighty women were studied. Their age was 548 years and body mass index 307kg/m2. They had inadequate dietary Fe, K, Mg, Ca, thiamin, pyridoxine, vitamin E, folate and fiber consumption; 62% used 3 or more medications/day among hypotensive, micronutrients and anti-depressants. Conclusion: Climacteric women need special attention regarding nutrient intake and medication prescription

Perfil do estado de saúde de mulheres climatéricas

Modelo do estudo: Estudo retrospectivo com análise de dados de prontuário.Objetivo: O presente estudo teve por objetivo verificar a freqüência de obesidade, diabetes mellitus,hipertensão arterial e dislipidemia em um grupo de mulheres climatéricas.Metodologia: Estudo das primeiras pacientes atendidas no Ambulatório do Climatério (ACLI) do Departamento de Ginecologia e Obstetrícia da Faculdade de Medicina de Ribeirão Preto -USP, no período de1983 a 2007. De fevereiro a abril de 2008 foram coletados dados de peso, estatura, Índice de MassaCorporal (IMC), grupo biológico, diagnóstico de hipertensão, diabetes e dislipidemia.Resultados: De 1983 a 2007, 400 pacientes tiveram seguimento no Ambulatório (ACLI), e 272 apresentavam seus prontuários com os dados do presente estudo devidamente registrados. Dessas 272pacientes, foram selecionadas 628 consultas, sendo que, portanto, em média, cada mulher teve trêsretornos. Estas mulheres tinham idade mínima de 29 e máxima de 80 anos, com IMC mediano acimade 25 kg/m2. O diagnóstico de diabetes, hipertensão e dislipidemia foi detectado em, respectivamente:32%, 68% e 54% dos casos.Conclusão: Mulheres climatéricas atendidas em um hospital de nível de atendimento terciário apresentaram um aumento do IMC e da prevalência de doenças crônicas não transmissíveis com o passar dotempo, o que faz urgir um olhar mais atento dos profissionais de saúde a esse grupo populacional.Study design: Retrospective analysis of medical records.Purpose: This study aimed to determine the prevalence of obesity, diabetes mellitus, hypertension anddyslipidemia in a group of climacteric women.Methods: Study of the first patients treated at the Menopause Clinic (ACLI), Department of Obstetrics andGynecology, School of Medicine of Ribeirão Preto (USP), from 1983 to 2007. Data on weight, height, BMI,biological group, diagnosis of hypertension, diabetes and dyslipidemia was collected from February/2008 until April/2008.Results: From 1983 until 2007, 400 patients were followed up, and 272 had their records registered. Ofthese 272 patients, 628 were selected queries, and therefore, on average, each woman had threereturns. Women over the age of 29 and maximum of 80 years and median BMI above 25kg/m². Theprevalence of diabetes, hypertension and dyslipidemia was respectively 32%, 68% and 54%. The prevalence of NCDs and BMI was higher for the later groups.Conclusion: Climacteric women treated at a hospital level care center showed a worsening of the BMIand the prevalence of noncommunicable chronic diseases over time, which is urging a closer look athealth professionals in this population group

Descriptive study of bone density and cardiovascular risk factors in women with Turner syndrome

A síndrome de Turner é uma das doenças genéticas mais comuns, ocorrendo em cerca de 1:2.500 recém-nascidas. Representa a forma mais freqüente de hipogonadismo hipergonadotrófico. O hipoestrogenismo é a principal causa atribuída ao aumento do risco de doenças cardiovasculares, osteopenia e osteoporose. Diante da elevada incidência dessas doenças, o objetivo deste trabalho foi analisar a densidade mineral óssea das mulheres portadoras da síndrome de Turner e verificar a presença de fatores de risco de doença cardiovascular (DCV). Foram encontrados, pelo método Dexa, 14,28 por cento das mulheres com densidade mineral óssea normal, 28,5por cento com osteopenia e 57,1por cento com osteoporose. Foi observada hipertensão em uma mulher, obesidade em outra, diabetes em duas e todas referiram ser sedentárias (sete). Ressalta-se, portanto a importância da avaliação precoce do tecido ósseo e do rastreamento dos fatores de risco de DCV, assim como o controle dos fatores modificáveis e orientações de mudança do estilo de vida com finalidade preventiv

Health status profile of climacteric women

Study design: Retrospective analysis of medical records. Purpose: This study aimed to determine the prevalence of obesity, diabetes mellitus, hypertension and dyslipidemia in a group of climacteric women. Methods: Study of the first patients treated at the Menopause Clinic (ACLI), Department of Obstetrics and Gynecology, School of Medicine of Ribeirão Preto (USP), from 1983 to 2007. Data on weight, height, BMI, biological group, diagnosis of hypertension, diabetes and dyslipidemia was collected from February/2008 until April/2008. Results: From 1983 until 2007, 400 patients were followed up, and 272 had their records registered. Of these 272 patients, 628 were selected queries, and therefore, on average, each woman had three returns. Women over the age of 29 and maximum of 80 years and median BMI above 25kg/m2. The prevalence of diabetes, hypertension and dyslipidemia was respectively 32%, 68% and 54%. The prevalence of NCDs and BMI was higher for the later groups. Conclusion: Climacteric women treated at a hospital level care center showed a worsening of the BMI and the prevalence of noncommunicable chronic diseases over time, which is urging a closer look at health professionals in this population group