ERICA: prevalence of asthma in Brazilian adolescents

OBJECTIVE: To describe the prevalence of asthma and physician-diagnosed asthma in Brazilian adolescents. METHODS: Cross-sectional, national, school-based study with adolescents from 12 to 17 years old, participants in the Study of Cardiovascular Risks in Adolescents (ERICA). The study stratified the sample by region and grouped according to schools and classes with representativeness to the set of cities with more than 100,000 inhabitants of the Country, macro-regions, capitals, and Federal District. A questionnaire collected data through a self-filled in method. We calculated the prevalences and their confidence intervals of 95% (95% CI) according to sex, age group, type of school and skin color. RESULTS: Between 2013 and 2014, 74,589 adolescents were evaluated, 55.3% of the female sex. The total prevalence of active asthma was of 13.1% (95% CI 12.1-13.9), being higher in girls (14.8%; 95% CI 13.7-16.0) when compared to boys (11.2%; 95% CI 10.3-12.2) in all geographical strata examined. It was also higher between students of private schools (15.9%; 95% CI 14.2-17.7) when compared to public ones (12.4%; 95% CI 11.4-13.4). It was higher in the Southeast region (14.5%; 95% CI 12.9-16.1), and in the city of Sao Paulo (16.7%; 95% CI 14.7-18.7). The lowest prevalence was observed in North region (9.7%; 95% CI 9.7-10.5), and in Teresina (6.3%; 95% CI 4.9-7.7). The prevalence of physician-diagnosed asthma was of 8.7% (95% CI 8.2-9.1); higher in the North region (13.5%; 95% CI 12.7-14.2), and in Porto Alegre (19.8%; 95% CI 17.5-22.3). It was lower in the Midwest (6.9%; 95% CI 6.0-7.8), and in Cuiaba (4.8%; 95% CI 3.8-5.9). We found no significant difference in the expression of this rate between the sexes, as well as in other variables evaluated by the study. CONCLUSIONS: The prevalence of asthma in Brazilian adolescents is high. Rates of active asthma and physician-diagnosed asthma vary widely in different regions and capitals evaluated by the ERICA. These results may assist in the preparation of preventive programs and policies on health and a better understanding of the factors associated with asthma in this age group.Department of Science and Technology of the Science, Technology and Strategic Inputs Secretariat from the Brazilian Ministry of Health (Decit/SCTIE/MS)Health Sector Fund (CT-Saude) of the Ministry of Science, Technology and Innovation (MCTI)Research Incentive Fund of the Hospital de Clinicas de Porto AlegreUniv Estado Rio de Janeiro, Fac Ciencias Med, Dept Pediat, BR-20550011 Rio De Janeiro, RJ, BrazilUniv Fed Sergipe, Dept Med, Aracaju, SE, BrazilUniv Fed Sao Paulo, Dept Pediat, Disciplina Alergia Imunol Clin & Reumatol, Sao Paulo, SP, BrazilUniv Estado Rio de Janeiro, Fac Ciencias Med, Dept Med Interna, BR-20550011 Rio De Janeiro, RJ, BrazilUniv Estado Rio de Janeiro, Fac Ciencias Med, Programa Posgrad Ciencias Med, BR-20550011 Rio De Janeiro, RJ, BrazilUniv Estado Rio de Janeiro, Inst Nutr, Dept Nutr Aplicada, BR-20550011 Rio De Janeiro, RJ, BrazilFundacao Inst Brasileiro Geog & Estat, Escola Nacl Ciencias Estat, Rio De Janeiro, RJ, BrazilUniv Estado Rio de Janeiro, Fac Ciencias Med, Nucleo Estudos Saude Adolescente, BR-20550011 Rio De Janeiro, RJ, BrazilUniv Fed Sao Paulo, Dept Pediat, Disciplina Alergia Imunol Clin & Reumatol, Sao Paulo, SP, BrazilMCTI: FINEP - 01090421CNPq: 565037/2010-2Research Incentive Fund of the Hospital de Clinicas de Porto Alegre FIPE-HCPA: 405.009/2012-7Web of Scienc

ERICA: tabagismo está associado à asma mais grave em adolescentes brasileiros

Submitted by Fátima Lopes ([email protected]) on 2018-07-16T18:26:36Z No. of bitstreams: 1 ERICASmokingAsthma.pdf: 402193 bytes, checksum: d27062098dcc80fe121cfae8c17a3210 (MD5)Approved for entry into archive by Fátima Lopes ([email protected]) on 2018-07-17T18:55:59Z (GMT) No. of bitstreams: 1 ERICASmokingAsthma.pdf: 402193 bytes, checksum: d27062098dcc80fe121cfae8c17a3210 (MD5)Made available in DSpace on 2018-07-17T18:55:59Z (GMT). No. of bitstreams: 1 ERICASmokingAsthma.pdf: 402193 bytes, checksum: d27062098dcc80fe121cfae8c17a3210 (MD5) Previous issue date: 2018Universidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, BrasilUniversidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, BrasilUniversidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, BrasilUniversidade Federal do Rio de Janeiro. Instituto de Estudos em Saúde Coletiva. Rio de Janeiro, RJ, BrasilUniversidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, BrasilUniversidade Federal do Rio de Janeiro. Instituto de Estudos em Saúde Coletiva. Rio de Janeiro, RJ, BrasilUniversidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, BrasilObjetivo: Investigar a associação entre asma, tabagismo e possíveis fatores associados em adolescentes brasileiros. Métodos: Estudo transversal, nacional de base escolar, envolvendo adolescentes com 12 a 17 anos, participantes do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA). Um total de 66.394 participantes responderam questionários auto preenchíveis contendo questões sobre asma, tabagismo, estilo de vida e dados sociodemográficos. Foram realizadas análises bivariadas entre asma ativa e asma grave e demais variáveis do estudo, utilizando χ2. Em seguida, foram estimadas as Razões de Prevalências (RP) brutas e ajustadas e seus respectivos Intervalos de Confiança de 95% (IC 95%), entre asma ativa/asma grave e variáveis de tabagismo, corrigidas pelas variáveis sociodemográficas e de estilo de vida, através de modelos lineares generalizados com regressão de Poisson, função de ligação logarítmica e variância robusta. Resultados: A prevalência de asma ativa e asma grave foi significativamente mais elevada naqueles expostos a experimentação (asma ativa: RP = 1,78; IC 95%: 1,51–2,09; asma grave: RP = 2,01; IC 95%: 1,35–2,98); tabagismo atual (asma ativa: RP = 2,08; IC 95%: 1,65–2,64; asma grave: RP = 2,29; IC 95%: 1,38–3,82); tabagismo frequente (asma ativa: RP = 2,25; IC 95%: 1,64–3,07; AG = 2,41; IC 95%: 1,23–4,73) e tabagismo passivo (asma ativa: RP = 1,47; IC 95%: 1,27–1,67; asma grave: RP = 1,66; IC 95%: 1,19–2,32), as associações permaneceram significativas após ajuste. Conclusão: A asma e o tabagismo se associaram de modo significativo em adolescentes brasileiros independente de fatores sociodemográficos e estilo de vida, especialmente naqueles com doença mais grave.OBJECTIVE: To investigate the association between smoking and asthma, and possible associated factors in Brazilian adolescents. METHODS: A cross-sectional, national, school-based study with adolescents aged 12-17 years, participants in the Study of Cardiovascular Risks in Adolescents (Estudo de Riscos Cardiovasculares em Adolescentes - ERICA). A total of 66,394 participants answered a self-administered questionnaire with questions about asthma, smoking, lifestyle and sociodemographic variables. Bivariate analysis between Current Asthma (CA) and Severe Asthma (SA) and the other study variables were performed using Chi-squared. Then, the crude and adjusted Prevalence Ratios (PR), and respective 95% Confidence Intervals (95% CI) of current asthma/severe asthma and smoking variables, corrected for sociodemographic and lifestyle variables, were estimated using generalized linear models with Poisson regression, logit link, and robust variance. RESULTS: The prevalence of current asthma and severe asthma were significantly higher in adolescents who were exposed to: experimentation (current asthma: PR=1.78, 95% CI: 1.51-2.09; severe asthma: PR=2.01; 95% CI: 1.35-2.98); current smoking (current asthma: PR=2.08, 95% CI: 1.65-2.64; severe asthma: PR=2.29; 95% CI: 1.38-3.82); regular smoking (current asthma: PR=2.25, 95% CI: 1.64-3.07; severe asthma: PR: 2.41; 95% CI: 1.23-4.73); and passive smoking (current asthma: PR=1.47, 95% CI: 1.27-1.67; severe asthma: PR=1.66; 95% CI: 1.19-2.32); these associations remained significant after adjustment. CONCLUSIONS: Asthma and smoking were significantly associated in Brazilian adolescents, regardless of the sociodemographic and lifestyle factors, notably in those with more severe disease

The project ‘Knowing the global environment to act locally: from learning in natural areas to urban intervention (GLOCAL-act)’

The project "Knowing the global environment to act locally: from learning in natural areas to urban intervention (GLOCAL-act)" began in January 2017. The project integrates five teachers from the Polytechnic Institute of Lisbon (Instituto Politécnico de Lisboa - IPL), 4 from the Lisbon School of Education (Escola Superior de Educação - ESELx) and one from the Higher School of Health Technologies and it involves pre-service teachers and children from primary schools, where these pre-service teachers have teaching practice. It obtained funding from the Environmental Fund, under the responsibility of the Portuguese Ministry of the Environment. The project aims to meet the United Nations 2030 Agenda for Sustainable Development and the National Strategy for Environmental Education 2020 in the following strands: to decarbonize society by promoting the development of a resilient and low carbon society; to value the Territory by promoting a territorial civic culture that considers land planning and the conservation and valorization of landscape, natural and cultural heritage. Thus, the project aims to achieve the following objectives: i) the valorization of natural areas, promoting their visitation and a greater knowledge of the biodiversity and geodiversity that characterizes them; ii) the promotion of sustainable mobility between the Campus of the IPL and the Monsanto Forest Park (Parque Florestal de Monsanto), a green area close to the Campus and iii) local action with the aim of improving the environmental quality of the Campus of the IPL. Consequently, several trips to areas of natural interest in the Lisbon region have been carried out. The mobility between the IPL Campus and the Monsanto Forest Park is being intensified, enhancing the educational value of this area within the scope of several activities of different curricular units. An intervention in the Campus of the IPL was carried out with the planting of at least 100 trees and 100 shrubs of different species of the Mediterranean flora. The sites for this plantation were selected by ESELx students, after the evaluation of the characteristics of each species and the identification of the Campus areas that need an increase in plant density. At the end, a general assessment of the project will be discussed.info:eu-repo/semantics/publishedVersio