Prevalence of vitamin D and calcium deficiencies and their health impacts on women of childbearing age: a protocol for systematic review and meta-analysis

INTRODUCTION: No systematic reviews has synthesised data on the available evidence to determine the prevalence of calcium and vitamin D deficiencies as a public health problem globally. Therefore, this study presents a protocol for conducting a review and meta-analysis to estimate the prevalence of calcium and vitamin D serum deficiencies in women of childbearing age and stratify these data by age group, urban and rural area, world region and pregnant/non-pregnant women whenever possible. METHODS AND ANALYSIS: The systematic review protocol involves conducting a literature search in the following databases: PubMed, LILACS, Embase, Scopus and Web of Science. The selected articles will be checked thoroughly, including the references to include grey literature. Cross-sectional studies and baseline data from cohort studies or clinical and community trials conducted with women of childbearing age with representative probabilistic sampling will be included. Two independent researchers will be responsible for article selection and data extraction, and discrepancies, if any, will be dealt with by a third reviewer. Methodological quality and risk of bias will be analysed using the Grading of Recommendations, Assessment, Development and Evaluations and Joanna Briggs Institute's checklist, respectively. The heterogeneity of the estimates between studies will also be evaluated. Dissemination of the key findings from the systematic review will help identify priorities for action, establish dietary guidelines, develop health-related public policies and reduce and combat micronutrient deficiencies among women of childbearing age and their children. ETHICS AND DISSEMINATION: Formal ethical approval is not required, and findings will be published in a peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42020207850

Instruments for assessing back pain in athletes: A systematic review

Back pain in athletes varies with sport, age, and sex, which can impair athletic performance, thereby contributing to retirement. Studies on back pain in this population use questionnaires to assess components, such as pain intensity and location and factors associated with pain, among others. This study aimed to review validated questionnaires that have assessed back pain in athletes. This systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) by searching the databases Embase, MEDLINE, SPORTDiscus, CINAHL, and Scopus. The articles were selected regardless of language and date of publication. Titles and abstracts were independently selected by two reviewers; disagreements were resolved by a third reviewer. All the steps were conducted using the software Rayyan. The methodological quality of the questionnaire validation articles was assessed using a critical appraisal tool checklist proposed by Brink and Louw. The search returned 4748 articles, of which 60 were selected for this review, including 5 questionnaire validation studies. These articles were published between 2004 and 2022, which were performed in more than 20 countries, particularly Germany (14) and Sweden (5). Thirteen different instruments were identified, of which 46.1% were developed in Europe. The most commonly used questionnaires were the Oswestry Disability Index and Nordic Standardized Questionnaire. In addition, five questionnaire validation studies were selected for methodological quality assessment, with only two studies demonstrating high methodological quality. The following three instruments were identified for assessing back pain specifically in athletes: Micheli Functional Scale, Persian Functional Rating Index, and Athlete Disability Index. This review confirmed that all three instruments were specifically designed to assess this condition

Prevalence of Vitamin D and Calcium Deficiency and Insufficiency in Women of Childbearing Age and Associated Risk Factors: A Systematic Review and Meta-Analysis

Vitamin D deficiency and insufficiency as well as low serum calcium levels can trigger negative health outcomes in women of childbearing age. Therefore, we aimed to estimate the prevalence of serum vitamin D and calcium deficiencies and insufficiencies and associated risk factors in Brazilian women of childbearing age and to assess whether there are differences in prevalence according to regions of the country and the presence or absence of pregnancy. The systematic literature review was performed using the following databases: PubMed, LILACS, Embase, Scopus, and Web of Science. Cross-sectional, cohort, and intervention studies were included. Among pregnant women, the prevalence of vitamin D deficiency ranged from 0% to 27% and of vitamin D insufficiency from 33.9% to 70.4%. Among non-pregnant women, the prevalence of vitamin D deficiency ranged from 0% to 41.7% and of vitamin D insufficiency from 38.5% to 69.3%. We found a high prevalence of vitamin D deficiency and insufficiency in women of childbearing age, with insufficiency affecting more than half of these women. The highest prevalence of vitamin D deficiency and insufficiency was observed in the South region. It was not possible to assess the prevalence and factors associated with calcium deficiency

Nutritional status, health behaviors, food habits and nutritional knowledge of high school students residing in a public education institution

Submitted by Cássia Santos ([email protected]) on 2016-12-16T09:46:01Z No. of bitstreams: 2 Dissertação Priscilla Rayanne e Silva Noll - 2016.pdf: 9305034 bytes, checksum: a94d63fce4c32355d983f357cecd7c5b (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Jaqueline Silva ([email protected]) on 2016-12-16T16:30:00Z (GMT) No. of bitstreams: 2 Dissertação Priscilla Rayanne e Silva Noll - 2016.pdf: 9305034 bytes, checksum: a94d63fce4c32355d983f357cecd7c5b (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2016-12-16T16:30:00Z (GMT). No. of bitstreams: 2 Dissertação Priscilla Rayanne e Silva Noll - 2016.pdf: 9305034 bytes, checksum: a94d63fce4c32355d983f357cecd7c5b (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-11-24This study aimed to evaluate the nutritional status, behavioral indicators, biochemical factors, eating pattern, and nutritional knowledge of students from the Instituto Federal Goiano - Campus Ceres. This cross-sectional study was conducted in 2015 with 122 students aged 14-19 years of a Federal Public Education Institution in the Midwest of Brazil. Demographic, socioeconomic, anthropometric, hemodynamic, biochemical, nutritional and behavioral data were collected. Regarding to the time in residence at the institution, the students were grouped as freshmen in 2015 (Group 1, 20 months in the institution). Students presented behaviors risk, such as: cigarette smoking (13.1%), high alcohol consumption (45.9%), multiple sexual partners (77.1%), and early the age at first intercourse sexual (89.1%). These behaviors are intensified by fragile socioeconomic conditions (37.7% with family income up to 1 minimum wage and 51.6% from 1 to 3 minimum wages). However, they were physically active (70.5%). Spent longer time at the institution was associated with older age (p≤0.001), less doses of alcohol consumption (p=0.007), adequate BMI (p=0.027), and higher nutritional knowledge (p=0.017). Overweight prevalence (20.5%) was inversely associated with family income higher than 3 times the minimum wage (RP=0.84, CI 0.74-0.95) and breakfast consumption (RP=0.82, CI 0.72-0.92). Moreover, alterations in the arterial pressure (40.2%) were found, as well in lipid profile, such higher prevalence of inadequate HDL-c (96.7%) and LDL-c (31.7%). In conclusion, students present socioeconomic vulnerability, high prevalence of overweight and health risk behaviors, such as smoking, high alcohol consumption, and sexual behaviors. These results may be related to family distance. Such health-related behaviors in addition to changes in the biochemical and hemodynamic profile are risk factors for the development of non-communicable chronic diseases.O objetivo deste trabalho foi avaliar o estado nutricional, indicadores comportamentais, perfil bioquímico, hábitos alimentares e conhecimentos nutricionais de escolares residentes do Instituto Federal Goiano – Campus Ceres. Trata-se de um estudo transversal, realizado durante o ano de 2015, com 122 escolares de 14 a 19 anos de uma instituição pública federal de ensino no Centro-Oeste do Brasil. Foram coletados dados demográficos, socioeconômicos, antropométricos, hemodinâmico, bioquímicos, nutricionais e comportamentais. Em relação ao tempo de permanência na instituição, os escolares foram agrupados em ingressantes em 2015 (Grupo 1, aqueles com menos de 8 meses na instituição de ensino) e ingressantes até 2014 (Grupo 2, com mais de 20 meses na instituição). Os escolares apresentam diversos comportamentos de riscos, tais como: uso de cigarro (13,1%), alto consumo de álcool (45,9%), múltiplos parceiros sexuais (77,1%) e idade da primeira relação sexual precoce (89,1%). Tais comportamentos são agravados pelas frágeis condições socioeconômicas (37,7% com renda familiar até 1 salário mínimo e 51,6% de 1 a 3 salários mínimos). Apesar disso, foram considerados ativos fisicamente (70,5%). O maior tempo de permanência na instituição está associado com idade mais avançada (p≤0,001), consumo de menor número de doses de álcool (p=0,007), IMC adequado (p=0,027) e maior conhecimento nutricional (p=0,017). A prevalência de excesso de peso foi de 20,5% e verificou-se uma associação inversa com a renda familiar maior que 3 salários mínimos (RP=0,84; IC 0,74-0,95) e com o consumo do café da manhã (RP=0,82; IC 0,72-0,92). Além disso, foram identificadas alterações na pressão arterial (40,2%) e no perfil lipídico, como alta prevalência inadequada de HDL-c (96,7%) e LDL-c (31,7%). Em conclusão, os escolares apresentam vulnerabilidade socioeconômica, alta prevalência de excesso de peso e diversos comportamentos de riscos à saúde, como uso de cigarro, alto consumo de álcool e comportamentos sexuais de risco. Esses resultados podem estar relacionados com a distância da família. Tais comportamentos somados as alterações no perfil bioquímico e hemodinâmico são fatores de risco para o desenvolvimento de doenças crônicas não transmissíveis

Dietary pattern according to the degree of food processing and menopausal symptoms of post-menopausal women

INTRODUÇÃO: Hábitos de vida saudáveis, incluindo a alimentação saudável, são recomendados na prevenção e no tratamento dos sintomas menopausais. Estudos apontam relação entre a intensidade destes sintomas e o consumo de alimentos ricos em gorduras saturadas e açúcares, e o menor consumo de vegetais. Apesar disso, poucos estudos avaliam o padrão alimentar. OBJETIVO: Avaliar o padrão alimentar segundo o grau de processamento dos alimentos e os sintomas menopausais de mulheres na pós-menopausa. MÉTODO: Este estudo transversal avaliou 288 mulheres na pós-menopausa, por meio de entrevista, no Ambulatório de Climatério, Divisão de Ginecologia, Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, de 2018 a 2020. A coleta de dados incluiu variáveis socioeconômicas, clínicas, antropométricas, hábitos de vida, dentre eles tabagismo, etilismo, prática de atividade física e consumo alimentar, e sintomática menopausal. Os desfechos avaliados foram pós-menopausa precoce e tardia, intensidade dos sintomas menopausais, avaliados por meio do Índice Menopausal de KuppermanBlatt, e pior qualidade de vida, utilizando o Women´s Health Questionaire. A associação entre a intensidade dos sintomas menopausais e a pior qualidade de vida e as demais variáveis foi realizada por meio da regressão de Poisson com variância robusta. A medida de efeito foi a razão de prevalência (RP) e seus respectivos intervalos de confiança (IC) de 95% ( = 0,05). RESULTADOS: As mulheres apresentaram intensidade dos sintomas menopausais moderada (52,1%) e intensa (19,1%). Não foram encontradas diferenças entre o tempo de pós-menopausa e as demais variáveis, com exceção do sintoma melancolia e a fase precoce (p=0,006). A maior idade e escolaridade foram associadas à menor intensidade dos sintomas menopausais e melhor qualidade de vida. A pior autoavaliação da saúde, união estável, obesidade e comorbidades foram associadas a maior intensidade de sintomas menopausais e a pior qualidade de vida. O maior tercil de consumo de alimentos ultraprocessados foi associado a sintomas vasomotores mais intensos (RP 0,73; IC 0,55-0,96) e pior comportamento sexual (RP 1,22; IC 1,01-1,49). Ainda, o consumo de bebidas industrializadas foi associado a maior intensidade de sintomas somáticos (RP 1,23; IC 1,01-1,49) e de memória e concentração (RP 1,22; IC 1,02-1,47), enquanto o consumo de embutidos à sintomas somáticos (RP 1,22; IC 1,01- 1,48). O maior consumo de verduras e legumes foi associado a proteção de humor depressivo (RP 0,64; IC 0,43-0,96), sintomas vasomotores (RP 0,79; IC 0,63-0,99), alterações de sono (RP 0,83; IC 0,69-0,99) e melhor qualidade de vida (RP 0,79; IC 0,62- 0,99). CONCLUSÃO: A intensidade dos sintomas menopausais está associada a pior autoavaliação da saúde, obesidade e comorbidades. O maior consumo de ultraprocessados está associado a intensidade de sintomas vasomotores, sexuais e pior memória e concentração, enquanto o maior consumo de verduras e legumes está associado à melhor qualidade de vida e menos sintomas vasomotoresINTRODUCTION: Healthy lifestyle habits, including healthy eating, are recommended for the prevention and treatment of menopausal symptoms. Studies show an association between intensity of these symptoms and consumption of foods rich in saturated fats and desserts, and lower consumption of vegetables. However, few studies evaluate dietary patterns. AIM: To evaluate the dietary pattern according to the degree of food processing and menopausal symptoms of postmenopausal women. METHOD: This cross-sectional study evaluated 288 postmenopausal women, using interviews, at the Gynecology Outpatient Clinic for Climacteric Women, Faculdade de Medicina, Universidade de São Paulo (FMUSP) from 2018 to 2020. Data collection included socioeconomic, clinical, anthropometric, lifestyle variables, among them smoking, alcohol consumption, physical activity and food consumption, and menopausal symptoms. The outcomes evaluated were early and late postmenopausal, intensity of menopausal symptoms, evaluated through the Kupperman-Blatt Menopausal Index, and worse quality of life, using the Women\'s Health Questionnaire. The association between dietary pattern and the intensity of menopausal symptoms and worse quality of life, and the other variables were performed through multivariate analysis based on the Poisson regression model with robust variance. The measure of effect will be the prevalence ratio (PR) and the respective 95% confidence intervals (95% CI) ( = 0.05). RESULTS: Women had moderate (52.1%) to severe (19.1%) intensity of menopausal symptoms. There was no significant association between postmenopausal time and the other variables, except for melancholy symptom and the early phase (p=0.006). Higher age and education were associated with a lower intensity of menopausal symptoms and better quality of life. Worse self-rated health, stable union, obesity, and comorbidities were associated with greater intensity of menopausal symptoms and worse quality of life. The highest tertile of ultra-processed food consumption was associated with vasomotor symptoms (PR 0.73, CI 0.550.96) and sexual behavior (PR 1.22, CI 1.011.49). Moreover, processed beverage consumption was associated with greater intensity of somatic symptoms (PR 1.23, CI 1.011.49) and worse memory/concentration (PR 1.22, CI 1.021.47), while sausage consumption was associated with worse memory/concentration (PR 1.22, CI 1.011.48). Higher consumption of vegetables was a protective factor against depressive mood (PR 0.64, CI 0.430.96), vasomotor symptoms (PR 0.79, CI 0.630.99), sleep disorders (PR 0.83, CI 0.690.99), and worse quality of life (PR 0.79, CI 0.620.99). CONCLUSION: The intensity of menopausal symptoms was associated with worse self-rated health, obesity, and comorbidities. Greater consumption of ultra-processed foods was associated with more intense vasomotor, sexual symptoms, and worse memory and concentration, while higher a consumption of vegetables was associated with lower intensity of vasomotor symptoms and better quality of lif

Anemone pseudo-altaica Hara

原著和名: キクザキイチゲ科名: キンポウゲ科 = Ranunculaceae採集地: 新潟県 弥彦山 (越後 弥彦山)採集日: 1967/4/8採集者: 萩庭丈壽整理番号: JH000004国立科学博物館整理番号: TNS-VS-95000

Family and School Context: Effects on the Mental Health of Brazilian Students

Mental health during adolescence can affect an individual’s long-term quality of life. However, the effects of family and school contexts on students’ mental health have been little explored. This study aims to analyze the relationships between family and school life and feelings of loneliness and trouble sleeping owing to worries in adolescents. The data from this cross-sectional study were obtained from Brazil’s National School Health Survey (PeNSE), which obtained its data through questionnaires. This study’s sample consisted of 102,072 ninth-grade students aged between 11 and 19 years, 52,782 (51.7%) of whom were female, enrolled in public and private schools throughout Brazil. The methodology consisted of an analysis using the Poisson regression model. Regarding the family context, mental health issues were associated with hunger, distant relationships with parents, and family violence. Regarding the school context, feelings of loneliness and trouble sleeping were associated with poor peer relationships, insecurity at school, and schools in more violent areas. This study contributes to the elaboration of public policies aimed at bringing awareness to family members and school bodies that indicators of mental health in adolescents are influenced by the quality of bonds established within these environments

Assessing the Mental Health of Brazilian Students Involved in Risky Behaviors

Adolescence, which is the transition from childhood to adulthood, is marked by emotional sensitivity and inconsistency and may be affected by mental health problems. In order to fill the gap related to the risky behaviors in students in Brazil, our cross-sectional study aimed to analyze the relationship between risky behaviors and indicators of mental health of Brazilian students. We used the data from the National School Health Survey to analyze the relationship between risk behaviors and three symptoms of mental health issues: feeling of being alone, number of close friends, and trouble sleeping due to worries. The sample consisted of 102,072 students in Brazil (48.3% boys and 51.7% girls), aged between 11 to 19 years. The risk behaviors evaluated were substance use, sedentary lifestyle, sexual behavior, and suffering violence and bullying. We have performed a multivariate analysis based on the Poisson regression model, and the measure of effect used was the prevalence ratio (PR) with confidence intervals (CI) of 95%. Our results showed that students with symptoms of mental health issues were involved in risky behaviors, including drug use and unsafe sex. Thus, mental illness outcomes may be associated with risky behaviors, or mental health may be impaired by them. Given these findings, in-school programs focused on improving mental health outcomes should be developed