PERFIL E EVOLUÇÃO CLÍNICA DOS PACIENTES COM DIABETES MELLITUS TIPO 1: ESTUDO LONGITUDINAL EM UM CENTRO DE REFERÊNCIA SECUNDÁRIA DE MINAS GERAIS

RESUMO Objetivou-se avaliar o perfil e a evolução clínica dos pacientes com diabetes mellitus tipo 1 (DM1) de um centro de referência secundária de Minas Gerais. Trata-se de estudo longitudinal com 174 pessoas com DM1 atendidos em um centro de referência secundária de Minas Gerais no período de 2010 a 2015. Avaliaram-se variáveis sociodemográficas, tempo de diabetes, tratamento, comorbidades, hemoglobina glicada (A1c) e LDL colesterol. Utilizou-se o teste T pareado e de McNemar para as comparações anuais da A1c e do LDL-c, com nível de significância inferior a 5%. Os resultados mostraram que 5,7% dos pacientes estavam em uso de sistema contínuo de infusão de insulinas, 61,5% de NPH e 32,8% de glargina; 47,1% dos pacientes usavam estatina; 63,21% chegaram ao serviço com valores de A1c acima de 8%, sendo 27,0% acima de 10%. Ao final do primeiro ano de acompanhamento, esse percentual reduziu-se para 49,9%, com maior redução dos que tinham A1c acima de 9%. Observouse diminuição significativa nas médias de A1c (9,01±2.46 em 2010 e 8,2±1.74 em 2011;

Perfil de idosas que sofreram quedas em uma instituição de longa permanência

A queda em idosos é considerada importante problema de saúde pública devido a sua frequência, morbidades associadas e elevado custo social e econômico, ocasionando aumento da dependência e o início da vida em uma instituição asilar. Trata-se de um estudo de caráter exploratório, descritivo, com o objetivo de identificar o perfil das idosas que sofreram quedas no ano de 2010 e as principais repercussões pós-quedas sofridas entre idosas que vivem numa instituição de longa permanência em Belo Horizonte, Minas Gerais. A coleta de dados ocorreu no mês de dezembro de 2010, utilizando-se os registros de quedas no prontuário das 18 idosas no período de novembro 2009 a novembro de 2010. Os resultados apontam que 38% das idosas sofreram quedas, com uma média de idade de 79,8 anos. A maior ocorrência de eventos foi no quarto (38,9%); em seguida, no pátio (22,2%) e no refeitório (22,2%). Em relação às consequências das quedas, 72,2% das idosas sofreram escoriações e 5,6% sofreram fraturas. Conclui-se que a prevalência de quedas entre as idosas é alta, embora alguns dos possíveis fatores associados às quedas sejam passíveis de prevenção. Descritores: Idosos; Acidentes por quedas; Saúde do idoso institucionalizado; Instituição de longa permanência para idosos; Envelhecimento. &nbsp

Perfil de idosas que sofreram quedas em uma instituição de longa permanência

A queda em idosos considerada importante problema de sade pblica devido a sua frequncia, morbidades associadas e elevado custo social e econmico, ocasionando aumento da dependncia e o incio da vida em uma instituio asilar. Trata-se de um estudo de carter exploratrio, descritivo, com o objetivo de identificar o perfil das idosas que sofreram quedas no ano de 2010 e as principais repercusses ps-quedas sofridas entre idosas que vivem numa instituio de longa permanncia em Belo Horizonte, Minas Gerais. A coleta de dados ocorreu no ms de dezembro de 2010, utilizando-se os registros de quedas no pronturio das 18 idosas no perodo de novembro 2009 a novembro de 2010. Os resultados apontam que 38% das idosas sofreram quedas, com uma mdia de idade de 79,8 anos. A maior ocorrncia de eventos foi no quarto (38,9%); em seguida, no ptio (22,2%) e no refeitrio (22,2%). Em relao s consequncias das quedas, 72,2% das idosas sofreram escoriaes e 5,6% sofreram fraturas. Conclui-se que a prevalncia de quedas entre as idosas alta, embora alguns dos possveis fatores associados s quedas sejam passveis de preveno. Descritores: Idosos; Acidentes por quedas; Sade do idoso institucionalizado; Instituio de longa permanncia para idosos; Envelhecimento

Public Health Nutr.

Objective: To estimate factors associated with double burden of nutritional outcomes in the mother–child dyad at the household level (child stunting and/or maternal overweight). Design: Cross-sectional study using the Brazilian Demographic and Health Survey. Nutritional outcomes were: mother with normal weight and child with normal height; overweight mother and child with normal height; mother with normal weight and short-stature child; and overweight mother and child with short stature (double burden). The child was classified as short when height-for-age Z-score was <−2 and the mother as overweight when BMI was ≥25·00 kg/m2. Socio-economic status, environment, social vulnerability, maternal characteristics and the child’s food intake were the exposure factors. The hierarchical approach for multinomial logistic regression modelling was used to assess the associations. Setting: National Demographic and Health Survey of Children and Women conducted in Brazil, 2006–2007. Subjects: Mother–child dyads (n 3676). Results: After adjustments, lower maternal educational level (OR=3·53; 95% CI 1·33, 9·33) and inadequate household (non-masonry house; OR=2·54; 95% CI 1·39, 4·66) were associated with the double burden of malnutrition. Mother’s short stature (OR=3·41; 95% CI 1·76, 6·61), child’s vegetable intake on less than or equal to 4 d/week (OR=2·21; 95% CI 1·03, 4·75) and inadequate household (non-masonry house; OR=2·29; 95% CI 1·36, 3·87) were associated with child’s short stature. The lack of breast-feeding (OR=2·00; 95% CI 1·07, 3·72) was associated with maternal overweight. Conclusions: The present findings contribute to establishing strategies promoting health and healthy diets, by considering the growth deficit and overweight/obesity concomitantly.Cambridg

Association between maternal socioeconomic factors and nutritional outcomes in children under 5 years of age,

Abstract Objective: To estimate the association between maternal socioeconomic factors and the occurrence of nutritional outcomes in children under five years of age in a representative sample of the Brazilian population. Methods: This was a cross-sectional study that evaluated data from the latest National Survey of Children and Women's Demographics and Health, carried out in Brazil in 2006-2007. Maternal employment and maternal level of schooling were the main exposures. The following nutritional outcomes in children were considered: height/age 2SD for overweight. Generalized estimating equations (GEE) were utilized as the regression method. Results: After adjustments, it was observed that children whose mothers had low level of schooling had a higher chance of having short stature (OR = 3.97, 95% CI, 1.23-12.80) and children whose mothers worked outside the home were more likely to have excess weight (OR = 1.57, 95% CI, 1.02-2.42). Maternal employment was not associated with short stature in children (OR = 1.09, 95% CI, 0.67-1.77). Conclusion: Maternal level of schooling was associated with short stature in children and maternal employment with overweight, indicating the need to take into account the socioeconomic factors when proposing programs and strategies aimed at health and nutrition improvement of children, considering inter-sectoral interventions

Association between maternal socioeconomic factors and nutritional outcomes in children under 5 years of age

Objective: To estimate the association between maternal socioeconomic factors and the occurrence of nutritional outcomes in children under five years of age in a representative sample of the Brazilian population. Methods: This was a cross-sectional study that evaluated data from the latest National Survey of Children and Women's Demographics and Health, carried out in Brazil in 2006–2007. Maternal employment and maternal level of schooling were the main exposures. The following nutritional outcomes in children were considered: height/age <−2 standard deviations (SD) for short stature and BMI/age >2SD for overweight. Generalized estimating equations (GEE) were utilized as the regression method. Results: After adjustments, it was observed that children whose mothers had low level of schooling had a higher chance of having short stature (OR = 3.97, 95% CI, 1.23–12.80) and children whose mothers worked outside the home were more likely to have excess weight (OR = 1.57, 95% CI, 1.02–2.42). Maternal employment was not associated with short stature in children (OR = 1.09, 95% CI, 0.67–1.77). Conclusion: Maternal level of schooling was associated with short stature in children and maternal employment with overweight, indicating the need to take into account the socioeconomic factors when proposing programs and strategies aimed at health and nutrition improvement of children, considering inter-sectoral interventions. Resumo: Objetivo: Estimar a associação entre fatores socioeconômicos maternos e a ocorrência de desfechos nutricionais nas crianças menores de cinco anos em uma amostra representativa da população brasileira. Métodos: Trata-se de um estudo transversal que avaliou dados da última Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher, realizada no Brasil em 2006-2007. Trabalho materno e escolaridade materna foram as exposições principais. Considerou os seguintes desfechos nutricionais nas crianças: estatura/idade <−2 desvios padrão (DP) para baixa estatura e IMC/idade >2DP para excesso de peso. Utilizou-se o método regressão de equações de estimação generalizadas (GEE). Resultados: Após ajustes, observou-se que crianças cujas mães possuíam baixa escolaridade tiveram maiores chances de baixa estatura (OR = 3,97; IC 95% 1,23-12,80) e crianças cujas mães trabalhavam fora de casa apresentaram maior chance de excesso de peso (OR = 1,57; IC 95% 1,02-2,42). O trabalho materno não se associou a baixa estatura em crianças (OR = 1,09; IC 95% 0,67-1,77). Conclusão: Escolaridade materna associou-se à baixa estatura nas crianças e trabalho materno ao excesso de peso, indicando a necessidade de se levar em conta os fatores socioeconômicos na proposta de programas e estratégias de melhorias da saúde e nutrição das crianças, tendo em vista intervenções intersetoriais. Keywords: Stature, Overweight, Socioeconomic factors, Child, Epidemiological surveys, Brazil, Palavras-chave: Estatura, Sobrepeso, Fatores socioeconômicos, Criança, Inquéritos epidemiológicos, Brasi

Factores asociados con el índice de masa corporal en niños brasileños: modelo de ecuaciones

BARRETO, Mauricio Lima. “Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento”.Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2018-03-01T17:59:07Z No. of bitstreams: 1 Horta TG Factors associated with body mass index....pdf: 742644 bytes, checksum: 05075a7dd732ecbbfd1f044193361b65 (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2018-03-01T18:14:24Z (GMT) No. of bitstreams: 1 Horta TG Factors associated with body mass index....pdf: 742644 bytes, checksum: 05075a7dd732ecbbfd1f044193361b65 (MD5)Made available in DSpace on 2018-03-01T18:14:24Z (GMT). No. of bitstreams: 1 Horta TG Factors associated with body mass index....pdf: 742644 bytes, checksum: 05075a7dd732ecbbfd1f044193361b65 (MD5) Previous issue date: 2017Federal University of Bahia, Brazil. FAPESB - Fundação de Amparo à Pesquisa do Estado da Bahia.Federal University of Minas Gerais. School of Nursing. Department Maternal Infant and Public Health. Belo Horizonte, MG, BrazilFederal University of Bahia. Nutrition School. Nutrition Science Department. Salvador, BA, BrasilFederal University of Bahia. Institute of Mathematics. Department of Statistics. Salvador, BA, Brazil / Federal University of Bahia. Institute of Public Health. Salvador, BA, BrazilFederal University of Bahia. Institute of Public Health. Salvador, BA, BrazilFederal University of Minas Gerais. School of Nursing. Department Maternal Infant and Public Health. Belo Horizonte, MG, Brazilprevalencia en las poblaciones de los países desarrollados y en desarrollo. Objetivo: el objetivo de este estudio fue estimar la asociación entre las condiciones socioeconómicas, el consumo y el exceso de peso corporal en los niños. Métodos: estudio transversal de una muestra probabilística representativa de la población brasileira que incluyó 3.676 niños provenientes de la última Encuesta Nacional de Demografía y Salud. El índice de masa corporal (IMC) de los niños fue la variable desenlace. El nivel socioeconómico, IMC materno, inseguridad a la hora de alimentarles y el consumo de alimentos obesogénicos fueron consideradas variables independientes. Las ecuaciones estructurales fueron usadas como método de análisis. Resultados: las condiciones socioeconómicas infl uyeron directamente el IMC de los niños (β = 0,102; p = 0,02), mediado por la ingesta de alimentos obesogénicos (β = 0,018; p = 0,04). Se observó asociación directa entre el IMC de la madre y del niño (β = 0,169; p < 0,001) y entre el consumo de alimentos obesogénicos y el IMC del niño (β = 0,114; p < 0,001). Conclusiones: la condición socioeconómica favorable, el IMC materno y la ingesta de alimentos obesogénicos pueden potencialmente contribuir para el aumento del IMC del niño.Overweight and obesity in children is an important global problem. Its prevalence is increasing in developed and developing countries. Objective: The aim of this study was to evaluate the association between socioeconomic conditions, maternal body mass index (BMI), food security, and intake of obesogenic foods on excess body weight in children. Methods: A cross-sectional study was conducted, using the data of 3,676 children from the latest National Demographic and Health Survey in Brazil. The children’s BMI was the study outcome. Socioeconomic condition, maternal BMI, food security, and intake of obesogenic foods were use as predictors. structural equation models were used for analysis. Results: Socioeconomic conditions directly infl uenced the children’s BMI (β = 0.102; p = 0.02), mediated by intake of obesogenic foods (β = 0.018; p = 0.04). A direct association was observed between maternal and child BMIs (β = 0.169; p < 0.001) and intake of obesogenic foods and child BMI (β = 0.114; p < 0.001). Conclusions: Favorable socioeconomic conditions, increased maternal BMI, and intake of obesogenic foods contributed to increased child BMI

Factors associated with nutritional outcomes in the mother-child dyad: a population-based cross-sectional study

"Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento".Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2017-04-06T17:14:48Z No. of bitstreams: 1 Gea-Horta T Factors_associated_with_nutritional_outcomes....pdf: 252445 bytes, checksum: b550cd092b6a70ce69385120a0ccec39 (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2017-04-06T17:27:23Z (GMT) No. of bitstreams: 1 Gea-Horta T Factors_associated_with_nutritional_outcomes....pdf: 252445 bytes, checksum: b550cd092b6a70ce69385120a0ccec39 (MD5)Made available in DSpace on 2017-04-06T17:27:23Z (GMT). No. of bitstreams: 1 Gea-Horta T Factors_associated_with_nutritional_outcomes....pdf: 252445 bytes, checksum: b550cd092b6a70ce69385120a0ccec39 (MD5) Previous issue date: 2016Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil and would also like to thank the Brazilian National Council of Research and Technology (CNPq) for a scholarship that supported a fellowship at the Federal University of Bahia, BrazilFederal University of Minas Gerais. Department of Maternal Infant and Public Health. School of Nursing. BeloHorizonte, MG, BrasilFederal University of Bahia. Nutrition School. Nutrition Science Department. Salvador, BA, BrasilFederal University of Bahia. Institute of Mathematics. Salvador, BA, BrasilFederal University of Bahia. Institute of Public Health. Salvador, BA, BrasilFederal University of Minas Gerais. Department of Maternal Infant and Public Health. School of Nursing. BeloHorizonte, MG, BrasilTo estimate factors associated with double burden of nutritional outcomes in the mother-child dyad at the household level (child stunting and/or maternal overweight). Design: Cross-sectional study using the Brazilian Demographic and Health Survey. Nutritional outcomes were: mother with normal weight and child with normal height; overweight mother and child with normal height; mother with normal weight and short-stature child; and overweight mother and child with short stature (double burden). The child was classified as short when height-for-age Z-score was <−2 and the mother as overweight when BMI was ≥25·00 kg/m2. Socio-economic status, environment, social vulnerability, maternal characteristics and the child’s food intake were the exposure factors. The hierarchical approach for multinomial logistic regression modelling was used to assess the associations. Setting: National Demographic and Health Survey of Children and Women conducted in Brazil, 2006–2007. Subjects: Mother–child dyads (n 3676). Results: After adjustments, lower maternal educational level (OR=3·53; 95% CI 1·33, 9·33) and inadequate household (non-masonry house; OR=2·54; 95% CI 1·39, 4·66) were associated with the double burden of malnutrition. Mother’s short stature (OR=3·41; 95% CI 1·76, 6·61), child’s vegetable intake on less than or equal to 4 d/week (OR=2·21; 95% CI 1·03, 4·75) and inadequate household (non-masonry house; OR=2·29; 95% CI 1·36, 3·87) were associated with child’s short stature. The lack of breast-feeding (OR=2·00; 95% CI 1·07, 3·72) was associated with maternal overweight. Conclusions: The present findings contribute to establishing strategies promoting health and healthy diets, by considering the growth deficit and overweight/obesity concomitantly