Quality of life in spondyloarthritis : analysis of a large Brazilian cohort

Objetivo: analisar as variáveis demográficas e clínicas associadas à diminuição da qualidade de vida em uma grande coorte brasileira de pacientes com espondiloartrite (EpA). Métodos: Foi aplicado um protocolo de pesquisa único a 1.465 pacientes brasileiros classificados como tendo EpA de acordo com os critérios do European Spondyloarthropaties Study Group (ESSG), atendidos em 29 centros de referência em reumatologia do Brasil. Foram registradas as variáveis clínicas e demográficas. A qualidade de vida foi analisada por meio do questionário Ankylosing Spondylitis Quality of Life (ASQoL). Resultados: A pontuação média do ASQoL foi de 7,74 (+ 5,39). Ao analisar doenças específicas no grupo de EpA, as pontuações do ASQoL não apresentaram diferença estatisticamente significativa. Os dados demográficos mostraram piores escores de ASQoL associados ao gênero feminino (p = 0,014) e etnia negra (p < 0,001). Quanto aos sintomas clínicos, a dor na região glútea (p = 0,032), a dor cervical (p < 0,001) e a dor no quadril (p = 0,001), estiveram estatisticamente associadas a piores escores no ASQoL. O uso contínuo de fármacos anti-inflamatórios não esteroides (p < 0,001) e agentes biológicos (p = 0,044) esteve associado a escores mais elevados de ASQoL, enquanto outros medicamentos não interferiram nos escores do ASQoL. Conclusão: Nesta grande série de pacientes com EpA, o sexo feminino e a etnia negra, bem como sintomas predominantemente axiais, estiveram associados a uma qualidade de vida reduzida.Objective: to analyze quality of life and demographic and clinical variables associated to its impairment in a large Brazilian cohort of patients with spondyloarthritis (SpA). Methods: A common protocol of investigation was applied to 1465 Brazilian patients classified as SpA according to the European Spondyloarthropaties Study Group (ESSG) criteria, attended at 29 reference centers for Rheumatology in Brazil. Clinical and demographic variables were recorded. Quality of life was analyzed through the Ankylosing Spondylitis Quality of Life (ASQoL) questionnaire. Results: The mean ASQoL score was 7.74 (± 5.39). When analyzing the specific diseases in the SpA group, the ASQoL scores did not present statistical significance. Demographic data showed worse scores of ASQoL associated with female gender (p = 0.014) and African-Brazilian ethnicity (p < 0.001). Regarding clinical symptoms, buttock pain (p = 0.032), cervical pain (p < 0.001) and hip pain (p = 0.001), were statistically associated with worse scores of ASQoL. Continuous use of nonsteroidal anti-inflammatory drugs (p < 0.001) and biologic agents (p = 0.044) were associated with higher scores of ASQoL, while the other medications did not interfere with the ASQoL scores. Conclusion: In this large series of patients with SpA, female gender and African-Brazilian ethnicity, as well as predominant axial symptoms, were associated with impaired quality of life

Age and growth of Spanish mackerel (Scomberomorus brasiliensis) off the northeastern coast of Brazil

Age and growth of the Spanish mackerel (Scomberomorus brasiliensis) caught off northeastern Brazil were determined. A total of 831 otoliths were examined - 296 from males (12 - 75 cm FL), 212 from females (11.5 - 72 cm FL) and 323 from specimens of undetermined sex (12.4 - 75 cm FL). There was a high percentage of juveniles in the catches, resulting mainly from the use of gillnets. Marginal increment analysis of the otoliths indicated that the shortest distances from the last ring to the edge occurred from November to May, laying down just one ring annually. One to eight rings were found, with specimen lengths ranging from 11.5 to 75.8 cm. The Schunute model was used to determine what model was best fit the data, demonstrating that the specialized von Bertalanffy growth equation is the most appropriate. Curves were established for males (L∞ = 79.52 cm, K = 0.189, t0 = -0.384 year) and females (L∞ = 109.18 cm, K = 0.114, t0 = -0.414 year), which resulted in distinct growth patterns between sexes. Based on the parameters estimated for the sexes separately, males have an approximate longevity of 15.5 years, whereas female longevity is 25.9 years. Specimens between 2 and 6 years of age represented 86% (n = 5,290) of the catch composition, characterizing the species as a catchable stock in the region. The present study updates essential information for assessing the stock of this important resource, for which the last growth studies in the region were carried out approximately thirty years ago

Psychometric Analysis of Disordered Eating in Sports Scale (DES)

Abstract There is no specific psychometric scale that addresses disordered eating among Brazilian athletes. This study's aim was to analyze the psychometric properties of the Disordered Eating in Sports Scale (DES) among Brazilian athletes. A total of 1,338 athletes, both sexes,from various sports participated in the study; 141 were excluded. The DES and the Eating Attitudes Test (EAT-26) were used to assess disordered eating among the study participants. Exploratory factor analysis revealed a factor structure that explains more than 40% of the scale's variance. Thefinal version's items presented factors loadings greater than .3. The Pearson correlation showed a statistically significant relationship between the DES and EAT-26 subscales. No differences were found in the mean scores of DES in an interval of two weeks. The findings indicate differences in DES scores due to body adiposity. The conclusion is that DES showed satisfactory concurrent and discriminant validity and reproducibility