29 results on '"Moreira, Alexandra Dias"'
Search Results
2. Association of self-reported sleep disturbances with ideal cardiovascular health in Brazilian adults: A cross-sectional population-based study
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Velasquez-Melendez, Gustavo, Andrade, Flávia Cristina Drumond, Moreira, Alexandra Dias, Hernandez, Rosalba, Vieira, Maria Alice Souza, and Felisbino-Mendes, Mariana Santos
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- 2021
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3. Association between sociodemographic and health factors and the practice of walking in a rural area
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Bicalho, Paula Goncalves, Gea-Horta, Tatiane, Moreira, Alexandra Dias, Gazzinelli, Andrea, and Velasquez-Melendez, Gustavo
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- 2018
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4. Investigation of cancer incidence in ELSA-Brasil
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Moreira, Alexandra Dias, Teles de Menezes, Sara, Júnior, Munir Murad, da Silva Vicente, Jefferson Tennesse, Camelo, Lidyane V., and Barreto, Sandhi Maria
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- 2023
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5. Association between maternal nutritional extremes and offspring mortality: A population-based cross-sectional study, Brazil, Demographic Health Survey 2006
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Felisbino-Mendes, Mariana Santos, Moreira, Alexandra Dias, and Velasquez-Melendez, Gustavo
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- 2015
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6. Motorcycle accidents in Belo Horizonte and its Metropolitan Region: linear mortality trend from 2000 to 2012
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Vieira, Maria Alice Souza, Moreira, Alexandra Dias, Villela, Lenice de Castro Mendes, Velasquez-Melendez, Gustavo, and Matozinhos, Fernanda Penido
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- 2019
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7. Consumption of alcohol and blood pressure: Results of the ELSA-Brasil study.
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Santana, Nathália Miguel Teixeira, Mill, José Geraldo, Velasquez-Melendez, Gustavo, Moreira, Alexandra Dias, Barreto, Sandhi Maria, Viana, Maria Carmen, and Molina, Maria del Carmen Bisi
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ALCOHOL drinking ,HYPERTENSION ,SOCIOECONOMICS ,VASCULAR medicine ,DIASTOLE (Cardiac cycle) ,LONGITUDINAL method - Abstract
Background: Prevention and reduction of excessive use of alcohol represents damages to society in general. In turn, arterial hypertension is the main attributable risk factor premature life lost years and disability. Objective: To investigate the relationship between alcohol consumption and high blood pressure in participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Methodology: A baseline data of total of 7,655 participants volunteers between 35 and 74 years of age, of both genders, in six educational and research institutions of three different regions of the country were interviewed between 2008–2010. Socioeconomic, haemodynamic, anthropometric and health data were collected in the research centers of ELSA-Brasil. The presence of high blood pressure was identified when the systolic blood pressure was ≥140 mm Hg and/or the diastolic was ≥90 mm Hg. Alcohol consumption was estimated and categorized regarding consumption and pattern of ingestion. The Student’s t-test, chi-squared and logistic regression tests were used for analysis, including potential co-variables of the model, and a 5% significance level was adopted. Results: A dose-response relation was observed for the consumption of alcohol (g/week) in systolic blood pressure and diastolic blood pressure. Alcohol consumption was associated with high blood pressure in men who reported moderate (OR = 1.69;
95% CI 1.35–2.11) and excessive (OR = 2.70;95% CI 2.04–3.59) consumption. Women have nearly three times more chance of presenting elevated blood pressure when presenting excessive consumption (OR = 2.86,95% CI 1.77–4.63), and binge drinkers who drink more than 2 to 3 times a month have approximately 70% more chance of presenting with elevated blood pressure, after adjusting for consumption of drinks with meals. Conclusion: The consumption of alcohol beverages increases the odds of elevated blood pressure, especially among excessive drinkers. Therefore alcohol consumption needs a more robust regulation in view of its impact on population health. [ABSTRACT FROM AUTHOR]- Published
- 2018
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8. PREVALENCE AND CLUSTERING OF CARDIOMETABOLIC RISK FACTORS IN THE ELDERLY POPULATION LIVING IN RURAL AREAS.
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Moreira, Alexandra Dias, Gomes, Crizian Saar, Felisbino-Mendes, Mariana Santos, Latini Gomes, Flávia Sampaio, and Velásquez Meléndez, Jorge Gustavo
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- 2014
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9. Motorcycle accidents in Belo Horizonte and its Metropolitan Region: linear mortality trend from 2000 to 2012.
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Souza Vieira, Maria Alice, Moreira, Alexandra Dias, de Castro Mendes Villela, Lenice, Velasquez-Melendez, Gustavo, and Penido Matozinhos, Fernanda
- Abstract
Objectiv e: To describe the profile and evolution of the mortality rate due to motorcycle accidents in Belo Horizonte and its Metropolitan Region, from 2000 to 2012. Methods: A time series study with data ex tracted from the Mortality Information System (Sistema de Informações sobre Mortalidade, SIM) and from the IBGE. A linear regression model was used, with a 5% significance level. Results: From 2000 to 2012 there was a 278% increase in the number of deaths. The population most affected was that of male individuals, aged 20 to 29 years old, of black/brown skin, without partners, and with 8 to 11 years of schooling. The mortality rate increased from 1.7 to 3.58 deaths/100,000 inhabitants, with an increasing trend ( β=0.25 per year; p<0.01). Discussion: There was an increase in the mortality rate due to motorcycle accidents. The results of this study can contribute to the formulation of actions that prioritize the prevention of accidents in the public at greatest risk. [ABSTRACT FROM AUTHOR]
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- 2019
10. Sugar-Sweetened Soft Drinks and Fructose Consumption Are Associated with Hyperuricemia: Cross-Sectional Analysis from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
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Siqueira, Jordana Herzog, Mill, José Geraldo, Velasquez-Melendez, Gustavo, Moreira, Alexandra Dias, Barreto, Sandhi Maria, Benseñor, Isabela Martins, and Molina, Maria del Carmen Bisi
- Abstract
The secular trend of hyperuricemia coincides with the substantial increase in the consumption of sugar-sweetened beverages. Our aim was to evaluate the association between the consumption of soft drinks, dietary fructose and unsweetened, non-processed fruit juices with hyperuricemia in a cross-sectional analysis of baseline data (2008–2010;
n = 7173) of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The explanatory variables were the consumption of soft drinks, fruit juice, and fructose using a validated semi-quantitative food frequency questionnaire. The outcomes were hyperuricemia and the uric acid concentration in serum. Regression models were tested, and a significance level of 5% was adopted. In men, the daily consumption of a portion of soft drink/day (250 mL) almost doubled the chance of hyperuricemia with a linear trend. In women, the consumption of ≥0.1 to <1.0 soft drink/day was associated with a higher chance of hyperuricemia, but there was no linear trend. High fructose consumption in men and moderate and high consumption in women were associated with hyperuricemia. All categories of soft drinks consumption were linearly associated with increased serum uric acid levels. Our findings suggest that the consumption of soft drinks and dietary fructose is positively associated with a higher chance of hyperuricemia and higher uric acid levels in Brazilian adults. [ABSTRACT FROM AUTHOR]- Published
- 2018
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11. Response to comments on: “Cancer incidence in ELSA-Brasil: making the case for Population Based Cancer Registries in Brazil”
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Moreira, Alexandra Dias, de Menezes, Sara Teles, Camelo, Lidyane V., and Barreto, Sandhi Maria
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12. Awareness of the diagnosis, treatment, and control of diabetes mellitus in Brazil.
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Tonaco LAB, Velasquez-Melendez G, Moreira AD, Andrade FCD, Malta DC, and Felisbino-Mendes MS
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- Adult, Male, Humans, Brazil epidemiology, Glycated Hemoglobin, Cross-Sectional Studies, Hypoglycemic Agents therapeutic use, Prevalence, Diabetes Mellitus diagnosis, Diabetes Mellitus drug therapy, Diabetes Mellitus epidemiology
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Objective: To estimate the proportions of awareness, treatment, and control of diabetes mellitus (DM) in the Brazilian adult population., Method: This is a cross-sectional study, with data from a representative sample of the Brazilian population, taken from the National Health Survey(PNS 2014/2015). Outcomes were defined based on glycated hemoglobin (HbA1c) measurements, self-reported DM diagnosis, and use of hypoglycemic agents or insulin. The proportion of DM awareness, treatment, and control was estimated according to sociodemographic characteristics, health conditions, and access to health services, and their respective 95% confidence intervals., Results: DM prevalence in the Brazilian population was of 8.6% (95%CI: 7.8-9.3): 68.2% (95%CI: 63.9-72.3) were aware of their diagnosis, 92.2% (95%CI: 88.6-94.7) of those who were aware were undergoing drug treatments, and, of these, 35.8% (95%CI: 30.5-41.6) had controlled HbA1c levels. The proportions of DM awareness, control, and treatment were lower in men aged 18 to 39 years, individuals with low education, without health insurance, and beneficiaries of the Bolsa Família program., Conclusion: Approximately one in ten Brazilians has DM. A little more than half of this population is aware of their diagnosis, a condition measured by HbA1c dosage and clinical diagnosis. Among those who know, the vast majority are undergoing drug treatments. However, less than half of these have their HbA1c levels controlled. Worse scenarios were found in subgroups with high social vulnerability.
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- 2023
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13. Arterial hypertension and associated factors: National Health Survey, 2019.
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Malta DC, Bernal RTI, Ribeiro EG, Moreira AD, Felisbino-Mendes MS, and Velásquez-Meléndez JG
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- Adult, Humans, Female, Aged, Risk Factors, Brazil epidemiology, Health Surveys, Prevalence, Sodium Chloride, Dietary, Hypertension epidemiology
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Objective: To analyze the factors associated with self-reported arterial hypertension, as well as its prevalence in the Brazilian adult population., Methods: Data from 88,531 individuals aged 18 years or older who responded to the 2019 National Health Survey were analyzed. The outcome studied was self-reported arterial hypertension. Sociodemographic variables and clinical and lifestyle conditions were considered as exposures. The prevalence ratio (PR), crude and adjusted for sex, age, and schooling was used as a measure of association to verify the factors related to its prevalence, obtained by Poisson regression with robust variance., Results: The prevalence of self-reported arterial hypertension was of 23.9% (95%CI: 23.4-24.4). When adjusting for age, sex, and schooling, the adjusted Prevalence Ratios (APR) were higher among: regular health self-assessment (APR = 1.6; 95%CI: 1.5-1.6) and bad health self-assessment (APR = 1.7; 95%CI: 1.6-1.8); self-reference to heart disease (APR = 1.7; 95%CI: 1.6-1.7), diabetes (APR = 1.7; 95%CI: 1.6-1.8), high cholesterol (APR = 1.6; 95%CI: 1.6-1.7), overweight (APR = 1.4; 95%CI: 1.4-1.5), and obesity (APR = 2.0; 95%CI: 1.9-2.1); high salt intake (APR = 1.1; 95%CI: 1.0-1.1); higher among former smokers (APR = 1.1; 95%CI: 1.1-1.2) and lower among smokers (APR = 0.9; 95%CI: 0.8-0.9); and consumption of ultra-processed foods (APR = 0.9; 95%CI: 0.8-0.9)., Conclusion: A quarter of the Brazilian adult population claims to have arterial hypertension, more prevalent among women and associated with older age groups, Black, mixed-race, and others, low schooling, high salt intake, former smoking, presence of comorbidities, and worse health self-assessment.
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- 2023
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14. Prevalence and factors associated with self-reported diagnosis of high cholesterol in the Brazilian adult population: National Health Survey 2019.
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Nogueira de Sá ACMG, Gomes CS, Moreira AD, Velasquez-Melendez G, and Malta DC
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- Adult, Brazil epidemiology, Cross-Sectional Studies, Female, Health Surveys, Humans, Middle Aged, Prevalence, Self Report, Socioeconomic Factors, Cholesterol
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Objective: To estimate the prevalence of self-reported high cholesterol diagnosis and to analyze the factors associated with the prevalence in the Brazilian adult population., Methods: Cross-sectional study, using data from the 2019 National Health Survey. The diagnosis of high cholesterol was self-reported. Poisson regression models yielded prevalence ratios (PR) and 95% confidence intervals (95%CI)., Results: In the 88,531 adults, the prevalence of high cholesterol was 14.6%. Positively associated: female sex (PR = 1.44; 95%CI 1.40;1.52), age ≥ 60 years (PR = 3.80; 95%CI 3.06;4.71), health insurance (PR = 1.33; 95%CI 1.24;1.42), poor or very poor self-rated health (PR = 1.75; 95%CI 1.60;1.90), hypertension (PR = 1.78; 95%CI 1.68;-1.89), diabetes (RP = 1.54; 95%CI 1.45;1.65), renal failure (PR = 1.33; 95%CI 1.15;1.53), obesity (PR = 1.27; 95%CI 1.18;1.36), former smoker (PR = 1.13; 95%CI 1.07;1.20), alcohol abuse (PR = 1.11; 95%CI 1.01;1.21), physically active during leisure time (PR = 1.22; 95%CI 1.15;1.30)., Conclusion: High cholesterol was associated with sociodemographic characteristics, health condition and lifestyle.
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- 2022
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15. Association between Adiposity Indexes and Kidney Disease: Findings from the Longitudinal Study of Adult Health (Elsa-Brazil).
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Moreira AD, Velasquez-Melendez G, Ladeira RM, da Silva Junior GB, Fonseca MJ, and Barreto SM
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- Adult, Albuminuria epidemiology, Brazil epidemiology, Female, Humans, Longitudinal Studies, Male, Obesity complications, Overweight complications, Adiposity, Renal Insufficiency, Chronic epidemiology
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Introduction: Chronic kidney disease (CKD) is a public health problem and it is associated with a high risk of mortality. Overweight and obesity are known as independent risk factors for CKD., Objective: To investigate the association between adiposity indexes and kidney disease., Methods: This study included 14,636 adults from ELSA-Brazil. Outcome variables: altered glomerular filtration rate (GFR), categorized as yes (GFR <60 mL/min/1.73 m
2 ) and no (GFR ≥60 mL/min/1.73 m2 ), albuminuria, estimated by albumin-creatinine ratio and categorized as yes (≥30 mg/g) and no (<30 mg/g), and presence of chronic kidney disease (CKD) (altered GFR and/or albuminuria). Exposure variables: obesity and overweight (body mass index (BMI)≥30 and ≥25 kg/m2 , respectively), high waist circumference (WC) (≥102 cm in men and ≥88 cm in women), high waist-to-hip ratio (WHR) (≥0.90 in men and ≥0.85 in women), and high waist-to-height ratio (WHtR) (≥0.5). To estimate the association between main exposures and outcomes, logistic regression analyses were performed using models adjusted for sociodemographic variables (age, gender, race/skin color, education), behavioral (smoking, physical activity, alcohol consumption), components of the metabolic syndrome (HDL cholesterol, triglycerides, hypertension, diabetes mellitus ) and history of cardiovascular disease (myocardial infarction, angina or heart failure)., Results: Individuals with obesity, high WC, WHR and WHtR were more prone to albuminuria when compared to individuals with normal values for these measures. It was also observed that these altered measures were positively associated with the presence of CKD., Conclusion: Adiposity indexes have a direct and significant association with albuminuria and CKD.- Published
- 2022
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16. Elaboration and validation of an e-book with the laws about diabetes in schools.
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Faria CC, Horta TG, Reis JS, Soares AN, and Moreira AD
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- Adolescent, Books, Child, Comprehension, Humans, Surveys and Questionnaires, Diabetes Mellitus, Schools
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Objectives: to elaborate an e-book about children and adolescents' rights and duties concerning diabetes in schools., Methods: we developed this methodological study in nine steps: Creation process definition, bibliographic survey, e-book elaboration, readability and apprehensibility examination, illustration, committee of judges and targeted audience validation (students' moms with diabetes and school staff), experts' meetings and final discussion. We have considered acceptable the Content Validity Coefficient minimum of 0.80., Results: we obtained an average Content Validity Coefficient of 0,97 for clarity and relevance, and the images had 94% approval. In the face-to-face test, the targeted audience have considered the material clear and adequate to the intended purpose. Conclusions: the e-book was elaborated and validated regarding the content and relevance, and may be used to instruct the population about diabetes' laws in schools.
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- 2021
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17. Consumption of alcoholic and non-alcoholic beverages: ELSA-Brasil results.
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Siqueira JH, Santana NMT, Pereira TSS, Moreira AD, Benseñor IM, Barreto SM, Velasquez-Melendez G, and Molina MDCB
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- Aged, Alcohol Drinking epidemiology, Beverages, Brazil epidemiology, Cross-Sectional Studies, Humans, Alcoholic Beverages, Sweetening Agents
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The study aims to describe the consumption of alcoholic and non-alcoholic beverages according to sociodemographic, health and location variables. Cross-sectional study with ELSA-Brasil data (2008-2010). A questionnaire was used to collect sociodemographic, food, health data and anthropometry. Descriptive analysis and association with variables of interest were carried out. In the sample, 8% of the total caloric value comes from non-alcoholic beverages (5.6%: sugary drinks), and 4% from alcoholic beverages (2.7%: beer). Consumers of unsweetened and artificially sweetened beverages reported moderate/strong physical activity, former smokers and higher education. The opposite was true for sugary drinks. Eutrophic people reported higher consumption of sugary drinks and those obese, artificially sweetened and beer. Alcohol consumption varied with age (young: beer; elderly: wine/spirits) and education (low education: beer/spirits; higher education: wine). Coffee, natural juice and soda were the most consumed non-alcoholic beverages and beer was the most prevalent alcoholic beverage. Consumption variation was observed according to geographic location. The consumption of sugary and alcoholic beverages is high in Brazil and public health strategies are required.
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- 2021
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18. Estimates of hypertension and diabetes mellitus prevalence according to Health Vulnerability Index in Belo Horizonte, MG, Brazil.
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Gomes CS, Bernal RTI, Moreira AD, Teixeira RA, Cardoso LSM, Ribeiro ALP, and Malta DC
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- Adult, Brazil epidemiology, Health Surveys, Humans, Prevalence, Diabetes Mellitus epidemiology, Hypertension epidemiology
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Objective: To estimate the prevalences of hypertension and diabetes for small areas in Belo Horizonte, according to the Health Vulnerability Index (HVI)., Methods: Ecological study with data from the Surveillance of Risk and Protection Factors for Chronic Diseases by Telephone Survey (Vigitel) conducted in Belo Horizonte, from 2006 to 2013. The self-reported diagnosis of diabetes and hypertension were evaluated. The estimates of prevalence and the 95% confidence interval (95%CI) were calculated using the direct and indirect method by HVI grouped into four categories: low, medium, high and very high health risk., Results: During the period evaluated, 26% (95%CI 25.2 - 26.8) and 6.1% (95%CI 6.7 - 6.5) of the adult population from Belo Horizonte reported being hypertensive and diabetic, respectively. According to the indirect method to obtain estimates of hypertension and diabetes prevalences per HVI, it was found that areas of very high risk had a higher prevalence of adults with hypertension (38.6%; 95%CI 34.8 - 42.4) and diabetes (16.2%; 95%CI 13.1 - 19.3) when compared to the low risk (28.2%; 95%CI 27.0 - 29.4 and 6%; 95%CI 5.4 - 6.7, respectively)., Conclusion: The adult population living in areas at high risk for health had a higher prevalence of hypertension and diabetes compared to those with a lower risk.
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- 2021
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19. Fruit and vegetable consumption, leisure-time physical activity and binge drinking in Belo Horizonte, Brazil, according to the Health Vulnerability Index.
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Cardoso LSM, Gomes CS, Moreira AD, Bernal RTI, Ribeiro ALP, and Malta DC
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- Brazil epidemiology, Exercise, Fruit, Humans, Leisure Activities, Socioeconomic Factors, Binge Drinking epidemiology, Vegetables
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Objective: To estimate the prevalence of fruit and vegetable consumption, practice of leisure time physical activity (LTPA) and binge drinking for small areas of Belo Horizonte, Minas Gerais., Methods: Ecological study conducted with data from the Surveillance System for Risk and Protection Factors for Noncommunicable Diseases by Telephone Survey (Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico - Vigitel). The prevalence of risk and protection factors from 2006 to 2013 were estimated and the 95% confidence intervals calculated. "Small areas" corresponded to the municipality division into four strata of health risk classification given by the Health Vulnerability Index 2012 (Índice de Vulnerabilidade à Saúde - IVS)., Results: The mean prevalences for the period were: about 42% of regular intake of fruit and vegetable, 34.7% of leisure time activity and 20.4% of binge drinking. The prevalence of fruit and vegetable consumption was higher in low-risk areas (58.5%; 95%CI 56.8 - 60.2) and lower in very high-risk areas (32.3%; 95%CI 27.7 - 36.9). The practice of LTPA was higher in low-risk areas (40.8%; 95%CI 38.9 - 42.8) and lower in very high risk (25.2%; 95%CI 20.6 - 29.9). Binge drinking was higher in low-risk areas (22.9%; 95%CI 21.7 - 24.2) compared to very high-risk areas (14.3%; 95%CI 11.4 - 17.3)., Conclusion: It was identified a gradient in the distribution of risk and protection factors for noncommunicable diseases in Belo Horizonte according to the risk classification. This information can support programs aimed at reducing health inequalities, especially in the most vulnerable areas.
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- 2021
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20. Cardiovascular health and validation of the self-reported score in Brazil: analysis of the National Health Survey.
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Moreira AD, Gomes CS, Machado ÍE, Malta DC, and Felisbino-Mendes MS
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- Adult, Brazil epidemiology, Cross-Sectional Studies, Health Status, Health Surveys, Humans, Prevalence, Risk Factors, Self Report, Cardiovascular Diseases epidemiology, Diet
- Abstract
This paper aims to estimate the prevalence of cardiovascular health and the validity of the Brazilian population's self-reported score. This is a cross-sectional, methodological study with 8,943 individual adults and laboratory data from the 2013 National Health Survey. We employed behavioral (body mass index, tobacco use, diet, physical activity, ideal if ≥ 3 ideal factors), biological (tobacco use, dyslipidemia, hypertension, and diabetes, ideal if ≥ 3 ideal factors), and cardiovascular health scores (all factors, ideal if ≥ 4 ideal factors). Prevalence of sensitivity and specificity scores and analyses of the self-reported scores were estimated, considering the scores with measured variables as the gold standard. Approximately 56.7% of individuals had ideal values for the measured cardiovascular health score. Sensitivity was 92% and specificity 30% for the self-reported biological score. Sensitivity and specificity scores were, respectively, 90.6% and 97.2% for self-reported behavior. The self-reported cardiovascular health score had a sensitivity of 92.4% and specificity of 48.5%. A little over half of the population had an ideal cardiovascular health score. The self-reported score showed good sensitivity and lower proportions of specificity.
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- 2020
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21. Elaboration and validation of a booklet on diabetes for Community Health Workers.
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Ribeiro SA, Moreira AD, Reis JS, Soares AN, and Géa-Horta T
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- Community Health Workers trends, Humans, Quality of Health Care standards, Quality of Health Care statistics & numerical data, Surveys and Questionnaires, Validation Studies as Topic, Community Health Workers education, Diabetes Mellitus nursing, Pamphlets
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Objectives: to develop and validate a diabetes booklet for Community Health Workers., Methods: methodological study developed in seven steps: Bibliographic review; Development of the booklet; Calculation of readability and comprehensibility scores; Validation of the booklet by the committee of judges; Discussion between experts; Validation of the booklet by the target audience; and Final discussion between experts. Validation was performed by 10 judges via e-Surv and on a face-to-face test with 5 Community Health Workers, considering the minimum Content Validity Coefficient of 0.80., Results: the booklet had a mean Content Validity Coefficient of 0.97 in the validation by the committee of judges, and the images had 96.67% approval. In the face-to-face test, the Community Health Workers considered the material clear and appropriate to the function., Conclusions: the booklet was developed and validated on its content and relevance, and it can be used by Community Health Workers for diabetes education.
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- 2020
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22. Factors associated to type 2 diabetes among employees of a public hospital in Belo Horizonte, Brazil.
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Mendes Lúcio MC, Reis JS, Moreira AD, Horta Murta TG, and Rosário PW
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Background: Occupational aspects have been described as additional risk factors for type 2 diabetes mellitus (DM2). Workers whose job interferes with healthy eating and physical activity might be more susceptible to disease., Objective: To investigate sociodemographic, clinical, occupational and lifestyle factors associated with DM2 among employees of a public hospital in Belo Horizonte, Minas Gerais, Brazil., Methodology: Cross-sectional study with 443 employees of a public hospital in Belo Horizonte. We administered a sociodemographic and occupational questionnaire and the Finnish Diabetes Risk Score (FINDRISC) and collected biochemical data. We performed multivariate logistic regression analysis to investigate factors associated with diabetes. The significance level was set to 5%., Results: 6.3% of the participants had a diagnosis of DM2 and 13% were found to be at high or very high risk to develop disease within 10 years. Participants aged above 54, with abnormal waist circumference, who took antihypertensive drugs or had family history of diabetes exhibited higher odds of developing disease., Conclusion: Older age, abdominal obesity, hypertension and family history of diabetes were associated with diagnosis of DM2.
- Published
- 2020
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23. Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study.
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Silva TPRD, Dumont-Pena E, Moreira AD, Camargos BA, Meireles MQ, Souza KV, and Matozinhos FP
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- Brazil, Cross-Sectional Studies, Female, Hospitals, Private, Hospitals, Public, Humans, Parturition, Pregnancy, Cesarean Section, Hospitals, Maternity
- Abstract
Objectives: to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte., Methods: cross-sectional study developed with data from the study "Being born in Belo Horizonte: survey on childbirth and birth" carried out in seven maternity hospitals in Belo Horizonte - Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio., Results: increasing age, the lack of companionship, the hospital's private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section. Final Considerations: the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.
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- 2020
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24. Factors associated with the length of hospital stay of women undergoing cesarean section.
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Pereira SL, Silva TPRD, Moreira AD, Novaes TG, Pessoa MC, Matozinhos IP, Couto RC, Pedrosa TMG, and Matozinhos FP
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- Adolescent, Adult, Age Factors, Brazil, Comorbidity, Cross-Sectional Studies, Female, Hospitalization statistics & numerical data, Humans, Middle Aged, Postpartum Period, Pregnancy, Risk Factors, Young Adult, Cesarean Section statistics & numerical data, Length of Stay statistics & numerical data
- Abstract
Objective: To evaluate whether age group, complications or comorbidities are associated with the length of hospitalization of women undergoing cesarean section., Methods: A cross-sectional study was carried out between June 2012 and July 2017, with 64,437 women undergoing cesarean section and who did not acquire conditions during their hospital stay. Hospital discharge data were collected from national health institutions, using the Diagnosis-Related Groups system (DRG Brasil®). The DRG referring to cesarean section with additional complications or comorbidities (DRG 765) and cesarean section without complications or associated comorbidities (DRG 766) were included in the initial diagnosis. The influence of age group and comorbidities or complications present at admission on the length of hospital stay was assessed based on the means of the analysis of variance. The size of the effect was verified by Cohen's D, which allows evaluating clinical relevance. The criticality levels were identified using the Duncan test., Results: The longest length of hospital stay was observed in the age group from 15 to 17 years old and among those aged 45 years old or more. The hospital stay of women with complications or comorbidities at the time of admission was also longer. Moreover, it was noted that the increase in criticality level was associated with an increase in the mean length of hospital stay., Conclusions: The length of hospital stay of women is higher among those belonging to the age group ranging from 15 to 17 years old and for those aged 45 years old or more. The presence of associated comorbidities, such as eclampsia, pre-existing hypertensive disorder with superimposed proteinuria and gestational hypertension (induced by pregnancy) with significant proteinuria increase the length of hospital stay. This study enabled the construction of distinct criticality level profiles based on the combination of age groups and the main comorbidities, which were directly related to the length of hospital stay.
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- 2019
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25. Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle.
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Silva TPRD, Carmo ASD, Novaes TG, Mendes LL, Moreira AD, Pessoa MC, Cosenza L, Pereira JFC, and Matozinhos FP
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- Brazil, Cesarean Section, Comorbidity, Cross-Sectional Studies, Female, Hospitalization statistics & numerical data, Humans, Patient Discharge statistics & numerical data, Postpartum Period, Pregnancy, Delivery, Obstetric statistics & numerical data, Iatrogenic Disease, Length of Stay statistics & numerical data
- Abstract
Objective: To analyze the impact of the Hospital-Acquired Conditions (HAC) in women in the puerperal and pregnancy cycle during length of stay., Methods: This cross-sectional study was conducted with 113,456 women, between July 2012 and July 2017, in Brazil's national hospitals of the supplementary healthcare networks and philanthropists accredited to the Unified Health System (SUS). Data on hospital discharges were collected using the Diagnosis-Related Groups (DRG Brasil®) system. All DRGs of the major diagnostic category 14 (MDC14), including pregnancy, childbirth and puerperium, were included. The impact of HAC on length of stay was estimated by Student's t-test, and the effect size by Cohen's d, which allows to assess clinical relevance., Results: The most prevalent diagnostic categories related to MDC14 were vaginal and cesarean deliveries without complicating diagnoses, both at institutions accredited to SUS and those for supplementary health care. The prevalence of HAC was 3.8% in supplementary health and 2.5% in SUS. Hospitals providing services to supplementary health care providers had a longer length of stay considering HAC for patients classified as DRG: cesarean section with complications or comorbidities at admission (p < 0.001; Cohen's d = 0.74), cesarean section without complications or comorbidities at admission (p < 0.001, Cohen's d = 0.31), postpartum and post abortion without listed procedure (p < 0.001, Cohen's d = 1.05), and other antepartum diagnoses with medical complications (p < 0.001; Cohen's d = 0.77)., Conclusions: This study showed that the prevalence of HAC was low both in the institutions accredited to attend by SUS and in those of supplementary health; however, its presence contributes to increasing the length of stay in cases of cesarean sections without complications or comorbidities in supplementary health institutions.
- Published
- 2019
- Full Text
- View/download PDF
26. Characteristics of elderly patients attended in an emergency room due to falls.
- Author
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Tiensoli SD, Santos MLD, Moreira AD, Corrêa ADR, and Gomes FSL
- Subjects
- Age Distribution, Aged, Aged, 80 and over, Comorbidity, Cross-Sectional Studies, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Risk Factors, Sex Distribution, Wounds and Injuries epidemiology, Wounds and Injuries etiology, Accidental Falls statistics & numerical data
- Abstract
Objective: To describe the characteristics of elderly patients attended in a teaching hospital emergency room due to falls., Method: Descriptive, quantitative, cross-sectional study performed at a hospital emergency room. The data was collected in November 2017, considering the medical records of 1.460 elderly patients, with a registry related to fall as the main complain. A descriptive analysis of the data was performed., Results: The main results show that most elders were female (66.92%), older than 80 years old (27.27%), single (41.37%), and hypertensive (78.79%). Falls from ground level comprised 88.56% and their main consequence was trauma (55.65%). 66.30% were discharged after consultation., Conclusion: The characteristics of the elderly were: female, age above 80 years old, single, and hypertensive. The most frequent type of fall was from ground level, traumas were the main consequences and the discharge after consulting the most common outcome.
- Published
- 2019
- Full Text
- View/download PDF
27. Lower limb wounds in diabetic and non-diabetic patients: survival analysis.
- Author
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Oliveira MF, Viana BJF, Matozinhos FP, Silva MMSD, Pinto DM, Moreira AD, Velásquez-Meléndez G, and Gomes FSL
- Subjects
- Adolescent, Adult, Aged, Cohort Studies, Female, Humans, Male, Middle Aged, Retrospective Studies, Survival Analysis, Time Factors, Wound Healing, Young Adult, Diabetic Foot therapy, Leg Ulcer therapy
- Abstract
Objective: To evaluate the survival of wounds in lower limbs of diabetic and non-diabetic patients., Method: Retrospective cohort study of patients with lower limb ulcers treated at a specialized center between 2011 and 2013. Outcome: healing of lower limb injuries in days. The survival function of lower limb wounds and the differences between diabetic and non-diabetic were analyzed. The Log-rank test was used to compare the survival curves between the study groups., Results: In up to 600 days, 23% of the diabetic patients presented wound healing, while 63% of the non-diabetic patients had their wounds healed, with a statistically significant difference in survival curves in comparison between the groups. The Hazard Ratios (RH) of healing were lower for diabetic patients (HR = 0.13, 95% CI = 0.02-0.97)., Conclusion: The results show that there is a delay in wound healing in diabetic patients.
- Published
- 2019
- Full Text
- View/download PDF
28. Factors associated with the incidence of pressure ulcer during hospital stay.
- Author
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Matozinhos FP, Velasquez-Melendez G, Tiensoli SD, Moreira AD, and Gomes FSL
- Subjects
- Adolescent, Adult, Cohort Studies, Female, Hospitalization, Humans, Incidence, Male, Middle Aged, Prospective Studies, Risk Factors, Young Adult, Pressure Ulcer epidemiology
- Abstract
Objective: Estimating the incidence rate of pressure ulcers and verifying factors associated with this occurrence in a cohort of hospitalized patients., Method: This is a cohort study in which the considered outcome was the time until pressure ulcer occurrence. Estimated effect of the variables on the cumulative incidence ratio of the outcome was performed using the Cox proportional hazards model. Variable selection occurred via the Logrank hypothesis test., Results: The sample consisted of 442 adults, with 25 incidents of pressure ulcers. Patients with high scores on the Braden scale presented a higher risk of pressure ulcer incidence when compared to those classified into the low score category., Conclusion: These results reinforce the importance of using the Braden Scale to assist in identifying patients more likely to develop pressure ulcers., Objetivo: Estimar a taxa de incidência de úlcera por pressão e verificar fatores associados a essa ocorrência em uma coorte de pacientes hospitalizados., Método: Trata-se de estudo de coorte no qual o desfecho foi a ocorrência da úlcera por pressão. A estimativa do efeito das variáveis para a proporção de incidência acumulada do desfecho foi realizada utilizando o modelo de riscos proporcionais de Cox. A seleção das variáveis ocorreu por meio do teste de hipóteses Logrank., Resultados: A amostra foi composta de 442 adultos, com 25 casos incidentes de úlcera por pressão. Pacientes com altos escores na escala de Braden apresentaram maior risco de incidência de úlcera por pressão quando comparados com aqueles classificados na categoria de baixo escore., Conclusão: Os resultados reforçam a importância do uso da Escala de Braden para auxiliar na identificação dos pacientes com maior probabilidade de desenvolver úlcera por pressão.
- Published
- 2017
- Full Text
- View/download PDF
29. Validity and reliability of a telephone survey of physical activity in Brazil.
- Author
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Moreira AD, Claro RM, Felisbino-Mendes MS, and Velasquez-Melendez G
- Subjects
- Brazil, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Reproducibility of Results, Exercise, Health Surveys, Telephone
- Abstract
Introduction:: Physical activity in Brazil is assessed by the Telephone-based Risk Factor Surveillance System for Chronic Diseases (VIGITEL)., Objectives:: To evaluate the reliability and concurrent validity of VIGITEL physical activity indicators., Methods:: For the reliability study, 305 individuals responded to VIGITEL interviews, which were repeated with intervals of 7 - 15 days, in Belo Horizonte, 2013. The evaluated indicators included "sufficiently active on leisure time," "active in transportation," "inactive in four domains of physical activity (leisure, work, transportation, and housework)," and "watching TV for long periods." Kappa coefficient (k) was used to measure agreement between both interviews. For concurrent validity assessment, the same subjects also responded to the Global Physical Activity Questionnaire (GPAQ), used as reference method for comparison of VIGITEL indicators. Comparison was assessed by measures of sensitivity, specificity, positive (PPV), and negative predictive values (NPV)., Results:: Reliability study showed substantial agreement for active individuals in leisure time (k = 0.70) and inactive individuals (k = 0.64). The agreement of watching TV for long periods was moderate (k = 0.56) and the activeness in transportation showed fair agreement (k = 0.35). In comparison to the reference method, sensitivity ranged from 54.8 to 67.7 in frequency of inactive, active in leisure time and work. Transportation domain was represented by 11.9 of sensitivity. Specificity ranged from 72.0 to 91.2 among four domains of physical activity and inactive., Conclusion:: Physical activity questionnaire used by the surveillance system seems to be reliable in all domains, except in transportation questions. VIGITEL was considered comparable to GPAQ in most aspects of physical activity evaluation.
- Published
- 2017
- Full Text
- View/download PDF
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