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1. Clinical and epidemiological profile of hypertensive patients at the primary health care level in the state of Alagoas

Author

Raphaela Costa Ferreira, Bruna Merten Padilha, Yasmin Eugênia Santos e Silva Pedrosa, Rosielle Batista Ferreira, Poliana Coelho Cabral, and Sandra Mary Lima Vasconcelos

Subjects
Hypertension. Obesity. Risk factors. Anthropometry. Epidemiology. Primary Health Care., Medicine
Abstract

Study design: This was a cross-sectional, population-based and descriptive study. Study objective: To describe the clinical and epidemiological profile of hypertensive patients at the primary health care of Alagoas state. Methods: This study was carried out in the Basic Health Units of 12 cities of Alagoas, between 2014 and 2015, with hypertensive individuals between 20 and 60 years, of both gender. Socioeconomic, demographic, clinical, lifestyle, anthropometric and biochemical data were collected. Data were analyzed using descriptive statistics by Epi-Info version 7. Results: We evaluated 645 individuals. Of these, 86.2% were women, 62.3% had uncontrolled blood pressure, 41.9% had low educational level, 11.1% were smokers, 26.3% were alcohol users, 64.7% were sedentary, 48.4% were obese, 73.6% had high cardiovascular risk, according to waist circumference; 54.4% and 47.2% had elevated total cholesterol and triglycerides, respectively. Conclusion: Since hypertension is an important public health problem that has serious consequences, the knowledge of the hypertensive population profile of Alagoas will facilitate the treatment for the health of patients with this condition.

Published
2018
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2. Covid-19 em pacientes oncológicos: perfil nutricional e desfecho clinico / Covid-19 in cancer patients: nutritional profile and clinical outcome

Author

Cecilia Nascimento de Mendonça, Mayara Gabriela Souto de Barros, Marilia Tokiko Oliveira Tomiya, Luana Gomes da Silva, Elisandra Macêdo Lima Correia, Tauane Alves Dutra, Rosielle Batista Ferreira, and Nathalia Fidelis Lins Vieira

Subjects
Marketing, Pharmacology, Organizational Behavior and Human Resource Management, Strategy and Management, Drug Discovery, Pharmaceutical Science
Abstract

INTRODUÇÃO: A Coronavírus disease (COVID-19) é uma doença causada pelo Coronavírus, cuja a transmissão ocorre principalmente por meio de gotículas respiratórias. Dados clínicos e epidemiológicos expõem que comorbidades específicas aumentam o risco de infecção, lesão pulmonar e morte. Pacientes oncológicos correspondem a um grupo populacional vulnerável em apresentar a forma grave da doença. OBJETIVOS: Descrever estado nutricional e o desfecho clínico de pacientes oncológicos com COVID-19. METODOLOGIA: Estudo transversal retrospectivo e prospectivo, realizado com ficha de acompanhamento nutricional de pacientes oncológicos, diagnosticados com COVID-19. Foram coletadas variáveis demográficas e estilo de vida, variáveis clinicas, variáveis antropométricas, e dados referentes as principais sintomatologias associadas ao COVID-19. RESULTADOS: A amostra foi composta por 23 pacientes de ambos os sexos. O tipo de câncer mais prevalente foi o do trato gastrointestinal e mais da metade da de amostra estava em tratamento quimioterápico. Apresentaram faltar de ar e tosse como principal sintoma apresentado (30,4%), e a maioria necessitou de suporte intensivo. Quando avaliado o estado nutricional, observamos a prevalência de 47,8% de excesso de peso, em contrapartida, 65% dos pacientes referiram perda de peso em 3 meses, caracterizando uma perda de peso grave. CONCLUSÃO: O estudo demonstrou que pacientes com maiores médias de IMC apresentaram necessidade de cuidados intensivos no tratamento da infecção por COVID-19, que pode ser justificado pelo processo inflamatório no paciente obeso.

Published
2022
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3. Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial

Author

Sende O. de Jesus, Fernanda C. Amparo, Marta M. David, Sara Bobadra, Lilian P.S. Costa, Keyla L.A.L. Deucher, Juliana D Oliveira, Izabele Vian, Janaina Maiana Abreu Barbosa, Karina C.S. Missias, Alexandre Biasi Cavalcanti, Luisa P. Silva, Lannay Ferreira da Silva, Andrea P. Galante, Adriana Barros Luna, Jâniffer R. Beiersdorf, Ângela Cristine Bersch-Ferreira, Diana S. Russo, Marilia C.S. Lucas, Maria Bárbara Galdino Silva, Monique T. de Jesus, Rosângela Maria Lopes de Sousa, Délcio G.S. Junior, Raquel Milani El Kik, Sandramara Sasso, Celme B.P. de Araújo, Nathalia P. Bachettini, Maria A. Moraes, Neuma M.F.S. Leda, Cristine E. Nunes, Bruna G. Machado, Rafael M. Soares, Salvador S. Ramos, Bianca A.S. de Oliveira, Rosa Bosquetti, Cristiano P. dos Santos, Franciane Silvana Formentini, Adriana O.L. Veríssimo, Rosielle Batista Ferreira, Clenise F. Dantas, Valdiana B. Vasconcelos, Maria Renata Aragão dos Santos, Ana Paula O. de Queirós, Edite M.V.M. C. de Araújo, Luciana Pereira Pinto Dias, Francisca Eugenia Zaina Nagano, Sandra Mary Lima Vasconcelos, Elaine de Fatima Adorne, Gabriela S. Shirmann, Celma M. Martins, Aldair S. Guterres, Ana Paula Silva Caldas, Marina Berbigier, Alessandra C. Caiado, Fernanda L. Chiesa, Laís N.P. Navarro, Vera Elizabeth Closs, Raira Pagano, Cristina H. Matos, Juliane A. Rodrigues, Luciana B. Gonçalves, Raphaela Costa Ferreira, Rosana P. Costa, Isa G. Rodrigues, Emílio Hideyuki Moriguchi, Rebecca O. Maquiné, Ana P.P.F. Carvalho, Daniela O. Peçanha, Alessandra Doumid Borges Pretto, Michelle R. Santos, Mirena Boklis, Celia R. Bittencourt, Eduardo P. Trescastro, Mariana E.P. Lima, Bruna L.P. Ribas, Adriana F. Teixeira, Marina T. Asoo, Maria I.S. Taboada, Otavio Berwanger, Karen B. Ruschel, Suzi H.A. de Araujo, Nilma F. Silva, Rodrigo Necchi, Camile S. Teixeira, Vanessa C.F.O. Fagundes, Glauber B. da Silva, Carine S.A. Ribeiro, Francisco A. Costa, Sônia L. Pinto, Helen Hermana Miranda Hermsdorff, Suzana A. da Silva, Bárbara Rafaela Santos da Rocha, Rosileide S. Torres, Cíntia L. Ambrozio, Renata Torres Abib Bertacco, Rosângela C.A. Cantanhede, Annie S.B. Moreira, Camila Dourado, Aline Marcadenti, Milena P. Rodrigues, Renata A. da Silva, Daniele M.O. Carlos, Cláudia Porto Sabino Pinho, Rita C.L. Duarte, Lilian Vivian, Eliane S. Dutra, Neyla E. Silva, Luciano M. Backes, Lívia M.A.J. Silva, Letícia S. Sabino, Júlia D. Lopes, Alexsandro Ferreira dos Santos, Lúcia H.A. Gratão, Paulo Victor Gomes Modanese, Cristina T. Telles, Juliana L. Pereira, Luciana V.S. Alves, Tainah S. Souza, Lúcia Rota Borges, Maria Cristina de Oliveira Izar, Priscila Moreira, Simone Raimondi de Souza, Priscila A. Rodrigues, Jorge L. Boemo, Deborah Marotto, Eduardo Gehling Bertoldi, Priccila Zuchinali, Jéssica Schiavini, Susi B. e Lima, Claiza Barretta, Jacqueline T. da Silva, Alexandre Gastaud, Daniela Rampazzo, Vera M.S. Bortonili, Laís B. da Costa, Luciana C. Holzbach, Sabrina A. Vieira, Maria E.M. Ramos, Waldemar de Carli, Magali C.C. Kumbier, Tamirys D. Sangali, Renato Hideo Nakagawa Santos, Elisa M. Santos, Roberta Mânica Cardoso, Simone M. Fischer, Marina K. Ito, Andreza M. Penafort, Naoel H. Feres, Bruno R.B. de Ataíde, Mihaela Onofrei, José Albuquerque de Figueiredo Neto, Camila R. Honório, Enilda de Sousa Lara, Catharina C.J. Paiva, Marina Shumacher, Gabriela C. Souza, Rafael L. Rech, Viviane Aparecida Rodrigues Sant'Anna, Antônio Carlos Sobral Sousa, Laura M. da Costa, André Eduardo da Silva Júnior, Luíza M. Garlini, Cintia G.N.C. Cordeiro, Rose M. Uehara, Karina G. dos Santos, Josilene Maria Ferreira Pinheiro, Natalia de Morais Cunha, Camila Ragne Torreglosa, Luis G.S. Mota, Valéria A. Machado, Geysa Maria Nogueira Farias, Auriene L. Medeiros, Amanda G.L. Coura, Kellen C. Silva, Karine Maria Moreira Almeida, Lívia A. Pellegrini, Luana R.M. Lima, Guilherme C.M. Bragança, Joise M. Teixeira, Aline Longo, Vanessa Bertoni, Cristiane Kovacs, Fernanda Vighi Dobke, Paula Souza, Alessandra da Silva, Elza C.B. Barbosa, Clarice M. Specht, Carlos D. Magnoni, Alechandra S. Napparo, Isadora Bianco Cardoso, Mônica L.P. de los Santos, Camila V.S. Souza, Jaqueline S.O. Vieira, Viviane O.G. Nascimento, Luisa F. Reis, Andrea F.R. Cardoso, Jadson M. Morais, Helen M.S. Carvalho, Ana L. Barreto, Lais S. de Paula, Aline S. Monteiro, Josiele Kesties, Ana C.L. Andrade, Juliana T. Kato, Bernardete Weber, Tatiana M.X. de Meneses, Priscila M. Pinho, Thiago T. de Freitas, Joyce Salamoni, Moacyr M. Palmeira, Malaine M.A. Machado, Bianca M. Fracasso, Viviane Sahade, Givaldo A. Araújo, Fernando G. Zampieri, Matheus Brum Felício, Soraia Poloni, Neide M. Bruscato, Caroline Frehner, Josefina Bressan, Andreza Santos Almeida, Socorro N.A.A. Barbosa, Helyde Albuquerque Marinho, Patrícia R.T. Martins, Maiara Cantarelli, and Monica Damiani

Subjects
Male, Nutrition Education, Body Mass, National Health Programs, 030204 cardiovascular system & hematology, Vegetable, Procedures, Prescription, law.invention, 0302 clinical medicine, Cerebrovascular Accident, Randomized controlled trial, law, Risk Factors, Cardiovascular Disease, Cause of Death, Clinical endpoint, Whole Grain, Secondary Prevention, 030212 general & internal medicine, Myocardial infarction, All Cause Mortality, Amputation, Program Development, Stroke, Sex Difference, Alcohol Consumption, Incidence (epidemiology), Incidence, Unstable Angina Pectoris, Middle Aged, Clinical Trial, Hospitalization, Multicenter Study, Survival Rate, Practice Guideline, Cardiovascular Diseases, Randomized Controlled Trial, Priority Journal, Female, Public Health, Cardiology and Cardiovascular Medicine, Brazil, Human, Adult, medicine.medical_specialty, Major Clinical Study, Nutritional Status, Follow Up, 03 medical and health sciences, Age, Cause Of Death, Multicenter trial, Internal medicine, medicine, Humans, Controlled Study, Nutritional Assessment, Study Design, Unstable angina, business.industry, Brasil, Risk Factor, medicine.disease, Heart Infarction, Heart Arrest, Diet, Blood pressure, Nutrition Assessment, Fruit, Family Income, business, Cardiovascular Risk, Diet Therapy, Nutritional Counseling, Total Quality Management
Abstract

Background: Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD. Methods: In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels. Results: From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P

Published
2019

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