Bhárbara Karolline Rodrigues Silva

Objective: We analyzed the relationship between Metabolic Equivalent of Task (MET) and body composition indicators in fishermen in northern Brazil. Methods: This cross-sectional study was conducted between 2016 and 2017 in three fishing communities in the state of Tocantins, northern Brazil. Participants were recruited through local fishing colonies using a convenience sampling strategy. Fishermen and fisherwomen aged 18 years or older were included. Data were collected through face-to-face interviews by previously trained researchers. Body composition was assessed using anthropometric measurements (body weight, height, body mass index [BMI], and abdominal perimeter) and tetrapolar bioelectrical impedance analysis (body fat percentage, fat mass, lean mass, and basal metabolic rate). Physical activity was estimated using METs derived from the International Physical Activity Questionnaire (IPAQ), short version, considering walking, moderate, and vigorous activities. Spearman’s correlation and interquartile regression analyses were performed, with a significance level set at 5%. Results: A total of 64 fishermen were included, most of whom were male, worked more than 12 h per day, and belonged to low economic classes (D–E), with a median age of 51 years. In regression analyses, only METs from vigorous activities were significantly associated with body composition, showing an inverse association with fat percentage ( β = − 0.07; p = 0.017). No significant associations were observed for BMI or abdominal perimeter. Conclusions: Although the physical effort of work appears to lead to a high level of MET, we observed that only vigorous activity was associated with a decrease in fat percentage.

Background: The practice of regular physical activity can alter the lipid profile in populations according to diverse demographic characteristics. Objective: To evaluate the association of physical inactivity with the lipid profile among vulnerable populations. Methods: A cross-sectional study was conducted among 349 vulnerable individuals from Tocantins state, northern Brazil. The International Physical Activity Questionnaire 7 Day short form was used to measure self-reported physical activity levels. Venous blood samples were drawn to evaluate lipid profile. Logistic regression adjusted by the socioeconomic variables was used to analyse the effects of physical inactivity on the lipidic profile. The level of significance was 5% and Stata® (StataCorp, LC) version 11 was used. Results: We observe an inverse relationship between physical inactivity and HDL-C—that is, those who were sedentary or below the WHO Recommendations for physical activity were at 2.6 greater odds (IC95% 1.21, 5.67; p = 0.015) of having a lower HDL compared with those meeting or exceeding WHO physical activity recommendations. Conclusion: On the vulnerable populations studied, the insufficiently active or sedentary individuals (called the physical inactivity individuals) have more risk of the altered HDL-C.

Este estudo tem objetivo de analisar os fatores associados à insegurança alimentar e nutricional em comunidades quilombolas do estado do Tocantins, Região Norte do Brasil. Estudo de desenho transversal, realizado em 4 comunidades quilombolas do Norte do Brasil. Foram analisadas características socioeconômicas e demográficas por meio de um formulário semiestruturado e, o nível de insegurança alimentar foi mensurado pela Escala Brasileira de Insegurança Alimentar. Para analisar a aderência dos dados quantitativos à distribuição normal, utilizou-se o teste de Shapiro-Wilk. Para analisar a associação entre as características socioeconômicas e a prevalência de insegurança alimentar utilizou-se o teste de Qui-quadrado. Para estimar os fatores associados a insegurança alimentar, utilizou-se regressão de Poisson com variância robusta. O nível de significância adotado foi de 5%. Verificou-se uma prevalência de 71,2% (n=47) em situação de insegurança alimentar. Dos indivíduos que viviam em situação de insegurança alimentar, 15,79% (n=3) apresentavam alteração dos níveis de hemoglobina. Pode-se observar uma prevalência de insegurança alimentar de 71,2% e que ser mulher chefe de família aumenta as chances de insegurança alimentar e nutricional entre os quilombolas do estado do Tocantins.

SUMMARY OBJECTIVE The association between gynecological diagnoses and their distribution across healthcare sectors benefits health promotion and the identification of topics for continued education of gynecological care. This study aimed to identify healthcare diagnoses and referral flow in climacteric women. METHODS This is a cross-sectional study conducted at the Women’s Health Clinic of the University Hospital, University of São Paulo, with a reference to gynecology and training for Residents of Family and Community Medicine, between 2017 and 2018. The medical records of 242 women whose sociodemographic and clinical information, gynecological diagnoses, and distribution of healthcare services (primary, secondary, and tertiary) had been processed were collected. Statistical analysis included the chi-square test and odds ratio. RESULTS Smoking (OR = 2.27, 95% CI 1.05–4.89; p = 0.035) was associated with the referral of climacteric women to higher complexity services. Considering the distribution of non-oncological diagnoses in climacteric patients, the chance of women being referred to medium- and high-complexity health services presented a 2-fold increase in cases of breast diseases, a 2.35-fold increase in cases of noninflammatory disorders of the female genital tract, and a 3-fold increase in cases of inflammatory diseases of the pelvic organs. CONCLUSION Climacteric women aged over 55 years, postmenopausal women, and smoking women were most frequently referred to medium- and high-complexity outpatient surgery.

SUMMARY PURPOSE To analyze the level of knowledge about and the acceptability of the HPV vaccine among vaccinated and unvaccinated adolescents in the Western Amazon. METHODS A cross-sectional study on adolescents aged 10 to 19 years. The instrument used to collect data contains demographic and socioeconomic information and 27 questions that assess the knowledge and acceptability of the HPV vaccine. To compare the prevalence of vaccinated adolescents with the correct answers to questions about HPV and acceptability and vaccination, the robust variance Poisson regression model was used in the Stata 13.0 software. FINDINGS A total of 190 adolescents participated in the study, 60.5% in the age group of vaccination recommended by the Brazilian government, among them, 53.9% reported not having been vaccinated (p <0.001). A total of 150 (78.9%) adolescents correctly recognized HPV as a virus; 121 (63.7%) recognized HPV as a cause of cervical cancer. Participants who know HPV is a causative factor for cervical cancer are 1.94 times more likely to have been vaccinated than those who do not. Among the interviewees, the main sources of knowledge about the vaccine were schools (51.6%) and health professionals (22.6%). CONCLUSION Unvaccinated adolescents have knowledge gaps about HPV and its vaccine when compared to those vaccinated. Our results emphasize the need for effective campaigns to deliver adequate information about HPV and its vaccine to adolescents, their parents, and health professionals.

To analyze a combination of socioeconomic and demographic characteristics, chronotype, stress perception and level of physical activity with the perception of quality of life in artisanal fishermen. Several variables were associated with lower scores of quality of life domains: workload (P = 0.047), age (P = 0.01), economic class D–E (P = 0.04) and perceived stress scores (P = 0.01) for scores physical domain; workload (P = 0.03) and perceived stress (P < 0.001) for scores psychological domain; Perceived stress (P < 0.001) and age (P = 0.01) for social domain scores; economic class D–E (P = 0.03) and perceived stress (P = 0.01) for environment domain scores; perceived stress (P = 0.01) and age (P = 0.01) for general quality of life scores and; female sex (P = 0.04) and age (P = 0.02) for the score of satisfaction with quality of life.

PERCEPTION OF QUALITY OF LIFE OF BRAZILIANS AND PORTUGUESE MEASURED THROUGH AN ONLINE PLATFORM

A Síndrome Metabólica é definida como um conjunto de alterações que aumentam os riscos de desenvolvimento de doenças crônicas não transmissíveis. Objetivos: avaliar a presença de fatores de risco associado à síndrome metabólica em funcionários de uma escola pública. Metodologia: Trata-se de um estudo de delineamento transversal, de natureza descritiva. As variáveis analisadas foram colesterol total, percentual de gordura, glicemia em jejum, triglicérides, pressão arterial sistólica e diastólica. O perímetro abdominal e o índice de massa corporal foram classificados de acordo com os critérios da Organização Mundial da Saúde. Para classificação de Síndrome Metabólica (SM) foram adotados os parâmetros do NCEP-ATPIII, para o nível de atividade física, utilizou o Questionário Internacional de Atividade Física (IPAQ), versão 8. A análise de dados foi realizada de forma descritiva e teste de comparação Resultados: Participaram da pesquisa 26 voluntários, entre os resultados destacam-se que 88,5% da população apresenta percentual de gordura elevado. Os critérios do NCEP-ATPIII caracterizaram SM em 19,2%. Para os indivíduos classificados com sobrepeso ou obesidade todas as demais variáveis apresentaram valores superiores àqueles classificados como eutróficos. A análise estatística indicou que há diferenças entre os grupos com significância nos indicadores de composição corporal sendo o conjunto dessas variáveis o principal fator de risco. Conclusão: Evidenciou-se que o público alvo apresenta riscos para SM e que, medidas educacionais de saúde para mudança no estilo de vida no ambiente laboral, poderiam ser adotadas como método de prevenção.

Aim:This study aims to evaluate the relationship between perceived level of stress and quality of life of professionals working in Prompt Service Units in the city of Palmas, Tocantins.Methods:A cross-sectional study was performed among 164 professionals from Prompt Service Units. Stress levels were evaluated using the Perceived Stress Scale. The WHOQOL-bref was used to evaluate the perception of quality of life. Quantitative variables distribution was evaluated using Shapiro-Wilk's test. For the analyses of correlations among perceived level of stress, total quality of life score, and the physical health domain of the WHOQOL-bref, Pearson's correlation test was applied. The significance level adopted for this trial was 95%. The study was approved by the Committee of Ethics in Research with Human Beings.Results:When assessing the perceived level of stress with the total quality of life score, there was no significant correlation between those variables. However, there was an association between the perceived level of stress and the physical health domain of quality of life.Conclusion:Perceived quality of life was correlated with the physical health domain, and this result reinforces the importance of the facets that make up this area.