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Author |
Cruz, M.F. da; Ramires, V.V.; Wendt, A.; Mielke, G.I.; Martinez-Mesa, J.; Wehrmeister, F.C. |
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Title |
[Simultaneity of risk factors for chronic non-communicable diseases in the elderly in Pelotas, Rio Grande do Sul State, Brazil] |
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Journal Article |
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Year |
2017 |
Publication |
Cadernos de Saude Publica |
Abbreviated Journal |
Cad Saude Publica |
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Volume |
33 |
Issue |
2 |
Pages |
e00021916 |
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Keywords |
Aged; Aged, 80 and over; Alcoholism/epidemiology; Brazil/epidemiology; Chronic Disease/*epidemiology; Cluster Analysis; Cross-Sectional Studies; Exercise; Female; Humans; Male; Middle Aged; Obesity/epidemiology; Prevalence; Risk Factors; Sex Factors; Smoking/epidemiology; Socioeconomic Factors |
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Abstract |
This study aimed to describe the simultaneity of risk factors for chronic non-communicable diseases among the elderly (</= 60 years) in a city in Southern Brazil. This was a cross-sectional, population-based study of 1,451 elderly in 2013. Cluster analysis was applied to selected risk factors (smoking, alcohol consumption, excess weight, and physical inactivity). Logistic regression was used to assess the association between simultaneity of risk factors and socio-demographic variables. The most frequent cluster in men (18.1%) and women (30.7%) was physical inactivity + excess weight. The cluster alcohol consumption + excess weight exceeded the expected level in men (O/E = 1.27; 95%CI: 1.01; 1.59) and women (O/E = 1.72; 95%CI: 1.35; 2.20). The presence of two or more risk factors in the elderly population (88.1%) points to the need for specific interventions for this population to fight risk factors simultaneously rather than separately. |
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Universidade Federal de Pelotas, Pelotas, Brasil |
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Portuguese |
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Original Title |
Simultaneidade de fatores de risco para doencas cronicas nao transmissiveis entre idosos da zona urbana de Pelotas, Rio Grande do Sul, Brasil |
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0102-311X |
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Notes |
PMID:28403276 |
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no |
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Call Number |
ref @ user @ |
Serial |
98024 |
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Author |
Foro Arnalot, P.; Pera, O.; Rodriguez, N.; Sanz, X.; Reig, A.; Membrive, I.; Ortiz, A.; Granados, R.; Algara, M. |
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Title |
Influence of incidental radiation dose in the subventricular zone on survival in patients with glioblastoma multiforme treated with surgery, radiotherapy, and temozolomide |
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Journal Article |
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Year |
2017 |
Publication |
Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico |
Abbreviated Journal |
Clin Transl Oncol |
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Keywords |
Glioblastoma; Radiotherapy; Subventricular zone |
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PURPOSE: To determine if there is an association between the incidental radiation dose to the subventricular zone and survival in patients with glioblastoma multiforme treated with surgery, radiotherapy and temozolomide. METHODS AND MATERIALS: Sixty-five patients, treated between 2006 and 2015, were included in this retrospective study. The doses (75th percentile; p75) administered to the ipsilateral, contralateral and bilateral subventricular zone were compared to overall survival and progression-free survival using Cox proportional hazards models. Covariates included: age, sex, surgery, tumor location, and concomitant and adjuvant temozolomide. RESULTS: Median progression-free survival and overall survival were 11.5 +/- 9.96 and 18.8 +/- 18.5 months, respectively. The p75 doses to the ipsilateral, contralateral and bilateral subventrivular zone were, respectively, 57.30, 48.8, and 52.7 Gy. Patients who received a dose >/=48.8 Gy in the contralateral subventricular zone had better progression-free survival than those who received lower doses (HR 0.46; 95% CI 0.23-0.91 P = 0.028). This association was not found for overall survival (HR 0.60; 95% CI 0.30-1.22 P = 0.16). Administration of adjuvant temozolomide was significantly associated with improved progression-free survival (HR 0.19; 95% CI 0.09-0.41 P < 0.0001) and overall survival (HR 0.11; 95% CI 0.05-0.24 P = 0.001). In the subgroup of 46 patients whose O6-methylguanine-DNA methyltransferase gene promoter status was known, the methylation had no effect on either progression-free survival (P = 0.491) or overall survival (P = 0.203). CONCLUSION: High-dose radiation in the contralateral subventricular zone was associated with a significant improvement in progression-free survival but not overall survival in patients treated for glioblastoma multiforme. |
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Universitat Pompeu Fabra, Barcelona, Spain |
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1699-048X |
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Notes |
PMID:28389881 |
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Call Number |
ref @ user @ |
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96597 |
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Author |
Carvalho, J.N. de; Roncalli, A.G.; Cancela, M. de C.; Souza, D.L.B. de |
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Title |
Prevalence of multimorbidity in the Brazilian adult population according to socioeconomic and demographic characteristics |
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Journal Article |
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Year |
2017 |
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PloS one |
Abbreviated Journal |
PLoS One |
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12 |
Issue |
4 |
Pages |
e0174322 |
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Keywords |
Adolescent; Adult; Brazil; *Comorbidity; *Demography; Female; Humans; Male; Prevalence; Socioeconomic Factors; Young Adult |
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Abstract |
Knowledge on the occurrence of multimorbidity is important from the viewpoint of public policies, as this condition increases the consumption of medicines as well as the utilization and expenses of health services, affecting life quality of the population. The objective of this study was to estimate prevalence of self-reported multimorbidity in Brazilian adults (>/=18 years old) according to socioeconomic and demographic characteristics. A descriptive study is presented herein, based on data from the National Health Survey, which was a household-based survey carried out in Brazil in 2013. Data on 60,202 adult participants over the age of 18 were included. Prevalences and its respective confidence intervals (95%) were estimated according to sex, age, education level, marital status, self-reported skin color, area of residence, occupation and federative units (states). Poisson regression models univariate and multivariate were used to evaluate the association between socioeconomic and demographic variables with multimorbidity. To observe the combinations of chronic conditions the most common groups in pairs, trios, quartets and quintets of chronic diseases were observed. The prevalence of multimorbidity was 23.6% and was higher among women, in individuals over 60 years of age, people with low educational levels, people living with partner, in urban areas and among unemployed persons. The states of the South and Southeast regions presented higher prevalence. The most common groups of chronic diseases were metabolic and musculoskeletal diseases. The results demonstrated high prevalence of multimorbidity in Brazil. The study also revealed that a considerable share of the economically active population presented two or more chronic diseases. Data of this research indicated that socioeconomic and demographic aspects must be considered during the planning of health services and development of prevention and treatment strategies for chronic diseases, and consequently, multimorbidity. |
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Collective Health Program, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brasil |
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1932-6203 |
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PMID:28384178 |
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Call Number |
ref @ user @ |
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97640 |
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Author |
Gomes, F. da S.; Silva, G.A.E.; Castro, I.R.R. de |
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Title |
[Household purchase of sodas and cookies reduces the effect of an intervention to promote the consumption of fruits and vegetables] |
Type |
Journal Article |
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Year |
2017 |
Publication |
Cadernos de Saude Publica |
Abbreviated Journal |
Cad Saude Publica |
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Volume |
33 |
Issue |
3 |
Pages |
e00023316 |
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Keywords |
Beverages/*statistics & numerical data; Brazil; Candy/*statistics & numerical data; Diet Surveys; *Feeding Behavior; Female; *Fruit; *Health Promotion; Humans; Male; Socioeconomic Factors; *Vegetables |
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This study examines the influence of increasing household availability of sodas and cookies on the effects of an intervention to promote the consumption of fruits and vegetables. The study analyzed data from 70 families living in low-income communities in the city of Rio de Janeiro, Brazil, selected in a stratified probabilistic sample, and who completed a 30-day food record before and after the intervention. The intervention contributed to a significant increase in the household availability of fruit and vegetables (+2.7 p.p.; 95%CI: 1.5; 4.0), contrary to the trend towards stagnation of such availability in the general population in Brazil. Meanwhile, the purchase of sodas and cookies, which was not the intervention's target, mirrored the upward trend in the consumption of these products (+5.8 p.p.; 95%CI: 3.3; 8.4). Families that increased their purchase of sodas and cookies showed lower increases, or even decreases, in the purchase of fruits and vegetables (p < 0.05), and had nearly fourfold lower odds of experiencing any increase in the household availability of fruits and vegetables. |
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Instituto de Nutricao, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil |
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Portuguese |
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Original Title |
Aquisicao domiciliar de refrigerantes e de biscoitos reduz o efeito de uma intervencao de promocao de frutas e hortalicas |
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0102-311X |
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PMID:28380139 |
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Call Number |
ref @ user @ |
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98025 |
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Author |
Jorge, K.O.; Ferreira, R.C.; Ferreira, E.F.E.; Vale, M.P.; Kawachi, I.; Zarzar, P.M. |
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Title |
Binge drinking and associated factors among adolescents in a city in southeastern Brazil: a longitudinal study |
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Journal Article |
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Year |
2017 |
Publication |
Cadernos de Saude Publica |
Abbreviated Journal |
Cad Saude Publica |
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Volume |
33 |
Issue |
2 |
Pages |
e00183115 |
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Keywords |
Adolescent; Binge Drinking/*epidemiology; Brazil/epidemiology; Female; Humans; Longitudinal Studies; Male; Risk Factors; Socioeconomic Factors; Surveys and Questionnaires; Underage Drinking/*statistics & numerical data; Young Adult |
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The aim of this study was to investigate changes in the frequency of binge drinking and associated factors in the city of Belo Horizonte, Minas Gerais State, Brazil. The sample consisted of 436 adolescents. Data collection involved the Alcohol Use Disorders Identification Test and the Alcohol, Smoking and Substance Involvement Screening Test. Ordinal logistic regression was used in the multivariate analysis. An increase in the frequency of binge drinking was found among adolescents who lived in areas of greater social vulnerability (OR = 1.64; 95%CI: 1.01-2.68), those whose mothers consumed alcoholic beverages (OR = 1.75; 95%CI: 1.05-2.92), those whose fathers consumed alcoholic beverages (OR = 2.02; 95%CI: 1.11-3.68), those with an increased risk of tobacco use (OR = 2.82; 95%CI: 1.07-7.42) and those who attended religious services (OR = 2.10; 95%CI: 1.30-3.38). Knowledge regarding factors associated with a change in the frequency of binge drinking among adolescents can assist in the establishment of public policies directed at health promotion and the prevention of adverse health conditions. |
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Universidade Federal de Minas Gerais, Belo Horizonte, Brasil |
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0102-311X |
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PMID:28380128 |
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Call Number |
ref @ user @ |
Serial |
98026 |
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