BackgroundThe Study of Cardiovascular Risk in Adolescents (Portuguese acronym, “ERICA”) is a multicenter, school-based country-wide cross-sectional study funded by the Brazilian Ministry of Health, which aims at estimating the prevalence of cardiovascular risk factors, including those included in the definition of the metabolic syndrome, in a random sample of adolescents aged 12 to 17 years in Brazilian cities with more than 100,000 inhabitants. Approximately 85,000 students were assessed in public and private schools. Brazil is a continental country with a heterogeneous population of 190 million living in its five main geographic regions (North, Northeast, Midwest, South and Southeast). ERICA is a pioneering study that will assess the prevalence rates of cardiovascular risk factors in Brazilian adolescents using a sample with national and regional representativeness. This paper describes the rationale, design and procedures of ERICA.Methods/DesignParticipants answered a self-administered questionnaire using an electronic device, in order to obtain information on demographic and lifestyle characteristics, including physical activity, smoking, alcohol intake, sleeping hours, common mental disorders and reproductive and oral health. Dietary intake was assessed using a 24-hour dietary recall. Anthropometric measures (weight, height and waist circumference) and blood pressure were also be measured. Blood was collected from a subsample of approximately 44,000 adolescents for measurements of fasting glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides, glycated hemoglobin and fasting insulin.DiscussionThe study findings will be instrumental to the development of public policies aiming at the prevention of obesity, atherosclerotic diseases and diabetes in an adolescent population.
The Study of Cardiovascular Risk in Adolescents (ERICA) aims to estimate the prevalence of cardiovascular risk factors and metabolic syndrome in adolescents (12-17 years) enrolled in public and private schools of the 273 municipalities with over 100,000 inhabitants in Brazil. The study population was stratified into 32 geographical strata (27 capitals and five sets with other municipalities in each macro-region of the country) and a sample of 1,251 schools was selected with probability proportional to size. In each school three combinations of shift (morning and afternoon) and grade were selected, and within each of these combinations, one class was selected. All eligible students in the selected classes were included in the study. The design sampling weights were calculated by the product of the reciprocals of the inclusion probabilities in each sampling stage, and were later calibrated considering the projections of the numbers of adolescents enrolled in schools located in the geographical strata by sex and age.
OBJECTIVE To estimate the prevalence of arterial hypertension and obesity and the population attributable fraction of hypertension that is due to obesity in Brazilian adolescents.METHODS Data from participants in the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA), which was the first national school-based, cross-section study performed in Brazil were evaluated. The sample was divided into 32 geographical strata and clusters from 32 schools and classes, with regional and national representation. Obesity was classified using the body mass index according to age and sex. Arterial hypertension was defined when the average systolic or diastolic blood pressure was greater than or equal to the 95th percentile of the reference curve. Prevalences and 95% confidence intervals (95%CI) of arterial hypertension and obesity, both on a national basis and in the macro-regions of Brazil, were estimated by sex and age group, as were the fractions of hypertension attributable to obesity in the population.RESULTS We evaluated 73,399 students, 55.4% female, with an average age of 14.7 years (SD = 1.6). The prevalence of hypertension was 9.6% (95%CI 9.0-10.3); with the lowest being in the North, 8.4% (95%CI 7.7-9.2) and Northeast regions, 8.4% (95%CI 7.6-9.2), and the highest being in the South, 12.5% (95%CI 11.0-14.2). The prevalence of obesity was 8.4% (95%CI 7.9-8.9), which was lower in the North region and higher in the South region. The prevalences of arterial hypertension and obesity were higher in males. Obese adolescents presented a higher prevalence of hypertension, 28.4% (95%CI 25.5-31.2), than overweight adolescents, 15.4% (95%CI 17.0-13.8), or eutrophic adolescents, 6.3% (95%CI 5.6-7.0). The fraction of hypertension attributable to obesity was 17.8%.CONCLUSIONS ERICA was the first nationally representative Brazilian study providing prevalence estimates of hypertension in adolescents. Regional and sex differences were observed. The study indicates that the control of obesity would lower the prevalence of hypertension among Brazilian adolescents by 1/5.
We derive QCD light-cone sum rules for the hadronic matrix elements of the heavy baryon transitions to nucleon. In the correlation functions the Λ c , Σ c and Λ b -baryons are interpolated by three-quark currents and the nucleon distribution amplitudes are used. To eliminate the contributions of negative parity heavy baryons, we combine the sum rules obtained from different kinematical structures. The results are then less sensitive to the choice of the interpolating current. We predict the Λ b → p form factor and calculate the widths of the Λ b → pℓν l and Λ b → pπ decays. Furthermore, we consider double dispersion relations for the same correlation functions and derive the light-cone sum rules for the Λ c N D ( * ) and Σ c N D ( * ) strong couplings. Their predicted values can be used in the models of charm production in pp collisions.
We present a new calculation of the D ! and D ! K form factors from QCD light-cone sum rules. The MS scheme for the c-quark mass is used and the input parameters are updated. The results are f þ D ð0Þ ¼ 0:67 þ0:10 À0:07 , f þ DK ð0Þ ¼ 0:75 þ0:11 À0:08 , and f þ D ð0Þ=f þ DK ð0Þ ¼ 0:88 AE 0:05. Combining the calculated form factors with the latest CLEO data, we obtain jV cd j ¼ 0:225 AE 0:005 AE 0:003 þ0:016 À0:012 and jV cd j=jV cs j ¼ 0:236 AE 0:006 AE 0:003 AE 0:013 where the first and second errors are of experimental origin and the third error is due to the estimated uncertainties of our calculation. We also evaluate the form factors f À D and f À DK and predict the slope parameters at q 2 ¼ 0. Furthermore, calculating the form factors from the sum rules at q 2 < 0, we fit them to various parametrizations. After analytic continuation, the shape of the D ! , K form factors in the whole semileptonic region is reproduced, in a good agreement with experiment.
We derive new QCD sum rules for B → D and B → D * form factors. The underlying correlation functions are expanded near the light-cone in terms of B-meson distribution amplitudes defined in HQET, whereas the c-quark mass is kept finite. The leading-order contributions of two-and three-particle distribution amplitudes are taken into account. From the resulting light-cone sum rules we calculate all B → D ( * ) form factors in the region of small momentum transfer (maximal recoil). In the infinite heavy-quark mass limit the sum rules reduce to a single expression for the Isgur-Wise function. We compare our predictions with the form factors extracted from experimental B → D ( * ) lν l decay rates fitted to dispersive parameterizations.
We consider the production of charmed baryons and mesons in the protonantiproton binary reactions at the energies of the futureP ANDA experiment. To describe these processes in terms of hadronic interaction models, one needs strong couplings of the initial nucleons with the intermediate and final charmed hadrons. Similar couplings enter the models of binary reactions with strange hadrons. For both charmed and strange hadrons we employ the strong couplings and their ratios calculated from QCD light-cone sum rules. In this method finite masses of c and s quarks are taken into account. Employing the Kaidalov's quark-gluon string model with Regge poles and adjusting the normalization of the amplitudes in this model to the calculated strong couplings, we estimate the production cross section of charmed hadrons. For pp → Λ cΛc it can reach several tens of nb at p lab = 15 GeV, whereas the cross sections of Σ c and D pair production are predicted to be smaller.
Serological screening and evaluation of exposure factors for
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