Objective: The objective of this study was to determine the prevalence of metabolic syndrome (MS) and its components among pre-and postmenopausal women, as well as the association between menopausal status and MS. Materials and methods: A retrospective study was conducted at a reference cardiology outpatient clinic in a city located in Northwestern Paraná State, Brazil. A total of 958 medical records of symptomatic climacteric women evaluated between 2010 and 2014 were analyzed. The study consisted of two groups: pre-and post-menopausal women. MS was characterized according to the criteria of the National Cholesterol Education Program's Adult Treatment Panel III -NCEP-ATP III-2005. Results: MS was observed in 18.5% of the total study population; 9.4% of the premenopausal women and 22.2% of the postmenopausal women displayed MS, corresponding to a relative risk of 2.75. In addition, the frequency of MS increased with age. Regarding the components of MS, postmenopausal women were more likely to have high density lipoprotein (HDL-C) levels < 50 mg/dL; systolic blood pressure (SBP) values ≥ 130 mmHg or diastolic blood pressure (DBP) values ≥ 85 mmHg; and fasting glucose levels ≥ 100 mg/dL. Conclusion: MS was more prevalent among postmenopausal women than among premenopausal women. Arch Endocrinol Metab. 2017;61(2):160-6.
Background: To investigate the prevalence of and factors associated with performance of annual mammography by women above 40 years of age. Materials and Methods: This cross-sectional retrospective study was conducted at an oncology reference service in Southern Brazil from October 2013 to October 2014 with 525 women aged 40 years or older. Results: The prevalence of annual mammography was 54.1%; annual mammographic screening was performed for women without private medical insurance, who were under hormone replacement therapy and who had used contraception in the past. An association was found between non-performance of breast clinical and self-examination and non-performance of mammographic screening. Conclusions: Use of mammography for breast cancer screening in the public health care setting proved to be accessible; nevertheless, the proportion of screened women was low, and they exhibited poor adherence to the basic measures of care recommended for breast assessment. Thus, control of breast cancer requires implementing actions targeting the population most vulnerable to non-adherence to screening in addition to continuously monitoring and assessing that population to reduce the prevalence of this disease.
RESUMOO câncer de mama é a maior causa de morte da mulher brasileira, representando aproximadamente 20% dos casos de neoplasias e 15% das mortes. O objetivo deste estudo foi analisar a existência de fatores de risco associado ao câncer de mama entre as mulheres que realizaram mastectomia. Trata-se de um estudo descritivo-exploratório, com 19 mulheres mastectomizadas que procuraram o serviço de protetização ou fisioterapia, no período de março de 2004 a abril de 2005, na Fundação Centro de Reabilitação Dom Aquino Correa, da cidade de Cuiabá -MT. O instrumento de coleta de dados foi um questionário, contendo questões fechadas. Das 19 mulheres pesquisadas, todas apresentaram pelo menos um dos fatores considerados potencialmente de risco para o câncer de mama. Pode-se constatar que a amostra era composta de mulheres jovens, em fase laborativa, produtiva. A maior incidência do câncer de mama ocorreu na faixa etária de 43 a 53 anos. Nesta população, o câncer de mama revelou-se uma doença que acometeu mulheres multíparas e que amamentaram. As mulheres com câncer de mama não tinham história familiar da doença, entretanto, a grande maioria delas apresentava, entre os parentes de primeiro grau, pessoas portadoras de câncer em outros órgãos.Palavras-chave: Fatores de risco. Neoplasia da mama. Mastectomia.
*Autor para correspondência.RESUMO. O câncer de mama é ainda considerado um problema de saúde pública. No Brasil, é uma das principais causas de morte entre as mulheres. Por sua letalidade e seqüelas físicas e emocionais que acarreta, é de suma importância sua detecção precoce. Os meios eficazes de detecção precoce são a mamografia e o auto-exame de mama. O objetivo deste trabalho foi analisar o conhecimento das profissionais da área da saúde de uma instituição pública sobre seu conhecimento em relação ao auto-exame de mama. Caracterizou-se como estudo descritivo-exploratório. Foram entrevistadas 38 mulheres, perfazendo um total de 95,0% das profissionais. Os resultados revelaram que as profissionais, apesar de compreendem a importância do auto-exame, têm muitas dúvidas quanto à técnica. Desconhecem a época de realizá-lo e muitas vezes não o fazem. Recomenda-se curso de capacitação no sentido de envolver essas profissionais em ações preventivas e educativas em saúde.Palavras-chave: câncer de mama; auto-exame das mamas; educação em saúde.ABSTRACT. Self-examination of breast: knowledge and practice in government health professionals. Breast cancer is a public health problem and one of the major causes of death among females in Brazil. Early diagnosis is of paramount importance due to its lethality coupled to severe physical and emotional consequences. X-ray of breast and selfexamination of breast are the most efficient early diagnosis methods. Government health professionals' knowledge on breast self-examination has been analyzed in current descriptive and exploratory research. Thirty-eight females, or 95% of the health professionals in the government unit, were interviewed. Results reveal that these professionals still have many doubts regarding that technique, although they are aware of the examination importance. They do not know the period in which it may be undertaken and frequently they leave the task undone. An updating course is recommended so that these health professionals may be involved in preventive and educational health activities.
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