ObjectiveDiabetes mellitus (DM) is a chronic disease considered an important public health problem. In recent years, its prevalence has been exponentially rising in many developing countries. Chronic complications of DM are important causes of morbidity and mortality among patients, which impair their health and quality of life. Knowledge on disease prevention, etiology, and management is essential to deal with parents, patients, and caregivers. The aim of this study was to evaluate the knowledge regarding DM in an adult population from a Middle-western Brazilian city.MethodsThis was a cross-sectional study covering 178 adults, aged 18–64 years, who answered a diabetes knowledge questionnaire. In order to identify the difference between groups, analysis of variance was used.ResultsHigher knowledge scores were found regarding the role of sugars on DM causality, diabetic foot care, and the effects of DM on patients (blindness, impaired wound healing, and male sexual dysfunction). However, lower scores were found amongst types of DM, hyperglycemic symptoms, and normal blood glucose levels. Females tended to achieve better knowledge scores than males.ConclusionWomen had better knowledge regarding types of DM, normal blood glucose values, and consequences of hyperglycemia revealed that diabetes education should be improved.
Metabolic syndrome incidence is increasing worldwide then it is important to study the possible risk and protective factors. Our previous study suggested an association between coffee consumption and metabolic syndrome. The aim of this study was to address possible associations between dietary lifestyle factors with metabolic syndrome. In a case-control study we compared 74 metabolic syndrome patients with 176-matched controls attended at a public health central unit. Incident cases diagnosed according to ATP III criteria were matched with control group composed of healthy subjects performing routine examinations. Having lower educational level compared to highest levels tend to increase metabolic syndrome prevalence, which was not statistically significant. Similar pattern was observed for marital status. No difference was found regarding gender and metabolic syndrome odds. Interestingly, daily drinking two to three cups of coffee (OR=0.0646, 95% CI, 0.0139-0.3005, p=0.0005) or until 2 cups of milk were inversely associated with metabolic syndrome odds (OR=0.5368, 95% CI, 0.3139-0.9181, p=0.0231). Sleeping seven to eight hours per night was also associated with decreased odds of metabolic syndrome (OR=0.0789, 95% CI, 0.0396-0.1570, p<0.0001). Eating at least two portions of chocolate was also associated with decreased risk of metabolic syndrome (OR=0.3475, 95%CI, 0.1865-0.6414, p=0.0009). Adequate sleeping and dietary intake of some foods materially decreased the metabolic syndrome.
The objective of this article was to review the biochemical basis of the total antioxidant capacity (TAC) test and its applications to exercise science and promotion of healthy aging. Measurement of TAC allows evaluation of the antioxidant content of muscle, heart and other exercise-target organs. Acute non-regular physical exercise and body exposition to higher altitude have been associated with a considerable decrease of blood TAC. However, regular practice of physical activity and exercise is associated with improved antioxidant response increasing TAC levels. TAC methodologies did not address lipophylic antioxidants and have some other limitations. However, TAC is useful as a complementary test for the evaluation of antiperoxidation assays and blood, erythrocyte and cytosolic antioxidant enzyme assays (glutathion reductase, glutathion peroxidase, superoxide dismutase and catalase). Exercise induces both molecular antioxidant and hormetic responses which have been suggested to be linked with a healthy aging.
A qualidade de vida dos profissionais de saúde é fundamental para que estes possam desempenhar com segurança, motivação e eficácia seus serviços à população. Neste sentido, elaborou-se um estudo descritivo e transversal para avaliar a qualidade de vida em profissionais da atenção primária à saúde do SUS no Vale do Araguaia (MT/GO). 45 profissionais (60% do total de profissionais) de unidades da Estratégia de Saúde da Família (ESF) e de um Centro de Saúde de Aragarças (GO), Barra do Garças (MT) e Pontal do Araguaia (MT) concordaram e participaram do estudo. A qualidade de vida foi avaliada utilizando-se o questionário de qualidade de vida da OMS (WHOQOL-bref) validado no Brasil. Resultados: embora 18% não necessitem de tratamento médico, 26,7% precisam de vez em quando e 13,3% precisam muito de cuidados médicos. Ademais, 5% aceitam muito pouco sua aparência física e 22% tem apenas uma aceitação razoável da mesma. Cerca de 9% declararam ter pouca ou nenhuma energia para realizar as tarefas cotidianas, enquanto que 17,8% estiveram totalmente insatisfeitos com o sono. Em relação à frequência de sentimentos psicoafetivos negativos 60% tiveram às vezes, 11% frequentemente, 2% quase sempre e 27% nunca. Embora se considerem felizes, com disposição física e boa qualidade de vida, parcela considerável dos profissionais de saúde da atenção básica do Vale do Araguaia são afetados por problemas de saúde, distúrbios psicoafetivos e problemas de sono. PALAVRAS-CHAVE: QUALITY OF LIFE AMONG PROFESSIONALS FROM FAMILY HEALTH STRATEGY (FHS) IN "VALE DO ARAGUAIA", LEGAL AMAZON, BRAZIL ABSTRACTThe quality of life of health professionals is essential for an adequate work performance considering safety, motivation, and eficacy of the public health services. In this sense, a descriptive and transversal study was performed in order to evaluate the quality of life in health profissionals from health primary atention of the "NHS" in "Vale do Araguaia" (MT/GO). 45 profissionals (60% of total) from unities of "Estratégia de Saúde da Família (ESF)", and a community health center from Aragarças (GO), Barra do Garças (MT), and Pontal do Araguaia (MT) agreed and joined the study. Quality of life was evaluated using the World's Health Organization (WHO) Quality of Life questionnaire (WHOQOL-bref) validated in Brazil. Results: although 18% of the subjects needed no medical treatment, 26.7% need sometimes, and 13.3% had higher need of medical caring. Further, 5% had a poor selfacceptance of physical shape, and 22% had only a reasonable acceptance. 9% declared had low or no energy to make daily activities, whereas 17.8% were totally unsatisfied wuith their sleep. Considering the frequency of negative psychoaffective feelings 60% of them had it sometimes, 11% frequently, 2% almost alwyas, and 27% never experienced. Although they considered being happy with physical stamina and good quality of life a considerable fraction of those health profissionals from primary atention of "Vale do Araguaia" are committed by health problems de saúde, psychoaffecti...
<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML /> <o:AllowPNG /> </o:OfficeDocumentSettings> </xml><![endif]--> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">Introdução</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">: A frequência e a morbimortalidade por doenças crônicas não-transmissíveis vem aumentando em diversas regiões do país. <strong>Objetivo</strong>: Verificar a prevalência de Síndrome Metabólica e possíveis fatores associados em população atendida em unidades da Estratégia de Saúde da Família (ESF). <strong>Metodologia</strong>: Foram avaliados 96 pacientes adultos de dois ESFs em Barra do Garças (MT). Além da caracterização socioeconômica da amostra, foi aplicado questionário de frequência alimentar e avaliação antropométrica (circunferência da cintura e índice de massa corporal). Após as dosagens bioquímicas (glicemia, colesterol totais e triglicerídeos) foi feita a estimativa da prevalência de caracterização da Síndrome Metabólica utilizando o critério do NCEP/ATPIII (EUA). <strong>Resultados</strong>: A maioria dos pacientes era do gênero feminino, possuía casa própria, fazia consultas regulares, tinha baixo engajamento em atividades físicas regulares, baixa renda e escolaridade, sendo a maioria idosos ou de meia-idade. Do total, 71% tinham hipertensão arterial, 52% hiperglicemia, 19,8% diabetes <em>mellitus</em> e 42% foram diagnosticados com Síndrome Metabólica. A renda familiar baixa esteve associada ao maior risco, enquanto que o consumo regular de quatro ou mais xícaras de café esteve inversamente associado ao risco de Síndrome Metabólica, o que não ocorreu com as demais variáveis estudadas. <strong>Conclusão</strong>: a prevalência de Síndrome Metabólica e suas comorbidades afetam, frequentemente, esta população e demandam melhoria das ações de promoção e atenção primária à saúde. <span style="mso-tab-count: 2;"> </span></span></p> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><span style="font-size: 10.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">Prevalence of metabolic syndrome among patients attended at the Family Health Strategy of Barra do Garças, MT</span></p> <p class="MsoNormal" style="text-align: justify; mso-layout-grid-align: none; text-autospace: none;"><strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">Background</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">: the frequency and morbimortality by chronic non-transmissible diseases have been increased in many regions of the nation. <strong>Objective</strong>: verify the prevalence of Metabolic Syndrome and possible associated factors among population attended in unities from the Family Health Strategy (ESF). <strong>Methodology</strong>: 96 adult patients from two ESFs in Barra do Garças (MT) were evaluated. Beyond the socioeconomic characterization of the sample, a food frequency questionaire was applied and the anthropometric evaluation were done (waist circumference and body mass index). After biochemical analysis (glycemia, total cholesterol and tryglycerides) the prevalence of Metabolic Syndrome was estimated according to the NCEP/ATPIII (USA) criteria. <strong>Results</strong>: the majority of patients belong to female gender, had own house, done regular health consultations, had poor regular physical activities, low income and educational level, with predominance of elderly and middle-aged people. 71% had arterial hypertension, 52% hyperglycemia, 19.8% diabetes <em>mellitus</em>, and 42% were diagnosed with Metabolic Syndrome. Lower family income was associated to increased risk of Metabolic Syndrome, whereas dietary drinking of four or more coffee cups was inversely associated with Metabolic Syndrome risk which did not occur with other studied variables. <strong>Conclusion</strong>: the prevalence of Metabolic Syndrome and its comorbidities frequently affected this population and deserve improved health promotion practices in the primary health care. <span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span></span></p> <p class="MsoNormal" style="text-align: justify;"><strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">Key-words</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">: Metabolic syndrome. Arterial hypertension. Diabetes <em>mellitus</em>. 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As doenças transmitidas por alimentos têm grande impacto para a saúde coletiva, especialmente para populações suscetíveis como crianças e idosos. O presente estudo teve como objetivo realizar análise microbiológica de diversas preparações servidas nas três principais escolas do Médio Araguaia (MT/GO). Foram selecionadas três escolas, uma privada, uma municipal e uma cooperativa, totalizando 916 alunos. Foram realizadas análises microbiológicas dos alimentos para a contagem de coliformes fecais, bem como dos patógenos Staphylococcus aureus e Salmonella spp. Não foi constatada a presença de S. aureus nas amostras analisadas, bem como a contaminação por coliformes fecais foi extremamente baixa, dentro dos limites permitidos por normas e leis. Entretanto, a contagem de Salmonella spp foi elevada, caracterizando um problema de segurança alimentar e risco à saúde dos escolares. Além disso, foi constatada má higiene pessoal dos manipuladores de alimentos, ausência de sanitário exclusivo, utilização de panos e tábuas de madeira, bem como exposição dos gêneros alimentícios a inadequadas temperaturas de armazenamento. Concluiu-se que as condições microbiológicas dos alimentos foram satisfatórias de acordo com as normas da Anvisa, exceto para as amostras de pizza, em que houve a contaminação por Salmonella spp, indicando provável falta de higiene pessoal dos manipuladores de alimentos.
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