Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information , in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making . Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents . As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences . The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...
rESUMo objetivo: Avaliar a prevalência e os fatores associados ao declínio cognitivo em idosos com baixa condição econômica. Métodos: Estudo transversal com amostra constituída de 310 idosos residentes no município de Ibicuí/BA. Foi utilizado o Miniexame do Estado Mental para a avaliação do estado cognitivo global. Para a avaliação das variáveis categóricas e análise simultânea, foram utilizados o teste qui-quadrado χ 2 e a análise de regressão logística múltipla. A análise estatística foi realizada com nível de significância p ≤ 0,05, cálculo da razão de chances e intervalos de confiança de 95%. resultados: A prevalência global do declínio cognitivo foi de 18,7%. A análise dos dados revelou que as variáveis faixa etária e escolaridade estavam estatisticamente associadas ao maior comprometimento cognitivo entre idosos (p ≤ 0,05). Conclusão: A prevalência de declínio cognitivo observada foi elevada e associou-se a maior faixa etária e menos anos de estudo. Nesse sentido, as ações direcionadas a atenção à saúde do idoso devem fortalecer o cuidado, a prevenção e o controle das perdas cognitivas, principalmente na atenção primária. abStraCt objective: To evaluate the prevalence and factors associated with cognitive decline in the elderly with low economic status. Methods: Cross-sectional study sample of 310 elderly residents in the city of Ibicuí/BA. We used the Mini-Mental State Examination for the assessment of global cognitive status. For the evaluation of categorical variables and simultaneous analysis was performed using chi-square test χ 2 and multiple logistic regression analysis with exploratory purposes, respectively. Statistical analysis was performed with significance level of p = 0.05, calculating the odds ratio and 95% confidence intervals. results: The overall prevalence of cognitive decline was 18.7%. Data analysis revealed that the variables age and education were statistically associated with greater cognitive impairment among the elderly (p ≤ 0.05). Conclusion: The prevalence of cognitive decline observed was high and was associated with older age and with fewer years of schooling. In this sense, the actions directed to health care for the elderly should strengthen the care prevention and control of cognitive losses, particularly in primary care.
OBJETIVO: Analisar a associação entre o nível de atividade física habitual e transtornos mentais comuns entre idosos. MÉTODOS: Estudo transversal do tipo seccional com população de 95 idosos residentes na zona rural do município de Jequié-BA. Foram utilizados formulário com informações sociodemográficas, triagem para transtornos mentais comuns (TMC) através do Self-Reporting Questionnaire (SRQ-20) e o Questionário Internacional de Atividades Físicas (IPAQ). RESULTADOS: A maioria dos idosos tinha entre 60 e 79 anos (75,8%) e era do sexo feminino (57,9%). O percentual de não sedentários foi de 64,2%, observando associação estatisticamente significante entre o nível de atividade física com a faixa etária, situação conjugal e escolaridade. A prevalência global de TMC foi de 47,4%; apenas a renda teve associação estatisticamente significante. Ao avaliar a associação entre atividade física e TMC, não foi encontrada associação com níveis estatisticamente significante (p>0,05) CONCLUSÃO: Apesar das evidências da literatura sobre a contribuição da atividade física para a saúde mental, no presente estudo não se observou associação entre atividade física e TMC.
-The study aimed to assess the prevalence and sociodemographic, occupational and lifestyle factors associated with overweight/obesity in state teachers from a northeastern Brazilian city. A cross-sectional study involving teachers from the city of Jequié-BA initially selected by cluster sampling (schools) was conducted. The sample consisted of 300 teachers, including 72.7% (n=214) women. Sociodemographic, occupational and lifestyle data were investigated. Body weight and height were obtained by self-report. Prevalence ratios and 95% confidence intervals were estimated and a level of significance of 5% was adopted. The overall prevalence of overweight/obesity was 47.2%. The prevalence was significantly higher among male teachers (58.2%), married or cohabitating subjects (49.1%), whites and mulattoes (87.6%), teachers with an income > R$ 2,002.00 and a permanent contract (45.9%), and subjects who did not consume fruits or vegetables (49.1%). After multivariate analysis, only gender (95% CI = 0.16-0.66) and consumption of fruits and vegetables (95% CI = 0.25-0.98) remained significantly associated with overweight/obesity among teachers. These findings promote debate on the need for actions designed to encourage the adoption of an active lifestyle by the teacher population. Key words: Obesity; Occupational health; Overweight. 300 professores, 72,7% (n=214) (58,2%), casados ou vivendo em união estável (49,1%), brancos e pardos (87,6%), com renda > R$ 2.002,00, com vínculo de trabalho efetivo (45,9%) e que não consumiam frutas e verduras (49,1%). Após a análise multivariada, apenas as variáveis sexo (IC 95% = 0,66) Resumo -O estudo teve como objetivo avaliar a prevalência e os fatores sociodemograficos, ocupacionais e hábitos de vida associados ao sobrepeso/obesidade entre professores da rede estadual de um município do nordeste brasileiro. Estudo de corte-transversal com professores da rede estadual do município de Jequié-BA selecionados, inicialmente, por conglomerados (escolas). A amostra foi constituída por
Objective Assess the content validity of the Elderly Health Assessment Tool with low education.Methods The data collection instrument/questionnaire was prepared and submitted to an expert panel comprising four healthcare professionals experienced in research on epidemiology of aging. The experts were allowed to suggest item inclusion/exclusion and were asked to rate the ability of individual items in questionnaire blocks to encompass target dimensions as “not valid”, “somewhat valid” or “valid”, using an interval scale. Percent agreement and the Content Validity Index were used as measurements of inter-rater agreement; the minimum acceptable inter-rater agreement was set at 80%.Results The mean instrument percent agreement rate was 86%, ranging from 63 to 99%, and from 50 to 100% between and within blocks respectively. The Mean Content Validity Index score was 93.47%, ranging from 50 to 100% between individual items.Conclusion The instrument showed acceptable psychometric properties for application in geriatric populations with low levels of education. It enabled identifying diseases and assisted in choice of strategies related to health of the elderly.
RESUMO Objetivo Analisar o comportamento sedentário (CS) como discriminador dos Transtornos Mentais Comuns (TMC) entre idosos. Métodos Estudo transversal com amostra composta por 310 indivíduos idosos, residentes no município de Ibicuí-BA. Foi utilizado um questionário contendo informações sobre características sociodemográficas, inatividade física no tempo livre e questões autorreferidas do tempo gasto sentado em um dia habitual da semana e de um dia do final de semana. Para estimar o ponto de corte do Comportamento Sedentário na discriminação dos TMC, utilizou-se a curva Receiver Operating Characteristic (ROC). Resultados A prevalência de TMC foi de 55,8%, sendo maior entre as mulheres (66,7%). Os maiores valores para a área sob as curvas ROC entre CS e TMC foi para o sexo masculino: CS/dia 0,58 (IC 95% = 0,49-0,67). Os pontos de corte propostos para CS/dia foram: homens: > 330 min/dia; mulheres: > 300 min/dia. Conclusão O comportamento sedentário é um indicador válido para identificação de suspeita de TMC em idosos, mostrando-se ser um fator de risco que deve ser observado pelos profissionais de saúde.
Introduction The guided interventions in drug therapies contribute to the effectiveness of health promotion in the Family Health Strategy (FHS). Objective To evaluate the effectiveness of an action grounded in physical activity in heath state of users in the Unified Health System [Sistema Único de Saúde – SUS] of the Family Health Strategy of the Municipality of Iguaí (BA). Methodology Intervention study with an epidemiological approach, studies in the community, sample of 30 registered users on FHU aged ≥ 60 years old. Data collection was performed using an instrument that contained sociodemographic information, and evaluation of blood pressure and glucose levels, weight and height for later calculation of Body Mass Index (BMI). The physical activity program was conducted during the period of 10 months, with a frequency of 5 days/weeks. The activities were carried out in a city of FHU of Iguaí (BA). The data from this study were tabulated and analyzed using SPSS 15.0. Results After the intervention, there was a statistically significant reduction in levels in the blood pressure and glucose levels, and reduction in body mass index, indicating the importance of this intervention as a form of non-pharmacological treatment for hypertension and diabetes. Conclusion We observed the effectiveness of the intervention was possible to reduce risk factors, but it is necessary that the projects have sustainability, to continue with its development.
To compare the effect that two programs of physical exercise have over the memory of elderly people. Methods: This was an intervention study conducted with 79 seniors of both sexes. Individuals included in the study were randomly assigned into two groups: aerobic exercise (39 individuals) and neuromotor exercise (40 individuals). Interventions: The aerobic exercise program consisted of walking activities. The neuromotor exercise program included activities for muscle strength, flexibility, balance, and agility. A total of 36 sessions were conducted with each one lasting approximately 50 minutes, 3 days a week for a period of 12 weeks, for both groups. Main outcomes and measures: The intensity of activity was controlled by the Borg scale (12-16). We evaluated memory performance through a list of figures. Means of the tests for memory performance were compared through Repeated Measures (p £ 0.05). Results: After the intervention period, 44 individuals remained in the sample while 29 remained in the aerobic group and 15 in the neuromotor group. The average age of respondents was 68.81 ± 7.12 years. No significant differences were observed between groups when analyzing the interaction, time, and group according to memory tests. Significant improvements were identified after the intervention period in both groups for the variables nomination and incidental memory. Conclusion: Aerobic and neuromotor exercise programs led to an increase in the memory performance of the elderly in the functions appointment (short-term memory) and incidental memory (long-term memory).
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