This study aims to investigate the prevalence and factors associated with abdominal obesity in climacteric women assisted at Family Health Strategy units of the city of Montes Claros, State of Minas Gerais, Brazil. It is a cross-sectional analytical study. The women were selected by probabilistic sampling from August 2014 to August 2015. A questionnaire containing information referring to sociodemographic and economic characteristics, behavioral characteristics and clinical data was used. To estimate abdominal obesity, the measure of circumference � 88 cm was considered. To analyze the association between abdominal obesity and the independent variables, a bivariate analysis was performed by means of Pearson's chi-square test (p�0.25). Subsequently, a multiple Poisson regression analysis with robust variance was performed, through which prevalence ratios with level of significance of 5% (p<0.05) were obtained. A total of 805 women were evaluated, aged 40 to 65 years, and the prevalence of women with abdominal obesity was 62.4%. The mean and median of abdominal circumference were 93.0 cm. The associated variables were being sedentary (PR = 1.44) or irregularly active (PR = 1.39), presenting altered total cholesterol (PR = 1.21), and being hypertensive (PR = 1.31). The abdominal obesity in climacteric women was associated with physical inactivity, total cholesterol and arterial hypertension. The measurement of abdominal circumference must be valued and adopted in the routine of professionals who work in Primary Care.

Objetivos: Estabelecer a prevalência de sobrepeso e obesidade entre crianças cadastradas em unidade de Estratégia Saúde da Família. Métodos: Estudo descritivo, quantitativo, de corte transversal, com população alvo de 134 crianças de 7 a 10 anos de idade. Foi calculado o índice de massa corporal das crianças e aplicado questionário sobre práticas alimentares e atividade física. No tratamento estatístico dos dados foi usado o SPSS versão 19, utilizando-se os procedimentos: média, desvio padrão, frequência, teste t  e Qui Quadrado. Usou-se Odds ratio de prevalência  com intervalo de confiança de 95%. A importância relativa dos fatores estudados no risco da criança apresentar sobrepeso ou obesidade foi observada pelo ajuste do modelo regressão logística. Resultados: Foram avaliadas 86 crianças de ambos os sexos. A taxa de sobrepeso foi de 17,5% e de obesidade de 25% entre meninas e 4,3% de sobrepeso e 13% de obesidade entre meninos (p=0,061). Crianças matriculadas na rede particular tiveram 18,8% de sobrepeso e 37,5% de obesidade enquanto nas da rede pública as taxas foram de 8,6% e 14,3%, para sobrepeso e obesidade, respectivamente (p=0,058). As demais variáveis não foram estatisticamente significativas após a aplicação do modelo de regressão logística. Conclusão: Houve alta prevalência de sobrepeso e obesidade na população estudada, principalmente entre crianças matriculadas na rede particular e do sexo feminino.

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This study aimed to evaluate the validity and precision of the International Physical Activity Questionnaire (IPAQ) for climacteric women using computational intelligence techniques. The instrument was applied to 873 women aged between 40 and 65 years. Considering the proposal to regroup the set of data related to the level of physical activity of climacteric women using the IPAQ, we used 2 algorithms: Kohonen and k-means, and, to evaluate the validity of these clusters, 3 indexes were used: Silhouette, PBM and Dunn. The questionnaire was tested for validity (factor analysis) and precision (Cronbach's alpha). The Random Forests technique was used to assess the importance of the variables that make up the IPAQ. To classify these variables, we used 3 algorithms: Suport Vector Machine, Artificial Neural Network and Decision Tree. The results of the tests to evaluate the clusters suggested that what is recommended for IPAQ, when applied to climacteric women, is to categorize the results into two groups. The factor analysis resulted in three factors, with factor 1 being composed of variables 3 to 6; factor 2 for variables 7 and 8; and factor 3 for variables 1 and 2. Regarding the reliability estimate, the results of the standardized Cronbach's alpha test showed values between 0.63 to 0.85, being considered acceptable for the construction of the construct. In the test of importance of the variables that make up the instrument, the results showed that variables 1 and 8 presented a lesser degree of importance and by the analysis of Accuracy, Recall, Precision and area under the ROC curve, there was no variation when the results were analyzed with all IPAQ variables but variables 1 and 8. Through this analysis, we concluded that the IPAQ, short version, has adequate measurement properties for the investigated population.

31This study aims to investigate the association between health conditions and 32 overweight in climacteric women assisted by primary care professionals. It is a cross-33 sectional study conducted with 874 women from 40 to 65 years of age, selected by 34 probabilistic sampling between August 2014 and August 2015. In addition to the outcome 35 variable, other variables such as overweight/obesity, sociodemographic, reproductive, 36 clinical, eating and behavioural factors were evaluated. Descriptive analyses of the 37 variables investigated through their frequency distributions were performed. Then, 38 bivariate analyses were performed through Poisson regression. For the multiple analyses, 39 the hierarchical Poisson regression was used to identify factors associated with 40 overweight/obesity in the climacteric period. The prevalence of overweight/obesity was 41 74%. Attending public school (PR: 1.30 -95% CI 1.14 -1.50), low schooling (PR: 1.11 42 -95% CI 1.01 -1.23), gout (PR: 1.18 -95% CI 1.16-1.44), kidney disease (PR: 1.18 -43 95% CI 1.05 -1.32), metabolic syndrome -MS (PR: 1.19 -95% CI 1.05 -1.34) and fat 44 intake (PR: 1.12 -95% CI 1.02 -1.23) were considered risk factors for overweight. 45Having the first birth after 18 years (PR: 0.89 -95% CI 0.82 to 0.97) was shown to be a 46 protective factor for overweight and obesity. The presence of overweight and obesity is 47 associated with socio-demographic, reproductive, clinical and eating habits. 48 49 Introduction 50Brazil has been presenting a rapid process of demographic and epidemiological 51 transition, leading to the frequent occurrence of chronic-degenerative diseases¹. The 52 increase in the prevalence of overweight, represented by overweight and obesity, among 53 the elderly female population raises great concern in developed and developing countries. 3 54Since overweight and obesity are risk factors for adverse health events 2 such as 55 disturbances in lipid and glycidic metabolism, psychological stress and sleep alterations, 56 with increasing risk of cardiovascular diseases 3 , musculoskeletal disease, acute 57 myocardial infarction 4 , cancer 5 and worse quality of life in comparison to those who were 58 satisfied with their body weight 6 . 59Overweight and obesity have become a public health problem in the world. The 60 projection for 2025 is that about 2.3 billion adults are overweight, and more than 700 61 million are obese. According to a study conducted in 2016, the rate of overweight among 62 Brazilian women is 50.5%, increasing this frequency with age and up to 64 years 7 . 63Epidemiological data are still scarce associating excess weight with behavioural 64 and clinical variables in climacteric women 8 , using probabilistic samples 9 . Considering 65 that climacteric is an important period of the women life cycle, and that this period is 66 related to the potential peak of fat mass and obesity in this group, the current study aimed 67 to investigate the association between health conditions and excess of weight ratio in 68 climacteri...

This study aims to investigate the association between health conditions and overweight in climacteric women assisted by primary care professionals. It is a cross-sectional study conducted with 874 women from 40 to 65 years of age, selected by probabilistic sampling between August 2014 and August 2015. In addition to the outcome variable, overweight and obesity, other variables such as sociodemographic, reproductive, clinical, eating and behavioural factors were evaluated. Descriptive analyses of the variables investigated were performed to determine their frequency distributions. Then, bivariate analyses were performed through Poisson regression. For the multivariate analyses, hierarchical Poisson regression was used to identify factors associated with overweight and obesity in the climacteric period. The prevalence of overweight and obesity was 74%. Attending public school (PR: 1.30–95% CI 1.14–1.50), less schooling (PR: 1.11–95% CI 1.01–1.23), gout (PR: 1.18–95% CI 1.16–1.44), kidney disease (PR: 1.18–95% CI 1.05–1.32), metabolic syndrome (MS) (PR: 1.19–95% CI 1.05–1.34) and fat intake (PR: 1.12–95% CI 1.02–1.23) were considered risk factors for overweight. Having the first birth after 18 years of age (PR: 0.89–95% CI 0.82 to 0.97) was shown to be a protective factor for overweight and obesity. The presence of overweight and obesity is associated with sociodemographic, reproductive, clinical and eating habits.

Resumo Objetivo analisar a concordância entre as escalas de fragilidade Edmonton Frail Scale (EFS) e Índice de Vulnerabilidade Clínico Funcional (IVCF-20). Métodos estudo transversal durante o qual se aplicou, em domicílio, a Edmonton Frail Scale e o Índice de Vulnerabilidade Clínico Funcional para pessoas idosas cadastradas em unidades da Estratégia Saúde da Família de Montes Claros (MG) e selecionadas, aleatoriamente, por sorteio. Para avaliação da correlação e da concordância entre os instrumentos, foram calculados o coeficiente de correlação de Pearson e o Kappa ponderado, considerando-se três níveis de classificação da fragilidade, a saber: “robusto”, “em fragilização” e “frágil” para o IVCF-20 e “não frágil”, “vulnerável” e “frágil” para a EFS. Resultados Foram avaliadas 673 pessoas idosas, predominantemente pardas, com 60 a 74 anos e do sexo feminino. De acordo com o IVCF-20, 153 (22,7%) das pessoas idosas foram classificadas como “frágeis”, 195 (29%) “em fragilização” e 325 (48,3%) como pessoas idosas “robustas”. Conforme a EFS, 159 pessoas idosas (23,6%) foram classificadas como “frágeis”; 112 (16,6%) pessoas idosas “aparentemente vulneráveis” e 402 (59,7%) “sem fragilidade”. O coeficiente de correlação de Pearson foi 0,865 (p<0,001) e mostrou haver forte correlação positiva entre os instrumentos. A estatística Kappa apresentou valor de 0,532 (p=0,027) e revelou concordância moderada. Conclusão Os instrumentos avaliados apresentaram concordância moderada e forte correlação positiva, apesar das diferenças entre alguns dos seus componentes. Ambos se mostraram compatíveis para a avaliação de fragilidade em pessoas idosas no contexto da Atenção Primária à Saúde.

Objective to analyze the agreement between the Edmonton Frail Scale (EFS) and the Clinical Functional Vulnerability Index (CFVI-20). Methods cross-sectional study, during which the Edmonton Frail Scale and the Clinical Functional Vulnerability Index were applied, at home, to older adults, registered in units of the Family Health Strategy of Montes Claros (MG) and randomly selected by lot. To evaluate the correlation and agreement between the instruments, Pearson's correlation coefficient and the weighted Kappa were calculated, considering three levels of frailty classification, as follows: "robust", "risk of frail" and "frail" for the IVCF-20 and "not frail", "vulnerable" and “frail’” for the EFS. Results We evaluated 673 older adults, predominantly brown, between 60 and 74 years old and female. According to the IVCF-20, 153 (22.7%) of the older adults were classified as "frail", 195 (29%) as "risk of frail" and 325 (48.3%) as "robust". According to the EFS, 159 older adults (23.6%) were classified as "frail"; 112 (16.6%) older adults "apparently vulnerable" and 402 (59.7%) "not frail". Pearson's correlation coefficient was 0.865 (p<0.001) and showed a positive correlation between the instruments and Kappa statistics showed a value of 0.532 (p=0.027), revealing moderate agreement. Conclusion The instruments evaluated showed moderate agreement and strong positive correlation, despite the differences between some of their components. Both showed to be compatible for the assessment of frailty in older adults in the context of Primary Health Care.