Este estudo objetivou verificar a existência de associação entre o grau de atividade física e a presença de síndrome metabólica entre indígenas Khisêdjê. Foram avaliados 170 indivíduos com 20 anos ou mais. Obtiveram-se dados sociodemográficos, de testes físicos e análise de material biológico. Para análise dos dados, utilizou-se a estatística do qui-quadrado (p < 0,05), razões de prevalências (por ponto e por intervalo de 95% de confiança) brutas e ajustadas e teste t de Student. Resultados satisfatórios foram observados em relação aos testes de resistência cardiorrespiratória, flexibilidade, flexão de braço e tronco, além de na avaliação do nível de atividade física segundo o número de passos/dia. A prevalência de síndrome metabólica foi de 27,8%, sendo maior entre mulheres, entre indígenas nas faixas etárias de 39-49 anos e 50 anos ou mais e entre aqueles com desempenho inferior no teste de resistência cardiorrespiratória, impulso horizontal e número de passos/dia. Os resultados indicam a necessidade de maior vigilância no controle e prevenção dos fatores de risco que compõem a síndrome metabólica.
Aims
The study aimed to evaluate the effectiveness of the government school‐based program #Tamojunto2.0, the third Brazilian version of the European drug prevention program, Unplugged, in preventing the use of alcohol and other drugs.
Design
A parallel, two‐arm cluster randomized controlled trial was conducted in 205 classes in 73 public schools (37 intervention and 36 control) with a baseline assessment and follow‐up after 9 months.
Setting
Schools in the cities of São Paulo, Fortaleza and Eusebio in Brazil.
Participants
A total of 5208 students in the 8th grade with a mean age of 13.2 years (standard deviation = 0.8 years) and an equal gender ratio.
Intervention
In 2019, the intervention group attended 12 classes of the program #Tamojunto2.0, under the supervision of a team from the Ministry of Health. The control group did not receive any intervention to prevent alcohol and drug use.
Measurements
The primary outcome measured was prevalence of binge drinking (five or more doses of alcohol in an occasion) within the past month. Secondary outcomes were prevalence of initiation and use of alcohol, tobacco, inhalants, marijuana and cocaine within the past month.
Findings
A statistically significant difference was not found in the prevalence of binge drinking within the past month between intervention and control groups [odds ratio (OR) = 0.934; 95% confidence interval (CI) = 0.761–1.146]. However, students who were exposed to the program were less likely to initiate alcohol use than those in the control group (OR = 0.782; 95% CI = 0.636–0.961). The Bayes factor for reduction in binge drinking was 0.01, providing evidence in favor of the null hypothesis for this variable.
Conclusions
The drug prevention program #Tamojunto 2.0 reduced alcohol initiation, but appeared not to reduce past‐month binge drinking among 8th grade students in Brazil.
The aim of this study was to identify the incidence of metabolic syndrome and related diseases in the Khisêdjê population living in the XinguIndigenous Park, Mato Grosso State, Brazil, from 1999-2000
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