Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. 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 [3]. 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 [4]. 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...
At its present state, Social Media (SM) is an important stage to promote user participation, acting as an open space for the discussion of a multitude of fields, one of which being health. Professionals, like Registered Nutritionists and Dietitians (RNDs), whose access to media was traditionally more restricted, are also more engaged in this new context, creating a new scenario. To better understand how is this group of professionals using social media to communicate with their audiences is the main objective of this study. To approach this topic, a mapping was conducted, followed by a presentation of the summary of the evidence discovered: RDNs demographic and professional profile; their most used social media tools; the reasons why they use social media; their common behaviours and attitudes, as well as a review of the gaps and shortcomings in the literature. A literature review, using a structured approach was also conducted. 2877 works were screened, but only 8 were associated with answers. Of these 8, there were 2 studies that partially presented a quantitative analysis. Results show lacks in consolidated studies that can be used to support the creation of knowledge in this field. This lead to conclude that research about social media usage by nutritionist, at present, remains in a nascent stage and requires further studies.
RESUMOObjetivo: traçar o perfil sociodemográfico e clínico dos pacientes com esquizofrenia refratária que fazem uso do antipsicótico clozapina de acordo com a presença de síndrome metabólica. Método: Trata-se de um estudo epidemiológico de delineamento descritivo e transversal. A amostra final foi composta por 72 participantes que atenderam aos critérios de inclusão. Foram coletados dados sociodemográficos, clínicos, antropométricos e bioquímicos. Realizou-se análise descritiva dos dados. Resultados: Observou-se que a presença de síndrome metabólica em mulheres (58,8%) foi superior aos homens (41,2%). Os pacientes apresentaram percentuais mais elevados de alterações nos componentes da síndrome, principalmente glicemia e triglicérides. 65% dos pacientes fazem uso de quatro ou mais medicamentos e 47,1% dos indivíduos apresentaram sobrepeso e 38,2% obesidade. Conclusão: Sugere-se a construção de estratégias de prevenção primária das alterações metabólicas, bem como a monitoração continuada de suas questões clínicas, principalmente em relação aos componentes da síndrome. Descritores: Perfil de saúde; Características da população; Esquizofrenia; Clozapina; Síndrome x metabólica.ABSTRACT Objective: to trace the sociodemographic and clinical profile of patients with refractory schizophrenia that make use of antipsychotic clozapine according to the presence of metabolic syndrome. Method: This is an epidemiological study of descriptive and cross-sectional design. The sample consisted of 72 patients who met the inclusion criteria. Sociodemographic, clinical, anthropometric and biochemical data were collected. It was realized descriptive analysis of data. Results: It was observed that the presence of metabolic syndrome it was higher in women (58.8%) of than men (41.2%). Patients had higher percentages of changes in the components of the syndrome, especially glucose and triglycerides. 65% of patients make use of four or more drugs and 47.1% of subjects were overweight and 38.2% obese. Conclusion: it is suggested that the construction of primary prevention strategies of metabolic changes as well as continued monitoring of clinical issues, especially regarding the components of the syndrome. Descriptors: Health profile; Population characteristics; Schizophrenia; Clozapine; Metabolic syndrome x. RESUMEN Objetivo: trazar el perfil sociodemográfico y clínico de los pacientes con esquizofrenia refractaria que hacen uso de la clozapina antipsicótica de acuerdo con la presencia de síndrome metabólico. Método: Se trata de un estudio transversal epidemiológico. La muestra consistió en 72 pacientes que cumplían los criterios de inclusión. Se recogieron datos sociodemográficos, clínicos, antropométricos y bioquímicos. Un análisis descriptivo de los datos. Resultados: se observó que la presencia de síndrome metabólico en las mujeres (58,8%) fue mayor que en los hombres (41,2%). Los pacientes tenían mayores porcentajes de cambios en los componentes del síndrome, sobre todo glucosa y triglicéridos. 65% de los pacientes hacen uso de cuatro...
Objetivo: Avaliar os fatores associados à qualidade de vida relacionada à saúde em adolescentes escolares durante a pandemia de COVID-19. Método: Estudo transversal, realizado com 87 adolescentes de escola municipal de uma cidade do centro-oeste mineiro. Escala KIDSCREEN 52 foi utilizada para avaliar a Qualidade de Vida Relacionada à Saúde. Foram obtidos peso e altura autorrelatados, nível socioeconômico, consumo alimentar e nível de atividade física. Regressão linear múltipla foi realizada. Os dados foram analisados pelo programa estatístico Statistical Package for Social Sciences versão 21.0. Resultados: A prevalência de excesso de peso foi 32,2% e 56,9% dos adolescentes consumiram de três a cinco tipos de alimentos processados e/ou ultraprocessados no dia anterior à entrevista. Um percentual de 17,2% dos participantes foi classificado como sedentário e insuficiemente ativo e participantes da classe social C 1 obtiveram maiores medianas no domínio autopercepção corporal. Maiores medianas do domínio estado emocional foram evidenciadas em adolescentes do sexo feminino e aqueles que consumiam alimentos processados e ultraprocessados. Os meninos apresentaram maiores medianas nos domínios saúde e atividade física, sentimentos e amigos e apoio social. A análise multivariada apontou que o aumento da idade e do índice de massa corporal (IMC) associou-se à diminuição da qualidade de vida relacionada à saúde global. Conclusão: Os resultados mostram a importância do aprimoramento de políticas públicas voltadas para a qualidade de vida dos adolescentes com foco na promoção da alimentação saudável e estímulo à atividade física, em especial, durante a pandemia de COVID-19.
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