Objective: To estimate the association between food intake and metabolic syndrome (MetS). Design: Cross-sectional design conducted from July 2006 to December 2007. Setting: Adolescents assisted by the Family Doctor Program (FDP) in Niterói, a metropolitan area in Rio de Janeiro State, Brazil. Subjects: Survey of 210 adolescents. Individuals with three or more of the following components of MetS were classified as having this syndrome: TAG $ 110 mg/dl; HDL cholesterol , 50 mg/dl for girls aged 12-19 years and boys aged 12-14 years or ,45 mg/dl for boys aged 15-19 years; waist circumference $75th percentile; serum glucose .100 mg/dl; and blood pressure $90th percentile. A semi-quantitative FFQ was used, and foods were grouped as: unprocessed or minimally processed foods (Group 1), processed culinary and food industry ingredients (Group 2) and ultra-processed foods (Group 3). The associations between food consumption and MetS were adjusted for sociodemographic, behavioural and family history covariates and were estimated using generalized estimation equations with the Poisson regression model. Results: MetS was diagnosed in 6?7 % of the adolescents; the most frequent diagnostic criteria included the reduction of HDL cholesterol (46?7 %), elevated serum glucose (17?1 %) and the elevation of waist circumference (16?7 %). Crude analysis showed higher average daily intakes of energy, carbohydrates and ultraprocessed foods among adolescents with MetS. After statistical adjustment, the intake of ultra-processed foods ($3rd quartile) remained associated with MetS (prevalence ratio 5 2?5; P 5 0?012). Conclusions: High consumption of ultra-processed foods was associated with the prevalence of MetS in this adolescents group.
(OR = 1.9; hemorrhage (OR = 2.2; hypertension (OR = 3.0; syphilis (OR = 3.3; lack of prenatal care (OR = 5.6;, cesarean section and hospital, were associated with near miss; while hemorrhage (OR = 4.6; 95%CI: 1,, lack of prenatal care (OR = 17.4;
O objetivo deste trabalho foi descrever o perfil epidemiológico e a tendência da mortalidade materna no Brasil, por meio de revisão de estudos sobre o tema. Foi realizada busca eletrônica de artigos científicos publicados entre 1980 e 2010, nas bases de dados LILACS e MEDLINE. Identificaram-se inicialmente 486 artigos. Após aplicação dos critérios de inclusão e exclusão restaram 50 artigos. A comparação dos dados mostrou queda da RMM de forma diferenciada nas regiões brasileiras. Os estudos sobre determinação do óbito materno apontaram desigualdades sociais relacionadas à cor da pele e escolaridade. O preenchimento incompleto da declaração de óbito e a subnotificação ainda persistem. Prevaleceram as causas obstétricas diretas, com predomínio das doenças hipertensivas. Quando analisada, a evitabilidade apontou falhas na assistência pré-natal e ao parto. Apesar de sua relevância, são poucos os artigos sobre mortalidade materna no Brasil. A RMM, embora em declínio, permanece em níveis elevados. Melhorias na qualidade da assistência pré-natal e ao parto são necessárias.
Como citarHeringer ALS, Kawa H, Fonseca SC, Brignol SMS, Zarpellon LA, Reis AC. Desigualdade na tendência da sífilis congênita no município de Niterói, Brasil 2007 a 2016. Rev Panam Salud Publica. 2020;44:e8. https://doi.
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