Para investigar a prevalência de diabetes mellitus e fatores associados, conduziu-se estudo epidemiológico transversal em amostra de adultos com 30 anos e mais, residentes em Ribeirão Preto, São Paulo, Brasil. O processo de amostragem foi desenvolvido em três estágios e pesos amostrais foram calculados, obtendo-se amostra ponderada de 2.197 participantes. Para o diagnóstico de diabetes mellitus considerou-se história prévia e pontos de corte recomendados pela Organização Mundial da Saúde (OMS) para glicemias de jejum e pós-sobrecarga. Para identificação de fatores associados, razões de prevalências brutas e ajustadas foram estimadas por pontos e por intervalos, utilizando-se regressão de Poisson. A prevalência de diabetes mellitus foi 15,02%. Após o ajustamento para potenciais fatores de confusão, as seguintes variáveis permaneceram no modelo final: faixa etária; antecedentes familiares de diabetes mellitus; razão cintura/quadril; razão cintura/altura; uso de medicamentos e procura por serviços de saúde. Os resultados apontaram elevada prevalência de diabetes mellitus e permitiram a identificação de fatores associados, passíveis de intervenção.
An independent, inverse association between cognitive function and all-cause mortality has been reported in elderly cohorts. The purpose of this study was to determine whether the same association exists in middle-aged persons. The Atherosclerosis Risk in Communities Study is a cohort study initiated in 1987 to investigate the development of atherosclerosis in middle-aged persons. Three cognitive function measures were included in the second cohort examination conducted from 1990 to 1992 when the participants were aged 48-67 years: the Delayed Word Recall Test (DWRT), the Digit Symbol Substitution Test (DSST) (a subtest from the Wechsler Adult Intelligence Scale-Revised), and the Word Fluency Test from the Multilingual Aphasia Examination. Cox proportional hazards modeling was used to determine whether all-cause mortality ascertained through 1997 was associated with each measure after adjustment for sociodemographic, biologic, psychologic, and behavioral risk factors. Without adjustment, there was a significantly lower mortality hazard associated with higher scores on all three measures. After covariate adjustment, the hazard ratios for the DWRT and the DSST remained significant (hazard ratio1-point DWRT score increment = 0.90, 95% confidence interval: 0.84, 0.97; hazard ratio 7-point DSST score increment = 0.86, 95% confidence interval: 0.80, 0.93). Cognitive function measured in middle age appears to have prognostic importance for life expectancy similar to that reported in elderly adults.
The Preterm Oral Feeding Readiness Assessment Scale is considered valid to assist health professionals to initiate preterm feeding in view of promoting safe and objective breastfeeding.
This study aimed to investigate the prevalence rates for overweight and obesity among Mexican schoolchildren, identifying factors associated with the outcomes. A cross-sectional study was conducted in a sample consisting of 700 school
Evaluation of the real risk of development of gonadal tumors in TS patients with Y-derivative sequences in their chromosomal constitution may require a specific histopathological study, such as immunohistochemistry with OCT4.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.