Gender and psychosocial factors associated with healthy lifestyle in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort: a cross-sectional study

Patrão, Ana Luísa; Almeida, Maria da Conceição Chagas de; Matos, Sheila Maria Alvim; Chor, Dóra; Aquino, Estela M. L.

doi:10.1136/bmjopen-2016-015705

Cited by 28 publications

(27 citation statements)

References 37 publications

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“…In Brazil, the incidence and risk factors for noncommunicable diseases by sex were investigated by the cohort study, Brazilian Longitudinal Study of Adult Health. A greater proportion of women were classified as having a healthier lifestyle (no current tobacco use, no moderate or excessive alcohol consumption, frequent physical activity, and healthy eating) when compared with men, which reinforces the findings in our study (15). This finding can be explained by greater access of Brazilian women (with or without noncommunicable diseases) to health services and medical consultations than men (16).…”

Section: Discussionsupporting

confidence: 90%

“…Our results show healthier lifestyles among women, both with and without diabetes, expanding the current evidence for women’s greater adherence to health-protective behaviors (15). In Brazil, the incidence and risk factors for noncommunicable diseases by sex were investigated by the cohort study, Brazilian Longitudinal Study of Adult Health.…”

Section: Discussionsupporting

confidence: 79%

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Needed Improvements in Diabetes Prevention and Management in Brazil

et al. 2018

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IntroductionDiabetes mellitus is one of the most common chronic diseases worldwide and its prevalence continues to increase. Adherence to good health behaviors provides better control of the disease. This study analyzed trends in the prevalence of diabetes among Brazilian adults between 2006 and 2016 and compared the frequency of key health behaviors between people with and without diabetes. MethodsWe analyzed data from 572,437 Brazilian adults interviewed between 2006 and 2016 by using the Surveillance System of Risk and Protection Factors for Chronic Diseases by Telephone Survey (Vigitel). We used regression models to investigate significant trends in the prevalence of diabetes and differences in adherence to health behaviors between people with and without diabetes.ResultsThe prevalence of diabetes increased significantly from 5.5% to 8.9% (P <.001), being higher among women, older adults, and those with less than a high school education. The greatest increase was observed among these groups with higher prevalence. People with diabetes had a lower frequency of risk behaviors and a higher frequency of protective behaviors when compared to people without diabetes. The greatest differences were observed in the consumption of soft drinks and sugar-sweetened beverages (9.5% vs 25.0%) and alcoholic beverages (9.0% vs 17.9%), and the smallest differences were related to regular consumption of fruits and vegetables (40.7% vs 34.0%) and meats with excess fat (24.3% vs 32.2%). People with diabetes reported less leisure-time physical activity (PRa, 0.92 [P < .001]) and less transport-related physical activity (PRa, 0.84 [P <.001]) than those without diabetes.ConclusionDiabetes prevalence increased between 2006 and 2016. People with diabetes had better dietary habits than those without diabetes, but still had risk behaviors such as insufficient physical activity.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 79%

Needed Improvements in Diabetes Prevention and Management in Brazil

et al. 2018

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“…For example, these data cannot account for sex differences in terms of behavioral or neurological adaptations to chronic stress. However, given that females, in general, are known to be more likely to make healthier lifestyle choices than men (42,43), the current data suggests that, in terms of inflammatory disease, the male population may be more susceptible than females.…”

Section: Perspectives and Significancementioning

confidence: 85%

In utero Exposure to Maternal Chronic Inflammation Transfers a Pro-Inflammatory Profile to Generation F2 via Sex-Specific Mechanisms

Adams

Smith

2020

Front. Immunol.

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Generational transfer of maladaptations in offspring have been reported to persist for multiple generations in conditions of chronic inflammation, metabolic and psychological stress. Thus, the current study aimed to expand our understanding of the nature, potential sex specificity, and transgenerational plasticity of inflammatory maladaptations resulting from maternal chronic inflammation. Briefly, F1 and F2 generations of offspring from C57/BL/6 dams exposed to a modified maternal periconception systemic inflammation (MSPI) protocol were profiled in terms of leukocyte and splenocyte counts and cytokine responses, as well as glucocorticoid sensitivity. Overall, F1 male and female LPS groups presented with glucocorticoid hypersensitivity (with elevated corticosterone and increased leukocyte glucocorticoid receptor levels) along with a pro-inflammatory phenotype, which carried over to the F2 generation. The transfer of inflammatory and glucocorticoid responsiveness from F1 to F2 is evident, with heritability of this phenotype in F2. The findings suggest that maternal (F0) perinatal chronic inflammation resulted in glucocorticoid dysregulation and a resultant pro-inflammatory phenotype, which is transferred in the maternal lineage but seems to affect male offspring to a greater extent. Of further interest, upregulation of IL-1β cytokine responses is reported in female offspring only. The cumulative maladaptation reported in F2 offspring when both F1 parents were affected by maternal LPS exposure is suggestive of immune senescence. Given the potential impact of current results and the lack of sex-specific investigations, more research in this context is urgently required.

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“…As diferenças de gênero por cuidados de atenção à saúde já são bem discutidas na literatura, o que inclui a adoção de hábitos saudáveis 24,25 . Distinção de papeis sociais e de autopercepção do estado de saúde e da imagem corporal justificam esses diferenciais.…”

Section: Perfil Saudável (%) Perfil De Risco (%)unclassified

Indicador multidimensional de fatores de risco relacionados ao estilo de vida: aplicação do método Grade of Membership

2019

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Resumo: Objetivou-se identificar perfis multidimensionais de fatores de risco relacionados ao estilo de vida, com a verificação de características sociodemográficas e de autopercepção de saúde associadas. Utilizaram-se dados da Pesquisa Nacional de Saúde (2013) de 45.881 indivíduos acima de 30 anos. Para a identificação dos perfis, foi utilizado o método Grade of Membership (GoM), com a inclusão de 12 variáveis. A análise de características associadas foi realizada por meio do teste qui-quadrado de Pearson e de regressão logística. Foram identificados dois perfis: “perfil saudável” (61,6%) e “perfil de risco” (38,4%). O “perfil saudável” é caracterizado pelo consumo adequado de frutas, vegetais, peixes, bem como pelo consumo não regular de refrigerante, carne com gordura e feijão; apresenta excesso de peso e faz atividade física recomendada no lazer. O “perfil de risco”, por sua vez, é caracterizado pelo não consumo de marcadores saudáveis, exceto o consumo de feijão, pelo consumo de todos os marcadores não saudáveis de alimentação, pelo hábito de substituir refeições por lanches, pelo consumo de álcool, uso de tabaco e por não serem fisicamente ativos no lazer. O perfil saudável associou-se ao sexo feminino, como também a idosos, brancos, residentes no Norte e Nordeste do Brasil, viúvos e casados, com maior escolaridade e com melhor autoavaliação de saúde. Já o perfil de risco se associou ao sexo masculino, como também a adultos jovens, residentes no Centro-oeste e Sul, solteiros, com menor escolaridade e com pior autoavaliação de saúde. Embora mais prevalente, o percentual de indivíduos com pertencimento total ao perfil saudável foi baixo. Fatores de risco relacionados ao estilo de vida estão associados a características sociodemográficas.

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Gender and psychosocial factors associated with healthy lifestyle in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort: a cross-sectional study

Cited by 28 publications

References 37 publications

Needed Improvements in Diabetes Prevention and Management in Brazil

Needed Improvements in Diabetes Prevention and Management in Brazil

In utero Exposure to Maternal Chronic Inflammation Transfers a Pro-Inflammatory Profile to Generation F2 via Sex-Specific Mechanisms

Indicador multidimensional de fatores de risco relacionados ao estilo de vida: aplicação do método Grade of Membership

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