Navegando por Autor "MOURA, Erly Catarina de"

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Associação entre excesso de peso e consumo de feijão em adultos
(2010-04) SILVA, Sara Araújo da; SANTOS, Priscilla de Nazaré Silva dos; MOURA, Erly Catarina de
OBJECTIVE: The objective of this study was to assess the association between overweight and intake of beans in adults. METHODS: The study population was 2,352 adults (>18 years of age) living in Belém (PA), Brazil, in 2005. Sampling was done by randomly selecting households with a telephone landline and then selecting an adult in the household. The dependent variable was overweight, the explanatory variable was intake of beans and the confounding variables were age, education level, marital status, leisure-time physical activity and risky food habits. The data were analyzed by the chi-square test and logistic regression. RESULTS: A total of 2,352 individuals were assessed where 39.8% were males. The prevalence of overweight was higher in men (49.3%) than in women (34.0%, p<0.001). Overweight was directly associated with age in both genders and with education level in men. In women, overweight was inversely associated with education level. The food behavior variable that best associated with overweight was intake of beans. After adjustment for the other variables, the risk of overweight was approximately 1.4 times greater in men who ate beans less than five times per week, but the inverse was true for women. CONCLUSION: The data show that better controlled studies are needed to understand the association between intake of beans and excess weight.
Acesso aberto (Open Access)
Associação entre excesso de peso e hábito de fumar, Santarém, PA, 2007
(Universidade Federal do Pará, 2009-12) SÁ, Naíza Nayla Bandeira de; MOURA, Erly Catarina de
OBJECTIVE: To study the relationships between overweight and smoking habit. METHODS: A cross-sectional study was developed in a random sample (n = 944) of adults (> 18 years of age) from Santarem (state of Pará, northern Brazil) in 2007, through telephone interviews. The outcome variable was overweight and the explanatory variable, smoking habit. Confounding variables were: age, race, schooling, marital status, smoking habit, nutritional status at 20 years of age, alcohol abuse, leisure physical activity, and diet. The association between overweight and other variables was investigated by the chi-square test and Poisson regression in order to calculate crude and adjusted prevalence ratios, for overweight according to smoking habit. Three levels of hierarchy were considered: socio-demographic characteristics, nutritional status, and behavior. RESULTS: Data show 40.6% of overweight and 16.4% of smokers. Variables associated with overweight were: older age, low level of schooling, stable marital relationship, overweight at 20 years of age, and non-consumption of soft drinks for both sexes; no physical activity in leisure time for men and smoking habit (present and past) for women. Prevalence ratios of overweight were not associated with smoking habits for men, but for women there was a trend toward a higher prevalence of overweight for current smokers, reaching 2.56 times more than among never smokers and former smokers. CONCLUSION: This study showed a higher risk of overweight among women smokers, comparatively to former and never smokers. For men there was no association between overweight and smoking habit.
Acesso aberto (Open Access)
Associação entre hipertensão arterial e excesso de peso em adultos, Belém, Pará, 2005
(2008-08) BORGES, Hilma Paixão; CRUZ, Nilma do Carmo; MOURA, Erly Catarina de
BACKGROUND: Hypertension is a major public health issue affecting 20 to 25% of the global population of adults, and 12 to 35 % of Brazilians. OBJECTIVE: To evaluate the association between hypertension and overweight. METHODS: A cross-sectional study was conducted in 2005 with a probabilistic sampling of the population >18 years of age in Belém, capital of the state of Pará, in the Northern region of Brazil, using the telephone surveillance system for chronic diseases (SIMTEL). The dependent variable was hypertension, the explanatory variable was overweight and the confounding variables were age, level of education and lifestyle characteristics. The variables associated with hypertension were run through the regression logistic model and odds ratios were calculated for each variable. RESULTS: Hypertension affected 16.2% of men and 18.3% of women, and overweight affected 49.2% of men and 34.1% of women. The prevalence of hypertension was directly associated with age and overweight in both genders. Among men, hypertension was associated with intake of vegetables and low intake of beans (similar to kidney- and pinto-type beans); as for women, hypertension was associated with marital status (widow or separated), and inversely to education level. The risk of hypertension increased directly with weight for both genders (p<0.001), and it was 6.33 times higher among obese men and 3.33 among obese women as compared to normal-weight subjects. CONCLUSION: Overweight was associated with hypertension. However, variables such as age, education, and food consumption interfere in this relationship, creating circumstances favorable to reducing or increasing that risk.
Acesso aberto (Open Access)
Aumento do índice de massa corporal após os 20 anos de idade e associação com indicadores de risco ou de proteção para doenças crônicas não transmissíveis
(2009-12) COELHO, Mara Sérgia Pacheco Honório; ASSIS, Maria Alice Altenburg de; MOURA, Erly Catarina de
OBJECTIVE: To examine sociodemographic risk or protection factors for chronic non-communicable diseases (CNCDs) that may be associated with increase in body mass index (BMI) after the age of 20. METHODS: Cross-sectional analysis based on data from 769 women and 572 men who participated in the 2005 Surveillance System for Risk factors for CNCDs, Florianópolis, Brazil. BMI increase was defined in percentage as the difference between BMI in 2005 and at age 20. RESULTS: Since the age of 20, most of the respondents had increased their BMI by more than 10%. In multiples analysis, independent correlates of BMI increase were: advancing age, low education (women), being married (men), not working, low self-rated health, high blood pressure, high cholesterol/triglyceride levels (men), going on a diet, sedentarism and having been a smoker (women). CONCLUSIONS: Health promotion strategies to prevent weight gain need to be targeted to groups and should mainly consider sociodemographic factors.
Acesso aberto (Open Access)
Determinantes do estado de saúde de crianças ribeirinhas menores de dois anos de idade do Estado do Pará, Brasil: um estudo transversal
(2010-02) SILVA, Sara Araújo da; MOURA, Erly Catarina de
The aim of this study was to identify predictors of poor health in children less than two years of age from river-dwelling families in Pará State, Brazil. A total of 202 children were evaluated, considering poor health as the outcome variable, consisting of the combination of nutritional status, psychomotor development, and intercurrent illnesses in the previous month. The data were analyzed with a multilevel hierarchical model, and predictors of poor health were defined as variables with p < 0.05 after adjustment. According to the crude odds ratio, poor health is associated with families that own their own homes, are older, and present exclusive breastfeeding at two, three, four, and five months. After adjustment, children with families that own their homes showed 2.76 greater odds of having poor health; poor health also increased with age, and was 5.04 higher among children from 18 to 23 months, as compared to infants less than 7 months of age. In these communities, home owning and higher age represent longer exposure to the risk of poor health.
Acesso aberto (Open Access)
Freqüência de hipertensão arterial e fatores associados: Brasil, 2006
(2009-11) FERREIRA, Sandra Roberta Gouvea; MOURA, Erly Catarina de; MALTA, Deborah Carvalho; SARNO, Flávio
OBJECTIVE: To analyze the frequency of self-reported systemic arterial hypertension and associated factors. METHODS: Study based on data provided by the system of Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL - Telephone-based surveillance of risk and protective factors for chronic diseases), collected in 2006 in Brazil's capitals and Federal District. The frequency of systemic arterial hypertension was estimated in 54,369 adults, stratified by sex, geographic region, sociodemographic and behavioral variables and self-reported morbidities. Crude odds ratios of hypertension were calculated, as well as odds ratios adjusted for the study's variables. RESULTS: The frequency of self-reported hypertension was 21.6%. It was higher among women (24.4% versus 18.4%), lower in the North and Central-West regions and higher in the Southeast region. The frequency of hypertension increased with age, decreased with level of schooling, was higher among blacks and widowed subjects, and lower among singles. The chance of hypertension, adjusted for confounding variables, was higher in subjects with overweight, diabetes, dyslipidemia and cardiovascular events. CONCLUSIONS: Around one fifth of the population reported suffering from systemic arterial hypertension. The high frequencies of modifiable risk factors indicate the population segments on which intervention should be targeted, aiming to prevent and control hypertension.
Acesso aberto (Open Access)
Monitoramento por entrevistas telefônicas de fatores de risco para doenças crônicas: experiência de Goiânia, Goiás, Brasil
(2008-06) PEIXOTO, Maria do Rosário Gondim; MONEGO, Estelamaris Tronco; ALEXANDRE, Veruska Prado; SOUZA, Rávila Graziany Machado de; MOURA, Erly Catarina de
This study describes results from a surveillance system for risk factors for chronic non-communicable diseases in 2005 in the city of Goiânia, Goiás State, Brazil. A probabilistic sample (n = 2,002) of the adult population living in households with landline telephones was studied by phone interviews. Factors investigated were: food consumption, physical activity, smoking, alcohol intake, self-reported weight and height, and self-reported medical diagnosis of chronic non-communicable diseases. Prevalence and c2 values were calculated. The data showed: low consumption (< 5 days/week) of fruits and vegetables (47.1%), high rate of physical inactivity at work (86.6%), in commuting (92.6%), and during leisure time (61.9%), high alcohol consumption (36.5%), and high rates of obesity (10.6%), hypertension (22.4%), dyslipidemia (18.4%), and diabetes (4.4%). Most of the factors were inversely related to schooling and directly related to age (p < 0.05). High prevalence of risk factors for chronic non-communicable diseases was reported. The advantages of this system were: low operational cost and the ability to monitor trends in chronic non-communicable diseases at the local level.
Acesso aberto (Open Access)
Preditores da desnutrição infantil em populações ribeirinhas do Pará
(Universidade Federal do Pará, 2010) OLIVEIRA, Ana Paula Pereira de; MOURA, Erly Catarina de; http://lattes.cnpq.br/5136057288998726
Objective: To identify under nutrition’s determinants among children aged less than two years old, living close the rivers of Pará state (Brazil). Methods: Survey was conducted among 203 children form four river’s community: Aveiro (Southeast), Barcarena (Metropolitan), Cametá (Northeast) and Santarém (Low Amazon) by face to face interviews with the responsible for the child. The dependent variable was under nutrition, according to length to age less than -1 z-score following the recent World Health recommendation. Dependent variables were characteristics of household, family leader, child’s mother, pre-natal, family’s food pattern, child’s birth, mother’s care and child’s demography. The prevalence of under nutrition was calculated according to basic, intermediate and immediate indicators considering the distance between variables of the indicators and the outcome. Multilevel analysis was performed by logistic regression taking into account the hierarchy between indicators and under nutrition, according p<0.05. Results: The under nutrition prevalence reached 35.0% of the studied children, varying from 28.6% in Aveiro to 43.1% in Barcarena. The variables associated to under nutrition were low birth weight and aging. The child’s age was the under nutrition predictor: the likelihood of a child aged between 12 and 17 months old to present under nutrition was 3.4 times bigger than a child aged less than six months old, raising to five times for children aged between 18 and 23 months old. Conclusion: At river’s population, the under nutrition among children less than two years old still a severe health nutrition problem, probably because the long exposition time to the environmental risk factors.
Acesso aberto (Open Access)
Tabagismo associado a outros fatores comportamentais de risco de doenças e agravos crônicos não transmissíveis
(2010-08) BERTO, Silvia Justina Papini; CARVALHAES, Maria Antonieta Barros Leite; MOURA, Erly Catarina de
The study interviewed 1,410 adults by telephone. Respondents comprised a random sample and represented the population over 18 years of age living in households with landline telephone services. Smoking prevalence was 21.8%, higher in males (25%) and in the 18-29 year bracket. Smoking and sedentary lifestyle occurred together in 13.9% of males and 14.2% of females; smoking and low fruit consumption in 12.9% of males and 12.3% of females; and smoking and low vegetable consumption in 5.8% of males and 5.1% of females. An association between smoking and excessive alcohol intake was only observed in males (3.5%). As observed for smoking alone, the simultaneous occurrence of smoking and other behavioral risk factors for CNCD was inversely associated with schooling. Evidence of clustering between smoking and sedentary lifestyle, smoking and excessive alcohol intake, and smoking and improper diet thus calls for interventions focused on prevention and the concomitant reduction of major behavioral risk factors.
Acesso aberto (Open Access)
Tabagismo: prevalência e fatores associados na população adulta de Belém, Pará, 2007
(Universidade Federal do Pará, 2009-09-25) CARNEIRO, Saul Rassy; MOURA, Erly Catarina de; http://lattes.cnpq.br/5136057288998726
The aim of the study is to analyse the prevalence of smoking in the city of Belém-PA along with their associated factors. Secondary data were used from Belem-PA collected in 2007 by the national system of surveillance and risk factors for chronic diseases protection by phone survey (VIGITEL), which monitors the risk factors for chronic diseases protection in 26 Brazilian States capital and in the Federal District. The sample were 2014 individuals with 18 or more years old, which replied to the questions concerning socioeconomic factors, behavioural and state of health and related diseases. The results show that the prevalence of smokers was 14,3% (11,7- 16,9) where 21,1% (16.5-25,6) were men and 8,5% (5,9-11,1) were women. The men presented among their associated factors a ratio of prevalence of 0,58 (0,4- 0,83) for those who have more than 8 years of study and 1,9 (1,26-2,88) for those who consume alcoholic beverage. The women presented as associated factor the abuse of alcohol with a ratio of prevalence of 2,23 (1,15-4,32). We concluded that the prevalence is higher in men than in women and the factors associated would be low school level and the abuse of alcohol for men while that for women it would be only the abuse of alcohol.
Acesso aberto (Open Access)
Validação de indicadores do consumo de alimentos e bebidas obtidos por inquérito telefônico em Belém, Pará, Brasil
(2010-12) NEVES, Alice Cristina Medeiros das; GONZAGA, Lidyane Andrea Amaral; MARTENS, Irland Barroncas Gonzaga; MOURA, Erly Catarina de
The aim of this study was to evaluate the relative validity of indicators of food and beverage intake obtained from the telephone interview surveillance system (VIGITEL). A random sample (n = 100) was evaluated from the total sample of approximately two thousand adults studied by the system in 2009 in Belém, Pará State, Brazil. The indicators were protective factors (adequate consumption of fruit, vegetables, and leafy vegetables) and risk factors (consumption of saturated fat, soft drinks, and alcoholic beverages) for chronic non-communicable diseases. The telephone interview results were compared with those of three 24-hour recalls (reference standard). The reference standard showed underestimation in the indicators' frequency, except for soft drinks and alcoholic beverages. The mean consumption frequencies were generally higher in the exposed group interviewed by the VIGITEL system. We cannot conclude that the VIGITEL system is not a good indicator of consumption, since the reference standard also shows limitations. Nevertheless, its use as a surveillance tool in Brazil is justifiable.
Acesso aberto (Open Access)
Validade de indicadores de atividade física e sedentarismo obtidos por inquérito telefônico
(2008-08) MONTEIRO, Carlos Augusto; FLORINDO, Alex Antonio; CLARO, Rafael Moreira; MOURA, Erly Catarina de
OBJECTIVE: To assess the reliability and validity of indicators of physical activity and sedentariness obtained by means of a telephone-based surveillance system. METHODS: Reliability and validity studies were carried out in two random subsamples (n=110 and n=111, respectively) obtained from the total sample (N=2,024) of adults (≥18 years) studied by the system in the municipality of São Paulo in 2005. Studied indicators included frequency of “sufficiently active during leisure time,” “inactive in four domains of physical activity (leisure, work, transportation, and housework),” and “habit of watching television for long periods.” Reliability was assessed by comparing results of the original telephone interview with those of another identical interview repeated after seven to 15 days. Validity was assessed by comparing the results of the telephone interview with those of three 24-hour recalls (reference method) carried out in the week following the original interview. RESULTS: Frequencies obtained for of the three evaluated indicators were either identical or very similar for the first and second telephone interviews. Kappa coefficients ranged from 0.53 to 0.80, indicating good reliability for all indicators. In relation to the reference method, all indicators showed 80% or higher specificity, and sensitivity values were 69.7% for “watching television for long periods,” 59.1% for “inactive in four domains,” and 50% for “sufficiently active during leisure.” CONCLUSIONS: The indicators of physical activity and sedentariness included in the system seem reliable and sufficiently accurate. If kept operational in coming years, this system may provide Brazil with a useful instrument for evaluating public policies aimed at promoting physical activity and controlling non-transmissible chronic diseases associated with sedentariness.
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Vigilância de fatores de risco para doenças crônicas por inquérito telefônico nas capitais dos 26 estados brasileiros e no Distrito Federal (2006)
(2008-05) MOURA, Erly Catarina de; MORAIS NETO, Otaliba Libânio de; MALTA, Deborah Carvalho; MOURA, Lenildo de; SILVA, Nilza Nunes da; BERNAL, Regina Tomie Ivata; CLARO, Rafael Moreira; MONTEIRO, Carlos Augusto
OBJECTIVES: To describe methods and initial findings of the Surveillance System of Risk and Protective Factors for Chronic Non-Communicable Diseases through Telephone Interviews – VIGITEL implemented in Brazil in 2006. METHODS: VIGITEL studied random samples of individuals with 18 years of age or more living in households with telephones in each capital of the 26 Brazilian states and the Federal District (54,369 total individuals, and at least 2,000 per city). Sampling was based on complete electronic telephone directories in each city and included random selection of phone lines (households) and random selection of the household member to be interviewed. The questionnaire investigated demographic and socioeconomic characteristics, diet patterns, physical activity, smoking, consumption of alcoholic beverages, recalled weight and height, and other topics. Prevalence estimates of selected protective and risk factors, stratified by gender with corresponding 95% Confidence Intervals, were calculated for the adult population of each city using sample weighing factors designed to equalize the sample socio-demographic distribution in each city to the distribution observed in the same city in the Demographic Census of 2000. Estimates were also calculated for all cities together using additional sample weighing that took into account the adult population size of each city. FINDINGS: The five selected risk factors (smoking, excessive consumption of alcoholic beverages, overweight, habit of eating fatty meats, and physical inactivity) were more frequent among men than women. Among protective factors, the regular consumption of fruits and vegetables was more common among women than men and the opposite was seen for leisure-time physical activity. Strong differences among the cities were found for all protective and risk factors, with distinct patterns of regional distribution seen for different factors. DISCUSSION: The performance of the system, evaluated based on the quality of telephone directories and response and refusal rates, was appropriate and in general higher than the performance seen in similar systems of developed countries. The cost of R$ 31.15 per complete interview was half the cost of the Behavioral Risk-Factor Surveillance System and one fifth of the cost estimated for a household survey on risk factors for chronic diseases recently conducted in Brazil.