ABSTRACT The aging process is marked by a sedentary lifestyle and little physical activity, which is associated with the rapid and continuous decline in functional capacities, dependency and fragility. The objective of the work is aimed at assessing, through the test of maximum repetitions with non-extreme weights, the effect of the application of exercises with weights for the care of sarcopenia. Methods from the theoretical and empirical levels such as synthetic analytical, inductive-deductive, documentary review, documentary analysis, observation, survey and interview were applied. As a working instrument, a set of strength endurance and aerobic physical exercises was applied that allowed the measurement method to be used in seven older adults with sarcopenia, treated at the Center for Physical Activity and Health of the University of Sciences. of Physical Culture and Sports ¨Manuel Fajardo¨. The muscular strength work was evaluated using the aforementioned test, which made it possible to identify the real weight of the physical load with which they must train and, on that basis, the set of exercises with weights was developed. In the preliminary results recorded, through the application of the test, it was confirmed that the integration of weight work and aerobic work favorably influences strength gain in the older adults.

RESUMO O processo de envelhecimento é marcado por um estilo de vida sedentário e pouca atividade física, o que está associado ao declínio rápido e contínuo das capacidades funcionais, à dependência e à fragilidade. O objetivo do trabalho visa avaliar, por meio do teste de repetições máximas com pesos não extremos, o efeito da aplicação de exercícios com carga no tratamento da sarcopenia. Foram aplicados métodos dos níveis teórico e empírico como analítico, sintético, indutivo, dedutivo, revisão documental, análise documental, observação, levantamento e entrevista. Como instrumento de trabalho foi aplicada uma bateria de exercícios físicos resistidos de força e aeróbios que permitiu a utilização do método de mensuração em sete idosos com sarcopenia atendidos no Centro de Atividade Física e Saúde da Universidade de Ciências da Cultura Física e. Desporto ¨ Manuel Fajardo. O trabalho de força muscular foi avaliado por meio do referido teste, que possibilitou identificar o real peso da carga física com a qual devem treinar e, com base nisso, foi desenvolvida a bateria de exercícios com pesos. Nos resultados preliminares registrados, por meio da aplicação do teste, foi confirmado que a integração do trabalho com pesos e do trabalho aeróbio influencia favoravelmente o ganho de força em idosos.

RESUMEN El proceso de envejecimiento está marcado por el sedentarismo y la escasa actividad física, lo que se asocia a la disminución rápida y continua de las capacidades funcionales, la dependencia y la fragilidad. El objetivo del trabajo se orienta a valorar, mediante el test de repeticiones máximas con pesos no extremos, el efecto de la aplicación de ejercicios con pesas para la atención de la sarcopenia. Se aplicaron métodos de los niveles teóricos y empíricos como el analítico, sintético, inductivo, deductivo, revisión documental, análisis documental, observación, encuesta y entrevista. Se aplicó, como instrumento de trabajo, una batería de ejercicios físicos de resistencia a la fuerza, y aeróbicos que permitieron utilizar el método de medición en siete adultos mayores con sarcopenia, atendidos en el Centro de Actividad Física y Salud de la Universidad de las Ciencias de la Cultura Física y Deportes ¨ Manuel Fajardo. Se evaluó el trabajo de fuerza muscular mediante el test mencionado, lo que permitió identificar el peso real de la carga física con la que deben entrenar y, sobre esa base, se elaboró la batería de ejercicios con pesas. En los resultados preliminares registrados, mediante la aplicación del test, se constató que la integración del trabajo con pesas y el aeróbico influyen de manera favorable en la ganancia de fuerza en el adulto mayor.

RESUMEN Introducción: las enfermedades del pie relacionadas a la diabetes mellitus representan una de las causas de mayor morbilidad e incapacidad en las personas con diabetes mellitus tipo 2, siendo la causa más frecuente de ingreso hospitalario en dicho grupo. Objetivo: describir las características clínicas de los pacientes con enfermedad del pie relacionadas a la diabetes mellitus del Hospital Nacional 2022-2023. Metodología: se seleccionaron 113 pacientes portadores de diabetes mellitus tipo 2 con pie diabético mayores de 18 años. Se evaluaron las variables demográficas, medidas antropométricas, características de la enfermedad, comorbilidades y características clínicas del pie. Resultados: de los 113 estudiados 42 pacientes (37 %) correspondieron al sexo femenino y 71 (63 %) al sexo masculino, promedio de edad fue de 65 años DE 12,191. 75 pacientes (66 %) presentaron pie diabético, con lesión Wagner grado 4. El 81 % (92) tenía hipertensión arterial, sedentarismo 65 % (84), en menor frecuencia pacientes con sobrepeso 38 % (43), obesidad 25 % (38), tabaquismo 23 % (26) y dislipidemia 18 % (20). Conclusión: las características clínicas de los pacientes con diabetes tipo 2 con lesión en el pie coinciden con otros trabajos obtenidos a nivel mundial. Es muy importante prestar atención a este grupo de riesgo, mediante medidas preventivas y realizar el tratamiento precoz para disminuir las complicaciones.

ABSTRACT Introduction: foot diseases related to diabetes mellitus represent one of the causes of greatest morbidity and disability in people with type 2 diabetes mellitus, being the most frequent cause of hospital admission in said group. Objective: to describe the clinical characteristics of patients with foot disease related to diabetes mellitus at Hospital Nacional 2022-2023. Methodology: 113 patients with type 2 diabetes mellitus with diabetic foot over 18 years of age were selected. Demographic variables, anthropometric measurements, disease characteristics, comorbidities, and clinical characteristics of the foot were evaluated. Results: of the 113 studied, 42 patients (37 %) were female and 71 (63 %) were male, average age was 65 years SD 12,191. 75 patients (66 %) presented diabetic foot, with Wagner grade 4 lesion. 81 % (92) had high blood pressure, sedentary lifestyle 65 % (84), less frequently overweight patients 38 % (43), obesity 25% (38) ), smoking 23 % (26) and dyslipidemia 18 % (20). Conclusion: the clinical characteristics of patients with type 2 diabetes with foot injury coincide with other works obtained worldwide. It is very important to pay attention to this risk group, through preventive measures and carry out early treatment to reduce complications.

ABSTRACT Foundation: acute coronary syndromes constitute a health problem due to their high morbidity and mortality. It would be reasonable to assume that health workers take care of and control their own coronary risk factors, however, research results show that this is not always the case. Objective: to characterize coronary risk factors in workers at the Guillermo Domínguez López General Teaching Hospital in Las Tunas. Method: a descriptive cross-sectional study was carried out at the Guillermo Domínguez López General Teaching Hospital in Las Tunas between December 2019 and December 2022. The study population was 912 workers and the sample was 200. It was a probabilistic, simple random sampling divided into two groups: A (with acute coronary syndrome) and B (without acute coronary syndrome). The following variables were analyzed: age, sex, coronary risk factors. The information was obtained from clinical records and analyzed in percentage, mean, standard deviation and the z statistic to obtain the influence of risk factors on the disease. Results: the average age of group A: 56.5 (±5.03), group B: 46.4 (±11.33) years with a predominance of the male sex (54.5 %). The predominant risk factors were: sedentary lifestyle (57 %), smoking (36.5 %) and high blood pressure (34 %). Those with the greatest influence were: a history of ischemic heart disease, vascular disease, abdominal obesity (z: 0.99), diabetes mellitus (z: 0.92) and arterial hypertension (z: 0.70). Conclusions: coronary syndrome predominates in the fifth decade of life and is more common in males.

RESUMEN Fundamento: los síndromes coronarios agudos constituyen un problema de salud debido a su alta morbilidad y mortalidad. Sería razonable asumir que los trabajadores de la salud cuidan y controlan sus propios factores de riesgo coronario, no obstante, los resultados obtenidos en investigaciones muestran que no siempre es así. Objetivo: caracterizar los factores de riesgo coronario en trabajadores del Hospital General Docente Guillermo Domínguez López de Las Tunas. Método: se realizó un estudio descriptivo de corte transversal en el Hospital General Docente Guillermo Domínguez López de Las Tunas entre diciembre de 2019 y diciembre de 2022. La población de estudio fue de 912 trabajadores y la muestra de 200. Fue un muestreo probabilístico, aleatorio simple, dividido en dos grupos: A (con síndrome coronario agudo) y B (sin síndrome coronario agudo). Se analizaron las siguientes variables: edad, sexo, factores de riesgo coronario. La información se obtuvo de expedientes clínicos y se analizó en porcentaje, media, desviación estándar y el estadígrafo z para obtener la influencia de los factores de riesgo en la enfermedad. Resultados: la media de edad del grupo A: 56,5 (±5,03), grupo B: 46,4 (±11,33) años con predominio del sexo masculino (54,5 %). Los factores de riesgo que predominaron fueron: sedentarismo (57 %), tabaquismo (36,5 %) e hipertensión arterial (34 %). Los de mayor influencia fueron: los antecedentes de cardiopatía isquémica, la enfermedad vascular, la obesidad abdominal (z: 0,99), la diabetes mellitus (z: 0,92) y la hipertensión arterial (z: 0,70). Conclusiones: el síndrome coronario predomina en la quinta década de la vida y con mayor frecuencia en el sexo masculino.

ABSTRACT Foundation: cerebrovascular disease is any alteration of one or more brain areas, whether temporary or permanent, secondary to a cerebral circulation disorder of ischemic or hemorrhagic origin. For many years it has been considered one of the main causes of death worldwide. It is among the main causes of death in Ecuador. Objective: to describe the risk factors for cerebrovascular diseases in adult patients diagnosed with cerebrovascular diseases at the Tulcán Sur Health Center over a period of 1 year. Methods: a descriptive and cross-sectional study was carried out at the Tulcán Sur Health Center, over a period of 1 year, from September 2022 to September 2023. The universe consisted of 130 patients. The sociodemographic variables were analyzed: age and sex; clinical: presence or absence of high blood pressure, smoking, alcoholism, diabetes mellitus, dyslipidemia, atrial fibrillation and sedentary lifestyle. The normality of the data distribution was analyzed using the Kolmogorov-Smirnov test. Categorical variables were expressed in absolute and relative frequencies. Quantitative variables were described using the mean and standard deviation. Results: the mean age of the population was 61.0 ± 16.5. The male sex predominated with 70 patients (53.8 %). High blood pressure, smoking and obesity were the most common cardiovascular risk factors with 73 (56.5 %), 79 (60.7 %), 64 (49.2 %) patients respectively. Conclusions: high blood pressure, smoking and obesity were the most prevalent risk factors.

RESUMEN Fundamento: la enfermedad cerebrovascular es toda alteración de una o varias áreas encefálicas, ya sea de forma transitoria o permanente, secundaria a un trastorno de la circulación cerebral de origen isquémico o hemorrágico. Por muchos años ha sido considerada una de las principales causas de muerte a nivel mundial. Está entre las principales causas de muerte en Ecuador. Objetivo: describir los factores de riesgo de enfermedades cerebrovasculares en pacientes adultos diagnosticados con enfermedades cerebrovasculares en el Centro de Salud Tulcán Sur en un periodo de 1 año. Métodos: se realizó un estudio descriptivo y transversal, en el Centro de Salud Tulcán Sur, en un periodo de 1 año, desde septiembre del 2022 a septiembre del 2023. El universo lo constituyeron 130 pacientes. Se analizaron las variables sociodemográficas: edad y sexo; clínicas: presencia o no de hipertensión arterial, tabaquismo, alcoholismo, diabetes mellitus, dislipidemia, fibrilación auricular y sedentarismo. La normalidad de la distribución de los datos fue analizada utilizando la prueba de Kolmogorov-Smirnov. Las variables categóricas fueron expresadas en frecuencias absoluta y relativa. Las variables cuantitativas se describieron utilizando la media y la desviación típica. Resultados: la media de edad de la población fue de 61,0 ± 16,5. El sexo masculino predominó con 70 pacientes (53,8 %). La hipertensión arterial, el tabaquismo y la obesidad fueron los factores de riesgo cardiovascular más frecuentes con 73 (56,5 %), 79 (60,7 %), 64 (49,2 %) pacientes respectivamente. Conclusiones: la hipertensión arterial, el tabaquismo y la obesidad fueron los factores de riesgo con más prevalencia.

Resumo: O retorno às atividades presenciais acendeu o alerta para o sedentarismo que se desenvolveu durante o período de confinamento, devido à inclinação ao conforto de permanecer no ambiente familiar. O manuscrito examina o impacto que a pandemia de Covid-19 teve nas instituições educacionais do sul do Peru. Após uma breve introdução, exploramos o medo desenvolvido em relação à interação presencial por parte dos principais agentes impulsionadores do corpus educacional e do desenvolvimento específico da educação nos Andes. Como ramificação da construção teórica, há entre os estudantes uma saudade do passado invernal abalado pelas ondas vibratórias do morcego de Wuhan, pois com o retorno à presencialidade, seu conforto na Internet e usar como desculpa o fato de estar num ambiente virtual para não cuidar de certas responsabilidades acadêmicas e domésticas não será mais possível. No âmbito do ensino, retoma-se o combate frontal aos múltiplos problemas educacionais do país abandonado há dois longos anos; finalmente, para os pais, abre-se no túnel da preocupação, a luz da esperança de ver novamente os filhos com o sagrado uniforme escolar.

Resumen El retorno a la presencialidad ha hecho sonar las alarmas del sedentarismo construido durante el confinamiento debido a la tendencia por la comodidad de no salir del nido. Este ensayo delibera la derivación que ha tenido la pandemia del COVID-19 en las instancias educativas en el sur del Perú. Tras una breve introducción, se aborda el miedo al cara a cara de los principales actores que dinamizan el corpus educacional y el desarrollo específico de la educación en los Andes. Como ramificación del constructo teórico, existe en las personas estudiantes la añoranza hacia el pasado invernal sacudido por las ondas vibratorias del murciélago de Wuhan, porque, con el retorno a la presencialidad, sus comodidades en la red de internet y la excusa de estar en clases virtuales para no ocuparse de ciertas responsabilidades académicas y domésticas ya no serán posibles. En cuanto a la esfera magisterial, se reanuda el combate frontal hacia los múltiples problemas educativos en el país, abandonado por dos largos años; finalmente, para el estrato de progenitores, se aparece en el túnel de la preocupación, la luz de esperanza de ver a sus hijos(as) nuevamente con el sagrado uniforme escolar.

Abstract: The return to presentiality has raised the alarms of the sedentary lifestyle that was built during the confinement and the tendency to the convenience of not leaving the nest. The manuscript explores the repercussions that the Covid-19 pandemic has had on educational institutions in Southern Peru. After a brief introduction, it addresses the face-to-face fear felt by the main actors in the educational corpus, also addressing the specific development of education in the Andes. As a ramification of the theoretical construct, students long for the winter past shaken by the vibrational waves of the Wuhan bat, because with the return to face-to-face, their comforts in the Internet network and the excuse of being in virtual classes to avoid taking care of certain academic and domestic responsibilities, will no longer be possible. As for the teachers’ sphere, the frontal fight against the multiple educational problems in the country, abandoned for two long years, will be resumed. Finally, regarding the parents’ stratum, a light of hope to see their children again wearing the sacred school uniform is starting to shine in a tunnel of worry

Abstract Objectives To present observational studies investigating associations between the consumption of ultra-processed foods and health outcomes in childhood and adolescence. Data source Observational, cross-sectional, or longitudinal studies were considered, and identified in the Scopus, Web of Science, Pubmed and Scielo databases, without date restrictions. Data synthesis The most frequent combinations of risk factors in children and adolescents involved an unhealthy diet, with regular consumption of ultra-processed foods to the detriment of a diet based on fresh or minimally-processed foods and insufficient levels of physical activity; records on alcohol and tobacco use were identified. Combined, these practices contribute to the findings that indicate an increase in the prevalence of obesity in children and adolescents and a sedentary lifestyle, with a decrease in physical activity, in addition to representing a risk for the development of chronic non-communicable diseases, such as cardiovascular diseases and periodontal disease in childhood and adolescence. Conclusions The present study maps the current literature on the topic and indicates the direction of the approach for health promotion and prevention of NCDs in children and adolescents. Among the different risk factors that negatively affect the full development of this population, frequently eating breakfast and practicing physical activity is most strongly associated with a lower consumption of ultra-processed foods and should be part of an integrated approach to promoting eating practices that favor the reduction of diseases also in adult life. ultraprocessed ultra processed adolescence Observational crosssectional, crosssectional cross sectional, sectional cross-sectional considered Scopus Science databases restrictions minimallyprocessed minimally Combined lifestyle noncommunicable non communicable population life

Abstract Objective: To know the scientific evidence to identify patterns of changes in lifestyles during childhood and their association with various anthropometric parameters in infants caused during confinement by COVID-19. Materials and methods: A systematic analysis was carried out following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guide in the PubMed and Google Scholar databases, the keywords used were diabetes mellitus tipo 2 or diabetes mellitus type II, hipertensión or hypertension, cuarentena or quarantine, covid-19, infantes or child, estilos de vida saludables or healthy lifestyles, sedentarismo or sedentarism, comportamientos alimentarios or eating behaviors. The search was carried out from April 2019 to June 2022. Results: The search yielded 221 articles, only 5 articles met the inclusion, exclusion and quality criteria, which show that the COVID-19 confinement caused changes in lifestyles. life that were mainly associated with a sedentary lifestyle during childhood. Conclusions: There is little information on the effects that COVID-19 confinement has caused on the lifestyles of infants, the existing information shows changes in pro-healthy eating habits in infants and decreased physical activity; therefore, activities aimed at guardians or responsible adults are recommended so that they can supervise feeding and improve nutrition, as well as carry out activities that encourage physical activity.

Resumen Objetivo: Conocer las evidencias científicas que evidencian cambios en los patrones de estilos de vida durante la infancia y su asociación con el confinamiento causado por la COVID-19. Materiales y métodos: Se realizó un análisis sistemático siguiendo los lineamientos de la guía Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) en las bases de datos de PubMed y Google Académico, las palabras claves utilizadas fueron diabetes mellitus type II o diabetes mellitus tipo II, hypertension o hipertensión, quarantines o cuarentena, covid 19, infants o infantes, child o niños, healthy lifestyle o estilo de vida saludable, sedentary behavior o sedentarismo, feeding behaviors o comportamientos alimentarios. La búsqueda se realizó de abril 2019 a junio 2022. Resultados: La búsqueda arrojó 221 artículos, sólo 5 artículos cumplieron los criterios de inclusión, exclusión y criterios de calidad, los cuales muestran que el confinamiento por COVID-19 causó cambios en los estilos de vida que se asociaron principalmente al sedentarismo durante la infancia. Conclusiones: Existe poca información sobre los efectos que ha causado el confinamiento por la COVID-19 en los estilos de vida de los infantes, la existente muestra cambios en los hábitos alimentarios pro-saludables en infantes y disminución de la actividad física; por lo que se recomiendan actividades dirigidas a los tutores o adultos responsables para que supervisen la alimentación y la mejora de la nutrición, así como realizar actividades que fomenten la actividad física.

ABSTRACT The increase in obesity in the world demands a strategic plan aimed at its prevention in the immediate, medium and long term, given that children who present with obesity from an early age tend to maintain this state in subsequent periods of their lives, which leads to acquiring other so-called non-communicable diseases. Advanced studies have identified strategies based on the development of technological proposals that contribute to the promotion of physical activity through active games for children. These proposals constitute postmodern alternatives that motivate a change in sedentary behaviors to consolidate healthy lifestyle habits. It is necessary to implement programs aimed at preventing obesity in pediatric ages, mediated by active video games as educational alternatives that promote the reduction of periods of sedentary lifestyle and the control of chronic non-communicable diseases.

RESUMEN El incremento de la obesidad en el mundo demanda de un plan estratégico dirigido a su prevención en el inmediato, mediano y a largo plazo, dado que los niños que desde edades tempranas presentan condiciones de obesidad, tienden a mantener este estado en periodos siguientes de su vida, lo que conlleva a adquirir otras enfermedades denominadas no transmisibles. Estudios adelantados han identificado estrategias fundamentadas en el desarrollo de propuestas tecnológicas que aportan a la promoción de la actividad física mediante juegos activos para los niños. Estas propuestas constituyen alternativas postmodernas que motivan a un cambio de conductas sedentarias para la consolidación de hábitos de vida saludables. Es necesario la implementación de programas orientados a la prevención de la obesidad en edades pediátricas, mediados por videojuegos activos como alternativas didácticas que promuevan la disminución de los periodos de sedentarismo y el control de enfermedades crónicas no transmisibles.

Resumen Introducción: Frente al COVID-19 se adoptaron medidas de restricción social que influyeron en los hábitos de vida de la población, aumentando el sedentarismo. Considerando la alta complejidad y la dedicación exigida por la carrera de Medicina, se torna relevante investigar el efecto pandémico sobre la práctica de ejercicio físico y la conducta sedentaria de estos estudiantes. Objetivos: Identificar los cambios en la actividad física y en la conducta sedentaria auto-reportados por los estudiantes de Medicina de la ciudad de Salvador, Bahía, Brasil, antes y durante el auto-confinamiento impuesto por la pandemia de COVID-19. Métodos: Estudio longitudinal, prospectivo, cuantitativo, realizado con estudiantes de medicina regularmente matriculados, mayores de 18 años. Foi aplicado um questionário virtual, estruturado, anónimo, autocompletado, contendo aspectos sociodemográficos e académicos. Além disso, foi aplicado o International Physical Activity Questionnaire (IPAQ), em sua versão curta, considerando o período antes e durante a pandemia. A través de éste, se midió el nivel de actividad física, el comportamiento sedentario y el tiempo dedicado a caminar, así como las actividades moderadas y vigorosas. Resultados: Se incluyeron 268 estudiantes de medicina, predominantemente mujeres (65,7%), blancas (50,0%) y morenas (38,8%), de 24,2 ± 5,5 años de edad, solteras (90,7%), en el ciclo clínico (59,0%), en instituciones privadas (78,4%). No se identificaron diferencias estadísticamente significativas en el nivel de actividad física y el tiempo dedicado a actividades moderadas y vigorosas. Sin embargo, hubo una reducción en el tiempo de caminata (p<0,00001) y un aumento en la conducta sedentaria (p=0,001) durante la pandemia COVID-19, siendo mayor el impacto entre las mujeres (p=0,0009). Conclusión: Las repercusiones de la pandemia COVID-19 se manifestaron en el aumento de la conducta sedentaria entre los estudiantes de medicina, especialmente entre las mujeres, además de la reducción del tiempo de actividad dedicado a caminar. Son necesarios estudios longitudinales para analizar las consecuencias a medio y largo plazo de este cambio en los hábitos de vida saludables de los estudiantes de medicina. Nivel de evidencia II; Estudio Prospectivo Comparativo. Introducción COVID19 COVID 19 COVID-1 población sedentarismo Objetivos autoreportados auto reportados Salvador Bahía Brasil autoconfinamiento confinamiento COVID19. 19. Métodos longitudinal prospectivo cuantitativo matriculados 1 virtual estruturado anónimo autocompletado académicos disso IPAQ, IPAQ , (IPAQ) curta éste caminar vigorosas Resultados 26 65,7%, 657 65,7% 65 7 (65,7%) 50,0% 500 50 0 (50,0% 38,8%, 388 38,8% 38 8 (38,8%) 242 24 2 24, 55 5 5, edad 90,7%, 907 90,7% 90 (90,7%) 59,0%, 590 59,0% 59 (59,0%) 78,4%. 784 78,4% . 78 4 (78,4%) embargo p<0,00001 p000001 p 00001 (p<0,00001 p=0,001 p0001 001 (p=0,001 COVID19, 19, p=0,0009. p00009 p=0,0009 0009 (p=0,0009) Conclusión II Comparativo COVID1 COVID- (IPAQ 65,7 6 (65,7% 50,0 (50,0 38,8 3 (38,8% 90,7 9 (90,7% 59,0 (59,0% 78,4 (78,4% p<0,0000 p00000 0000 (p<0,0000 p=0,00 p000 00 (p=0,00 p0000 p=0,000 000 (p=0,0009 65, (65,7 50, (50, 38, (38,8 90, (90,7 59, (59,0 78, (78,4 p<0,000 (p<0,000 p=0,0 p00 (p=0,0 (p=0,000 (65, (50 (38, (90, (59, (78, p<0,00 (p<0,00 p=0, p0 (p=0, (65 (5 (38 (90 (59 (78 p<0,0 (p<0,0 p=0 (p=0 (6 ( (3 (9 (7 p<0, (p<0, p= (p= p<0 (p<0 (p p< (p<

ABSTRACT Introduction: In order to face COVID-19, social restriction measures were adopted that influenced the population's living habits, increasing sedentary lifestyle. Considering the high complexity and dedication required by the Medicine course, it becomes relevant to investigate the effect of the pandemic on the practice of physical exercise and sedentary behavior of these students. Objective: Identify changes in physical activity and sedentary behavior self-reported by medical students in the city of Salvador, Bahia, before and during the self-confinement imposed by the COVID-19 pandemic. Methods: Longitudinal, prospective, quantitative study carried out with regularly enrolled medical students over 18 years of age. A virtual, structured, anonymous, self-completed questionnaire was applied, containing sociodemographic and academic aspects. In addition, the International Physical Activity Questionnaire (IPAQ) was applied in its short version, considering the period before and during the pandemic. Through this, the level of physical activity, sedentary behavior and time spent walking and performing moderate and vigorous activities were measured. Results: 268 medical students were included, predominantly women (65.7%), white (50.0%) and mixed race (38.8%), aged 24.2 ± 5.5 years, single (90.7%), attending the clinical cycle (59.0%), in private institutions (78.4%). No statistically significant differences were identified in the level of physical activity and in the time spent with moderate and vigorous activities. However, there was a reduction in walking time (p<0.00001) and an increase in sedentary behavior (p=0.001) during the COVID-19 pandemic, with the greatest impact among women (p=0.0009). Conclusion: The repercussions of the COVID-19 pandemic have been shown to increase the sedentary behavior of medical students, especially among women, and to reduce activity time spent with walking. Longitudinal studies are needed to analyze the medium and long-term consequences of this change in the healthy lifestyle habits of medical students. Level of evidence II; Comparative prospective study. Introduction COVID19, COVID19 COVID 19, 19 populations population s course Objective selfreported self reported Salvador Bahia selfconfinement confinement COVID-1 Methods 1 age virtual structured anonymous selfcompleted completed aspects addition IPAQ (IPAQ version measured Results 26 included 65.7%, 657 65.7% , 65 7 (65.7%) 50.0% 500 50 0 (50.0% 38.8%, 388 38.8% 38 8 (38.8%) 242 24 2 24. 55 5 5. 90.7%, 907 90.7% 90 (90.7%) 59.0%, 590 59.0% 59 (59.0%) 78.4%. 784 78.4% . 78 4 (78.4%) However p<0.00001 p000001 p 00001 (p<0.00001 p=0.001 p0001 001 (p=0.001 p=0.0009. p00009 p=0.0009 0009 (p=0.0009) Conclusion longterm long term II COVID1 COVID- 65.7 6 (65.7% 50.0 (50.0 38.8 3 (38.8% 90.7 9 (90.7% 59.0 (59.0% 78.4 (78.4% p<0.0000 p00000 0000 (p<0.0000 p=0.00 p000 00 (p=0.00 p0000 p=0.000 000 (p=0.0009 65. (65.7 50. (50. 38. (38.8 90. (90.7 59. (59.0 78. (78.4 p<0.000 (p<0.000 p=0.0 p00 (p=0.0 (p=0.000 (65. (50 (38. (90. (59. (78. p<0.00 (p<0.00 p=0. p0 (p=0. (65 (5 (38 (90 (59 (78 p<0.0 (p<0.0 p=0 (p=0 (6 ( (3 (9 (7 p<0. (p<0. p= (p= p<0 (p<0 (p p< (p<

RESUMO Introdução: Foram adotadas medidas de restrição social para o enfrentamento da COVID-19 que influenciaram nos hábitos de vida da população, aumentando o sedentarismo. Considerando a alta complexidade e a dedicação exigida pelo curso de Medicina, torna-se relevante investigar o efeito da pandemia na prática de exercício físico e conduta sedentária desses estudantes. Objetivos: Identificar alterações na atividade física e na conduta sedentária autorrelatadas por acadêmicos de Medicina na cidade de Salvador, Bahia, antes e durante o autoconfinamento imposto pela pandemia de COVID-19. Métodos: Estudo longitudinal, prospectivo, quantitativo, realizado com estudantes de Medicina, maiores de 18 anos, regularmente matriculados. Foi aplicado um questionário virtual, estruturado, anônimo, de autopreenchimento, contendo aspectos sociodemográficos e acadêmicos. Além disso, foi aplicado o International Physical Activity Questionnaire (IPAQ), em sua versão curta, considerando o período antes e durante a pandemia. Através deste, foram mensurados nível de atividade física, conduta sedentária e tempo de realização de caminhada, além de atividades moderadas e vigorosas. Resultados: Foram incluídos 268 estudantes de Medicina, predominantemente mulheres (65,7%), da raça branca (50,0%) e parda (38,8%), com idade de 24,2 ± 5,5 anos, solteiros (90,7%), cursando o ciclo clínico (59,0%), em instituições privadas (78,4%). Não foram identificadas diferenças estatisticamente significantes no nível de atividade física e no tempo despendido com atividades moderadas e vigorosas. Entretanto, houve redução no tempo de caminhada (p<0,00001) e aumento da conduta sedentária (p=0,001) durante a pandemia de COVID-19, sendo o impacto maior entre as mulheres (p=0,0009). Conclusão: Foram demonstradas as repercussões da pandemia de COVID-19 no aumento da conduta sedentária dos estudantes de Medicina, principalmente entre as mulheres, além da redução do tempo de atividade despendido com caminhadas. Estudos longitudinais são necessários para analisar as consequências a médio e longo prazo dessa alteração nos hábitos de vida saudáveis de estudantes de Medicina. Nível de evidência II; Estudo Prospectivo Comparativo. Introdução COVID19 COVID 19 COVID-1 população sedentarismo tornase torna se Objetivos Salvador Bahia COVID19. 19. Métodos longitudinal prospectivo quantitativo 1 anos matriculados virtual estruturado anônimo autopreenchimento disso IPAQ, IPAQ , (IPAQ) curta deste vigorosas Resultados 26 65,7%, 657 65,7% 65 7 (65,7%) 50,0% 500 50 0 (50,0% 38,8%, 388 38,8% 38 8 (38,8%) 242 24 2 24, 55 5 5, 90,7%, 907 90,7% 90 (90,7%) 59,0%, 590 59,0% 59 (59,0%) 78,4%. 784 78,4% . 78 4 (78,4%) Entretanto p<0,00001 p000001 p 00001 (p<0,00001 p=0,001 p0001 001 (p=0,001 COVID19, 19, p=0,0009. p00009 p=0,0009 0009 (p=0,0009) Conclusão caminhadas II Comparativo COVID1 COVID- (IPAQ 65,7 6 (65,7% 50,0 (50,0 38,8 3 (38,8% 90,7 9 (90,7% 59,0 (59,0% 78,4 (78,4% p<0,0000 p00000 0000 (p<0,0000 p=0,00 p000 00 (p=0,00 p0000 p=0,000 000 (p=0,0009 65, (65,7 50, (50, 38, (38,8 90, (90,7 59, (59,0 78, (78,4 p<0,000 (p<0,000 p=0,0 p00 (p=0,0 (p=0,000 (65, (50 (38, (90, (59, (78, p<0,00 (p<0,00 p=0, p0 (p=0, (65 (5 (38 (90 (59 (78 p<0,0 (p<0,0 p=0 (p=0 (6 ( (3 (9 (7 p<0, (p<0, p= (p= p<0 (p<0 (p p< (p<

ABSTRACT Objective: To identify the scientific evidence on the impacts caused by the use of screens during the COVID-19 pandemic in children and adolescents, raising reflections for future interventions with this public. Data source: This is an integrative literature review, conducted in the databases Medical Literature Analysis and Retrieval System Online (MEDLINE), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), United States National Library of Medicine (PubMed), Scopus, Web of Science, and Embase, published from March 2020 to January 2022, in Portuguese, English and Spanish. Data synthesis: The search strategies allowed retrieving 418 articles, of which 218 were duplicates. The analysis of titles and abstracts resulted in the maintenance of 62 studies. Of these, 31 were excluded from the reading of the full text, since they did not clearly present the phenomenon investigated. Thirty-one were eligible, resulting in five categories: eye consequences; increased sedentary behavior and weight; change in eating habits; implications for sleep quality and impacts on mental health. Conclusions: The excessive use of screens during the pandemic led to numerous consequences for children and adolescents, with a higher incidence of visual damage, sedentary lifestyle, inadequate eating habit and increased weight gain, in addition to impaired sleep quality and mental health. This study provides subsidy for health professionals to carry out continuing education focused on this theme, and elaborate effective interventions for this public in this transition to the post-pandemic period. Objective COVID19 COVID 19 COVID-1 adolescents source review MEDLINE, MEDLINE , (MEDLINE) LatinoAmericana Latino Americana LILACS, LILACS (LILACS) CINAHL, CINAHL (CINAHL) PubMed, PubMed (PubMed) Scopus Science Embase 202 2022 Portuguese Spanish synthesis 41 articles 21 duplicates 6 studies these 3 text investigated Thirtyone Thirty one eligible categories habits Conclusions damage lifestyle gain theme postpandemic post period COVID1 1 COVID- (MEDLINE (LILACS (CINAHL (PubMed 20 4 2

RESUMO Objetivo: Identificar as evidências científicas sobre os impactos causados pelo uso de telas durante a pandemia da COVID-19 em crianças e adolescentes, almejando reflexões para futuras intervenções com esse público. Fontes de dados: Trata-se de uma revisão integrativa da literatura, realizada nas bases de dados Medical Literature Analysis and Retrieval System Online (MEDLINE), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), United States National Library of Medicine (PubMed), Scopus, Web of Science e Embase, publicados de março de 2020 a janeiro de 2022, em português, inglês e espanhol. Síntese dos dados: As estratégias de busca possibilitaram recuperar 418 artigos, sendo 218 duplicados. A análise de títulos e resumos resultou na manutenção de 62 estudos. Destes, após a leitura do texto integral foram excluídos 31, uma vez que não apresentavam com clareza o fenômeno investigado. Foram elegíveis 31 estudos, emergindo cinco categorias: consequências oculares; aumento do comportamento sedentário e do peso; alteração dos hábitos alimentares; implicações na qualidade do sono e impactos na saúde mental. Conclusões: Percebe-se que o uso telas em excesso durante a pandemia trouxe inúmeras consequências para o público infantojuvenil, com maior incidência de acometimentos visuais, sedentarismo, alimentação inadequada e, por consequência, maior ganho de peso, além de prejuízos à qualidade do sono e à saúde mental. Este estudo fornece subsídios para que os profissionais da saúde realizem educação continuada voltada para essa temática e elaborem intervenções efetivas para esse público nesta transição para o período pós-pandêmico. Objetivo COVID19 COVID 19 COVID-1 adolescentes Tratase Trata se literatura MEDLINE, MEDLINE , (MEDLINE) LatinoAmericana Latino Americana LILACS, LILACS (LILACS) CINAHL, CINAHL (CINAHL) PubMed, PubMed (PubMed) Scopus Embase 202 2022 português espanhol 41 artigos 21 duplicados 6 estudos Destes investigado 3 categorias oculares peso alimentares mental Conclusões Percebese Percebe infantojuvenil visuais sedentarismo consequência póspandêmico. póspandêmico pós pandêmico. pandêmico pós-pandêmico COVID1 1 COVID- (MEDLINE (LILACS (CINAHL (PubMed 20 4 2

Abstract Background Recently, a new heart failure (HF) classification was made considering the left ventricular ejection fraction (LVEF) phenotype. Comprehensive assessments of the groups are required to guide patient management. Objective To determine the differences in sociodemographic, clinical, functional aerobic capacity, and health-related quality of life (HRQOL) variables in patients with HF classified with different LVEFs and to explore the correlations between the variables. Methods This work is a cross-sectional descriptive and correlational study. Three groups of patients with HF (LVEF≥50%, LVEF<40%, and LVEF40-49%) were compared. Sociodemographic, clinical variables and functional aerobic capacity with Sit to Stand (STS), 6-minute walk test (6MWT), Duke Activity Status Index (DASI), Minnesota Living with HF Questionnaire (MLFHQ), and Patient Health Questionnaire 9 (PHQ-9) were considered. The Chi-square test, one-way analysis of variance (ANOVA) test, and Spearman's correlation were used for statistical analysis. The statistical significance level was set at 5%. Results A total of 209 patients were admitted with a diagnosis of HF, with a more significant number of men. Marital status was a predominantly stable union in the HF with preserved ejection fraction (HFpEF) and HF with mid-range ejection fraction (HFmrEF) groups. A sedentary lifestyle was lower in the HF with reduced ejection fraction (HFrEF) group 59 (84.3%), p-value = 0.033, and the angina pectoris was higher in the HFpEF 30 (42.9%). Systolic blood pressure at the end of the 6MWT evidenced a higher score in HFpEF 132.0±17.25 concerning HFrEF 128.0±16.57, p-value=0.043. The fat percentage was higher in HFpEF 30.20±8.80 regarding the HFmrEF group 26.51±7.60, p-value = 0.028. Conclusion There were significant differences according to the LVEF classification in marital status, angina symptoms, fat percentage, and blood pressure at rest. Recently (HF (LVEF phenotype management sociodemographic healthrelated health related HRQOL (HRQOL crosssectional cross sectional study LVEF≥50%, LVEF50 50 (LVEF≥50% LVEF40 40 LVEF<40% LVEF4049% LVEF4049 49% 49 LVEF40-49% compared Sociodemographic STS, STS , (STS) 6minute minute 6 6MWT, MWT (6MWT) DASI, DASI (DASI) MLFHQ, MLFHQ (MLFHQ) PHQ9 PHQ (PHQ-9 considered Chisquare Chi square oneway one way ANOVA (ANOVA Spearmans Spearman s 5 5% 20 men (HFpEF midrange mid range (HFmrEF (HFrEF 84.3%, 843 84.3% 84 3 (84.3%) pvalue p value 0033 0 033 0.033 42.9%. 429 42.9% . 42 (42.9%) 13201725 132 17 25 132.0±17.2 12801657 128 16 57 128.0±16.57 pvalue=0.043. pvalue0043 value=0.043. 043 p-value=0.043 3020880 8 80 30.20±8.8 2651760 26 51 7 60 26.51±7.60 0028 028 0.028 symptoms rest LVEF≥50% LVEF5 (LVEF≥50 LVEF4 4 LVEF<40 LVEF404 LVEF40-49 (STS (6MWT (DASI (MLFHQ (PHQ- 2 84.3 (84.3% 003 03 0.03 42.9 (42.9% 1320172 13 1 132.0±17. 1280165 12 128.0±16.5 pvalue=0.043 pvalue004 value0043 value=0.043 04 p-value=0.04 302088 30.20±8. 265176 26.51±7.6 002 02 0.02 LVEF≥50 (LVEF≥5 LVEF<4 LVEF40-4 (PHQ 84. (84.3 00 0.0 42. (42.9 132017 132.0±17 128016 128.0±16. pvalue=0.04 pvalue00 value004 value=0.04 p-value=0.0 30208 30.20±8 26517 26.51±7. LVEF≥5 (LVEF≥ LVEF< LVEF40- (84. 0. (42. 13201 132.0±1 12801 128.0±16 pvalue=0.0 pvalue0 value00 value=0.0 p-value=0. 3020 30.20± 2651 26.51±7 LVEF≥ (84 (42 1320 132.0± 1280 128.0±1 pvalue=0. value0 value=0. p-value=0 302 30.20 265 26.51± (8 (4 132.0 128.0± pvalue=0 value=0 p-value= 30.2 26.51 ( 132. 128.0 pvalue= value= 30. 26.5 128. 26.

RESUMEN Buscamos conocer los imaginarios sobre la Educación Física (EF) en cinco municipios del interior Amazónico. Se realizó una investigación de campo exploratoria, en la que entrevistamos a 53 personas, entre docentes, directores y equipo pedagógico, y realizamos un análisis de contenido. Los resultados indican que los imaginarios comprenden: una hegemonía deportiva; dicotomías entre cuerpo/mente y teoría/práctica centradas en la racionalidad cartesiana; una concepción de la salud como ausencia de enfermedad y que direcciona la actividad física en la lucha contra el sedentarismo y la obesidad; la consideración de la EF como un área de conocimiento que desarrolla habilidades y destrezas motrices, sociales, psicológicas y cognitivas. Finalmente, enumeramos algunas implicaciones para los procesos de interiorización de la EF escolar en la Amazonía, una vez que esta disciplina necesita ser valorizada para contribuir al desarrollo regional en las áreas de salud, educación, cultura y ocio. (EF Amazónico exploratoria 5 personas docentes pedagógico contenido comprenden deportiva cuerpomente cuerpo mente teoríapráctica teoría práctica cartesiana obesidad motrices sociales cognitivas Finalmente Amazonía educación ocio

ABSTRACT We have tried to know the imaginary about School Physical Education (P.E.) in five towns in the countryside of Amazonas, Brazil. We conducted an exploratory field research. We interviewed. 53 people, among teachers, managers, and pedagogical staff, followed by content analysis. The results point out that the imaginary encompasses: a sporting hegemony; dichotomies between body/mind and theory/practice centered in Cartesian rationality; a conception of health as the lack of disease that guides physical activity to combat a sedentary lifestyle and obesity; the idea of P.E. as an area of knowledge that develops competences and motor, social, psychological, and cognitive skills. Finally, we listed some implications for the processes of expansion to the countryside of School P.E. in the Amazon, considering that this subject needs to be valued to contribute to the regional development, in the areas of health, education, culture, and leisure. PE P E (P.E. Amazonas Brazil research interviewed 5 people teachers managers staff analysis encompasses hegemony bodymind body mind theorypractice theory practice rationality obesity P.E motor social psychological skills Finally Amazon development education culture leisure (P.E

RESUMO Buscamos conhecer os imaginários acerca da Educação Física (EF) escolar em cinco municípios do interior do Amazonas. Foi conduzida uma pesquisa de campo exploratória, na qual entrevistamos 53 pessoas, entre professores, gestores e equipe pedagógica, e procedemos uma análise de conteúdo. Os resultados apontam que os imaginários compreendem: uma hegemonia esportiva; dicotomias entre corpo/mente e teoria/prática centradas na racionalidade cartesiana; uma concepção de saúde como ausência de doenças e que direciona a atividade física no combate ao sedentarismo e obesidade; a consideração da EF como uma área do conhecimento que desenvolve competências e habilidades motoras, sociais, psicológicas e cognitivas. Por fim, elencamos algumas implicações para os processos de interiorização da EF escolar na Amazônia, visto que essa disciplina necessita de ser valorizada para que contribua no desenvolvimento regional nos âmbitos da saúde, da educação, da cultura e do lazer. (EF Amazonas exploratória 5 pessoas professores pedagógica conteúdo compreendem esportiva corpomente corpo mente teoriaprática teoria prática cartesiana obesidade motoras sociais cognitivas fim Amazônia educação lazer

Abstract Biomarkers of environmental contamination have been frequently used in the assessment of marine ecosystem quality because they provide quantitative measures of biological changes in organisms exposed to pollutants such as hydrocarbons from oil spills. Polychaetes have been tested as sentinel organisms of marine environmental health because they are abundant taxa of benthic assemblages and their sedentary lifestyle ensures chronic exposure to toxins in impacted areas. In this study, we evaluated whether the polychaete Scolelepis goodbodyi can be used as a reliable sentinel species for exposure to polycyclic aromatic hydrocarbons (PAHs) from an experimental diesel spill in a dissipative sand beach in the Southern Atlantic. The design used in this study comprised replicated control and diesel impact sites sampled four times (one, two, four and seven days) before and after the impact. Total PAH levels reached 114.0 ng g -1 in the impact site one day after the diesel spill; however, the pattern of biomarker responses in S. goodbodyi was primarily influenced by spatial variation rather than being attributed to the simulated diesel spill. The apparent absence of a contaminating effect may be linked to the low levels of the toxins retained in the sediment after the spill was simulated to elicit a response or to the presence of an efficient repair system within the organism. Furthermore, the sediments tested in this study, composed of sandy fractions, had a low capacity to concentrate PAHs after the simulated diesel spill, which may have contributed to the low significant changes in their biomarker activities. Based on our results, further studies testing other Polychaeta species and simulating oil spills in sedimentary environments composed of fine sediments such as salt marshes and mangroves may help produce evidence on more effective biomarker responses in these organisms. areas (PAHs Atlantic one, (one two days 1140 114 0 114. 1 - however S organism Furthermore fractions activities results 11

Abstract The aim of the present study was to analyze the relationship between time spent engaged in sedentary behaviors, type of diet, and overweight in adolescents. A cross-sectional study using data from the Longitudinal Study on Sedentary Behavior, Physical Activity, Eating Habits, and Health of Adolescents - LONCAAFS Study. A total of 1,438 adolescents (10 to 14 years old) from public schools in the city of João Pessoa, Brazil, participated in the study. To evaluate the combined effects of excessive time in sedentary behavior and consumption from two food groups: Convenience and Prudent on overweight, we performed multiple logistic regression analyses, adjusted for energy, level of physical activity, sex, and age. Excessive time in sedentary behavior increased the chance of adolescents being overweight by 37% (OR = 1.37; 95%CI: 1.04-1.80). This chance increased to 43% when the adolescents were simultaneously engaged in excessive sedentary behavior and had high consumption of the Convenience food group (OR = 1.43; 95%CI: 1.05-1.94) and increased to 39% on those who engaged in excessive sedentary behavior and had low consumption of foods from the Prudent (OR = 1.39; 95%CI: 1.04-1.84). Excessive sedentary behavior is associated with being overweight and the chance increases with the consumption of convenient foods. behaviors diet crosssectional cross sectional Behavior Activity Habits 1438 1 438 1,43 10 (1 old Pessoa Brazil groups analyses energy activity sex age 37 OR 1.37 137 95%CI 95CI CI 95 1.041.80. 104180 1.04 1.80 . 04 80 1.04-1.80) 43 1.43 143 1.051.94 105194 1.05 1.94 05 94 1.05-1.94 39 1.39 139 1.041.84. 104184 1.84 84 1.04-1.84) 1,4 ( 3 1.3 13 9 041 1.041.80 10418 104 1.0 180 1.8 0 8 1.04-1.80 4 1.4 051 1.051.9 10519 105 194 1.9 1.05-1.9 1.041.84 184 1.04-1.84 1, 1. 1.041.8 1041 18 1.04-1.8 1.051. 1051 19 1.05-1. 1.041. 1.04-1. 1.051 1.05-1 1.041 1.04-1 1.05- 1.04-

Resumo O objetivo do estudo foi analisar a relação entre tempo gasto em comportamentos sedentários, dieta e excesso de peso em adolescentes. Estudo transversal com dados do Estudo Longitudinal sobre Comportamento Sedentário, Atividade Física, Hábitos Alimentares e Saúde do Adolescente - Estudo LONCAAFS. Participaram 1.438 adolescentes (10 a 14 anos) de escolas públicas de João Pessoa, Brasil. Para avaliar os efeitos combinados do tempo excessivo no comportamento sedentário e no consumo de dois grupos de alimentos: Conveniência e Prudente sobre o excesso de peso, foram realizadas análises de regressão logística múltipla, ajustadas para energia, nível de atividade física, sexo e idade. O tempo excessivo em comportamento sedentário aumentou em 37% a chance de os adolescentes apresentarem excesso de peso (OR = 1,37; IC95%: 1,04-1,80). Essa chance aumentou para 43% quando os adolescentes apresentaram, simultaneamente, comportamento sedentário excessivo e alto consumo do grupo de alimentos de conveniência (OR = 1,43; IC95%: 1,05-1,94), e aumentou para 39% naqueles com excesso de comportamento sedentário e baixo consumo de alimentos do Prudente (OR = 1,39; IC95%: 1,04-1,84). O comportamento sedentário excessivo está associado ao excesso de peso e a chance aumenta com o consumo de alimentos convenientes. sedentários Sedentário Física LONCAAFS 1438 1 438 1.43 10 (1 anos Pessoa Brasil múltipla energia física idade 37 OR 1,37 137 IC95% IC95 IC 1,041,80. 104180 1,04 1,80 . 04 80 1,04-1,80) 43 apresentaram simultaneamente 1,43 143 1,051,94, 105194 1,05 1,94 , 05 94 1,05-1,94) 39 1,39 139 1,041,84. 104184 1,84 84 1,04-1,84) convenientes 1.4 ( 3 1,3 13 IC9 041 1,041,80 10418 104 1,0 180 1,8 0 8 1,04-1,80 4 1,4 051 1,051,94 10519 105 194 1,9 9 1,05-1,94 1,041,84 184 1,04-1,84 1. 1, 1,041,8 1041 18 1,04-1,8 1,051,9 1051 19 1,05-1,9 1,041, 1,04-1, 1,051, 1,05-1, 1,041 1,04-1 1,051 1,05-1 1,04- 1,05-

RESUMO Introdução: a obesidade é definida pelo acúmulo excessivo de gordura em diferentes regiões corporais, condição que acarreta prejuízos à saúde e constitui fator de risco para diversas comorbidades. A cirurgia bariátrica é a opção terapêutica com melhores resultados para o seu tratamento. Métodos: estudo retrospectivo descritivo realizado com dados obtidos de prontuários médicos do período de janeiro/2018 a dezembro/2020, relacionados a pacientes submetidos à cirurgia bariátrica. As análises estatísticas realizadas adotaram nível de significância p<0,05. Resultados: foram incluídos 178 prontuários, sendo 77,5% de mulheres. A média de idade foi de 35,7 anos (± 9,5), 63,8% dos pacientes eram procedentes de Imperatriz, 98,3% relataram sedentarismo, 38,7% consumo regular de álcool e 13% tabagismo. A prevalência de obesidade grau III (IMC≥40 kg/m²) foi de 53,3%. As comorbidades mais relacionadas foram esteatose hepática (64,6%), diabetes mellitus tipo 2 (DM2) (40,5%) e hipertensão arterial (38,7%). O principal tipo de cirurgia realizada foi o by-pass gástrico em Y de Roux (BGYR) (89,3%). Observou-se associação entre a mediana de IMC e o sexo (p=0,008), com as mulheres apresentando maiores valores [43,4 (IIQ 39,1 - 48,8)]. A média de IMC dos pacientes submetidos ao BGYR foi significativamente maior comparado aos que realizaram gastrectomia vertical (GV) (p=0,009). Houve associação estatística entre o DM2 (p=0,033) e a depressão (p=0,018) com o tipo de cirurgia realizada. Conclusão: o perfil clínico-epidemiológico encontrado evidenciou maior prevalência do sexo feminino e de indivíduos com obesidade grau III. O BGYR foi o procedimento mais realizado, estabelecendo associação com IMC e algumas comorbidades apresentadas pelos pacientes. Introdução corporais tratamento Métodos janeiro2018 janeiro 2018 janeiro/201 dezembro2020 dezembro 2020 dezembro/2020 p005 p 0 05 p<0,05 Resultados 17 775 77 5 77,5 357 35 7 35, ± ( 9,5, 95 9,5 , 9 9,5) 638 63 8 63,8 Imperatriz 983 98 3 98,3 sedentarismo 387 38 38,7 13 tabagismo IMC≥40 IMC40 40 (IMC≥4 kg/m² kgm² kgm kg m² m 533 53 53,3% 64,6%, 646 64,6% 64 6 (64,6%) DM (DM2 40,5% 405 (40,5% 38,7%. . (38,7%) bypass by pass (BGYR 89,3%. 893 89,3% 89 (89,3%) Observouse Observou se p=0,008, p0008 p=0,008 008 (p=0,008) 43,4 434 43 4 [43, IIQ 391 39 1 39, 48,8. 488 48,8 48 48,8)] GV (GV p=0,009. p0009 p=0,009 009 (p=0,009) p=0,033 p0033 033 (p=0,033 p=0,018 p0018 018 (p=0,018 Conclusão clínicoepidemiológico clínico epidemiológico janeiro201 201 janeiro/20 dezembro202 202 dezembro/202 p00 p<0,0 77, 9, 63, 98, 38, IMC≥4 IMC4 (IMC≥ kg/m 53,3 64,6 (64,6% (DM 40,5 (40,5 (38,7% 89,3 (89,3% p000 p=0,00 00 (p=0,008 43, [43 48, 48,8) (p=0,009 p=0,03 p003 03 (p=0,03 p=0,01 p001 01 (p=0,01 janeiro20 20 janeiro/2 dezembro20 dezembro/20 p0 p<0, IMC≥ (IMC 53, 64, (64,6 40, (40, (38,7 89, (89,3 p=0,0 (p=0,00 [4 (p=0,0 janeiro2 janeiro/ dezembro2 dezembro/2 p<0 (64, (40 (38, (89, p=0, [ (p=0, dezembro/ p< (64 (4 (38 (89 p=0 (p=0 (6 (3 (8 p= (p= (p

ABSTRACT Introduction: the obesity is defined as the excessive accumulation of fat in different areas of the body, a condition that causes damage to health and is a critical risk factor for various comorbidities. Bariatric surgery is the therapeutic option with the best results. Methods: this is a retrospective descriptive study using data obtained from medical records from January 2018 to December 2020 on patients undergoing bariatric surgery. Statistical analysis used a significance level of p<0.05. Results: 178 medical records were included, 77.5% of which were women. The average age was 35.7 years (± 9.5), 63.8% of the patients were from Imperatriz, 98.3% reported a sedentary lifestyle, 38.7% regular alcohol consumption and 13% smoking. The prevalence of Class III obesity (BMI≥40 kg/m²) was 53.3%. The most common comorbidities were hepatic steatosis (64.6%), type 2 diabetes mellitus (DM2) (40.5%) and hypertension (38.7%). The main type of surgery performed was Roux-en-Y gastric bypass (RYGB) (89.3%). There was an association between median BMI and gender (p=0.008), with women showing higher values [43.4 (IQR 39.1 - 48.8)]. The mean BMI of patients who underwent RYGB was significantly higher compared to those who underwent vertical gastrectomy (VG) (p=0.009). There was a statistical association between DM2 (p=0.033) and depression (p=0.018) and the type of surgery performed. Conclusion: the clinical and epidemiological profile found showed a higher prevalence of females and individuals with Class III obesity. RYGB was the most commonly performed procedure, establishing an association with BMI and some of the patients’ comorbidities. Introduction body results Methods 201 202 p005 p 0 05 p<0.05 Results 17 included 775 77 5 77.5 357 35 7 35. ± ( 9.5, 95 9.5 , 9 9.5) 638 63 8 63.8 Imperatriz 983 98 3 98.3 lifestyle 387 38 38.7 13 smoking BMI≥40 BMI40 40 (BMI≥4 kg/m² kgm² kgm kg m² m 533 53 53.3% 64.6%, 646 64.6% 64 6 (64.6%) DM (DM2 40.5% 405 (40.5% 38.7%. . (38.7%) RouxenY Roux en Y (RYGB 89.3%. 893 89.3% 89 (89.3%) p=0.008, p0008 p=0.008 008 (p=0.008) 43.4 434 43 4 [43. IQR 391 39 1 39. 48.8. 488 48.8 48 48.8)] VG (VG p=0.009. p0009 p=0.009 009 (p=0.009) p=0.033 p0033 033 (p=0.033 p=0.018 p0018 018 (p=0.018 Conclusion procedure 20 p00 p<0.0 77. 9. 63. 98. 38. BMI≥4 BMI4 (BMI≥ kg/m 53.3 64.6 (64.6% (DM 40.5 (40.5 (38.7% 89.3 (89.3% p000 p=0.00 00 (p=0.008 43. [43 48. 48.8) (p=0.009 p=0.03 p003 03 (p=0.03 p=0.01 p001 01 (p=0.01 p0 p<0. BMI≥ (BMI 53. 64. (64.6 40. (40. (38.7 89. (89.3 p=0.0 (p=0.00 [4 (p=0.0 p<0 (64. (40 (38. (89. p=0. [ (p=0. p< (64 (4 (38 (89 p=0 (p=0 (6 (3 (8 p= (p= (p