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au:Uchôa, Elizabeth

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Haff disease: overview and clinical features disease
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Aguiar, Gabriel Rotsen Fortes

; Silva, Roberto Cesar de Moura

; Petruccelli, Karla Cristina Silva

; Oliveira, Michael Nascimento

; Brito, Gabriel Antônio Uchôa de

; Albuquerque, Polianna Lemos Moura Moreira

; Daher, Elizabeth De Francesco

; Silva Junior, Geraldo Bezerra da

Revista do Instituto de Medicina Tropical de São Paulo

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2024, Volume 66 elocation e52

Abstract: En | Text: En | PDF: En

ABSTRACT Haff disease was first described at the beginning of the twentieth century in Europe. Almost a century later, thousands of cases have now been reported in different countries. In Brazil, most cases are observed in the Amazon region, and its associated factors remain to be fully understood. This disease is an uncommon syndrome characterized by intense myalgia and rhabdomyolysis, which manifests within 24 h after consuming some types of freshwater or saltwater fish and crustaceans. A possible heat-stable toxin contained in seafood may be the cause of Haff disease, but this hypothesis is not yet completely proven. This review will describe the clinical and epidemiological aspects of Haff disease with updated literature. Europe later countries Brazil region understood rhabdomyolysis 2 crustaceans heatstable heat stable proven literature

https://doi.org/10.1590/s1678-9946202466052

COMVC-19: A Program to protect healthcare workers’ mental health during the COVID-19 Pandemic. What we have learned
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Fukuti, Pedro

; Uchôa, Caroline Louise Mesquita

; Mazzoco, Marina Flaborea

; Cruz, Isabella D'Andrea Garcia da

; Echegaray, Mariana V.F.

; Humes, Eduardo de Castro

; Silveira, Júlia Belizário

; Santi, Talita Di

; Miguel, Euripedes Constantino

; Corchs, Felipe

; Fatori, Daniel

; Campello, Guilherme

; Oliveira, Gabriel M. de

; Argolo, Felipe C.

; Ferreira, Felipe de M.

; Machado, Gustavo

; Argeu, Adriana

; Oliveira, Graça Maria Ramos de

; Serafim, Antônio de Pádua

; Siqueira, Luciana de Lima

; Rossi, Luciane de

; Rios, Izabel Cristina

; Oliveira, Talita Rodrigues de

; Antoniazzi, Leilane C. K.

; Gagliotti, Daniel Augusto Mori

; Abelama Neto, Emílio

; Oliveira Junior, Paulo Novais de

; Correia, Aline Villalobo

; Gonçalves, Luca Schilling

; Tortato, Liana Silva

; Busato, Wagner Machado Moraes

; Guimarães-Fernandes, Flávio

; Alves, Marcos

; Leite Netto, Oswaldo Ferreira

; Schoueri, Patrícia de Campos Lindenberg

; Roque, Márcio de Assis

; Merlin, Silvia Stahl

; Boer, Giovana Cardoso Machado

; Sallet, Paulo Clemente

; Malbergier, André

; Spedo, Mariana Abrahão

; Kamitsuji, Carla Satie

; Faria, Elizabeth de

; Moreira, Moacyr Vergara de Godoy

; Kaufman, Arthur

; Abdo, Carmita

; Scanavino, Marco de Tubino

; Lancman, Selma

; Tavares, Hermano

; Polanczyk, Guilherme

; Brunoni, André R.

; Forlenza, Orestes V.

; Barros-Filho, Tarcísio Eloy Pessoa de

Clinics

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2021, Volume 76 elocation e2631

Abstract: En | Text: En | PDF: En

OBJECTIVE: In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience. METHODS: Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected. RESULTS: The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders. CONCLUSIONS: Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.

https://doi.org/10.6061/clinics/2021/e2631

Associated factors to self-rated health among hypertensive and/or diabetic elderly: results from Bambuí project
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Loyola Filho, Antônio Ignácio de

; Firmo, Josélia de Oliveira Araújo

; Uchôa, Elizabeth

; Lima-Costa, Maria Fernanda

Revista Brasileira de Epidemiologia

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sep 2013, Volume 16 N. 3 Pages 559 - 571

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Objetivo: O presente estudo teve como objetivo investigar os fatores associados à autoavaliação negativa da saúde entre idosos hipertensos e/ou diabéticos. Metodologia: Foram selecionados para o presente estudo todos os idosos integrantes da linha base da coorte do Projeto Bambuí, que sofriam de hipertensão e/ou diabetes e que responderam o questionário sem ajuda de informante próximo (n = 942). As covariáveis englobaram características sociodemográficas, recursos sociais, comportamentos relacionados à saúde, condições de saúde e de utilização de serviços de saúde. Resultados: A pior autoavaliação da saúde apresentou-se positivamente associada à insatisfação com as relações sociais (RP = 1,98; IC95% 1,42 - 2,76), frequência a cultos religiosos menor que uma vez ao mês (RP = 1,96; IC95% 1,44 - 2,68; ser tabagista (RP = 1,64; IC95% 1,24 - 2,17), presença de artrite (RP = 1,35; IC95% 1,07 - 1,71), sintomas depressivos (RP = 1,81; IC95% 1,37 - 2,39) e insônia (RP = 1,37; IC95% 1,06 - 1,78), ter consultado o médico duas ou mais vezes nos últimos doze meses (RP = 2,18; IC95% 1,14 - 4,19 e RP = 3,96; IC95% 2,10 - 7,48, respectivamente para "2-3" e "4+" consultas) e ser hipertenso e diabético (comparado à presença isolada de hipertensão, RP = 1,43; IC95% 1,07 - 1,92). Conclusões: Nossos resultados confirmaram o caráter multidimensional da autoavaliação da saúde e apresentaram-se consistentes com o observado em outros estudos nacionais e internacionais.

Objective: This study investigated the associated factors with negative self-rated health among hypertensive and/or diabetic elderly. Methods: All the participants of Bambuí Project elderly cohort who suffered from hypertension and/or diabetes and who answered the questionnaire without the help of a close informant were selected for this (n = 942). Covariates encompassed sociodemographic characteristics, social support, health behaviors, health status and use of health services. Results: Negative self-rated health showed positively associated with dissatisfaction with social relations (PR = 1.98, 95%CI 1.42 - 2.76), attendance at religious services less than once a month (PR = 1.96, 95%CI 1.44 - 2.68; be smokers (PR = 1.64, 95%CI 1.24 - 2.17), presence of arthritis (PR = 1.35, 95%CI 1.07 - 1.71), depressive symptoms (PR = 1.81, 95%CI 1.37 - 2.39) and insomnia (PR = 1.37, 95%CI 1.06 - 1.78), having consulted the doctor two or more times in the last twelve months (PR = 2.18; 95%CI 1.14 - 4.19 and PR = 3.96; 95%CI 2.10 - 7.48, respectively for "2 - 3" and "4+" visits), and have hypertension and diabetes (compared to the isolated presence of hypertension) Conclusions: Our results confirmed the multidimensional nature of self-rated health and were consistent with that observed in other national and international studies.

https://doi.org/10.1590/S1415-790X2013000300001 2598 downloads

Birth cohort differences in the use of medications in a Brazilian population of older elderly: the Bambuí cohort study of aging (1997 and 2008)
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Loyola Filho, Antônio Ignácio de

; Firmo, Josélia O. A.

; Uchôa, Elizabeth

; Lima-Costa, Maria Fernanda

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s435 - s443

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Foram examinadas diferenças de coorte (entre nascidos em 1916-1926 e em 1927-1937) no uso de medicamentos entre idosos participantes do Estudo de Coorte de Idosos de Bambuí. Foram utilizados dados dos participantes com 71-81 anos de idade da linha de base em 1997 (n = 492) e do 11º ano de seguimento em 2008 (n = 620). O número de medicamentos consumidos (média = 4,6 e 3,4, respectivamente) e a prevalência da polifarmácia (46,6% e 29,1%, respectivamente) foram mais altos na coorte recente, em comparação à antiga. Essas diferenças foram independentes do sexo, idade, escolaridade, número de consultas médicas e número de doenças crônicas. Na coorte mais jovem, observaram-se aumentos significativos no uso de psicofármacos, agentes modificadores de lipídios, hipoglicemiantes e antitrombóticos, assim como mudanças nos medicamentos utilizados para o controle da hipertensão arterial. De maneira geral, essas mudanças são consistentes com o observado em populações idosas de países de alta renda.

This study examined differences in the use of medications in two birth cohorts (born from 1916 to 1926 and from 1927 to 1937) among older elderly in the population-based cohort study in Bambuí, Minas Gerais State, Brazil. The study used data on participants who were 71-81 years of age in the baseline survey in 1997 (n = 492) and in the 11th wave, in 2008 (n = 620). The number of medications currently consumed (mean = 4.6 and 3.4, respectively) and prevalence of polypharmacy (46.6% and 29.1%, respectively) were higher in the more recent cohort as compared to the earlier one. These differences were independent of gender, age, schooling, number of medical visits in the previous 12 months, and number of chronic conditions. The more recent cohort showed significant differences in the use of psychoactive drugs, lipid modifying agents, drugs for diabetes, and antithrombotic agents, as well as changes in drugs used for arterial hypertension. In general, these changes are consistent with those observed in elderly populations in high-income countries.

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An anthropologic study on strategies for addressing health problems among the elderly in Bambuí, Minas Gerais State, Brazil
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Uchôa, Elizabeth

; Firmo, Josélia O. A.

; Lima-Costa, Maria Fernanda

; Corin, Ellen

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s370 - s377

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Este artigo utiliza a abordagem antropológica para examinar mecanismos por meio dos quais a situação socioeconômica influencia as estratégias desenvolvidas por idosos residentes em uma pequena cidade brasileira para enfrentar seus problemas de saúde. Entrevistas com vinte informantes-chave visaram à percepção da comunidade acerca da saúde do idoso. Entrevistas com trinta senhoras idosas objetivaram a percepção que elas possuíam da saúde e estratégias adotadas para resolver tais problemas. As análises mostraram que as narrativas dos dois grupos convergem na ênfase do papel desempenhado por fatores financeiros no acesso aos serviços de saúde e aos medicamentos. As histórias de vida descreveram algumas estratégias prejudiciais à saúde para fazer frente à falta de recursos. As senhoras também destacaram a importância do apoio da família e/ou de vizinhos para superar problemas relacionados à saúde. Assim, a questão da pobreza não é só econômica, mas também a pobreza das redes sociais de apoio.

This paper explores the contribution of anthropological perspectives for clarifying the mechanisms through which socioeconomic circumstances influence the strategies developed by elderly for addressing their health problems in a small Brazilian city. Interviews with 20 key-informants explored the community's broad perception of the health situation of the elderly. Life histories collected from 30 elderly women examined their own perception of their health status and their health strategies. Narratives converge in emphasising the important role played by financial factors in accessing health services and medication. Life histories also describe some damaging strategies resorted to by the elderly to deal with their lack of resources. Elderly women emphasize the crucial support they receive from their family and/or neighbours to overcome health problems. Thus, the issue of poverty is not only a matter of socioeconomic circumstances, but also the poverty of broader social networks.

1316 downloads Cited 6 times in SciELO

Predictors of 10-year mortality in a population of community-dwelling Brazilian elderly: the Bambuí cohort study of aging
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Lima-Costa, Maria Fernanda

; Peixoto, Sergio Viana

; Matos, Divane L.

; Firmo, Josélia O. A.

; Uchôa, Elizabeth

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s360 - s369

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Foram utilizadas informações de 1.399 participantes (> 60 anos) do Estudo de Coorte de Idosos de Bambuí, para examinar os determinantes da mortalidade em uma população com nível socioeconômico baixo. Entre 1997 e 2007, 599 participantes faleceram e 6,2% foram perdidos para acompanhamento, resultando em 12.415 pessoas-ano de observação. A taxa de mortalidade foi de 48,3 por mil pessoas-ano. Idade (hazard ratio ajustada [HR] = 1,40), sexo masculino (HR = 1,80), ser solteiro (HR = 1,78) ou viúvo (HR = 1,26), pior autoavaliação da saúde (HR = 1,31), incapacidade para realizar quatro ou mais atividades da vida diária (HR = 3,29), número de fatores de risco cardiovascular (HR = 1,51 para dois e HR = 1,91 para três ou mais), infecção pelo Trypanosoma cruzi (HR = 1,27) e número de medicamentos (HR = 1,06) apresentaram associações significantes (p < 0,05) e independentes com o evento. O escore do Mini-Exame do Estado Mental mostrou efeito protetor (HR = 0,96). Exceto a infecção pelo T. cruzi, os outros preditores da mortalidade foram consistentes com o observado em populações idosas com melhor situação socioeconômica.

We used data on 1,399 participants aged 60 and over from the Bambuí Cohort Study of Aging to examine predictors of mortality in a socioeconomically disadvantaged population. From 1997 to 2007, 599 participants died and 6.2% were lost to follow-up, leading to 12,415 person-years (pyrs) of observation. The death rate was 48.3 per 1,000 pyrs. Age (adjusted hazard ratio [HR] = 1.40), male gender (HR = 1.80), never married (HR = 1.78) or a widow (HR = 1.26), poor self-rated health (HR = 1.31), inability to perform four or more activities of daily living (HR = 3.29), number of cardiovascular risk factors (HR = 1.51 for two and HR = 1.91 for three or more), Trypanosoma cruzi infection (HR = 1.27), and number of medications (HR = 1.06) were each significantly (p < 0.05) and independently associated with mortality. The Mini-Mental State Examination score showed a protective effect (HR = 0.96). Except T. cruzi infection, other predictors of mortality were highly consistent with those found in more affluent elderly populations.

1193 downloads Cited 9 times in SciELO

Balking blood pressure "control" by older persons of Bambuí, Minas Gerais State, Brazil: an ethno-epidemiological inquiry
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Nations, Marilyn

; Firmo, Josélia O. A.

; Lima-Costa, Maria Fernanda

; Uchôa, Elizabeth

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s378 - s389

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Esta pesquisa etno-epidemiológica objetiva compreender a experiência humana da hipertensão enquanto percebida por pessoas idosas em Bambuí, Minas Gerais, Brasil. Mescla descrições etnográficas com dados numéricos. Significados acerca dos fatores correlacionados ao controle da pressão arterial são aprofundados. De 1,494 residentes > 60 anos em uma base de coorte, 26 hipertensos idosos foram aleatoriamente selecionados e entrevistados utilizando signos, significados e ações. A análise multivariada associou (p < 0,001) o sexo feminino e renda mensal domiciliar ao tratamento da hipertensão mas não com controle da pressão adequado. Construções culturais conflitantes de "problema de pressão" contribuem para a "não-adesão" ao tratamento. Há uma tensão entre o "controle" da pressão arterial e os profissionais de saúde "controlando" a vida. "Regimes" prescritos pelos médicos proíbem os prazeres da vida, "controlando" a liberdade pessoal e o livre arbítrio. Dar voz aos idosos sobre suas condições sociais pode promover autonomia, bem estar e felicidade na últimas etapas da vida.

This ethno-epidemiological inquiry aims to comprehend hypertension-related experiences in the elderly population of Bambuí, in the State of Minas Gerais, Brazil. It combines ethnographic descriptions with statistical data. The subjective significance of factors associated with adequate arterial pressure control is explored. A baseline cohort of 26 people with hypertension, randomly selected from a total number of 1,494 residents over the age of 60, was interviewed utilizing signs, meanings and actions methodology. Multivariate analysis shows an association (p < 0.001) between female gender and monthly household income and treatment of hypertension and adequate blood pressure control. The number of doctor visits is associated with treatment but not with adequate blood pressure control. Conflicting cultural construction of "blood pressure problems" contributes to "non-adherence" to treatment. There is a fine line between blood pressure "control" and what is perceived as health professionals "controlling" patients' lives. Doctor-prescribed regimes are perceived as "prohibiting life's pleasures" and "controlling" personal liberty and free choice. Giving elderly people a voice regarding their social context can promote autonomy, well-being and happiness in later life.

1748 downloads Cited 4 times in SciELO

Birth cohort differences in hypertension control in a Brazilian population of older elderly: the Bambuí cohort study of aging (1997 and 2008)
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Firmo, Josélia O. A.

; Peixoto, Sérgio Viana

; Loyola Filho, Antônio Ignácio de

; Uchôa, Elizabeth

; Lima-Costa, Maria Fernanda

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s427 - s434

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Foram examinadas diferenças de coorte entre nascidos em 1916-1926 e em 1927-1937 no controle da hipertensão entre participantes do Estudo de Coorte de Idosos de Bambuí. Foram utilizados dados dos participantes hipertensos com 71-81 anos de idade da linha de base (n = 313) e do 11º ano de seguimento (n = 484). A prevalência dos que sabiam ser hipertensos (70,9% e 81,2%, respectivamente) e a mediana de consultas médicas nos últimos 12 meses (2 e 3, respectivamente) e do uso de drogas anti-hipertensivas (74,4% e 90,7%, respectivamente) aumentaram significativamente na coorte recente em comparação à antiga. Entretanto, a prevalência do controle adequado da hipertensão entre tratados (< 140/< 90mmHg) foi semelhante nas duas coortes (44,6% e 40,1%; p = 0.255). Na análise multivariada, a escolaridade foi o único fator independentemente associado ao controle adequado da hipertensão arterial. Apesar do aumento de consultas médicas e do uso de medicamentos na coorte mais jovem, a prevalência do controle adequado da hipertensão permaneceu tão baixa quanto o observado na coorte mais velha.

We examined for cohort differences in hypertension control between participants in the Bambuí Cohort Study of Aging of aging born 1916-1926 and 1927-1937. Participants included hypertensive elderly aged 71-81 at baseline (n = 313) and at 11th wave follow up (n = 484). Prevalence of hypertension awareness (70.9% and 81.2%, respectively), median medical appointments in previous 12 months (2 and 3, respectively) and antihypertensive drug use (74.4% and 90.7% respectively) increased significantly from older to younger cohort. However, prevalence of appropriately controlled hypertension among those treated (< 140/< 90mmHg) was similar in both cohorts (44.6% and 40.1%, p = 0.255). Multivariate analysis returned schooling as the only factor independently associated with appropriately controlled hypertension. Despite increased medical appointments and drug use in the recent cohort, the prevalence of appropriately controlled hypertension remained as low as in the older cohort.

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Trajectories of cognitive decline over 10 years in a Brazilian elderly population: the Bambuí cohort study of aging
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Castro-Costa, Erico

; Dewey, Michael E.

; Uchôa, Elizabeth

; Firmo, Josélia O. A.

; Lima-Costa, Maria Fernanda

; Stewart, Robert

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s345 - s350

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Poucos estudos de base populacional examinaram a trajetória no longo prazo do declínio cognitivo. Os estudos existentes foram conduzidos em países de alta renda. Nós investigamos as associações entre idade, sexo e escolaridade e o declínio cognitivo em uma população idosa bem definida, utilizando dados de 10 anos de seguimento da coorte de Bambuí, Minas Gerais, Brasil. A cognição foi aferida anualmente por meio do Mini-Exame do Estado Mental (MEEM). Essa análise foi baseada em 12.206 medidas do MEEM de 1.461 (90%) participantes da linha de base. Foram utilizados modelos de efeitos mistos, considerando-se o escore do MEEM como variável de desfecho. As mulheres e os indivíduos com maior escolaridade apresentaram resultados mais altos no MEEM na linha de base, enquanto que os idosos mais velhos apresentaram pontuações mais baixas. Com relação ao declínio cognitivo, participantes do sexo feminino, com maior escolaridade e mais velhos, apresentam reduções mais rápidas dos escores do MEEM.

Few population-based studies have examined long term cognitive trajectory, and these studies were conducted in high income countries. We investigated the association of age, gender and education with 10-year cognitive trajectory in a well-defined population of elderly using data from the Bambuí Cohort Study of Aging, in Brazil. Cognition was measured using the Mini- Mental State Examination (MMSE). Cohort members underwent annual follow-ups. This analysis was based on 12,206 MMSE measurements from 1,461 (91%) baseline participants. We used mixed effects models to study MMSE as outcome. The key findings from this analysis are that women and people with a higher schooling level at baseline had high scores of MMSE, while older participants started off lower. Regarding cognitive decline, women, older people and those with a higher schooling level declined faster.

2177 downloads Cited 9 times in SciELO

10.

Birth cohort differences in hypertension control in a Brazilian population of older elderly: the Bambuí cohort study of aging (1997 and 2008)
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Firmo, Josélia O. A.

; Peixoto, Sérgio Viana

; Loyola Filho, Antônio Ignácio de

; Uchôa, Elizabeth

; Lima-Costa, Maria Fernanda

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s427 - s434

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

1691 downloads

11.

Trajectories of cognitive decline over 10 years in a Brazilian elderly population: the Bambuí cohort study of aging
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Castro-Costa, Erico

; Dewey, Michael E.

; Uchôa, Elizabeth

; Firmo, Josélia O. A.

; Lima-Costa, Maria Fernanda

; Stewart, Robert

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s345 - s350

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

3291 downloads Cited 9 times in SciELO

12.

Predictors of 10-year mortality in a population of community-dwelling Brazilian elderly: the Bambuí cohort study of aging
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Lima-Costa, Maria Fernanda

; Peixoto, Sergio Viana

; Matos, Divane L.

; Firmo, Josélia O. A.

; Uchôa, Elizabeth

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s360 - s369

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

2574 downloads Cited 9 times in SciELO

13.

Balking blood pressure "control" by older persons of Bambuí, Minas Gerais State, Brazil: an ethno-epidemiological inquiry
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Nations, Marilyn

; Firmo, Josélia O. A.

; Lima-Costa, Maria Fernanda

; Uchôa, Elizabeth

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s378 - s389

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

2999 downloads Cited 4 times in SciELO

14.

An anthropologic study on strategies for addressing health problems among the elderly in Bambuí, Minas Gerais State, Brazil
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Uchôa, Elizabeth

; Firmo, Josélia O. A.

; Lima-Costa, Maria Fernanda

; Corin, Ellen

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s370 - s377

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

2249 downloads Cited 6 times in SciELO

15.

The Bambuí Cohort Study of Aging: methodology and health profile of participants at baseline
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Lima-Costa, Maria Fernanda

; Firmo, Josélia O. A.

; Uchôa, Elizabeth

Cadernos de Saúde Pública

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2011, Volume 27 Suppl. 3 Pages s327 - s335

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

O estudo de coorte foi iniciado em 1997 para examinar a incidência e os determinantes de eventos em saúde em uma população idosa com baixo nível socioeconômico. Todos os 1.742 residentes na cidade de Bambuí, Minas Gerais, Brasil, com idade > 60 anos foram elegíveis para o estudo (1.606 participaram). Durante dez anos de seguimento, 641 participantes faleceram e 96 foram perdidos, resultando em 13.739 pessoas-anos de observação. O perfil de saúde dos participantes revelou carga dupla de doenças com alta prevalência de doenças crônicas não transmissíveis e da infecção pelo Trypanosoma cruzi. A condição de saúde mais frequente foi hipertensão (61,5%), seguida por dores articulares crônicas (43,6%), sintomas mentais comuns (38,5%), infecção pelo T. cruzi (38,1%) e insônia (36,7%). Em geral, as prevalências de sintomas mentais e de doenças cardiovasculares ou fatores de risco para as mesmas foram comparáveis às observadas entre idosos em países de alta renda.

The cohort study was initiated in 1997 to investigate the incidence and predictors of health outcomes in an elderly population with low socio-economic level. The eligible population consisted of all 1,742 residents in Bambuí, Minas Gerais State, Brazil, aged 60 years and over (1,606 participated). During 10 years of follow-up, 641 participants died and 96 were lost, leading to 13,739 person-years of observation. The baseline health profile of participants revealed a double burden of diseases with high prevalence of chronic non-transmissible diseases and widespread Trypanosoma cruzi infection. The most common health condition was hypertension (61.5%), followed by chronic knee or hand symptoms (43.6%), common mental disorders (38.5%), T. cruzi infection (38.1%), and insomnia (36.7%). In general, the baseline prevalence of mental symptoms and cardiovascular diseases or risk factors was comparable to those found in populations in high income countries.

4618 downloads Cited 25 times in SciELO

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