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au:Guimarães, Bruno Nogueira

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Anti-mullerian hormone (AMH) in pregnant buffaloes: maternal and fetal plasma concentrations and immunolocalization in the fetal gonads
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Costa, Nathalia Nogueira da

; Ferreira, Maria Auxiliadora Pantoja

; Ramos, Priscilla do Carmo Azevedo

; Santos, Alessandra Ximenes

; Cordeiro, Marcela da Silva

; Santana, Priscila di Paula Bessa

; Brito, Vanessa Cunha

; Silva, Thiago Velasco Guimarães

; Homobono, Bruno Porpino

; Souza, Eduardo Baia de

; King, William Allan

; Miranda, Moyses Santos

; Santos, Simone Socorro Damasceno

Animal Reproduction

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2025, Volume 22 N. 1 elocation e20230152

Abstract: En | Text: En | PDF: En

Abstract Anti-Müllerian Hormone (AMH), a member of the TGF-β superfamily, plays a critical role in mammalian fertility. This study aimed to investigate AMH concentrations in pregnant buffalo cows and their fetuses, and to characterize the cellular distribution and immunolocalization of AMH within fetal gonads. Gonads were collected from 12 male and 14 female buffalo fetuses, fixed in 10% buffered formalin, and processed for routine histological analysis and immunohistochemical localization of AMH. Blood samples were collected from 26 pregnant buffalo cows and their corresponding fetuses into EDTA-coated tubes. AMH levels in both maternal and fetal blood were quantified using a commercially available bovine AMH ELISA kit. Significant (p < 0.05) inter-individual variations in maternal and fetal AMH concentrations were observed. In males, fetal AMH concentrations increased significantly with gestational age, with levels substantially higher compared to females at all gestational ages (52-1222 times higher). Immunohistochemistry revealed intense AMH immunoreactivity in the cytoplasm of pre-Sertoli cells in male fetuses. In females, no significant correlation was found between fetal AMH concentrations and follicular populations, although intense AMH immunostaining was observed in the cytoplasm of oocytes within primordial follicles. These findings suggest that fetal AMH concentrations in buffaloes are influenced by gestational age and sex, and that fetal AMH likely does not readily cross the placental barrier. Further investigations are warranted to elucidate the intricate role of AMH in gonadal development and function in buffaloes.

https://doi.org/10.1590/1984-3143-ar2023-0152

Desafios e oportunidades para construir um programa de saúde e segurança da trabalhadora e do trabalhador do SUS
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Sousa, Flávia Nogueira e Ferreira de

; Bowes, Érica Cristina Silva

; Almeida, Bruno Guimarães de

; Pinto, Isabela Cardoso de Matos

Revista Brasileira de Saúde Ocupacional

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2025, Volume 50 elocation e13

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

https://doi.org/10.1590/2317-6369/11524pt2025v50e13

“Nunca mais o Brasil sem nós”: povos indígenas no Censo Demográfico 2022
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Simoni, Alessandra Traldi

; Guimarães, Bruno Nogueira

; Santos, Ricardo Ventura

Cadernos de Saúde Pública

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2024, Volume 40 N. 4 elocation e00232223

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

https://doi.org/10.1590/0102-311xpt232223

Entre invisibilidade e resistência: saúde e demografia indígenas durante a ditadura militar brasileira
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Brito, Carolina Arouca Gomes de

; Guimarães, Bruno Nogueira

Ciência & Saúde Coletiva

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2024, Volume 29 N. 10 elocation e02592024

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

Resumo Este artigo tem por objetivo sistematizar e analisar em perspectiva histórica as discussões que permearam o tema da saúde indígena em interface com a demografia dessas populações, partindo da dimensão política que a quantificação dos povos indígenas assumiu durante a ditadura militar no Brasil. Abrangendo um extenso período que se estende do estabelecimento do Serviço de Proteção aos Índios em 1910 até o fim dos anos 1980, busca-se oferecer uma visão ampliada sobre o tema. O foco da análise recai especialmente nos anos 1970, destacando os atores envolvidos neste debate: lideranças indígenas, indigenistas, acadêmicos, profissionais de saúde e missionários.

Abstract This article aims to systematize and analyze, from a historical perspective, the discussions that permeated the topic of indigenous health in interface with the demography of these populations, based on the political dimension that the quantification of indigenous peoples assumed during the military dictatorship in Brazil. Covering an extensive period that extends from the establishment of the Indian Protection Service in 1910 until the end of the 1980s, this article offers a comprehensive view of the topic. The analysis focuses primarily on the 1970s, highlighting the actors involved in this debate: indigenous leaders, indigenists, academics, health professionals, and missionaries.

https://doi.org/10.1590/1413-812320242910.02592024

Entre invisibilidade e resistência: saúde e demografia indígenas durante a ditadura militar brasileira
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Brito, Carolina Arouca Gomes de

; Guimarães, Bruno Nogueira

Ciência & Saúde Coletiva

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2024, Volume 29 N. 10 elocation e02592024

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

https://doi.org/10.1590/1413-812320242910.02592024

“Nunca mais o Brasil sem nós”: povos indígenas no Censo Demográfico 2022
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Simoni, Alessandra Traldi

; Guimarães, Bruno Nogueira

; Santos, Ricardo Ventura

Cadernos de Saúde Pública

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2024, Volume 40 N. 4 elocation e00232223

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

https://doi.org/10.1590/0102-311xpt232223

METACARPAL FRACTURES TREATMENT: COMPARASION BETWEEN KIRSCHNER WIRE AND INTRAMEDULLARY SCREW
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Jesus, Bruno Cesar Silva de

; Silva, Clóvis Rodrigo Guimarães Braz Pereira da

; Cardoso, Rodrigo Domiciano

; Mauad, Vitor Augusto Queiroz

; Alves, Rafael Saleme

; Pinto, Fernando Nogueira Zambone

Acta Ortopédica Brasileira

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2023, Volume 31 N. spe3 elocation e266948

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

ABSTRACT Introduction: Metacarpal fractures are common and can be treated surgically using Kirschner wires (K-wires) or intramedullary fixation with compression screws (IMCS). Objectives: Analyze the postsurgical results from treating the metacarpal extra-articular fractures through the retrograde Kirschner wire technique, and compare it with the intramedullary compression screw fixation. Methods: Retrospective and quantitative studies were to analyze patients’ medical records, and a postsurgical evaluation questionnaire was given to the patients, who were divided into K-wire and IMCS. Results: The period of immobilization with a splint took six weeks for the K-wire group and four weeks for the IMCS group. The average time for consolidation took, respectively, fifty-seven days and forty-seven days. The first group could restart their activities twenty-two days after the other, and the average force value of the treated hand, when compared with its contralateral, was 93.9% and 95.4%, respectively. Between the operated hand and its contralateral, there was a difference of 16° in the total measures of the metacarpophalangeal and interphalangeal joint's range of movement among the K-wire group and 5° among the IMCS group. Conclusion: The patients who participated in this study showed excellent results after surgery, and both treatments were proven to be safe and reliable. Evidence level III; Retrospective comparative study .

RESUMO Introdução: Fraturas dos metacarpos são frequentes e podem ser tratadas de forma cirúrgica com os fios de Kirschner (FK) e Fixação Intramedular com Parafuso de Compressão (FIPC). Objetivo: Analisar os resultados pós-operatórios do tratamento das fraturas extra-articulares dos metacarpos pela técnica retrógrada com fios de Kirschner e comparar com a fixação intramedular utilizando parafuso de compressão. Métodos: Estudo retrospectivo, quantitativo, com análise de prontuários, utilizando questionários de avaliação pós-operatória em dez pacientes divididos em dois grupos: FIPC e FK. Resultados: O período de imobilização com tala nos grupos FK e FIPC foram de seis e quatro semanas respectivamente, já o tempo médio para consolidação foi de 57 e 47 dias respectivamente. O grupo FK retornou as atividades laborais após os FIPC. O valor médio de força na mão acometida comparada a contralateral foi de 93,9% no grupo FK, e no FIPC de 95,4%. Medidas da soma de amplitude de movimento das articulações metacarpofalangeanas e interfalangeanas no grupo FK obtiveram diferença média entre as mãos operada e a contralateral de 16°, já na FIPC observou-se 5°. Conclusão: Os pacientes estudados apresentaram excelentes resultados pós-operatórios e ambos os tratamentos provam ser seguros e confiáveis. Nível de evidência III; Estudo retrospectivo comparativo .

https://doi.org/10.1590/1413-785220233103e266948

Chemical composition of pequi essential oil (Caryocar brasiliense) and nematicidal activity in the control of Meloidogyne javanica
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Marques, Átila Alves

; Sousa, Bruno Nogueira de

; Guimarães, Nathália Nascimento

; Martins, Carla de Moura

; Silva, Rodrigo Vieira da

Revista Ceres

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2023, Volume 70 N. 5 elocation e70505

Abstract: En | Text: En | PDF: En

ABSTRACT The phytonematodes seriously harm plants worldwide, reducing agricultural productivity, especially root-knot nematodes, genus Meloidogyne. An alternative form of control for this pathogen is the use of essential oils, which have a complex mixture of compounds with potential nematicidal activity. The objective of this work was to identify the chemical compounds present in the essential oil of pequi and to verify the efficiency of the oil in the control of Meloidogyne javanica. The identification of chemical compounds was performed by comparing the mass spectra obtained with the spectra present in the equipment library, Nist08. Eighty-second stage juveniles (J2) were incubated in the following treatments: control 0 (2 mL of distilled water) 2, 4, 8 and 16 mg L-1 of pequi essential oil (PEO). The results obtained in the experiment were significant, with a high percentage of mortality of J2 in the treatment T5 (16 mg L-1) of 82% and T3 (4 mg L-1) 66%, respectively. Among the compounds identified, 58.3% are esters, highlight for ethyl hexanoate, and 25.0% are monoterpenes, and all are nematicidal compounds. Pequi essential oil has the potential to be used in the control of M. javanica.

https://doi.org/10.1590/0034-737x202370050005

Carious lesions recurrence in children with developmental disabilities: a longitudinal study
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CASTILHO, Lia Silva de

; DINIZ, Ivana Márcia Alves

; SANTOS, Bruno Pereira dos Reis

; LAGES, Frederico Santos

; CRUZ, Alex Júnio Silva da

; ABREU, Mauro Henrique Nogueira Guimarães

Brazilian Oral Research

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2021, Volume 35 elocation e071

Abstract: En | Text: En | PDF: En

Abstract This study investigated the factors associated with new carious lesions in one-to five-year-old children with developmental disabilities. This was a retrospective cohort that evaluated 64 dental charts of individuals with caries or fillings in their first dental appointment. The dependent variable was the occurrence of a new carious lesion or restoration. Gender, age, mother’s education, sugar consumption, oral hygiene, mouth breathing, reports of xerostomia, gingival status, use of psychotropic drugs, use of asthma drugs, history of asthma, bronchitis, reflux or seizures and having at least one sibling were covariates. Cox proportional hazards regression model was used to estimate the raw and adjusted hazard ratios with their respective 95% confidence interval. The average time that individuals remained free of dental caries/restoration was 79.49 months (95%CI: 64.37 to 92.61). Increase in sucrose consumption increased the rate of caries recurrence (HR = 1.16; 95%CI: 1.04 to 1.30). Individuals who had poor oral hygiene had higher rate of new dental caries (HR = 3.88; 95%CI: 1.22 to 12.37) compared to those with good oral hygiene. The presence of mouth breathing decreased the rate of recurrence of the disease when compared to the nasal breathing (HR = 0.32; 95%CI: 0.15 to 0.70). Oral health-related behaviors and nasal respiration influenced the rate of dental caries recurrence in individuals with developmental disabilities.

https://doi.org/10.1590/1807-3107bor-2021.vol35.0071 66 downloads

10.

O CASULO DA PANDEMIA: ESTRATÉGIAS INDÍGENAS PARA HABITAR O FIM DO MUNDO
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Guimarães, Bruno Nogueira

Sociologia & Antropologia

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2021, Volume 11 N. spe Pages 239 - 246

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

Resumo Observando as elaborações dos Canela Apanjekra sobre a pandemia da covid-19 e as estratégias adotadas por eles para conter a doença, nos primeiros meses da dissemina- ção do vírus, este ensaio estabelece um paralelo entre os rituais de reclusão indígenas e os protocolos de distanciamento social. Ao fazê-lo, coloca em primeiro plano as noções nativas sobre saúde, indicando como a produção de corpos saudáveis depende da constante renovação das pessoas a partir do controle da ação de agentes não humanos por meio de fechamentos ritualizados. Por fim, o ensaio contrasta a temporalidade envolvida nos rituais de reclusão com o debate sobre o “retorno à normalidade” com um eventual fim da crise sanitária, questionando como as crises planetárias colocadas pelo antropoceno evocam uma concepção mais sistêmica de fim de (um certo) mundo.

Abstract Observing the Canela Apanjekra elaborations about the covid-19 pandemic and their strategies to contain the disease during the first months of virus dissemination, this essay draws a parallel between indigenous seclusion rituals and social distancing protocols. In doing so, it foregrounds native notions of health, indicating how the production of healthy bodies depends on the constant renovation of personhood through the control of the actions of non-human agents through ritualized closings. The essay also contrasts the temporality involved in seclusion rituals with the debate on the “return to normalcy” after a possible end to the sanitary crisis, enquiring how the planetary crisis posed by antropocene evokes a more systemic conception of the end of (a certain) world.

https://doi.org/10.1590/2238-38752021v11esp17 65 downloads

11.

A MORAL DE DEUS: DÁDIVA E HUMANIDADE NA VERSÃO APANJEKRA DO CRISTIANISMO
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Guimarães, Bruno Nogueira

Mana

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aug 2018, Volume 24 N. 2 Pages 37 - 67

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

Resumo Buscando compreender os sentidos que os Canela Apanjekra dão à sua relação com o cristianismo e com os missionários, contextualizo historicamente o contato com os evangelizadores católicos e protestantes e analiso um culto realizado em 2013, na aldeia Porquinhos (TI Porquinhos - MA), por uma comitiva de pentecostais. Os erros de tradução e os equívocos do culto indicam que os mal-entendidos não se limitam a meros problemas linguísticos. Antes, são decorrentes de diferenças ontológicas e éticas que os Apanjekra mantêm em face do cristianismo e, em especial, dos “crentes”. Se estas diferenças afastam os Apanjekra da busca pelo telos evangélico, pautado por uma noção de pessoa estranha aos indígenas, elas não impedem um uso pragmático de um código moral que tem por fim a estabilização dos corpos e a manutenção provisória da humanidade e do parentesco.

Abstract In order to comprehend the meanings that the Canela Apanjekra confer on their relation with Christianity and missionaries, I contextualize their contact with Catholic and Protestant Evangelizers and analyse a service held by a Pentecostal entourage in 2013 in Porquinhos village (Porquinhos Indigenous Land - MA, Brazil). Mistranslations and equivocations during the service indicate that misunderstandings are not limited to mere linguistic issues. Rather, they are due to ontological and ethical differences between the Apanjekra and the Christians, specially the “believers” (Protestants). If these differences move the Apanjekra away from the Evangelical telos, which is based on a notion of ‘personhood’ that is alien to the Apanjekra, they do not preempt a pragmatical use of its moral code with the aim of bodily stabilization and the provisional maintenance of humanity and kinship.

Resumen Buscando comprender los sentidos que los Canela Apanjekra dan a su relación con el cristianismo y con los misioneros, contextualizo históricamente el contacto con los evangelizadores católicos y protestantes y analizo un culto realizado en 2013, en la aldea Porquinhos (TI Porquinhos - MA), por una comitiva de pentecostales. Los errores de traducción y los equívocos del culto indican que los malentendidos no se limitan a meros problemas lingüísticos. Por el contrario, son consecuencia de diferencias ontológicas y éticas que los Apanjekra mantienen frente al cristianismo y, en especial, a los "creyentes". Si estas diferencias alejan a los Apanjekra de la búsqueda por eltelosevangélico, pautado por una noción de persona extraña a los indígenas, no impiden un uso pragmático de un código moral que tiene por fin la estabilización de los cuerpos y el mantenimiento provisional de la humanidad y del parentesco.

https://doi.org/10.1590/1678-49442018v24n2p037 1007 downloads

12.

ERICA: prevalences of hypertension and obesity in Brazilian adolescents
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Bloch, Katia Vergetti Klein, Carlos Henrique Szklo, Moyses Kuschnir, Maria Cristina C Abreu, Gabriela de Azevedo Barufaldi, Laura Augusta Veiga, Gloria Valeria da Schaan, Beatriz Silva, Thiago Luiz Nogueira da Moraes, Ana Julia Pantoja Oliveira, Ana Mayra Andrade de Tavares, Bruno Mendes Magliano, Erika da Silva Oliveira, Cecília Lacroix de Cunha, Cristiane de Freitas Giannini, Denise Tavares Belfort, Dilson Rodrigues Santos, Eduardo Lima Leon, Elisa Brosina de Oliveira, Elizabete Regina Araújo Fujimori, Elizabeth Borges, Ana Luíza Vasconcelos, Francisco de Assis Guedes Azevedo, George Dantas Brunken, Gisela Soares Guimarães, Isabel Cristina Britto Faria Neto, José Rocha Oliveira, Juliana Souza Carvalho, Kenia Mara B. de Gonçalves, Luis Gonzaga de Oliveira Monteiro, Maria Inês Santos, Marize M. Jardim, Paulo César B. Veiga Ferreira, Pedro Antônio Muniz Montenegro Jr., Renan Magalhães Gurgel, Ricardo Queiroz Vianna, Rodrigo Pinheiro Vasconcelos, Sandra Mary Goldberg, Tamara Beres Lederer

Revista de Saúde Pública

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2016, Volume 50 Suppl. 1 elocation 9s

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

RESUMO OBJETIVO Estimar as prevalências de hipertensão arterial e obesidade e a fração atribuível populacional de hipertensão arterial devida à obesidade em adolescentes brasileiros. MÉTODOS Foram avaliados dados dos participantes do Estudo de Riscos Cardiovasculares em Adolescentes, estudo seccional l nacional de base escolar. A amostra foi dividida em 32 estratos geográficos e conglomerados de escolas e turmas, com representatividade nacional, macrorregional e de capitais. Obesidade foi classificada pelo índice de massa corporal segundo idade e sexo. Considerou-se hipertensão arterial a média da pressão arterial sistólica ou diastólica maior ou igual ao percentil 95 da curva de referência. Foram estimadas prevalências e intervalos de confiança de 95% (IC95%) de hipertensão arterial e de obesidade, nacionais e nas macrorregiões do País, por sexo e grupo etário, assim como as frações de hipertensão atribuíveis à obesidade na população. RESULTADOS Foram avaliados 73.399 estudantes, 55,4% do sexo feminino, com média de idade 14,7 anos (DP = 1,6). A prevalência de hipertensão arterial foi 9,6% (IC95% 9,0-10,3); sendo as mais baixas observadas nas regiões Norte, 8,4% (IC95% 7,7-9,2) e Nordeste, 8,4% (IC95% 7,6-9,2) e a mais alta na região Sul, 12,5% (IC95% 11,0-14,2). A prevalência de obesidade foi 8,4% (IC95% 7,9-8,9), mais baixa na região Norte e mais alta na Sul. As prevalências de hipertensão arterial e obesidade foram maiores no sexo masculino. Adolescentes com obesidade tiveram prevalência de hipertensão arterial mais elevada, 28,4% (IC95% 25,5-31,2), do que aqueles com sobrepeso, 15,4% (IC95% 13,8-17,0), ou eutróficos, 6,3% (IC95% 5,6-7,0). A fração de hipertensão arterial atribuível à obesidade foi de 17,8%. CONCLUSÕES O ERICA foi o primeiro estudo brasileiro com representatividade nacional a estimar a prevalência de hipertensão arterial aferida em adolescentes. A fração da prevalência de hipertensão arterial atribuível à obesidade mostrou que cerca de 1/5 dos hipertensos poderiam não ser hipertensos se não fossem obesos.

ABSTRACT OBJECTIVE To estimate the prevalence of arterial hypertension and obesity and the population attributable fraction of hypertension that is due to obesity in Brazilian adolescents. METHODS Data from participants in the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA), which was the first national school-based, cross-section study performed in Brazil were evaluated. The sample was divided into 32 geographical strata and clusters from 32 schools and classes, with regional and national representation. Obesity was classified using the body mass index according to age and sex. Arterial hypertension was defined when the average systolic or diastolic blood pressure was greater than or equal to the 95th percentile of the reference curve. Prevalences and 95% confidence intervals (95%CI) of arterial hypertension and obesity, both on a national basis and in the macro-regions of Brazil, were estimated by sex and age group, as were the fractions of hypertension attributable to obesity in the population. RESULTS We evaluated 73,399 students, 55.4% female, with an average age of 14.7 years (SD = 1.6). The prevalence of hypertension was 9.6% (95%CI 9.0-10.3); with the lowest being in the North, 8.4% (95%CI 7.7-9.2) and Northeast regions, 8.4% (95%CI 7.6-9.2), and the highest being in the South, 12.5% (95%CI 11.0-14.2). The prevalence of obesity was 8.4% (95%CI 7.9-8.9), which was lower in the North region and higher in the South region. The prevalences of arterial hypertension and obesity were higher in males. Obese adolescents presented a higher prevalence of hypertension, 28.4% (95%CI 25.5-31.2), than overweight adolescents, 15.4% (95%CI 17.0-13.8), or eutrophic adolescents, 6.3% (95%CI 5.6-7.0). The fraction of hypertension attributable to obesity was 17.8%. CONCLUSIONS ERICA was the first nationally representative Brazilian study providing prevalence estimates of hypertension in adolescents. Regional and sex differences were observed. The study indicates that the control of obesity would lower the prevalence of hypertension among Brazilian adolescents by 1/5.

https://doi.org/10.1590/s01518-8787.2016050006685 18629 downloads

13.

ERICA: prevalence of metabolic syndrome in Brazilian adolescents
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Kuschnir, Maria Cristina C Bloch, Katia Vergetti Szklo, Moyses Klein, Carlos Henrique Barufaldi, Laura Augusta Abreu, Gabriela de Azevedo Schaan, Beatriz Veiga, Gloria Valeria da Silva, Thiago Luiz Nogueira da Vasconcellos, Maurício T L de Moraes, Ana Júlia Pantoja de Oliveira, Ana Mayra Andrade de Tavares, Bruno Mendes Oliveira, Cecília Lacroix de Cunha, Cristiane de Freitas Giannini, Denise Tavares Belfort, Dilson Rodrigues Santos, Eduardo Lima Leon, Elisa Brosina de Oliveira, Elizabete Regina Araújo Fujimori, Elizabeth Borges, Ana Luíza Magliano, Erika da Silva Vasconcelos, Francisco de Assis Guedes Azevedo, George Dantas Brunken, Gisela Soares Guimarães, Isabel Cristina Britto Faria Neto, José Rocha Oliveira, Juliana Souza Carvalho, Kenia Mara B de Gonçalves, Luis Gonzaga de Oliveira Monteiro, Maria Inês Santos, Marize M Muniz, Pascoal Torres Jardim, Paulo César B Veiga Ferreira, Pedro Antônio Muniz Montenegro Jr, Renan Magalhães Gurgel, Ricardo Queiroz Vianna, Rodrigo Pinheiro Vasconcelos, Sandra Mary Martins, Stella Maris Seixas Goldberg, Tamara Beres Lederer

Revista de Saúde Pública

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2016, Volume 50 Suppl. 1 elocation 11s

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

RESUMO OBJETIVO Determinar a prevalência de síndrome metabólica e de seus componentes em adolescentes brasileiros. MÉTODOS Foram avaliados 37.504 adolescentes, participantes do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA), estudo transversal de âmbito nacional e de base escolar. Os adolescentes, de 12 a 17 anos de idade, residiam em municípios com mais de 100 mil habitantes. A amostra foi estratificada e conglomerada em escolas e turmas. Os critérios da International Diabetes Federation foram utilizados para definir síndrome metabólica. Prevalências de síndrome metabólica foram estimadas segundo sexo, faixa etária, tipo de escola e estado nutricional. RESULTADOS Dos 37.504 adolescentes, 50,2% eram do sexo feminino; 54,3% tinham de 15 a 17 anos e 73,3% estudavam em escolas públicas. A prevalência nacional de síndrome metabólica foi 2,6% (IC95% 2,3-2,9), discretamente maior no sexo masculino e naqueles de 15 a 17 anos na maioria das macrorregiões. A prevalência foi a maior nos residentes na macrorregião Sul, nas adolescentes mais jovens e nos adolescentes mais velhos. A prevalência foi maior nas escolas públicas (2,8% [IC95% 2,4-3,2]) que nas escolas privadas (1,9% [IC95% 1,4-2,4]) e nos adolescentes obesos em comparação aos não obesos. As combinações de componentes mais frequentes, respondendo por 3/4 das combinações, foram: circunferência de cintura elevada, HDL-colesterol baixo e pressão arterial elevada, seguida de circunferência da cintura elevada, lipoproteína de alta densidade (HDL-c) baixo e triglicerídeos elevados, e wpor circunferência da cintura elevada, HDL baixa e triacilgliceróis e pressão arterial elevados. A HDL baixa foi o segundo componente mais frequente, mas a maior prevalência de síndrome metabólica (26,8%) foi observada na presença de triglicerídeos elevado. CONCLUSÕES O ERICA é o primeiro estudo nacional a apresentar prevalências de síndrome metabólica e descrever a participação dos seus componentes. Apesar de a prevalência da síndrome metabólica ter sido baixa, as altas prevalências de alguns componentes e de participação de outros na composição da síndrome torna importante o diagnóstico precoce de tais alterações, mesmo que não agrupadas na síndrome metabólica.

ABSTRACT OBJECTIVE To determine the prevalence of metabolic syndrome and its components in Brazilian adolescents. METHODS We evaluated 37,504 adolescents who were participants in the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, school-based, national study. The adolescents, aged from 12 to 17 years, lived in cities with populations greater than 100,000 inhabitants. The sample was stratified and clustered into schools and classes. The criteria set out by the International Diabetes Federation were used to define metabolic syndrome. Prevalences of metabolic syndrome were estimated according to sex, age group, school type and nutritional status. RESULTS Of the 37,504 adolescents who were evaluated: 50.2% were female; 54.3% were aged from 15 to 17 years, and 73.3% were from public schools. The prevalence of metabolic syndrome was 2.6% (95%CI 2.3-2.9), slightly higher in males and in those aged from 15 to 17 years in most macro-regions. The prevalence was the highest in residents from the South macro-region, in the younger female adolescents and in the older male adolescents. The prevalence was higher in public schools (2.8% [95%CI 2.4-3.2]), when compared with private schools (1.9% [95%CI 1.4-2.4]) and higher in obese adolescents when compared with nonobese ones. The most common combinations of components, referring to 3/4 of combinations, were: enlarged waist circumference (WC), low HDL-cholesterol (HDL-c) and high blood pressure; followed by enlarged WC, low HDL-c and high triglycerides; and enlarged WC, low HDL-c, high triglycerides and blood pressure. Low HDL was the second most frequent component, but the highest prevalence of metabolic syndrome (26.8%) was observed in the presence of high triglycerides. CONCLUSIONS ERICA is the first Brazilian nation-wide study to present the prevalence of metabolic syndrome and describe the role of its components. Despite the prevalence of Metabolic Syndrome being low, the high prevalences of some components and participation of others in the syndrome composition shows the importance of early diagnosis of this changes, even if not grouped within the metabolic syndrome.

https://doi.org/10.1590/s01518-8787.2016050006701 11875 downloads

14.

ERICA: prevalence of metabolic syndrome in Brazilian adolescents
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Revista de Saúde Pública

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2016, Volume 50 Suppl. 1 elocation 11s

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

https://doi.org/10.1590/s01518-8787.2016050006701

15.

ERICA: prevalences of hypertension and obesity in Brazilian adolescents
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Revista de Saúde Pública

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2016, Volume 50 Suppl. 1 elocation 9s

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

https://doi.org/10.1590/s01518-8787.2016050006685

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