Maria Ines Schmidt
Biographic Data
| ID | 150549 |
|---|---|
| NAME | Maria Ines Schmidt |
| GIVEN NAMES | Maria Ines |
| FAMILY NAME | Schmidt |
| SIGNATURE | SCHMIDT M I |
| AFFILIATIONS | Universidade Federal do Rio Grande do Sul |
| ORCID | 0000-0002-3837-0731 |
| VERIFIED | Yes |
| TOTAL WORKS | 103 |
| TOTAL CITATIONS | 206 |
| AUTHOR COUNT | 103 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1987 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 9 |
Exploring Associations between Race/Ethnicity and Glaucoma Prevalence in a Multicenter Brazilian Study
Our results reveal a higher prevalence of self-reported glaucoma in non-White groups, especially among Black and mixed-race individuals. Although causality cannot be conclusively established, our data suggest that the increased prevalence of glaucoma in these groups, compared with their White peers, is partially influenced by preventable health conditions
Intersection of Gender-Race/Color and Glycemic Control in Diabetes in Nine Years of Follow-up of the Elsa-Brazil Cohort
This study investigated how social categories defined by the intersection of gender-race/color influence the trajectory of glycemic control in adults with type 2 diabetes mellitus (T2DM). Guided by intersectionality and ecossocial theories, the study analyzed 1,009 individuals with T2DM who participated in three in-person study visits of the ELSA-Brazil cohort. Glycemic control at each visit was defined by glycated hemoglobin (HbA1C) < 7%. Four g…
BrDMrisc – Online Brazilian Risk Score for Incident Type 2 Diabetes – Elsa-Brasil Cohort
OBJECTIVE: To describe the Brazilian Diabetes Risk Score (BrDMrisc), an online calculator for estimating the risk of developing diabetes in 10 years, comparing it to other commonly used screening approaches to identify high-risk of future diabetes. METHODS: BrDMrisc is derived from 7.4-year follow-up data from ELSA-Brasil, a contemporary Brazilian cohort. Risk functions to predict future diabetes were based on socioeconomic, lifestyle, clinical, …
Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021
BACKGROUND: Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 ri…
Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990–2021
BACKGROUND: Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mort…
Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the Covid-19 pandemic
BACKGROUND: Estimates of demographic metrics are crucial to assess levels and trends of population health outcomes. The profound impact of the COVID-19 pandemic on populations worldwide has underscored the need for timely estimates to understand this unprecedented event within the context of long-term population health trends. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides new demographic estimates for 204 cou…
Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (Dalys), and healthy life expectancy (Hale) for 371 diseases and injuries in 204 countries and territor…
BACKGROUND: Detailed, comprehensive, and timely reporting on population health by underlying causes of disability and premature death is crucial to understanding and responding to complex patterns of disease and injury burden over time and across age groups, sexes, and locations. The availability of disease burden estimates can promote evidence-based interventions that enable public health researchers, policy makers, and other professionals to im…
Dynapenia and sarcopenia
Sarcopenia (the loss of muscle mass, strength and skeletal muscle function) increases mortality and the risk of hospitalization in the older population. Although it is known that older adults with type 2 diabetes mellitus (T2DM) have a higher risk of dynapenia and sarcopenia, few studies have investigated these conditions in middle-aged populations. The objective of this study was to investigate whether T2DM, its duration, the presence of albumin…
Comparing diabetes prediction based on metabolic dysfunction-associated steatotic liver disease and nonalcoholic fatty liver disease
We aimed to compare nonalcoholic fatty liver disease (NAFLD) and metabolic dysfunction-associated steatotic liver disease (MASLD) definitions concerning diabetes prediction in a large sample of Brazilian adults. As a secondary objective, we compared associations between NAFLD/MASLD and diabetes across self-declared race/skin color groups. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) is a prospective cohort study of Brazilian civ…
Physical activity
Racial Inequities in the Control of Hypertension and the Explanatory Role of Residential Segregation
Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050
BACKGROUND: Diabetes is one of the leading causes of death and disability worldwide, and affects people regardless of country, age group, or sex. Using the most recent evidentiary and analytical framework from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), we produced location-specific, age-specific, and sex-specific estimates of diabetes prevalence and burden from 1990 to 2021, the proportion of type 1 and type 2 diabetes…
Masticatory Efficiency in Orthodontic Patients with Craniofacial Disorder
This study evaluates the masticatory efficiency in patients with craniofacial disorders (CD) compared to controls (C). A total of 119 participants (7-21 years), divided into CD group (n = 42, mean age 13.45 ± 5.2 years) and C group (n = 77, mean age 14.3 ± 3.27 years) under an orthodontic treatment were included. Masticatory efficiency was assessed using a standard food model test. The masticated food was examined according to its number of parti…
Association between Leisure-Time and Commute Physical Activity and Pre-Diabetes and Diabetes in the Brazilian Longitudinal Study of Adult Health (Elsa-Brasil)
LTPA was inversely associated with diabetes and pre-diabetes in the ELSA-Brasil participants. A different behavior was observed between genders
Impact of socioeconomic factors on lifestyle changes among employees of public higher education institutions in Elsa-Brasil during Covid-19 pandemic
This study aimed to identify lifestyle changes and associated sociodemographic factors in women and men participating in the Brazilian Longitudinal Study for Adult Health (ELSA-Brasil) cohort during the COVID-19 pandemic. Longitudinal study with 3,776 (aged 58.8 years; SD ± 8.5) employees of public higher education institutions in the second follow-up and the wave-COVID of ELSA-Brasil. Data collected using structured questionnaires. An explorator…
Patterns of metabolic syndrome and associated factors in women from the Elsa-Brasil
This study aimed to identify patterns of metabolic syndrome among women and estimate their prevalence and relationship with sociodemographic and biological characteristics. In total, 5,836 women were evaluated using baseline data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Patterns of metabolic syndrome were defined via latent class analysis, using the following metabolic abnormalities as indicators: abdominal obesity, hy…
Liver steatosis as a predictor of incident diabetes in adults
Increasing epidemiological evidence suggests a bidirectional relationship between non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes, and that NAFLD may precede and/or promote the development of diabetes. This study aimed to investigate whether liver steatosis is associated with the incidence of diabetes in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The ELSA-Brasil is an occupational cohort study of active or retir…
Pandemic preparedness and Covid-19
BACKGROUND: National rates of COVID-19 infection and fatality have varied dramatically since the onset of the pandemic. Understanding the conditions associated with this cross-country variation is essential to guiding investment in more effective preparedness and response for future pandemics. METHODS: Daily SARS-CoV-2 infections and COVID-19 deaths for 177 countries and territories and 181 subnational locations were extracted from the Institute …
Estimating excess mortality due to the Covid-19 pandemic
BACKGROUND: Mortality statistics are fundamental to public health decision making. Mortality varies by time and location, and its measurement is affected by well known biases that have been exacerbated during the COVID-19 pandemic. This paper aims to estimate excess mortality from the COVID-19 pandemic in 191 countries and territories, and 252 subnational units for selected countries, from Jan 1, 2020, to Dec 31, 2021. METHODS: All-cause mortalit…
Population-level risks of alcohol consumption by amount, geography, age, sex, and year
BACKGROUND: The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year. METHODS: For this analysis, we constructed burden-weighted dose-response relative risk curves across 22 health outcomes to esti…
Diabetes autorreferido e fatores associados na população adulta brasileira
O estudo analisa a prevalência de diabetes autorreferido e fatores associados na população adulta brasileira. Estudo transversal usando a Pesquisa Nacional de Saúde 2019. Estimaram-se as prevalências e razões de prevalência brutas (RPb) e ajustadas (RPa) de diabetes autorreferido, com intervalos de confiança (IC95%), empregando-se regressão de Poisson. Nos 82.349 adultos, a prevalência de diabetes autorreferido foi de 7,7%. Associaram-se positiva…
Self-reported diabetes and factors associated with it in the Brazilian adult population
This study aims to analyze the prevalence of self-reported diabetes and its associated factors in the Brazilian adult population. It is a cross-sectional study using the 2019 National Health Survey. Prevalence and crude prevalence ratios (PRc) and adjusted prevalence ratios (PRa) of self-reported diabetes were estimated, with confidence intervals (95% CI), using Poisson regression. In the 82,349 adults, the prevalence of self-reported diabetes wa…
Leisure Time Physical Activity and Sars-CoV-2 Infection among Elsa-Brasil Participants
The regular practice of physical activity (PA) can reduce the chance of aggravation of the disease and lower rates of hospitalization and mortality from COVID-19, but few studies have analyzed the association of PA with the risk of infection by SARS-CoV-2. The aim of the study was to analyze the association between PA and self-reported SARS-CoV-2 infection. A longitudinal study was conducted with data from 4476 ELSA-Brasil participants who had th…
Commentary on Education-Related Health Inequities in Noncommunicable Diseases
Evolution of diabetes in Brazil
The prevalence of diabetes has been growing worldwide. This study aimed to estimate the prevalence of self-reported diabetes in Brazil in 2019, to describe its evolution from 2013, and to evaluate the role of population growth, aging, and other factors in the changes found. The 2019 Brazilian National Health Survey, a nationally representative cross-sectional survey, queried a physician diagnosis of diabetes in a probabilistic multistage cluster …
At the intersection of place, race, and health in Brazil
Validity of self-reported weight
In order to evaluate the validity of self-reported weight for use in obesity prevalence surveys, self-reported weight was compared to measured weight for 659 adults living in the Porto Alegre county, RS Brazil in 1986-87, both weights being obtained by a technician in the individual's home on the same visit. The mean difference between self-reported and measured weight was small (-0.06 +/- 3.16 kg; mean +/- standard deviation), and the correlatio…
Doenças crônicas não transmissíveis no Brasil
As Doenças Crônicas Não Transmissíveis representam a maior carga de morbimortalidade no Brasil. Em 2011, o Ministério da Saúde lançou seu Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis, enfatizando ações populacionais para controlar as doenças cardiovasculares, diabetes, câncer e doença respiratória crônica, predominantemente pelo controle do fumo, inatividade física, alimentação inadequada e uso prejudic…
Estrategias e desenvolvimento de garantia e controle de qualidade no Elsa-Brasil
O Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil) é um estudo de coorte composto de 15.105 adultos acompanhados para avaliar o desenvolvimento de doenças crônicas, especialmente diabetes e doença cardiovascular. Seu porte, natureza multicêntrica e diversidade de medidas exigiram mecanismos ágeis e efetivos de garantia e controle de qualidade. Entre as atividades de garantia de qualidade (aquelas desenvolvidas antes de iniciar a coleta de dad…
Fatores de risco para doenças não-transmissíveis em área metropolitana na região sul do Brasil
Três quartos da mortalidade no Estado do Rio Grande do Sul (Brasil) ocorrem por doenças não-transmissíveis. Dentre elas as doenças cardiovasculares, por si só, correspondem a 35% das causas de morte. Para avaliar a prevalência de fatores de risco para essas doenças, foi realizado inquérito domiciliar no período de 1986/87. Foram entrevistados 1.157 indivíduos entre 15-64 anos, residentes em setores censitários de 4 áreas docente-assistenciais do …
Assessment of weight gain during pregnancy in general prenatal care services in Brazil
Obesity is an emerging major health risk for women around the world. In this regard, little attention has been given to pregnancy, a moment of risk not only for major weight gain in these women, but also for macrosomia in their offspring. The objective of this study is to evaluate weight gain during pregnancy. Data pertains to a cohort of pregnant women attending general prenatal care clinics in six state capitals in Brazil, from 1991 to 1995. We…
Nutritional status of pregnant women
INTRODUCTION: Although obesity is well recognized as a current public health problem, its prevalence and impact among pregnant women have been less investigated in Brazil. The objective of the study was to evaluate the impact of pre-obesity and obesity among pregnant women, describing its prevalence and risk factors, and their association with adverse pregnancy outcomes. METHODS: A cohort of 5,564 pregnant women, aged 20 years or more, enrolled a…
Rotinas de organizacao de exames e entrevistas no centro de investigacao Elsa-Brasil
O Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil) é um estudo de coorte prospectivo com avaliações abrangentes ao longo do tempo. O artigo descreve a rotina de exames e entrevistas realizados pelo participante, assim como a estruturação da área física e da equipe dos Centros de Pesquisa. O ELSA-Brasil pressupõe o comparecimento do participante ao Centro de Pesquisa para a realização dos exames e entrevistas segundo protocolos padronizados de…
Chronic kidney disease among adult participants of the Elsa-Brasil cohort
BACKGROUND: There is increased interest in understanding why chronic kidney disease (CKD) rates vary across races and socioeconomic groups. We investigated the distribution of estimated glomerular filtration rate (eGFR), urinary albumin-creatinine ratio (ACR) and CKD according to these factors in Brazilian adults. METHODS: Using baseline data (2008-2010) of 14,636 public sector employees (35-74 years) enrolled in the Brazilian Longitudinal Study …
Uso de medicamentos por gestantes em seis cidades brasileiras
OBJETIVO: Descrever os medicamentos utilizados por gestantes que fizeram o pré-natal em serviços do SUS (Sistema Único de Saúde) em cidades brasileiras. MÉTODOS: Utilizando-se um questionário estruturado, foram entrevistadas 5.564 gestantes entre a 21a e a 28a semanas de gravidez, que se apresentaram para consulta em serviço de pré-natal do SUS em seis grandes cidades brasileiras. As perguntas foram agrupadas em "uso orientado" para dor, cólica, …
Who, and what, causes health inequities? Reflections on emerging debates from an exploratory Latin American/North American workshop
Objective: To examine the associations between childhood socioeconomic and family circumstances, health and behavioural and cognitive development, and health and mental well-being outcomes in adulthood; exploring whether associations are different for cohorts born in 1958 and 1970, or for men and women. Design: Pooled analysis of two prospective, population-based, British birth cohort studies. Participants: 11 327 men and women born in 1958 and 1…
Socioeconomic, demographic and nutritional factors associated with maternal weight gain in general practices in Southern Brazil
In order to describe adequacy of weight gain during pregnancy and its association with pre-pregnancy nutritional status and other factors, a cohort study of pregnant women enrolled at 16-36 weeks of gestation and followed up until delivery was carried out in prenatal care in primary care services in Rio Grande do Sul State, Brazil. Maternal weight was recorded at each prenatal care visit. Weight gain was classified as "adequate," "insufficient" o…
Prevalência de diabetes e hipertensão no Brasil baseada em inquérito de morbidade auto-referida, Brasil, 2006
OBJETIVO: Estimar a prevalência de diabetes e de hipertensão auto-referidas e seus números absolutos no Brasil. MÉTODOS: Foram analisados dados referentes aos 54.369 indivíduos com idade >18 anos entrevistados pelo sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL), realizado nas 27 capitais brasileiras em 2006, que responderam positivamente a questões sobre pressão alta e diabetes. Os pe…
Fatores associados ao uso de medicamentos durante a gestação em seis cidades brasileiras
O objetivo deste estudo foi comparar o uso de medicamentos durante a gravidez, segundo variáveis sócio-demográficas, em gestantes que fizeram o pré-natal em serviços do SUS em seis grandes cidades brasileiras. Utilizando-se um questionário estruturado, foram entrevistadas 5.564 gestantes que se apresentaram para consulta em serviço de pré-natal do SUS, participantes do Estudo Brasileiro de Diabetes Gestacional, entre 1991 e 1995. O uso de qualque…
Obesity and gestational weight gain
OBJECTIVE: To assess the association between pre-gestational obesity and weight gain with cesarean delivery and labor complications. METHODS: A total of 4,486 women 20-28 weeks pregnant attending general prenatal care clinics of the national health system in Brazil from 1991 to 1995 were enrolled and followed up through birth. Body mass index categories based on prepregnancy weight and total weight gain were calculated. Associations between body …
Consumption of ultra-processed foods and socioeconomic position
The objective of the study was to estimate the contribution of ultra-processed foods to total caloric intake and investigate whether it differs according to socioeconomic position. We analyzed baseline data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil 2008-2010; N = 14.378) and data on dietary intake using a food frequency questionnaire, assigning it into three categories: unprocessed or minimally processed foods and process…
Fatores associados ao fumo em gestantes avaliadas em cidades brasileiras
OBJETIVO: Avaliar a correlação dos fatores sociodemográficos e estilo de vida com o hábito de fumar em gestantes atendidas em hospitais. MÉTODOS: O delineamento foi o de um estudo transversal. A amostra foi composta por 5.539 gestantes atendidas em ambulatórios de pré-natal em hospitais públicos credenciados nas cidades de Manaus, Fortaleza, Salvador, Rio de Janeiro, São Paulo e Porto Alegre, entre 1991 e 1995. A seleção foi consecutiva para toda…
Transtornos mentais em uma amostra de gestantes da rede de atenção básica de saúde no Sul do Brasil
Para determinar a prevalência de prováveis transtornos psiquiátricos durante a gravidez e os fatores sociodemográficos associados, utilizou-se o instrumento PRIME-MD, em 712 gestantes (16o a 36o semanas), de 18 unidades básicas de saúde no sul do Brasil. A prevalência de um provável transtorno mental foi de 41,7%. O transtorno depressivo maior (21,6%) foi o mais prevalente, seguido pelo Transtorno de Ansiedade Generalizada (19,8%). Os fatores que…
Dietary patterns during pregnancy and the association with sociodemographic characteristics among women attending general practices in southern Brazil
The assessment of the relationship between food intake and sociodemographic factors is crucial for developing effective public health policies. The present study aimed to examine dietary patterns in pregnant women and the association between these patterns and sociodemographic characteristics. Pregnant women attending general practices in southern Brazil (n = 712) answered a questionnaire and a food-frequency questionnaire with 88 items. Three di…
Análise econômica de programa para rastreamento do diabetes mellitus no Brasil
OBJETIVO: Diabetes mellitus é um problema de saúde pública com elevado ônus social e econômico, cujo diagnóstico é desconhecido em metade dos indivíduos portadores. Em 2001, o Ministério da Saúde realizou a Campanha Nacional para a Detecção do Diabetes Mellitus. Assim, o objetivo do estudo foi estimar o impacto econômico e o rendimento desse rastreamento populacional. MÉTODOS: Baseado no número de rastreados com resultados positivos (glicemia cap…
Liver steatosis as a predictor of incident diabetes in adults
Increasing epidemiological evidence suggests a bidirectional relationship between non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes, and that NAFLD may precede and/or promote the development of diabetes. This study aimed to investigate whether liver steatosis is associated with the incidence of diabetes in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The ELSA-Brasil is an occupational cohort study of active or retir…
Fenótipo cintura hipertrigliceridêmica
O objetivo deste estudo foi estimar a prevalência do fenótipo cintura hipertrigliceridêmica (FCH) em participantes do Estudo Longitudinal da Saúde do Adulto (ELSA-Brasil), identificar fatores de risco associados e comparar com outros indicadores de risco cardiovascular e metabólico. Trata-se de um estudo transversal com dados da linha de base de uma coorte de servidores públicos. O FCH é definido pela presença simultânea de circunferência da cint…
Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
The aim of this study is to evaluate the diagnostic properties of waist circumference in the prediction of obesity-related gestational outcomes. Pregnant women 20 years or older were consecutively enrolled in six Brazilian State capitals from 1991 to 1995. Weight, height, and waist circumference were measured and an oral glucose tolerance test was performed. Patients were followed through childbirth by chart review. Diagnostic performance for the…
Randolph L. Braham and Bélo Vágó, editors, The Holocaust in Hungary
Margit Slachta's Activities in Support of Slovakian Jewry 1942–1943
The unique actions by Margit Slachta on behalf of the persecuted Jews in Slovakia and eventually in her own country, Hungary, have received little scholarly attention. This article attempts to show how, based on her belief in Christian principles and morality, she chose to take an active and public stand to protest against the policy of racial discrimination and persecution. Especially noteworthy were her efforts to mobilize the leaders of the Ch…
Validity of self-reported weight
In order to evaluate the validity of self-reported weight for use in obesity prevalence surveys, self-reported weight was compared to measured weight for 659 adults living in the Porto Alegre county, RS Brazil in 1986-87, both weights being obtained by a technician in the individual's home on the same visit. The mean difference between self-reported and measured weight was small (-0.06 +/- 3.16 kg; mean +/- standard deviation), and the correlatio…
Fatores de risco para doenças não-transmissíveis em área metropolitana na região sul do Brasil
Três quartos da mortalidade no Estado do Rio Grande do Sul (Brasil) ocorrem por doenças não-transmissíveis. Dentre elas as doenças cardiovasculares, por si só, correspondem a 35% das causas de morte. Para avaliar a prevalência de fatores de risco para essas doenças, foi realizado inquérito domiciliar no período de 1986/87. Foram entrevistados 1.157 indivíduos entre 15-64 anos, residentes em setores censitários de 4 áreas docente-assistenciais do …
Nutritional status of pregnant women
INTRODUCTION: Although obesity is well recognized as a current public health problem, its prevalence and impact among pregnant women have been less investigated in Brazil. The objective of the study was to evaluate the impact of pre-obesity and obesity among pregnant women, describing its prevalence and risk factors, and their association with adverse pregnancy outcomes. METHODS: A cohort of 5,564 pregnant women, aged 20 years or more, enrolled a…
Uso de medicamentos por gestantes em seis cidades brasileiras
OBJETIVO: Descrever os medicamentos utilizados por gestantes que fizeram o pré-natal em serviços do SUS (Sistema Único de Saúde) em cidades brasileiras. MÉTODOS: Utilizando-se um questionário estruturado, foram entrevistadas 5.564 gestantes entre a 21a e a 28a semanas de gravidez, que se apresentaram para consulta em serviço de pré-natal do SUS em seis grandes cidades brasileiras. As perguntas foram agrupadas em "uso orientado" para dor, cólica, …
Assessment of weight gain during pregnancy in general prenatal care services in Brazil
Obesity is an emerging major health risk for women around the world. In this regard, little attention has been given to pregnancy, a moment of risk not only for major weight gain in these women, but also for macrosomia in their offspring. The objective of this study is to evaluate weight gain during pregnancy. Data pertains to a cohort of pregnant women attending general prenatal care clinics in six state capitals in Brazil, from 1991 to 1995. We…
A nationwide population screening program for diabetes in Brazil
The massive response to the campaign attests to the potential that this type of program has to raise diabetes awareness and to set the stage for capacity-building at the primary care level
Fatores associados ao fumo em gestantes avaliadas em cidades brasileiras
OBJETIVO: Avaliar a correlação dos fatores sociodemográficos e estilo de vida com o hábito de fumar em gestantes atendidas em hospitais. MÉTODOS: O delineamento foi o de um estudo transversal. A amostra foi composta por 5.539 gestantes atendidas em ambulatórios de pré-natal em hospitais públicos credenciados nas cidades de Manaus, Fortaleza, Salvador, Rio de Janeiro, São Paulo e Porto Alegre, entre 1991 e 1995. A seleção foi consecutiva para toda…
Fatores associados ao uso de medicamentos durante a gestação em seis cidades brasileiras
O objetivo deste estudo foi comparar o uso de medicamentos durante a gravidez, segundo variáveis sócio-demográficas, em gestantes que fizeram o pré-natal em serviços do SUS em seis grandes cidades brasileiras. Utilizando-se um questionário estruturado, foram entrevistadas 5.564 gestantes que se apresentaram para consulta em serviço de pré-natal do SUS, participantes do Estudo Brasileiro de Diabetes Gestacional, entre 1991 e 1995. O uso de qualque…
Análise econômica de programa para rastreamento do diabetes mellitus no Brasil
OBJETIVO: Diabetes mellitus é um problema de saúde pública com elevado ônus social e econômico, cujo diagnóstico é desconhecido em metade dos indivíduos portadores. Em 2001, o Ministério da Saúde realizou a Campanha Nacional para a Detecção do Diabetes Mellitus. Assim, o objetivo do estudo foi estimar o impacto econômico e o rendimento desse rastreamento populacional. MÉTODOS: Baseado no número de rastreados com resultados positivos (glicemia cap…
Obesity and gestational weight gain
OBJECTIVE: To assess the association between pre-gestational obesity and weight gain with cesarean delivery and labor complications. METHODS: A total of 4,486 women 20-28 weeks pregnant attending general prenatal care clinics of the national health system in Brazil from 1991 to 1995 were enrolled and followed up through birth. Body mass index categories based on prepregnancy weight and total weight gain were calculated. Associations between body …
Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
The aim of this study is to evaluate the diagnostic properties of waist circumference in the prediction of obesity-related gestational outcomes. Pregnant women 20 years or older were consecutively enrolled in six Brazilian State capitals from 1991 to 1995. Weight, height, and waist circumference were measured and an oral glucose tolerance test was performed. Patients were followed through childbirth by chart review. Diagnostic performance for the…
Dietary fibre intake of pregnant women attending general practices in southern Brazil – The Eccage Study
Background Increase in fibre intake during pregnancy may reduce weight gain, glucose intolerance, dyslipidaemia, pre-eclampsia and constipation. Few studies have evaluated adequacy of fibre intake during pregnancy. Objective To assess, through an FFQ, the dietary fibre intake of pregnant women receiving prenatal care from general public practices and compare it with current guidelines. Design and setting Cross-sectional analyses of a pregnancy co…
Prevalência de diabetes e hipertensão no Brasil baseada em inquérito de morbidade auto-referida, Brasil, 2006
OBJETIVO: Estimar a prevalência de diabetes e de hipertensão auto-referidas e seus números absolutos no Brasil. MÉTODOS: Foram analisados dados referentes aos 54.369 indivíduos com idade >18 anos entrevistados pelo sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL), realizado nas 27 capitais brasileiras em 2006, que responderam positivamente a questões sobre pressão alta e diabetes. Os pe…
Who, and what, causes health inequities? Reflections on emerging debates from an exploratory Latin American/North American workshop
Objective: To examine the associations between childhood socioeconomic and family circumstances, health and behavioural and cognitive development, and health and mental well-being outcomes in adulthood; exploring whether associations are different for cohorts born in 1958 and 1970, or for men and women. Design: Pooled analysis of two prospective, population-based, British birth cohort studies. Participants: 11 327 men and women born in 1958 and 1…
Socioeconomic, demographic and nutritional factors associated with maternal weight gain in general practices in Southern Brazil
In order to describe adequacy of weight gain during pregnancy and its association with pre-pregnancy nutritional status and other factors, a cohort study of pregnant women enrolled at 16-36 weeks of gestation and followed up until delivery was carried out in prenatal care in primary care services in Rio Grande do Sul State, Brazil. Maternal weight was recorded at each prenatal care visit. Weight gain was classified as "adequate," "insufficient" o…
Chronic non-communicable diseases in Brazil
Health conditions and health-policy innovations in Brazil
P1-136 Second and third trimesters pregnancy weight gain
Background The Institute of Medicine (IOM) has recently made new recommendations for total and trimester gestational weight gain. However, deviates from recommended weight gain according to gestational trimester have been little investigated with regard to obstetric outcomes. Objectives To investigate association between weekly weight gain during second and third trimesters, and maternal and fetal outcomes, taking into account pregestational body…
P1-420 Fibre intake and evolution of body mass index
Background Postpartum weight retention is important risk factor for obesity in reproductive age women. The role of fibre intake still needs clarification, being among those dietetic factors that may be associated with a positive evolution of postpartum weight variation. Objectives To evaluate the effect of fibre intake on the evolution of maternal body mass index (BMI) from pregnancy to postpartum, and to identify dietary patterns associated with…
RW1-1 Linking the global South and North in the Americas
The focus of this joint IEA Regional workshop, co-organised by the IEA North American Region and the IEA Latin American and Caribbean region, is “Linking the global South and North in the Americas: building hemispheric ties and solidarity to prepare for the 2014 IEA World Congress of Epidemiology in Alaska.” Premised on the understanding that social justice is the foundation of public health, the purpose of our workshop is to bring together epide…
Brazilian Longitudinal Study of Adult Health (Elsa-Brasil)
Although low- and middle-income countries still bear the burden of major infectious diseases, chronic noncommunicable diseases are becoming increasingly common due to rapid demographic, epidemiologic, and nutritional transitions. However, information is generally scant in these countries regarding chronic disease incidence, social determinants, and risk factors. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) aims to contribute rel…
Desigualdades de gênero na mortalidade por doenças crônicas não transmissíveis no Brasil
A carga de doença atribuída às doenças crônicas não transmissíveis (DCNT) está aumentando globalmente, sendo em geral maior em homens. O objetivo deste artigo é descrever os diferenciais por gênero na mortalidade e tendências por DCNT no Brasil. Taxas padronizadas de mortalidade foram calculadas para os anos 1991-2010 após correção por subregistro e causas mal definidas, empregando faixas etárias de cinco anos específicas para homens e mulheres. …
Doenças crônicas não transmissíveis no Brasil
As Doenças Crônicas Não Transmissíveis representam a maior carga de morbimortalidade no Brasil. Em 2011, o Ministério da Saúde lançou seu Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis, enfatizando ações populacionais para controlar as doenças cardiovasculares, diabetes, câncer e doença respiratória crônica, predominantemente pelo controle do fumo, inatividade física, alimentação inadequada e uso prejudic…
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