Paulo A Lotufo
Biographic Data
| ID | 150550 |
|---|---|
| NAME | Paulo A Lotufo |
| GIVEN NAMES | Paulo A |
| FAMILY NAME | Lotufo |
| SIGNATURE | LOTUFO P A |
| AFFILIATIONS | Universidade de São Paulo |
| ORCID | 0000-0002-4856-8450 |
| VERIFIED | Yes |
| TOTAL WORKS | 97 |
| TOTAL CITATIONS | 76 |
| AUTHOR COUNT | 97 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 5 |
Dietary patterns derived from three diet quality indices and associated factors
The aim of this study was to describe dietary patterns using three diet quality indices and the associated factors among 15,081 participants from the baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Dietary intake was assessed through a food frequency questionnaire. Three diet quality indices were applied: the Planetary Health Diet Index (PHDI), the Cardiovascular Health Diet Index (CHDI), and the Healthy Eating Index-2…
Padrões alimentares derivados de três índices de qualidade da dieta e fatores associados
O objetivo deste estudo foi descrever os padrões alimentares através de três índices de qualidade da dieta e os fatores associados entre 15.081 participantes da linha de base do Estudo Longitudinal de Saúde do Adulto (ELSA- Brasil). O consumo alimentar foi avaliado por meio de questionário de frequência alimentar. A partir disso, foram aplicados três índices de qualidade da dieta: o Índice de Dieta da Saúde Planetária (PHDI), Índice de Qualidade …
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
Etapas de desenvolvimento e controle de qualidade no Estudo de Envelhecimento e Funcionamento Cerebral no Elsa-Brasil
OBJECTIVE: To describe all stages of developing strategies and quality control in the Aging and Brain Working Study linked to the Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil – Brazilian Longitudinal Study of Adult Health), a prospective cohort of 15,105 civil servants (aged 35–74) followed up since 2008. METHODS: Based on the sample of participants alive at the beginning of the sample selection in September 2022 (n = 4,566) from ELSA-Bras…
Burden of disease scenarios for 204 countries and territories, 2022–2050
BACKGROUND: Future trends in disease burden and drivers of health are of great interest to policy makers and the public at large. This information can be used for policy and long-term health investment, planning, and prioritisation. We have expanded and improved upon previous forecasts produced as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) and provide a reference forecast (the most likely future), and alternativ…
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 fertility in 204 countries and territories, 1950–2021, with forecasts to 2100
BACKGROUND: Accurate assessments of current and future fertility-including overall trends and changing population age structures across countries and regions-are essential to help plan for the profound social, economic, environmental, and geopolitical challenges that these changes will bring. Estimates and projections of fertility are necessary to inform policies involving resource and health-care needs, labour supply, education, gender equality,…
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…
Worldwide trends in underweight and obesity from 1990 to 2022
BACKGROUND: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. METHODS: ). For school-aged children and adolescents, we report thinness (BMI 2 SD above the median). FINDINGS: From 1990 to 20…
Are Neighborhood Greenspaces Associated with Leisure-time Physical Activity? Results from Elsa-Brasil Eight-year Follow-up
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
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…
Elsa-Brasil
OBJECTIVE To compare the incidence of hearing loss among adults stratified by the occurrence of hypertension, and to investigate the association between hypertension and hearing loss. METHODS Longitudinal observational study, part of the Estudo Longitudinal da Saúde do Adulto (ELSA-Brasil, Longitudinal Study on Adult’s Health). Data from the first and second waves were analyzed, including information from audiological assessment and general healt…
Recommender System Based on Collaborative Filtering for Personalized Dietary Advice
This study aimed to predict dietary recommendations and compare the performance of algorithms based on collaborative filtering for making predictions of personalized dietary recommendations. We analyzed the baseline cross-sectional data (2008-2010) of 12,667 participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The participants were public employees of teaching and research institutions, aged 35-74 years, and 59% female.…
Estimation of underreporting of energy intake using different methods in a subsample of the Elsa-Brasil study
Existing methods for assessing food consumption are subject to measurement errors, especially the underreporting of energy intake, characterized by reporting energy intake below the minimum necessary to maintain body weight. This study aimed to compare the identification of energy intake underreporters using different predictive equations and instruments to collect dietary data. The study was conducted with 101 selected participants in the third …
Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019
BACKGROUND: Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. METHODS: We used data from 1990 to 2019 on people aged 30-79 years from population-representative studies with measurement of blood pressure and data on blo…
Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the Covid-19 pandemic
BACKGROUND: Before 2020, mental disorders were leading causes of the global health-related burden, with depressive and anxiety disorders being leading contributors to this burden. The emergence of the COVID-19 pandemic has created an environment where many determinants of poor mental health are exacerbated. The need for up-to-date information on the mental health impacts of COVID-19 in a way that informs health system responses is imperative. In …
Lifetime risk of developing diabetes and years of life lost among those with diabetes in Brazil
BACKGROUND: Given the paucity of studies for low- or middle-income countries, we aim to provide the first ever estimations of lifetime risk of diabetes, years of life spent and lost among those with diabetes for Brazilians. Estimates of Brazil ́s diabetes burden consist essentially of reports of diabetes prevalence from national surveys and mortality data. However, these additional metrics are at times more meaningful ways to characterize this bu…
Incidence of excess body weight and annual weight gain in women and men
OBJECTIVE: To estimate annual weight gain and the incidence of overweight and obesity, stratified according to gender and socioeconomic factors. METHODS: From the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), we included 13 625 women and men aged 35-74 (2008-2010) who attended a follow-up visit after a mean 3.8-years. Standardized questionnaires were used to record sociodemographic data, and height and weight were measured on all pa…
Dietary patterns associated with subclinical atherosclerosis
Objective: To identify dietary patterns associated with subclinical atherosclerosis measured as coronary artery calcification (CAC). Design: Cross-sectional analysis of data from the Brazilian Longitudinal Study of Adult Health. Dietary data were assessed using a FFQ, and a principal component factor analysis was used to derive the dietary patterns. Scree plot, eigenvalues > 1 and interpretability were considered to retain the factors. CAC was me…
Mortalidade por Covid-19 padronizada por idade nas capitais das diferentes regiões do Brasil
O crescimento acentuado de casos e óbitos por COVID-19 tem levado à grande sobrecarga do sistema de saúde no Brasil, em especial em cidades como Manaus (Amazonas), Rio de Janeiro e São Paulo. A descrição do impacto da pandemia tem se baseado em números absolutos ou taxas de mortalidade brutas, não considerando o padrão de distribuição das faixas etárias nas diferentes regiões do país. Este estudo tem por objetivo comparar as taxas de mortalidade …
Global age-sex-specific fertility, mortality, healthy life expectancy (Hale), and population estimates in 204 countries and territories, 1950–2019
BACKGROUND: Accurate and up-to-date assessment of demographic metrics is crucial for understanding a wide range of social, economic, and public health issues that affect populations worldwide. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 produced updated and comprehensive demographic assessments of the key indicators of fertility, mortality, migration, and population for 204 countries and territories and selected sub…
Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories
BACKGROUND: Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. METHODS: For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease …
Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017
BACKGROUND: Previous attempts to characterise the burden of chronic respiratory diseases have focused only on specific disease conditions, such as chronic obstructive pulmonary disease (COPD) or asthma. In this study, we aimed to characterise the burden of chronic respiratory diseases globally, providing a comprehensive and up-to-date analysis on geographical and time trends from 1990 to 2017. METHODS: Using data from the Global Burden of Disease…
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…
Afericoes e exames clinicos realizados nos participantes do Elsa-Brasil
Este artigo descreve os exames clínicos realizados no Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). Alguns deles (antropometria, pressão arterial e índice tornozelo-braquial) já têm uso clínico consolidado. Outros, como a velocidade de onda de pulso, variabilidade da frequência cardíaca e medida da espessura médio-intimal de carótidas, carecem de valor de referência na população brasileira não doente e podem constituir preditores importan…
Logistica de coleta e transporte de material biologico e organizacao do laboratorio central no Elsa-Brasil
O Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil) é um estudo de coorte multicêntrico com o objetivo de identificar os fatores de risco associados ao diabetes tipo 2 e à doença cardiovascular na população brasileira. O artigo descreve as estratégias de coleta, processamento, transporte e de controle de qualidade dos exames de sangue e urina no ELSA. O estudo optou pela centralização dos exames em um único laboratório. O processamento das amo…
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 …
Hipertensão arterial e possíveis fatores de risco
São apresentados resultados de um estudo de prevalência de hipertensão arterial realizado no Município de Araraquara, SP, Brasil, em 1987, que avaliou 1.199 pessoas, sendo 533 homens e 666 mulheres, de 15-74 anos de idade. Os resultados mostram alta prevalência da doença, maior no sexo masculino (32,0%) do que no feminino (25,3%), com tendência crescente com a idade, até os 49 anos (homens) e até os 59 anos (mulheres). Houve, também, maior percen…
Mortalidade por Covid-19 padronizada por idade nas capitais das diferentes regiões do Brasil
O crescimento acentuado de casos e óbitos por COVID-19 tem levado à grande sobrecarga do sistema de saúde no Brasil, em especial em cidades como Manaus (Amazonas), Rio de Janeiro e São Paulo. A descrição do impacto da pandemia tem se baseado em números absolutos ou taxas de mortalidade brutas, não considerando o padrão de distribuição das faixas etárias nas diferentes regiões do país. Este estudo tem por objetivo comparar as taxas de mortalidade …
Tratamento da hipertensão e declínio da mortalidade por acidentes vasculares cerebrais
É discutida a possível relação causa-efeito entre o declínio da mortalidade por acidentes vasculares cerebrais (AVC) e o melhor tratamento da hipertensão arterial. Para isto são revistos criticamente na literatura internacional os possíveis artefatos estatísticos para a enumeração dos AVCs, a letalidade e a incidência de AVC a prevalência de outros fatores de risco como hipercolesterolemia, tabagismo, ingestão de sódio, potássio e álcool, a obesi…
Delineamento e implementacao do biobanco do Elsa-Brasil
O Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil) é uma coorte prospectiva multicêntrica de funcionários públicos delineada para avaliar os determinantes das doenças crônicas, principalmente a doença cardiovascular e o diabetes tipo 2. Neste artigo são descritos os principais pontos do delineamento e implementação do projeto do biobanco do ELSA-Brasil. São detalhados aspectos econômicos, políticos, logísticos e tecnológicos do estudo. O arti…
The influence of the day of the week of hospital admission on the prognosis of stroke patients
This study aimed to evaluate the weekday and weekend distribution of stroke case hospital admissions and their respective prognosis based on a sample from the Estudo de Mortalidade e Morbidade do Acidente Vascular Cerebral (EMMA), a cohort of stroke patients admitted to a community hospital in the city of São Paulo, Brazil. We ascertained all consecutive cases of first-time strokes between April 2006 and December 2008 and performed a subsequent o…
Sunshine and suicide at the tropic of Capricorn, São Paulo, Brazil, 1996-2004
Several studies have confirmed seasonal variation in suicide rates according to hours of sunshine. The suicide pattern was assessed in São Paulo, southeastern Brazil, at the tropic of Capricorn from 1996 to 2004. Poisson regression was employed to estimate parameters of seasonality, as well as to verify associations for each day between daylight duration and suicide. During the nine-year study period, there were 3,984 suicides (76.9% in men; medi…
Desafios à implantação do centro de leitura de eletrocardiografia no Elsa-Brasil
O eletrocardiograma é um método estabelecido de avaliação cardiovascular de baixo custo utilizado há décadas em estudos epidemiológicos de grande porte. Apesar disso, sua utilização em estudos desse tipo se constitui em desafio, especialmente quando se pretende implantar Centro de Leitura próprio. Este artigo descreve o processo, dificuldades e desafios de implantação do Centro de Leitura em eletrocardiograma no Estudo Longitudinal de Saúde do Ad…
Construcao do Estudo Longitudinal de Saude do Adulto (Elsa-Brasil)
Em dezembro de 2010 completou-se a coleta de dados da linha de base do Estudo Longitudinal de Saude do Adulto (ELSA-Brasil) com a inclusao de 15.105 participantes nos seis centros de investigacao. O ELSA-Brasil destaca-se pelo seu grande numero de participantes e pela variedade de informacoes coletadas para investigar determinantes biologicos e sociais das doencas car-diovasculares e do diabetes mellitus em adultos no Brasil. O seguimento da coor…
Raca e mortalidade cerebrovascular no Brasil
Sendo desconhecidas as taxas de mortalidade cerebrovascular segundo raça no Brasil, foram coletadas informações de óbitos de 2010 do Sistema de Informação de Mortalidade do Ministério da Saúde. Foram calculadas as taxas de mortalidade cerebrovascular, ajustadas por idade (por 100 mil), com intervalo de confiança de 95%, por sexo e raça/cor de pele. A diferença entre brancos, pardos e negros foi significativa para homens, com taxas, respectivament…
Tratamento da hipertensão e declínio da mortalidade por acidentes vasculares cerebrais
É discutida a possível relação causa-efeito entre o declínio da mortalidade por acidentes vasculares cerebrais (AVC) e o melhor tratamento da hipertensão arterial. Para isto são revistos criticamente na literatura internacional os possíveis artefatos estatísticos para a enumeração dos AVCs, a letalidade e a incidência de AVC a prevalência de outros fatores de risco como hipercolesterolemia, tabagismo, ingestão de sódio, potássio e álcool, a obesi…
Hipertensão arterial e possíveis fatores de risco
São apresentados resultados de um estudo de prevalência de hipertensão arterial realizado no Município de Araraquara, SP, Brasil, em 1987, que avaliou 1.199 pessoas, sendo 533 homens e 666 mulheres, de 15-74 anos de idade. Os resultados mostram alta prevalência da doença, maior no sexo masculino (32,0%) do que no feminino (25,3%), com tendência crescente com a idade, até os 49 anos (homens) e até os 59 anos (mulheres). Houve, também, maior percen…
A descriptive epidemiology of leisure-time physical activity in Brazil, 1996-1997
The prevalence of adult LTPA in Brazil was much lower than the levels that have been reported for developed countries. However, the demographic and social distribution of LTPA in Brazil followed a pattern similar to the one usually observed in developed nations, where men tend to be more active than women, increasing age limits LTPA, and higher socioeconomic status is associated with more LTPA. Our data will provide a baseline to evaluate the imp…
Por que não vivemos uma epidemia de doenças crônicas
O texto de Achutti e Azambuja apresenta um dilema importante em todas as sociedades: o aumento da populacao idosa e a dificuldade da sociedade prover os recursos de previdencia. As causas podem ser meramente demograficas ou economicas, como reducao da atividade economica, mais desemprego e trabalho informal com a queda da receita previdenciaria. Em todas as sociedades onde se estabeleceu o contrato social democratico, como no caso do Brasil, esse…
Sunshine and suicide at the tropic of Capricorn, São Paulo, Brazil, 1996-2004
Several studies have confirmed seasonal variation in suicide rates according to hours of sunshine. The suicide pattern was assessed in São Paulo, southeastern Brazil, at the tropic of Capricorn from 1996 to 2004. Poisson regression was employed to estimate parameters of seasonality, as well as to verify associations for each day between daylight duration and suicide. During the nine-year study period, there were 3,984 suicides (76.9% in men; medi…
Subclinical hyperthyroidism and dementia
The results suggest a consistent association among people with subclinical hyperthyroidism and dementia
P2-45 Periodontal disease contributes to the occurrence of cardiovascular events? A meta-analysis of case control studies
Introduction We carried out a meta-analysis to determine the association between exposure to PD and ischaemic CDH. Material and methods Studies published case-control between 1999 and 2009 were obtained from the search site PUBMED/MEDLINE, Lilacs e Google. The articles included report results of observational studies, case-control on the association between PD and DCVI, where the DP should have been diagnosed by clinical parameters that included …
Prevalence of thyroid disorders among older people
This study aimed to estimate prevalence of thyroid disorders in the São Paulo Ageing & Health Study, an epidemiological study addressing several health-adverse outcomes among elderly people living in a poor area of São Paulo, Brazil. All participants answered a questionnaire and had a blood sample collected to assess levels of tireotropic hormone and free-thyroxine. Among 1,373 people (60.8% women), prevalence rates (95% confidence interval) for …
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…
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…
Educational levels and the functional dependence of ischemic stroke survivors
We evaluated the functional dependence of stroke survivors from the Study of Stroke Mortality and Morbidity, using the Rankin Scale. Out of 355 ischemic stroke survivors (with a mean age of 67.9 years), 40% had some functional dependence at 28 days and 34.4% had some functional dependence at 6 months. Most predictors of physical dependence were identified at 28 days. These predictors were: low levels of education [illiterate vs. > 8 years of educ…
Desafios à implantação do centro de leitura de eletrocardiografia no Elsa-Brasil
O eletrocardiograma é um método estabelecido de avaliação cardiovascular de baixo custo utilizado há décadas em estudos epidemiológicos de grande porte. Apesar disso, sua utilização em estudos desse tipo se constitui em desafio, especialmente quando se pretende implantar Centro de Leitura próprio. Este artigo descreve o processo, dificuldades e desafios de implantação do Centro de Leitura em eletrocardiograma no Estudo Longitudinal de Saúde do Ad…
Afericoes e exames clinicos realizados nos participantes do Elsa-Brasil
Este artigo descreve os exames clínicos realizados no Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). Alguns deles (antropometria, pressão arterial e índice tornozelo-braquial) já têm uso clínico consolidado. Outros, como a velocidade de onda de pulso, variabilidade da frequência cardíaca e medida da espessura médio-intimal de carótidas, carecem de valor de referência na população brasileira não doente e podem constituir preditores importan…
Delineamento e implementacao do biobanco do Elsa-Brasil
O Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil) é uma coorte prospectiva multicêntrica de funcionários públicos delineada para avaliar os determinantes das doenças crônicas, principalmente a doença cardiovascular e o diabetes tipo 2. Neste artigo são descritos os principais pontos do delineamento e implementação do projeto do biobanco do ELSA-Brasil. São detalhados aspectos econômicos, políticos, logísticos e tecnológicos do estudo. O arti…
Construcao do Estudo Longitudinal de Saude do Adulto (Elsa-Brasil)
Em dezembro de 2010 completou-se a coleta de dados da linha de base do Estudo Longitudinal de Saude do Adulto (ELSA-Brasil) com a inclusao de 15.105 participantes nos seis centros de investigacao. O ELSA-Brasil destaca-se pelo seu grande numero de participantes e pela variedade de informacoes coletadas para investigar determinantes biologicos e sociais das doencas car-diovasculares e do diabetes mellitus em adultos no Brasil. O seguimento da coor…
Logistica de coleta e transporte de material biologico e organizacao do laboratorio central no Elsa-Brasil
O Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil) é um estudo de coorte multicêntrico com o objetivo de identificar os fatores de risco associados ao diabetes tipo 2 e à doença cardiovascular na população brasileira. O artigo descreve as estratégias de coleta, processamento, transporte e de controle de qualidade dos exames de sangue e urina no ELSA. O estudo optou pela centralização dos exames em um único laboratório. O processamento das amo…
Raca e mortalidade cerebrovascular no Brasil
Sendo desconhecidas as taxas de mortalidade cerebrovascular segundo raça no Brasil, foram coletadas informações de óbitos de 2010 do Sistema de Informação de Mortalidade do Ministério da Saúde. Foram calculadas as taxas de mortalidade cerebrovascular, ajustadas por idade (por 100 mil), com intervalo de confiança de 95%, por sexo e raça/cor de pele. A diferença entre brancos, pardos e negros foi significativa para homens, com taxas, respectivament…
The influence of the day of the week of hospital admission on the prognosis of stroke patients
This study aimed to evaluate the weekday and weekend distribution of stroke case hospital admissions and their respective prognosis based on a sample from the Estudo de Mortalidade e Morbidade do Acidente Vascular Cerebral (EMMA), a cohort of stroke patients admitted to a community hospital in the city of São Paulo, Brazil. We ascertained all consecutive cases of first-time strokes between April 2006 and December 2008 and performed a subsequent o…
Global, regional, and national incidence and mortality for HIV, tuberculosis, and malaria during 1990–2013
Global, regional, and national levels and causes of maternal mortality during 1990–2013
Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990–2013
BACKGROUND: Remarkable financial and political efforts have been focused on the reduction of child mortality during the past few decades. Timely measurements of levels and trends in under-5 mortality are important to assess progress towards the Millennium Development Goal 4 (MDG 4) target of reduction of child mortality by two thirds from 1990 to 2015, and to identify models of success. METHODS: We generated updated estimates of child mortality i…
Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013
Negative life events and migraine
The occurrence of financial hardship and hospitalization had a direct and independent association with migraine diagnosis and frequency. The death of a close relative was also independently associated with the highest migraine frequency stratum
Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013
Global, regional, and national disability-adjusted life years (Dalys) for 306 diseases and injuries and healthy life expectancy (Hale) for 188 countries, 1990–2013
Medicine (87 works) · Environmental health (66 works) · Demography (49 works) · Population (47 works) · Disease (34 works) · Burden of disease (33 works) · Internal Medicine (25 works) · Internal Medicine (23 works) · Global Maternal and Child Health (22 works) · Obesity, Physical Activity, Diet (21 works)