Arethuza Sass

Depressão em idosos inscritos no Programa de Controle de hipertensão arterial e diabetes mellitus

Objective: To identify the presence of depressive symptoms in elderly enrolled in a control program for hypertension and diabetes mellitus in a mu- nicipality of northwestern Parana. Methods: A descriptive, transversal study conducted in basic health units in Sarandi - PR (Brazil), with 100 elderly registered in the Programa Hiperdia (Hyperday program). A mental health section of the questionnaire, Brazil Old Age Schedule (BOAS), was used. The Mann-Whitney and Chi-Square tests were used to analyze the association between depressive symptoms and sociodemographic characteristics and nutritional status. Results: The majority of the elderly were female (82.0%). The prevalence of depressive symptoms was 30.0%, of which 20.0% were classified as major depression. The depressive symptoms were more frequent in those who were: women (31.7%); 80 years of age or older (33.3%); without education (39.1%); living alone (43.7%); underweight (33.3%) or obese (32.5%). Conclusion: The family health strategy teams need to be attentive to the presence of depressive symptoms in the elderly , especially in those who are already attending established support groups. Keywords: Aged; Depression; Hypertension; Diabetes mellitus; Mental health; Public health RESUMO Objetivo: Identificar a presenca de sintomas depressivos em idosos inscritos no Programa de controle de hipertensao arterial e diabetes mellitus em um municipio do Noroeste do Parana. Metodos: Estudo descritivo transversal, realizado nas unidades basicas de saude de Sarandi - PR, com 100 idosos cadastrados no Programa Hiperdia. A secao de saude mental do questionario Brazil Old Age Schedule (BOAS) foi usada. Os testes Mann-Whitney e Qui-quadrado foram empregados para analisar a associacao entre sintomas de depressao e caracteristicas sociodemograficas e estado nutricional. Resultados: A maioria dos idosos era do sexo feminino (82,0%). A prevalencia de sintomas depressivos foi de 30,0%, dos quais 20,0% classificados como depressao maior. Os sintomas depressivos foram mais frequentes nas mulheres (31,7%); em idosos com 80 anos e mais (33,3%); sem nenhuma escolaridade (39,1%), que moravam so (43,7%) e que apresentavam baixo peso (33,3%) ou obesidade (32,5%). Conclusao: As equipes da estrategia saude da familia devem estar atentas para a presenca de sintomas depressivos em idosos, sobretudo aqueles que pertencem aos grupos de convivencia ja instalados. Descritores: Idoso; Depressao; Hipertensao; Diabetes mellitus; Saude mental; Saude Publica RESUMEN Objetivo: Identificar la presencia de sintomas depresivos en ancianos inscritos en el Programa de control de hipertension arterial y diabetes mellitus en un municipio del Nor oeste de Parana. Metodos: Estudio descriptivo transversal, realizado en las unidades basicas de salud de Sarandi - PR, con 100 ancianos registrados en el Programa Hiperdia. Fue usada la seccion de salud mental del cuestionario Brazil Old Age Schedule (BOAS). Los tests Mann-Whitney y chi- cuadrado fueron empleados para analizar la asociacion entre sintomas de depresion y caracteristicas sociodemograficas y estado nutricional. Resultados: La mayoria de los ancianos era del sexo femenino (82,0%). La prevalencia de sintomas depresivos fue del 30,0%, de los cuales el 20,0% clasificados como depresion mayor. Los sintomas depresivos fueron mas frecuentes en las mujeres (31,7%); en ancianos con 80 anos y mas (33,3%); sin ninguna escolaridad (39,1%), que vivian solos (43,7%) y que presentaban bajo peso (33,3%) u obesidad (32,5%). Conclusion: Los equipos de la estrategia salud de la familia deben estar atentos a la presencia de sintomas depresivos en ancianos, sobre todo aquellos que pertenecen a los grupos de convivencia ya instalados. Descriptores: Ancianos; Depresion; Hipertension; Diabetes mellitus; Salud mental; Salud publicaOBJETIVO: Identificar a presenca de sintomas depressivos em idosos inscritos no Programa de controle de hipertensao arterial e diabetes mellitus em um municipio do Noroeste do Parana. METODOS: Estudo descritivo transversal, realizado nas unidades basicas de saude de Sarandi - PR, com 100 idosos cadastrados no Programa Hiperdia. A secao de saude mental do questionario Brazil Old Age Schedule (BOAS) foi usada. Os testes Mann-Whitney e Qui-quadrado foram empregados para analisar a associacao entre sintomas de depressao e caracteristicas sociodemograficas e estado nutricional. RESULTADOS: A maioria dos idosos era do sexo feminino (82,0%). A prevalencia de sintomas depressivos foi de 30,0%, dos quais 20,0% classificados como depressao maior. Os sintomas depressivos foram mais frequentes nas mulheres (31,7%); em idosos com 80 anos e mais (33,3%); sem nenhuma escolaridade (39,1%), que moravam so (43,7%) e que apresentavam baixo peso (33,3%) ou obesidade (32,5%). CONCLUSAO: As equipes da estrategia saude da familia devem estar atentas para a presenca de sintomas depressivos em idosos, sobretudo aqueles que pertencem aos grupos de convivencia ja instalados.

Fatores de risco para mortalidade infantil em municípios do Estado do Paraná, de 1997 a 2008

OBJETIVO: Identificar y analizar los factores de riesgo para la mortalidad infantil en los municipios que componen la 9a Regional de Salud de la provincia de Parana (Brasil), entre los anos de 1997 a 2008. METODOS: Estudio retrospectivo, con datos secundarios a partir del Sistema de Informaciones de Nacidos Vivos (SINASC) y del Sistema de Informaciones sobre Mortalidad (SIM). Se considero variable dependiente el obito antes del primer ano de vida y variables independientes el sexo, el peso al nacer, la duracion del embarazo, el local de ocurrencia del obito, el tipo de embarazo, el tipo de parto, la edad materna y la escolaridad de la madre. Los factores de riesgo asociados al obito fueron analizados con el uso del analisis univariado. RESULTADOS: Entre los anos de 1997 y 2008, el SINASC registro 92.716 nacimientos, y el SIM registro 1.535 obitos en ninos menores de un ano. Fueron factores de riesgo para la mortalidad nacidos vivos del sexo masculino (OR 1,09; IC95% 1,04-1,15), con bajo peso (OR 4,37; IC95% 4,14-4,62), prematuros (OR 4,83; IC95% 4,18-5,58), nacidos vivos de parto vaginal (OR 1,11; IC95% 1,05-1,17), madres adolescentes (OR 1,11; IC95% 1,02-1,22) y con baja escolaridad (OR 1,97; IC95% 1,84-2,10). CONCLUSIONES: Los datos muestran reduccion de la mortalidad infantil y de informaciones consideradas ignoradas en las bases de datos e identifican los factores de riesgo sugiriendo atencion de los profesionales de la salud al grupo de mayor vulnerabilidad desde la asistencia en el pre-natal.

Resultados perinatais em gestações tardias

The objective of the present study was to compare perinatal outcomes in women aged 35 or older with women aged 20 to 34 years. This retrospective study was performed by reviewing the obstetric records of 1255 mothers who gave birth at the only hospital in Sarandi-PR, from January 2007 to December 2008. The analyzed variables were: marital status, education, gestational age at birth, type of delivery, newborn birth weight, Apgar score at one and five minutes and stillbirths. Logistic regression showed that advanced maternal age was significantly associated with adverse outcomes such as cesareans (OR 1.23, 95% CI 0.19-0.44) and 5-minute Apgar scores below 7 (OR 5.78 95% CI 0.74-0.76). These results are important to show the risk of complications in pregnant women aged 35 years or older, and the need to provide guidance to women who wish to postpone pregnancy.The objective of the present study was to compare perinatal outcomes in women aged 35 or older with women aged 20 to 34 years. This retrospective study was performed by reviewing the obstetric records of 1255 mothers who gave birth at the only hospital in Sarandi-PR, from January 2007 to December 2008. The analyzed variables were: marital status, education, gestational age at birth, type of delivery, newborn birth weight, Apgar score at one and five minutes and stillbirths. Logistic regression showed that advanced maternal age was significantly associated with adverse outcomes such as cesareans (OR 1.23, 95% CI 0.19-0.44) and 5-minute Apgar scores below 7 (OR 5.78 95% CI 0.74-0.76). These results are important to show the risk of complications in pregnant women aged 35 years or older, and the need to provide guidance to women who wish to postpone pregnancy.

Outcomes in late-age pregnancies

The objective of the present study was to compare perinatal outcomes in women aged 35 or older with women aged 20 to 34 years. This retrospective study was performed by reviewing the obstetric records of 1255 mothers who gave birth at the only hospital in Sarandi-PR, from January 2007 to December 2008. The analyzed variables were: marital status, education, gestational age at birth, type of delivery, newborn birth weight, Apgar score at one and five minutes and stillbirths. Logistic regression showed that advanced maternal age was significantly associated with adverse outcomes such as cesareans (OR 1.23, 95% CI 0.19-0.44) and 5-minute Apgar scores below 7 (OR 5.78 95% CI 0.74-0.76). These results are important to show the risk of complications in pregnant women aged 35 years or older, and the need to provide guidance to women who wish to postpone pregnancy.The objective of the present study was to compare perinatal outcomes in women aged 35 or older with women aged 20 to 34 years. This retrospective study was performed by reviewing the obstetric records of 1255 mothers who gave birth at the only hospital in Sarandi-PR, from January 2007 to December 2008. The analyzed variables were: marital status, education, gestational age at birth, type of delivery, newborn birth weight, Apgar score at one and five minutes and stillbirths. Logistic regression showed that advanced maternal age was significantly associated with adverse outcomes such as cesareans (OR 1.23, 95% CI 0.19-0.44) and 5-minute Apgar scores below 7 (OR 5.78 95% CI 0.74-0.76). These results are important to show the risk of complications in pregnant women aged 35 years or older, and the need to provide guidance to women who wish to postpone pregnancy.

Depression in elderly enrolled in a control program for hypertension and diabetes mellitus

Objective: To identify the presence of depressive symptoms in elderly enrolled in a control program for hypertension and diabetes mellitus in a mu- nicipality of northwestern Parana. Methods: A descriptive, transversal study conducted in basic health units in Sarandi - PR (Brazil), with 100 elderly registered in the Programa Hiperdia (Hyperday program). A mental health section of the questionnaire, Brazil Old Age Schedule (BOAS), was used. The Mann-Whitney and Chi-Square tests were used to analyze the association between depressive symptoms and sociodemographic characteristics and nutritional status. Results: The majority of the elderly were female (82.0%). The prevalence of depressive symptoms was 30.0%, of which 20.0% were classified as major depression. The depressive symptoms were more frequent in those who were: women (31.7%); 80 years of age or older (33.3%); without education (39.1%); living alone (43.7%); underweight (33.3%) or obese (32.5%). Conclusion: The family health strategy teams need to be attentive to the presence of depressive symptoms in the elderly , especially in those who are already attending established support groups. Keywords: Aged; Depression; Hypertension; Diabetes mellitus; Mental health; Public health RESUMO Objetivo: Identificar a presenca de sintomas depressivos em idosos inscritos no Programa de controle de hipertensao arterial e diabetes mellitus em um municipio do Noroeste do Parana. Metodos: Estudo descritivo transversal, realizado nas unidades basicas de saude de Sarandi - PR, com 100 idosos cadastrados no Programa Hiperdia. A secao de saude mental do questionario Brazil Old Age Schedule (BOAS) foi usada. Os testes Mann-Whitney e Qui-quadrado foram empregados para analisar a associacao entre sintomas de depressao e caracteristicas sociodemograficas e estado nutricional. Resultados: A maioria dos idosos era do sexo feminino (82,0%). A prevalencia de sintomas depressivos foi de 30,0%, dos quais 20,0% classificados como depressao maior. Os sintomas depressivos foram mais frequentes nas mulheres (31,7%); em idosos com 80 anos e mais (33,3%); sem nenhuma escolaridade (39,1%), que moravam so (43,7%) e que apresentavam baixo peso (33,3%) ou obesidade (32,5%). Conclusao: As equipes da estrategia saude da familia devem estar atentas para a presenca de sintomas depressivos em idosos, sobretudo aqueles que pertencem aos grupos de convivencia ja instalados. Descritores: Idoso; Depressao; Hipertensao; Diabetes mellitus; Saude mental; Saude Publica RESUMEN Objetivo: Identificar la presencia de sintomas depresivos en ancianos inscritos en el Programa de control de hipertension arterial y diabetes mellitus en un municipio del Nor oeste de Parana. Metodos: Estudio descriptivo transversal, realizado en las unidades basicas de salud de Sarandi - PR, con 100 ancianos registrados en el Programa Hiperdia. Fue usada la seccion de salud mental del cuestionario Brazil Old Age Schedule (BOAS). Los tests Mann-Whitney y chi- cuadrado fueron empleados para analizar la asociacion entre sintomas de depresion y caracteristicas sociodemograficas y estado nutricional. Resultados: La mayoria de los ancianos era del sexo femenino (82,0%). La prevalencia de sintomas depresivos fue del 30,0%, de los cuales el 20,0% clasificados como depresion mayor. Los sintomas depresivos fueron mas frecuentes en las mujeres (31,7%); en ancianos con 80 anos y mas (33,3%); sin ninguna escolaridad (39,1%), que vivian solos (43,7%) y que presentaban bajo peso (33,3%) u obesidad (32,5%). Conclusion: Los equipos de la estrategia salud de la familia deben estar atentos a la presencia de sintomas depresivos en ancianos, sobre todo aquellos que pertenecen a los grupos de convivencia ya instalados. Descriptores: Ancianos; Depresion; Hipertension; Diabetes mellitus; Salud mental; Salud publicaOBJETIVO: Identificar a presenca de sintomas depressivos em idosos inscritos no Programa de controle de hipertensao arterial e diabetes mellitus em um municipio do Noroeste do Parana. METODOS: Estudo descritivo transversal, realizado nas unidades basicas de saude de Sarandi - PR, com 100 idosos cadastrados no Programa Hiperdia. A secao de saude mental do questionario Brazil Old Age Schedule (BOAS) foi usada. Os testes Mann-Whitney e Qui-quadrado foram empregados para analisar a associacao entre sintomas de depressao e caracteristicas sociodemograficas e estado nutricional. RESULTADOS: A maioria dos idosos era do sexo feminino (82,0%). A prevalencia de sintomas depressivos foi de 30,0%, dos quais 20,0% classificados como depressao maior. Os sintomas depressivos foram mais frequentes nas mulheres (31,7%); em idosos com 80 anos e mais (33,3%); sem nenhuma escolaridade (39,1%), que moravam so (43,7%) e que apresentavam baixo peso (33,3%) ou obesidade (32,5%). CONCLUSAO: As equipes da estrategia saude da familia devem estar atentas para a presenca de sintomas depressivos em idosos, sobretudo aqueles que pertencem aos grupos de convivencia ja instalados.

Resultados perinatais nos extremos da vida reprodutiva e fatores associados ao baixo peso ao nascer

The aim of this study is to investigate perinatal outcomes in the extremes of reproductive age and verify the risk factors for low birth weight. This is a retrospective study of deliveries in the city of Sarandi, state of Paraná, Brazil in 2008, and it was performed by accessing data from the Information System on Live Births. The 331 expectant mothers were subdivided into two groups: adolescents (10-19 years of age) and late-age (35 years or older). Rates of cesarean deliveries were significantly higher (66.1%) in mothers 35 or older than in adolescents (26.8%). Regarding risk factors for low weight at birth, it was observed that this condition was strongly associated with prematurity and marital status. The perinatal outcomes of mothers 35 or older were not significantly different from the results of the adolescents, thus confirming the occurrence of adverse results in both extremes of reproductive age, with the exception of the incidence of cesarean delivery.Objetivou-se investigar os resultados perinatais nos extremos da vida reprodutiva e verificar os fatores de risco para o baixo peso ao nascer. Trata-se de um estudo retrospectivo dos partos ocorridos no municipio de Sarandi, Parana, no ano de 2008, a partir de consultas aos dados do Sistema de Informacao de Nascidos Vivos. As 331 gestantes foram subdivididas em dois grupos: adolescentes (10-19 anos) e tardias (35 anos ou mais). As taxas de parto cesareo foram significativamente maiores (66,1%) nas gestantes com 35 anos ou mais do que nas adolescentes (26,8%). Quanto aos fatores de risco para o baixo peso ao nascer, observou-se que este esteve fortemente associado com prematuridade e o estado civil. Os resultados perinatais das gestantes com 35 anos ou mais nao apresentaram diferenca significativa quando comparados aos resultados das adolescentes, confirmando a ocorrencia de resultados adversos nos dois extremos da vida reprodutiva, exceto pela ocorrencia de parto cesareo.

Comparação de medidas antropométricas de idosos residentes em área urbana no sul do Brasil, segundo sexo e faixa etária

Abstract Objective: To compare body mass index (BMI), triceps skinfold (TSF), arm circumference (PB), arm muscle circumference (MCA) and arm muscle area (AMA) in the elderly, according to sex and age group. Methods: Cross-sectional study of elderly residents in urban Sarandi-PR, selected from the census and household sectors. Data were collected from October 2010 to March 2011, assessing weights, height, PB and TSF and after, calculating BMI, MCA and AMA. The values obtained are presented as mean, standard deviation and percentiles, with comparison between genders and age groups. In the analysis we used the chi-square test, t-student, ANOVA and Tukey. Differences between mean values were considered significant when p <0.05. Results: The mean values of BMI (28.80 x 27.26), DCT (20.93 x 12.52) and PB (31.92 x 30.90) were significantly higher among women, while men presented average values of CMB (26.97 x 25.35) significantly higher. The average of AMB was also higher among men (48.97 x 45.81), but not significantly. The mean values of all variables decreased. With advancing age in both sexes, except for the DCT in men, it was also observed that the proportion of elderly people with obesity was significantly higher among women (35.9% x 24.2%).

Factores de riesgo para mortalidad infantil en municipios de la Provincia de Paraná (Brasil), de 1997 a 2008

OBJETIVO: Identificar y analizar los factores de riesgo para la mortalidad infantil en los municipios que componen la 9a Regional de Salud de la provincia de Parana (Brasil), entre los anos de 1997 a 2008. METODOS: Estudio retrospectivo, con datos secundarios a partir del Sistema de Informaciones de Nacidos Vivos (SINASC) y del Sistema de Informaciones sobre Mortalidad (SIM). Se considero variable dependiente el obito antes del primer ano de vida y variables independientes el sexo, el peso al nacer, la duracion del embarazo, el local de ocurrencia del obito, el tipo de embarazo, el tipo de parto, la edad materna y la escolaridad de la madre. Los factores de riesgo asociados al obito fueron analizados con el uso del analisis univariado. RESULTADOS: Entre los anos de 1997 y 2008, el SINASC registro 92.716 nacimientos, y el SIM registro 1.535 obitos en ninos menores de un ano. Fueron factores de riesgo para la mortalidad nacidos vivos del sexo masculino (OR 1,09; IC95% 1,04-1,15), con bajo peso (OR 4,37; IC95% 4,14-4,62), prematuros (OR 4,83; IC95% 4,18-5,58), nacidos vivos de parto vaginal (OR 1,11; IC95% 1,05-1,17), madres adolescentes (OR 1,11; IC95% 1,02-1,22) y con baja escolaridad (OR 1,97; IC95% 1,84-2,10). CONCLUSIONES: Los datos muestran reduccion de la mortalidad infantil y de informaciones consideradas ignoradas en las bases de datos e identifican los factores de riesgo sugiriendo atencion de los profesionales de la salud al grupo de mayor vulnerabilidad desde la asistencia en el pre-natal.

Risk factors for child mortality in towns of Paraná State (South Brazil), from 1997 to 2008

OBJETIVO: Identificar y analizar los factores de riesgo para la mortalidad infantil en los municipios que componen la 9a Regional de Salud de la provincia de Parana (Brasil), entre los anos de 1997 a 2008. METODOS: Estudio retrospectivo, con datos secundarios a partir del Sistema de Informaciones de Nacidos Vivos (SINASC) y del Sistema de Informaciones sobre Mortalidad (SIM). Se considero variable dependiente el obito antes del primer ano de vida y variables independientes el sexo, el peso al nacer, la duracion del embarazo, el local de ocurrencia del obito, el tipo de embarazo, el tipo de parto, la edad materna y la escolaridad de la madre. Los factores de riesgo asociados al obito fueron analizados con el uso del analisis univariado. RESULTADOS: Entre los anos de 1997 y 2008, el SINASC registro 92.716 nacimientos, y el SIM registro 1.535 obitos en ninos menores de un ano. Fueron factores de riesgo para la mortalidad nacidos vivos del sexo masculino (OR 1,09; IC95% 1,04-1,15), con bajo peso (OR 4,37; IC95% 4,14-4,62), prematuros (OR 4,83; IC95% 4,18-5,58), nacidos vivos de parto vaginal (OR 1,11; IC95% 1,05-1,17), madres adolescentes (OR 1,11; IC95% 1,02-1,22) y con baja escolaridad (OR 1,97; IC95% 1,84-2,10). CONCLUSIONES: Los datos muestran reduccion de la mortalidad infantil y de informaciones consideradas ignoradas en las bases de datos e identifican los factores de riesgo sugiriendo atencion de los profesionales de la salud al grupo de mayor vulnerabilidad desde la asistencia en el pre-natal.

Resultados perinatales en gestaciones tardías

The objective of the present study was to compare perinatal outcomes in women aged 35 or older with women aged 20 to 34 years. This retrospective study was performed by reviewing the obstetric records of 1255 mothers who gave birth at the only hospital in Sarandi-PR, from January 2007 to December 2008. The analyzed variables were: marital status, education, gestational age at birth, type of delivery, newborn birth weight, Apgar score at one and five minutes and stillbirths. Logistic regression showed that advanced maternal age was significantly associated with adverse outcomes such as cesareans (OR 1.23, 95% CI 0.19-0.44) and 5-minute Apgar scores below 7 (OR 5.78 95% CI 0.74-0.76). These results are important to show the risk of complications in pregnant women aged 35 years or older, and the need to provide guidance to women who wish to postpone pregnancy.The objective of the present study was to compare perinatal outcomes in women aged 35 or older with women aged 20 to 34 years. This retrospective study was performed by reviewing the obstetric records of 1255 mothers who gave birth at the only hospital in Sarandi-PR, from January 2007 to December 2008. The analyzed variables were: marital status, education, gestational age at birth, type of delivery, newborn birth weight, Apgar score at one and five minutes and stillbirths. Logistic regression showed that advanced maternal age was significantly associated with adverse outcomes such as cesareans (OR 1.23, 95% CI 0.19-0.44) and 5-minute Apgar scores below 7 (OR 5.78 95% CI 0.74-0.76). These results are important to show the risk of complications in pregnant women aged 35 years or older, and the need to provide guidance to women who wish to postpone pregnancy.