Claudio Shigueki Suzuki

Mortalidade por doenças do aparelho circulatório no município de Ribeirão Preto - SP, de 1980 a 2004

INTRODUCTION In terms of epidemiologic transition, century-long trend studies may act as subsidies for health management hypotheses. OBJECTIVE Identify mortality rate pattern for diseases of the circulatory system (DCS) in Ribeirão Preto, SP (RP-SP), in the period between 1980 and 2004. METHODS The number of deaths due to DCS were obtained from the Mortality Information System (SIM). Populational estimates for RP-SP - taking gender, age group, and calendar years into account - were obtained from the Brazilian Institute of Geography and Statistics (IBGE). Specific mortality rates were calculated on yearly basis according to gender and age group in 10-year intervals starting at 30 years of age. The trend analysis was conducted through polynomial regression models for time series. Significance level was < 0.05. RESULTS Specific mortality rates due to DCS increased with age both among males and females, being higher among males in the 40 to 49-year-old range. After that, figures were comparable, although at 80-year-old age groups data for females showed to be higher than that for males in some years of the series. Along the study period, significant reduction was observed for mortality rates among both males and females, and for all age ranges from those causes (p<0.001). CONCLUSIONS Mortality rate pattern due to DCS in RP-SP was similar to that found in developed areas, which helped formulate hypotheses on the likely protection factors that may explain the observed decline.

Atividade física e fatores associados em adultos residentes em Ribeirão Preto, SP

OBJECTIVE To identify physical activity patterns and associated factors among adults. METHODS A cross-sectional population-based epidemiological study was conducted in Ribeirão Preto, Southeastern Brazil, in 2006, with a three-stage sampling process. Physical activity patterns were assessed in a weighted sample of 2,197 adults aged 30 years and over, using the International Physical Activity Questionnaire (short version), which has been validated in Brazil. Associated factors were identified using Poisson regression. Prevalence ratios were estimated through points and 95% confidence intervals, in univariate and multiple models. Insufficient versus sufficient practice of physical activity was taken to be the outcome for calculating prevalence ratios. RESULTS Sufficient practice of physical activity was presented by 37.5% of the men and 32.1% of the women. The prevalence of insufficient practice was higher than the prevalence of sufficient practice in practically all the categories of variables, for both sexes. Different variables remained in the final models when males and females were considered separately. For males, the following remained in the final model: working for more than ten hours/day [PR = 1.30; 95%CI: 1.07;1.57]; three or more medications taken over the last 15 days [PR = 1.56; 95%CI: 1.16;2.08]; and poor/very poor self-reported health [PR = 1.54; 95%CI: 1.01;2.34]. For females, the following remained: education level of one to three years of schooling [PR = 1.20; 95%CI: 1.02;1.41]; not having any income [PR = 0.78; 95%CI: 0.66-0.93]; and income less than R

Média diária de tempo sentado e fatores associados em adultos residentes no município de Ribeirão Preto-SP, 2006: projeto OBEDIARP

520.00 [PR = 0.74; 95%CI: 0.60;0.90]. CONCLUSIONS The prevalence of insufficient practice of physical activity was high. The results suggest that there is a need to implement specific programs to promote physical activity, directed towards men who work for more than ten hours/day, take three or more medications and consider that their health is poor or very poor; and towards women of low income and schooling levels.

Tendência da mortalidade por homicídios em Belo Horizonte e região metropolitana: 1980-2005

This study aimed to estimate mean daily sitting-time and to identify correlates of sitting-time in adults living in the urban area of Ribeirão Preto-SP, in 2006. A cross-sectional population-based epidemiological study was carried out using three-stage cluster sampling. From a sample of 1,205 individuals, 930 attended the interviews. The variability introduced in the third sampling fraction was corrected by attributing sampling weights taking into account the non-response rate and the number of eligible units in each household, resulting in a weighted sample of 2,197 participants. To identify sitting time correlates, multiple linear regression models were used. The design effect was considered when calculating all estimates. The reported overall mean sitting-time/day was 280.9 minutes. In the multivariate analysis, the following correlates were kept in the final model: gender; years of education; smoking; metabolic waste (Mets* · min* · week(-1)); working/day hours, and number of familial antecedents of obesity. The results pointed out sitting-time correlates and the need for health planning related to promotion and prevention policies.

Physical activity and correlates among adults living in Ribeirão Preto, Southeastern Brazil

OBJECTIVE To analyze the evolution of homicide mortality rates in Belo Horizonte and its metropolitan area, Southeastern Brazil, from 1980 to 2005. METHODS Deaths by homicide were obtained from the SIM (Mortality Information System). Population estimates by sex, age group and calendar-years were obtained from the Brazilian Institute of Geography and Statistics (IBGE). The specific mortality rates for sex and age groups were calculated annually for each geographic region. The trends analysis was carried out using polynomial regression models for time series data, with a significance level alpha<0.05. RESULTS There were high homicide mortality rates in Belo Horizonte and the metropolitan area, principally amongst males. Secular trends showed an accelerated growth of the rate ratios in both sexes and in almost all age groups, most evidently from the beginning of the 1990s in the metropolitan area. CONCLUSIONS The results show the need to implement organized public policies for the control of violence. Investing in education and guaranteeing access to employment are recommended for the control of the accelerated increase in homicide mortality, principally among male youth residents of the metropolitan area.OBJETIVO: Analisar a evolucao das taxas de mortalidade por homicidio em Belo Horizonte e Regiao Metropolitana no periodo de 1980 a 2005. METODOS: Estudo de serie temporal, cujos dados sobre obitos foram obtidos do Sistema de Informacoes sobre Mortalidade e as estimativas populacionais segundo sexo, idade e anos-calendario, do Instituto Brasileiro de Geografia e Estatistica. Os coeficientes especificos de mortalidade, segundo sexo e faixa etaria, foram calculados anualmente para cada regiao geografica. A analise de tendencia foi realizada por meio da construcao de modelos de regressao polinomial para series historicas, adotando-se nivel de significância de 0,05. RESULTADOS: Houve elevada magnitude das taxas de mortalidade por homicidios em Belo Horizonte e Regiao Metropolitana, principalmente para o sexo masculino, permitindo identificar, em relacao a tendencia secular, crescimento acelerado dessas taxas em ambos os sexos e em quase todas as faixas etarias, mais expressivamente a partir do inicio da decada de 1990, na Regiao Metropolitana da capital. CONCLUSOES: Os resultados indicam a necessidade de implementacao de politicas publicas conjuntas, direcionadas para o controle da violencia. Recomendam-se investimentos em educacao e garantia de acesso ao emprego, visando o controle da ascensao acelerada da mortalidade por homicidios, principalmente, entre os jovens do sexo masculino, residentes na Regiao Metropolitana.

Homicide mortality trends in Belo Horizonte and metropolitan area: 1980- 2005

OBJECTIVE To identify physical activity patterns and associated factors among adults. METHODS A cross-sectional population-based epidemiological study was conducted in Ribeirão Preto, Southeastern Brazil, in 2006, with a three-stage sampling process. Physical activity patterns were assessed in a weighted sample of 2,197 adults aged 30 years and over, using the International Physical Activity Questionnaire (short version), which has been validated in Brazil. Associated factors were identified using Poisson regression. Prevalence ratios were estimated through points and 95% confidence intervals, in univariate and multiple models. Insufficient versus sufficient practice of physical activity was taken to be the outcome for calculating prevalence ratios. RESULTS Sufficient practice of physical activity was presented by 37.5% of the men and 32.1% of the women. The prevalence of insufficient practice was higher than the prevalence of sufficient practice in practically all the categories of variables, for both sexes. Different variables remained in the final models when males and females were considered separately. For males, the following remained in the final model: working for more than ten hours/day [PR = 1.30; 95%CI: 1.07;1.57]; three or more medications taken over the last 15 days [PR = 1.56; 95%CI: 1.16;2.08]; and poor/very poor self-reported health [PR = 1.54; 95%CI: 1.01;2.34]. For females, the following remained: education level of one to three years of schooling [PR = 1.20; 95%CI: 1.02;1.41]; not having any income [PR = 0.78; 95%CI: 0.66-0.93]; and income less than R

Mortality rates due to diseases of the circulatory system (DCS) in Ribeirão Preto - SP, from 1980 to 2004

520.00 [PR = 0.74; 95%CI: 0.60;0.90]. CONCLUSIONS The prevalence of insufficient practice of physical activity was high. The results suggest that there is a need to implement specific programs to promote physical activity, directed towards men who work for more than ten hours/day, take three or more medications and consider that their health is poor or very poor; and towards women of low income and schooling levels.

Actividad física y factores asociados en adultos residentes en Ribeirao Preto, Sureste de Brasil

OBJECTIVE To analyze the evolution of homicide mortality rates in Belo Horizonte and its metropolitan area, Southeastern Brazil, from 1980 to 2005. METHODS Deaths by homicide were obtained from the SIM (Mortality Information System). Population estimates by sex, age group and calendar-years were obtained from the Brazilian Institute of Geography and Statistics (IBGE). The specific mortality rates for sex and age groups were calculated annually for each geographic region. The trends analysis was carried out using polynomial regression models for time series data, with a significance level alpha<0.05. RESULTS There were high homicide mortality rates in Belo Horizonte and the metropolitan area, principally amongst males. Secular trends showed an accelerated growth of the rate ratios in both sexes and in almost all age groups, most evidently from the beginning of the 1990s in the metropolitan area. CONCLUSIONS The results show the need to implement organized public policies for the control of violence. Investing in education and guaranteeing access to employment are recommended for the control of the accelerated increase in homicide mortality, principally among male youth residents of the metropolitan area.OBJETIVO: Analisar a evolucao das taxas de mortalidade por homicidio em Belo Horizonte e Regiao Metropolitana no periodo de 1980 a 2005. METODOS: Estudo de serie temporal, cujos dados sobre obitos foram obtidos do Sistema de Informacoes sobre Mortalidade e as estimativas populacionais segundo sexo, idade e anos-calendario, do Instituto Brasileiro de Geografia e Estatistica. Os coeficientes especificos de mortalidade, segundo sexo e faixa etaria, foram calculados anualmente para cada regiao geografica. A analise de tendencia foi realizada por meio da construcao de modelos de regressao polinomial para series historicas, adotando-se nivel de significância de 0,05. RESULTADOS: Houve elevada magnitude das taxas de mortalidade por homicidios em Belo Horizonte e Regiao Metropolitana, principalmente para o sexo masculino, permitindo identificar, em relacao a tendencia secular, crescimento acelerado dessas taxas em ambos os sexos e em quase todas as faixas etarias, mais expressivamente a partir do inicio da decada de 1990, na Regiao Metropolitana da capital. CONCLUSOES: Os resultados indicam a necessidade de implementacao de politicas publicas conjuntas, direcionadas para o controle da violencia. Recomendam-se investimentos em educacao e garantia de acesso ao emprego, visando o controle da ascensao acelerada da mortalidade por homicidios, principalmente, entre os jovens do sexo masculino, residentes na Regiao Metropolitana.

P1-55 Comparison of two criteria to evaluate physical activity pattern in adults

INTRODUCTION In terms of epidemiologic transition, century-long trend studies may act as subsidies for health management hypotheses. OBJECTIVE Identify mortality rate pattern for diseases of the circulatory system (DCS) in Ribeirão Preto, SP (RP-SP), in the period between 1980 and 2004. METHODS The number of deaths due to DCS were obtained from the Mortality Information System (SIM). Populational estimates for RP-SP - taking gender, age group, and calendar years into account - were obtained from the Brazilian Institute of Geography and Statistics (IBGE). Specific mortality rates were calculated on yearly basis according to gender and age group in 10-year intervals starting at 30 years of age. The trend analysis was conducted through polynomial regression models for time series. Significance level was < 0.05. RESULTS Specific mortality rates due to DCS increased with age both among males and females, being higher among males in the 40 to 49-year-old range. After that, figures were comparable, although at 80-year-old age groups data for females showed to be higher than that for males in some years of the series. Along the study period, significant reduction was observed for mortality rates among both males and females, and for all age ranges from those causes (p<0.001). CONCLUSIONS Mortality rate pattern due to DCS in RP-SP was similar to that found in developed areas, which helped formulate hypotheses on the likely protection factors that may explain the observed decline.

Tendencia de la mortalidad por homicidios en Belo Horizonte y región metropolitana (Brasil): 1980-2005

OBJECTIVE To identify physical activity patterns and associated factors among adults. METHODS A cross-sectional population-based epidemiological study was conducted in Ribeirão Preto, Southeastern Brazil, in 2006, with a three-stage sampling process. Physical activity patterns were assessed in a weighted sample of 2,197 adults aged 30 years and over, using the International Physical Activity Questionnaire (short version), which has been validated in Brazil. Associated factors were identified using Poisson regression. Prevalence ratios were estimated through points and 95% confidence intervals, in univariate and multiple models. Insufficient versus sufficient practice of physical activity was taken to be the outcome for calculating prevalence ratios. RESULTS Sufficient practice of physical activity was presented by 37.5% of the men and 32.1% of the women. The prevalence of insufficient practice was higher than the prevalence of sufficient practice in practically all the categories of variables, for both sexes. Different variables remained in the final models when males and females were considered separately. For males, the following remained in the final model: working for more than ten hours/day [PR = 1.30; 95%CI: 1.07;1.57]; three or more medications taken over the last 15 days [PR = 1.56; 95%CI: 1.16;2.08]; and poor/very poor self-reported health [PR = 1.54; 95%CI: 1.01;2.34]. For females, the following remained: education level of one to three years of schooling [PR = 1.20; 95%CI: 1.02;1.41]; not having any income [PR = 0.78; 95%CI: 0.66-0.93]; and income less than R