Hérica Cristina Alves de Vasconcelos

EFICÁCIA DE INTERVENÇÕES QUE UTILIZAM O TELEFONE COMO ESTRATÉGIA PARA O CONTROLE GLICÊMICO: REVISÃO INTEGRATIVA DA LITERATURA

The objective of this study was to analyze the effectiveness of telephone interventions as a strategy for glycemic control in adult Type 2 Diabetes Mellitus patients. An integrative literature review was undertaken in April and May 2011 through surveys in the Cochrane, PubMed/Medline, Lilacs and Cinahl databases. Nine studies complied with the inclusion criteria, mainly randomized controlled clinical trials. Concerning the time period analyzed in each study, it varied from eight weeks to twelve months. 1294 patients participated in the study, being 671 randomized to telephone follow-ups and 479 to usual care. In eight studies analyzed, glycemic control was based on the levels of glycated hemoglobin (HbA1c). The information found showed that the interventions are effective for glycemic control in patients who have type 2 Diabetes. Self-management was improved and possible complications of the disease were reduced. DESCRIPTORS: Diabetes mellitus, Type 2. Telephone. Intervention studies. Nursing.

Diabetes mellitus: fatores associados entre usuários da Estratégia Saúde da Família

OBJETIVO: Identificar los factores asociados a la Diabetes Mellitus tipo 2 (DM2) en usuarios de la Estrategia Salud de la Familia (ESF) de la ciudad de Itapipoca-Ceara. METODOS: Estudio transversal, realizado en el periodo de marzo/2009 a octubre/2010, en 11 unidades basicas de salud, en las cuales fueron recolectados los datos sociodemograficos y clinicos de la muestra de 419 usuarios de esas unidades. RESULTADOS: Entre los participantes del estudio, 250 (59,7%) estaban con exceso de peso, 352 (84,0%) con obesidad central, 349 (83,3%) eran sedentarios y 225 (53,7%) no comian frutas y/o verduras diariamente. Hubo asociacion estadisticamente significativa entre las variables obesidad central y sexo (p<0,001), edad (p=0,001) y estado civil (p<0,001); y entre investigacion nutricional y escolaridad (p=0,033) y clase economica (p=0,007). CONCLUSION: Frente a los factores de riesgo modificables para DM2 identificados con mayor prevalencia se sugiere el desarrollo de intervenciones educativas para cambios en el estilo de vida de los individuos y el acompanamiento sistematico de esos cambios, objetivando reducir o retardar la aparicion de la enfermedad.

Risk factors for type 2 diabetes mellitus among adolescents

The objective of this study was to identify risk factors for type 2 diabetes (DM2) in a population of private schools adolescents of Fortaleza-Brazil. A total 794 students aged 12 to 17 years, from 12 schools, were evaluated in the months of May, June, August and September 2007. A form was applied approaching sociodemographics aspects, BMI, blood pressure, capillary glycemia and sedentary lifestyle. Approximately 24% of the participants had high BMI, 65% were sedentary and 51% had family history of DM2. In those with larger income, 73.5% had family history of DM2 (p = 0.04). About 39% of the adolescents had at least two risk factors for DM2. Most of the risk factors for DM2 identified in this study are changeable, therefore, susceptible to preventive interventions in the school setting.El estudio tuvo como objetivo identificar factores de riesgo para diabetes tipo 2 en una poblacion de adolescentes de escuelas particulares de Fortaleza, Brasil. Fueron evaluados 794 alumnos de entre 12 y 17 anos, pertenecientes a doce escuelas, en los meses de mayo, junio, agosto y setiembre de 2007. Se utilizo un formulario abordando aspectos sociodemograficos, IMC, presion arterial, glucemia y sedentarismo. Aproximadamente 24% de los participantes tenia su IMC elevado, 65% eran sedentarios y 51% contaba con antecedentes familiares de DM 2. Entre aquellos con mayores ingresos, 73,5% tenia antecedencia familiar de DM 2 (p=0,04). Aproximadamente el 39% de los adolescentes presentaba al menos dos factores de riesgo para DM 2. La mayor parte de los factores de riesgo para DM 2 identificados en este estudio son modificables, por lo tanto, pasibles de intervenciones preventivas en el contexto escolar.

Fatores de risco para diabetes mellitus tipo 2 entre adolescentes

The objective of this study was to identify risk factors for type 2 diabetes (DM2) in a population of private schools adolescents of Fortaleza-Brazil. A total 794 students aged 12 to 17 years, from 12 schools, were evaluated in the months of May, June, August and September 2007. A form was applied approaching sociodemographics aspects, BMI, blood pressure, capillary glycemia and sedentary lifestyle. Approximately 24% of the participants had high BMI, 65% were sedentary and 51% had family history of DM2. In those with larger income, 73.5% had family history of DM2 (p = 0.04). About 39% of the adolescents had at least two risk factors for DM2. Most of the risk factors for DM2 identified in this study are changeable, therefore, susceptible to preventive interventions in the school setting.El estudio tuvo como objetivo identificar factores de riesgo para diabetes tipo 2 en una poblacion de adolescentes de escuelas particulares de Fortaleza, Brasil. Fueron evaluados 794 alumnos de entre 12 y 17 anos, pertenecientes a doce escuelas, en los meses de mayo, junio, agosto y setiembre de 2007. Se utilizo un formulario abordando aspectos sociodemograficos, IMC, presion arterial, glucemia y sedentarismo. Aproximadamente 24% de los participantes tenia su IMC elevado, 65% eran sedentarios y 51% contaba con antecedentes familiares de DM 2. Entre aquellos con mayores ingresos, 73,5% tenia antecedencia familiar de DM 2 (p=0,04). Aproximadamente el 39% de los adolescentes presentaba al menos dos factores de riesgo para DM 2. La mayor parte de los factores de riesgo para DM 2 identificados en este estudio son modificables, por lo tanto, pasibles de intervenciones preventivas en el contexto escolar.

Sobrepeso entre adolescentes de escolas particulares de Fortaleza, CE, Brasil

El objetivo de la investigacion fue identificar los casos de sobrepeso en adolescentes de escuelas privadas de Fortaleza-Brasil. Fueron investigados 794 estudiantes entre 12 y 17 anos, de 12 escuelas privadas, en los meses de marzo-junio y agosto-septiembre de 2007. La prevalencia de sobrepeso y obsedidad fue de 20% y 4%, respectivamente. La acumulacion de peso fue mayor y los casos de obesidad fue dos veces mas, en los que tenian la costumbre de asistir a la tele al alimentarse (p= 0, 000). Sobre 28% de los jovenes que practicaban actividad fisica regularmente presentaban sobrepeso (p < 0, 001). Para la enfermeria luchar contra la obesidad entre adolescentes, son necesarias las acciones preventivas, pues atenuan los diversos efectos patologicos con relacion a la acumulacion de peso corporal.The purpose of the study was to identify cases of overweight among adolescents in private schools in Fortaleza, Brazil. We investigated 794 students between 12 and 17 years old from 12 private schools, in the months March to June and August-September 2007. The prevalence of overweight and obesity was 20% and 4%, respectively. Among the young people who watch TV while eat, the weight accumulated was higher and the cases of obesity was the double (p = 0, 000). About 28% of people who practiced regular physical activity were overweight (p <0, 001). In the fight against adolescent adiposity, to the nursing is primarily the preventive actions, because attenuate various pathological effects related to the accumulation of body weight.

Effectiveness of telephone interventions as a strategy for glycemic control: an integrative literature review

The objective of this study was to analyze the effectiveness of telephone interventions as a strategy for glycemic control in adult Type 2 Diabetes Mellitus patients. An integrative literature review was undertaken in April and May 2011 through surveys in the Cochrane, PubMed/Medline, Lilacs and Cinahl databases. Nine studies complied with the inclusion criteria, mainly randomized controlled clinical trials. Concerning the time period analyzed in each study, it varied from eight weeks to twelve months. 1294 patients participated in the study, being 671 randomized to telephone follow-ups and 479 to usual care. In eight studies analyzed, glycemic control was based on the levels of glycated hemoglobin (HbA1c). The information found showed that the interventions are effective for glycemic control in patients who have type 2 Diabetes. Self-management was improved and possible complications of the disease were reduced. DESCRIPTORS: Diabetes mellitus, Type 2. Telephone. Intervention studies. Nursing.

Correlação entre indicadores antropométricos e a qualidade do sono de universitários brasileiros

The current study investigated the correlation between anthropometric indicators and sleep quality among Brazilian university students using the Pittsburgh Sleep Quality Index. A cross-sectional assessment with 702 university students was conducted between March 2010 and June 2011. Results showed that cases of obesity were more frequent among students who were good sleepers. On the other hand, overweight and high cervical and abdominal circumference was most prominent among poor sleepers. Thus, apart from the damage caused by sleep disorders alone, additional risks due to the association between poor sleep quality and being overweight, central obesity, and increased cervical perimeter are highlighted.

Overweight among adolescents from private schools in Fortaleza, CE, Brazil

El objetivo de la investigacion fue identificar los casos de sobrepeso en adolescentes de escuelas privadas de Fortaleza-Brasil. Fueron investigados 794 estudiantes entre 12 y 17 anos, de 12 escuelas privadas, en los meses de marzo-junio y agosto-septiembre de 2007. La prevalencia de sobrepeso y obsedidad fue de 20% y 4%, respectivamente. La acumulacion de peso fue mayor y los casos de obesidad fue dos veces mas, en los que tenian la costumbre de asistir a la tele al alimentarse (p= 0, 000). Sobre 28% de los jovenes que practicaban actividad fisica regularmente presentaban sobrepeso (p < 0, 001). Para la enfermeria luchar contra la obesidad entre adolescentes, son necesarias las acciones preventivas, pues atenuan los diversos efectos patologicos con relacion a la acumulacion de peso corporal.The purpose of the study was to identify cases of overweight among adolescents in private schools in Fortaleza, Brazil. We investigated 794 students between 12 and 17 years old from 12 private schools, in the months March to June and August-September 2007. The prevalence of overweight and obesity was 20% and 4%, respectively. Among the young people who watch TV while eat, the weight accumulated was higher and the cases of obesity was the double (p = 0, 000). About 28% of people who practiced regular physical activity were overweight (p <0, 001). In the fight against adolescent adiposity, to the nursing is primarily the preventive actions, because attenuate various pathological effects related to the accumulation of body weight.

Correlation between anthropometric indicators and sleep quality among Brazilian university students

The current study investigated the correlation between anthropometric indicators and sleep quality among Brazilian university students using the Pittsburgh Sleep Quality Index. A cross-sectional assessment with 702 university students was conducted between March 2010 and June 2011. Results showed that cases of obesity were more frequent among students who were good sleepers. On the other hand, overweight and high cervical and abdominal circumference was most prominent among poor sleepers. Thus, apart from the damage caused by sleep disorders alone, additional risks due to the association between poor sleep quality and being overweight, central obesity, and increased cervical perimeter are highlighted.

Blood pressure of adolescents in private schools in Fortaleza-CE

Objective: To identify the blood pressure of adolescents in private schools in the city of Fortaleza-CE. Methods: This is a cross-sectional and quantitative study in which 794 adolescents were surveyed - between 12 and 17 years of age - from 14 private schools of that city, in the period from March to September 2007. It was used a questionnaire that contemplated the following characteristics: socio-demographic, blood pressure, body mass index (BMI), physical activity and capillary glucose. Results: It was found that 19.7% of young people had high blood pressure. The male participants had systolic blood pressure (SBP) and diastolic blood pressure (DBP) higher than females (p=0.0001). The investigation found higher values of SBP and DBP in those who were overweight (p=0.0001). Conclusion: The blood pressure was influenced mainly by gender and BMI