Larissa Soares Mariz

Risk factors associated with treatment abandonment by overweight or obese children and adolescents

OBJECTIVEnTo evaluate the risk factors associated with treatment abandonment by overweight or obese children and adolescents.nnnMETHODSnA cross-sectional study, conducted in 2011, at the Childhood Obesity Center, in Campina Grande, Brazil, with the records of 208 children and adolescents, between three and 18 years of age, divided into two groups: Group I included those who abandoned treatment, and Group II included those who did not abandon treatment.nnnRESULTSnNon-adherence was significantly associated with higher income (OR=5.8), high maternal education (OR=2.4), white skin color (OR=2.9), and obesity (OR=3.6).nnnCONCLUSIONnDespite the new academic-care approach, the non-adherence to treatment rate was high, and was associated with sociodemographic and nutritional factors.

Nursing care in childcare services: Acantose nigricans as a marker for metabolic risk

OBJETIVO: analisar a associacao entre a presenca de Acantose nigricans e alteracoes metabolicas em adolescentes com excesso de peso, a fim de verificar a relevância da identificacao desse marcador na consulta de enfermagem. METODO: estudo transversal, realizado entre abril/2009 e abril/2010, com 118 adolescentes, usuarios do Centro de Obesidade Infantil de Campina Grande, Paraiba. Investigaram-se a presenca de Acantose nigricans e as medidas antropometricas nos sujeitos. Foram realizados os exames: insulina, triglicerideos, HDL-Colesterol, glicose e homeostatico modelo de avaliacao. RESULTADOS: houve associacao entre a presenca de Acantose nigricans e participantes com resistencia insulinica (p=0,008), sindrome metabolica (p=0,031), triglicerideo elevado (p=0,045) e HDL alterado (p=0,002). CONCLUSOES: reforca-se a sugestao de que a deteccao/identificacao da Acantose nigricans pode vir a ser utilizada na consulta de enfermagem como ferramenta para a identificacao de adolescentes com excesso de peso com maior risco de alteracao metabolica.OBJECTIVEnto analyze the association between the presence of Acantose nigricans and metabolic changes in overweight adolescents, so as to ascertain the relevance of the identification of this marker in the nursing consultation.nnnMETHODna cross-sectional study undertaken between April 2009 and April 2010 with 118 adolescents who were service users of the Center for Child Obesity in Campina Grande in the Brazilian State of Paraíba (PB). The presence of Acantose nigricans, and the subjects anthropometric measurements, were investigated. The following exams were made: insulin, triglycerides, HDL-Cholesterol, Glucose and the homeostatic model of assessment (HOMA-IR).nnnRESULTSnthere was association between the presence of Acantose nigricans and participants with insulin resistance (p=0.008), metabolic syndrome (p=0.031), elevated triglycerides (p=0.045) and altered HDL (p=0.002).nnnCONCLUSIONSnthe suggestion is supported that the detection/identification of Acantose nigricans may be used in the nursing consultation as a tool for identifying overweight adolescents with greater risk of metabolic changes.

Assistência de enfermagem na puericultura: Acantose nigricans como marcador de risco metabólico

OBJETIVO: analisar a associacao entre a presenca de Acantose nigricans e alteracoes metabolicas em adolescentes com excesso de peso, a fim de verificar a relevância da identificacao desse marcador na consulta de enfermagem. METODO: estudo transversal, realizado entre abril/2009 e abril/2010, com 118 adolescentes, usuarios do Centro de Obesidade Infantil de Campina Grande, Paraiba. Investigaram-se a presenca de Acantose nigricans e as medidas antropometricas nos sujeitos. Foram realizados os exames: insulina, triglicerideos, HDL-Colesterol, glicose e homeostatico modelo de avaliacao. RESULTADOS: houve associacao entre a presenca de Acantose nigricans e participantes com resistencia insulinica (p=0,008), sindrome metabolica (p=0,031), triglicerideo elevado (p=0,045) e HDL alterado (p=0,002). CONCLUSOES: reforca-se a sugestao de que a deteccao/identificacao da Acantose nigricans pode vir a ser utilizada na consulta de enfermagem como ferramenta para a identificacao de adolescentes com excesso de peso com maior risco de alteracao metabolica.OBJECTIVEnto analyze the association between the presence of Acantose nigricans and metabolic changes in overweight adolescents, so as to ascertain the relevance of the identification of this marker in the nursing consultation.nnnMETHODna cross-sectional study undertaken between April 2009 and April 2010 with 118 adolescents who were service users of the Center for Child Obesity in Campina Grande in the Brazilian State of Paraíba (PB). The presence of Acantose nigricans, and the subjects anthropometric measurements, were investigated. The following exams were made: insulin, triglycerides, HDL-Cholesterol, Glucose and the homeostatic model of assessment (HOMA-IR).nnnRESULTSnthere was association between the presence of Acantose nigricans and participants with insulin resistance (p=0.008), metabolic syndrome (p=0.031), elevated triglycerides (p=0.045) and altered HDL (p=0.002).nnnCONCLUSIONSnthe suggestion is supported that the detection/identification of Acantose nigricans may be used in the nursing consultation as a tool for identifying overweight adolescents with greater risk of metabolic changes.

Association between risk factors for hypertension and the Nursing Diagnosis overweight in adolescents

OBJECTIVEnTo identify associations between the risk factors for hypertension and the nursing diagnosis of overweight in adolescents.nnnMETHODSnCross-sectional study conducted in 2013 with 347 teenagers attending schools in Natal, Rio Grande do Norte, Brazil, who answered a form about the socioeconomic profile, physical activity, eating habits and family history of disease and who underwent physical examination. For analytical analysis, two groups were formed: students with the Nursing Diagnosis overweight (n=100) and students without this diagnosis (n=247).nnnRESULTSnthe risk factors for hypertension associated with the Nursing Diagnosis were: abdominal obesity (OR=40.0), food intake rich in sugar and fat (OR=40.0), family history of hypertension (OR=6.9), obesity and diabetes (OR=2.0), abnormal systolic and diastolic blood pressure (OR=5.5).nnnCONCLUSIONnthe risk factors for hypertension that presented association with the Nursing Diagnosis overweight were abdominal obesity, eating habits, family history of diseases and abnormal blood pressure. These findings may contribute to prevent hypertension in adolescents, in that it directs the gaze of nurses to develop effective measures to address these risk factors.

Atuação dos enfermeiros de unidades básicas de saúde direcionada aos adolescentes com excesso de peso nas escolas

Objetivou-se identificar a percepcao dos enfermeiros das Unidades Basicas de Saude sobre sua atuacao na avaliacao para excesso de peso emadolescentes nas escolas. Estudo descritivo, qualitativo, realizado em Natal-RN com quatro enfermeiras de unidades basicas de saude cujo territorioabrangia escolas estaduais. Os dados foram colhidos por entrevista e analisados pela tecnica de analise de conteudo. Foram identificados quatrotemas que representam as percepcoes das enfermeiras sobre a atividade: dificuldade no acompanhamento do adolescente na Atencao Primariaem Saude; causas do crescimento do excesso de peso na adolescencia; acoes de saude nas escolas; e prevencao/identificacao/intervencaono excesso de peso em adolescentes nas escolas. Existiam lacunas na atuacao dessas enfermeiras junto aos adolescentes, especialmente napromocao da saude, prevencao e tratamento do excesso de peso, uma vez que se isentavam de agir e transferiam a responsabilidade para outrosprofissionais. A falta de articulacao entre os servicos de saude e as instituicoes educacionais constitui um fator limitante para a assistencia aoadolescente na atencao primaria em saude.(AU) The aim of this study was to identify primary health care nursesAE perception on their performance in the health status assessment of overweightadolescents in schools. This is a descriptive, qualitative study. It was conducted in Natal-RN with four nurses who worked in primary health careunits whose territory encompassed a number of state schools. Data collection was carried out through semi-structured interviews. The data werethen analyzed by using the technique of content analysis (theme coding). The following thematic categories were identified on the role of nurses inthe assessment of overweight at schools: a) difficulty of monitoring adolescents in primary health care; b) causes for the increase of overweight inadolescence; c) health actions developed in schools; d) overweight prevention, identification and intervention in adolescents at school. Our studyrevealed gaps in nursesAE performance related to the monitoring of adolescents. The interviewees held other professionals accountable for theproblem and exempted themselves from the obligation to implement actions, such as health promotion, disease prevention or treatment. The lackof articulation between health services and educational institutions is a limiting factor for the provision of care to adolescents in primary care units.(AU) El objetivo del presente estudio fue identificar la percepcion de los enfermeros de unidades primarias de salud sobre su actuacion en las escuelas enla evaluacion del exceso de peso en adolescentes. Se trata de un estudio descriptivo cualitativo llevado a cabo en Natal/RN con cuatro enfermerasde unidades primarias de salud cuya area de alcance incluia escuelas estatales. Los datos fueron recogidos en entrevistas y analizados segun latecnica de analisis de contenido. Fueron identificados cuatro temas que representan las percepciones de las enfermeras sobre su tarea: dificultaden el seguimiento del adolescente en la atencion primaria; causas de aumento de sobrepeso en la adolescencia; acciones de salud en las escuelas; yacciones de prevencion/identificacion/intervencion en las escuelas en el sobrepeso en adolescentes. Hay lagunas en la actuacion de las enfermerascon los adolescentes, especialmente en promocion de la salud, prevencion y tratamiento del sobrepeso pues evitaban intervenir y le pasaban laresponsabilidad a otros profesionales. La falta de articulacion entre los servicios de salud y las instituciones educacionales es un factor limitadorpara tratar a adolescentes en la atencion primaria de la salud.(AU)

Atención de enfermería en la puericultura: Acantose nigricans como marcador de riesgo metabólico

OBJETIVO: analisar a associacao entre a presenca de Acantose nigricans e alteracoes metabolicas em adolescentes com excesso de peso, a fim de verificar a relevância da identificacao desse marcador na consulta de enfermagem. METODO: estudo transversal, realizado entre abril/2009 e abril/2010, com 118 adolescentes, usuarios do Centro de Obesidade Infantil de Campina Grande, Paraiba. Investigaram-se a presenca de Acantose nigricans e as medidas antropometricas nos sujeitos. Foram realizados os exames: insulina, triglicerideos, HDL-Colesterol, glicose e homeostatico modelo de avaliacao. RESULTADOS: houve associacao entre a presenca de Acantose nigricans e participantes com resistencia insulinica (p=0,008), sindrome metabolica (p=0,031), triglicerideo elevado (p=0,045) e HDL alterado (p=0,002). CONCLUSOES: reforca-se a sugestao de que a deteccao/identificacao da Acantose nigricans pode vir a ser utilizada na consulta de enfermagem como ferramenta para a identificacao de adolescentes com excesso de peso com maior risco de alteracao metabolica.OBJECTIVEnto analyze the association between the presence of Acantose nigricans and metabolic changes in overweight adolescents, so as to ascertain the relevance of the identification of this marker in the nursing consultation.nnnMETHODna cross-sectional study undertaken between April 2009 and April 2010 with 118 adolescents who were service users of the Center for Child Obesity in Campina Grande in the Brazilian State of Paraíba (PB). The presence of Acantose nigricans, and the subjects anthropometric measurements, were investigated. The following exams were made: insulin, triglycerides, HDL-Cholesterol, Glucose and the homeostatic model of assessment (HOMA-IR).nnnRESULTSnthere was association between the presence of Acantose nigricans and participants with insulin resistance (p=0.008), metabolic syndrome (p=0.031), elevated triglycerides (p=0.045) and altered HDL (p=0.002).nnnCONCLUSIONSnthe suggestion is supported that the detection/identification of Acantose nigricans may be used in the nursing consultation as a tool for identifying overweight adolescents with greater risk of metabolic changes.