Lenice de Castro Muniz de Quadros

Transtornos psiquiátricos menores em cuidadores familiares de usuários de Centros de Atenção Psicossocial do Sul do Brasil

A cross-sectional study was conducted with 936 family caregivers of users of Psychosocial Care Centers (CAPS) with the aim of describing the prevalence of minor psychiatric disorders and the association with socio-demographic variables, self-reported overload, and stressful events. Minor psychiatric disorder was identified with the Self-Reporting Questionnaire (SRQ-20), using as case definition a cutoff of eight or more positive answers for women and six or more for men. Bivariate and multivariate analyses were conducted by Poisson regression. Prevalence of minor psychiatric disorders was 49% (95%CI: 46%-52%). In the adjusted analysis, higher prevalence was observed in families with less schooling, health problems, more stressful life events, retirees, and single caregivers who reported overload. The results indicate a high prevalence of minor psychiatric disorders, besides identifying some associations. Such information provides important support for planning mental health services and primary care.

Maternal obesity and offspring body composition by indirect methods: a systematic review and meta-analysis

Esta revisao avaliou a associacao entre o indice de massa corporal (IMC) pre-gestacional e/ou ganho de peso gestacional com a composicao corporal dos filhos na infância. Uma revisao sistematica foi realizada. Estudos de coorte, caso-controle e ensaios randomizados, que determinaram a composicao corporal dos filhos mediante metodos indiretos, foram incluidos. Meta-analises do efeito do IMC pre-gestacional sobre a massa livre de gordura, percentual de gordura corporal e massa gorda foram realizados. Incluiu-se 18 estudos, a maioria dos quais reportou associacao positiva entre o IMC materno pre-gestacional e adiposidade dos filhos. As diferencas de medias padronizadas de percentual de gordura corporal, massa gorda e massa livre de gordura entre filhos de mulheres com IMC pre-gestacional normal em comparacao com os de mulheres com sobrepeso/obesidade foram: 0,31 pontos percentuais (IC95%: 0,19; 0,42), 0,38kg (IC95%: 0,26; 0,50) e 0,18kg (IC95%: -0,07; 0,42), respectivamente. Esta evidencia sugere que o sobrepeso materno pre-gestacional esta associado com a elevada adiposidade em seus filhos.This study reviewed the evidence that assessed the association between maternal pre-pregnancy body mass index (BMI) and/or gestational weight gain and offspring body composition in childhood. A systematic review was conducted. Cohort studies, case-control studies and randomized controlled trials measuring offspring body composition by indirect methods were included. Meta-analyses of the effect of pre-pregnancy BMI on offspring fat-free mass, body fat percent, and fat mass were conducted through random-effects models. 20 studies were included, most of which reported a positive association of pre-pregnancy BMI with offspring body fat. Standardized mean differences in body fat percent, fat mass and fat-free mass between infants of women with normal pre-pregnancy BMI and those of overweight/obese women were 0.31 percent points (95%CI: 0.19; 0.42), 0.38 kg (95%CI: 0.26; 0.50), and 0.18 kg (95%CI: -0.07; 0.42), respectively. Evidence so far suggests that pre-pregnancy maternal overweight is associated with higher offspring adiposity.

Social Mobility and Mental Disorders at 30 Years of Age in Participants of the 1982 Cohort, Pelotas, Rio Grande Do Sul - RS.

This study aimed to evaluate the relationship between mental disorders at 30 years of age and social mobility by formally testing three hypotheses: Risk Accumulation; Critical Period; and Social Mobility. The study was performed using data from the 30-year follow-up of the Pelotas Birth Cohort Study, conducted in 1982, and data from previous follow-ups. The tool used to evaluate mental health was the Self Report Questionnaire (SRQ-20). For the statistical analysis, the chi-square test with the Yates correction was used to estimate the prevalence of mental disorder, and the Poisson regression with robust variance was used to formally test the hypotheses according to the Risk Accumulation, Critical Period and Social Mobility Models. The analyses were stratified by gender. The prevalence of Common Mental Disorders (CMDs) was 24.3% (95% CI 22.9–25.7) when the whole sample was considered. The highest prevalence, 27.1% (95% CI 25.1–29.2), was found in women, and the difference between genders was significant (p < 0.001). CMDs were more frequent in participants who remained “poor” in the three follow-ups. In both men and women, the best fit was obtained with the Risk Accumulation Model, with p = 0.6348 and p = 0.2105, respectively. The results indicate the need to rethink public income maintenance policies. Finally, we suggest further studies to investigate the role of different public policies in decreasing the prevalence of mental disorders and thus contribute proposals of new policies that may contribute to the prevention of these disorders.

Tornar-se obeso na adolescência pode trazer consequências à saúde mental?

O estudo avaliou a associacao entre trajetoria de obesidade e dificuldades emocionais e comportamentais em adolescentes. Foram estudados 4.325 jovens, aos 11 e 15 anos de idade, pertencentes a coorte de nascimentos de 1993 de Pelo-tas, Rio Grande do Sul, Brasil. Informacoes sobre indice de massa corporal (IMC), avaliacao materna da saude emocional e comportamental do adolescente (Strengths and Difficulties Questionnaire - SDQ) e caracteristicas sociodemograficas e comportamentais foram utilizadas. As analises, estratificadas por sexo, foram conduzidas por meio de regressao linear simples e multipla. A trajetoria de obesidade mostrou associacao com o escore total do SDQ, nas analises ajustadas, apenas entre os meninos. Entre esses, tornar-se obeso no periodo esteve relacionado com maior escore na subescala de problemas de relacionamento com os colegas. Diante do conhecimento atual sobre as implicacoes futuras da obesidade na saude mental e em se tratando de adolescentes, sugere-se que estudos que avaliem as diferencas de genero na adolescencia possam contribuir para o entendimento da associacao encontrada.

Efeitos da mobilidade social na saúde mental de adultos: uma revisão sistemática da literatura

The scope of this study was to identify longitudinal studies evaluating the relationship between social mobility and mental disorders in adults. An electronic review of the literature was conducted in the PubMed/Medline and PsycINFO databases. The bibliographic references of the articles selected for analysis were also examined for eligibility. Cohort studies were selected taking social mobility as exposure category and mental health-related disorders as the outcome. Seven studies were reviewed and their definition and categorization of exposure and outcome were found to be heterogeneous, thus rendering analysis and comparison of the results found in the various studies difficult. Mental health-related disorders were more common in individuals belonging to lower socio-economic classes, regardless of having upward, stable or downward social mobility. Moreover, the influence of individual socio-economic conditions, assessed in adulthood, appears to be greater than the effect of parental economic status on the mental health of individuals. This review indicates that it is possible to find a relationship between socio-economic status during the course of life and mental health in adulthood. However, the direction taken by this relationship remains unclear.The scope of this study was to identify longitudinal studies evaluating the relationship between social mobility and mental disorders in adults. An electronic review of the literature was conducted in the PubMed/Medline and PsycINFO databases. The bibliographic references of the articles selected for analysis were also examined for eligibility. Cohort studies were selected taking social mobility as exposure category and mental health-related disorders as the outcome. Seven studies were reviewed and their definition and categorization of exposure and outcome were found to be heterogeneous, thus rendering analysis and comparison of the results found in the various studies difficult. Mental health-related disorders were more common in individuals belonging to lower socio-economic classes, regardless of having upward, stable or downward social mobility. Moreover, the influence of individual socio-economic conditions, assessed in adulthood, appears to be greater than the effect of parental economic status on the mental health of individuals. This review indicates that it is possible to find a relationship between socio-economic status during the course of life and mental health in adulthood. However, the direction taken by this relationship remains unclear.

Obesidad maternal y composición corporal de los hijos por métodos indirectos: revisión sistemática y metaanálisis

Esta revisao avaliou a associacao entre o indice de massa corporal (IMC) pre-gestacional e/ou ganho de peso gestacional com a composicao corporal dos filhos na infância. Uma revisao sistematica foi realizada. Estudos de coorte, caso-controle e ensaios randomizados, que determinaram a composicao corporal dos filhos mediante metodos indiretos, foram incluidos. Meta-analises do efeito do IMC pre-gestacional sobre a massa livre de gordura, percentual de gordura corporal e massa gorda foram realizados. Incluiu-se 18 estudos, a maioria dos quais reportou associacao positiva entre o IMC materno pre-gestacional e adiposidade dos filhos. As diferencas de medias padronizadas de percentual de gordura corporal, massa gorda e massa livre de gordura entre filhos de mulheres com IMC pre-gestacional normal em comparacao com os de mulheres com sobrepeso/obesidade foram: 0,31 pontos percentuais (IC95%: 0,19; 0,42), 0,38kg (IC95%: 0,26; 0,50) e 0,18kg (IC95%: -0,07; 0,42), respectivamente. Esta evidencia sugere que o sobrepeso materno pre-gestacional esta associado com a elevada adiposidade em seus filhos.This study reviewed the evidence that assessed the association between maternal pre-pregnancy body mass index (BMI) and/or gestational weight gain and offspring body composition in childhood. A systematic review was conducted. Cohort studies, case-control studies and randomized controlled trials measuring offspring body composition by indirect methods were included. Meta-analyses of the effect of pre-pregnancy BMI on offspring fat-free mass, body fat percent, and fat mass were conducted through random-effects models. 20 studies were included, most of which reported a positive association of pre-pregnancy BMI with offspring body fat. Standardized mean differences in body fat percent, fat mass and fat-free mass between infants of women with normal pre-pregnancy BMI and those of overweight/obese women were 0.31 percent points (95%CI: 0.19; 0.42), 0.38 kg (95%CI: 0.26; 0.50), and 0.18 kg (95%CI: -0.07; 0.42), respectively. Evidence so far suggests that pre-pregnancy maternal overweight is associated with higher offspring adiposity.

Obesidade materna e composição corporal dos filhos por métodos indiretos: revisão sistemática e meta-análises

Esta revisao avaliou a associacao entre o indice de massa corporal (IMC) pre-gestacional e/ou ganho de peso gestacional com a composicao corporal dos filhos na infância. Uma revisao sistematica foi realizada. Estudos de coorte, caso-controle e ensaios randomizados, que determinaram a composicao corporal dos filhos mediante metodos indiretos, foram incluidos. Meta-analises do efeito do IMC pre-gestacional sobre a massa livre de gordura, percentual de gordura corporal e massa gorda foram realizados. Incluiu-se 18 estudos, a maioria dos quais reportou associacao positiva entre o IMC materno pre-gestacional e adiposidade dos filhos. As diferencas de medias padronizadas de percentual de gordura corporal, massa gorda e massa livre de gordura entre filhos de mulheres com IMC pre-gestacional normal em comparacao com os de mulheres com sobrepeso/obesidade foram: 0,31 pontos percentuais (IC95%: 0,19; 0,42), 0,38kg (IC95%: 0,26; 0,50) e 0,18kg (IC95%: -0,07; 0,42), respectivamente. Esta evidencia sugere que o sobrepeso materno pre-gestacional esta associado com a elevada adiposidade em seus filhos.This study reviewed the evidence that assessed the association between maternal pre-pregnancy body mass index (BMI) and/or gestational weight gain and offspring body composition in childhood. A systematic review was conducted. Cohort studies, case-control studies and randomized controlled trials measuring offspring body composition by indirect methods were included. Meta-analyses of the effect of pre-pregnancy BMI on offspring fat-free mass, body fat percent, and fat mass were conducted through random-effects models. 20 studies were included, most of which reported a positive association of pre-pregnancy BMI with offspring body fat. Standardized mean differences in body fat percent, fat mass and fat-free mass between infants of women with normal pre-pregnancy BMI and those of overweight/obese women were 0.31 percent points (95%CI: 0.19; 0.42), 0.38 kg (95%CI: 0.26; 0.50), and 0.18 kg (95%CI: -0.07; 0.42), respectively. Evidence so far suggests that pre-pregnancy maternal overweight is associated with higher offspring adiposity.

Can teenage obesity affect mental health

O estudo avaliou a associacao entre trajetoria de obesidade e dificuldades emocionais e comportamentais em adolescentes. Foram estudados 4.325 jovens, aos 11 e 15 anos de idade, pertencentes a coorte de nascimentos de 1993 de Pelo-tas, Rio Grande do Sul, Brasil. Informacoes sobre indice de massa corporal (IMC), avaliacao materna da saude emocional e comportamental do adolescente (Strengths and Difficulties Questionnaire - SDQ) e caracteristicas sociodemograficas e comportamentais foram utilizadas. As analises, estratificadas por sexo, foram conduzidas por meio de regressao linear simples e multipla. A trajetoria de obesidade mostrou associacao com o escore total do SDQ, nas analises ajustadas, apenas entre os meninos. Entre esses, tornar-se obeso no periodo esteve relacionado com maior escore na subescala de problemas de relacionamento com os colegas. Diante do conhecimento atual sobre as implicacoes futuras da obesidade na saude mental e em se tratando de adolescentes, sugere-se que estudos que avaliem as diferencas de genero na adolescencia possam contribuir para o entendimento da associacao encontrada.

Convertirse en un obeso durante la adolescencia puede traer consecuencias para la salud mental

O estudo avaliou a associacao entre trajetoria de obesidade e dificuldades emocionais e comportamentais em adolescentes. Foram estudados 4.325 jovens, aos 11 e 15 anos de idade, pertencentes a coorte de nascimentos de 1993 de Pelo-tas, Rio Grande do Sul, Brasil. Informacoes sobre indice de massa corporal (IMC), avaliacao materna da saude emocional e comportamental do adolescente (Strengths and Difficulties Questionnaire - SDQ) e caracteristicas sociodemograficas e comportamentais foram utilizadas. As analises, estratificadas por sexo, foram conduzidas por meio de regressao linear simples e multipla. A trajetoria de obesidade mostrou associacao com o escore total do SDQ, nas analises ajustadas, apenas entre os meninos. Entre esses, tornar-se obeso no periodo esteve relacionado com maior escore na subescala de problemas de relacionamento com os colegas. Diante do conhecimento atual sobre as implicacoes futuras da obesidade na saude mental e em se tratando de adolescentes, sugere-se que estudos que avaliem as diferencas de genero na adolescencia possam contribuir para o entendimento da associacao encontrada.