Lucy Gomes Vianna

Association of serum lipid components and obesity with genetic ancestry in an admixed population of elderly women

The prevalence of metabolic disorders varies among ethnic populations and these disorders represent a critical health care issue for elderly women. This study investigated the correlation between genetic ancestry and body composition, metabolic traits and clinical status in a sample of elderly women. Clinical, nutritional and anthropometric data were collected from 176 volunteers. Genetic ancestry was estimated using 23 ancestry-informative markers. Pearsons correlation test was used to examine the relationship between continuous variables and an independent samples t-test was used to compare the means of continuous traits within categorical variables. Overall ancestry was a combination of European (57.49%), Native American (25.78%) and African (16.73%). Significant correlations were found for European ancestry with body mass index (r = 0.165; p = 0.037) and obesity (mean difference (MD) = 5.3%; p = 0.042). African ancestry showed a significant correlation with LDL (r = 0.159, p = 0.035), VLDL (r = −0.185; p = 0.014), hypertriglyceridemia (MD = 6.4%; p = 0.003) and hyperlipidemia (MD = 4.8%; p = 0.026). Amerindian ancestry showed a significant correlation with triglyceride levels (r = 0.150; p = 0.047) and hypertriglyceridemia (MD = 4.5%; p = 0.039). These findings suggest that genetic admixture may influence the etiology of lipid metabolism-related diseases and obesity in elderly women.

Relação médico-paciente idoso: desafios e perspectivas

ABSTRACT Theaimofthisarticlewastodiscusschallengesandperspectivesinthephysician-elderlypati-ent relationship. In interpersonal relations, inherent to medical practice, it is the quality of the en -counter that determines its efficiency. Thus, in training and identifying good medical professio -nals, the physician-elderly patient relationship is essential for promoting quality of care. Physici -ans should prioritize the feelings and values of elderly patients and their families, encouragingthe necessary joint decision-making, that is, democratization of the physician-patient relations-hip, reclaiming its humanization. This proposal aspires to the birth of a new image for these pro -fessionals, who are responsible for effective health promotion, by considering elderly patients intheirphysical,psychological,andsocialentirety,andnotmerelyfromthebiologicalpointofview.150 REVISTA BRASILEIRA DE EDUCACAO MEDICA34 (1) : 150 – 159 ; 2010 I Universidade Catolica de Brasilia, Brasilia, DF, Brasil.

Avosidade: visões de avós e de seus netos no período da infância

O papel do idoso tem sofrido modificacoes, tanto no âmbito social quanto no familiar. Aumentaram o numero de avos e o numero de anos que as pessoas vivem como avos. A avosidade, definida como laco de parentesco, esta intimamente ligada as funcoes materna e paterna, das quais, entretanto, se diferencia, exercendo papel determinante na formacao do sujeito. O objetivo deste trabalho foi avaliar a relacao entre avos e netos no periodo da infância, de acordo com a percepcao de avos e de seus netos. Foram realizadas 17 entrevistas semiestruturadas com avos e seus netos. Os resultados foram analisados e categorizados utilzando-se o software ALCESTE, o qual realiza automaticamente analise quantitativa de dados textuais. O estudo revelou presenca significativa de intergeracionalidade na visao das avos, representada pelas palavras mais frequentes em ordem decrescente: avo, netos e pai. A classe 1 ( 34,45%), mostrou o quanto a avosidade e significativa, representada por atividades realizadas com os netos; na classe 2 (42,86%), verificou-se o quanto as avos se sentiram bem realizando essas atividades; na classe 3 (22,69%), foi visualizada a visao das avos sobre a velhice. Foram formados dois eixos: o primeiro, constituido pelas classes 1 e 2 (relacao intergeracional), e o segundo, pela classe 3 (velhice). A relacao obtida entre as classes 1 e 2 foi de 0,4, e entre os eixos 1 e 2 foi 0. Para analise dos discursos dos netos, revelaram-se as categorias e subcategorias, respectivamente: beneficio - diversao e afeto; sentimento - orgulho e diferenca; significado da velhice - desconhecido e previsivel. Na categoria beneficio, os dados obtidos indicaram que os netos ou netas sentiam-se alegres e satisfeitos quando realizavam determinadas atividades com as avos. Alem disso, valorizavam o carinho dispensado por elas. Na categoria sentimento, os netos evidenciaram as qualidades pessoais de suas avos, construindo formas diferentes de relacoes entre avos e netos. Por fim, na categoria significado da velhice, alguns netos mostraram desconhecimento sobre o significado do termo, enquanto outros possuiam em suas mentes uma imagem de como sera a sua velhice. No presente estudo, pode-se concluir que avos idosas mantem forte relacao de proximidade vivenciada com seus netos no periodo da infância, o que e confirmado e reconhecido por seus netos.

Políticas públicas para a educação gerontológica na perspectiva da inserção social do idoso: desafios e possibilidades

The article suggests the development of public policies for education of the elderly from a survey with young people and elderly living in the Federal District about relationship between generations, exploring the meaning of aging and its correlation with the presence or absence of bias between these groups. Furthermore, we also investigated initiatives of a few schools regarding the formation of values and attitudes in order to overcome prejudice and build bridges among generations. Data were collected by applying a socio-demographic questionnaire, the Scale for the Assessment of Attitudes Toward the Elderly and Inventory Sheppard. It was possible to observe a lack of activities geared to the elderly and their separation from other generations at the selected schools. The survey data indicates that education for the elderly should be part of public policy development and school curriculum, with the purpose of bringing generations together in order to overcome potential prejudice, enable the exchange of experiences and improve the quality of life and social inclusion of the elderly into the school life.The article suggests the development of public policies for education of the elderly 490 Vicente Paulo Alves e Lucy Gomes Vianna Ensaio: aval. pol. públ. Educ., Rio de Janeiro, v. 18, n. 68, p. 489-510, jul./set. 2010 from a survey with young people and elderly living in the Federal District about relationship between generations, exploring the meaning of aging and its correlation with the presence or absence of bias between these groups. Furthermore, we also investigated initiatives of a few schools regarding the formation of values and attitudes in order to overcome prejudice and build bridges among generations. Data were collected by applying a socio-demographic questionnaire, the Scale for the Assessment of Attitudes Toward the Elderly and Inventory Sheppard. It was possible to observe a lack of activities geared to the elderly and their separation from other generations at the selected schools. The survey data indicates that education for the elderly should be part of public policy development and school curriculum, with the purpose of bringing generations together in order to overcome potential prejudice, enable the exchange of experiences and improve the quality of life and social inclusion of the elderly into the school life.

Public policies for education gerontology in view of social insertion of the elderly: challenges and opportunities

The article suggests the development of public policies for education of the elderly from a survey with young people and elderly living in the Federal District about relationship between generations, exploring the meaning of aging and its correlation with the presence or absence of bias between these groups. Furthermore, we also investigated initiatives of a few schools regarding the formation of values and attitudes in order to overcome prejudice and build bridges among generations. Data were collected by applying a socio-demographic questionnaire, the Scale for the Assessment of Attitudes Toward the Elderly and Inventory Sheppard. It was possible to observe a lack of activities geared to the elderly and their separation from other generations at the selected schools. The survey data indicates that education for the elderly should be part of public policy development and school curriculum, with the purpose of bringing generations together in order to overcome potential prejudice, enable the exchange of experiences and improve the quality of life and social inclusion of the elderly into the school life.The article suggests the development of public policies for education of the elderly 490 Vicente Paulo Alves e Lucy Gomes Vianna Ensaio: aval. pol. públ. Educ., Rio de Janeiro, v. 18, n. 68, p. 489-510, jul./set. 2010 from a survey with young people and elderly living in the Federal District about relationship between generations, exploring the meaning of aging and its correlation with the presence or absence of bias between these groups. Furthermore, we also investigated initiatives of a few schools regarding the formation of values and attitudes in order to overcome prejudice and build bridges among generations. Data were collected by applying a socio-demographic questionnaire, the Scale for the Assessment of Attitudes Toward the Elderly and Inventory Sheppard. It was possible to observe a lack of activities geared to the elderly and their separation from other generations at the selected schools. The survey data indicates that education for the elderly should be part of public policy development and school curriculum, with the purpose of bringing generations together in order to overcome potential prejudice, enable the exchange of experiences and improve the quality of life and social inclusion of the elderly into the school life.

Políticas públicas para la educación gerontológica en la perspectiva de la inclusión social de las personas de edad: desafíos y posibilidades

The article suggests the development of public policies for education of the elderly from a survey with young people and elderly living in the Federal District about relationship between generations, exploring the meaning of aging and its correlation with the presence or absence of bias between these groups. Furthermore, we also investigated initiatives of a few schools regarding the formation of values and attitudes in order to overcome prejudice and build bridges among generations. Data were collected by applying a socio-demographic questionnaire, the Scale for the Assessment of Attitudes Toward the Elderly and Inventory Sheppard. It was possible to observe a lack of activities geared to the elderly and their separation from other generations at the selected schools. The survey data indicates that education for the elderly should be part of public policy development and school curriculum, with the purpose of bringing generations together in order to overcome potential prejudice, enable the exchange of experiences and improve the quality of life and social inclusion of the elderly into the school life.The article suggests the development of public policies for education of the elderly 490 Vicente Paulo Alves e Lucy Gomes Vianna Ensaio: aval. pol. públ. Educ., Rio de Janeiro, v. 18, n. 68, p. 489-510, jul./set. 2010 from a survey with young people and elderly living in the Federal District about relationship between generations, exploring the meaning of aging and its correlation with the presence or absence of bias between these groups. Furthermore, we also investigated initiatives of a few schools regarding the formation of values and attitudes in order to overcome prejudice and build bridges among generations. Data were collected by applying a socio-demographic questionnaire, the Scale for the Assessment of Attitudes Toward the Elderly and Inventory Sheppard. It was possible to observe a lack of activities geared to the elderly and their separation from other generations at the selected schools. The survey data indicates that education for the elderly should be part of public policy development and school curriculum, with the purpose of bringing generations together in order to overcome potential prejudice, enable the exchange of experiences and improve the quality of life and social inclusion of the elderly into the school life.