Marina Morato Stival

Association of body composition with sarcopenic obesity in elderly women

The aim of the present study was to investigate the prevalence of sarcopenic obesity and its association with obesity and sarcopenia in elderly Brazilian women. Two hundred and seventy-two sedentary women with a mean age of 66.75 ± 5.38 years were recruited for participation in this study. Obesity was determined by both body mass index and dual-energy X-ray absorptiometry (DXA) evaluations. Sarcopenic obesity diagnosis was established from the ratio between fat-free mass and body surface area as obtained by DXA. There was no association of obesity with sarcopenic obesity (P = 0.424). In contrast, sarcopenia was significantly related to sarcopenic obesity (P < 0.001), although most of the elderly women with sarcopenia (n = 171) did not exhibit sarcopenic obesity. These results highlight the importance of diagnosing sarcopenic obesity as elderly women exhibiting sarcopenia could be either eutrophic or obese.

Prevalência de dor crônica em estudantes universitários de enfermagem

A dor cronica e uma das principais causas de incapacidade entre os individuos. O objetivo do estudo foi estimar a prevalencia deste tipo de dor em estudantes universitarios de enfermagem e caracteriza-la segundo a ocorrencia, localizacao, duracao, intensidade e qualidade. Estudo transversal, desenvolvido em uma Faculdade de Enfermagem de Goias, entre maio e junho de 2008, com 211 estudantes. A prevalencia de dor cronica autorrelatada foi de 59,7%, frequentemente localizada na cabeca (38,1%), regiao lombar (11,9%) e ombros/ membros superiores (11,9%). Em 46% dos casos, o convivio com a dor variou de um a cinco anos; a intensidade foi caracterizada como forte (Mediana do escore de dor=7,0) e descrita como latejante, pontada, cansativa, enjoada, que incomoda e aperto. A alta prevalencia de dor entre jovens universitarios de enfermagem aponta o futuro da saude dessa populacao, a necessidade de intervencoes para reducao de agravos e adequado alivio dessa experiencia.Chronic pain is one of the major causes of disability among individuals. This study aims to estimate the prevalence of this type of self-reported pain by undergraduate nursing students and characterize it concerning its occurrence, location, duration, intensity, and quality. This cross-sectional study was developed at a Nursing College in Goiás, Brazil, between May and June of 2008 with 211 students. The prevalence of self-reported chronic pain was 59.7%, frequently located in the head (38.1%), lower back (11.9%) and shoulder/upper members (11.9%). In 46% of the cases, living with the pain ranged from one to five years with a strong intensity (Median pain scores=7) and was described as throbbing, stabbing, tiring, sickening, that bothers, and tight. The prevalence of pain is higher than that estimated in similar studies, pointing to the future health of this generation and the need for disease prevention and health promotion programs for adequate relief among this population. DESCRIPTORS: Pain. Students, nursing. Prevalence. LA PREVALENCIA DEL DOLOR CRÓNICO EN ESTUDIANTES DE ENFERMERÍA RESUMEN: El dolor crónico es una de las principales causas de discapacidad entre las personas. Los objetivos de este estudio: estimar la prevalencia este tipo de dolor en los estudiantes universitarios de enfermería, caracterizar el dolor según la aparición, localización, duración, intensidad y calidad. Se trata de un estudio transversal desarrollado en un Facultad de Enfermería de Goiás, de mayo a junio de 2008, con 211 estudiantes. La prevalencia del dolor crónico informado fue del 59,7%, localizado a menudo en la cabeza (38,1%), en la región lumbar (11,9%) y en el hombro/extremidades superiores (11,9%). En el 46% de los casos, la convivencia con el dolor varió de uno a cinco años, la intensidad se caracterizó por ser muy fuerte (puntación de dolor media=7,0) y se describe como palpitante, agudo, agotador, repugnante, y que incomoda y aprieta. La alta prevalencia de dolor entre los estudiantes de enfermería indica la salud futura de esta población, la necesidad de intervenciones para reducir las lesiones y el alivio adecuado de esta experiencia. DESCRIPTORES: Dolor. Estudiantes de enfermería. Prevalencia. 519El dolor cronico es una de las principales causas de discapacidad entre las personas. Los objetivos de este estudio: estimar la prevalencia este tipo de dolor en los estudiantes universitarios de enfermeria, caracterizar el dolor segun la aparicion, localizacion, duracion, intensidad y calidad. Se trata de un estudio transversal desarrollado en un Facultad de Enfermeria de Goias, de mayo a junio de 2008, con 211 estudiantes. La prevalencia del dolor cronico informado fue del 59,7%, localizado a menudo en la cabeza (38,1%), en la region lumbar (11,9%) y en el hombro/extremidades superiores (11,9%). En el 46% de los casos, la convivencia con el dolor vario de uno a cinco anos, la intensidad se caracterizo por ser muy fuerte (puntacion de dolor media=7,0) y se describe como palpitante, agudo, agotador, repugnante, y que incomoda y aprieta. La alta prevalencia de dolor entre los estudiantes de enfermeria indica la salud futura de esta poblacion, la necesidad de intervenciones para reducir las lesiones y el alivio adecuado de esta experiencia.

Comparison of percentage body fat and body mass index for the prediction of inflammatory and atherogenic lipid risk profiles in elderly women.

Objective To compare the clinical classification of the body mass index (BMI) and percentage body fat (PBF) for the prediction of inflammatory and atherogenic lipid profile risk in older women. Method Cross-sectional analytical study with 277 elderly women from a local community in the Federal District, Brazil. PBF and fat-free mass (FFM) were determined by dual energy X-ray absorptiometry. The investigated inflammatory parameters were interleukin 6 and C-reactive protein. Results Twenty-five percent of the elderly women were classified as normal weight, 50% overweight, and 25% obese by the BMI. The obese group had higher levels of triglycerides and very low-density lipoproteins than did the normal weight group (P≤0.05) and lower levels of high-density lipoproteins (HDL) than did the overweight group (P≤0.05). According to the PBF, 49% of the elderly women were classified as eutrophic, 28% overweight, and 23% obese. In the binomial logistic regression analyses including age, FFM, and lipid profile, only FFM (odds ratio [OR]=0.809, 95% confidence interval [CI]: 0.739–0.886; P<0.0005) proved to be a predictor of reaching the eutrophic state by the BMI. When the cutoff points of PBF were used for the classification, FFM (OR=0.903, CI=0.884–0.965; P=0.003) and the total cholesterol/HDL ratio (OR=0.113, CI=0.023–0.546; P=0.007) proved to be predictors of reaching the eutrophic state. Conclusion Accurate identification of obesity, systemic inflammation, and atherogenic lipid profile is key to assessing the risk of cardiometabolic diseases. Classification based on dual energy X-ray absorptiometry measures, along with biochemical and inflammatory parameters, seems to have a great clinical importance, since it allows the lipid profile eutrophic distinction in elderly overweight women.

Prevalence of chronic pain in nursing undergraduate students

A dor cronica e uma das principais causas de incapacidade entre os individuos. O objetivo do estudo foi estimar a prevalencia deste tipo de dor em estudantes universitarios de enfermagem e caracteriza-la segundo a ocorrencia, localizacao, duracao, intensidade e qualidade. Estudo transversal, desenvolvido em uma Faculdade de Enfermagem de Goias, entre maio e junho de 2008, com 211 estudantes. A prevalencia de dor cronica autorrelatada foi de 59,7%, frequentemente localizada na cabeca (38,1%), regiao lombar (11,9%) e ombros/ membros superiores (11,9%). Em 46% dos casos, o convivio com a dor variou de um a cinco anos; a intensidade foi caracterizada como forte (Mediana do escore de dor=7,0) e descrita como latejante, pontada, cansativa, enjoada, que incomoda e aperto. A alta prevalencia de dor entre jovens universitarios de enfermagem aponta o futuro da saude dessa populacao, a necessidade de intervencoes para reducao de agravos e adequado alivio dessa experiencia.Chronic pain is one of the major causes of disability among individuals. This study aims to estimate the prevalence of this type of self-reported pain by undergraduate nursing students and characterize it concerning its occurrence, location, duration, intensity, and quality. This cross-sectional study was developed at a Nursing College in Goiás, Brazil, between May and June of 2008 with 211 students. The prevalence of self-reported chronic pain was 59.7%, frequently located in the head (38.1%), lower back (11.9%) and shoulder/upper members (11.9%). In 46% of the cases, living with the pain ranged from one to five years with a strong intensity (Median pain scores=7) and was described as throbbing, stabbing, tiring, sickening, that bothers, and tight. The prevalence of pain is higher than that estimated in similar studies, pointing to the future health of this generation and the need for disease prevention and health promotion programs for adequate relief among this population. DESCRIPTORS: Pain. Students, nursing. Prevalence. LA PREVALENCIA DEL DOLOR CRÓNICO EN ESTUDIANTES DE ENFERMERÍA RESUMEN: El dolor crónico es una de las principales causas de discapacidad entre las personas. Los objetivos de este estudio: estimar la prevalencia este tipo de dolor en los estudiantes universitarios de enfermería, caracterizar el dolor según la aparición, localización, duración, intensidad y calidad. Se trata de un estudio transversal desarrollado en un Facultad de Enfermería de Goiás, de mayo a junio de 2008, con 211 estudiantes. La prevalencia del dolor crónico informado fue del 59,7%, localizado a menudo en la cabeza (38,1%), en la región lumbar (11,9%) y en el hombro/extremidades superiores (11,9%). En el 46% de los casos, la convivencia con el dolor varió de uno a cinco años, la intensidad se caracterizó por ser muy fuerte (puntación de dolor media=7,0) y se describe como palpitante, agudo, agotador, repugnante, y que incomoda y aprieta. La alta prevalencia de dolor entre los estudiantes de enfermería indica la salud futura de esta población, la necesidad de intervenciones para reducir las lesiones y el alivio adecuado de esta experiencia. DESCRIPTORES: Dolor. Estudiantes de enfermería. Prevalencia. 519El dolor cronico es una de las principales causas de discapacidad entre las personas. Los objetivos de este estudio: estimar la prevalencia este tipo de dolor en los estudiantes universitarios de enfermeria, caracterizar el dolor segun la aparicion, localizacion, duracion, intensidad y calidad. Se trata de un estudio transversal desarrollado en un Facultad de Enfermeria de Goias, de mayo a junio de 2008, con 211 estudiantes. La prevalencia del dolor cronico informado fue del 59,7%, localizado a menudo en la cabeza (38,1%), en la region lumbar (11,9%) y en el hombro/extremidades superiores (11,9%). En el 46% de los casos, la convivencia con el dolor vario de uno a cinco anos, la intensidad se caracterizo por ser muy fuerte (puntacion de dolor media=7,0) y se describe como palpitante, agudo, agotador, repugnante, y que incomoda y aprieta. La alta prevalencia de dolor entre los estudiantes de enfermeria indica la salud futura de esta poblacion, la necesidad de intervenciones para reducir las lesiones y el alivio adecuado de esta experiencia.

Relações hipotéticas entre os determinantes sociais da saúde que influenciam na obesidade em idosos

Os elevados indices de prevalencia de obesidade em idosos suscitam a necessidade de compreender os fatores envolvidos nesta desordem nutricional, por meio de metodos quantitativos que permitam uma analise relacional desses determinantes. O objetivo deste estudo foi propor um modelo hipotetico que estabeleca as relacoes entre os determinantes sociais da saude associados a obesidade em idosos. Para a construcao do modelo hipotetico, foram delineadas as variaveis latentes e observadas de acordo com a analise de 45 artigos nacionais e internacionais e em concordância com o referencial da Modelagem de Equacoes Estruturais. Foi construido um diagrama representativo para evidenciar as correlacoes entre os 11 determinantes sociais da saude relacionados a obesidade no idoso: atividade fisica, tabagismo, etilismo, consumo alimentar, contato social, ocupacao, renda, escolaridade, idade, sexo e estado civil. Espera-se que as relacoes hipoteticas estabelecidas no estudo contribuam para a compreensao das relacoes dos fatores que estao envolvidos nesse contexto visando ao desenvolvimento de estrategias para a saude da pessoa idosa.

Quality of life and time since diagnosis of Diabetes Mellitus among the elderly

Objectives: To evaluate the quality of life of the elderly with Diabetes Mellitus and to relate the time since diagnosis of diabetes with the quality of life of elderly persons receiving care at a basic health unit. Method: A cross-sectional quantitative study carried out in a Basic Health Unit with 196 elderly persons. For data collection, three instruments were used: one structured (sociodemographic and clinical variables) and the Whoqol-bref and Whoqol-old, with scores ranging from 0 to 100. Descriptive statistical analysis, Student’s T-test and Pearson’s correlation were performed. Results: Of the 196 diabetic patients, the majority were male (54.6%) with a mean age of 67.5 (±6.5) years. The mean time since diagnosis of Diabetes Mellitus was 9.1 years. The domains of the Whoqol-bref with the highest scores, indicating better quality of life, were Social Relations and Psychological, while a worse quality of life was observed in Environment. The facets of the Whoqol-old with the best scores were: Intimacy and Past, Present and Future Activities, and the worst was Death and Dying. The domains associated with one another were Physical and Psychological, Physical and Social Relations, and Psychological and Environmental. The associated aspects were Past, Present and Future Activities and Social Participation. Elderly persons with more than ten years of Diabetes Mellitus had worse quality of life scores in Physical (p=0.001), Social relations (p=0.002), and in the Autonomy (p=0.0012), Social Participation (p=0.041) and Death and Dying (p=0.001) facets. Conclusion: The time of diagnosis of Diabetes Mellitus was negatively associated with the quality of life of the elderly, with worse scores in most domains and facets of the Whoqol.

Lower quality of life, lower limb pain with neuropathic characteristics, female sex, and ineffective metabolic control are predictors of depressive symptoms in patients with type 2 diabetes mellitus treated in primary care

The primary objective of this study was to identify if lower limb pain with neuropathic characteristics is predictive of depressive symptoms in patients with type 2 diabetes mellitus (T2DM) treated in primary care in Brazil. It was investigated if diabetic and non-diabetic related variables could influence depressive symptoms. A quantitative and cross-sectional study was carried out in two Basic Health Units with users of the Brazilian Public Healthcare System, who were evaluated for depressive symptoms (BDI), quality of life (QoL, SF6D), pain intensity, neuropathy (loss of plantar sensitivity—LOPPS), body composition (DEXA), biochemical tests, sociodemographic variables, and comorbidities. The patients were stratified into four groups: N+P+, N+P−, N−P+, and N−P− (N = neuropathy and P = pain). One hundred twenty-one diabetics were selected by random sampling between August 2016 and June 2017. Neuropathy affected 53.8% of these individuals, and 59.5% reported intense pain. Overall depressive symptoms scores showed a positive correlation with pain intensity and a negative correlation with QoL. Depressive symptoms were reported by 66.9% of the sample, mostly female, with better levels of cholesterol, HDL and LDL; comorbidities; worse QoL; greater intensity of pain; impaired sleep; and painful neuropathy (N+P+). The predictive factors for depressive symptoms were lower QoL, pain with neuropathic characteristics, female sex, obesity, and ineffective glycemic control. These data may contribute to the understanding of the complexity of patients with T2DM who are treated in primary care and to public policies planning of care directed at the needs of this population.

Dor crônica em trabalhadores de enfermagem de uma unidade de terapia intensiva

The objective was to identify the chronic pain and the loss of workers in the intensive care unit (UTI). Cross-sectional study quantitatively, we used a questionnaire to collect data associated with the numeric scale-EN, body chart to describe the pain and analgesic adoption. Workers prevailed 87.2% female, mean age 33 years (SD=± 6.8 years) and practical nurses prevailed (59%) as team members. The pain was rated by workers in moderate (M=5.13, Md= 5.0, SD = ± 2.1, MIN= 0 and MAX=8), the main losses were in the mood, ability to concentrate and sleep. The most affected sites were spine (43.6%), shoulders and upper limbs (20.5%). Associations occurred in situations of grief for their frequent presence in the last week and those using other types of drugs for pain control (p =>0,005). However there was no association between those who lack work because of pain p=0,357, therefore the chronic pain that is present among workers of the nursing staff, disturbs and interferes with their daily activities on various aspects of daily life, thus reflecting the decrease in quality of life of workers. Descriptors: Pain measurement; Nursing assessment; Intensive care units; Occupational health.

Hability of aged to perform activities of daily living: a descriptive study

Problem :The decrease or loss of functional capacity is a process that can be aggravated by diseases. Objective : to evaluate the capacity of the aged to perform activities of daily living and instrumental activities of daily living. Method : in a quantitative descriptive performed, in day hospital of old in Anapolis-GO. The 30 aged participated and answered 3 instruments: questionnaire, Lawton Scale and Functional Independence Measure. Results : In the Activities of Daily Living had been observed more dependency for use of ladders, memory, locomotion, control of urine, problem solving, social interaction and get dress below the waist. For the Instrumental Activities of Daily Living had partial dependency housekeeping and shopping, and full-pending use the phone and take care of finances. Conclusion : Before the results it is possible to infer that strategies that seek to the improvement of the ageds functionality can favor the aging autonomous, independent and free from offences to the health.