Marlene Doring

Morningness–eveningness, use of stimulants, and minor psychiatric disorders among undergraduate students

Morningness-eveningness dimension in humans have been indicated to influence social behavior and individual health. The aim of the present study was to investigate the association of the morningness-eveningness dimension with behavioral and health aspects in a sample of undergraduate students. We assessed demographic data; the Pittsburgh Sleep Quality Index was used to evaluate sleep quality; the Morningness/Eveningness Questionnaire to determine morningness-eveningness, and the Self-Reporting Questionnaire to assess minor psychiatric disorders. A total of 372 students (66.7% females), on average 21.6 years old, participated in this study. Among them, 92.2% did not smoke, 58.9% engaged in physical activities, and 19.7% were night-shift workers. In regard to morningness-eveningness, 55.9% of the participants were intermediate between evening (39.5%) and morning (4.6%) types. Poor sleep quality (OR = 1.89), minor psychiatric disorders (OR = 1.92), and tobacco consumption (OR = 3.65) predominated among evening types. Evening types were predominantly males (OR = 1.72). This study suggests that evening types are more vulnerable to sleep and psychiatric disturbances, and tend to smoke more than morning types.

Crianças órfãs e vulneráveis pelo HIV no Brasil: onde estamos e para onde vamos?

O objetivo do artigo foi identificar a magnitude e a situacao de alguns direitos humanos, conforme expressos na United Nations General Assembly Special Session on HIV/AIDS, de criancas e adolescentes portadores de HIV/Aids, afetados nao-orfaos e orfaos por Aids, com base em pesquisa sobre o tema na literatura cientifica nacional e internacional. Os principais achados nao permitiram indicar com seguranca quantos seriam as criancas e os adolescentes portadores do HIV e afetados nao-orfaos. Ha informacoes sobre o numero de portadores de Aids e de orfaos. Estas estimativas, sejam elas oriundas do sistema de vigilância, modelos matematicos ou inqueritos, sao discutidas em suas limitacoes e possibilidades. Apesar da literatura ainda ser relativamente pequena, ha indicios de comprometimento de varios direitos como saude, educacao, moradia, alimentacao, nao discriminacao, integridade fisica e mental. Verificou-se que o Brasil ainda precisa avancar para responder as necessidades adicionais dos orfaos e outras criancas vulneraveis. A resposta brasileira, ate o momento, e limitada a assistencia medica para criancas e adolescentes portadores do HIV/Aids, ao combate a transmissao vertical do HIV e ao financiamento da instalacao e manutencao de casas de apoio (abrigos pelo Estatuto da Crianca e do Adolescente) para infectados afetados, orfaos ou nao. Essas medidas sao insuficientes para garantir um ambiente de apoio para orfaos, criancas e adolescentes infectados ou afetados pelo HIV/Aids. Propoem-se formas do Brasil criar e aprimorar bases de dados para responder a esses desafios.

Obesidade em idosos acompanhados pela estratégia de saúde da família

La obesidad aumenta las tasas de morbilidad y mortalidad y es un problema de salud publica. Se trata de un estudio transversal que se llevo a cabo con 123 participantes, con el objetivo de identificar la proporcion de casos y los factores de riesgo para el sobrepeso/obesidad entre ancianos de sesenta anos o mas, asistidos por cuatro equipos del programa Estrategia de Salud Familiar, en la ciudad de Passo Fundo-RS. Se considero a la obesidad como la variable dependiente y las demas como variables independientes: sexo, edad, ingresos familiares, educacion, ocupacion, actividad fisica, tabaquismo, medicamentos. Se consideraron como mediciones antropometricas: el peso, talla, circunferencia de la cintura. la cadera y el cuello. Se hizo un analisis bivariado mediante el test de Chi cuadrado con un nivel de significancia <0,05. En el grupo de estudio, el sobrepeso/obesidad ha alcanzado una proporcion de 49,6%. En el modelo de multiples permanecieron asociadas a la obesidad de los ancianos, la circunferencia de la cintura (p=0,000) y la circunferencia del cuello (p=0,000). Los resultados indican una alta prevalencia de sobrepeso/obesidad, lo que refuerza la necesidad de estrategias por parte de los profesionales de la salud que buscan el bienestar y la longevidad.Obesity increases morbidity and mortality rates and is a public health problem. A cross-sectional study involving 123 participants was carried out in order to identify the proportion of cases and risk factors among the overweight/obese elderly who receive care from four Family Health Strategy teams in the city of Passo Fundo, RS, Brazil. Obesity was considered the dependent variable and the remaining others as independent: gender, age, family income, education, occupation, physical activity, smoking, medication. The following anthropometric measurements were taken: weight, height, waist circumference, hip, and neck. We conducted bivariate analysis using the chi-square test with a <0.05 significance level. In the multiple model, the factors waist circumference (p=0.000) and neck circumference (p=0.000) remained associated with obesity among the elderly. In the group studied, excess weight / obesity has reached a proportion of 49.6%. The results indicate the high prevalence of excess weight/obesity, reinforcing the need for strategies from health professionals who seek wellness and longevity

Obesity among elderly accompanied by the brazilian family health strategy

La obesidad aumenta las tasas de morbilidad y mortalidad y es un problema de salud publica. Se trata de un estudio transversal que se llevo a cabo con 123 participantes, con el objetivo de identificar la proporcion de casos y los factores de riesgo para el sobrepeso/obesidad entre ancianos de sesenta anos o mas, asistidos por cuatro equipos del programa Estrategia de Salud Familiar, en la ciudad de Passo Fundo-RS. Se considero a la obesidad como la variable dependiente y las demas como variables independientes: sexo, edad, ingresos familiares, educacion, ocupacion, actividad fisica, tabaquismo, medicamentos. Se consideraron como mediciones antropometricas: el peso, talla, circunferencia de la cintura. la cadera y el cuello. Se hizo un analisis bivariado mediante el test de Chi cuadrado con un nivel de significancia <0,05. En el grupo de estudio, el sobrepeso/obesidad ha alcanzado una proporcion de 49,6%. En el modelo de multiples permanecieron asociadas a la obesidad de los ancianos, la circunferencia de la cintura (p=0,000) y la circunferencia del cuello (p=0,000). Los resultados indican una alta prevalencia de sobrepeso/obesidad, lo que refuerza la necesidad de estrategias por parte de los profesionales de la salud que buscan el bienestar y la longevidad.Obesity increases morbidity and mortality rates and is a public health problem. A cross-sectional study involving 123 participants was carried out in order to identify the proportion of cases and risk factors among the overweight/obese elderly who receive care from four Family Health Strategy teams in the city of Passo Fundo, RS, Brazil. Obesity was considered the dependent variable and the remaining others as independent: gender, age, family income, education, occupation, physical activity, smoking, medication. The following anthropometric measurements were taken: weight, height, waist circumference, hip, and neck. We conducted bivariate analysis using the chi-square test with a <0.05 significance level. In the multiple model, the factors waist circumference (p=0.000) and neck circumference (p=0.000) remained associated with obesity among the elderly. In the group studied, excess weight / obesity has reached a proportion of 49.6%. The results indicate the high prevalence of excess weight/obesity, reinforcing the need for strategies from health professionals who seek wellness and longevity

Prevalence of depressive symptoms among elderly women from a Center of Reference and Care for the Elderly in the city of Passo Fundo, Rio Grande do Sul

Objetivo: Analisar a prevalencia de sintomas depressivos em idosas e fatores associados a essa patologia. Metodo: Estudo transversal aninhado ao estudo longitudinal do Centro de Referencia e Atencao ao Idoso da Universidade de Passo Fundo, RS. Foram aplicados questionarios padronizados e pre-codificados com informacoes sociodemograficas. O desfecho depressao foi aferido atraves da Escala de Depressao Geriatrica. Para o nivel de atividade fisica foi utilizado o International Physical Activity Questionnaire e o estado nutricional foi avaliado atraves dos parâmetros do indice de massa corporal. Foi aplicado o Teste qui-quadrado ou o Teste exato de Fischer para verificar a associacao entre o desfecho e a exposicao. Resultados: Foram avaliadas 313 idosas, entre 60 e 89 anos de idade, a maioria (91,3%) pertencia as classes economicas B e C. A depressao esteve presente em 22 (7,1%) idosas. Na analise bivariada, a depressao esteve associada as idosas de cor nao branca (14,6%; p=0,039) e as classificadas como insuficientemente ativas (10,6%; p=0,033). Conclusao: Os resultados indicam a necessidade de incentivar idosos para que facam atividades fisicas, no intuito de contribuir para a prevencao da depressao geriatrica.

Prevalence and factors associated with the performance of prostate cancer screening in the elderly: a population-based study

Objective: to identify the prevalence and factors associated with preventive examinations for the screening of prostate cancer in the elderly. Methods: a cross-sectional populationbased study of 181 men aged ≥60 years who were residents of a small city in the state of Rio Grande do Sul, Brazil, was carried out. The dependent variable was considered to be the performance of preventive prostate cancer tests in the past two years and the independent variables were those related to health and sociodemographic characteristics. Palavras-chave: Fatores de Risco. Neoplasias. Saúde do Idoso. http://dx.doi.org/10.1590/1981-22562018021.170054

Changes to the feet of institutionalized elderly persons

Objective: The present study aimed to identify the most frequent changes to the feet of institutionalized elderly persons. Method: A descriptive study was conducted with elderly persons living in long-term care facilities in the city of Passo Fundo, Rio Grande do Sul, Brazil. A total of 174 people aged 60 years and over of both genders were surveyed regardless of health conditions. Those with amputations, burns or who were undergoing Palavras-chave: Avaliação em Saúde. Podiatria. Instituição de longa permanência para idosos. http://dx.doi.org/10.1590/1981-22562018021.170158

Fatores de risco para hipertensão arterial sistêmica em idosas de um centro de referência

Introduction: There is evidence that as individuals age, chronic non communicable diseases become the leading causes of morbidity, disability, and mortality worldwide. Objective: This study aimed to identify risk factors for systemic arterial hypertension in the elderly of a Center for Reference and Care for the Elderly. Materials and Methods: This cross-sectional study is nestled in the Longitudinal Study of the Center for Reference and Attention to the Elderly (Elo-Creati). The risk factors investigated were: alcohol consumption, tobacco use, family history of systemic arterial hypertension, level of physical activity and nutritional status. Demographic and socioeconomic variables were also investigated. Data analysis was performed using absolute and relative simple frequencies, and Chi-square test. Results: A total of 313 elderly women were evaluated, 262 (84.5%) were white, the majority ranging from 60 to 69 years old (57.2%; n=179) and belonging to economic class B (52.1%; n=162). From all female elderly participants in this study, 187 (59.9%) reported systemic arterial hypertension, and the associated factors were: economic class, BMI and level of physical activity (p<0.05). Conclusion: Among the risk factors studied, family history of hypertension, overweight and physical inactivity were more prevalent. Thus, actions of public agencies and private sectors are suggested to effective face this reality.

Sarcopenia and chronic pain in institutionalized elderly women

BACKGROUND AND OBJECTIVES: Sarcopenia and chronic pain are geriatric syndromes that negatively impact the lives of the affected elderly, their families and the routine of health services, as is the case of long-term care institutions for the elderly. The objective of this study was to verify the relationship between sarcopenia and chronic pain in institutionalized elderly women. METHODS: A cross-sectional, population-based study was carried out in 24 long-term care institutions for the elderly, in Passo Fundo/RS (December 2016 June 2017). The population was composed of 161 residents in these places, submitted to an instrument structured in 23 blocks. In this study, blocks A (type of institution), B (sociodemographic variables), F (sarcopenia) and G (chronic pain) were used. Blocks A, B and G were evaluated using the elderly self-report and the block F through the SARC-F Questionnaire. The statistical analysis used the descriptive statistics and the chi-square test with Pearson’s relation (p≤0.05). RESULTS: The sample consisted of 79 elderly women (81.38±8.79 years). The majority between 80 to 89 years, living in private institutions, white, widowed and with 1 to 8 years of education. It was observed that 62% had sarcopenia and 41.8% chronic pain, and these variables were associated (p=0.033). There was no association between sarcopenia or chronic pain with age (p>0.05). CONCLUSION: There was an association between sarcopenia and chronic pain in institutionalized elderly women. Based on Sarcopenia and chronic pain in institutionalized elderly women Sarcopenia e dor crônica em idosas institucionalizadas Caroline Zanin1, Joseelen Basso Candido1, Matheus Santos Gomes Jorge1,2, Lia Mara Wibelinger1,3, Marlene Doring1,4, Marilene Rodrigues Portella1,5 1. Universidade de Passo Fundo, Faculdade de Educação Física e Fisioterapia, Curso de Fisioterapia, Passo Fundo, RS, Brasil. 2. Universidade de Passo Fundo, Faculdade de Educação Física e Fisioterapia, Programa de Pós-Graduação em Envelhecimento Humano, Passo Fundo, RS, Brasil. 3. Pontifícia Universidade Católica do Rio Grande do Sul, Faculdade de Educação Física e Fisioterapia, Curso de Fisioterapia, Programa de Pós-Graduação em Envelhecimento Humano, Passo Fundo, RS, Brasil. 4. Universidade de São Paulo, Universidade de Passo Fundo, Faculdade de Educação Física e Fisioterapia, Programa de Pós-Graduação em Envelhecimento Humano, Passo Fundo, RS, Brasil. 5. Universidade Federal de Santa Catarina, Universidade de Passo Fundo, Faculdade de Educação Física e Fisioterapia, Programa de Pós-Graduação em Envelhecimento Humano, Passo Fundo, RS, Brasil. Submitted on December 09, 2017. Accepted for publication on August 20, 2018. Conflict of interests: none – Sponsoring sources: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), PROCAD No 71/2013. Correspondence to: BR 285, Bairro São José 99052-900 Passo Fundo, RS, Brasil. E-mail: mathjorge5@gmail.com

Prevalência de quedas no domicílio de longevos e fatores extrínsecos associados

Resume Objective: to identify the prevalence of falls among older adults and the extrinsic factors associated with them. Method: population-based cross-sectional study with 350 older adults. A household survey was conducted using a questionnaire addressing socio-demographic, clinical, and environmental characteristics. Data were analyzed using Stata Software V.10. Pearson’s chi-square test and logistic regression analysis were used with stepwise criteria for selection of variables in the model, with measures of effect expressed in Prevalence Ratio. For input into the multiple model, the variables with p ≤ 0.20 were considered. All ethical care regarding research on human beings has been observed and respected. Results: the prevalence of falls was 46.9%. The extrinsic factors associated with falls were: stairs, uneven floor and pets in the main entrance, lack of anti-slip loose throw rugs and slippery floor in the kitchen, lack of anti-slip loose throw rugs and objects on the floor in the room, lack of grab bars in the shower, lack of grab bars in the toilet and switch away from the bathroom door (p <0.05). Conclusion: falls are frequent in long-lived adults. The identification of the extrinsic factors associated with the occurrence of this event can help in its prevention.Objetivo: identificar la prevalencia de caida entre ancianos longevos y los factores extrinsecos a ella asociados. Metodo: estudio transversal de base poblacional, con 350 ancianos longevos. Se realizo encuesta domiciliar, utilizando un cuestionario con variables sociodemograficas, clinicas y relacionadas al ambiente. Los datos fueron analizados por medio del Software Stata V.10. Fueron empleadas las pruebas chi-cuadrado de Pearson y el analisis de regresion logistica, con criterio stepwise para seleccion de las variables en el modelo, con medidas de efecto expresadas en Razon de la Prevalencia. Para entrada en el modelo multiple, fueron consideradas las variables con p ≤ 0,20. Todos los cuidados eticos que rigen las investigaciones con seres humanos fueron observados y respetados. Resultados: la prevalencia de caidas fue de 46,9%. Se presentaron asociados a las caidas los factores extrinsecos: peldanos, desniveles y animales domesticos en la entrada principal, alfombras sueltas sin antideslizantes y suelo resbaladizo en la cocina, y objetos en el suelo del dormitorio, ausencia de barras de apoyo en la ducha, ausencia de barras de apoyo en el vaso sanitario e interruptor distante de la puerta en el cuarto de bano (p<0,05). Conclusiones: las caidas son frecuentes en longevos. La identificacion de los factores extrinsecos asociados a la ocurrencia de ese evento puede auxiliar en la prevencion.