Raquel Siqueira Barcelos

Distúrbios menstruais entre mulheres de 15-54 anos de idade em Pelotas, Rio Grande do Sul, Brasil: estudo de base populacional

A cross-sectional population-based study was conducted in Pelotas, Rio Grande do Sul State, Brazil, to assess the prevalence of menstrual disorders and their distribution according to parity and demographic, social, and behavioral characteristics among 1,078 women aged 15-54 years. Menstrual disorders included heavy menstrual bleeding, inter-menstrual bleeding, short cycle, long cycle, and prolonged menses. Prevalence rates and 95% confidence intervals were calculated. Overall prevalence of menstrual disorders was 46.4% (43.3-49.4). The most prevalent disorder was heavy menstrual bleeding (23.2%; 20.5-25.8), followed by short cycle (19.2%; 16.6-21.8), long cycle (14.8%; 12.7-16.9), inter-menstrual bleeding (11.1%; 9.1-13.2), and prolonged menses (7.9%; 6.3-9.4). Menstrual disorders are frequent in the population and are associated with age 35 years or older, low schooling, high parity, tubal ligation, and smoking.

Maternal depression is associated with injuries in children aged 2–4 years: the Pelotas 2004 Birth Cohort

Introduction Injuries during childhood, which mostly consist of falls, burns, drowning, poisonings and car crashes, are among the main causes of death among children and young adults in several countries. Objectives To investigate the association between maternal depression and the incidence of injuries during childhood. Methods In 2004, children who were born in the municipality of Pelotas, Brazil, were enrolled in a population-based birth cohort, with evaluations at birth and at 3, 12, 24 and 48 months of age. Maternal depression during pregnancy was evaluated at the time of delivery. At 12 and 24 months post partum, the Edinburgh Postnatal Depression Scale (EPDS) was used. The injuries incidence rates at ages of 24–48 months and the crude and adjusted IRRs were calculated with 95% CI through Poisson’s regression. Results A total of 3533 children were analysed. The incidence of injuries was higher among children whose mothers presented depressive symptoms during pregnancy and at 12 and 24 months compared with those whose mothers did not present any symptoms. In the adjusted analysis, the IRR among girls whose mothers presented depressive symptoms during pregnancy and EPDS ≥13 at 12 and 24 months was 1.31 (1.15–1.50); and, among boys, 1.18 (1.03–1.36). Interpretation Maternal depression is associated with higher incidence of injuries between 24 and 48 months of age, in both sexes.

Effect of childhood nutrition counselling on intelligence in adolescence: a 15-year follow-up of a cluster-randomised trial

OBJECTIVE The present study aimed to assess the effects of an early childhood nutrition counselling intervention on intelligence (as measured by the intelligence quotient (IQ)) at age 15-16 years. DESIGN A single-blind, cluster-randomised trial. SETTING In 1998, in Southern Brazil, mothers of children aged 18 months or younger were enrolled in a nutrition counselling intervention (n 424). Counselling included encouragement and promotion of exclusive breast-feeding until 6 months of age and continued breast-feeding supplemented by protein-, lipid- and carbohydrate-rich foods after age 6 months up to age 2 years. The control group received routine feeding advice. In 2013, the fourth round of follow-up of these individuals, at the age of 15-16 years, was undertaken. IQ was assessed using the short form of the Wechsler Adult Intelligence Scale (WAIS-III). Mental disorders (evaluated using the Development and Well-Being Assessment (DAWBA)) and self-reported school failure, smoking and alcohol use were also investigated. Adjusted analyses were conducted using a multilevel model in accordance with the sampling process. SUBJECTS Adolescents, mean (sd) age of 15·4 (0·5) years (n 339). RESULTS Mean (sd) total IQ score was lower in the intervention group than the control group (93·4 (11·4) and 95·8 (11·2), respectively) but the association did not persist after adjustment. The prevalence of any mental disorders was similar between intervention and control groups (23·1 and 23·5 %, respectively). There were no differences between groups regarding school failure, smoking and alcohol use. CONCLUSIONS Nutrition counselling intervention in early childhood had no effect on intelligence measured during adolescence.

Perfil de pessoas idosas vivendo com HIV/aids em Pelotas, sul do Brasil, 1998 a 2013

OBJETIVO:descrever as caracteristicas de pessoas com 60 ou mais anos de idade vivendo com HIV/aids, acompanhadas no Servico de Assistencia Especializada (SAE) da cidade de Pelotas-RS, Brasil.METODOS:estudo descritivo, com dados dos prontuarios do SAE da Universidade Federal de Pelotas e fichas de notificacao compulsoria armazenadas pelo Servico de Vigilância Epidemiologica municipal, de 1998 a 2013.RESULTADOS:o estudo incluiu 142 idosos entre 60 e 83 anos de idade, dos quais 58,5% eram do sexo masculino, 88,7% brancos, 58,9% com ate 4 anos completos de estudo; 85,0% foram infectados pelo HIV por relacao heterossexual, 58,9% tinham menos de 60 anos no momento do diagnostico e 82,4% provavelmente infectaram-se antes dos 60 anos.CONCLUSAO:a maioria das infeccoes ocorreu antes dos 60 anos, por via sexual; esforcos preventivos devem levar esse resultado em conta.

Profile of elderly people living with HIV/AIDS in Pelotas, Southern Brazil, 1998-2013

OBJETIVO:descrever as caracteristicas de pessoas com 60 ou mais anos de idade vivendo com HIV/aids, acompanhadas no Servico de Assistencia Especializada (SAE) da cidade de Pelotas-RS, Brasil.METODOS:estudo descritivo, com dados dos prontuarios do SAE da Universidade Federal de Pelotas e fichas de notificacao compulsoria armazenadas pelo Servico de Vigilância Epidemiologica municipal, de 1998 a 2013.RESULTADOS:o estudo incluiu 142 idosos entre 60 e 83 anos de idade, dos quais 58,5% eram do sexo masculino, 88,7% brancos, 58,9% com ate 4 anos completos de estudo; 85,0% foram infectados pelo HIV por relacao heterossexual, 58,9% tinham menos de 60 anos no momento do diagnostico e 82,4% provavelmente infectaram-se antes dos 60 anos.CONCLUSAO:a maioria das infeccoes ocorreu antes dos 60 anos, por via sexual; esforcos preventivos devem levar esse resultado em conta.

Perfil de adultos mayores que viven con VIH/SIDA en Pelotas, sur de Brasil, 1998 a 2013

OBJETIVO:descrever as caracteristicas de pessoas com 60 ou mais anos de idade vivendo com HIV/aids, acompanhadas no Servico de Assistencia Especializada (SAE) da cidade de Pelotas-RS, Brasil.METODOS:estudo descritivo, com dados dos prontuarios do SAE da Universidade Federal de Pelotas e fichas de notificacao compulsoria armazenadas pelo Servico de Vigilância Epidemiologica municipal, de 1998 a 2013.RESULTADOS:o estudo incluiu 142 idosos entre 60 e 83 anos de idade, dos quais 58,5% eram do sexo masculino, 88,7% brancos, 58,9% com ate 4 anos completos de estudo; 85,0% foram infectados pelo HIV por relacao heterossexual, 58,9% tinham menos de 60 anos no momento do diagnostico e 82,4% provavelmente infectaram-se antes dos 60 anos.CONCLUSAO:a maioria das infeccoes ocorreu antes dos 60 anos, por via sexual; esforcos preventivos devem levar esse resultado em conta.

Menstrual disorders among women 15 to 54 years of age in Pelotas, Rio Grande do Sul State, Brazil: a population-based study

A cross-sectional population-based study was conducted in Pelotas, Rio Grande do Sul State, Brazil, to assess the prevalence of menstrual disorders and their distribution according to parity and demographic, social, and behavioral characteristics among 1,078 women aged 15-54 years. Menstrual disorders included heavy menstrual bleeding, inter-menstrual bleeding, short cycle, long cycle, and prolonged menses. Prevalence rates and 95% confidence intervals were calculated. Overall prevalence of menstrual disorders was 46.4% (43.3-49.4). The most prevalent disorder was heavy menstrual bleeding (23.2%; 20.5-25.8), followed by short cycle (19.2%; 16.6-21.8), long cycle (14.8%; 12.7-16.9), inter-menstrual bleeding (11.1%; 9.1-13.2), and prolonged menses (7.9%; 6.3-9.4). Menstrual disorders are frequent in the population and are associated with age 35 years or older, low schooling, high parity, tubal ligation, and smoking.

Trastornos menstruales en mujeres entre 15-54 años de Pelotas, Rio Grande do Sul, Brasil: estudio de base poblacional

A cross-sectional population-based study was conducted in Pelotas, Rio Grande do Sul State, Brazil, to assess the prevalence of menstrual disorders and their distribution according to parity and demographic, social, and behavioral characteristics among 1,078 women aged 15-54 years. Menstrual disorders included heavy menstrual bleeding, inter-menstrual bleeding, short cycle, long cycle, and prolonged menses. Prevalence rates and 95% confidence intervals were calculated. Overall prevalence of menstrual disorders was 46.4% (43.3-49.4). The most prevalent disorder was heavy menstrual bleeding (23.2%; 20.5-25.8), followed by short cycle (19.2%; 16.6-21.8), long cycle (14.8%; 12.7-16.9), inter-menstrual bleeding (11.1%; 9.1-13.2), and prolonged menses (7.9%; 6.3-9.4). Menstrual disorders are frequent in the population and are associated with age 35 years or older, low schooling, high parity, tubal ligation, and smoking.