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Id: lil-780620
Autor: Márquez, Arturo; Chala, Marco-Fidel; Bohórquez, Ricardo; Urina, Manuel; García, Ángel; Arias, Carlos.
Título: Modificación en el score de Framingham con la reducción de peso por cirugía bariátrica / Framingham score modification with weight loss due to bariatric surgery
Fonte: Rev. colomb. cardiol;23(1):6-10, ene.-feb. 2016. ilus.
Idioma: es.
Resumo: Objetivo: Evaluar el comportamiento de diferentes factores deriesgo y del score de Framingham con la disminución de peso obtenida a través de cirugía bariátrica al año postoperatorio, en una clínica de obesidad durante los años 2008 y 2011. Se evaluaron las modificaciones en los factores de riesgo y riesgo global con el score de Framingham al año postoperatorio, de una cohorte retrospectiva de 209 pacientes de la clínica de obesidad en un hospital universitario; los cambios se expresan como porcentajes de disminución respecto al valor prequirúrgico, en las variables nominales. Resultados: El peso y el índice de masa corporal tuvieron una reducción del 48% y 38%, respectivamente; el score de Framingham se redujo de 12,4 a 7,6 (35%), es decir, pasó de riesgo intermedio a bajo (menor al 10%). Así mismo, se observó disminución en los valores de hemoglobina glicosilada (14,7%), colesterol total (11,59%), colesterol-LDL (7%) y triglicéridos (31,4%), elevación del colesterol-HDL (15,3%), suspensión del uso de insulina (18%), disminución del 20% del valor de la glucosa y la HbA1c, a menos de 5,7 en un 23% de pacientes con glicemia alterada en ayunas, y finalmente, reducción de la presión arterial sistólica (9,2%) y diastólica. Conclusiones: La cirugía bariátrica es una herramienta válida en pacientes en quienes han fallado otros métodos clínicos para disminuir de peso e índice de masa corporal. Con ésta, además, se logra una disminución en el score de Framingham y se mejora el control de comorbilidades.

Objective: To assess the behaviour of different risk factors and Framingham score with weight loss, obtained with bariatric surgery one year after surgery, in an obesity clinic during 2008 and 2011.Modifications of risk factors and global risk of the Framingham score one year after surgery, of a retrospective cohort of 209 patients of the obesity clinic at a University hospital. Changes are expressed as percentages of the decrease with regard to the pre-surgical values, in nominal values. Results: A 48% weight loss and 38% body mass index loss was observed, with a reduction of the Framingham score from 12.4 to 7.6 (35%), moving from an intermediate risk to a low risk (below 10%). A decrease of 14.7% in values of glycohemoglobin, 11.59% in total cholesterol, 7% of LDL cholesterol levels and 31.4% of triglycerides was observed, as well as a 15.3% raise in HDL cholesterol levels. 18% of patients with altered fasting glycaemia stopped taking insulin, glucose levels were reduced by 20% and A1c hemoglobin values were below 5.7 in 23% of the cases. Systolic pressure was reduced by 9.2%, same as the diastolic blood pressure. Conclusions: Surgery is a valid tool for patients were other clinical methods have failed, in order to lose weight and lower the body mass index, as well as reducing the Framingham score and improving the control of comorbidities.
Descritores: Obesidade
-Fatores de Risco
Estudos Longitudinais
Cirurgia Bariátrica
Limites: Humanos
Masculino
Feminino
Pessoa de Meia-Idade
Responsável: CO369.9 - SCC - Sociedad Colombiana de Cardiologia y Cirugía Cardiovascular


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Texto completo SciELO Chile
Texto completo
Id: biblio-1058606
Autor: Villagrán, Marcelo; Petermann-Rocha, Fanny; Martínez-Sanguinetti, María Adela; Celis-Morales, Carlos.
Título: Una nueva pieza en el puzle genético de la obesidad / A new piece in the genetic puzzle of obesity
Fonte: Rev. méd. Chile;147(10):1355-1356, oct. 2019. graf.
Idioma: es.
Descritores: Obesidade/genética
-Índice de Massa Corporal
Valor Preditivo dos Testes
Predisposição Genética para Doença
Carga Genética
Limites: Humanos
Tipo de Publ: Carta
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1058653
Autor: Vio, Fernando; Kain, Juliana.
Título: Descripción de la progresión de la obesidad y enfermedades relacionadas en Chile / Increasing frequency of obesity in Chile
Fonte: Rev. méd. Chile;147(9):1114-1121, set. 2019. graf.
Idioma: es.
Resumo: Background: An explosive increase in overweight and obesity occurred in Chile since the 90's, without an integrative national policy. Aim: To describe the current obesity situation in Chile and its consequences. Material and Methods: Analysis of the available anthropometric data obtained by an annual census of anthropometry for students (Nutritional Map) collected by the Ministry of Education, and three National Health Surveys (2003, 2009-2010 y 2016-2017) performed by the Ministry of Health in adults. Results: According to the Nutritional Map the prevalence of obesity in 1987 was 7.5% among children of six years of age and increased to 24% in 2018 (8% with severe obesity). At 14 years of age, the frequency of obesity increased from 8 to 15% from 2011 to 2018. In children older than 15 years, overweight and obesity increased from 61 to 74% from 2003 to 2016. In the same period, total obesity increased from 23 to 34% and the frequency of diabetes duplicated from 6 to 12%. The frequency of hypertension did not change, but its prevalence is 45 and 73% after 45 and 65 years of age, respectively. Conclusions: The frequency of obesity will continue to increase, producing severe health risks for the population. Public policies addressing both structural and individual aspects are recommended.
Descritores: Obesidade Mórbida
Obesidade/epidemiologia
-Chile/epidemiologia
Antropometria
Sobrepeso/epidemiologia
Limites: Humanos
Criança
Adulto
Responsável: CL1.1 - Biblioteca Central


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Texto completo SciELO Chile
Texto completo
Id: biblio-1139386
Autor: Martorell, Miquel; Ulloa, Natalia; González, María Eugenia; Martínez-Sanguinetti, María Adela; Celis-Morales, Carlos.
Título: Obesidad, desnutrición y cambio climático: una sindemia que Chile deberá enfrentar / Obesity, malnutrition and climate change: a sindemia that Chile will have to face
Fonte: Rev. méd. Chile;148(6):882-884, jun. 2020. graf.
Idioma: es.
Descritores: Mudança Climática
Desnutrição/epidemiologia
-Chile/epidemiologia
Obesidade/epidemiologia
Limites: Humanos
Responsável: CL1.1 - Biblioteca Central


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Texto completo SciELO Brasil
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Id: biblio-1142569
Autor: Trombe, K S D; Rodrigues, L S; Nascente, L M P; Simões, V M F; Batista, R F L; Cavalli, R C; Grandi, C; Cardoso, V C.
Título: Is birth weight associated with pregestational maternal BMI? BRISA Cohort, Ribeirão Preto, Brazil
Fonte: Braz. j. med. biol. res = Rev. bras. pesqui. méd. biol;54(1):e10037, 2021. tab, graf.
Idioma: en.
Projeto: FAPESP.
Resumo: Given the increase of women with excess weight or obesity and its possible effects on birth weight, the present study aimed to investigate the association between pregestational maternal body mass index (BMI) and birth weight in a birth cohort from Ribeirão Preto, SP, Brazil. This was a prospective study conducted on 1362 mother-child pairs involving singleton births. The women were evaluated using standardized questionnaires during the second trimester of pregnancy and at the time of childbirth. Information about the newborns was obtained from their medical records. The dependent variable was birth weight, categorized as low, adequate, or high. The independent variable was pregestational maternal BMI, categorized as malnutrition, adequate weight, overweight, and obesity. A multinomial regression model was used to estimate the crude and adjusted relative risk (RR) of low and high birth weight. A high frequency of pregestational excess weight (39.6%) was detected and found to be independently associated with high birth weight (RR=2.13, 95%CI: 1.19-3.80 for overweight and RR=3.34, 95%CI: 1.80-6.19 for obese pregnant women). There was no association between pregestational malnutrition and low birth weight (RR=1.70; 95%CI: 0.81-3.55). The present data showed a high rate of women with excess pregestational weight, supporting the hypothesis that pregestational BMI may contribute to high birth weight babies and indicating the need for actions aiming to prevent excessive weight in women at reproductive age.
Descritores: Peso ao Nascer
Índice de Massa Corporal
-Segundo Trimestre da Gravidez
Brasil/epidemiologia
Estudos Prospectivos
Sobrepeso/epidemiologia
Obesidade/epidemiologia
Limites: Humanos
Masculino
Feminino
Gravidez
Recém-Nascido
Adulto
Adulto Jovem
Responsável: BR1.1 - BIREME


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Texto completo SciELO Saúde Pública
Lopes, Cláudia de Souza
Sichieri, Rosely
Texto completo
Id: biblio-839709
Autor: França-Santos, Debora; Oliveira, Aldair José de; Salles-Costa, Rosana; Lopes, Claudia de Souza; Sichieri, Rosely.
Título: Diferenças de gênero e idade no apoio social e índice de massa corporal em adultos na Região Metropolitana do Rio de Janeiro, Brasil / Gender and age differences in social support and body mass index in adults in Greater Metropolitan Rio de Janeiro, Brazil / Diferencias de género y edad en el apoyo social e índice de masa corporal en adultos em la Región metropolitana de Río de Janeiro, Brasil
Fonte: Cad. saúde pública (Online);33(5):e00152815, 2017. tab.
Idioma: pt.
Projeto: CNPq.
Resumo: Resumo: O objetivo foi investigar diferenças de gênero e idade na associação entre dimensões do apoio social e índice de massa corporal (IMC) com amostra de 1.465 adultos (20 a 59 anos) de estudo de base populacional realizado em Duque de Caxias, Rio de Janeiro, Brasil. Antropometria foi realizada por avaliadores treinados e o apoio social obtido pelo Medical Outcomes Study, adaptado e validado para a população brasileira. Análises foram conduzidas por meio de regressões lineares múltiplas, estratificadas por sexo e faixa etária, considerando o fator de expansão da amostra e desenho complexo. A prevalência de obesidade foi de 28% entre mulheres e de 16,2% entre homens. Ajustando para fatores de confusão, observou-se associação negativa para apoio social e IMC entre homens de 40-49 anos, nos apoios emocional/informação (β = -2,04) e interação social positiva (β = -2,40). Associação positiva para apoio social e IMC entre homens de 50-59 anos no apoio emocional/informação (β = 1,84). O estudo indica que o apoio social pode ser protetor para obesidade para homens em algumas dimensões e faixas etárias. Porém, o apoio social não parece ser fator de proteção entre as mulheres.

Abstract: The objective was to investigate gender and age differences in the association between dimensions of social support and body mass index (BMI) in a sample of 1,465 adults (20 to 59 years) in a population-based study in Duque de Caxias, Rio de Janeiro State, Brazil. Anthropometry was conducted by trained evaluators and social support obtained by the Medical Outcomes Study, adapted and validated for the Brazilian population. The analyses were performed with multiple linear regressions, stratified by gender and age bracket, considering the sample’s expansion factor and complex design. Obesity prevalence was 28% in women and 16.2% in men. After adjusting for confounders, a negative association was observed between social support and BMI in men 40-49 years of age, and in emotional support/information (β = -2.04), and positive social interaction (β = -2.40). There was a positive association for social support and BMI in men 50-59 years of age in emotional support/information (β = 1.84). The study indicates that social support can protect against obesity in men in some dimensions and age brackets. However, social support does not appear to be a protective factor in women.

Resumen: El objetivo fue investigar las diferencias de género y edad en la asociación entre dimensiones del apoyo social e índice de masa corporal (IMC) con una muestra de 1.465 adultos (20-59 años) de un estudio de base poblacional que fue realizado en Duque de Caxias, Río de Janeiro, Brasil. La antropometría se realizó mediante evaluadores entrenados y el apoyo social se obtuvo por el Medical Outcomes Study, adaptado y validado para la población brasileña. Los análisis se realizaron mediante regresiones lineales múltiples, estratificadas por sexo y franja de edad, considerando el factor de expansión de la muestra y el diseño complejo. La prevalencia de obesidad fue de un 28% entre mujeres y de un 16,2% entre los hombres. Ajustando factores de confusión, se observó una asociación negativa en el apoyo social e IMC entre hombres de 40-49 años, en los apoyos emocional/información (β = -2,04) e interacción social positiva (β = -2,40). La asociación positiva en el apoyo social e IMC entre hombres de 50-59 años en el apoyo emocional/información (β = 1,84). El estudio indica que el apoyo social puede ser protector para la obesidad para hombres en algunas dimensiones y franjas de edad. No obstante, el apoyo social no parece ser un factor de protección entre las mujeres.
Descritores: Apoio Social
Índice de Massa Corporal
Inquéritos Epidemiológicos
Relações Interpessoais
Obesidade/epidemiologia
-Fatores Socioeconômicos
Brasil/epidemiologia
Modelos Lineares
Fatores Sexuais
Prevalência
Fatores Etários
Distribuição por Sexo
Distribuição por Idade
Obesidade/psicologia
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Adulto Jovem
Responsável: BR1.1 - BIREME


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Id: biblio-1337818
Autor: Ibarra Aguero, Mirna Elizabeth.
Título: Factores psicosociales que inciden en los hábitos alimentarios de los adolescentes obesos de 14 a 15 años del colegio Santa Teresita de Fernando de la Mora / Psychosocial factors that affect the eating habits of obese adolescents 14 to 15 years of age at Santa Teresita School in Fernando de la Mora.
Fonte: Fernando de la Mora; Universidad Técnica de Comercialización y Desarrollo; [2015?]. 10 p. graf.
Idioma: es.
Resumo: La presente investigación sobre los hábitos alimentarios de los adolescentes de 14 y 15 años, tiene como objetivo determinar los factores psicosociales que inciden a la obesidad en la adolescencia. Se aplicó un cuestionario sobre factores psicosociales que inducen a los adolescentes a la obesidad, a alumnos de entre 14 y 15 años del primero de la media del Colegio Santa Teresita, que está constituido de 15 mujeres y 16 varones. Los resultados más importantes fueron que: en el mayor de los casos, la familia no le da mucha importancia a la obesidad, es casi normal para ellos. Otro punto resaltante que los adolescentes se dejan influir por los grupos de amigos en la alimentación, para permanecer en el mismo. Y además que los medios de comunicación influyen en gran medida en lo que el adolescente elige para comer. Todo esto refuerza la idea de que la obesidad es señal de buena salud y que la imagen es una cuestión estética no un problema de salud y que es estado temporal porque puede uno bajar de peso cuando se proponga. Por todo esto, se consideró oportuno elaborar una estrategia de intervención psicológica dirigida al adolescente, su familia y las instituciones educativas de la zona como aporte de esta investigación. (AU)

The present investigation on the alimentary habits of the adolescents of 14 and 15 years, has as objective to determine the psychosocial factors that affect to the obesity in the adolescence. A questionnaire was applied on psychosocial factors that induce adolescents to obesity, to students between 14 and 15 years old of first year students of the Santa Teresita School, which is made up of 15 women and 16 men. The most important results were that: in the majority of cases, the family does not give much importance to obesity, it is almost normal for them. Another highlight is that adolescents are influenced by groups of friends (food-wise), to become a part of the group. And also that the media influences what the adolescent chooses to eat. All this reinforces the idea that obesity is a sign of good health and that the image is an aesthetic question, not a health problem, and that it is a temporary state because one can lose weight when it is proposed. For all this, it was considered appropriate to develop a psychological intervention strategy aimed at the adolescent, his family and the educational institutions of the area as a contribution of this research. (AU)
Descritores: Saúde do Adolescente
Comportamento Alimentar
Obesidade
-Paraguai
Doença
Dieta
Intervenção Psicossocial
Limites: Humanos
Masculino
Feminino
Adolescente
Tipo de Publ: Estudo Observacional
Estudo Clínico
Responsável: PY65.1 - Biblioteca


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Id: biblio-1337697
Autor: Toledo, Justino; Denis, Rita; Ortiz Galeano, Ignacio.
Título: Frecuencia y características clinicopatológicas de mujeres obesas con cáncer de mama del Departamento de Oncología del Hospital de Clínicas / Frequency and clinicopathological characteristics of obese women with breast cancer in the Oncology Department of the Hospital de Clínicas
Fonte: Mem. Inst. Invest. Cienc. Salud (Impr.);19(1), abr. 2021. tab, ilus.
Idioma: es.
Resumo: Ante el incremento de la obesidad en los últimos años, se observa un aumento no solo de factores de riesgo cardiovasculares, sino también de la incidencia de cáncer debido a su conocida participación en procesos de oncogénesis. El objetivo del estudio fue determinar la frecuencia y las características clinicopatológicas de las mujeres obesas con diagnóstico de cáncer de mama del servicio de Oncología del Hospital de Clínicas. Diseño observacional, descriptivo, retrospectivo de corte transversal, que incluyó a pacientes con diagnóstico de cáncer de mama del Servicio de Oncología del Hospital de Clínicas desde enero de 2017 a junio de 2019. Se determinaron las variables demográficas, índice de masa corporal, subtipo histológico, presencia de receptores hormonales y sobreexpresión del oncogén HER 2neu. Se analizaron 144 sujetos, la media de edad fue 52±12,2 años, la procedencia más frecuente fue de ciudades del departamento central (54%). El 40,2% presentó obesidad y 36,8% sobrepeso al momento del diagnóstico. El subtipo histológico más frecuente hallado en las mujeres con sobrepeso y obesidad fue el carcinoma ductal (81,9%), presentaron receptores hormonales positivos a la inmunohistoquímica el 78,3% y sobreexpresión del oncogén HER 2 neu en 11,7%. La frecuencia de obesidad en mujeres con diagnóstico de cáncer de mama del servicio de Oncología del Hospital de Clínicas fue elevada. Las características anatomopatológicas más frecuente fue el carcinoma ductal infiltrante, los datos biológicos muestran a los receptores de estrógenos y/o progesterona en mayor medida y sobreexpresión del oncogén el HER 2 neu en la menor parte de los casos

Given the increase in obesity in recent years, an increase is observed not only in cardiovascular risk factors, but also in the incidence of cancer due to its known participation in oncogenesis processes. The objective of the study was to determine the frequency and clinicopathological characteristics of obese women diagnosed with breast cancer in the Oncology service of the Hospital de Clínicas. Observational, descriptive, retrospective cross-sectional design, which included patients with a diagnosis of breast cancer from the Oncology Service of the Hospital de Clínicas from January 2017 to June 2019. Demographic variables, body mass index, histological subtype, presence of hormone receptors and overexpression of the HER 2neu oncogene were determined. One hundred forty four subjects were analyzed, the mean age was 52 ± 12.2 years, and the most frequent origin was from cities of the central department (54%). Forty point two percent was obese and 36.8% was overweight at the time of diagnosis. The most frequent histological subtype found in overweight and obese women was ductal carcinoma (81.9%), and 78.3% had positive hormone receptors to immunohistochemistry and overexpression of the HER 2 neu oncogene was found in 11.7%. The frequency of obesity in women diagnosed with breast cancer in the Oncology service of the Hospital de Clínicas was high. The most frequent anatomopathological characteristics were infiltrating ductal carcinoma, biological data show estrogen and / or progesterone receptors to a greater extent and overexpression of the HER 2 neu oncogene in the smallest part of the cases
Descritores: Neoplasias da Mama
Obesidade
-Sobrepeso
Limites: Humanos
Feminino
Adulto
Pessoa de Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Responsável: PY3.1 - Biblioteca


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Texto completo SciELO Chile
Texto completo
Id: biblio-902542
Autor: Burgos, Carlos; Henríquez-Olguín, Carlos; Ramírez-Campillo, Rodrigo; Mahecha Matsudo, Sandra; Cerda-Kohler, Hugo.
Título: ¿Puede el ejercicio físico per se disminuir el peso corporal en sujetos con sobrepeso/obesidad? / Exercise as a tool to reduce body weight
Fonte: Rev. méd. Chile;145(6):765-774, June 2017. graf.
Idioma: es.
Resumo: The prevalence of overweight and obesity is increasing, creating a public health problem. The loss of approximately 10% of body weight is recommended to reduce the risk of mortality associated with metabolic diseases and to increase the quality of life in adults with overweight or obesity. Non-pharmacological strategies used for weight management are caloric restriction and physical exercise. Nevertheless, the independent effect of physical exercise to decrease body weight is unclear, and could be responsible for only 20% of the weight loss when healthy lifestyles are prescribed. However, exercise has other benefits for health, independent of its weight reducing effect. In fact, physical inactivity is responsible for twice the deaths caused by obesity. The aim of this review is to discuss the importance of physical exercise in the reduction of body weight in subjects with overweight or obesity.
Descritores: Perda de Peso/fisiologia
Sobrepeso/terapia
Terapia por Exercício/métodos
Obesidade/terapia
-Peso Corporal/fisiologia
Exercício Físico/fisiologia
Limites: Humanos
Tipo de Publ: Revisão
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1122141
Autor: Costa, Felipe dos Santos; Silva, Jorge Luiz Lima da; Mello, Gabriel de Moura; Almeida, Giulia Lemos de; Ribeiro, Luiz Henrique dos Santos; Silva, Laisa Marcato Souza da; Ramos, Camille Rabello.
Título: Determinantes de saúde e hipertensão entre homens de cidade do interior de São Paulo ­ SP / Determinants of health and hypertension among men from in land São Paulo ­ SP
Fonte: Ciênc. cuid. saúde;19:e50124, 20200000.
Idioma: pt.
Resumo: Objective: to describe the blood pressure indexes, according to sociodemographic characteristics, work and life habits of men who use the Unified Health System (SUS). Method:this is an epidemiological survey with 370 residents in the city of Bananal ­SP.Aself-administered questionnaire and medical records data were used. The Social Support Scale of the Medical Outcomes Study (MOS-SSS) was used. The chi-square test was used to verify differences between the groups. Results: an association was found with age; eating more than three times a day; consumption of processed foods; not enough sleep; work; and absence of leisure. Hypertensive patients performed integrative practices in the UHS, and presented comorbidities such as diabetes, overweight or obesity; reported few friends; and with low perception of social support.Conclusion: the study shows the strength that supportsthe disease, association with comorbidities and low social support, which paves the way for further studies on the subject.

Objetivo: descrever os índices pressóricos, segundo características sociodemográficas, laborais e hábitos de vida de homens usuários do Sistema Único de Saúde(SUS).Método: trata-se de inquérito epidemiológico com 370residentes no município de Bananal ­SP. Foram utilizados questionário autoaplicado e dados de prontuários. Foi utilizada a Escala de Apoio Social do Medical Outcomes Study (MOS-SSS). O teste qui-quadrado foi utilizado para verificar diferenças entre os grupos. Resultados: encontrou-se associação com a idade; alimentar-se mais de três vezes ao dia; consumo de alimentos processados; dormir menos que o suficiente; trabalhar; e ausência de lazer. Pode-se constatar que os hipertensos realizavam práticas integrativas no SUS, e apresentavam co-morbidades como diabetes, sobrepeso ou obesidade; referiram poucos amigos; e com baixa percepção de apoio social. Conclusão: o estudo mostra a força que subiste a doença, associação com co-morbidades e baixo apoio social, o que abre caminho para mais estudos sobre a temática.
Descritores: Saúde do Homem
Hipertensão
-Apoio Social
Trabalho
Sistema Único de Saúde
Amigos
Diabetes Mellitus
Ingestão de Alimentos
Sobrepeso
Pressão Arterial
Atividades de Lazer
Obesidade
Limites: Humanos
Masculino
Responsável: BR513.1 - Biblioteca Central



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