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[PMID]:29446578
[Au] Autor:Pogorelova IG; Amgalan G
[Ti] Título:[Characteristics of physical growth of schoolchildren in Mongolia and their forming factors].
[So] Source:Gig Sanit;95(12):1198-201, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The article considers the findings of hygienic assessments of educational conditions in urban and rural schools in Mongolia and socio-economic conditions of living of schoolchildren and analysis of anthropometric measurements of schoolchildren aged of 7-16 years in relation to the assessment of harmonicity of their physical development. Hygienic conditions in Mongolian schools are characterized by improper organization of the educational - accomplishment process, high occupancy rate in classes causing insufficient space for a pupil and disconformity of school furniture parameters of school desks and chairs to growth and age requirements of pupils. Comparative assessment of socio-economic factors revealed (выделено автором) that the majority (84.1%) of rural pupils reside in uncomfortable houses and gerdwellings, 58.5 % - in large families with many children, 46.3 % - in families with poor living conditions. There were obtained data about differences in physical development of urban and rural schoolchildren pronounced with age by the gain in the number of children with disharmonious development and children with lower physical indices of the development, delayed by 1-2 years appearance of the crossing of growth and growth shift typical for rural children in comparison with their urban counterparts. According to results of multivariate regression analysis most significant factors for the formation of physical development of school children in descending order are academic workload, the place of residence, the number of children in the family, uncomfortable living conditions, household income and parent's education. In the presence of these factors, the risk of the formation of disharmonious physical growth of school children increases by 1.8-2.8 times. The probability of the risk offormation of disharmonious physical development of schoolchildren living in rural areas was found to be by 2.5 times more than for their urban counterparts. The results can be usedfor scientific substantiation and development of targeted health measures.
[Mh] Termos MeSH primário: Desenvolvimento do Adolescente
Desenvolvimento Infantil
[Mh] Termos MeSH secundário: Adolescente
Antropometria/métodos
Criança
Monitoramento Ambiental/métodos
Monitoramento Ambiental/estatística & dados numéricos
Feminino
Disparidades nos Níveis de Saúde
Seres Humanos
Masculino
Mongólia/epidemiologia
População Rural
Serviços de Saúde Escolar/estatística & dados numéricos
Fatores Sexuais
Fatores Socioeconômicos
População Urbana
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180216
[St] Status:MEDLINE


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[PMID]:29373595
[Au] Autor:Brussoni M; George MA; Jin A; Amram O; McCormick R; Lalonde CE
[Ad] Endereço:Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
[Ti] Título:Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers.
[So] Source:PLoS One;13(1):e0191384, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Worldwide, Indigenous people have disproportionately higher rates of transport injuries. We examined disparities in injury-related hospitalizations resulting from transport incidents for three population groups in British Columbia (BC): total population, Aboriginal off-reserve, and Aboriginal on-reserve populations. We also examined sociodemographic, geographic and ethnic risk markers for disparities. METHODS: We identified Aboriginal people through BC's universal health care insurance plan insurance premium group and birth and death record notations. We calculated crude incidence rate and Standardized Relative Risk (SRR) of hospitalization for unintentional transport injury, standardized for age, gender and Health Service Delivery Area (HSDA), relative to the total population of BC. We tested hypothesized associations of geographic, socio-economic, and employment-related characteristics of Aboriginal communities with SRR of transport injury by multivariable linear regression. RESULTS: During the period 1991-2010, the SRR for the off-reserve Aboriginal population was 1.77 (95% CI: 1.71 to 1.83); and 2.00 (95% CI: 1.93 to 2.07) among those living on-reserve. Decline in crude rate and SRRs was observed over this period among both the Aboriginal and total populations of BC, but was proportionally greater among the Aboriginal population. The best-fitting multivariable risk marker model was an excellent fit (R2 = 0.912, p<0.001), predicted SRRs very close to observed values, and retained the following terms: urban residence, population per room, proportion of the population with a high school certificate, proportion of the population employed; and multiplicative interactions of Aboriginal ethnicity with population per room and proportion of the population employed. CONCLUSIONS: Disparities in risk of hospitalization due to unintentional transport injury have narrowed. Aboriginal ethnicity modifies the effects of socioeconomic risk factors. Continued improvement of socioeconomic conditions and implementation of culturally relevant injury prevention interventions are needed.
[Mh] Termos MeSH primário: Hospitalização/estatística & dados numéricos
Transferência de Pacientes
Grupos Populacionais/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Colúmbia Britânica
Criança
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Fatores de Risco
População Rural/estatística & dados numéricos
Classe Social
Fatores de Tempo
População Urbana/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180127
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191384


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[PMID]:28465095
[Au] Autor:Arriola CS; Vasconez N; Thompson MG; Olsen SJ; Moen AC; Bresee J; Ropero AM
[Ad] Endereço:Epidemic Intelligence Service Program, Centers for Disease Control and Prevention, Atlanta, GA, USA; Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: wus3@cdc.gov.
[Ti] Título:Association of influenza vaccination during pregnancy with birth outcomes in Nicaragua.
[So] Source:Vaccine;35(23):3056-3063, 2017 05 25.
[Is] ISSN:1873-2518
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Studies have shown that influenza vaccination during pregnancy reduces the risk of influenza disease in pregnant women and their offspring. Some have proposed that maternal vaccination may also have beneficial effects on birth outcomes. In 2014, we conducted an observational study to test this hypothesis using data from two large hospitals in Managua, Nicaragua. METHODS: We conducted a retrospective cohort study to evaluate associations between influenza vaccination and birth outcomes. We carried out interviews and reviewed medical records post-partum to collect data on demographics, influenza vaccination during pregnancy, birth outcomes and other risk factors associated with adverse neonatal outcomes. We used influenza surveillance data to adjust for timing of influenza circulation. We assessed self-reports of influenza vaccination status by further reviewing medical records of those who self-reported but did not have readily available evidence of vaccination status. We performed multiple logistic regression (MLR) and propensity score matching (PSM). RESULTS: A total of 3268 women were included in the final analysis. Of these, 55% had received influenza vaccination in 2014. Overall, we did not observe statistically significant associations between influenza vaccination and birth outcomes after adjusting for risk factors, with either MLR or PSM. With PSM, after adjusting for risk factors, we observed protective associations between influenza vaccination in the second and third trimester and preterm birth (aOR: 0.87; 95% confidence interval (CI): 0.75-0.99 and aOR: 0.66; 95% CI: 0.45-0.96, respectively) and between influenza vaccination in the second trimester and low birth weight (aOR: 0.80; 95% CI: 0.64-0.97). CONCLUSIONS: We found evidence to support an association between influenza vaccination and birth outcomes by trimester of receipt with data from an urban population in Nicaragua. The study had significant selection and recall biases. Prospective studies are needed to minimize these biases.
[Mh] Termos MeSH primário: Vacinas contra Influenza/administração & dosagem
Influenza Humana/prevenção & controle
Complicações Infecciosas na Gravidez/prevenção & controle
Resultado da Gravidez
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos de Coortes
Feminino
Seres Humanos
Recém-Nascido de Baixo Peso
Recém-Nascido
Modelos Logísticos
Registros Médicos
Nicarágua/epidemiologia
Gravidez
Complicações Infecciosas na Gravidez/epidemiologia
Trimestres da Gravidez
Nascimento Prematuro/epidemiologia
Pontuação de Propensão
Estudos Retrospectivos
População Urbana/estatística & dados numéricos
Vacinação
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Nm] Nome de substância:
0 (Influenza Vaccines)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE


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[PMID]:29216960
[Au] Autor:Cao BY; Li CY; Xu FL; Liu XQ; Yang YX; Li J; Gao CY; Rong YM; Li RC; Li YL; Zheng S; Bai YN; Ye YC
[Ad] Endereço:Institute of Epidemiology and Statistics, School of Public Health, Center for Cancer Prevent and Treatment, Lanzhou University, Lanzhou 730000, Gansu, China; Department of Cancer Epidemiology, Wuwei Cancer Registry, Gansu Wuwei Tumor Hospital, Wuwei 733000, Gansu, China.
[Ti] Título:Estimation Study of New Cancer Cases and Deaths in Wuwei, Hexi Corridor Region, China, 2018.
[So] Source:Biomed Environ Sci;30(11):829-833, 2017 Nov.
[Is] ISSN:0895-3988
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Population-based cancer registration data were collected to estimate the cancer incidence and mortality in Wuwei, Hexi Corridor Region, China in 2018. We used the 2011-2013 data to predict the number of new cases and deaths in 2018 and the 2003-2013 data to analyze trends in cancer incidence and mortality. The goal is to enable cancer prevention and control directions. Our results indicated that stomach cancer is the most common cancer. For all cancers combined, the incidence and mortality rates showed significantly increasing trends (+2.63% per year; P < 0.05 and +1.9% per year; P < 0.05). This study revealed a significant cancer burden among the population of this area. Cancer screening and prevention should be performed after an epidemiological study of the cause of the cancer is completed.
[Mh] Termos MeSH primário: Neoplasias/epidemiologia
Neoplasias/mortalidade
Sistema de Registros/estatística & dados numéricos
[Mh] Termos MeSH secundário: China
Feminino
Seres Humanos
Incidência
Masculino
Neoplasias/classificação
Vigilância da População
População Rural
População Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE
[do] DOI:10.3967/bes2017.111


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[PMID]:28455128
[Au] Autor:Corrado RE; Lee D; Lucero DE; Varma JK; Vora NM
[Ad] Endereço:Division of Disease Control, New York City Department of Health and Mental Hygiene, Queens, NY.
[Ti] Título:Burden of Adult Community-acquired, Health-care-Associated, Hospital-Acquired, and Ventilator-Associated Pneumonia: New York City, 2010 to 2014.
[So] Source:Chest;152(5):930-942, 2017 11.
[Is] ISSN:1931-3543
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although pneumonia is a leading cause of death in New York City (NYC), limited data exist about the settings in which pneumonia is acquired across NYC. Cases of pneumonia acquired in community settings are more likely to be preventable with vaccines and treatable with first-line antibiotics than those acquired in noncommunity settings. The objective of this study was to estimate the burden of hospitalizations associated with community-acquired (CAP), health-care-associated (HCAP), hospital-acquired (HAP), and ventilator-associated (VAP) pneumonia from 2010 to 2014. METHODS: This retrospective analysis was performed by using an all-payer reporting system of hospital discharges that included NYC residents aged ≥ 18 years. Pneumonia-associated hospitalizations were defined as any hospitalization that included a diagnostic code for pneumonia among any of the discharge diagnoses. Using published clinical guidelines, we classified hospitalizations into mutually exclusive categories of CAP, HCAP, HAP, and VAP and defined pneumonia acquired in the community setting as the combination of CAP and HCAP. RESULTS: Of 4,614,108 hospitalizations during the reporting period, 283,927 (6.2%) involved pneumonia. Among pneumonia-associated hospitalizations, 154,158 (54.3%) were CAP, 85,656 (30.2%) were HCAP, 39,712 (14.0%) were HAP, and 4,401 (1.6%) were VAP. Death during hospitalization occurred in 7.9% of CAP-associated hospitalizations, compared with 15.6% of HCAP-associated hospitalizations, 20.7% of HAP-associated hospitalizations, and 21.6% of VAP-associated hospitalizations. CONCLUSIONS: Most pneumonia-associated hospitalizations in NYC involve pneumonias acquired in the community setting. Although 15.6% of pneumonia-associated hospitalizations were categorized as HAP or VAP, these pneumonias accounted for > 25% of deaths from pneumonia-associated hospitalizations. Public health pneumonia prevention efforts need to target both community and hospital settings.
[Mh] Termos MeSH primário: Infecções Comunitárias Adquiridas/epidemiologia
Infecção Hospitalar/epidemiologia
Hospitalização/tendências
Pneumonia Associada à Ventilação Mecânica/epidemiologia
População Urbana
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Infecção Hospitalar/terapia
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Cidade de Nova Iorque/epidemiologia
Pneumonia Associada à Ventilação Mecânica/terapia
Prognóstico
Estudos Retrospectivos
Fatores de Risco
Taxa de Sobrevida/tendências
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


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[PMID]:29430898
[Au] Autor:Masnavieva LB; Efimova NV; Kudaeva IV
[Ti] Título:[Individual risks to adolescent health, caused by contaminating the air, and their relationship with the levels of specific autoantibodies].
[So] Source:Gig Sanit;95(8):738-42, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The high levels of the air pollution create prerequisites for the development of the pathology of target organs exposed to chemical agents. Big enterprises of oil refining and chemical industry of the Irkutsk region are located in the cities of Angarsk and Sayansk. The average level of the air pollution for several years in these cities is assessed as high and moderate, respectively. The use of the personalized approach may allow to more correctly evaluate the risk for the damage to health and the body's response to external impacts. The purpose of this study was to assess the risk offormation ofpathological processes in the body of adolescents in the conditions of inhalation exposure to chemicals, taking into account the individual load and study of the level of specific autoantibodies. The study included 373 adolescents from the city with high levels of air pollution and 188 schoolchildren from the city with a moderate level pollution. There was made an evaluation of the individual chemical hazard load on adolescents ' body due to the air pollution, physiologicalfeatures and the organization of educational process and leisure. There were studied the levels of specific autoantibodies, reflecting the state of the organs - targets for the impact ofpollutants. The calculation of the individual chemical load allows to calculate indices of the hazard for the health problems of each individual and to identify individuals at increased risk of developing diseases of organs and systems, which are targets for exposure to pollutants. The increase in the hazard index of developing respiratory diseases was found to be accompanied by an increase of the relative content of autoantibodies against membrane antigens of the lung tissue. There was revealed the elevation in autoantibodies levels to the proteins of vascular endothelial with increasing hazard index of disturbances in the cardiovascular system in adolescents living in city with high levels of air pollution.
[Mh] Termos MeSH primário: Poluição do Ar
Autoanticorpos/análise
Exposição Ambiental
Doença Ambiental
Doenças Respiratórias
[Mh] Termos MeSH secundário: Adolescente
Poluição do Ar/efeitos adversos
Poluição do Ar/análise
Exposição Ambiental/efeitos adversos
Exposição Ambiental/análise
Doença Ambiental/diagnóstico
Doença Ambiental/epidemiologia
Doença Ambiental/imunologia
Doença Ambiental/prevenção & controle
Poluição Ambiental/análise
Poluição Ambiental/prevenção & controle
Feminino
Substâncias Perigosas/efeitos adversos
Substâncias Perigosas/análise
Seres Humanos
Exposição por Inalação
Masculino
Doenças Respiratórias/diagnóstico
Doenças Respiratórias/epidemiologia
Doenças Respiratórias/imunologia
Doenças Respiratórias/prevenção & controle
Medição de Risco/métodos
Serviços de Saúde Escolar/estatística & dados numéricos
Sibéria/epidemiologia
População Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Autoantibodies); 0 (Hazardous Substances)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


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[PMID]:29424206
[Au] Autor:Melnik VA; Kozakevich NV
[Ti] Título:[Changes in morphologic indices of physical development of urban schoolchildren].
[So] Source:Gig Sanit;95(5):460-5, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The aim of the research was to assess the age variability of anthropometric parameters in schoolchildren of the city of Gomel examined with a 40-year interval. The authors of the article examined schoolchildren of secondary schools in Gomel. Over 2010-2012 the complex cross-sectional morphometrical examination was carried out on schoolchildren aged of 8-16 years without any significant health problems in the city of Gomel (a total of 3105, out of them there were 1452 boys and 1653 girls). The somatometrical program included body length and mass, chest circumference parameters. The absolute and relative parameters of their annual increases were calculated in schoolchildren, which made it possible to determine the periods of their relative acceleration and deceleration indices. The anthropometric data on schoolchildren of the city of Gomel obtained by V.Ya.Leontyev in 1973 and A.I. Kienya, V.A. Melnik over 1994-1996 were used for comparison. The comparative analysis of the gender and age dynamics of morphometric indices in schoolchildren of the city of Gomel aged of 8-16 years in 1973 and over 2010-2012 revealed the processes of acceleration (increase of body length and mass) in boys and asthenization (increase of body length and decrease of body mass) in girls at the beginning of the XXI century. The indices of the chest circumference before and after puberty period in the contemporary school boys and girls were lower, but in the puberty period being higher than in schoolchildren of the same age examined forty years ago. The authors developed, published and put into both practical public health of Belarus and educational process the Tables for the assessment of physical development of schoolchildren of the city of Gomel.
[Mh] Termos MeSH primário: Desenvolvimento do Adolescente
Desenvolvimento Infantil
Serviços de Saúde Escolar/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Saúde do Adolescente/tendências
Antropometria/métodos
Criança
Saúde da Criança/tendências
Feminino
Indicadores Básicos de Saúde
Seres Humanos
Masculino
População
República da Bielorrússia/epidemiologia
População Urbana/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


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[PMID]:29384308
[Au] Autor:Sy I; Traoré D; Niang Diène A; Koné B; Lô B; Faye O; Utzinger J; Cissé G; Tanner M
[Ti] Título:[Water, sanitation and diarrheal risk in Nouakchott Urban Community, Mauritania].
[Ti] Título:Eau potable, assainissement et risque de maladies diarrhéiques dans la Communauté Urbaine de Nouakchott, Mauritanie..
[So] Source:Sante Publique;29(5):741-750, 2017 Dec 05.
[Is] ISSN:0995-3914
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:INTRODUCTION: Drinking water and sanitation are two factors of inter-linked inextricably public health especially in the city of Nouakchott where the low availability of these services leads to a multitude of use and hygiene practices involving a complex socio-ecological system with an increased risk of waterborne diseases transmission (diarrhea, cholera, etc.). METHODS: Thus, this contribution analyzes the impact of socio-ecological system on the development of diarrheal diseases by using socio-environmental and epidemiological data from various sources (national surveys and registries consultation). RESULTS: Overall, the results show that only 25.6% of households have access to drinking water sources while 69.8% of the populations dispose improved latrines. Hence, the weakness in environmental sanitation conditions explains the level of diarrheal morbidity averring 12.8% at the urban level, with an unequal spatial distribution showing less affected communes such as Tevragh Zeina (9.1%) and municipalities more affected like Sebkha (19.1%). The distribution according to the age categories shows that children under 5 years are the most affected with 51.7% followed by people aged over 14 with 34.2%. The correlation analysis between socio-economic, environmental and epidemiological variables reveals a number of significant associations: untreated water consumption and diarrhea (R = 0.429); collection of wastewater and occurrence of diarrhea ; existence of improved latrine and reduction of diarrheal risk (R = 0.402). DISCUSSION: Therefore, exposure to diarrheal diseases through the prism of water and sanitation is a real public health problem that requires a systemic and integrated approach to improving environmental health.
[Mh] Termos MeSH primário: Diarreia/epidemiologia
Água Potável
Saneamento
[Mh] Termos MeSH secundário: Diarreia/prevenção & controle
Saúde Ambiental
Seres Humanos
Mauritânia/epidemiologia
Risco
Sanitários Públicos
População Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Drinking Water)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.3917/spub.175.0741


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[PMID]:27771303
[Au] Autor:Liu Y; Kuczmarski MF; Miller ER; Nava MB; Zonderman AB; Evans MK; Powe NR; Crews DC
[Ad] Endereço:Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
[Ti] Título:Dietary Habits and Risk of Kidney Function Decline in an Urban Population.
[So] Source:J Ren Nutr;27(1):16-25, 2017 01.
[Is] ISSN:1532-8503
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Explore the association between following a Dietary Approaches to Stop Hypertension (DASH)-accordant diet and kidney end points among urban adults. DESIGN: Prospective cohort study. SETTING: Healthy Aging in Neighborhoods of Diversity across the Life Span study. SUBJECTS: A total of 1,534 urban dwelling participants of the Healthy Aging in Neighborhoods of Diversity across the Life Span study with a baseline estimated glomerular filtration rate (eGFR) ≥60 mL/minute/1.73 m . INTERVENTION: DASH diet accordance determined via a score based on nine target nutrients. MAIN OUTCOME MEASURE: Rapid kidney function decline (eGFR decline >3 mL/minute/1.73 m per year), incident chronic kidney disease (CKD) (follow-up eGFR <60 mL/minute/1.73 m ), and eGFR decline >25%. RESULTS: Participants' mean age was 48 years, and 59% were African-American. Median DASH score was 1.5 (range, 0-8). Over a median of 5 years, 13.4% experienced rapid eGFR decline, including 15.2% among participants not following a DASH-accordant diet (score ≤1) and 12.0% with higher accordance (score >1) (P = .08). Outcomes varied by hypertension status. In multinomial logistic regression models, following adjustment for sociodemographic and clinical factors, including total energy intake, low DASH diet accordance was associated with rapid eGFR decline among participants with hypertension (risk ratio, 1.68; 95% confidence interval: 1.17-2.42) but not among those without hypertension (risk ratio, 0.83; 95% confidence interval: 0.56-1.24; P interaction .001). There was no statistically significant association between DASH diet accordance and incident CKD or eGFR decline >25%. Results were similar when DASH diet accordance was analyzed in tertiles. CONCLUSIONS: Among urban adults, low accordance to a DASH-type diet was not associated with incident CKD, but was associated with higher risk of rapid eGFR decline among those with hypertension, yet not among those without hypertension. Further study of dietary patterns as a potential target for improving kidney outcomes among high-risk populations is warranted.
[Mh] Termos MeSH primário: Envelhecimento
Abordagens Dietéticas para Conter a Hipertensão
Hipertensão/epidemiologia
Insuficiência Renal Crônica/epidemiologia
População Urbana
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Taxa de Filtração Glomerular
Seres Humanos
Modelos Logísticos
Estudos Longitudinais
Masculino
Meia-Idade
Estudos Prospectivos
Fatores de Risco
Sensibilidade e Especificidade
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, N.I.H., INTRAMURAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29364357
[Au] Autor:Baldin YC; Sanudo A; Sanchez ZM
[Ad] Endereço:Departamento de Medicina Preventiva, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
[Ti] Título:Effectiveness of a web-based intervention in reducing binge drinking among nightclub patrons.
[So] Source:Rev Saude Publica;52:2, 2018.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:por; eng
[Ab] Resumo:OBJECTIVE To evaluate the effectiveness of a web-based intervention in reducing binge drinking among nightclub patrons after six months. METHODS We carried out a website survey with probabilistic sample in 31 nightclubs in the city of São Paulo, Brazil, which originated a randomized controlled trial with 1,057 participants. Those classified as problem drinkers (n = 465) using the Alcohol Use Disorders Identification Test were randomized into two study groups - intervention and control. The web-based intervention consisted of exposing the participants to a normative feedback screen about their alcohol consumption, characterizing the risks associated with amount consumed, money spent on drinks, drinking and driving, risk classification of Alcohol Use Disorders Identification Test, and tips to reduce damage. RESULTS There was a significant reduction in the practice of binge drinking in the week estimated at 38% among participants in the intervention group after six months (p < 0.05). However, there was no significant reduction in the outcomes when we analyzed the intervention and control groups and at baseline and after sixth months, simultaneously. CONCLUSIONS We cannot conclude that digital tools reduce the pattern of binge drinking among party goers in São Paulo. More studies are needed with this methodology because of its attractiveness to this type of group, given the privacy and speed that personalized information is transmitted.
[Mh] Termos MeSH primário: Bebedeira/prevenção & controle
Internet
População Urbana/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Bebedeira/epidemiologia
Bebedeira/psicologia
Brasil/epidemiologia
Retroalimentação Psicológica
Feminino
Seguimentos
Seres Humanos
Masculino
Prevalência
Distribuição por Sexo
Fatores Socioeconômicos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE



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