Risk Factors for Low Muscle Mass in a Population-based Prospective Cohort of Brazilian Community-dwelling Older Women: The São Paulo Ageing & Health (SPAH) Study

2020 ◽  
Vol 23 (3) ◽  
pp. 503-510
Author(s):  
Ketty L.L.L. Machado ◽  
Diogo S. Domiciano ◽  
Luana G. Machado ◽  
Jaqueline B. Lopes ◽  
Camille P. Figueiredo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Women ◽  
Muscle Mass ◽  
Prospective Cohort ◽  
Population Based ◽  
Sao Paulo ◽  
Community Dwelling ◽  
São Paulo

scholarly journals Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil

2007 ◽  
Vol 41 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Marcia Furquim de Almeida ◽  
Gizelton Pereira Alencar ◽  
Hillegonda Maria Dutilh Novaes ◽  
Ivan França Jr ◽  
Arnaldo Augusto Franco de Siqueira ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Intrauterine Growth Restriction ◽  
Population Based ◽  
Sao Paulo ◽  
Growth Restriction ◽  
Fetal Mortality ◽  
São Paulo ◽  
Intrauterine Growth ◽  
The City

OBJECTIVE: To assess risk factors for antepartum fetal deaths. METHODS: A population-based case-control study was carried out in the city of São Paulo from August 2000 to January 2001. Subjects were selected from a birth cohort from a linked birth and death certificate database. Cases were 164 antepartum fetal deaths and controls were drawn from a random sample of 313 births surviving at least 28 days. Information was collected from birth and death certificates, hospital records and home interviews. A hierarchical conceptual framework guided the logistic regression analysis. RESULTS: Statistically significant factors associated with antepartum fetal death were: mother without or recent marital union; mother's education under four years; mothers with previous low birth weight infant; mothers with hypertension, diabetes, bleeding during pregnancy; no or inadequate prenatal care; congenital malformation and intrauterine growth restriction. The highest population attributable fractions were for inadequacy of prenatal care (40%), hypertension (27%), intrauterine growth restriction (30%) and absence of a long-standing union (26%). CONCLUSIONS: Proximal biological risk factors are most important in antepartum fetal deaths. However, distal factors - mother's low education and marital status - are also significant. Improving access to and quality of prenatal care could have a large impact on fetal mortality.

scholarly journals Changes in prevalence of cognitive impairment and associated risk factors 2000–2015 in São Paulo, Brazil

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fabiana Silva Ribeiro ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Jair Lício Ferreira Santos ◽  
Anja K. Leist
Keyword(s):  
Risk Factors ◽  
Cognitive Impairment ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Formal Education ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Logistic Regression Models ◽  
Associated Risk Factors

Abstract Introduction Decreases in prevalence of cognitive impairment and dementia over the last two decades have been observed in different countries for cohorts entering older age. This study aimed to assess the cognitive impairment prevalence and explore associated factors among subjects aged >60 living in São Paulo, Brazil. Method Data came from a population-based Health, Welfare and Aging survey conducted in 2000, 2006, 2010, and 2015. Cognitive impairment was detected using the abbreviated Mini-Mental State Exam corrected by formal education years. In total, there were 5922 respondents in the statistical analyses. Results Logistic regression models adjusted for age group, income, race, cardiovascular risk factors, and depression were used to estimate cognitive impairment prevalence. Between 2015 and 2000, respondents were more likely to report formal education, hypertension, diabetes, and overweight/obesity. Moreover, the weighted analyses showed that cognitive impairment prevalence was higher in 2015, even adjusting for sociodemographic and socioeconomic characteristics, cardiovascular risk factors, and depression. Conclusion In contrast to decreases in cognitive impairment prevalence in other countries and despite increases in educational years, our findings suggest no secular improvements in cognitive health for the 2015 wave of older adults residing in São Paulo.

scholarly journals Nutritional breakfast quality and cardiometabolic risk factors: Health Survey of São Paulo, a population-based study

2020 ◽  
pp. 1-11
Author(s):  
Paula Victória Félix ◽  
Jaqueline Lopes Pereira ◽  
Ana Carolina Barco Leme ◽  
Michelle Alessandra de Castro ◽  
Regina Mara Fisberg
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Cardiometabolic Risk ◽  
Family Income ◽  
Population Based ◽  
Sao Paulo ◽  
Cardiometabolic Risk Factors ◽  
São Paulo ◽  
Population Based Study

Abstract Objective: To evaluate the association between nutritional quality of breakfast and cardiometabolic risk factors. Design: Cross-sectional study, 2015 Health Survey of São Paulo (2015 ISA-Capital) with Focus on Nutrition Study (2015 ISA-Nutrition). Settings: Population-based study, with a representative sample of adults and elderlies living in São Paulo, Brazil. Participants: The sample included 606 adults (aged 20–59 years) and 537 elderlies (aged ≥60 years) from the 2015 Health Survey of São Paulo. Dietary intake was assessed by at least one 24-h recall. Breakfast quality was evaluated using the proposed Brazilian Breakfast Quality Index (BQI), ranging scores from 0 to 10. BQI associations with sociodemographic, lifestyle, dietetic and cardiometabolic variables were estimated using survey-weighted multiple logistic regression models. Results: Being ≥60 years of age, self-identifying as White or Asian, having a per capita family income with ≥1 minimum wage, being sufficiently active at leisure time and non-smoker were associated with better scores of BQI. A higher BQI score was inversely associated with elevated blood pressure (OR 0·81, 95 % CI 0·70, 0·94), fasting glucose (OR 0·85, 95 % CI 0·73, 0·98), HOMA-IR (OR 0·86, 95 % CI 0·74, 0·98), total cholesterol (OR 0·87, 95 % CI 0·76, 0·99), LDL-C (OR 0·85, 95 % CI 0·74, 0·97), metabolic syndrome (OR 0·82, 95 % CI 0·72, 0·93) and being overweight (OR 0·87, 95 % CI 0·76, 0·99). Conclusions: Breakfast quality of Brazilian adults needs improvement with disparities across some sociodemographic factors. BQI was associated with lower odds of cardiometabolic risk factors, suggesting a beneficial effect in this population and emphasising the role of breakfast in reducing the risk of CVD.

Nocturnal awakening with headache and its relationship with sleep disorders in a population-based sample of adult inhabitants of São Paulo City, Brazil

Cephalalgia ◽  
2010 ◽  
Vol 30 (12) ◽  
pp. 1477-1485 ◽  
Author(s):  
Ligia Mendonça Lucchesi ◽  
Jose Geraldo Speciali ◽  
Rogerio Santos-Silva ◽  
Jose Augusto Taddei ◽  
Sergio Tufik ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sleep Disorders ◽  
Sleep Apnea Syndrome ◽  
Life Quality ◽  
Female Gender ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Obstructive Sleep ◽  
Nocturnal Awakening

Our aim was to estimate the prevalence of nocturnal awakening with headache (NAH) in the population of São Paulo City according to gender, age (20–80 years old) and socioeconomic classes and its relationship to sleep disorders, sleep parameters, anxiety, depression, fatigue, life quality and obesity. We used a population-based survey with a representative three-stage cluster sample. Questionnaires and scales were applied face-to-face, and polysomnography was performed in 1101 volunteers, aged 42 ± 14 years, 55% women. The complaint of NAH occurring at least once a week had a prevalence of 8.4%, mostly in women, obese subjects and those aged 50–59 years-old. We observed associations of NAH with insomnia, restless leg syndrome (RLS), nightmares and bruxism, but not obstructive sleep apnea syndrome. In a logistics regression model, risk factors for NAH were female gender, odds ratio (OR) (95% confidence interval [CI]) 4.5 (2.8–7.3); obesity, OR 1.9 (1.1–3.3); age between 50 and 59 years, OR 2.4 (1.2–4.7); severe anxiety, OR 8.1 (3.6–18.1); RLS, 2.7 (1.2–5.6); and nightmares, 2.2 (1.3–3.7). Our study shows that NAH was highly prevalent in the population of São Paulo and suggests that this phenomenon has specific characteristics with specific risk factors: obesity, RLS and nightmares.

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