Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): socio-occupational class as an effect modifier for the relationship between adiposity measures and self-rated health

Abstract Aims To quantify the relationship between alcohol and violence with increasing age. Methods Data were from The National Longitudinal Study of Adolescent to Adult Health (ADD Health) of 20,386 people representative of the US population. Mean age at the first wave of interviews was 16.2 years, with subsequent interviews mean of 1, 6.3 and 12.9 years later. We used random-effects models and predictive marginal effects of the association between varying quantities of alcohol consumption and violence while controlling for possible confounders. Results Violence was reported by 19.1% of participants at wave I but just 2.1% at wave IV. The random-effects model showed that consuming 1–4 drinks on each occasion was associated with a modest increase in risk of violence in both males (odds ratio (OR) 1.36, 95% CI 1.13–1.63) and females (OR 1.33, 95% CI 1.03–1.72). For consumption of five or more drinks on each occasion, the risk remained similar for females (OR 1.40 (0.99–1.97)) but increased considerably for males (OR 2.41 (1.96–2.95)). Predictive marginal effects models confirmed that violence rates decreased with age. Conclusions Alcohol is most strongly linked to violence among adolescents, so programmes for primary prevention of alcohol-related violence are best targeted towards this age group, particularly males who engage in heavy episodic drinking.

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Gender aspects of the relationship between migraine and cardiovascular risk factors: A cross-sectional evaluation in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

Cephalalgia ◽

10.1177/0333102415570494 ◽

2015 ◽

Vol 35 (12) ◽

pp. 1103-1114 ◽

Cited By ~ 7

Author(s):

Alessandra C Goulart ◽

Itamar S Santos ◽

Paulo A Lotufo ◽

Isabela M Benseñor

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Longitudinal Study ◽

Cardiovascular Risk Factors ◽

Multinomial Logistic Regression ◽

Inverse Association ◽

Adult Health ◽

Regression Analyses ◽

Cross Sectional ◽

The Relationship

Background The relationship between cardiovascular risk factors (CVRF) and migraine is controversial and might be different in both genders. These associations were evaluated in Brazilian middle-aged men and women from the Longitudinal Study of Adult Health (ELSA-Brasil). Methods The cross-sectional relationship between our main outcome, which was migraine headache (definite, probable and overall), and CVRF was evaluated in the total sample and according to gender. We calculated frequencies and odds ratios (95% CI) for this relationship using binary and multinomial logistic regression analyses in crude, age-adjusted and multivariable models adjusted by potential confounders. Results Of 14,953 individuals who completed the data about headache and CVRF, the frequency of one-year migraine was of 29.5% (22.5% in women and 7.0% in men). In the multivariable-adjusted regression analyses, an inverse association between hypertension (OR, 0.53; 95% CI, 0.36–0.79), metabolic syndrome (OR, 0.65; 95% CI, 0.43–0.99) and definite migraine were confirmed for men, but not for women. In the opposite direction, a positive association between migraine headaches (definite, probable and overall) and dyslipidemia (overall migraine OR, 1.25; 95% CI, 1.13–1.38) was observed only for women, but not for men. Conclusions A gender influence on the relationship between migraine and CVRF was verified in the ELSA-Brasil.

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The Impact of Age, Gender, and Race on the Relationship Between Depression and Self-Rated Health in Community-Dwelling Older Adults: A Longitudinal Study

Home Health Care Services Quarterly ◽

10.1300/j027v20n03_02 ◽

2001 ◽

Vol 20 (3) ◽

pp. 27-43 ◽

Cited By ~ 9

Author(s):

Beth Han

Keyword(s):

Older Adults ◽

Longitudinal Study ◽

Community Dwelling ◽

Gender And Race ◽

Self Rated Health ◽

The Impact ◽

Community Dwelling Older Adults ◽

The Relationship

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Adiponectin and leptin levels in migraineurs: Results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

Cephalalgia Reports ◽

10.1177/2515816320966965 ◽

2020 ◽

Vol 3 ◽

pp. 251581632096696

Author(s):

Alessandra C Goulart ◽

Bianca de Almeida-Pititto ◽

Paulo A Lotufo ◽

Itamar S Santos ◽

Sandra RG Ferreira ◽

...

Keyword(s):

Longitudinal Study ◽

Regression Models ◽

P Value ◽

Adult Health ◽

Cross Sectional ◽

Logistic Regression Models ◽

The Third ◽

Disease Associations ◽

Relationship Of ◽

The Relationship

Background: Relationships of adipokines (ADP) with migraine are not well-established. We examined the relationship of adiponectin and leptin with migraine by aura symptoms. Methods: In a baseline cross-sectional data of Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), associations of ADP levels and migraine were assessed in a sample of 257 nondiabetic subjects, free from cardiovascular disease. Associations of ADP tertiles (dependent variable) and migraine status were tested using logistic regression models. Categories of migraine were created as follows: no headache (reference), migraine with aura (MA), and migraine without aura (MO) in all sample and by sex. Odds ratio (OR) with respective 95% confidence interval (CI) adjusted for age, sex, body mass index, and metabolic syndrome. Results: Among participants (46 years ± SD: 4.8), 47.5% were women and 36.2% had migraine (16.7% MA). Median values of leptin (ng/mL) increased gradually across subgroup: no headache: 9.5 (interquartile range (IQR): 5.5–15.7) versus MO: 17.0 (IQR: 10.9–34.2) versus MA: 20.9 (IQR: 11.7–29.3), overall p value <0.0001, but not for adiponectin levels. After full adjustment, the third of leptin was positively associated with MA (OR 2.89 (1.00–8.4)) and the second of adiponectin was associated with MO (OR 2.76; 95% CI: 1.09–6.96, p = 0.03). Positive associations with MA, second (OR 3.81; 95% CI: 1.07–13.59; p = 0.04) and third tertile of leptin (6.54; 95% CI: 1.74–24.57, p = 0.005), were also observed in women, but not in men. Conclusions: Positive associations between ADP and migraine, particularly between MA and leptin levels in women, raise the possibility of adipocytokines and play a role in migraine pathophysiology.

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Subjective social status, self-rated health and tobacco smoking: Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

Journal of Health Psychology ◽

10.1177/1359105313490772 ◽

2013 ◽

Vol 19 (11) ◽

pp. 1388-1399 ◽

Cited By ~ 14

Author(s):

Lidyane do V Camelo ◽

Luana Giatti ◽

Sandhi M Barreto

Keyword(s):

Longitudinal Study ◽

Social Status ◽

Reference Group ◽

Subjective Social Status ◽

Depression Symptoms ◽

Adult Health ◽

Self Rated Health ◽

Social Inequities ◽

The Impact ◽

Objective Indicators

Using baseline data from ELSA-Brasil ( N = 15,105), we investigated whether subjective social status, measured using three 10-rung “ladders,” is associated with self-rated health and smoking, independently of objective indicators of social position and depression symptoms. Additionally, we explored whether the magnitude of these associations varies according to the reference group. Subjective social status was independently associated with poor self-rated health and weakly associated with former smoking. The references used for social comparison did not change these associations significantly. Subjective social status, education, and income represent distinct aspects of social inequities, and the impact of each of these indicators on health is different.

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The relationship between migraine and lipid sub-fractions among individuals without cardiovascular disease: A cross-sectional evaluation in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

Cephalalgia ◽

10.1177/0333102417699181 ◽

2017 ◽

Vol 38 (3) ◽

pp. 528-542 ◽

Cited By ~ 4

Author(s):

Alessandra C Goulart ◽

Paulo A Lotufo ◽

Itamar S Santos ◽

Márcio S Bittencourt ◽

Raul D Santos ◽

...

Keyword(s):

Cardiovascular Disease ◽

Longitudinal Study ◽

Migraine Without Aura ◽

Density Ratio ◽

Adult Health ◽

Lipoprotein Subfractions ◽

Cross Sectional ◽

Lipid Disorders ◽

Triglyceride Rich Lipoprotein ◽

The Relationship

Introduction Recent studies have explored the relationship between dyslipidemia and migraine in a cardiovascular context. Thus, we aimed to evaluate the possible association between lipids, lipoprotein subfractions and migraine according to aura symptoms in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Methods 1,560 women and 1,595 men, without CVD or lipid disorders requiring medication, underwent a baseline clinical assessment. Total-cholesterol and its sub-fractions (LDL, VLDL and HDL subclass cholesterol); triglycerides and triglyceride-rich lipoprotein cholesterol [TRL-C (VLDL1+2-C VLDL3-C + IDL-C)] were determined by vertical auto profile (VAP). We also calculated logarithmic LDL density ratio [LLDR = ln ((LDL3-C + LDL4-C)/(LDL1-C + LDL2-C))], T-Chol/HDL-C and triglycerides/HDL-C ratios. Odds ratios (OR) with 95% confidence intervals (CI) were obtained to evaluate the relationship between lipids tertiles and migraine for both sexes. Results Main findings revealed positive associations between migraine without aura (MO) and the highest tertiles of VLDL-C (OR, 1.61; 95%CI, 1.07–2.40) and TRL-C (OR, 1.55; 95% CI, 1.03–2.34) in women. In men, the highest tertile of VLDL3-C (OR, 3.87; 95%CI, 1.23–12.19) was positively associated with MO, as well. Conclusions In middle-aged participants without CVD or lipid disorders requiring medication, the worst lipid profile was determined by the highest levels of TRL-C and their cholesterol-rich remnants in migraineurs without aura for both sexes.

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Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) participant’s profile regarding self-rated health: a multiple correspondence analysis

BMC Public Health ◽

10.1186/s12889-021-11760-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Thaís Lopes de Oliveira ◽

Raquel Vasconcellos Carvalhaes de Oliveira ◽

Rosane Harter Griep ◽

Arlinda B. Moreno ◽

Maria da Conceição Chagas de Almeida ◽

...

Keyword(s):

Longitudinal Study ◽

Correspondence Analysis ◽

Multiple Correspondence Analysis ◽

Health Indicators ◽

Gender Inequalities ◽

Adult Health ◽

Socioeconomic Conditions ◽

Cross Sectional ◽

Race And Gender ◽

Self Rated Health

Abstract Background Self-rated health (SRH) - one of the most common health indicators used to verify health conditions - can be influenced by several types of socioeconomic conditions, thereby reflecting health inequalities. This study aimed to evaluate the participant profiles regarding the association between self-rated health and social and occupational characteristics of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Methods Cross-sectional design, including 11,305 individuals. Self-rated health was categorized as good, fair, and poor. The relationship between socio-demographic, psychosocial work environment, health-related variables, and self-rated health was analyzed by multiple correspondence analysis (stratified by age: up to 49 years old and 50 years old or more). Results For both age strata, group composition was influenced by socioeconomic conditions. Poor SRH was related to lower socioeconomic conditions, being women, black self-declared race/ethnicity, being non-married/non-united, low decision authority, low skill discretion, and obesity. Conclusion To promote health, interventions should focus on reducing existing socioeconomic, race, and gender inequalities in Brazil.

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