Dietary patterns of elderly persons from the city of São Paulo: evidence from the SABE (Health, Wellbeing and Aging) survey

Abstract Objective: to determine the dietary patterns of elderly persons in terms of sociodemographic, lifestyle and clinical aspects. Method: a cross-sectional study was conducted using the cohorts of the SABE (Health, Wellbeing and Aging) study. An epidemiological, home-based study representative of the city of São Paulo was carried out. The population of this study included 1,304 elderly persons (≥60 years), of both genders, selected by probabilistic stratified sampling, interviewed in 2010. Food intake data were obtained through a qualitative food frequency questionnaire. Dietary patterns were determined by exploratory factorial analysis by principal components. The Wald test was used for complex sampling. Results: four dietary patterns were identified: inadequate patterns, consisting of fried and canned food, sausages, sweets, tubers, industrialized sauces and eggs; modified pattern, skimmed milk, whole grain breads and cereals, light/diet/zero foods; beneficial pattern, fruits, vegetables and tubers; and traditional Brazilian pattern, vegetable oils, rice, refined cereals and white bread, meats and legumes (beans). The sociodemographic and lifestyle profile of the elderly persons who adopted each dietary pattern was different. Conclusion: healthier dietary patterns were associated with the female gender, older elderly persons, two or more chronic diseases, higher levels of schooling, a better lifestyle and a better self-perception of health. It is important to consider all these aspects as they are determinant in the type of diet adopted by this population.

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Prevalence of depressive and anxiety symptoms in medical students in the city of Santos

Jornal Brasileiro de Psiquiatria ◽

10.1590/0047-2085000000081 ◽

2015 ◽

Vol 64 (3) ◽

pp. 213-220 ◽

Cited By ~ 8

Author(s):

Rosana Denobile Serra ◽

Sandra Lopes Mattos e Dinato ◽

Marcos Montani Caseiro

Keyword(s):

Depressive Symptoms ◽

Medical Students ◽

Emotional Disorders ◽

Female Gender ◽

Cross Sectional Study ◽

Sao Paulo ◽

Anxiety Symptoms ◽

São Paulo ◽

Cross Sectional ◽

The City

ABSTRACT Objective Ascertain the prevalence of depressive and anxiety symptoms in medical students, considering data in the literature that indicate higher vulnerability to emotional disorders in this population. Methods A descriptive cross-sectional study with a sample of 657 (98%) students. The instruments used were: questionnaire of socioeconomic-demographic characteristics, Beck Depression Inventory and Beck Anxiety Inventory. Results Predominance of the female gender (61%), aged between 17 and 30 years (98%), Catholic religion (64.2%) from the city of São Paulo (40.7%) and other cities in the state (35.7%); 30% presented depressive symptoms and 21% anxiety symptoms. Female students had higher scores both for depression (34.8%) and for anxiety (26.8%). As regards the course year, the highest rates were found in the 5th year (40.7%) for depression and in the 2nd year for anxiety (28.8%). Conclusion The data obtained in this study (30%) agreed with the literature regarding the prevalence of depressive symptoms in medical students, but this index was higher compared to the population in general (15.1% to 16.8%), and related to people in São Paulo city (18.5%). Concerning anxiety the rates found were slightly lower than those in specific literature but higher than those in literature for the population in general (8% to 18%) and in city São Paulo (16.8%). These indices indicate that the school of medicine may play a role as a predisposing and/or triggering factor in some students. The results suggest that more attention should be directed to 5th year students, who are beginning the internship period.

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Analysis of quality of life and associated factors in a group of elderly persons with supplemental health plans in the city of São Paulo, Brazil

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562019022.190013 ◽

2019 ◽

Vol 22 (4) ◽

Author(s):

Maria Elisa Gonzalez Manso ◽

Leandro Tadeu Prazeres Maresti ◽

Henrique Souza Barros de Oliveira

Keyword(s):

Quality Of Life ◽

Health Plan ◽

Associated Factors ◽

The Elderly ◽

Sao Paulo ◽

World Health ◽

Elderly Persons ◽

São Paulo ◽

The City

Abstract Objective: To measure the Quality of Life (QoL) and associated factors in a group of elderly persons receiving care through a health plan operator in the city of São Paulo, Brazil. Method: A cross-sectional study was carried out with 169 elderly persons enrolled in a health plan and who were participants in a program to promote health and prevent risks and diseases. The Bref and Old versions of the World Health Organization Quality of Life (WHOQOL) instruments were adopted for the evaluation of the QoL of the elderly. After descriptive analysis, a comparative analysis was performed through the Student’s t-tests and ANOVA. The Brown-Forsythe test was applied for situations in which no homogeneity was found and the Tukey test for multiple comparisons was applied. Results: The highest mean QoL values were found in the Psychological [72.1 (±14.3)] and Environment [68 (±15.4)] and Intimacy [72.5 (±20.8)] domains, while the worst results were found in the Physical [64.3 (±18)] domain and in the Death and Dying facet [61.2 (±23.2)]. In this group, factors such as obesity, neoplasia and previous hospitalizations were negatively associated with QoL, whereas young elderly, female, widows, carriers of chronic non-communicable diseases and those limited to two morbidities, who practiced physical activity and had clinical care provided by a reference physician had a positive influence. Conclusion: The findings of this research showed high levels of satisfaction with health and QoL, in addition to raising relevant discussions about predictors that influence the QoL of the elderly receiving care from the supplementary sector. It also emphasizes the need for new strategies of action to ensure improvements in the health care of the elderly.

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Anthropometry of elderly residents in the city of São Paulo, Brazil

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2005000600043 ◽

2005 ◽

Vol 21 (6) ◽

pp. 1929-1938 ◽

Cited By ~ 39

Author(s):

Aline R. Barbosa ◽

José M. P. Souza ◽

Maria L. Lebrão ◽

Ruy Laurenti ◽

Maria de Fátima N. Marucci

Keyword(s):

Body Mass ◽

Age Groups ◽

Household Survey ◽

The Elderly ◽

Skinfold Thickness ◽

Epidemiological Studies ◽

Sao Paulo ◽

São Paulo ◽

Cross Sectional ◽

The City

The article presents gender and age-specific selected anthropometric data for a representative sample of elderly Brazilians in the city of São Paulo. This was a cross-sectional, population-based household survey. A total of 1,894 older adults (men and women, > 60 years) were examined from January to March 2001. Data were presented as means and percentiles for body mass (BM); height or stature (ST); body mass index (BMI); waist (WC), hip (HC), arm (AC), and calf (CC) circumferences; triceps skinfold thickness (TST); and arm muscle circumference (AMC), and differences were described according to age (all variables) and gender (BMI). Except for HC (men), all anthropometric variables were lower in the oldest than in the youngest individuals (p < 0.01) in both genders. BMI was significantly higher (p < 0.01) in women than men (all age groups). The observations suggest that there is loss of muscle mass and redistribution and reduction of fat mass with age (both genders). The data can be used in clinical practice and epidemiological studies based on interpretation of anthropometric measurements in the elderly in São Paulo.

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Impact of the bitewing radiography exam inclusion on the prevalence of dental caries in 12-year-old students in the city of Franca, São Paulo, Brazil

Journal of Applied Oral Science ◽

10.1590/s1678-77572006000300004 ◽

2006 ◽

Vol 14 (3) ◽

pp. 167-171 ◽

Cited By ~ 5

Author(s):

Soraya Fernandes Mestriner ◽

Luiz Carlos Pardini ◽

Wilson Júnior Mestriner

Keyword(s):

Dental Caries ◽

Epidemiological Survey ◽

Sao Paulo ◽

World Health ◽

Clinical Aspects ◽

São Paulo ◽

Cross Sectional ◽

Permanent Molar ◽

Carious Lesions ◽

The City

INTRODUCTION: The pattern of development of carious lesions has changed. The carious lesion has been progressive and reaches the dentin without showing alterations in the clinical aspects. OBJECTIVES: To determine the prevalence of caries in 12-year-old students in the city of Franca - São Paulo, Brazil, during the year of 2003, and to evaluate the additional value of bitewing radiograph to detect hidden carious lesions in permanent molar dentin. MATERIALS AND METHODS: A probabilistic sample composed of two hundred and fifty six (256) students, from public and private schools, was submitted to a cross-sectional study through examination by a calibrated examiner, in order to detect the caries prevalence, using the methodology recommended by the World Health Organization (WHO). For 66% of the sample, bitewing radiographs of the permanent molar region were obtained. The images were analyzed by a calibrated examiner, who established the presence of hidden caries in teeth with radiolucency in dentin, yet considered healthy in the epidemiological survey. RESULTS: The prevalence of dental caries in epidemiological exam without (WHO) and with (WHO/R) the inclusion of hidden caries lesion was 54% and 64%, and the DMFT index was 1.73 and 1.92 respectively. CONCLUSION: Utilization of the method of bitewing radiographic diagnosis significantly increased (p<0.001) the prevalence of caries in the studied population.

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Physical and sexual aggression against elderly persons reported in the city of São Paulo

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1809-9823.2015.14177 ◽

2015 ◽

Vol 18 (4) ◽

pp. 755-760 ◽

Cited By ~ 1

Author(s):

Cintia Leci Rodrigues ◽

Jane de Eston Armond ◽

Carlos Gorios

Keyword(s):

Sexual Assault ◽

Sexual Violence ◽

Physical Abuse ◽

Elderly Person ◽

Sao Paulo ◽

Elderly Persons ◽

Main Diagnosis ◽

São Paulo ◽

Cross Sectional ◽

The City

Objectives : To characterize the population of elderly people who have suffered physical and sexual violence, and describe the features of this aggression based on the Information System for Violence and Injury Surveillance (ISVIS) of the Municipal Health Department of the city of São Paulo. Method : A cross-sectional, retrospective study was performed of all cases of elderly victims of physical and sexual violence reported in São Paulo in 2013. Results : A total of 602 cases of elderly victims of physical abuse were reported, of which 52.3% were male. In the same period there were ten reported cases of elderly victims of sexual assault, 90% of whom were female. The main diagnosis of injury was head trauma (33.2%) and 65.0% of victims were discharged from hospital immediately. Conclusion : Physical abuse with the use of physical force was higher among male elderly persons, and sexual assault was higher among women. Most of the attacks took place at the residence of the elderly person, and were committed by family members.

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Anemia and dementia among the elderly: the São Paulo Ageing & Health Study

International Psychogeriatrics ◽

10.1017/s1041610211001724 ◽

2011 ◽

Vol 24 (1) ◽

pp. 74-81 ◽

Cited By ~ 13

Author(s):

Itamar S. Santos ◽

Márcia Scazufca ◽

Paulo A. Lotufo ◽

Paulo R. Menezes ◽

Isabela M. Benseñor

Keyword(s):

Low Income ◽

Univariate Analysis ◽

The Elderly ◽

Sao Paulo ◽

Health Study ◽

São Paulo ◽

Total Blood ◽

Cross Sectional ◽

The Relationship ◽

Life Function

ABSTRACTBackground: Anemia and dementia are common diseases among the elderly, but conflicting data are available regarding an association between these two conditions. We analyzed data from the São Paulo Ageing & Health Study to address the relationship between anemia and dementia.Methods: This cross-sectional observational study included participants aged 65 years and older from a deprived area of the borough of Butantan, São Paulo, Brazil. Data about demographics, education, income, and cognitive and daily life function were collected, as well as blood samples. Anemia and dementia were defined according to WHO and DSM-IV criteria, respectively.Results: Of the 2267 subjects meeting the inclusion criteria, 2072 agreed to participate in the study; of whom 1948 had a valid total blood count and were included in the analysis. Anemia was diagnosed in 203 (10.2%) participants and dementia in 99 (5.1%). The frequency of anemia was higher in patients with dementia according to univariate analysis (odds ratio (OR) = 2.00, 95% confidence interval (CI) = 1.17–3.41, p = 0.01), but this association was not present after adjusting for age (OR = 1.33, 95% CI = 0.76–2.33, p = 0.32). Further multivariate adjustment did not change the results.Conclusion: Although anemia and dementia are frequent disorders in older people, we found their relationship to be mediated exclusively by aging in this low-income population from São Paulo.

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Cerebrovascular diseases mortality in the elderly in the state of São Paulo

10.5327/1516-3180.417 ◽

2021 ◽

Author(s):

Isaac Rêgo Purificação ◽

Allêh Kauãn Santos Nogueira ◽

Matheus Araújo de Souza ◽

Camila de Almeida Costa Alencar ◽

Sancha Mohana Brito Goes Rios

Keyword(s):

Age Groups ◽

The Elderly ◽

Cross Sectional Study ◽

Cerebrovascular Diseases ◽

Sao Paulo ◽

Primary Objective ◽

The State ◽

São Paulo ◽

Cross Sectional ◽

Lack Of Information

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.

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The Prevalence of Headache Among Elderly in a Low-Income Area of São Paulo, Brazil

Cephalalgia ◽

10.1111/j.1468-2982.2007.01507.x ◽

2008 ◽

Vol 28 (4) ◽

pp. 329-333 ◽

Cited By ~ 20

Author(s):

IM Benseñor ◽

PA Lotufo ◽

AC Goulart ◽

PR Menezes ◽

M Scazufca

Keyword(s):

Low Income ◽

International Headache Society ◽

The Elderly ◽

Cross Sectional Study ◽

Sao Paulo ◽

Tension Type Headache ◽

São Paulo ◽

Cross Sectional ◽

Migraine Headaches ◽

Type Headache

There are scarce data about headache prevalence and its characteristics among elderly people. The aim was to carry out a cross-sectional study to determine the 1-year prevalence of tension-type and migraine headaches in people >65 years old in the city of São Paulo, Brazil. All 1615 people living in the study catchment area who agreed to participate in the study answered a questionnaire based in the International Headache Society criteria. Prevalence (mean and 95% confidence interval) of any type of headache in the last year was 45.6% (43.2, 48.0). Prevalence of tension-type headache in the last year was 33.1% (30.8, 35.4): 28.1% (24.6, 31.6) for men and 36.4% (33.4, 39.4) for women; for migraine headaches, prevalence in the last year was 10.6% (9.1, 12.1): 5.1% (3.4, 6.8) for men and 14.1% (11.9, 16.3) for women. One-year prevalence rates of headaches, and especially of migraine headaches, are very high among the elderly in Brazil.

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Prevalence and Correlates of Physical Disability and Functional Limitation among Elderly Rural Population in Nigeria

Journal of Aging Research ◽

10.4061/2011/369894 ◽

2011 ◽

Vol 2011 ◽

pp. 1-13 ◽

Cited By ~ 6

Author(s):

I. S. Abdulraheem ◽

A. R. Oladipo ◽

M. O. Amodu

Keyword(s):

Physical Disability ◽

Assessment Tool ◽

Functional Limitations ◽

Functional Limitation ◽

Sampling Technique ◽

Female Gender ◽

The Elderly ◽

Elderly Persons ◽

Cross Sectional ◽

Increased Risk

Background. The number of people surviving into old age is increasing, and it has now become a global phenomenon. Studies on the prevalence and correlates of physical disability and functional limitation among elderly Nigerians are scanty.Methodology. This is a community-based cross-sectional study conducted in 3 local government areas (LGAs) in Nigeria, using a multistage sampling technique. Functional limitations of 1824 elderly persons were tested using Tinetti performance-oriented mobility assessment tool (TPOMAT) and self-reported activities of daily living (ADL). ADL disability of ten, six, and five basic items were compared.Results. The prevalence ratios (PRs) of physical disability using the ten, six, and five basic ADL items were 28.3 (95% CI 25.2–31. 5), 15.7 (95% CI 13.4–19.8), and 12.1 (95% CI 9.8–15.3), respectively, while functional limitation was 22.5 (95% CI 18.1–24.4). Increased risk of disability was independently associated with female gender PR 3.6 (95% CI 1.5–7.4), advanced age ≥75 years; PR 22.2 (95% CI 14.5, 36.8), arthritis PR 3.7 (95% CI 2.6–4.6), stroke PR 4.8 (95% CI 3.7–7.9) and diabetes PR 6.1 (95% CI 4.3–7.1).Conclusions. The findings from this study are pointers to unmet needs of the elderly disabled Nigerians.

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