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

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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Cerebrovascular diseases mortality in young adults in the state of São Paulo

10.5327/1516-3180.415 ◽

2021 ◽

Author(s):

Isaac Rêgo Purificação ◽

Allêh Kauãn Santos Nogueira ◽

Matheus Araújo de Souza ◽

João Vitor Lopes Lima ◽

Douglas Mateus Pereira Jorge ◽

...

Keyword(s):

Young Adults ◽

The Elderly ◽

Cross Sectional Study ◽

Cerebrovascular Diseases ◽

Sao Paulo ◽

Primary Objective ◽

The State ◽

São Paulo ◽

Cross Sectional ◽

Epidemiological Profile

Background: The incidence of Cerebrovascular Diseases (CVD) increases significantly with age, being more frequent in the elderly. For this reason, there are still few studies that describe the epidemiological profile of these pathologies in youn g adults. Methods and Objective: From the data collected prospectively and allocated on the TabNet platform (DataSUS, MS), an observational, descriptive and cross-sectional study was carried out. As a primary objective, we seek to describe the demographic information most associated with CVD mortality in individuals between 20 and 49 years old, in São Paulo. Results: The year 2011 emerged in relation to mortality, with 1,432 deaths; in the 2010- 2019 period, the average number of deaths (± standard deviation [SD]) was 1,318 (± 61), per year. In this period, the number of deaths was higher in the capital (4,605; 34.9% of the total in the state). The mean deaths (± SD), per year, in the capital and in the interior cities were, respectively: 442 (± 58) and 2.4 (± 6.2). People with schooling from 4 to 7 years old and from 8 to 11 years old were the most affected. The ratio of male deaths to female deaths was 1.05. Conclusion: There is relative stability in relation to mortality per year among young adults in the state of SP, the capital being the city with the highest number of deaths. Male individuals, with a medium level of education were responsible for most of the deaths.

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Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.170062 ◽

2017 ◽

Vol 20 (5) ◽

pp. 679-690 ◽

Cited By ~ 1

Author(s):

Isabel Cristina Aparecida Stefano ◽

Lucieni Oliveira Conterno ◽

Carlos Rodrigues da Silva Filho ◽

Maria José Sanches Marin

Keyword(s):

Descriptive Analysis ◽

Family Health ◽

The Elderly ◽

Cross Sectional Study ◽

Sao Paulo ◽

The State ◽

São Paulo ◽

Cross Sectional ◽

Family Health Strategy ◽

And Storage

Abstract Objective: To describe the prescribing, dispensing, use, adhesion, and storage of medicines to and by the elderly. Method: A descriptive cross-sectional study was performed in Estratégia Saúde da Família (Family Health Strategy) health centers (ESF), in Marília in the state of São Paulo, Brazil, based on the records of and interviews with 114 individuals seven to ten days after a medical consultation. A descriptive analysis was carried out. Results: The mean number of prescribed drugs was 4.98 per elderly patient. Of the total number of prescribed drugs, 81.5% were supplied by public services, with the nutrient (50%); antilipemic (62.1%); analgesic (30.7%); dermo-protector (66.6%); herbal (40%) and parasite and antifungal (37.5%) classes dispensed the least. A total of 83.8% of the prescribed drugs were used, while the drugs dispensed at the lowest rates were not used by the elderly, except for analgesics. A total of 40.3% of the respondents exhibited low adherence. Most stored their medicines in a suitable place. Conclusion: The prescribing, dispensing, use and storage of medications to and by the elderly can be considered effective, but adherence remains low, requiring new strategies and interventions.

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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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A cross-sectional study of swine influenza in intensive and extensive farms in the northeastern region of the state of São Paulo, Brazil

Tropical Animal Health and Production ◽

10.1007/s11250-016-1153-z ◽

2016 ◽

Vol 49 (1) ◽

pp. 25-30 ◽

Cited By ~ 5

Author(s):

Henrique Meiroz de Souza Almeida ◽

Gabriel Yuri Storino ◽

Daniele Araújo Pereira ◽

Igor Renan Honorato Gatto ◽

Luis Antonio Mathias ◽

...

Keyword(s):

Swine Influenza ◽

Cross Sectional Study ◽

Sao Paulo ◽

The State ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

Northeastern Region

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Demographic and cardiovascular risk factors associated with drug use in truck drivers in the state of São Paulo: A cross-sectional study.

10.21203/rs.3.rs-21248/v2 ◽

2020 ◽

Author(s):

Mariana Moura Pereira ◽

Antonio Padua Mansur ◽

Julio Yoshio Takada ◽

Vilma Leyton

Keyword(s):

Risk Factors ◽

Alcohol Consumption ◽

Illicit Drugs ◽

Cross Sectional Study ◽

Sao Paulo ◽

The State ◽

Truck Drivers ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional

Abstract Background: The irregular routine of truck drivers favors the development of chronic noncommunicable diseases (NCDs), especially cardiovascular diseases (CVDs), which can be exacerbated by the use of illicit drugs. Methods: A cross-sectional study was carried out with data from 2,071 truck drivers who traveled through the state of São Paulo between 2010 and 2016. Socioeconomic and occupational variables, risk factors for CVD, use of illicit drugs were analyzed. Clinical and toxicological tests were also carried out. Results: The average age of the truck drivers was 42.27 ± 11.07 years, and the use of illicit drugs, at least once while working, was reported or detected in 388 (18.7%) drivers. Compared to non-users, drug users were younger (37.25 ± 9.45 vs. 43.43 ± 11.1 years; p <0.001) and single (43.3% vs. 28.4%; p <0.001). The independent variables age [OR = 0.93 (95% CI: 0.91 - 0.95; p<0.001)], smoking [OR = 2.18 (95% CI: 1.39 - 3.44; p = 0.001)], alcohol consumption [OR = 1.626 (95% CI: 1.06 - 2.49; p = 0.026)] and hours of driving per day [OR = 1.08 (95% CI: 1.01 - 1.15; p = 0.012)] were also associated with the use of illicit drugs. Conclusion: The use of illicit drugs was higher in young and single drivers and was associated with a higher prevalence of smoking, alcohol consumption and more driving hours, which are risk factors for NCDs, CVD and traffic accidents.

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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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The effect of air pollutants on birth weight in medium-sized towns in the state of São Paulo

Revista Paulista de Pediatria ◽

10.1590/s0103-05822014000400005 ◽

2014 ◽

Vol 32 (4) ◽

pp. 306-312 ◽

Cited By ~ 1

Author(s):

Veridiana de Paula Santos ◽

Andréa Paula Peneluppi de Medeiros ◽

Thaiza Agostini Córdoba de Lima ◽

Luiz Fernando Costa Nascimento

Keyword(s):

Birth Weight ◽

Air Pollutants ◽

Cross Sectional Study ◽

Sao Paulo ◽

Maternal Exposure ◽

The State ◽

Air Pollutant ◽

São Paulo ◽

Cross Sectional ◽

Unified Health System

OBJECTIVE: To investigate the effect of air pollution on birth weight in a medium-sized town in the State of São Paulo, Southeast Brazil.METHODS: Cross-sectional study using data from live births of mothers residing in São José dos Campos from 2005 to 2009. Data was obtained from the Department of Information and Computing of the Brazilian Unified Health System. Air pollutant data (PM10, SO2, and O3) and daily averages of their concentrations were obtained from the Environmental Sanitation & Technology Company. Statistical analysis was performed by linear and logistic regressions using the Excel and STATA v.7 software programs.RESULTS: Maternal exposure to air pollutants was not associated with low birth weight, with the exception of exposure to SO2 within the last month of pregnancy (OR=1.25; 95% CI=1.00-1.56). Maternal exposure to PM10 and SO2 during the last month of pregnancy led to lower weight at birth (0.28g and 3.15g, respectively) for each 1mg/m3 increase in the concentration of these pollutants, but without statistical significance.CONCLUSIONS: This study failed to identify a statistically significant association between the levels of air pollutants and birth weight, with the exception of exposure to SO2 within the last month of pregnancy.

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Demographic and cardiovascular risk factors associated with drug use in truck drivers in the state of Sao Paulo, Brazil: A cross-sectional study.

10.21203/rs.3.rs-21248/v3 ◽

2020 ◽

Author(s):

Mariana Moura Pereira ◽

Antonio Padua Mansur ◽

Julio Yoshio Takada ◽

Vilma Leyton

Keyword(s):

Risk Factors ◽

Alcohol Consumption ◽

Illicit Drugs ◽

Cross Sectional Study ◽

Sao Paulo ◽

The State ◽

Truck Drivers ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional

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Mix of destinations and sedentary behavior among Brazilian adults: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-020-10123-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alex Antonio Florindo ◽

Gavin Turrell ◽

Leandro Martin Totaro Garcia ◽

João Paulo dos Anjos Souza Barbosa ◽

Michele Santos Cruz ◽

...

Keyword(s):

Built Environment ◽

Sedentary Behavior ◽

Latin American ◽

Cross Sectional Study ◽

Sao Paulo ◽

Sitting Time ◽

São Paulo ◽

Related Factors ◽

Cross Sectional ◽

Economies In Transition

Abstract Background Sedentary behavior is influenced by contextual, social, and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods This study uses data from the Health Survey of Sao Paulo. Sedentary behavior was assessed by a questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. The mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500 m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and the mix of destinations score in 500 m buffers was the exposure variable. Associations between the mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results After adjustment for covariates, the mix of destinations was inversely associated with minutes of sitting time on a weekday (β=− 8.8, p=0.001) and weekend day (β=− 6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion Greater mix of destinations within 500 m of peoples’ residences was inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.

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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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