The role of food processing in the inflammatory potential of diet during pregnancy
ABSTRACT The aim was to investigate the relationship between the energy contribution (E%) of foods according to the degree of industrial processing and the energy-adjusted dietary inflammatory index (E-DII) in pregnancy. Two 24-hour dietary recalls were obtained from each of the 784 pregnant women. Adjusted linear regression models allowed observing an inverse association between E-DII scores and E% from minimally processed foods β = -0.049 (95%CI -0.055 – -0.042) and a direct association with the E% of ultra-processed foods β = 0.052 (95%CI 0.045 – 0.058), indicating a relationship between the dietary inflammator...
Source: Revista de Saude Publica - December 20, 2019 Category: International Medicine & Public Health Source Type: research
Social participation in the health technology incorporation process into Unified Health System
CONCLUSIONS Several actions to foster social participation were developed over the analyzed period, but they need to be evaluated in order to maintain or improve them. In addition, there is a need for more qualified social participation in the various existing spaces, including those prescribed by law.RESUMO OBJETIVO Descrever o atual processo de participa ção social na incorporação de tecnologias em saúde no Brasil, no contexto do Sistema Único de Saúde (SUS). MÉTODOS Realizou-se um estudo descritivo baseado na análise de registros oficiais das ações da Comissão Nacional de Incorporação de Tecnologias no ...
Source: Revista de Saude Publica - December 20, 2019 Category: International Medicine & Public Health Source Type: research
Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil
CONCLUSIONS The study highlights the expansion of access and use of primary health care services in the northeast region after the implementation of the Mais M édicos (More Doctors) Program. Between April 2013 and September 2015, the coverage of family health teams and the production of medical appointments increased, constituting important achievements for SUS.RESUMO OBJETIVO Avaliar a influ ência do programa Mais Médicos no desempenho da atenção primária à saúde pelo dimensionamento do acesso e da utilização de serviços de saúde na região Nordeste, baseado no porte populacional dos municípios, no investi...
Source: Revista de Saude Publica - December 9, 2019 Category: International Medicine & Public Health Source Type: research
Association between social conditions and oral health in school failure
CONCLUSION Oral disorders and social factors were associated with school failure in adolescents. A successful school trajectory was a strong determinant of health, therefore actions between the educational and health sectors must be developed for adolescents, especially those with this profile. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - December 9, 2019 Category: International Medicine & Public Health Source Type: research
Tooth loss in adults: factors associated with the position and number of lost teeth
CONCLUSION The proposed classification allowed the identification of differences between the associated factors. Thus, the need to consider such classification in future studies is evident.RESUMO OBJETIVO Avaliar os fatores associados à perda dentária em adultos a partir da posição e do número de dentes perdidos nos arcos dentários. MÉTODOS Estudo transversal, populacional, com adultos participantes do levantamento epidemiológico de saúde bucal de São Paulo em 2015. O desfecho do estudo foi a perda dentária, avaliada pela classificação proposta, a saber: I) perdeu até 12 dentes posteriores; II) perdeu a...
Source: Revista de Saude Publica - December 9, 2019 Category: International Medicine & Public Health Source Type: research
How important is school environment in explaining individual variance of health behaviors?
ABSTRACT We analyzed data from the National School-based Health Survey (PeNSE) carried out in Brazil in 2015 (n = 102,072 adolescents) to estimate how much of the individual variance in the prevalence of health behaviors is attributable to the school level. Multilevel logistic regression models were calculated to estimate the variance partitional coefficient (VPC) of the use of drugs, intake of unhealthy food, leisure physical activity and weight-related behaviors. The between-schools variance was significant in all tested models. The highest VPCs were observed when the use of drugs was analyzed (15%-20% of the total varia...
Source: Revista de Saude Publica - December 2, 2019 Category: International Medicine & Public Health Source Type: research
Interventions for the prevention of risk factors and incidence of type 2 diabetes in the work environment: a systematic review
CONCLUSIONS The effectiveness of lifestyle interventions for the prevention of type 2 diabetes should be based on structured programs with proven effectiveness and adapted to the workplace, with employer participation in the provision of schedules and work environments.RESUMEN OBJETIVO Evaluar la efectividad de las intervenciones para la prevenci ón de factores de riesgo e incidencia de diabetes tipo 2 en población empleada. MÉTODOS Revisión sistemática sobre intervenciones dirigidas a población empleada adulta en riesgo de diabetes tipo 2 publicadas en Medline, Embase, Web of Science, Registro Central Cochrane de...
Source: Revista de Saude Publica - December 2, 2019 Category: International Medicine & Public Health Source Type: research
Effect of the Melhor em Casa program on hospital costs
CONCLUSIONS Based on the analyses, we observed that maintaining the program can effectively improve the management of public resources, since it reduced the hospitalization costs in the three years studied. The program reduced hospitalization costs of risk groups and also in situations that usually increase hospital costs such as lack of equipment and elective hospitalizations. Thus, it can be affirmed that the program can reduce hospitalization costs, especially in risk and more vulnerable groups, showing efficiency as a public policy.RESUMO OBJETIVO Verificar se o programa Melhor em Casa consegue reduzir gastos com as ...
Source: Revista de Saude Publica - December 2, 2019 Category: International Medicine & Public Health Source Type: research
Adiposity, depression and anxiety: interrelationship and possible mediators
CONCLUSIONS Depression, but not generalized anxiety disorder, is associated with adiposity in both directions, with a stronger evidence for the direction obesity-depression. Inflammation explains part of the effect of major depressive disorder on obesity but not the other way around. Further research should explore other mechanisms that could be involved in the association between obesity and depression. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - December 2, 2019 Category: International Medicine & Public Health Source Type: research
Factors associated with fetal macrosomia
CONCLUSIONS Within this cohort, pre-pregnancy BMI, excess weight gain in pregnancy, and the presence of gestational diabetes were associated with an increased risk of neonatal macrosomia. pre-pregnancy BMI and weight gain in pregnancy are modifiable risk factors that are responsive to nutrition interventions, which can minimize adverse perinatal outcomes.ABSTRACT OBJETIVO Analizar factores cl ínicos y ganancia de peso en gestantes y su asociación con la macrosomía fetal. MÉTODOS Estudio de casos y controles a partir de registros secundarios de información en una institución pública en Antioquia, Colombia, entre 2...
Source: Revista de Saude Publica - December 2, 2019 Category: International Medicine & Public Health Source Type: research
Effectiveness of the Mobile Emergency Medical Services (SAMU): use of interrupted time series
CONCLUSIONS Although the analysis of interrupted time series has limitations, this modeling can be useful for analyzing the performance of policies and programs. Even though the intervention studied is not a condition that in itself implies effectiveness, the latter would not be present without the former, which, integrated with other conditions, generates a positive result. SAMU is a strategy that must be expanded when formulating and consolidating policies focusing on emergency care.RESUMO OBJETIVO Avaliar o desempenho do servi ço de atendimento móvel de urgência (Samu) na região do Grande ABC, utilizando como cond...
Source: Revista de Saude Publica - December 2, 2019 Category: International Medicine & Public Health Source Type: research
Public open spaces and physical activity: disparities of resources in Florianópolis
CONCLUSIONS: Census tracts with higher proportions of children or adolescents, non-white individuals and those in the low-income strata had lower odds of containing public open spaces and physical activity facilities. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - November 29, 2019 Category: International Medicine & Public Health Source Type: research
Horizon scanning in Brazil: outputs and repercussions
CONCLUSIONS: The developed outputs have purposes ranging from helping build arguments for defense of the MH in cases of health judicialization to inform decision-making processes. In addition, HS sections in recommendation reports have grown in importance recently. CONITEC ’ s HS system has been structured, and its role as a tool to inform health managers has shown to be been relevant.RESUMO OBJETIVO: Descrever os quatro tipos de produtos de monitoramento do horizonte tecnol ógico (MHT) elaborados no âmbito da Comissão Nacional de Incorporação de Tecnologias no Sistema Único de Saúde (Conitec) e apresentar suas p...
Source: Revista de Saude Publica - November 29, 2019 Category: International Medicine & Public Health Source Type: research
Differentiated thyroid carcinoma: a 5-years survival study at a referral hospital in Brazil
CONCLUSIONS: This cohort had a very high survival over a 5-year period. The prognosis was negatively influenced by age, distant metastasis and lymphadenectomy, whereas radioiodine therapy was found to be protective. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - November 29, 2019 Category: International Medicine & Public Health Source Type: research
Developing a deprivation index to study geographical health inequalities in Ecuador
CONCLUSIONS: We constructed a deprivation index that can identify disadvantaged areas in Ecuador. This index could be a valuable tool for the detection of vulnerabilised populations and the development of interventions and policies adapted to local needs. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - November 29, 2019 Category: International Medicine & Public Health Source Type: research
