RESUMO
Introduction: Hypertension is one of the main concerns in public health, since it is related with increased morbidity, and potential years of life lost in addition to loss of quality of life. This study aimed to assess: (1) the distribution of indicators of life course SEP in a cohort of Colombian patients with hypertension and (2) to assess the association of life course SEP and control of hypertension among this cohort of patients. Methods: Data were obtained using the baseline survey of 258 patients from the Social Determinants and Inequities in the Control of Blood Hypertension Program (ProDSICHA). Mother occupation and housing conditions were measured with the Event History Calendar. Mother educational level was measured with the questionnaire developed by the Project on Ethnicity and Race in Latin America (PERLA). Socioeconomic position during adulthood was measured using education, occupation, and income level based in the MacArthur Network. Results: The group with a higher lifelong social position and the group of lower lifelong social position showed better control of hypertension (OR = 1.21; p <0.05; OR = 1.33; p < .05, respectively) compared to those whose social position throughout life varied the most. No statistical differences were found in the relations between single lifetime social position variables, and hypertension control in the three time points analyzed. Discussion: These findings warrant further research to deeper our understanding on the role of a multidimensional and cumulative approach of social position in hypertension control.
Assuntos
Hipertensão , Humanos , Feminino , Masculino , Estudos Prospectivos , Colômbia , Estudos Longitudinais , Adulto , Pessoa de Meia-Idade , Adolescente , Classe Social , Criança , Fatores Socioeconômicos , Inquéritos e QuestionáriosRESUMO
BACKGROUND: Fatigue is a frequent symptom in cancer patients. In Europe and Northern America fatigue questionnaires were developed and tested, but their generalizability to other cultural contexts is largely unknown. The aim of this study is to provide normative values for the Multidimensional Fatigue Inventory (MFI-20) based on a representative sample of the general population in Colombia and to test psychometric properties. METHODS: 1,500 individuals completed a questionnaire that contained the MFI-20, as well as other questionnaires, and questions on sociodemographic variables and chronic diseases. RESULTS: The mean values of the scales were marginally higher than those for 2 European samples. The mean value of the total score was 44.3 ± 14.1. Women were affected by fatigue more than men, and there was an almost linear age trend, with higher mean scores for older subjects. People with chronic diseases were affected by fatigue more than people without chronic conditions. The best psychometric properties were obtained for the total scale (sum score) of the MFI-20. CONCLUSION: The normative values presented here can help us to assess the individual burden of fatigue in a Latin American context. Psychometric properties of the MFI-20 in Colombia are similar to those obtained in Europe.
Assuntos
Doença Crônica/epidemiologia , Fadiga/diagnóstico , Fadiga/epidemiologia , Psicometria/métodos , Inquéritos e Questionários , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Doença Crônica/psicologia , Colômbia/epidemiologia , Fadiga/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Psicometria/normas , Psicometria/estatística & dados numéricos , Valores de Referência , Fatores de Risco , Adulto JovemRESUMO
INTRODUCTION: Non-communicable diseases are the leading cause of death worldwide and physical activity is a key preventive strategy to reduce them. There is a relationship between the built environment and the practice of physical activity, but little evidence as to whether those built environment interventions not initially designed for promoting physical activity actually have an impact on promoting the behavior. OBJECTIVE: To identify whether such built environment interventions were able to change physical activity in adults. MATERIALS AND METHODS: We conducted a systematic review of interventions targeting modifications to the built environment changes in urban areas. RESULTS: Out of 5,605 articles reviewed, only seven met our inclusion criteria. The seven studies found higher levels of physical activity after the interventions. CONCLUSIONS: We recommend greater specificity regarding the study design, the timeline of interventions implementation and post-intervention measurements, as well as the use of more objective measures. Finally, we point out the need to make more explicit the mechanisms of change related to the interventions assessed.
Introducción. Las enfermedades no transmisibles son la principal causa de muerte en todo el mundo y la actividad física es una estrategia preventiva clave para reducirlas. Hay una relación entre el entorno construido y la práctica de actividad física, pero poca evidencia de si las intervenciones no diseñadas en principio para promoverla, realmente tienen un impacto en ese sentido. Objetivo. Determinar si tales intervenciones en el entorno urbano pudieron cambiar la práctica de actividad física en adultos. Materiales y métodos. Se hizo una revisión sistemática de las intervenciones que apuntaban a modificar el entorno construido en zonas urbanas. Resultados. De 5.605 artículos considerados, solo siete cumplieron con nuestros criterios de inclusión y en todos ellos aumentó la actividad física después de la intervención. Conclusiones. Se recomienda que el diseño del estudio, el cronograma de implementación de las intervenciones y las mediciones posteriores sean más específicas, de manera que las medidas obtenidas sean más objetivas. Asimismo, se argumenta la necesidad de hacer más explícitos los mecanismos de cambio relacionados con las intervenciones evaluadas.
Assuntos
Ambiente Construído , Exercício FísicoRESUMO
This study aimed to assess the relationships between socioeconomic position, perceived stress and Health Related Quality of Life (HRQoL) of patients with hypertension. Data were obtained using the baseline survey of 258 patients from the Social Determinants and Inequities in the Control of Blood Hypertension Program (ProDSICHA). HRQoL was measured with SF-8 Health Survey. Socioeconomic position was measured using education, and the MacArthur Scale. Stress was measured with Perceived Stress Scale. A higher educational level was associated with a higher perception of stress (Coeff = 0.78, p = 0.019). Also, a lower position in the community was associated with a higher perception of stress (Coeff = -0.56, p = 0.027). A higher level of perceived stress was associated with a higher level of mental health (Coeff = 0.64, p = 0.000). No statistical differences were found in the relations between socioeconomic position and physical HRQoL. These findings warrant further research to understand the role of socioeconomic position in physical HRQoL.
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This cohort study describes the evolution of resting energy expenditure (REE), respiratory quotient (RQ), and adiposity in infants recovering from corrective surgery of major congenital gastrointestinal tract anomalies. Energy and macronutrient intakes were assessed. The REE and RQ were assessed by indirect calorimetry, and fat mass index (FMI) was assessed by air displacement plethysmography. Longitudinal variations over time are described. Explanatory models for REE, RQ, and adiposity were obtained by multiple linear regression analysis. Twenty-nine infants were included, 15 born preterm and 14 at term, with median gestational age of 35.3 and 38.1 weeks and birth weight of 2304 g and 2935 g, respectively. In preterm infants, median REE varied between 55.7 and 67.4 Kcal/kg/d and median RQ increased from 0.70 to 0.86-0.92. In term infants, median REE varied between 57.3 and 67.9 Kcal/kg/d and median RQ increased from 0.63 to 0.84-0.88. Weight gain velocity was slower in term than preterm infants. FMI, assessed in a subset of 15 infants, varied between a median of 1.7 and 1.8 kg/m2 at term age. This low adiposity may be related to poor energy balance, low fat intakes, and low RQ¸ that were frequently recorded in several follow-up periods.
Assuntos
Adiposidade/fisiologia , Ingestão de Alimentos/fisiologia , Metabolismo Energético/fisiologia , Trato Gastrointestinal/anormalidades , Trato Gastrointestinal/cirurgia , Recuperação de Função Fisiológica/fisiologia , Respiração , Descanso/fisiologia , Distribuição da Gordura Corporal , Estudos de Coortes , Gorduras na Dieta , Feminino , Trato Gastrointestinal/metabolismo , Trato Gastrointestinal/fisiopatologia , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Masculino , Aumento de PesoRESUMO
Physical inactivity is one of the major public health problems worldwide. Community-based interventions have been pointed out as a promising strategy to increase physical activity (PA) levels and impact population health. Recreovía is a community program with a potential to promote PA. There is growing evidence for two benefits derived from the practice of PA: an increased perception of health-related quality of life (HRQoL) and life satisfaction (LS). The purpose of this study was to assess differences between leisure-time PA and perceptions of both HRQoL and LS, as well as to assess differences between perceptions of both HRQoL and LS for Recreovía and non-Recreovía participants. Data were obtained using the baseline cross-sectional survey of 1533 participants (501 belonged to the intervention group) as part of the natural experiment Al Ritmo de las Comunidades. HRQoL was measured with the European Organization for Research and Treatment of Cancer 30-item questionnaire, LS was measured with Questions on Life Satisfaction Scale, and self-reported minutes of leisure-time PA were measured with the long version of the International Physical Activity Questionnaire. The mean age of participants was 41.7 years (standard deviation (SD) = 16.3). The participants had a good overall HRQoL and LS. The mean minutes of leisure-time PA were 158.1 min (SD = 230.2) a week. Results showed that those participants who reported higher leisure-time PA levels also reported a significantly higher LS (M = 41.9, SD = 35.0) relative to participants with lower levels (M = 37.6, SD = 34.2, t(1532) = -2.36, p < 0.01). There were no statistical differences in the perception of HRQoL and leisure-time PA (t(1532) = -1.03, p = 0.30), although active people had higher scores. Both HRQoL and LS scores were higher in individuals who were participating in Recreovía (p < 0.001). Higher LS scores were found in the group with higher leisure-time PA, while HRQoL showed no differences. Better psychological well-being indices were found in the Recreovía group.
Assuntos
Exercício Físico/fisiologia , Atividades de Lazer , Satisfação Pessoal , Qualidade de Vida , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Colômbia/epidemiologia , Estudos Transversais , Exercício Físico/psicologia , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Comportamento Sedentário , Inquéritos e Questionários , Adulto JovemRESUMO
Background/Objective: The purpose of this study was to examine quality of life (QoL) in breast cancer patients from Colombia and to explore the relationship between QoL, habitual optimism, and social support. Method: A sample of 95 breast cancer patients treated in a hospital in Bogotá were administered the QoL instrument EORTC QLQ-C30 and the Life Orientation Test LOT-R. Additionally, they were asked to indicate from whom (physicians, friends, nurses, etc.) they wished and received social support. Reference data for the EORTC QLQ-C30 and the LOT-R were taken from a representative sample of the general Colombian population. Results: The breast cancer patients showed detriments to their QoL on most functioning scales and symptom scales of the EORTC QLQ-C30, while their general assessments of health and QoL were not worse than those of the controls. Optimism was positively correlated with QoL. Most patients wanted and received social support from their physicians and friends/family. Conclusions: The results suggest that optimism helps patients better cope with disease. A general assessment of global QoL cannot replace the more specific assessments of the functioning domains and symptoms.
Antecedentes/Objetivo: El objetivo del estudio fue examinar la calidad de vida (QoL, por sus siglas en inglés) en pacientes con cáncer de mama colombianas, y explorar la asociación entre calidad de vida, optimismo disposicional y apoyo social. Método: Se entrevistó una muestra de 95 pacientes con cáncer de mama tratadas en un hospital de Bogotá y les fue aplicado el instrumento de medición de calidad de vida EORTC QLQ-C30 y el test de orientación ante la vida (LOT-R). Adicionalmente, se preguntó acerca de su apoyo social usando varias preguntas. Resultados: En la mayoría de las escalas de funcionamiento del EORTC QLQ-C30 y de las escalas de síntomas, las pacientes con cáncer mostraron detrimentos en su QoL, mientras en la evaluación general de calidad de vida y salud las medias de las pacientes no fueron más bajas que las de los controles. El optimismo estuvo positivamente correlacionado con la calidad de vida. La mayoría de las pacientes desearon y recibieron apoyo social de su médico y de sus amigos/familiares. Conclusiones: Los resultados sugieren que el optimismo ayuda a las pacientes a afrontar mejor la enfermedad. Una evaluación general de la QoL no parece poder sustituir la evaluación más específica de los síntomas y dominios de funcionamiento.
RESUMO
Introduction: Non-communicable diseases are the leading cause of death worldwide and physical activity is a key preventive strategy to reduce them. There is a relationship between the built environment and the practice of physical activity, but little evidence as to whether those built environment interventions not initially designed for promoting physical activity actually have an impact on promoting the behavior. Objective: To identify whether such built environment interventions were able to change physical activity in adults. Materials and methods: We conducted a systematic review of interventions targeting modifications to the built environment changes in urban areas. Results: Out of 5,605 articles reviewed, only seven met our inclusion criteria. The seven studies found higher levels of physical activity after the interventions. Conclusions: We recommend greater specificity regarding the study design, the timeline of interventions implementation and post-intervention measurements, as well as the use of more objective measures. Finally, we point out the need to make more explicit the mechanisms of change related to the interventions assessed.
Introducción. Las enfermedades no transmisibles son la principal causa de muerte en todo el mundo y la actividad física es una estrategia preventiva clave para reducirlas. Hay una relación entre el entorno construido y la práctica de actividad física, pero poca evidencia de si las intervenciones no diseñadas en principio para promoverla, realmente tienen un impacto en ese sentido. Objetivo. Determinar si tales intervenciones en el entorno urbano pudieron cambiar la práctica de actividad física en adultos. Materiales y métodos. Se hizo una revisión sistemática de las intervenciones que apuntaban a modificar el entorno construido en zonas urbanas. Resultados. De 5.605 artículos considerados, solo siete cumplieron con nuestros criterios de inclusión y en todos ellos aumentó la actividad física después de la intervención. Conclusiones. Se recomienda que el diseño del estudio, el cronograma de implementación de las intervenciones y las mediciones posteriores sean más específicas, de manera que las medidas obtenidas sean más objetivas. Asimismo, se argumenta la necesidad de hacer más explícitos los mecanismos de cambio relacionados con las intervenciones evaluadas.
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Exercício Físico , Ambiente Construído , Promoção da SaúdeRESUMO
Physical activity (PA) and nutrition are key health behaviors underlying the design and implementation of prevention strategies for non-communicable diseases (NCDs) in Latin America. Nevertheless, research still reports low prevalence of PA and fruit and vegetable consumption throughout the region. This paper aims at reviewing the ways in which models of behavior change theory have been applied in study development and implementation regarding nutrition and PA in Latin America. In August 2011 we conducted a systematic literature review of the behavior change studies that targeted such NCDs risk factors published until then. Out of 4279 surveyed abstracts, only 29 corresponded to articles that met our inclusion criteria. Twenty-six articles reported the application of behavior change theory, with the trans-theoretical model (n = 12) being the most frequently used. Other theories and models included the socio-ecological model (n = 4), cognitive theory (n = 3), social cognitive theory (n = 2) and theories related to health education and counseling (n = 5). Based on this review, we recommend that the application of behavior change theory be explicitly reported in Latin American peer-reviewed articles, and that outcome evaluations include behavior change constructs so as to better assess their contribution to the effectiveness of nutrition and PA interventions in the region. Furthermore, we state the need for a better understanding of the behavior change mechanisms that may be specific to the Latin American context.