Correlation between low handgrip strength and metabolic syndrome in older adults: a systematic review.

Muscle weakness has been associated to insulin resistance and metabolic syndrome in the general population. However, it is still unclear whether this association is maintained in older adults. This study investigated correlations between low handgrip strength (HGS) and metabolic syndrome, or some of its components, in older adults through a systematic review of the literature. Searches were conducted in the Virtual Health Library Regional Portal, Scopus, Cochrane, Embase, MEDLINE/ PubMed, SciELO, and Web of Science databases for relevant studiesinvestigating muscle weakness (measured by hand dynamometer) and metabolic syndrome or its components in older adult populations, published up to September 2023. From the 2050 references initially identified, 20 studies, comprising a total of 31,264 older adults of both genders, completely met the inclusion/exclusion criteria. Eighteen studies showed that lower HGS was associated with metabolic syndrome or some of its risk factors, such as abdominal obesity, hyperglycemia, insulin resistance, dyslipidemia, or high blood pressure. Two studies found that older men with high blood pressure had increased HGS. Most studies included in this systematic review revealed a significant correlation between reduced HGS and metabolic syndrome or some of its components, especially abdominal obesity and insulin resistance. We conclude that below-average HGS can be associated with metabolic syndrome in older adults.

Correlation between low handgrip strength and metabolic syndrome in older adults: a systematic review

ABSTRACT Muscle weakness has been associated to insulin resistance and metabolic syndrome in the general population. However, it is still unclear whether this association is maintained in older adults. This study investigated correlations between low handgrip strength (HGS) and metabolic syndrome, or some of its components, in older adults through a systematic review of the literature. Searches were conducted in the Virtual Health Library Regional Portal, Scopus, Cochrane, Embase, MEDLINE/PubMed, SciELO, and Web of Science databases for relevant studies investigating muscle weakness (measured by hand dynamometer) and metabolic syndrome or its components in older adult populations, published up to September 2023. From the 2050 references initially identified, 20 studies, comprising a total of 31,264 older adults of both genders, completely met the inclusion/exclusion criteria. Eighteen studies showed that lower HGS was associated with metabolic syndrome or some of its risk factors, such as abdominal obesity, hyperglycemia, insulin resistance, dyslipidemia, or high blood pressure. Two studies found that older men with high blood pressure had increased HGS. Most studies included in this systematic review revealed a significant correlation between reduced HGS and metabolic syndrome or some of its components, especially abdominal obesity and insulin resistance. We conclude that below-average HGS can be associated with metabolic syndrome in older adults.

Fatores relacionados à infecção por Klebsiella pneumoniae em um hospital privado / Factors related to infection by Klebsiella pneumoniae in a private hospital / Factores relacionados con la infección por Klebsiella pneumoniae en un hospital privado

Objective:To identify the prevalence of klebsiella pneumoniae and to analyze the factors related to the infection by this bacterium in a private hospital in northeastern Brazil. Method: descriptive retrospective documentary study, carried out with patients who developed infection in the year 2017 (n: 64). Sociodemographic and infection information was collected. The data was processed in SPSS 20.0. The project was approved by the ethics committee. Results: the most prevalent topographic site was the urinary tract (34; 56.7%). the main risk factor for triggering klebsiella pneumoniae infection was the use of mechanical ventilation, presenting a risk of 43.8% for the appearance of infections by this microorganism. Higher resistance was found for the piperacillin / tazobactam 52 antimicrobial (82.5%). Conclusion: because of the high resistance to antibiotics and the great potential of klebsiella contamination, measures should be taken to minimize the high level of contamination and, especially, the negative prognosis for the patient

Objetivo: Identificar a prevalência de Klebsiella pneumoniae e analisar os fatores relacionados à infecção por essa bactéria em hospital privado do nordeste brasileiro. Método: estudo descritivo retrospectivo documental, realizado com pacientes que desenvolveram infecção no ano de 2017 (n:64). Coletou-se informações sociodemográficas e referentes a infecção. Os dados foram processados no SPSS 20.0. O projeto foi aprovado pelo comitê de ética. Resultados: o sítio topográfico mais prevalente foi o trato urinário (34;56,7%). o principal fator de risco para desencadear infecção por Kebsiella pneumoniae foi a utilização de ventilação mecânica, apresentando risco de 43,8% para o aparecimento de infecções por esse microrganismo. Maior resistência foi encontrada para o antimicrobiano piperacilina/tazobactam 52 (82,5%). Conclusão: pela alta resistência aos antibióticos e o grande potencial de contaminação da klebsiella, medidas devem ser adotadas para minimizar o alto nível de contaminação e, principalmente do prognóstico negativo para paciente

Objetivo: Identificar la prevalencia de klebsiella pneumoniae y analizar los factores relacionados con la infección por esta bacteria en un hospital privado en el noreste de Brasil. Método: estudio descriptivo retrospectivo, realizado con pacientes que desarrollaron infección en el año 2017 (n: 64). Se recogió información sociodemográfica y de infección. Los datos fueron procesados en SPSS 20.0. El proyecto fue aprobado por el comité de ética. Resultados: el sitio topográfico más prevalente fue el tracto urinario (34; 56,7%). El principal factor de riesgo para desencadenar la infección por Klebsiella pneumoniae fue el uso de ventilación mecánica, que presenta un riesgo del 43.8% por la aparición de infecciones por este microorganismo. Se encontró una mayor resistencia para el antimicrobiano piperacilina / tazobactam 52 (82.5%). Conclusión: debido a la alta resistencia a los antibióticos y al gran potencial de contaminación por klebsiella, se deben tomar medidas para minimizar el alto nivel de contaminación y, especialmente, el pronóstico negativo para el paciente

A nova história cultural como proposta metodológica para pesquisas no campo da história da enfermagem / Nueva historia cultural como la investigación metodológica propuesta en el campo de la historia de la enfermería / The new cultural history as a methodology proposed for research in the nursing history field

Objective: the study’s goal has been to discuss the use of the New Cultural History as a methodology for analysis of nursing practices and behaviors related to printed materials. Methods: It is descriptive research with qualitative approach, which is derived from the reflection on the theoretical and methodological advances defended by the historian Roger Chartier in the Cultural History field. In order to establish links between the New Cultural History, which was proposed by the historian, and the Nursing History, it was reviewed 2 Doctoral Theses and 3 Master Theses produced at the Laboratory of Scientific Approaches in the Nursing History. Results: The studies showed that the methodological approach proposed by Chartier is based on the intimate relationship between representations and the effects produced by its appropriations. Conclusion: The printed text can suit different forms, and then may gain status of a document-object for the study of cultural history by allowing them to bring back an object, concept or missing person by replacing it with an image capable of representing them adequately.

Meta: discutir el uso de la nueva historia cultural como un método para el análisis de las prácticas de enfermería y costumbres relacionadas con los materiales impresos. Método: Cualitativa descriptiva, a partir de la reflexión sobre los avances teóricos y metodológicos defendidas por Chartier en el campo de la historia cultural. Establecer vínculos entre la nueva historia cultural, propuesto por el historiador , y la Historia de la Enfermería se plantearon 02 tesis y 03 dissertaciones producidas por Laboratorio de Ciencia de abordaje en la historia Enfermagem – LACENF/UNIRIO. Resultado: Los estudios apuntaron que la metodología propuesta por Chartier está pautada en la íntima relación entre representaciones y los efectos producidos por sus apropiaciones. Conclusión: Las diferentes formas de obtener el documento de estado de ganancia objeto de texto impreso para el estudio de la historia cultural para permitir que se conviertan presente un objeto, concepto o una persona desaparecida reemplazándolo con una imagen capaz de representar adecuadamente.

Objetivo: discutir a utilização da Nova História Cultural como método para análise dos usos e costumes da enfermagem relacionados aos materiais impressos. Método: Pesquisa descritiva de natureza qualitativa, a partir da reflexão sobre os avanços teórico-metodológicos defendidos pelo historiador Chartier no campo da História Cultural. Para estabelecer nexos entre a Nova História Cultural, proposta pelo historiador, e a História da Enfermagem foram levantadas 02 teses e 03 dissertações produzidas no Laboratório de Abordagens Científicas na História da Enfermagem- LACENF/UNIRIO. Resultado: Os estudos apontaram que a metodologia proposta por Chartier está pautada na íntima relação entre representações e os efeitos produzidos pelas suas apropriações. Conclusão: As diferentes formas que adquirem o texto impresso ganham status de documento-objeto para os estudos da história cultural por permitirem que se tornem presentes um objeto, conceito ou pessoa ausente mediante sua substituição por uma imagem, capaz de representá-los adequadamente.

Perfil alimentar e desenvolvimento motor oral dos neonatos nascidos com baixo peso / Feeding profile and oral motor development of low birth weight infants

RESUMO Objetivos: descrever o perfil alimentar e analisar o Sistema Sensório Motor Oral em neonatos prematuros e de baixo peso que participaram ou não do Método Canguru. Métodos: trata-se de um estudo observacional não-intervencionista, quantitativo, realizado com 60 neonatos prematuros e de baixo peso. Foi utilizado um formulário específico para descrição do perfil alimentar. Nas avaliações do sistema sensório motor oral dos neonatos utilizou-se, o protocolo de Castro(1). Resultados: os neonatos prematuros e de baixo peso avaliados formaram dois grupos: 30 participantes do Método Canguru (G1) e 30 não participantes deste método (G2). Apresentaram Idade Gestacional de 25 a 36 semanas, sendo 34 do sexo feminino e 26 do sexo masculino; 8 neonatos se alimentavam por sonda, 46 por aleitamento materno exclusivo, 4 recebiam aleitamento materno e copinho; e 1 apenas pelo copinho. No Grupo1, 9(30%) neonatos apresentaram todos os reflexos orais dentro do esperado. Já no Grupo 2, 12 (40%) apresentou todos os reflexos presentes. Conclusão: este estudo revela que os neonatos que passaram pelo Método Canguru não obtiveram diferença estatisticamente significante em relação ao perfil alimentar e ao sistema sensório motor oral, quando comparados aos neonatos que não passaram por esse método.

ABSTRACT Purposes: to describe the feeding profile and analyze the Oral Sensory Motor System of preterm low birth weight who participated or not the Kangaroo method. Methods: this is a non-interventional, observational quantitative study with 60 preterm low birth weight. A specific form was used to describe the feeding profile. Evaluations of Oral Sensory Motor System were made by the protocol of Castro(1). Results: preterm and low birth weight babies evaluated formed two groups: 30 participants of the Kangaroo Method (G1) and 30 non-participants of this method (G2). They presented Gestational Age 25-36 weeks, which were 34 female and 26 male; 8 children were fed by nasogastric tube, 46 by exclusive breastfeeding, 4 fed through the cup and 1 just by the cup. In the Grupo1,9 (30%) infants showed oral reflexes as expected. In the Group 2, 12 (40%) showed all reflexes. Conclusion: this study shows that babies who went through the kangaroo method do not revealed statistically significant difference in relation to the feeding profile and oral sensory motor system, when compared to babies who did not went through this method.