Abdominal obesity and association with sociodemographic, behavioral and clinical data in climacteric women assisted in primary care.

This study aims to investigate the prevalence and factors associated with abdominal obesity in climacteric women assisted at Family Health Strategy units of the city of Montes Claros, State of Minas Gerais, Brazil. It is a cross-sectional analytical study. The women were selected by probabilistic sampling from August 2014 to August 2015. A questionnaire containing information referring to sociodemographic and economic characteristics, behavioral characteristics and clinical data was used. To estimate abdominal obesity, the measure of circumference ≥ 88 cm was considered. To analyze the association between abdominal obesity and the independent variables, a bivariate analysis was performed by means of Pearson's chi-square test (p≤0.25). Subsequently, a multiple Poisson regression analysis with robust variance was performed, through which prevalence ratios with level of significance of 5% (p<0.05) were obtained. A total of 805 women were evaluated, aged 40 to 65 years, and the prevalence of women with abdominal obesity was 62.4%. The mean and median of abdominal circumference were 93.0 cm. The associated variables were being sedentary (PR = 1.44) or irregularly active (PR = 1.39), presenting altered total cholesterol (PR = 1.21), and being hypertensive (PR = 1.31). The abdominal obesity in climacteric women was associated with physical inactivity, total cholesterol and arterial hypertension. The measurement of abdominal circumference must be valued and adopted in the routine of professionals who work in Primary Care.

Correction: Health conditions associated with overweight in climacteric women.

[This corrects the article DOI: 10.1371/journal.pone.0218497.].

Health conditions associated with overweight in climacteric women.

This study aims to investigate the association between health conditions and overweight in climacteric women assisted by primary care professionals. It is a cross-sectional study conducted with 874 women from 40 to 65 years of age, selected by probabilistic sampling between August 2014 and August 2015. In addition to the outcome variable, overweight and obesity, other variables such as sociodemographic, reproductive, clinical, eating and behavioural factors were evaluated. Descriptive analyses of the variables investigated were performed to determine their frequency distributions. Then, bivariate analyses were performed through Poisson regression. For the multivariate analyses, hierarchical Poisson regression was used to identify factors associated with overweight and obesity in the climacteric period. The prevalence of overweight and obesity was 74%. Attending public school (PR: 1.30-95% CI 1.14-1.50), less schooling (PR: 1.11-95% CI 1.01-1.23), gout (PR: 1.18-95% CI 1.16-1.44), kidney disease (PR: 1.18-95% CI 1.05-1.32), metabolic syndrome (MS) (PR: 1.19-95% CI 1.05-1.34) and fat intake (PR: 1.12-95% CI 1.02-1.23) were considered risk factors for overweight. Having the first birth after 18 years of age (PR: 0.89-95% CI 0.82 to 0.97) was shown to be a protective factor for overweight and obesity. The presence of overweight and obesity is associated with sociodemographic, reproductive, clinical and eating habits.

Quality of life in climacteric women assisted by primary health care.

This cross-sectional study evaluated the quality of life and associated factors of climacteric women in Brazil using a random and representative sample of women assisted by primary care professionals. We investigated the variables using the Menopause-Specific Quality of Life Questionnaire, MENQOL, whose mean scores were compared using Mann-Whitney and Kruskal-Wallis tests according to the sample characteristics. The variables associated with the outcomes in univariate analyses with a p≤0.2 were jointly evaluated using multiple linear regression. In this study, 849 women ranging in age from 40 to 65 years were evaluated. The predictors of poor quality of life in the vasomotor domain were women with severe climacteric symptoms (p<0.001), increased Body Mass Index (BMI) (p = 0.006), sleep (p = 0.022), and postmenopausal (p<0.001) alterations. For the psychosocial domain, the associated variables were severe climacteric symptoms (p<0.001) and sleep alterations (p<0.001); for the physical domain, the associated variables were severe climacteric symptoms (p<0.001), increased BMI (p<0.001), sleep (p<0.001), and postmenopausal (p<0.001) alterations. Severe climacteric symptoms, low sleep quality, increased BMI, and postmenopausal status were factors that were more associated with impairments in quality of life. With the increase in life expectancy, we suggest that greater attention should be paid to women's quality of life associated with climacteric symptoms.

Manifestações bucais em pacientes pediátricos infectados pelo HIV: uma revisão sistemática da literatura / Oral manifestations in pediatric HIV infected patients: a systematic literature review

Introdução: a Síndrome da Imunodeficiência Adqui-rida (Sida/Aids), quando ocorre em indivíduos de 0 a 13 anos de idade, é denominada de Aids pediátrica e pode apresentar manifestações significativas na cavi-dade bucal. Objetivo: este estudo teve o propósito de investigar, mediante uma revisão sistemática da litera-tura, as principais manifestações bucais nos pacientes pediátricos infectados pelo HIV. Métodos: por meio de busca nas bases DOAJ (Directory of Open Access Journals), SciELO e BVS (Biblioteca Virtual em Saúde - Bireme), foram selecionados onze artigos publicados entre 2008 e 2013. Resultados: na avaliação realiza-da através da escala de Jadad, seis dos nove estudos analíticos obtiveram pontuação igual ou maior que três, sendo considerados de boa expressividade metodoló-gica. As principais manifestações bucais presentes em pacientes pediátricos infectados pelo HIV encontradas nos artigos selecionados foram: cárie, candidose, quei-lite angular, eritema linear gengival, lesões na mucosa, patologias nas glândulas salivares, sarcoma de Kaposi, linfoma não Hodgkin, doenças fúngicas, doenças virais, doença periodontal, hipoplasia de esmalte e condiloma acuminado. Conclusão: evidenciou-se, por meio deste estudo, a importância do cirurgião-dentista em equipes multiprofissionais no atendimento a essas crianças, bem como a realização de mais estudos que reportem sobre as condições bucais de crianças infectadas pelo HIV