Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/5938 |
Resumo: | Quilombolas communities are ethnic group defined by self-definition criteria and presumption of black ancestry. There are few studies and data about health of these subjects, and between available study highlight higher prevalence of overweight and related diseases. However, national survey data also show that anemia and malnutrition are prevalent among black women and children. Nevertheless, lacking most comprehensive studies to understand the health profile of quilombo population from Brazil. The objective of this research was to evaluate nutritional status, anemia frequency and cardiometabolic risk factors in adults and elderly from quilombolas communities of Goias state/Brazil. We carried out an analytical cross-sectional study with 287 subjects. Were performed anthropometric measurements (weight, height, waist circumference, and calculated BMI and Waist to height ratio - WHtR) blood tests (complete blood count, serum ferritin, fasting glucose and lipid profile), and socioeconomic and demographic questionnaire. The first article discussed the rate of anemia and iron deficiency and its relationship to overweight. Frequency of anemia and iron deficiency was low (5,9% and 4,7% respectively) and wasn’t association with overweight. Women had higher overweight than men, and men had higher underweight. BMI was higher in urban communities and in adults. Hemoglobin was lower in urban communities (p<0,05). The correlation indicated that increasing BMI is accompanied by decreases in hemoglobin and ferritin. RBC indices indicated 10,9% of microcytosis and 9,4% of anisocytosis. The second article discusses the assessment of nutritional status and association with cardiometabolic risk factors. Participants presented 54,4% of overweight and 67,9% higher waist-to-height ratio. The group with overweight differs from the eutrophic group in relation to HDL, VLDL, TG, leukocytes, lymphocytes, and platelets. And 15.2% of the population had three or more metabolic risk factors, moreover, in this group, leukocytes and lymphocytes were significantly higher. Women had more metabolic abnormalities than men. In conclusion, the main health problem in these communities refers to overweight and related diseases. Metabolic abnormalities increase the risk of developing cardiovascular disease, which are the leading cause of death in Brazil. The low prevalence of anemia and iron deficiency needs to be better investigated together food consumption. It’s must also be investigated genetics anemia, such as thalassemia and sickle cell due the abnormalities found in RBC indices without decreasing hemoglobin and ferritin. |
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Silva, Maria Sebastianahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4791881D6Silva, Maria SebastianaHadler, Maria Claret Costa MonteiroGuillo, Lídia AndreauFranceschini, Sylvia do Carmo CastroSilva, Ana Márciahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4260120U7Santos, Renata Carvalho dos2016-08-15T13:59:50Z2016-05-06SANTOS, R. C. Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás. 2016. 120 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2016.http://repositorio.bc.ufg.br/tede/handle/tede/5938Quilombolas communities are ethnic group defined by self-definition criteria and presumption of black ancestry. There are few studies and data about health of these subjects, and between available study highlight higher prevalence of overweight and related diseases. However, national survey data also show that anemia and malnutrition are prevalent among black women and children. Nevertheless, lacking most comprehensive studies to understand the health profile of quilombo population from Brazil. The objective of this research was to evaluate nutritional status, anemia frequency and cardiometabolic risk factors in adults and elderly from quilombolas communities of Goias state/Brazil. We carried out an analytical cross-sectional study with 287 subjects. Were performed anthropometric measurements (weight, height, waist circumference, and calculated BMI and Waist to height ratio - WHtR) blood tests (complete blood count, serum ferritin, fasting glucose and lipid profile), and socioeconomic and demographic questionnaire. The first article discussed the rate of anemia and iron deficiency and its relationship to overweight. Frequency of anemia and iron deficiency was low (5,9% and 4,7% respectively) and wasn’t association with overweight. Women had higher overweight than men, and men had higher underweight. BMI was higher in urban communities and in adults. Hemoglobin was lower in urban communities (p<0,05). The correlation indicated that increasing BMI is accompanied by decreases in hemoglobin and ferritin. RBC indices indicated 10,9% of microcytosis and 9,4% of anisocytosis. The second article discusses the assessment of nutritional status and association with cardiometabolic risk factors. Participants presented 54,4% of overweight and 67,9% higher waist-to-height ratio. The group with overweight differs from the eutrophic group in relation to HDL, VLDL, TG, leukocytes, lymphocytes, and platelets. And 15.2% of the population had three or more metabolic risk factors, moreover, in this group, leukocytes and lymphocytes were significantly higher. Women had more metabolic abnormalities than men. In conclusion, the main health problem in these communities refers to overweight and related diseases. Metabolic abnormalities increase the risk of developing cardiovascular disease, which are the leading cause of death in Brazil. The low prevalence of anemia and iron deficiency needs to be better investigated together food consumption. It’s must also be investigated genetics anemia, such as thalassemia and sickle cell due the abnormalities found in RBC indices without decreasing hemoglobin and ferritin.Comunidades quilombolas são grupos étnicos, definidos pelo critério de auto atribuição que possuem presunção da ancestralidade negra. Existem poucos estudos sobre a saúde desses sujeitos e, entre os existentes destacam-se aqueles que indicam maior prevalência de excesso de peso corporal e doenças associadas. Porém, dados de pesquisas nacionais apontam que a anemia e o baixo peso são altamente prevalentes entre mulheres e crianças negras. Apesar disso, faltam estudos mais abrangentes para compreender o perfil de saúde especificamente da população quilombola. Portanto, o objetivo dessa pesquisa foi avaliar o estado nutricional, frequência de anemia e fatores cardiometabólicos de adultos e idosos de comunidades quilombolas de Goiás. Realizou-se uma pesquisa transversal analítica com 287 sujeitos. Foram realizadas avaliações antropométricas (peso, estatura, circunferência da cintura, cálculo do índice de massa corporal - IMC e da relação cintura-estatura - RCE), exames de sangue (hemograma completo, ferritina sérica, glicemia de jejum e lipidograma) e questionário socioeconômico e demográfico. O primeiro artigo abordou o índice de anemia e deficiência de ferro e sua relação com o excesso de peso. A frequência de anemia e deficiência de ferro foi baixa (5,9% e 4,7 respectivamente) e não apresentou associação significativa com o IMC. A frequência de excesso de peso foi elevada (52,0%), e as mulheres apresentaram maior porcentagem de sobrepeso/obesidade do que os homens. Na análise comparativa dos valores médios, observou-se que o IMC foi maior nas comunidades urbanas e entre os adultos, e a hemoglobina foi menor nas comunidades urbana (p<0,05). A correlação indicou que o aumento do IMC esteve acompanhado de diminuição da hemoglobina e ferritina Os índices hematimétricos indicaram 10,9% de microcitose e 9,4% de anisocitose. O segundo artigo abordou a avaliação do estado nutricional e a associação com fatores de risco cardiometabólicos. A frequência do excesso de peso foi de 54,4%, e 67,9% dos sujeitos tinham RCE elevada. As variáveis do perfil lipídico, glicêmico e de células brancas apresentaramse alteradas nos grupos com excesso de peso e RCE aumentada. Porém, os parâmetros metabólicos com diferença estatística entre os grupos foram o CT, HDL, VLDL, Triglicerídeos, Leucócitos, Linfócitos e Basófilos. E 15,2% dos participantes tinham três ou mais fatores de risco metabólico, sendo que as mulheres apresentaram mais alterações metabólicas do que os homens. Conclui-se que o principal agravo à saúde nas comunidades investigadas refere-se ao excesso de peso e doenças associadas. As alterações metabólicas aumentam o risco de desenvolvimento de doenças cardiovasculares, que são a principal causa de óbito no Brasil. A baixa prevalência de anemia e deficiência de ferro precisa ser melhor investigada aliada ao consumo alimentar. Considera-se necessário investigar as anemias de causa genética como as talassemias e a falciforme devido as alterações que ocorreram nos índices hematimétricos sem diminuição da hemoglobina e ferritina.Submitted by Marlene Santos (marlene.bc.ufg@gmail.com) on 2016-08-12T19:31:16Z No. of bitstreams: 2 Tese - Renata Carvalho dos Santos - 2016.pdf: 4216067 bytes, checksum: ddcb3d7a0053d67a782d1528c6bcbf7e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-08-15T13:59:50Z (GMT) No. of bitstreams: 2 Tese - Renata Carvalho dos Santos - 2016.pdf: 4216067 bytes, checksum: ddcb3d7a0053d67a782d1528c6bcbf7e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2016-08-15T13:59:50Z (GMT). No. of bitstreams: 2 Tese - Renata Carvalho dos Santos - 2016.pdf: 4216067 bytes, checksum: ddcb3d7a0053d67a782d1528c6bcbf7e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-05-06Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPqapplication/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Ciências da Saúde (FM)UFGBrasilFaculdade de Medicina - FM (RG)http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessGrupo com ancestrais do continente africanoEstado nutricionalAnemiaSobrepesoDislipidemiaContagem de leucócitosAfrican continental ancestry groupNutritional statusOverweightDyslipidemiasLeukocyte countCIENCIAS DA SAUDEEstado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de GoiásNutritional status, anemia and cardiometabolic risk factors in adults and elderly from quilombos from Goiás/Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis-100686431261774531060060060060015457724759504863388765449414823306929-2555911436985713659reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás |
dc.title.alternative.eng.fl_str_mv |
Nutritional status, anemia and cardiometabolic risk factors in adults and elderly from quilombos from Goiás/Brazil |
title |
Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás |
spellingShingle |
Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás Santos, Renata Carvalho dos Grupo com ancestrais do continente africano Estado nutricional Anemia Sobrepeso Dislipidemia Contagem de leucócitos African continental ancestry group Nutritional status Overweight Dyslipidemias Leukocyte count CIENCIAS DA SAUDE |
title_short |
Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás |
title_full |
Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás |
title_fullStr |
Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás |
title_full_unstemmed |
Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás |
title_sort |
Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás |
author |
Santos, Renata Carvalho dos |
author_facet |
Santos, Renata Carvalho dos |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Silva, Maria Sebastiana |
dc.contributor.advisor1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4791881D6 |
dc.contributor.referee1.fl_str_mv |
Silva, Maria Sebastiana |
dc.contributor.referee2.fl_str_mv |
Hadler, Maria Claret Costa Monteiro |
dc.contributor.referee3.fl_str_mv |
Guillo, Lídia Andreau |
dc.contributor.referee4.fl_str_mv |
Franceschini, Sylvia do Carmo Castro |
dc.contributor.referee5.fl_str_mv |
Silva, Ana Márcia |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4260120U7 |
dc.contributor.author.fl_str_mv |
Santos, Renata Carvalho dos |
contributor_str_mv |
Silva, Maria Sebastiana Silva, Maria Sebastiana Hadler, Maria Claret Costa Monteiro Guillo, Lídia Andreau Franceschini, Sylvia do Carmo Castro Silva, Ana Márcia |
dc.subject.por.fl_str_mv |
Grupo com ancestrais do continente africano Estado nutricional Anemia Sobrepeso Dislipidemia Contagem de leucócitos |
topic |
Grupo com ancestrais do continente africano Estado nutricional Anemia Sobrepeso Dislipidemia Contagem de leucócitos African continental ancestry group Nutritional status Overweight Dyslipidemias Leukocyte count CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
African continental ancestry group Nutritional status Overweight Dyslipidemias Leukocyte count |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Quilombolas communities are ethnic group defined by self-definition criteria and presumption of black ancestry. There are few studies and data about health of these subjects, and between available study highlight higher prevalence of overweight and related diseases. However, national survey data also show that anemia and malnutrition are prevalent among black women and children. Nevertheless, lacking most comprehensive studies to understand the health profile of quilombo population from Brazil. The objective of this research was to evaluate nutritional status, anemia frequency and cardiometabolic risk factors in adults and elderly from quilombolas communities of Goias state/Brazil. We carried out an analytical cross-sectional study with 287 subjects. Were performed anthropometric measurements (weight, height, waist circumference, and calculated BMI and Waist to height ratio - WHtR) blood tests (complete blood count, serum ferritin, fasting glucose and lipid profile), and socioeconomic and demographic questionnaire. The first article discussed the rate of anemia and iron deficiency and its relationship to overweight. Frequency of anemia and iron deficiency was low (5,9% and 4,7% respectively) and wasn’t association with overweight. Women had higher overweight than men, and men had higher underweight. BMI was higher in urban communities and in adults. Hemoglobin was lower in urban communities (p<0,05). The correlation indicated that increasing BMI is accompanied by decreases in hemoglobin and ferritin. RBC indices indicated 10,9% of microcytosis and 9,4% of anisocytosis. The second article discusses the assessment of nutritional status and association with cardiometabolic risk factors. Participants presented 54,4% of overweight and 67,9% higher waist-to-height ratio. The group with overweight differs from the eutrophic group in relation to HDL, VLDL, TG, leukocytes, lymphocytes, and platelets. And 15.2% of the population had three or more metabolic risk factors, moreover, in this group, leukocytes and lymphocytes were significantly higher. Women had more metabolic abnormalities than men. In conclusion, the main health problem in these communities refers to overweight and related diseases. Metabolic abnormalities increase the risk of developing cardiovascular disease, which are the leading cause of death in Brazil. The low prevalence of anemia and iron deficiency needs to be better investigated together food consumption. It’s must also be investigated genetics anemia, such as thalassemia and sickle cell due the abnormalities found in RBC indices without decreasing hemoglobin and ferritin. |
publishDate |
2016 |
dc.date.accessioned.fl_str_mv |
2016-08-15T13:59:50Z |
dc.date.issued.fl_str_mv |
2016-05-06 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SANTOS, R. C. Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás. 2016. 120 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2016. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/5938 |
identifier_str_mv |
SANTOS, R. C. Estado nutricional, anemia e fatores de risco cardiometabólico em adultos e idosos quilombolas de Goiás. 2016. 120 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2016. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/5938 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-1006864312617745310 |
dc.relation.confidence.fl_str_mv |
600 600 600 600 |
dc.relation.department.fl_str_mv |
1545772475950486338 |
dc.relation.cnpq.fl_str_mv |
8765449414823306929 |
dc.relation.sponsorship.fl_str_mv |
-2555911436985713659 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Ciências da Saúde (FM) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Medicina - FM (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
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Universidade Federal de Goiás (UFG) |
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Repositório Institucional da UFG |
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Repositório Institucional da UFG |
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MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
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