ANA CAROLINA BASSO SCHMITT
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
7 resultados
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- Prevalence of metabolic syndrome and associated factors in women aged 35 to 65 years who were enrolled in a family health program in Brazil(2013) SCHMITT, Ana Carolina Basso; CARDOSO, Maria Regina Alves; LOPES, Heno; PEREIRA, Wendry Maria Paixao; PEREIRA, Elaine Cristina; REZENDE, Debora Aparecida Paccola de; GUARIZI, Rubia Guibo; DELLU, Mayra Cecilia; OLIVEIRA, Jessica de Moura; FLAUZINO, Erika; BLUEMEL, Juan E.; ALDRIGHI, Jose MendesObjective: The aims of this study were to estimate the prevalence of metabolic syndrome among women aged 35 to 65 years and to identify associated factors. Methods: This was a cross-sectional study. We randomly selected 581 women (aged 35-65 y) from among those enrolled in a family health program in the city of Pindamonhangaba, Brazil. Metabolic syndrome was identified in accordance with the definition of the National Cholesterol Education Program Adult Treatment Panel III. Health conditions and lifestyle habits were evaluated by a survey, and anthropometric measurements were obtained. The prevalence of metabolic syndrome was estimated, and Poisson regression was used to evaluate the associations between metabolic syndrome 'and the factors investigated. Results: The prevalence of metabolic syndrome was 42.2% (95% CI, 38.1-46.2). The most common metabolic syndrome component was abdominal obesity (60.6%), followed by low levels of high-density lipoprotein cholesterol (51.3%), high levels of triglycerides (41.4%), high blood pressure (31.7%), and diabetes (13.9%). The following factors were associated with metabolic syndrome: the 45- to 54-year age group (prevalence ratio, 1.54; 95% CI, 1.08-2.01), the 55- to 65-year age group (prevalence ratio, 3.51; 95% CI, 1.49-3.10), hyperuricemia (prevalence ratio, 2.95; 95% CI, 1.15-1.86), and sleep apnea risk (prevalence ratio, 2.41; 95% CI, 1.16-1.82). We found an inverse association between metabolic syndrome and having had more than 5 years of schooling (prevalence ratio, 0.65; 95% CI, 0.65-1.04). Conclusions: The prevalence of metabolic syndrome is high, and the associated clinical factors are hyperuricemia and risk of sleep apnea.
- Prevalência da sonolência diurna excessiva e fatores associados em mulheres de 35 a 49 anos de idade do “Projeto de Saúde de Pindamonhangaba” (PROSAPIN)(2012) PEREIRA, Elaine Cristina Alves; SCHMITT, Ana Carolina Basso; CARDOSO, Maria Regina Alves; PEREIRA, Wendry Maria Paixao; LORENZI-FILHO, Geraldo; BLUMEL, Juan Enrique; ALDRIGHI, Jose MendesObjective: To estimate the prevalence of excessive daytime sleepiness (EDS) and to identify associated factors in women aged 35 to 49 years from the ""Pindamonhangaba Health Project"" (PROSAPIN). Methods: This was a cross-sectional observational study of 372 women aged 35 to 49 years, randomly selected from the Family Health Strategy (FHS) program of the city of Pindamonhangaba, SP, Brazil, where the ""Pindamonhangaba Health Project"" (PROSAPIN) is being developed. EDS was assessed through interviews using the Epworth Sleepiness Scale and the associated factors through questions that investigated sociodemographic characteristics, gynecological history, presence of comorbidities, lifestyle, sleep routine, and use of drugs capable of altering the state of alertness; anthropometric variables were also measured. The prevalence of EDS was estimated with a 95% confidence interval (95% CI) and the associated factors were identified through a multiple logistic regression model performed with the Stata software, release 10.0. Results: EDS prevalence was 18.5% (95% CI: 14.7-22.9) and the associated factors were: profession related to domestic services (OR = 2.2, 95% CI: 1.1-4.3), physical activity level above the mean of the study population (OR = 1.9, 95% CI: 1.1-3.4), and presence of features suggestive of anxiety (OR = 1.9, 95% CI: 1.1-3.4). Conclusion: The prevalence of EDS in women aged 35-49 years from PROSAPIN was high and associated with sociodemographic characteristics, presence of comorbidities, and lifestyle.
- Prevalence of hot flashes in women of 40 to 65 years of age with metabolic syndrome(2020) SAU, Helena Proni Fonseca; SCHMITT, Ana Carolina Basso; CARDOSO, Maria Regina Alves; ALDRIGHI, Jose MendesOBJECTIVE: Hot flashes have a negative impact on the quality of life of women during the menopausal transition and thereafter. The progressive reduction in gonadal estrogen levels associated with aging promotes an accumulation of abdominal fat, dyslipidemia, and arterial hypertension, all of which are components of metabolic syndrome (MetS). The objective of the present study was to estimate the prevalence of hot flashes and evaluate their relationship with MetS in women >= 40 years of age. METHODS: This was a cross-sectional study involving women aged between 40 and 65 years. We used the Kupperman index to quantify the climacteric symptoms and the National Cholesterol Education Program Adult Treatment Panel III criteria for the diagnosis of MetS. RESULTS: 1,435 women were initially selected, and we obtained information from 647. The mean age at menopause was 45.99 years (SD 6.61 years) and the prevalence of hot flashes and MetS were 55.83% (95% CI: 52.35-59.25%) and 46.29% (95% CI: 44.75-52.53%), respectively. We identified a positive association between MetS and hot flashes (OR 1.16; 95% CI: 1.01-1.33). CONCLUSIONS: In women >= 40 years of age, hot flashes are highly prevalent and appear to be associated with MetS.
- Accidental falls in middle-aged women(2020) STOLT, Ligia Raquel Ortiz Gomes; KOLISH, Daniel Vieira; CARDOSO, Maria Regina Alves; TANAKA, Clarice; VASCONCELOS, Erika Flauzino Silva; PEREIRA, Elaine Cristina; DELLU, Mayra Cecilia; PEREIRA, Wendry Maria Paixao; ALDRIGHI, Jose Mendes; SCHMITT, Ana Carolina BassoOBJECTIVE: To estimate the prevalence of accidental falls in women and to identify possible associations of sociodemographic, clinical and lifestyle variables with falls, in 2007 and 2014. METHODS: Two cross-sectional studies were performed, in 2007 and 2014, within the Projeto de Saude de Pindamonhangaba (PROSAPIN - Pindamonhangaba Health Project), with women aged between 35 to 75 years. Probabilistic samples were selected among women living in the municipality and participating in the Health Family Strategy. Data collection included: face-to-face interview, anthropometric examination and blood test. The outcome variable ""have you fallen in the last six months?"" was raised during the interview. The prevalence of falls in 2007 and 2014 were estimated by score with a 95% confidence interval (95%CI). Multiple logistic regression models were constructed to identify the association of independent variables with the occurrence of falls for each year based on the odds ratio (OR). We used the Stata 14.0 software for statistical analysis. RESULTS: The prevalence of accidental falls were: 17.6% ( 95%CI 14.9-20.5) in 2007 and 17.2% (95%CI 14.8-19.8) in 2014. In 2007, factors associated with falls were: aged 50-64 years (OR = 1.81; 95%CI 1.17-2.80), high school (OR = 1.76; 95%CI 1.06-2.93), hyperuricemia (OR = 3.74; 95%CI 2.17-6.44), depression (OR = 2.07; 95%CI 1.31-3.27), poor sleep (OR = 1.78; 95%CI 1.12-2.82) and daytime sleepiness (OR = 1.86; 95%CI 1.16-2.99). In 2014, they were: aged 50-64 years (OR = 1.64; 95% CI 1.04-2.58), hyperuricemia (OR = 1.91; 95%CI 1.07-3.43) and depression (OR = 1.56; 95%CI 1.02-2.38), plus metabolic syndrome (OR = 1.60; 95%CI 1.03-2.47) and musculoskeletal pain (OR = 1.81; 95%CI 1.03-3.18). CONCLUSIONS: Falls occur significantly in women aged 50 years or over, indicating that they are not restricted to older adults and that there is a need to initiate preventive measures earlier. Both studies showed similar magnitudes of occurrence of accidental falls and reinforced their multifactorial nature. In addition, hyperuricemia may be a potential new factor associated with falls.
- Prevalence and factors associated with urinary incontinence in climacteric(2016) DELLÚ, Máyra Cecilia; SCHMITT, Ana Carolina Basso; CARDOSO, Maria Regina Alves; PEREIRA, Wendry Maria Paixão; PEREIRA, Elaine Cristina Alves; VASCONCELOS, Érika da Silva Flauzino; ALDRIGHI, José MendesSUMMARY Objective: To estimate the prevalence and identify associated factors to urinary incontinence (UI) in climacteric women. Method: In a cross-sectional study with a stratified random sample, 1,200 women aged between 35 and 72 years were studied, enrolled in the Family Health Strategy in the city of Pindamonhangaba, São Paulo. Urinary incontinence was investigated using the International Consultation of Incontinence Questionnaire - Short Form, while associated factors were assessed based on a self-reported questionnaire with socio-demographic, obstetric and gynecological history, morbidities and drug use. The prevalence of urinary incontinence was estimated with a 95% confidence interval (95CI) and the associated factors were identified through multiple logistic regression model performed using Stata software, version 11.0. Results: Women had a mean age of 51.9 years, most were in menopause (59.4%), married (87.5%), Catholic (48.9%), and declared themselves black or brown (47.2%). The mean age of menopause of women with UI was 47.3 years. The prevalence of UI was 20.4% (95CI: 17.8-23.1%). The factors associated with UI were urinary loss during pregnancy (p=0.000) and after delivery (p=0.000), genital prolapse (p=0.000), stress (p=0.001), depression (p=0.002), and obesity (p=0.006). Conclusion: The prevalence of UI was lower but similar to that found in most similar studies. Factors associated with the genesis of UI were urinary loss during pregnancy and after delivery, genital prolapse and obesity.
- Increase in fall-related hospitalization, mortality, and lethality among older adults in Brazil(2020) STOLT, Ligia Raquel Ortiz Gomes; KOLISCH, Daniel Vieira; TANAKA, Clarice; CARDOSO, Maria Regina Alves; SCHMITT, Ana Carolina BassoOBJECTIVE: To estimate the trends of fall-related hospitalization, mortality, and lethality among older adults in Brazil and regions. METHODS: This is a descriptive study based on data from the Hospital Information System of the Brazilian Unified Health System. We included records of every older adult, aged 60 years or older, hospitalized for accidental fall from January, 1998 to November, 2015 in all Brazilian regions. We selected the codes E885, E886, E880, E884, E884 from the International Classification of Diseases, 9th revision, and W01, W03, W10, W17, W18 from the 10th revision, and calculated fall-related hospitalization and mortality rates per 100,000 inhabitants, as well as lethality. To estimate trends, we applied the Prais-Winsten regression for time series analysis. RESULTS: During the period, 1,192,829 fall-related hospitalizations occurred, among which 54,673 had a fatal outcome; lethality was 4.5%. Hospitalization rates showed upward trends, with seasonality, in Brazil (11%), and in the Northeast (44%), Midwest (13%), and South regions (14%). The North showed a decreasing hospitalization rate (48%), and the Southeast a stationary one (3%). CONCLUSIONS: In Brazil, fall-related hospitalizations, mortality, and lethality among older adults showed an upward trend from 1998 to 2015, with seasonal peaks in the second and third quarters. Considering we are in plain demographic transition, to improve hospital healthcare and encourage falls prevention programs among older adults is essential.
- Prevalence of musculoskeletal pain and impact on physical function and health care services in Belterra/PA(2016) MOTA, Paulo Henrique dos Santos; GAUDERETO, Bruna Leite; CARDOSO, Maria Regina Alves; SCHMITT, Ana Carolina BassoAbstract Introduction: Musculoskeletal pain worth being investigated for being a multidimensional prevalent phenomenon, difficult to be understood which may have as main factors: tissue injury as well as emotional, social and environmental aspects. It is essential to know the specificity of the pain to define strategies for disease prevention and health promotion of the population. Objective: To estimate the prevalence of musculoskeletal pain, describing its features and functional implications in population from Belterra/Pará. Method: In a descriptive study, there were evaluated subjects who participated in activities of the project Bandeira Científica. Prevalence of pain was estimated with a confidence interval of 95%. Descriptive measures were used to characterize pain and consequences for functionality. Results: 453 subjects were interviewed, the mean age was 44.3 years old (SD = 18.0) and 69.6% were women. Prevalence of chronic pain was 62.5% and of back pain was 55.0%. Almost daily pain was felt by 67.9% and by 69.6% the intensity was strong or unbearable during crisis. Individuals with unbearable intensity and daily frequency of symptoms reported difficulty to perform heavy activities (91.5%) and to remain in the same position (82.9%). Conclusion: The prevalence of pain was high, of chronic feature, with high intensity and high frequency, long duration, most frequently in the vertebral column. The pain had interference in the performance of heavy activities and maintaining the same posture in people with greater intensity and frequency of pain.