ISABEL CRISTINA ESPOSITO SORPRESO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina - Docente
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular, Hospital das Clínicas, Faculdade de Medicina
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular, Hospital das Clínicas, Faculdade de Medicina
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- Dietary intake and menopausal symptoms in postmenopausal women: a systematic review(2021) NOLL, P. R. E. S.; CAMPOS, C. A. S.; LEONE, C.; ZANGIROLAMI-RAIMUNDO, J.; NOLL, M.; BARACAT, E. C.; SOARES JUNIOR, J. M.; SORPRESO, I. C. E.Despite literature pointing to a relation between dietary intake and menopausal symptoms, most studies have evaluated either only supplements or only specific nutrients or foods. Therefore, this study aimed to provide a systematic review of the literature regarding the association between dietary intake and menopausal symptoms in postmenopausal women. A systematic search was conducted across PubMed/Medline, Web of Science, Scopus, and Embase to identify studies published between 2009 and 2019. We identified 3828 studies; after screening, 73 studies were reviewed and 19 of these investigated nutrient and food intake and eating patterns associated with the intensity of menopausal symptoms. Studies evaluating diet quality or dietary patterns showed an association between lower intensity of psychological symptoms, sleep disorders, and vasomotor, urogenital, and somatic symptoms and higher consumption of vegetables, whole grains, and unprocessed foods. Also, the intensity of these symptoms is associated with high-processed foods, saturated fats, and sugars. Regarding nutrient and/or specific food, the studies indicated an association between caffeine intake and type of fat intake and the intensity of menopausal symptoms. Dietary intake was found to be associated with the severity of menopausal symptoms; however, evidence for the association between dietary intake and menopausal symptoms is inconsistent and inconclusive, and is provided by a small number of studies.
conferenceObject Social Media as Health Education Strategy for Women in The Menopause and Postmenopauseal Transitions and Medical Students(2022) PORTELLA, Caio Fabio S.; FRANCISQUETTI, Camila C.; MACHADO, Mariana; SANTOS, Nayara S. Sousa; HASHIMOTO, Adriana S.; BURCH, Caroline da Silva; SILVA, Igor de Azevedo da; SIMES, Ricardo dos Santos; NOLL, Priscilla R. E. Silva; BARACAT, Edmund Chada; SOARES JUNIOR, Jose M.; SORPRESO, Isabel C. Esposito- Prevalence of sexual abuse and its association with health-risk behaviors among Brazilian adolescents: A populational study(2021) FEITOSA, Sheila Oliveira; NOLL, Matias; MENDONCA, Carolina Rodrigues; SILVEIRA, Erika Aparecida; SORPRESO, Isabel Cristina Esposito; NOLL, Priscilla Rayanne E. SilvaBackground: Analysis of sexual abuse has usually been neglected in research at developing countries despite its everlasting consequences. This study examined the prevalence of sexual abuse among Brazilian adolescents according to data from the National School Health Survey (PeNSE) and analyzed it based on Brazilian regions, sociodemographic aspects, health information, and health-risk behaviors among Brazilian adolescents who reported having experienced sexual abuse previously. Participants and setting: The PeNSE data were utilized, and the sample included 102,072 students from all over Brazil, aged between 11 and 19 years. Methods: Data were collected by questionnaires and were analyzed by multivariate analysis using the Poisson regression model. Results: The results denoted a relation between sexual abuse, social determinants of health variables (i.e., black, indigenous, and mixed skin color/ethnicity; Brazilian region public school, age between 15 and 18 years, and low education level of the mother), and health-risk behaviors (i.e., early sexual intercourse, having multiple sexual partners, unprotected sexual intercourse, use of tobacco, alcohol, and illicit drugs). Conclusion: Therefore, reports of sexual abuse are associated with risky behaviors. Given these findings, targeted interventions on sexual abuse are essential for the health of adolescents and the prevention of risky behaviors, and can also facilitate programs to prevent sexual abuse.
- Ultra-processed food consumption by Brazilian adolescents in cafeterias and school meals(2019) NOLL, Priscilla Rayanne e Silva; NOLL, Matias; ABREU, Luiz Carlos de; BARACAT, Edmund Chada; SILVEIRA, Erika Aparecida; SORPRESO, Isabel Cristina EspositoThis cross-sectional study utilized the National School Health Survey 2015 database to assess the association between school cafeterias; the meals offered by the Brazilian School Food Program (PNAE); and the consumption of industrialized/ultra-processed salty foods, sweets, and soft drinks among Brazilian adolescents. A sample of 102,072 adolescents, aged 11-19 years, who were enrolled in the 9th grade completed the survey. The evaluated outcome was the consumption of industrialized/ultra-processed salty foods, sweets, and soft drinks. A Poisson regression model-based multivariate analysis was performed. The effect measure was the prevalence ratio (PR) with its respective 95% confidence intervals (CIs). The results indicated that Brazilian adolescents who attended schools without meals offered through the PNAE had a higher probability of regularly (>= 5 times/week) consuming ultra-processed salty foods [PR= 1.06, CI =1.01-1.11] and soft drinks [PR = 1.08, CI =1.03-1.14] compared to those who attended schools that offered PNAE meals. Moreover, the presence of a school cafeteria was associated with a higher probability to consume industrialized/ultra-processed salty foods [PR = 1.05, CI = 1.02-1.08], sweets [PR =1.09, CI = 1.07-1.11], and soft drinks [PR =1.10, CI = 1.07-1.13]. School meals appear to be associated with the consumption of ultra-processed foods by Brazilian adolescents, indicating areas for health promotion programs.
- Changes in Food Consumption in Postmenopausal Women during the COVID-19 Pandemic: A Longitudinal Study(2023) NOLL, Priscilla Rayanne E. Silva; NASCIMENTO, Monique G.; BAYER, Luiza Helena Costa Moreira; ZANGIROLAMI-RAIMUNDO, Juliana; TURRI, Jose Antonio Orellana; NOLL, Matias; BARACAT, Edmund Chada; SOARES JUNIOR, Jose Maria; SORPRESO, Isabel Cristina EspositoStudying the dietary habits and symptoms of postmenopausal women during situations such as the COVID-19 pandemic is important to mitigate long-term post-pandemic health problems. We compared the menopausal symptoms and food consumption in postmenopausal women before and during the COVID-19 pandemic. A longitudinal survey was conducted on postmenopausal Brazilian women between 2018 and 2021. The Kupperman-Blatt Menopausal Index, Women's Health Questionnaire, and 24 h food recall were used. Of 274 women, 78 (28.5%) participated in the study during the COVID-19 pandemic. The intensity of the symptoms was lower during the pandemic than during the previous period (p < 0.05). Energy and processed food consumption were lower during the pandemic than before (p = 0.003 and p = 0.003, respectively). Milk and plain yogurt consumption were also lower (p = 0.043), while the consumption of sugar-sweetened beverages and sweet foods was higher (p = 0.007 and p = 0.001, respectively) during the pandemic. There was also a decrease in the consumption of proteins and lipids (p = 0.001 and p = 0.004, respectively). In conclusion, we found that postmenopausal women consumed sweet foods and sugar-sweetened beverages in higher quantities and had a lower consumption of milk and plain yogurt and processed foods during the pandemic than during the pre-pandemic period. Furthermore, decreases in energy and macronutrient consumption were observed.
- Postmenopausal women's cognitive function and performance of virtual reality tasks(2023) ZANGIROLAMI-RAIMUNDO, J.; RAIMUNDO, R. D.; NOLL, P. R. E. Silva; SANTOS, W. S. dos; LEONE, C.; BARACAT, E. C.; SORPRESO, I. C. E.; SOARES JUNIOR, J. M.Objective This study aimed to assess whether prior knowledge of computer use determines performance of virtual reality tasks by postmenopausal women and whether menopausal symptoms, sociodemographic factors, lifestyle and cognition modify or interfere with their performance.Method This cross-sectional study included 152 postmenopausal women divided into two groups: computer users and non-users. Age, ethnicity, time of menopause, menopausal symptoms, female health status, level of physical activity and cognitive function were considered. The participants played a virtual reality game and were assessed for hits, errors, omissions and game time. The Mann-Whitney, chi-square and Fisher exact tests and multivariate linear regression analysis were used.Results Postmenopausal computer users play virtual reality games (p = 0.005) better than postmenopausal non-users of computers. Vasomotor symptoms were high in women who used computers compared to those who did not (p = 0.006). Multivariate linear regression analysis found that the best-fitting predictors for the number of hits - that is, age (p = 0.039), Mini-Mental State Examination score (p = 0.006) and the headache symptom (p = 0.021) - influence the performance of virtual reality tasks.Conclusion Computer users performed virtual reality tasks better than non-users. Headache and age but not vasomotor symptoms negatively affected the postmenopausal women's performance.
- Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE)(2020) NOLL, Matias; NOLL, Priscilla Rayanne E. Silva; GOMES, Jessica Menezes; SOARES JUNIOR, Jose Maria; SILVEIRA, Erika Aparecida; SORPRESO, Isabel Cristina EspositoBackground Condom non-use among sexually active adolescents is a major cause of unintended pregnancy and sexually transmitted infections. In order to promote condom use, it is essential to understand factors associated with condom non-use. Aim Our aim was to evaluate sex differences and associated factors of condom non-use based on the nationally representative Brazilian National School Health Survey. Methods The study participants were 100,962 adolescents 13-18 years old, 9th graders from both public and private schools throughout Brazil. The following factors were considered as explanatory group variables for the outcome of condom non-use among adolescents: school and health service, sexual behavior, substance use, and self-reported body and health perception. Poisson regression model was performed. Results Of the total students, 28% (n = 28,157) had had sexual intercourse at least once. (boys, 37.1%; girls, 19.5%). Of these, 69.2% had used condoms the last time they had intercourse (girls: 68%; boys: 69.9%). The variables associated with condom non-use for both sexes were not having accessed a health service or approached a health professional for health-related care; not having received pregnancy prevention counseling or guidance on AIDS or STI prevention at school; early sexual initiation; no additional contraception method; substance use; feeling alone; not being satisfied with their own body; feeling fat or thin; and poor self-reported health. The number of sexual partners was also associated with condom non-use; however, contrasting behavior was indicated between sexes. A higher number of sexual partners indicated less use of condoms among girls, while for boys, a higher number of sexual partners indicated higher condom use. Conclusion High condom non-use appears to be associated with lack of health care access and sexual health education, poor sexual practices, substance use, and poor self-perception, indicating areas for health promotion programs.
- Use of interventions involving virtual reality tasks during the climacteric: a systematic review(2022) ZANGIROLAMI-RAIMUNDO, J.; NOLL, P. R. E. S.; RAIMUNDO, R. D.; GONCALVES, G. L.; URSO, E. Mattos E.; BECH, G. D.; FRANK, Y. S.; ABREU, L. C. de; BARACAT, E. C.; SORPRESO, I. C. E.; JUNIOR, J. M. SoaresTechnological advances have been impacting health care worldwide. Our study aimed to research the literature systematically to determine the impact of technological treatments versus conventional treatments on the quality of life of climacteric women. The study was registered on PROSPERO (CRD42021241638). We searched seven databases, including PRISMA, using mesh terms. After screening for eligibility, we selected five clinical trials, and applying the snowball technique we were able to include four more articles, totaling nine articles that used technology-based interventions (virtual reality games) during the climacteric. The total study population consisted of 298 climacteric women. Two studies evaluated a technology-based treatment for pelvic floor, one for urinary incontinence symptoms, three for postural balance, one for cardiorespiratory capacity, one for osteoporosis and one study for lower back pain. The studies showed that the technological treatments improved pelvic floor strength, balance, cardiorespiratory fitness and bone mineral density when compared to conventional treatments. Improvement was linked to adherence to training and a high level of satisfaction during the training sessions. Technology-based treatments appear to be a viable alternative to conventional treatments in improving the quality of health, with benefits for the cardiovascular, genitourinary and skeletal systems, and ultimately for the overall quality of life.
- Full and empty nest syndromes in women in the climacteric period(2022) ABREU, Ana Carolina Goncalves de; ALVES, Mayara Souza; ZUCHELO, Lea Tami Suzuki; SANTOS, Sueli Vitorino dos; NOLL, Priscilla Rayanne e Silva; BARACAT, Edmund Chada; SOARES JUNIOR, Jose Maria; SORPRESO, Isabel Cristina Esposito
- Life habits of postmenopausal women: Association of menopause symptom intensity and food consumption by degree of food processing(2022) NOLL, Priscilla Rayanne e Silva; NOLL, Matias; ZANGIROLAMI-RAIMUNDO, Juliana; BARACAT, Edmund Chada; LOUZADA, Maria Laura da Costa; SORPRESO, Isabel Cristina Esposito; SOARES JR., Jose MariaObjective: To evaluate in postmenopausal women the association between menopause symptom intensity and the quality of life and clinical, anthropometric, and lifestyle factors, focusing on food consumption by degree of processing. Study design: A cross-sectional study of 288 postmenopausal women using interviews. Main outcome measures: The Kupperman-Blatt Menopausal Index and the Women's Health Questionnaire were used to evaluate the main outcomes of menopausal symptom intensity and quality of life, respectively. Data on socioeconomic, clinical, anthropometric, and lifestyle variables (smoking, alcohol intake, physical activity, and food consumption) were collected. Results: Most women had moderate to severe intensity of menopausal symptoms. The highest tertile of ultra processed food consumption was associated with a greater intensity of vasomotor symptoms (prevalence ratio [PR] 0.73, 95% confidence intervals [CI] 0.55-0.96) and sexual behavior (PR 1.22, CI 1.01-1.49). Higher intakes of sugar-sweetened beverages and sausages were associated with somatic symptoms (PR 1.23, CI 1.01-1.49) and poorer memory/concentration (PR 1.22, CI 1.02-1.47/ PR 1.22, CI 1.01-1.48). The highest tertile of vegetable intake was associated with greater protection against depressive mood (PR 0.64, CI 0.43-0.96), vasomotor symptoms (PR 0.79, CI 0.63-0, 99), and sleep disorders (PR 0.83, CI 0.69-0.99), and better quality of life (PR 0.79, CI 0.62-0.99). Conclusion: More intense vasomotor, sexual, somatic, and memory and concentration symptoms are associated with a higher consumption of ultra-processed foods, whereas those with a higher consumption of vegetables reported lower menopause symptom intensity and a better quality of life.