JULIANE PRIETO PERES MERCANTE
Projetos de Pesquisa
Unidades Organizacionais
LIM/20 - Laboratório de Terapêutica Experimental, Hospital das Clínicas, Faculdade de Medicina
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conferenceObject Physical inactivity and headache disorders in the ELSA-Brasil cohort: A cross-sectional analysis(2021) OLIVEIRA, A.; MERCANTE, J.; PERES, M.; MOLINA, M. D. C.; LOTUFO, P.; BENSENOR, I.; GOULART, A.- Socioeconomic and geographic inequalities in headache disability in Brazil: The 2019 National Health Survey(2023) OLIVEIRA, Arao; BENSENOR, Isabela; GOULART, Alessandra; MERCANTE, Juliane; PERES, MarioObjective: To map the socioeconomic and geographic inequalities in headache disability in Brazil.Background: Headache disability and its social determinants are poorly investigated in Brazil.Methods: This is a secondary, cross-sectional analysis of the 2019 National Health Survey database, a representative sample of the Brazilian population. Working-aged Brazilians (aged >= 14 years) were included in the analyses (n = 225,563). Headache disability was inquired through questions on the number of days the respondent was unable to perform customary daily activities in the past 2 weeks. Proportion estimates and the mean days lost were compared between socioeconomic categories. Sample weights were used.Results: Among 14 disease-related disability groups, headache disability (n = 1228) was the second most prevalent disability in adolescents and fifth among adults aged < 50 years. In the headache disability sample, there was a higher proportion of females at 72.4% (95% confidence interval [CI] 68.5%-75.9%), with a mean (95% CI) age of 41.1 (40.1-42.0) years and days lost due to disability of 3.4 (3.2-3.6) days. The sociodemographic distribution across income strata (quartiles) of the headache disability sample showed the highest proportions at the lowest income quartile in the Northeast region (15.4%, 95% CI 12.8%-18.4%), for people of Brown color (17.5%, 95% CI 14.7%-20.7%), and with the lowest education level (l3.6%, 95% CI 11.3%-16.2%). Black people, those from the North region, and those with the lowest education level had more days lost than White people (mean [95% CI] 4.1 [3.5-4.6] vs. 3.1 [2.8-3.4] days, p = 0.008), those from the Southeast region (mean [95% CI] 3.8 [3.4-4.2] vs. 2.8 [2.4-3.3] days, p = 0.022), and people with the highest education level (mean [95% CI] 3.9 [3.6-4.2] vs. 2.8 [2.3-3.3] days, p = 0.005), respectively.Conclusion: In Brazil, headache disability is one of the leading causes of disability and it is characterized by socioeconomic inequalities.
- Physical inactivity and headache disorders: Cross-sectional analysis in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)(2021) OLIVEIRA, Arao Belitardo de; MERCANTE, Juliane Prieto Peres; PERES, Mario Fernando Prieto; MOLINA, Maria Del Carmen B.; LOTUFO, Paulo A.; BENSENOR, Isabela M.; GOULART, Alessandra C.Background Physical inactivity has been linked to headache disorders but estimates based on the current World Health Organization physical activity guidelines are unknown. Objective To test the associations between headache disorders and physical inactivity in the ELSA-Brasil cohort. Methods In a cross-sectional analysis, linear (continuous variables) and logistic regression models (categorical variables) tested the associations of physical activity levels in the leisure time, commuting time, and combined leisure time physical activity + commuting time physical activity domains with headache disorders, adjusted for the effects of sociodemographic data, cardiovascular risk variables, psychiatric disorders, and migraine prophylaxis medication. Results Of 15,105 participants, 14,847 (54.4% women) provided data on physical activity levels and headache. Higher physical activity levels (continuous values) in the leisure time physical activity domain associated with lower migraine and tension-type headache occurrence and lower headache attack frequency, while in the commuting time physical activity domain it associated with more frequent headache attacks. Compared to people who met World Health Organization physical activity levels in the leisure time physical activity or combining leisure time physical activity + commuting time physical activity domains (i.e. >= 150 min.wk(-1) of moderate and/or >= 75 min.wk(-1) of vigorous physical activity), physical inactivity associated with higher migraine occurrence, while somewhat active (i.e. not meeting World Health Organization recommendations) associated with higher migraine and tension-type headache occurrence. Physical inactivity in the commuting time physical activity domain associated with higher tension-type headache in men and lower migraine in women. Physical inactivity within vigorous leisure time physical activity intensity, but not moderate leisure time physical activity, associated with higher migraine, mostly in women. Finally, physical inactivity associated with higher headache attack frequency regardless headache subtype. Conclusion Physical inactivity and unmet World Health Organization physical activity levels associate with primary headaches, with heterogeneous associations regarding headache subtype, sex, physical activity domain/intensity, and headache frequency in the ELSA-Brasil study.
conferenceObject Headache Disability, Lifestyle Factors, Health Perception, and Mental Disorder Symptoms in the 2013 National Health Survey in Brazil: A cross-sectional analysis(2021) OLIEIRA, A.; MERCANTE, J.; GOULART, A.; BENSENOR, I.; PERES, M.conferenceObject Headache Disability, Lifestyle Factors, Health Perception, and Mental Disorder Symptoms in the 2013 National Health Survey in Brazil: A cross-sectional analysis(2021) OLIEIRA, A.; MERCANTE, J.; GOULART, A.; BENSENOR, I.; PERES, M.- Physical activity pattern and migraine according to aura symptoms in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort: A cross-sectional study(2022) OLIVEIRA, Arao Belitardo; PERES, Mario Fernando Prieto; MERCANTE, Juliane Prieto Peres; MOLINA, Maria del Carmen B.; LOTUFO, Paulo A.; BENSENOR, Isabela M.; GOULART, Alessandra C.Objective To estimate the associations of physical activity (PA) levels with migraine subtypes. Background Physical activity has been associated with reduced migraine prevalence, but less is known about its relationship with migraine subtypes and PA levels as recommended by World Health Organization (WHO). Methods In this cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), we estimated the odds ratios (ORs) of migraine with aura (MA) and migraine without aura (MO), compared to participants without headaches, according to PA levels in the leisure time (LTPA), commuting time (CPA), and combined PA domains. Results In total, 2773 participants provided complete data, 1556/2773 (56.1%) were women, mean (SD) age of 52.3 (9.1) years. In this study's sample, 1370/2773 (49.4%) participants had overall migraine, 480/2773 (17.3%) had MA, and 890/2773 (32.0%) had MO. In the LTPA domain, there were reduced odds of MA (OR 0.72, 95% confidence interval [CI] 0.53-0.96; p = 0.030) and MO (OR 0.71, 95% CI 0.56-0.90; p = 0.005) in participants who met the WHO PA guidelines after adjustment for confounder variables. In the analyses stratified by intensity, moderate LTPA was associated with reduced odds of MA (OR 0.56, 95% CI 0.320-0.99; p = 0.049), while vigorous LTPA was associated with reduced odds of MO (OR 0.55, 95% CI 0.395-0.77; p = 0.001). There were no significant associations between migraine subtypes and CPA or combined PA domains. In the whole migraine sample, meeting the WHO PA guidelines in the LTPA (OR 0.275, 95% CI 0.083-0.90; p = 0.034), CPA (OR 0.194, 95% CI 0.064-0.58; p = 0.004), and combined domains (OR 0.115, 95% CI 0.032-0.41; p = 0.001) was associated with reduced odds of daily migraine attack frequency. Conclusions Meeting the WHO PA guidelines for LTPA, but not CPA or combined PA domains, is associated with lower migraine occurrence. Moderate LTPA favors MA reduction, while vigorous LTPA favors MO reduction.
- Headache disability, lifestyle factors, health perception, and mental disorder symptoms: a cross-sectional analysis of the 2013 National Health Survey in Brazil(2022) OLIVEIRA, Arao Belitardo de; MERCANTE, Juliane Prieto Peres; BENSENOR, Isabela M.; GOULART, Alessandra C.; PERES, Mario Fernando PrietoObjective To evaluate the past 2-week headache disability and explore its association with lifestyle factors, health perception, and mental disorder symptoms in the PNS 2013 survey. Background The prevalence of headache disorders has been associated with lifestyle factors, mental disorders, and health perception. However, less is known regarding their influence on headache-related disability. Methods In a cross-sectional analysis, chi-squared tests and logistic regression models computed the associations between headache-related disability (defined as days lost from work, school, or household chores in the past 2 weeks) and the variables of interest, compared to other disease-related disabilities groups or no day lost group. The adjusted models controlled for the effects of age, sex, income, and educational levels. Results In the sample aged >= 18 years (n = 145,580), 10,728 (7.4%) participants reported any disease-related disability in the past 2 weeks (median interquartile range (IQR) for age = 47 (33-59) years, 62% women), with the median (IQR) days lost = 5 (2-14). Headache disability represented 5.3% (572/10,728) of all diseases, constituting the 4th most prevalent disease-related disability [median (IQR) days lost = 3 (3-4)]. Among people aged 18-25 years, headache disorders ranked 2nd as the most prevalent disability (13%), headache-related disability positively associated with physical inactivity, poorer health perception, and frequent mental disorders symptoms, and negatively associated with overweight, obesity, and alcohol consumption. Conclusion Headache disability represents a leading cause of disease-related disability in Brazil and associates with unhealthy lifestyle factors, poorer health perception, and frequent mental disorder symptoms.
conferenceObject Physical inactivity and headache disorders in the ELSA-Brasil cohort: A cross-sectional analysis.(2021) OLIVEIRA, A.; MERCANTE, J.; PERES, M.; MOLINA, M. D. C.; LOTUFO, P.; BENSENOR, I.; GOULART, A.conferenceObject Physical Activity and Migraine According to Aura Symptoms in the ELSA-Brasil cohort: A cross-sectional study(2021) OLIVEIRA, A.; PERES, M.; MERCANTE, J.; MOLINA, M. D. C.; LOTUFO, P.; BENSENOR, I.; GOULART, A.conferenceObject Physical Activity and Migraine According to Aura Symptoms in the ELSA-Brasil cohort: A cross-sectional study(2021) OLIVEIRA, A.; PERES, M.; MERCANTE, J.; MOLINA, M. D. C.; LOTUFO, P.; BENSENOR, I.; GOULART, A.