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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conferenceObject The physical activity in postmenopause women and performance at Virtual Reality(2018) RAIMUNDO, Juliana Z.; RAIMUNDO, Rodrigo D.; ABREU, Luiz C. de; SOARES JUNIOR, Jose M.; SIMOES, Ricardo D.; NORBERTO, Alex R.; PEREIRA, Valdelias X.; SORPRESO, Isabel C.; BARACAT, Edmund C.- 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.
- Isoflavones in gynecology(2018) CARBONEL, Adriana Aparecida Ferraz; SIMOES, Ricardo Santos; GIRAO, Joao Henrique Castello; SASSO, Gisela Rodrigues da Silva; BERTONCINI, Clelia Rejane Antonio; SORPRESO, Isabel Cristina Esposito; SOARES JUNIOR, Jose Maria; SIMOES, Manuel Jesus; BARACAT, Edmund Chada
bookPart Transição para a menopausa e pós-menopausa: conceitos e classificação(2016) JúNIOR, José Maria Soares; SORPRESO, Isabel Cristina Esposito; BARACAT, Maria Cândida Pinheiro; BARACAT, Edmund Chada- Hormone therapy effect on menopausal systemic lupus erythematosus patients: a systematic review(2022) SOARES-JR, J. M.; SORPRESO, I. C. Esposito; CURADO, J. F. Nunes; FERREIRA FILHO, E. S.; SIMOES, R. dos Santos; BONFA, E.; SILVA, C. A.; BARACAT, E. C.Systemic lupus erythematosus (SLE) primarily affects women, who may need hormone therapy (HT) in menopause. There is, however, some concern as to its efficacy and safety. This systematic review aimed to determine the effect of HT on the activity of SLE and its safety. The study was a qualitative systematic review. Research was conducted with data retrieved from Embase, MEDLINE and Cochrane databases using MESH terms up to April 2021, with no bar on date or language. Sixteen studies were selected for analysis. Most of them showed HT to be effective in the treatment of menopausal symptoms with no impact in SLE activity, but one randomized clinical trial showed an increase in the number of thrombotic events. The present systematic review demonstrated the efficacy of HT for treating the menopausal symptoms of SLE patients. The risk of flare and thrombosis seems to be very low.
bookPart Atenção primária à saúde da mulher adolescente(2021) SORPRESO, Isabel Cristina Esposito; ALMEIDA, Patrícia Gonçalves de; TAKIUTI, Albertina Duarte; JúNIOR, José Maria Soares; BARACAT, Edmund ChadaconferenceObject 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. EspositobookPart Sangramento uterino anormal na vigência de terapia hormonal na pós-menopausa(2016) JúNIOR, José Maria Soares; SORPRESO, Isabel Cristina Esposito; SIMõES, Ricardo dos Santos; BARACAT, Maria Cândida Pinheiro; BARACAT, Edmund Chada- Diagnosis and referral flow in the single health system for climacteric women(2020) SORPRESO, Isabel Cristina Esposito; FIGUEIREDO, Francisco Winter dos Santos; SILVA, Adna Thaysa Marcial da; ZANGIROLAMI-RAIMUNDO, Juliana; SILVA, Bharbara Karolline Rodrigues; ADAMI, Fernando; ZUCHELO, Lea Tami Suzuki; BARACAT, Edmund Chada; SOARES JUNIOR, Jose Maria; ABREU, Luiz Carlos deOBJECTIVE: The association between gynecological diagnoses and their distribution across healthcare sectors benefits health promotion and the identification of topics for continued education of gynecological care. This study aimed to identify healthcare diagnoses and referral flow in climacteric women. METHODS: This is a cross-sectional study conducted at the Women's Health Clinic of the University Hospital, University of Sao Paulo, with a reference to gynecology and training for Residents of Family and Community Medicine, between 2017 and 2018. The medical records of 242 women whose sociodemographic and clinical information, gynecological diagnoses, and distribution of healthcare services (primary, secondary, and tertiary) had been processed were collected. Statistical analysis included the chi-square test and odds ratio. RESULTS: Smoking (OR = 2.27, 95% 01.05-4.89; p = 0.035) was associated with the referral of climacteric women to higher complexity services. Considering the distribution of non-oncological diagnoses in climacteric patients, the chance of women being referred to medium- and high-complexity health services presented a 2-fold increase in cases of breast diseases, a 2.35-fold increase in cases of noninflammatory disorders of the female genital tract, and a 3-fold increase in cases of inflammatory diseases of the pelvic organs. CONCLUSION: Climacteric women aged over 55 years, postmenopausal women, and smoking women were most frequently referred to medium- and high-complexity outpatient surgery.
- Knowledge gaps and acquisition about HPV and its vaccine among Brazilian medical students(2020) COSTA, Annielson de Souza; GOMES, Jessica Menezes; GERMANI, Ana Claudia Camargo Goncalves; SILVA, Matheus Reis da; SANTOS, Edige Felipe de Sousa; SOARES JUNIOR, Jose Maria; BARACAT, Edmund Chada; SORPRESO, Isabel Cristina EspositoObjective To analyze factors associated with knowledge gaps and acquisition about HPV and its vaccine among medical students. Method Cross-sectional and analytical study conducted at the University of Sao Paulo Medicine School, in 2016. A convenience sample of students completed a data collection instrument containing questions on knowledge about HPV and its vaccine, and vaccine acceptability. The level of knowledge and acceptability established as a ""good level"" was 80% of correct answers on the questionnaire. Internal validity was calculated with Cronbach's alpha value (alpha) = 0.74. Bivariate and multiple analyzes were performed using the Stata (R) program (Stata Corp, College Station, USA) 14.0. Results To evaluate the internal consistency of the instrument applied, the Cronbach's alpha equation was used, obtaining the alpha value (alpha) = 0.74 for this population. This value attests that the consistency of the answers obtained with this questionnaire is considered substantial and acceptable. Among the 518 medical students who completed the survey, the majority were men 312 (60.4%) with a mean age of 23 (+/- 2.8) years old; 199 (38.3%) of the students were in the final years of graduation (5th and 6th years). Students in the first, second and third year of study had a 51% higher risk of a knowledge gap when compared to students in the final years of graduation [PR 1.51 (1.3:1.8); p < 0.001]. Men were at 22% higher risk of unsatisfactory knowledge than women are [PR 1.22 (1.07: 1.39). There was no knowledge acquisition during medical school in the following questions (p < 0.05), indication of vaccine for individuals with HIV and contraindication in pregnant patients. Conclusion Male medical students, in the first year of medical school, and those who were not vaccinated had significant knowledge gaps about HPV. The novelty of the study includes the finding of non- acquisition of knowledge during the medical school graduation on safety and vaccination schedule and vaccine administration in specific populations.