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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

INDICADORES ANTROPOM?TRICOS DE OBESIDADE ABDOMINAL: PREVAL?NCIA E FATORES ASSOCIADOS EM FUNCION?RIAS DE UMA INSTITUI??O DE ENSINO SUPERIOR FEIRA DE SANTANA- BA 2008

Almeida, Rog?rio Tosta de 27 February 2008 (has links)
Made available in DSpace on 2015-07-15T13:31:40Z (GMT). No. of bitstreams: 1 Rogerio Tosta.pdf: 1407696 bytes, checksum: 05707143133f12bb9926534f77e3561d (MD5) Previous issue date: 2008-02-27 / The corporal fat located one in the abdominal region seems to be bigger predictor of higher risks to human health comparing with the generalized fat, consisting in a great problem of public health, with high financial and social costs. The Abdominal Obesity (AO) in the Brazilian female population has increase in the last few decades. The objectives of this study had been to evaluate the performance of the cut-off point the anthropometrics indices of AO Conicity Index (CIN), Waist Circumference (WC), Waist-to-Hip Ratio (WHR) and Waist-to-height (WTH) - to discriminate Coronary High Risk (CHR) in workers of an University and esteem the prevalence of AO and its relation with socio-demographic, occupational and lifestyle factors. It s about a study of cross-sectional in Feira de Santana-BA-Brazil with 461 technician-administrative and general services workers women of an University with age enters 20-69 years. The analysis of the cut-off points the anthropometrics indices was made through curves ROC. Values of sensitivity and specificity had been verified to identify and to compare the best cut-off points to discriminate CHR, calculated on the basis of Score of Framingham (SF). The prevalence as measured of occurrence was adopted. The Hazard Ratio had been used to evaluate the associations between the variables. The cut-off points and the joined prevalence had been: WC (86 cm / 37.3%), WHR (0,87 / 28.9%), CIN (1,25 / 32.3%) and WTH (0,55 / 29.1%), being, respectively, the areas under curve ROC of 0,70 (IC95% = 0,63-0,77), 0,74 (IC95% = 0,67-0,81), 0,76 (IC95% = 0,70-0,83) and 0,74 (IC95% = 0,67-0,81). CIN was the pointer that presented optimum to be able discriminatory, followed for the WHR and the WHT and, finally for the WC. Association met positive and with significance statistics it enters all the indicators of AO and greater age, greater number of children, minor schooling, greater service time, tobaccoism (smoking and former-smokers) and greater sugar consumption. The consumption of bovine meat also was associated with the AO, not being significant statistical, only for CIN. The civil status (married/free union) was positively associated with the AO from all indicators, however presented association statistics only through the WHT. The abdominal one expects especially that these results can contribute for the briefing of the phenomenon of the obesity in the Brazilian female population, supplying information so that the health professionals act in the prevention of this multifactorial clinical condition preventing the appearance of the cardiovascular illnesses. / A gordura corporal localizada na regi?o abdominal tem sido apontada como preditora mais relevante de riscos elevados ? sa?de do que a gordura generalizada, constituindo-se grande problema de sa?de p?blica, com alto custo financeiro e social. A obesidade abdominal (OABD) na popula??o feminina brasileira tem aumentado nas ?ltimas d?cadas. Os objetivos deste estudo foram avaliar o desempenho de diferentes pontos de corte dos indicadores antropom?tricos de OABD ?ndice de Conicidade (?ndice C), Circunfer?ncia de Cintura (CC), Raz?o Cintura-Quadril (RCQ) e Raz?o Cintura/Estatura (RCEst) para discriminar Risco Coronariano Elevado (RCE) em funcion?rias de uma Institui??o de Ensino Superior (IES) e estimar a preval?ncia de OABD e sua rela??o com vari?veis sociodemogr?ficas, ocupacionais e comportamentais. Trata-se de um estudo de corte transversal realizado em Feira de Santana-BA-Brasil com 461 funcion?rias t?cnico- administrativas e de servi?os gerais de uma IES com idade entre 20-69 anos. A an?lise dos pontos de corte dos indicadores antropom?tricos foi feita atrav?s das curvas ROC. A sensibilidade e a especificidade foram estimadas para identificar e comparar os melhores pontos de corte para discriminar RCE, calculado com base no Escore de Risco de Framingham (ERF). Foi adotada a preval?ncia como medida de ocorr?ncia. A raz?o de preval?ncia foi utilizada para avaliar as associa??es entre as vari?veis. Os pontos de corte e as preval?ncias encontradas foram: CC (86 cm / 37,3%), RCQ (0,87 / 28,9%), ?ndice C (1,25 / 32,3%) e RCEst (0,55 / 29,1%), sendo, respectivamente, as ?reas sob a curva ROC de 0,70 (IC95% = 0,63-0,77), 0,74 (IC95% = 0,67-0,81), 0,76 (IC95% = 0,70-0,83) e 0,74 (IC95% = 0,67-0,81). O ?ndice C foi o indicador que apresentou o melhor poder discriminat?rio, seguido pela RCQ e pela RCEst e, por fim pela CC. Encontrou-se associa??o positiva e com signific?ncia estat?stica entre todos os indicadores de OABD e maior idade, maior n?mero de filhos, menor escolaridade, maior tempo de servi?o, tabagismo (fumantes e exfumantes) e maior consumo de a??car. O consumo de carne bovina tamb?m esteve associado com a OABD, n?o sendo significante estatisticamente, apenas pelo ?ndice C. A situa??o conjugal (casada/uni?o est?vel) foi positivamente associada ? OABD a partir de todos indicadores, entretanto apresentou associa??o estat?stica somente atrav?s da RCEst. Espera-se que estes resultados possam contribuir para a elucida??o do fen?meno da obesidade, especialmente a abdominal, na popula??o feminina brasileira, fornecendo informa??es para que os profissionais de sa?de atuem na preven??o dessa condi??o cl?nica multifatorial evitando o aparecimento das doen?as cardiovasculares.

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