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Avalia??o dos fatores de risco para baixa massa ?ssea em mulheres p?s-menop?usicas de um servi?o de diagn?sticoSchuchmann, Rejane Tetelbom 23 August 2012 (has links)
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Previous issue date: 2012-08-23 / Changes in bone mass in women are both determined by genetic and environmental factors. The most significant bone loss occurs around menopause. Objectives: Evaluate the prevalence of low bone mass and of the associated risk factors of in postmenopausal women. Methods: Review of medical records of postmenopausal women bone densitometry of lumbar spine and hip done at the Centro de Diagn?stico da Unimed Porto Alegre, Brasil in the period of June 2011 to November 2011, in a retrospective study. This study assessed bone mineral density, anthropometric data, clinical history and risk factors for low bone mass. The information was obtained before the time of the test. Results: 716 postmenopausal women met the criteria of the study .Most women were Caucasian 676 (97.5%), average 61.45 years old, had BMI of 26.25 kg / m?, menarche at 12.9 years old and menopause at 48.4 years old. 304 (42.6%) of the women were 55-64 years old. 293 (41%) women had average BMI. More than half of the sample 388 (54.2%) subjects had osteopenia and among the regions of interest, the lumbar spine showed 401 (56.6%) subjects with osteopenia and 154 (21.7%) with osteoporosis. 254 (46,3%) women were eutrophic and had low bone mass. Conclusion: when the sample of postmenopausal women was evaluated by bone densitometry there was a higher than expected occurrence of low bone mass and therefore associated risk factors for fractures. / Altera??es na massa ?ssea s?o relevantes e influenciadas por fatores gen?ticos e ambientais. Nas mulheres, o per?odo de maior perda ocorre ao redor da menopausa. Objetivos: Avaliar a preval?ncia de baixa massa ?ssea em mulheres p?s-menop?usicas e os fatores de risco associados. M?todos: Revis?o de prontu?rios de mulheres p?s-menop?usicas usu?rias do Centro de Diagn?stico da Unimed Porto Alegre que realizassem densitometria ?ssea de coluna lombar e f?mur proximal. Foram avaliados os valores de densidade mineral ?ssea, dados antropom?tricos, dados cl?nicos e fatores de risco para baixa massa ?ssea investigados em question?rio, de junho a novembro de 2011. Resultados: Foram inclu?das 716 mulheres p?s-menop?usicas. A maioria foi de etnia branca, com 676 (97,5%) mulheres, m?dia et?ria de 61,45 anos, IMC de 26,25 kg/m?, com menarca aos 12,9 anos e menopausa aos 48,4 anos. A faixa et?ria predominante foi de 55 a 64 anos com 304 (42,6%) mulheres. Quanto ao IMC, 293(41%), apresentaram peso adequado. A osteopenia predominou em 388 (54,2%) dos sujeitos e entre os s?tios, a coluna lombar apresentou predomin?ncia de osteopenia em 401 (56,6%) e osteoporose em 154 (21,7%) mulheres. 254(46,3%) mulheres eram eutr?ficas e com baixa massa ?ssea. Conclus?o: O estudo mostrou um n?mero acima do esperado de mulheres com baixa massa ?ssea e com fatores de risco definidos presentes no momento da avalia??o da densitometria ?ssea e, portanto mais suscet?veis ? fratura.
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Avalia??o da incontin?ncia urin?ria de esfor?o em mulheres na p?s-menopausa com e sem queixa de perda urin?ria atrav?s da aplica??o do pad-test de 1 horaMicussi, Maria Thereza Albuquerque Barbosa Cabral 29 October 2010 (has links)
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Previous issue date: 2010-10-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Stress urinary incontinence (SUI) is defined as "involuntary loss of urine" due to
several processes that alter the ability of the bladder to hold urine properly,
regarded as a social and hygienic problem that adversely affects quality of life.
In postmenopausal women, IU is associated with atrophy and weakness of the
pelvic floor muscles. The objective this study was investigate, using the onehour
pad test, stress urinary leakage (SUI), evaluate and compare their results
in postmenopausal and premenopausal women. The survey was characterized
as a cross-sectional study. The study consisted of 60 postmenopausal women
were divided into GIU - consisting of 34 volunteers complaining of involuntary
loss of urine during stress - and GSIU - consisting of 26 volunteers without
complaints of loss of urine during stress, and 15 women, during the premenopausal
(GPM), and ovulatory with normal menstrual cycle. All volunteers
were evaluated clinically, subjected to one-hour pad test, after the biochemical
evaluation of blood and sex hormones. Statistical analysis was performed by
descriptive analysis, ANOVA, Turkey?s post-test and Pearson correlation. The
results showed that 100% of postmenopausal patients had involuntary loss of
urine during one hour pad test (GIU: 4.0 g; GSIU: 4.5 g). GPM remained
continent after an hour pad test (GPM: 0.4 g). In addition, Pearson showed a
strong correlation between urine loss with time since menopause (r = 0.8, p
<0.01) and body mass index - BMI (r = 0.7; p = 0.01). These data suggest that
the one-hour pad test is a useful test to assess and quantify urinary leakage,
including those volunteers who had no previous complaint of SUI / A incontin?ncia urin?ria (IU) ? definida como perda involunt?ria de urina
decorrente de diversos processos que alteram a capacidade da bexiga de reter
a urina adequadamente. A IU surge com o avan?ar da idade e m mulheres na
p?s-menopausa, seu aparecimento associa-se a atrofia e a fraqueza da
musculatura do assoalho p?lvico. O objetivo deste estudo foi investigar, com o
uso do pad test de uma hora, as perdas urin?rias aos esfor?os (IUE), avaliar e
comparar seus resultados em mulheres na p?s-menopausa e na pr?menopausa.
A pesquisa foi caracterizada como um estudo transversal. O
estudo foi composto por 60 mulheres na p?s-menopausa, divididas em GIU
constitu?do por 34 volunt?rias com queixa de perda involunt?ria de urina aos
esfor?os e GSIU constitu?do por 26 volunt?rias sem queixa de perda de
urina aos esfor?os, e 15 mulheres, no per?odo da pr?-menopausa (GPM),
ovulat?rias e com ciclo menstrual normal. Todas as volunt?rias foram avaliadas
clinicamente, submetidas ao pad test de uma hora, ap?s avalia??o bioqu?mica
do sangue e dos horm?nios sexuais. A estat?stica foi feita atrav?s da an?lise
descritiva, o teste param?trico ANOVA, o p?s-teste de Turkey e a correla??o de
Pearson. Os resultados mostraram que 100% das pacientes na p?smenopausa
apresentaram perda involunt?ria de urina durante o pad test de
uma hora (GIU:4,0g; GSIU:4,5g). O GPM manteve-se continente ap?s o pad
test de uma hora (GPM:0,4g). Al?m disso, a correla??o de Pearson mostrou um
forte rela??o entre as perdas de urina com o tempo de menopausa
(r=0,8;p<0,01) e com o ?ndice de massa corporal IMC (r=0,7;p=0,01). Os
dados obtidos sugerem que o pad test de uma hora ? um exame ?til para
avaliar e quantificar as perdas urin?rias, inclusive daquelas volunt?rias que n?o
apresentavam queixa pr?via de IUE
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Associa??o entre consumo alimentar e atividade f?sica com a s?ndrome metab?lica em mulheres na p?s-menopausa / Evaluation of food consumption and prevalence of metabolic syndrome in women in postmenopausalCarvalho, Christiane Nogueira de Medeiros 09 December 2013 (has links)
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Previous issue date: 2013-12-09 / Post-menopause is characterized as the period beginning one year after the
permanent cessation of menstrual cycles, which is typically related to medical disorders that, in
association with Metabolic Syndrome (MS), represent a set of cardiovascular risk factors.
Objective: To assess dietary intake and the prevalence of metabolic syndrome in
postmenopausal women, according to the level of physical activity. Methods: The sample
consisted of 82 women, evaluated in the Northern Zone of the city of Natal / RN who were
participants in the Natal Active Program. People completed a Food Frequency Consumption
Questionnaire (FFCQ) and were interviewed about physical activity. Anthropometric
measurements and biochemical tests were used to diagnose MS (Metabolic Syndrome).
Result: The active women consumed more protective foods (flaxseed, nuts, whole wheat
bread, brown rice and olive oil) than inactive women. Risky foods (sugar, crackers, white bread,
white rice, margarine and beef) were consumed more by the group of inactive women. The
prevalence of MS was higher in inactive women (53.30%) than in physically active women
(46.70%). Conclusion: Active post-menopausal women had a higher daily intake of protective
foods in relation to cardiovascular disease, while the inactive post-menopausal women had
higher intake of risky foods for such diseases / A p?s-menopausa ? caracterizada como o per?odo iniciado um ano ap?s a
interrup??o permanente dos ciclos menstruais que normalmente est?o relacionadas com
patologias que em associa??o ? s?ndrome metab?lica (SM) representam um conjunto de
fatores de risco cardiovascular. Objetivo: Avaliar o consumo alimentar e a preval?ncia de
s?ndrome metab?lica em mulheres na p?s-menopausa, de acordo com o n?vel de atividade
f?sica. M?todos: A amostra foi composta por 82 mulheres, avaliadas na zona norte do
munic?pio de Natal/RN e participantes do Programa Natal Ativa. Foi aplicado um Question?rio
de Frequ?ncia de Consumo Alimentar (QFCA) e uma anamnese com quest?es sobre a pr?tica
de atividade f?sica. Para o diagn?stico da SM foram realizadas medidas antropom?tricas e
exames bioqu?micos. Resultado: As mulheres ativas consomem mais alimentos protetores
(linha?a, castanhas, p?o integral, arroz integral e azeite) do que as mulheres inativas. Quanto
ao consumo di?rio de alimentos considerados de risco (a??car, biscoito salgado, p?o
franc?s/forma, arroz branco, margarina e carne de boi), esses foram mais consumidos pelo
grupo das mulheres inativas. A preval?ncia de SM nas mulheres inativas foi maior (53,30%) do
que nas mulheres ativas (46,70%). Conclus?o: As mulheres ativas na p?s-menopausa tiveram
um maior consumo di?rio de alimentos protetores para doen?as cardiovasculares, assim como
os alimentos de risco para tais doen?as foram mais consumidos pelas mulheres inativas. A
preval?ncia de SM nas mulheres inativas foi maior do que nas mulheres ativas
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