ORCID Profile
0000-0002-7469-1399
Current Organisations
School of Medicine, University of Sao Paulo
,
Universidade Federal de Sao Paulo Escola Paulista de Medicina
,
Center for Epidemiological Studies in Health and Nutrition
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Publications
Associations of ultra‐processed food and drink products with asthma and wheezing among Brazilian adolescents
Publisher: Wiley
Date: 29-05-2018
DOI: 10.1111/PAI.12911
Abstract: Although both consumptions of ultra-processed products and asthma are common during adolescence, the epidemiological evidence in regarding their association is unclear. We investigated the associations of ultra-processed products consumption with asthma and wheezing in a representative s le of Brazilian adolescents. We used data from a representative s le of 109 104 Brazilian adolescents enrolled in the National Survey of School Health, 2012. The consumption of ultra-processed products was based on the weekly consumption (0-2, 3-4, ≥5 d/wk) of sweet biscuits, salty biscuits, ultra-processed meats, sweets/candies, soft drinks, and packaged snacks over the previous 7 days. We also calculated an ultra-processed consumption score by adding partial scores corresponding to weekly frequency intake of each ultra-processed product. The ultra-processed consumption score ranged from 0 to 42, the higher score, the higher the intake of these products. The presence of wheezing in the previous 12 months and asthma at any time in the past was self-reported. The adjusted odds ratios of asthma comparing the extreme categories ranged from 1.08 (95% CI 1.03-1.13) for sweets/candies to 1.30 (1.21-1.40) for ultra-processed meats. Similar magnitude of associations was found for wheezing outcome. The ultra-processed consumption score was positively associated with the presence of asthma and wheezing in a dose-response manner. The adjusted OR of asthma and wheezing comparing highest to lowest quintile of ultra-processed consumption score was 1.27 (95% CI 1.15-1.41) and 1.42 (1.35-1.50), respectively. The consumption of ultra-processed products was positively associated with the presence of asthma and wheezing in adolescents.
Premature deaths attributable to the consumption of ultra-processed foods: a comparative assessment modelling study in eight countries
Publisher: Cold Spring Harbor Laboratory
Date: 05-10-2023
Panorama of Intimate Partner Violence Against Women in Brazil and its Association With Self-Perception of Health: Findings From a National Representative Survey
Publisher: SAGE Publications
Date: 24-02-2023
DOI: 10.1177/08862605231155141
Abstract: Intimate partner violence (IPV) is a challenge in Brazil. The country holds one of the highest rates of femicide in the world, most of which are preceded by IPV. We conducted a cross-sectional study with 34,334 women, aged 18 to 59 years, from the 2019 Brazilian National Health Survey to analyze the prevalence of IPV and its subtypes among the Brazilian adult women in the last 12 months, encompassing their health consequences and the use of health services resulting from IPV. We also used logistic regression models to estimate the association of sociodemographic characteristics and self-perceived health status with IPV. The prevalence of IPV among Brazilian adult women in the last 12 months was 7.6% (95% confidence interval [CI] [7.0, 8.2]). Women aged 18 to 39 years, not married, and with income of up to 1 minimum wage (MW), had higher odds of suffering IPV. Among those who reported health consequences due to IPV, 69% reported psychological consequences, and 13.9% sought health care, mostly in primary or secondary health care services in the Brazilian Unified Health System (41.9%). Regarding the self-perceived health variables, women who reported eating problems (odds ratio [OR] = 1.29 [1.01, 1.65]), lack of interest/absence of pleasure (OR = 1.41 [1.11, 1.79]), depressive feelings (OR = 1.39 [1.03, 1.88]), feeling of failure (OR = 1.75 [1.36, 2.24]), and suicidal thoughts (OR = 1.73 [1.25, 2.41]) had greater odds of reporting IPV compared to those who did not report these same perceptions. The results show that younger, orced or single, low-income women with eating problems and mental health disorders were more likely to suffer IPV. IPV often led to health problems, and many abused women sought support from public health services. Health professionals must be trained to identify and care for these women, thereby acting as allies in preventing and reducing IPV.
Do vigorous-intensity and moderate-intensity physical activities reduce mortality to the same extent? A systematic review and meta-analysis
Publisher: BMJ
Date: 10-2020
DOI: 10.1136/BMJSEM-2020-000775
Abstract: To examine whether vigorous-intensity physical activity confers additional reductions on all-cause and cause-specific mortality compared with moderate-intensity physical activity. A systematic review (registered in PROSPERO CRD42019138995) and meta-analysis. Three electronic databases up to April 14 2020. Inclusion criteria were prospective studies that contained information about (1) moderate-intensity (3–5.9 metabolic equivalent tasks (METs)) and vigorous-intensity (≥6 METs) physical activities and (2) all-cause and/or cause-specific mortality. Exclusion criteria were prospective studies that (1) exclusively recruited diseased patients (eg, hypertensive patients and diabetics) or (2) did not account for total physical activity in their multivariable models (3) or did not adjust or exclude in iduals with comorbidities at baseline or (4) used physically inactive participants as reference group. Five studies (seven cohorts using sex-specific results) were pooled into a meta-analysis. For all-cause mortality and controlling by total physical activity, vigorous-intensity physical activity (vs moderate) was not associated with a larger reduction in mortality (HR 0.95, 95% CI 0.83 to 1.09). After the exclusion of one study judged with critical risk of bias (Risk Of Bias in Non randomized Studies, ROBINS tool) from meta-analysis, results remained similar (HR 0.98, 95% CI 0.85 to 1.12). Due to the limited number of studies, meta-analyses for cancer and cardiovascular mortality were not performed. Prospective studies suggest that, for the same total physical activity, both vigorous-intensity and moderate-intensity physical activities reduce all-cause mortality to the same extent. However, absence of evidence must not be interpreted as evidence of absence due to the existing methodological flaws in the literature.
Has the Prevalence of Childhood Obesity in Spain Plateaued? A Systematic Review and Meta-Analysis
Publisher: MDPI AG
Date: 26-04-2022
Abstract: The prevalence of excess body weight (overweight plus obesity) in children has risen during the last decades in many countries, but it is unclear whether it has reached a plateau in Spanish children. We performed an updated systematic review and meta-analysis for the prevalence of excess body weight in children from Spain, comparing the trends between 1999 and 2010 and 2011 and 2021. Data were reported in a prior meta-analysis, plus an updated search using the Web of Science, MEDLINE (via PubMed) and EMBASE databases for data from January 2018 until December 2021. Thirteen representative studies were identified (34,813 children aged 2 to 13 years), with s le sizes averaging 2678 (range: 396–16,665). The prevalence of excess body weight in Spanish children aged 2 to 6 years increased from 23.3% (95% CI, 18.5% to 25.5%) during the period 1999–2010 to 39.9% (95% CI, 35.4% to 44.7%) during 2011–2021. In children aged 7 to 13 years, the prevalence of excess body weight increased from 32.3% (95% CI, 29.1–35.6%) during the period 1999–2010 to 35.3% (95% CI, 32.9–37.7%) during 2011–2021. The prevalence of childhood overweight and obesity in Spain has substantially increased in the last decade. New food policies to address the childhood obesity epidemic are urgently required to reverse current trends.
Related Organisations
Harvard T.H. Chan School Of Public Health
Location: United States of America
Universidade Federal De Sao Paulo Escola Paulista De Medicina
Location: Brazil
Center For Epidemiological Studies In Health And Nutrition
Location: Brazil
Faculdade De Educação Física De Santo André (FEFISA)
Location: Brazil
Related Funding Activities
Consumption Of Ultra-processed Foods, Dietary Nutrient Profile Diet And Obesity In Seven Countries
Start Date: 2016
End Date: 2019
Funder: Fundação de Amparo à Pesquisa do Estado de São Paulo
View Funded Activity