Dissertações e Teses

URI permanente para esta coleçãohttps://repositorio.cmmg.edu.br/handle/123456789/6

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    Prevalência da obesidade e fatores associados em adultos brasileiros: revisão sistemática e meta-análise de estudos de representatividade nacional
    (Faculdade Ciências Médicas de Minas Gerais, 2023-12-13) Garcia, Cecília Alcantara Braga; Souza, Alessandra Hubner de; Guimarães, Nathália Sernizon
    Introduction: Obesity is a complex multifactorial disease that has a high impact on public health. This chronic condition is a significant risk factor for other morbidities and impaired quality of life. Objective: Estimate the prevalence of obesity among Brazilian adults. Material and methods: Systematic literature review carried out in accordance with the Cochrane Library manual and written using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. This study was previously registered on PROSPERO [#CRD42023390871]. The search was performed using the databases MEDLINE, Embase, Web of Science, Cochrane Library, Scopus, LILACS and the reference lists of the included studies. The primary outcomes were: (1) prevalence of obesity in Brazilian adults; (2) prevalence of obesity in Brazilian men; (3) prevalence of obesity in Brazilian women. Secondary outcomes were factors associated with obesity. Analyses were performed in the Rstudio software, version 4.1.0. Results: 5,634 references were identified, of which 19 studies and 21 national gray literature surveys, carried out from 1974 to 2021, were included in the meta-analysis. The pooled prevalence of obesity in Brazilian adults in the national territory was 20.0% (95%CI: 14.0-25.0%) while in the capitals it was equal to 17.0% (95%CI: 16.0-19. 0%). According to the regions of the country, obesity varied between 11.0% and 17.0%, with a lower and higher frequency in the Northeast and South regions. In the capitals, the prevalence of obesity varied between 14.0% and 17.0%, less frequently in the cities of Palmas and São Luis and more frequently in the city of Manaus. The prevalence of obesity remained higher among women in most periods, with a frequency of 18.0%, while in men it was 16.0%. In the subgroup analysis, considering the variables gender, geographic region of residence and urban or rural housing, there was no statistical difference. Conclusion: The prevalence of obesity in adults of both sexes living in Brazil and its states were high. There was no statistically significant difference in the subgroup analysis.
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    Sintomas de ansiedade e depressão em pacientes oncológicos sob cuidados paliativos assistidos em serviço hospitalar do sudoeste de Minas Gerais: estudo transversal
    (Faculdade Ciências Médicas de Minas Gerais, 2023-03-10) Garcia, Gustavo Souza Gontijo; Souza, Alessandra Hubner de; Guimarães, Nathália Sernizon
    Background: This study aimed to evaluate the risk and protective factors associated with anxiety and depression symptoms in cancer patients at an advanced stage of cancer. Methods: A cross-sectional study was conducted on patients with advanced cancer who were receiving palliative care. Cancer patients aged 18 years or older, with preserved cognitive function who completed the questionnaires were eligible. The questionnaires of Hospital Anxiety and Depression Scale (HADS) and health related of quality-of-life questionnaire; the European Organization for Research and Treatment of Cancer (EORTC-C30) were applied. Outcome variables were the depression and anxiety symptoms of cancer patients under palliative care, according to the answers to the 14 items that make up the HADS Scale. The analysis used the R software, version 4.2.0. Results: Seventy cancer patients with advanced cancer were included. The colon was the most common neoplastic diagnostic (20%), followed by breast (12.9%) and lung (10%). The prevalence of depression was 44.3%, 25.7% anxiety and 52.9% had both symptoms. Patients with a high level of functionality had a lower chance of anxiety (OR=0.80; p=0.025), depression (OR=0.82; p=0.007), and anxiety and depression (OR=0.82p=0.008). We observed a lower chance of depression and depression/anxiety who showed a high level of Overall Performance. Three symptoms increased the chance of depression/anxiety: nausea/vomiting (p=0.019), fatigue (0.031), loss of appetite (0.048). Conclusion: This study found high prevalence of anxiety and depression. Better quality of life and functionality were negatively associated with these outcomes. Examining the patient's functions will assist the clinician in alleviating symptoms of anxiety and depression, giving cancer patients in palliative care more dignity.