Fernando Siqueira | Universidade Federal de Pelotas (Federal University of Pelotas) (original) (raw)
Papers by Fernando Siqueira
Women & Health, 2009
Despite growing evidence for an inverse relationship of motherhood and physical activity, studies... more Despite growing evidence for an inverse relationship of motherhood and physical activity, studies of the possible correlates for behavior change are scant. The purpose of this study was to evaluate the change in leisure-time physical activity behaviors of 139 urban women during the transition to motherhood in retrospective analysis and evaluate their physical activity changes using the theory of planned behavior during motherhood. Perceptions of control based on time, fatigue, social support, and childcare were the critical correlates that distinguished between those who continued with physical activity and those who declined. These results provide evidence for targeted PA interventions during the transition to motherhood.
![Research paper thumbnail of [Counseling for physical activity as a health education strategy]](https://attachments.academia-assets.com/100383629/thumbnails/1.jpg)
](Cadernos de saude publica, 2009
This study analyzes the prevalence of health counseling related to physical activity among users ... more This study analyzes the prevalence of health counseling related to physical activity among users of primary health care, and explores the associated variables. This cross-sectional study included a random sample of 4,060 adults and 4,003 older adults living in areas covered by primary health care in 41 cities from seven States of South and Northeast Brazil. Prevalence of counseling for physical activity was 28.9% (95%CI: 27.3-30.4) for adults and 38.9% (95%CI: 37.3-40.6) for elders. Prevalence was consistently higher among older adults, in the Northeast, and in areas covered by the Family Health Program. Gender, socioeconomic status, smoking, sedentary lifestyle, self-reported chronic non-communicable diseases, and continuous-use medication were also associated with the outcome. Counseling for physical activity at community health centers is under-promoted, considering individual needs for healthy living. There is a need to improve participation by health professionals from differen...
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil, Jun 28, 2018
to investigate the provision of health education and promotion actions in primary care, and their... more to investigate the provision of health education and promotion actions in primary care, and their association with demographic characteristics and Family Health Strategy (FHS) coverage in Rio Grande do Sul state, Brazil. this is a cross-sectional study conducted with 816 teams that adhered to the 2012 Primary Care Access and Quality Improvement Program. the most frequent actions were directed towards people with diabetes (91.2%), hypertension (90.8%) as well as antenatal and postnatal care (84.6%). The least frequent were directed to wards crack, alcohol and other drug users (32.4%), anxiolytic/benzodiazepine users (20.3%), people with tuberculosis (31.4%) and leprosy (21.0%). The greatest provision of health promotion and education actions occurred in smaller municipalities and with greater Family Health coverage. actions aimed at the reproductive period and chronic morbidities were the focus of primary care. FHS implementation strengthens health promotion.
Epidemiologia e Serviços de Saúde, 2017
Objective: to estimate the prevalence of functional disability in basic and instrumental daily ac... more Objective: to estimate the prevalence of functional disability in basic and instrumental daily activities and associated factors in elderly who live in the urban area of Bagé-RS, Brazil. Methods: this is a population-based cross-sectional study, conducted in 2008; functional disability was defined by basic and instrumental daily activities, using Katz index and Lawton and Brody scale; Poisson regression was used for crude and adjusted analyses. Results: 1,593 elderly individuals were investigated; the prevalence of disability for basic activities was of 10.6% (95%CI: 9.1;12.1) and of 34.2% (95%CI: 31.9;36.6) for instrumental activities; both disabilities were statistically associated to the increment of age, low education level, alcohol consumption, history of cerebrovascular diseases, cognitive impairment, hospitalization and home care. Conclusion: a high proportion of elderly presented functional disability; the outcomes were associated to the following variables: demographic, socioeconomic, behavioral, health status and use of health services.
Cadernos de Saúde Pública, 2017
O objetivo foi descrever indicadores de qualidade da atenção pré-natal no Brasil no âmbito do Pro... more O objetivo foi descrever indicadores de qualidade da atenção pré-natal no Brasil no âmbito do Programa de Melhoria do Acesso e da Qualidade (PMAQ-AB). Foram analisados número de consultas, situação vacinal, prescrição de sulfato ferroso, exame físico, orientações e exames complementares, com base no que se construiu como um indicador sintético de qualidade. Os dados foram coletados em 2012/2013 por meio de entrevistas realizadas por Avaliadores Externos do PMAQ-AB às 6.125 usuárias que fizeram seu último pré-natal nas unidades de saúde da família. Durante o pré-natal, 89% fizeram seis ou mais consultas, mais de 95% atualizaram a vacina antitetânica e receberam prescrição de sulfato ferroso, 24% referiram ter recebido todos os procedimentos de exame físico, 60% receberam todas as orientações e 69% realizaram todos os exames complementares. Apenas 15% das entrevistadas receberam atenção pré-natal adequada, considerando-se todas as ações preconizadas, sendo significativamente maior a p...
Preventive medicine, Oct 28, 2016
Physical inactivity causes 5.3 million deaths annually worldwide. We evaluated the impact on popu... more Physical inactivity causes 5.3 million deaths annually worldwide. We evaluated the impact on population leisure-time physical activity (LTPA) of scaling up an intervention in Brazil, Academia das Cidades program (AC-P). AC-P is a health promotion program classified as physical activity classes in community settings which started in the state of Pernambuco state in 2008. We surveyed households from 80 cities of Pernambuco state in 2011, 2012 and 2013, using monitoring data to classify city-level exposure to AC-P. We targeted 2370 individuals in 2011; 3824 individuals in 2012; and 3835 individuals in 2013. We measured participation in AC-P and whether respondents had seen an AC-P activity or heard about AC-P. We measured LTPA using the International Physical Activity Questionnaire. We estimated the odds of reaching recommended LTPA by levels of exposure to the three AC-P measures. For women, the odds of reaching recommended LTPA were 1.10 for those living in cities with AC-P activity ...
To verify, in a sample of adults and elderly subjects living in areas covered by primary health c... more To verify, in a sample of adults and elderly subjects living in areas covered by primary health care in Brazil, which factors people rank as more important for health. Cross-sectional study comprising 4,060 adults and 4,003 elderly subjects living in areas covered by 240 primary health care units in the south and northeast regions of Brazil. A card with pictures and sentences related to variables associated with the risk of non-communicable chronic diseases was shown to individuals, and they were asked to point out which was the most important for health. The factors were: keeping a healthy diet, exercising regularly, avoiding excessive drinking, having regular medical consultations, avoiding smoking, keeping ideal body weight, and controlling stress. Among adults, the most frequently indicated factors were healthy diet (33.8%), physical exercise (21.4%) and avoid smoking (13.9%). Among the elderly, the leading factors were healthy diet (36.7%), avoid smoking (17.7%) and having regu...
Revista de Saúde Pública, 2015
OBJECTIVE To describe the lack of access and continuity of health care in adults.METHODS A cross-... more OBJECTIVE To describe the lack of access and continuity of health care in adults.METHODS A cross-sectional population-based study was performed on a sample of 12,402 adults aged 20 to 59 years in urban areas of 100 municipalities of 23 states in the five Brazilian geopolitical regions. Barriers to the access and continuity of health care and were investigated based on receiving, needing and seeking health care (hospitalization and accident/emergency care in the last 12 months; care provided by a doctor, by other health professional or home care in the last three months). Based on the results obtained by the description of the sample, a projection is provided for adults living in Brazilian urban areas.RESULTS The highest prevalence of lack of access to health services and to provision of care by health professionals was for hospitalization (3.0%), whilst the lowest prevalence was for care provided by a doctor (1.1%). The lack of access to care provided by other health professionals w...
Revista Brasileira de Saúde Materno Infantil, 2015
Objetivos: descrever o perfil de utilização de serviços de saúde em crianças brasileiras menores ... more Objetivos: descrever o perfil de utilização de serviços de saúde em crianças brasileiras menores de cinco anos. Métodos: estudo seccional de base populacional realizado em 2009, com crianças residentes em 100 municípios de cinco regiões brasileiras. Investigou-se o uso dos seguintes tipos de atendimento de saúde: domiciliar e médico ambulatorial - últimos três meses - e de urgência e internação hospitalar - últimos doze meses. As variáveis independentes foram: sexo, idade, classificação econômica familiar, escolaridade materna, família beneficiada pelo Programa Bolsa Família, ter apresentado problema agudo de saúde, estado nutricional, porte do município e região. Análises brutas e ajustadas para associação entre a utilização de serviços de saúde e classe econômica foram realizadas por meio de regressão de Poisson com ajuste robusto da variância. Resultados: das 6360 crianças, 3422 (54%) foram atendidas por médico, 506 (8%) receberam atendimento domiciliar, 2144 (34%) foram atendida...
Cadernos de Saúde Pública, 2014
O artigo analisa a insegurança alimentar em domicílios urbanos com crianças menores de sete anos ... more O artigo analisa a insegurança alimentar em domicílios urbanos com crianças menores de sete anos de idade. Por meio de estudo transversal localizou-se, nas áreas de abrangência de unidades básicas de saúde, 5.419 domicílios na Região Nordeste e 5.081 na Região Sul do Brasil. A insegurança alimentar foi avaliada usando-se a Escala Brasileira de Insegurança Alimentar. A prevalência de insegurança alimentar moderada ou grave foi 22,9% no Nordeste e 7,5% no Sul. Em ambas as regiões, na análise ajustada, a maior probabilidade de insegurança alimentar moderada e grave foi identificada em domicílios chefiados por mulheres, com cor da pele materna preta e parda/mestiça, com menor escolaridade materna, menor renda familiar per capita e beneficiários do Bolsa Família. A insegurança alimentar moderada ou grave seria reduzida em 59,5% no Nordeste e em 45,4% no Sul, com uma renda familiar per capita mínima de R$ 175,00 ao mês. O aumento da renda familiar dos mais pobres e a melhor focalização do...
Revista de Saúde Pública, 2008
OBJETIVO: Estimar a prevalência de ronco habitual e apnéia obstrutiva observada e fatores associa... more OBJETIVO: Estimar a prevalência de ronco habitual e apnéia obstrutiva observada e fatores associados. MÉTODOS: Estudo transversal com amostra representativa de 3.136 adultos, com 20 anos ou mais, residentes em Pelotas, Rio Grande do Sul, em 2005. Informações sobre os desfechos e variáveis demográficas, socioeconômicas, comportamentais e antropométricas foram coletadas por meio de questionário. A análise estatística bruta e ajustada foi realizada utilizando-se teste exato de Fisher ou qui-quadrado de tendência linear e regressão de Poisson, respectivamente. RESULTADOS: A prevalência encontrada de ronco habitual foi de 50,5% (IC 95%: 48,1;52,8) e de apnéia obstrutiva de 9,9% (IC 95%: 8,7;11,2). Na análise ajustada, o relato de ronco foi maior nos homens (Razão de Prevalências - RP=1,25; IC 95%: 1,16;1,34), nos idosos (RP=1,62; IC 95%: 1,46;1,80), nos tabagistas (RP=1,15; IC 95%: 1,07;1,25), nos alcoolistas (RP=1,17; IC 95%: 1,03;1,31) e nos obesos (RP 1,71, IC95% 1,55;1,88). O relato ...
Revista de Saúde Pública, 2007
OBJETIVO: Descrever a evolução da pesquisa epidemiológica em atividade física no Brasil. MÉTODOS:... more OBJETIVO: Descrever a evolução da pesquisa epidemiológica em atividade física no Brasil. MÉTODOS: Revisão sistemática da literatura, realizada em bases de dados eletrônicas (Medline/PubMed, Lilacs, Ovid, Science Direct, BioMed Central e High Wire), em periódicos nacionais não indexados, por busca específica por autores e contato com pesquisadores. A seleção dos artigos teve como critérios de inclusão: amostra representativa de alguma população definida; tamanho da amostra de pelo menos 500 indivíduos; coleta de dados realizada no Brasil; mensuração de atividade física e relato dos resultados com base nessa variável. RESULTADOS: Foram incluídos 42 estudos. O primeiro artigo foi publicado em 1990, observando-se tendência de aumento de publicações a partir de 2000. Foi detectada disparidade regional nas publicações, com concentração de estudos nas regiões Sudeste e Sul. A maioria dos estudos (93%) utilizou questionários como instrumentos de pesquisa, cujos conteúdos variaram, assim com...
Osteoporosis International, 2009
In a prospective cohort from Brazil, we evaluated the incidence of fractures from birth to early ... more In a prospective cohort from Brazil, we evaluated the incidence of fractures from birth to early adolescence and examined risk factors for fractures. The incidence was 14.2% (95%CI 13.2, 15.2). Male sex, birth length, and maternal age at delivery were positively associated with the risk of fractures. Introduction This study aims to evaluate the incidence of fractures from birth to 11 years of age and to explore the effect of early life variables on the risk of fractures. Methods All children (N = 5,249) born in 1993 in the city of Pelotas, Brazil were enrolled in a prospective birth cohort study. In 2004-2005, 87.5% of the cohort members were sought for a follow-up visit. History of fractures, including anatomic site and age of the fracture were asked to mothers. Results The incidence of fractures from birth to 11 years of age was 14.2% (95%CI 13.2, 15.2). Out of the 628 subjects who experienced a fracture, 91 reported two and only 20 reported three or more fractures. Male sex, birth length, and maternal age at delivery were positively associated with the risk of fractures. No consistent associations were found for family income, maternal body mass index, smoking during pregnancy, and birth weight. Conclusions Birth length seems to have long-term effect on musculoskeletal health. The higher risk of fractures among children of older mothers needs to be confirmed by other studies. In accordance to the developmental origins of diseases, fractures seem to be, at least in part, programmed in early life.
Women & Health, 2009
Despite growing evidence for an inverse relationship of motherhood and physical activity, studies... more Despite growing evidence for an inverse relationship of motherhood and physical activity, studies of the possible correlates for behavior change are scant. The purpose of this study was to evaluate the change in leisure-time physical activity behaviors of 139 urban women during the transition to motherhood in retrospective analysis and evaluate their physical activity changes using the theory of planned behavior during motherhood. Perceptions of control based on time, fatigue, social support, and childcare were the critical correlates that distinguished between those who continued with physical activity and those who declined. These results provide evidence for targeted PA interventions during the transition to motherhood.
Cadernos de saude publica, 2009
This study analyzes the prevalence of health counseling related to physical activity among users ... more This study analyzes the prevalence of health counseling related to physical activity among users of primary health care, and explores the associated variables. This cross-sectional study included a random sample of 4,060 adults and 4,003 older adults living in areas covered by primary health care in 41 cities from seven States of South and Northeast Brazil. Prevalence of counseling for physical activity was 28.9% (95%CI: 27.3-30.4) for adults and 38.9% (95%CI: 37.3-40.6) for elders. Prevalence was consistently higher among older adults, in the Northeast, and in areas covered by the Family Health Program. Gender, socioeconomic status, smoking, sedentary lifestyle, self-reported chronic non-communicable diseases, and continuous-use medication were also associated with the outcome. Counseling for physical activity at community health centers is under-promoted, considering individual needs for healthy living. There is a need to improve participation by health professionals from differen...
Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil, Jun 28, 2018
to investigate the provision of health education and promotion actions in primary care, and their... more to investigate the provision of health education and promotion actions in primary care, and their association with demographic characteristics and Family Health Strategy (FHS) coverage in Rio Grande do Sul state, Brazil. this is a cross-sectional study conducted with 816 teams that adhered to the 2012 Primary Care Access and Quality Improvement Program. the most frequent actions were directed towards people with diabetes (91.2%), hypertension (90.8%) as well as antenatal and postnatal care (84.6%). The least frequent were directed to wards crack, alcohol and other drug users (32.4%), anxiolytic/benzodiazepine users (20.3%), people with tuberculosis (31.4%) and leprosy (21.0%). The greatest provision of health promotion and education actions occurred in smaller municipalities and with greater Family Health coverage. actions aimed at the reproductive period and chronic morbidities were the focus of primary care. FHS implementation strengthens health promotion.
Epidemiologia e Serviços de Saúde, 2017
Objective: to estimate the prevalence of functional disability in basic and instrumental daily ac... more Objective: to estimate the prevalence of functional disability in basic and instrumental daily activities and associated factors in elderly who live in the urban area of Bagé-RS, Brazil. Methods: this is a population-based cross-sectional study, conducted in 2008; functional disability was defined by basic and instrumental daily activities, using Katz index and Lawton and Brody scale; Poisson regression was used for crude and adjusted analyses. Results: 1,593 elderly individuals were investigated; the prevalence of disability for basic activities was of 10.6% (95%CI: 9.1;12.1) and of 34.2% (95%CI: 31.9;36.6) for instrumental activities; both disabilities were statistically associated to the increment of age, low education level, alcohol consumption, history of cerebrovascular diseases, cognitive impairment, hospitalization and home care. Conclusion: a high proportion of elderly presented functional disability; the outcomes were associated to the following variables: demographic, socioeconomic, behavioral, health status and use of health services.
Cadernos de Saúde Pública, 2017
O objetivo foi descrever indicadores de qualidade da atenção pré-natal no Brasil no âmbito do Pro... more O objetivo foi descrever indicadores de qualidade da atenção pré-natal no Brasil no âmbito do Programa de Melhoria do Acesso e da Qualidade (PMAQ-AB). Foram analisados número de consultas, situação vacinal, prescrição de sulfato ferroso, exame físico, orientações e exames complementares, com base no que se construiu como um indicador sintético de qualidade. Os dados foram coletados em 2012/2013 por meio de entrevistas realizadas por Avaliadores Externos do PMAQ-AB às 6.125 usuárias que fizeram seu último pré-natal nas unidades de saúde da família. Durante o pré-natal, 89% fizeram seis ou mais consultas, mais de 95% atualizaram a vacina antitetânica e receberam prescrição de sulfato ferroso, 24% referiram ter recebido todos os procedimentos de exame físico, 60% receberam todas as orientações e 69% realizaram todos os exames complementares. Apenas 15% das entrevistadas receberam atenção pré-natal adequada, considerando-se todas as ações preconizadas, sendo significativamente maior a p...
Preventive medicine, Oct 28, 2016
Physical inactivity causes 5.3 million deaths annually worldwide. We evaluated the impact on popu... more Physical inactivity causes 5.3 million deaths annually worldwide. We evaluated the impact on population leisure-time physical activity (LTPA) of scaling up an intervention in Brazil, Academia das Cidades program (AC-P). AC-P is a health promotion program classified as physical activity classes in community settings which started in the state of Pernambuco state in 2008. We surveyed households from 80 cities of Pernambuco state in 2011, 2012 and 2013, using monitoring data to classify city-level exposure to AC-P. We targeted 2370 individuals in 2011; 3824 individuals in 2012; and 3835 individuals in 2013. We measured participation in AC-P and whether respondents had seen an AC-P activity or heard about AC-P. We measured LTPA using the International Physical Activity Questionnaire. We estimated the odds of reaching recommended LTPA by levels of exposure to the three AC-P measures. For women, the odds of reaching recommended LTPA were 1.10 for those living in cities with AC-P activity ...
To verify, in a sample of adults and elderly subjects living in areas covered by primary health c... more To verify, in a sample of adults and elderly subjects living in areas covered by primary health care in Brazil, which factors people rank as more important for health. Cross-sectional study comprising 4,060 adults and 4,003 elderly subjects living in areas covered by 240 primary health care units in the south and northeast regions of Brazil. A card with pictures and sentences related to variables associated with the risk of non-communicable chronic diseases was shown to individuals, and they were asked to point out which was the most important for health. The factors were: keeping a healthy diet, exercising regularly, avoiding excessive drinking, having regular medical consultations, avoiding smoking, keeping ideal body weight, and controlling stress. Among adults, the most frequently indicated factors were healthy diet (33.8%), physical exercise (21.4%) and avoid smoking (13.9%). Among the elderly, the leading factors were healthy diet (36.7%), avoid smoking (17.7%) and having regu...
Revista de Saúde Pública, 2015
OBJECTIVE To describe the lack of access and continuity of health care in adults.METHODS A cross-... more OBJECTIVE To describe the lack of access and continuity of health care in adults.METHODS A cross-sectional population-based study was performed on a sample of 12,402 adults aged 20 to 59 years in urban areas of 100 municipalities of 23 states in the five Brazilian geopolitical regions. Barriers to the access and continuity of health care and were investigated based on receiving, needing and seeking health care (hospitalization and accident/emergency care in the last 12 months; care provided by a doctor, by other health professional or home care in the last three months). Based on the results obtained by the description of the sample, a projection is provided for adults living in Brazilian urban areas.RESULTS The highest prevalence of lack of access to health services and to provision of care by health professionals was for hospitalization (3.0%), whilst the lowest prevalence was for care provided by a doctor (1.1%). The lack of access to care provided by other health professionals w...
Revista Brasileira de Saúde Materno Infantil, 2015
Objetivos: descrever o perfil de utilização de serviços de saúde em crianças brasileiras menores ... more Objetivos: descrever o perfil de utilização de serviços de saúde em crianças brasileiras menores de cinco anos. Métodos: estudo seccional de base populacional realizado em 2009, com crianças residentes em 100 municípios de cinco regiões brasileiras. Investigou-se o uso dos seguintes tipos de atendimento de saúde: domiciliar e médico ambulatorial - últimos três meses - e de urgência e internação hospitalar - últimos doze meses. As variáveis independentes foram: sexo, idade, classificação econômica familiar, escolaridade materna, família beneficiada pelo Programa Bolsa Família, ter apresentado problema agudo de saúde, estado nutricional, porte do município e região. Análises brutas e ajustadas para associação entre a utilização de serviços de saúde e classe econômica foram realizadas por meio de regressão de Poisson com ajuste robusto da variância. Resultados: das 6360 crianças, 3422 (54%) foram atendidas por médico, 506 (8%) receberam atendimento domiciliar, 2144 (34%) foram atendida...
Cadernos de Saúde Pública, 2014
O artigo analisa a insegurança alimentar em domicílios urbanos com crianças menores de sete anos ... more O artigo analisa a insegurança alimentar em domicílios urbanos com crianças menores de sete anos de idade. Por meio de estudo transversal localizou-se, nas áreas de abrangência de unidades básicas de saúde, 5.419 domicílios na Região Nordeste e 5.081 na Região Sul do Brasil. A insegurança alimentar foi avaliada usando-se a Escala Brasileira de Insegurança Alimentar. A prevalência de insegurança alimentar moderada ou grave foi 22,9% no Nordeste e 7,5% no Sul. Em ambas as regiões, na análise ajustada, a maior probabilidade de insegurança alimentar moderada e grave foi identificada em domicílios chefiados por mulheres, com cor da pele materna preta e parda/mestiça, com menor escolaridade materna, menor renda familiar per capita e beneficiários do Bolsa Família. A insegurança alimentar moderada ou grave seria reduzida em 59,5% no Nordeste e em 45,4% no Sul, com uma renda familiar per capita mínima de R$ 175,00 ao mês. O aumento da renda familiar dos mais pobres e a melhor focalização do...
Revista de Saúde Pública, 2008
OBJETIVO: Estimar a prevalência de ronco habitual e apnéia obstrutiva observada e fatores associa... more OBJETIVO: Estimar a prevalência de ronco habitual e apnéia obstrutiva observada e fatores associados. MÉTODOS: Estudo transversal com amostra representativa de 3.136 adultos, com 20 anos ou mais, residentes em Pelotas, Rio Grande do Sul, em 2005. Informações sobre os desfechos e variáveis demográficas, socioeconômicas, comportamentais e antropométricas foram coletadas por meio de questionário. A análise estatística bruta e ajustada foi realizada utilizando-se teste exato de Fisher ou qui-quadrado de tendência linear e regressão de Poisson, respectivamente. RESULTADOS: A prevalência encontrada de ronco habitual foi de 50,5% (IC 95%: 48,1;52,8) e de apnéia obstrutiva de 9,9% (IC 95%: 8,7;11,2). Na análise ajustada, o relato de ronco foi maior nos homens (Razão de Prevalências - RP=1,25; IC 95%: 1,16;1,34), nos idosos (RP=1,62; IC 95%: 1,46;1,80), nos tabagistas (RP=1,15; IC 95%: 1,07;1,25), nos alcoolistas (RP=1,17; IC 95%: 1,03;1,31) e nos obesos (RP 1,71, IC95% 1,55;1,88). O relato ...
Revista de Saúde Pública, 2007
OBJETIVO: Descrever a evolução da pesquisa epidemiológica em atividade física no Brasil. MÉTODOS:... more OBJETIVO: Descrever a evolução da pesquisa epidemiológica em atividade física no Brasil. MÉTODOS: Revisão sistemática da literatura, realizada em bases de dados eletrônicas (Medline/PubMed, Lilacs, Ovid, Science Direct, BioMed Central e High Wire), em periódicos nacionais não indexados, por busca específica por autores e contato com pesquisadores. A seleção dos artigos teve como critérios de inclusão: amostra representativa de alguma população definida; tamanho da amostra de pelo menos 500 indivíduos; coleta de dados realizada no Brasil; mensuração de atividade física e relato dos resultados com base nessa variável. RESULTADOS: Foram incluídos 42 estudos. O primeiro artigo foi publicado em 1990, observando-se tendência de aumento de publicações a partir de 2000. Foi detectada disparidade regional nas publicações, com concentração de estudos nas regiões Sudeste e Sul. A maioria dos estudos (93%) utilizou questionários como instrumentos de pesquisa, cujos conteúdos variaram, assim com...
Osteoporosis International, 2009
In a prospective cohort from Brazil, we evaluated the incidence of fractures from birth to early ... more In a prospective cohort from Brazil, we evaluated the incidence of fractures from birth to early adolescence and examined risk factors for fractures. The incidence was 14.2% (95%CI 13.2, 15.2). Male sex, birth length, and maternal age at delivery were positively associated with the risk of fractures. Introduction This study aims to evaluate the incidence of fractures from birth to 11 years of age and to explore the effect of early life variables on the risk of fractures. Methods All children (N = 5,249) born in 1993 in the city of Pelotas, Brazil were enrolled in a prospective birth cohort study. In 2004-2005, 87.5% of the cohort members were sought for a follow-up visit. History of fractures, including anatomic site and age of the fracture were asked to mothers. Results The incidence of fractures from birth to 11 years of age was 14.2% (95%CI 13.2, 15.2). Out of the 628 subjects who experienced a fracture, 91 reported two and only 20 reported three or more fractures. Male sex, birth length, and maternal age at delivery were positively associated with the risk of fractures. No consistent associations were found for family income, maternal body mass index, smoking during pregnancy, and birth weight. Conclusions Birth length seems to have long-term effect on musculoskeletal health. The higher risk of fractures among children of older mothers needs to be confirmed by other studies. In accordance to the developmental origins of diseases, fractures seem to be, at least in part, programmed in early life.