Patrones de consumo de alcohol en la adolescencia

Este estudio analiza los patrones de consumo de alcohol y el papel de la influencia social y la percepción de peligrosidad de esta sustancia en dicho consumo en una muestra de 1.624 estudiantes de Secundaria de Girona con edades comprendidas entre los 12 y los 18 años (49,4% chicos). Los resultados muestran que un 20,9% de los adolescentes se consideran consumidores habituales de alcohol, y que el consumo se incrementa con la edad, independientemente del género. Un porcentaje elevado de consumidores supera el umbral de alto riesgo para la salud, principalmente entre las chicas debido a las diferencias de género en la metabolización alcohólica. Asimismo se confirma la influencia del entorno (amigos y familiares) y de la percepción de peligrosidad del alcohol tanto en el consumo de esta sustancia como en su uso de alto riesgo. Alcohol consumption patterns in adolescence

El benestar psicològic en l'adolescència: la perspectiva de les ciències de la complexitat

El benestar psicològic, entès com la vessant psicològica que forma part del concepte més ampli de qualitat de vida, constitueix un àmbit d'estudi en expansió. Tot i tenir un passat més breu en comparació amb d'altres constructes psicosocials, cada vegada investigadors de les més diverses disciplines s'afegeixen a la llista d'estudiosos que fan del benestar psicològic un dels seus objectes d'investigació. Amb tot, l'estudi del benestar psicològic en l'adolescència constitueix probablement un dels àmbits en els quals la necessitat de seguir avançant es fa més evident. El seu estudi en subjectes adolescents té, a més, un doble interès. Per una part, els canvis i transicions que nois i noies experimenten durant l'adolescència comporten amb freqüència que sigui un període estressant per a molts d'ells/es, amb implicacions importants per al seu benestar psicològic. Aprofundir en el seu coneixement durant aquest període té un interès més enllà de l'estrictament científic i permet el disseny de programes de prevenció més ajustats a les problemàtiques que els/les adolescents puguin estar experimentant. L'exploració dels elements del benestar psicològic constitueix una de les estratègies d'aproximació al seu estudi. En aquesta tesi doctoral s'han seleccionat alguns dels elements que de la literatura científica es desprèn que tenen una connexió més estreta amb el benestar psicològic i que són la satisfacció amb la vida globalment i amb àmbits específics de la vida, l'autoestima, el suport social percebut, la percepció de control i els valors. Tot i que existeix un consens elevat en considerar que l'exploració d'aquests elements és de primera necessitat de cares a aprofundir en l'estructura del benestar psicològic, generalment han estat estudiats de forma separada, malgrat no falten intents d'integració teòrica. Les limitacions més importants que presenta l'estudi del benestar psicològic i el dels seus elements en l'actualitat són bàsicament de caràcter epistemològic i fan referència a la dificultat de trobar visions comunes (tant a nivell de definicions com de teories explicatives) compartides per una majoria d'investigadors socials. Aquestes limitacions justifiquen l'interès per dirigir l'atenció vers un altre tipus d'explicacions del benestar psicològic, qualitativament diferents a les disponibles, que no es refugiïn ni en reduccionismes ni en explicacions causals rígides. Les teories de la complexitat suposen una alternativa productiva en aquest sentit ja que aquelles característiques a través de les quals la complexitat ve donada (borrositat de límits, punts de catàstrofe, dimensions fractals, processos caòtics i no lineals), són, en definitiva, les mateixes propietats que caracteritzen als fenòmens psicosocials. I això inclou el de benestar psicològic. Les dades de les que disposem, obtingudes mitjançant un estudi transversal, impedeixen fer una aproximació al benestar psicològic des de totes les propietats de la complexitat esmentades a excepció de la característica de la no linealitat. L'objectiu general de la tesi ha estat el de construir un model de benestar psicològic a partir de les dades obtingudes que permetés: 1) Evidenciar relacions entre variables que fins aquests moments no han pogut ser massa explorades, 2) Contemplar aquestes relacions més enllà de la seva unidireccionalitat, i 3) Entendre el benestar psicològic en l'adolescència des d'un punt de vista més integrador i holista i, consegüentment, oferir una manera més comprehensiva d'aproximar-se a aquest fenomen. Aquesta tesi ha de ser entesa com un primer pas, fonamentalment metodològic, per l'elaboració futura de conceptualizacions sobre el benestar psicològic en l'adolescència que es basin en els principis que ens aporten les ciències de la complexitat. Malgrat els resultats obtinguts no estan absents de limitacions, obren noves perspectives d'anàlisi del benestar psicològic en l'adolescència.

Immunomodulation and metabolism: possible role of lactoferrin

To gain insight in the relationship between innate immune system and metabolic disease, we aimed to investigate the effects of lactoferrin in obesity-related metabolic disturbances. Circulating lactoferrin concentration was significantly decreased in subjects with altered glucose tolerance (AGT) and associated negatively with obesity-related metabolic disturbances. The SNPs-induced aminoacidic changes in lactoferrin N-terminus region were associated with a low atherogenic lipid profile. Lactoferrin production in neutrophils decreased significatively in aging, chronic low-grade inflammation and type 2 diabetes. In vitro, lactoferrin increased insulin signaling pathway, even under insulin resistance conditions and displayed dual effects on adipogenesis (antiadipogenic in 3T3-L1 and adipogenic in human adipocytes). In conclusion, lactoferrin might play a potential protective role against insulin resistance and obesity related metabolic disturbances.

Estilos de vida: actividade física e sedentarismo dos alunos da Escola Secundária de São João do Estoril

RESUMO:Uma boa parte da mortalidade na idade adulta têm origem em comportamentos iniciados na adolescência, como sedentarismo, obesidade e consumo de tabaco, drogas ou álcool (Lourenço, 2007). O presente estudo tem como objectivo analisar os estilos de vida e os comportamentos adoptados pelos alunos da Escola Secundária de São João do Estoril (ESSJE), principalmente o nível de prática de actividade física em função do género, ano de escolaridade e índice de massa corporal (IMC). Porém, conhecer de que forma estes jovens ocupam os seus tempos livres é também um dos objectivos do presente trabalho. A amostra é constituída por 78 alunos da ESSJE, sendo que 27 alunos pertencem ao 10º ano, 25 ao 11º ano e 26 ao 12º ano de escolaridade. Foi aplicado uma parte do questionário da rede Europeia Health Behaviour in School-aged Children (HBSC) que visa estudar a saúde e os estilos de vida dos adolescentes. Os resultados obtidos mostram que na grande maioria, os alunos praticam actividade física, evidenciando-se diferenças na prática relativamente ao género mas não relativamente ao IMC e ano de escolaridade. Quanto à ocupação dos tempos livres, os alunos adoptam na sua maioria por actividades sedentárias. ABSTRACT: A good part of mortality in adulthood has its origin in behavior start in adolescence, such as physical inactivity, obesity and smoking, drugs or alcohol (Lourenço, 2007). The present study aims to examine the lifestyles and behaviors adopted by students of the School of São João do Estoril, especially the level of physical activity by gender, years of education and body mass index. However, to know how these young people occupy their leisure time is also one of the objectives of this work. The sample consists of 78 students School of São João do Estoril, with 27 students belong to the 10 th year, 25 to 11th years and 26 to 12th grade. We applied a part of the questionnaire of the European network Health Behaviour in School-aged Children (HBSC) project to study the health and lifestyles of teenagers. The results show that in most cases, students practice physical activity, demonstrating differences in practice on gender but not with regard to BMI and years of schooling. As for leisure time, students take mostly of sedentary activities.

Estratégias da promoção da saúde em escolares do grupo etário 15-19 anos

Este trabalho teve por base a promoção da saúde em escolares dos 15 aos 19 anos e estudar as possíveis estratégias a aplicar para se atingir este fim. Dentro deste tema analisaram-se os níveis de alcoolismo, tabagismo e drogas tanto a nível nacional como internacional com o fim de perceber a dimensão destes riscos assim como elaborar possíveis programas para diminuir os consumos destas substâncias. Os principais problemas na adolescência são as dependências tais como o alcoolismo, tabagismo e drogas que levam muitas vezes também a acidentes rodoviários. Existem também muitos problemas de saúde associados à imagem física tais como a obesidade, a anorexia e a acne. Além destes problemas, há também alguma falta de educação sexual de maneira a prevenir as doenças sexualmente transmissíveis e as gravidezes indesejáveis, assim como, mais recentemente, o bulling e cyberbulling. Dentro destes possíveis problemas que podem ocorrer na adolescência, aprofundou-se neste trabalho as dependências do álcool, tabaco e drogas por parte dos adolescentes dos 15 aos 19 anos. Dentro deste tema analisaram-se as razões do aparecimento destes problemas nos adolescentes, porque começam o consumo destas substâncias, quais as suas motivações e quais as estratégias a adotar para prevenir este tipo de consumos e posteriores consequências físicas e mentais no futuro.

Establishing a sexual identity: case studies of learners with autism and learning difficulties

The physical and emotional changes that occur in adolescence are part of the process of sexual maturity. These changes occur irrespective of ability and are often aligned with psychological and social factors. When the nature of a disability has an inherent limitation in social awareness, as is the case for individuals with autism, the achievement of personal sexual identity can become much more complex. Challenges in supporting individuals in this respect can be caused by the sensitive aspects of inappropriate behaviour, the abstract nature of teaching the topic, and the general reluctance on the part of parents and staff to discuss sexuality in individuals with disabilities. This article explores how a residential school addressed this gap. It provides details of how this need was met for seven students and the process undertaken to involve staff, parents and other stakeholders to establish ongoing support.

Metabolic syndrome: what is it and what are the implications?

Obesity and overweight are linked with a cluster of metabolic and vascular disorders that have been termed the metabolic syndrome. Although there is not yet a universally-accepted set of diagnostic criteria, most expert groups agree that the syndrome is characterised by impaired insulin sensitivity and hyperglycaemia, dyslipidaemia (elevated blood triacyglycerols with depressed HDL-cholesterol), abdominal obesity and hypertension. Based on existing published criteria estimates suggest that the syndrome affects a substantial percentage of the middle-aged and elderly populations of most European countries (10-20%) and confers increased risk of type 2 diabetes (2-8(.)8-fold) and CVD (1(.)5-6-fold), as well as having a marked effect on morbidity. Although the pathophysiology is incompletely understood, insulin resistance and abdominal obesity are central to subsequent abnormalities in circulating glucose and lipoproteins, and vascular function that lead to type 2 diabetes, atherosclerosis and CVD. The link between metabolic syndrome, type 2 diabetes and CVD, as well as inability to reverse the present rising rates of obesity, will lead to economically-unsustainable costs of health care in the next 10-20 years. Preventative strategies for metabolic syndrome are required to slow rates of progression and to reduce dependence on costly medical management. A notable development is recent evidence that shows that diet and exercise are more effective than drug treatment in preventing the development of type-2 diabetes in high-risk individuals. The LIPGENE project will investigate dietary fat quality as a strategy for the prevention of metabolic syndrome and identify food chain approaches that can support consumer attempts to alter their dietary patterns.

Parent-child interactions and adolescent anxiety: a systematic review

Parental behaviours have been implicated in the development and maintenance of anxiety in children and young people; however the degree to which findings apply to adolescents specifically remains unclear. We conducted a systematic review of studies examining the evidence for an association between parental behaviours and adolescent anxiety. Twenty two studies were identified. The results of this systematic review provide fairly consistent preliminary evidence for an association between anxiety and perceived parental control and anxious rearing in adolescence. The findings relating to an association between adolescent anxiety and perceived parental rejection and lack of warmth are somewhat less consistent. Methodological shortcomings in the studies mean that these results should be interpreted with caution. Future research should be conducted using observational and experimental design with adolescents from referred, clinical populations to help identify the critical parental processes and clarify the direction of effects.

Brief behavioural activation for adolescent depression: working with complexity and risk

Given the long-term negative outcomes associated with depression in adolescence, there is a pressing need to develop brief, evidence based treatments that are accessible to more young people experiencing low mood. Behavioural Activation (BA) is an effective treatment for adult depression, however little research has focused on the use of BA with depressed adolescents, particularly with briefer forms of BA. In this article we outline an adaptation of brief Behavioral Activation Treatment of Depression (BATD) designed for adolescents and delivered in eight sessions (Brief BA). This case example illustrates how a structured, brief intervention was useful for a depressed young person with a number of complicating and risk factors.

A formação da identidade numa perspectiva educacional

Este trabalho procura elucidar alguns conceitos teóricos de identidade, como é entendida por diferentes autores, como nós a interpretamos e como o processo educacional influencia o desenvolvimento da identidade dos adolescentes. Para isso recorremos ao fenômeno da identificação, aos conflitos intra-psíquicos, particularmente no período da adolescência, e aos vínculos de integração espacial, temporal e social. Consideramos a identidade estruturada por três níveis fundamentais: pelas estruturas mais desenvolvidas da personalidade, caracterizada pela relação interpessoal, baseada nos mecanismos de projeção e introjeção; pelos mecanismos de identificação projetiva-introjetiva e pela persistência da fusão ou estrutura sincicial primitiva que caracteriza a sociabilidade sincrética. Partimos da concepção de identificação como a forma mais primitiva de ligação afetiva. Tomamos a conquista da identidade corporal e sexual como a base das demais identidades parciais. A formação da identidade como um todo, que pressupõe uma crise na adolescência, baseia-se na problemática mais específica da formação de uma identidade sexual. Enquanto a identificação se opera através de introjeções, a identidade resulta da oposição de identificações anteriores. O processo é dialético. Somos de opinião que a identidade é formada por processos eminentemente sociais. Uma vez formada, é mantida, modificada ou mesmo remodelada pelas relações sociais. Nossa preocupação centralizou-se no processo de formação de identidade, considerado em estreita relação çom a família, a escola e a sociedade e em contínua interaçao professor-aluno, ensino-aprendizagem. Tentamos detectar as influências da educação sistematizadas no processo de formação da identidade e em especial visualizar o papel do professor no referido processo, através de pesquisa de campo. Para isso elaboramos um questionário composto de duas partes. A primeira contendo dados de identificação do aluno, da família e da escola. A segunda, composta de 40 perguntas consideradas, inferencialmente, como indicadores dos vínculos de integração espacial, temporal e social. Os sujeitos de nossa pesquisa constituiram-se de 176 alunos, na faixa etária de 14 anos, masculinos e femininos, de 5ª e 8ª series, do ensino de 1º grau das escolas da rede estadual de Divinopolis, M.G., em 1978. A análise dos dados obtidos evidenciou o desenvolvimento de nossos sujeitos em termos de identificação com os grupos primários, predominando a dependência em nível infantil.

Prevalência e fatores associados da síndrome de Osgood-Schlatter em uma amostra populacional de adolescentes brasileiros

Osgood-Schlatter (O-S) syndrome, a pathology of the musculoskeletal system, exhibits high incidence in adolescence, a phase of accelerated bone growth. Detection of physiopathological mechanisms that may cause disorders and dysfunctions in bone growth must be taken into account when planning physical activities, in order to promote normal physiological growth patterns. The aim of this epidemiological investigation was to identify and analyze the relationships between sociodemographic, anthropometric and clinical aspects and O-S. A cross-sectional design was used, with a representative sample of 956 subjects: 474 (49.6%) males and 482 (50.4%) females. Age range varied between 12 and 15 years (mean = 13.7±1.04). We used a battery of tests, previously applied in a pilot study, which met the aims of the investigation. Descriptive statistics (frequency, mean and standard deviation) were used and the odds ratio was calculated from bivariate and multivariate logistic regression (p<0.05). A prevalence of 9.8% was found (n = 94 cases): 11% males and 8.3% females. Hierarchized multivariate analysis showed a significant association between regular physical activities (OR= 1.94; CI 95%, 1.22-3.10) and shortening of the rectus femoris muscle (OR= 7.15; CI 95%, 2.86-17.86). The results may serve as a basis for therapeutic and prophylactic measures, in addition to increasing our knowledge of this syndrome in Brazilian adolescents. This investigation used a multidisciplinary approach, involving elements of anatomy, nutrition, physical education and physical therapy to elucidate the object under study related to Osgood-Schlatter syndrome

Perfil periodontal de pacientes portadores de alterações endócrino-metabólicas

Objective- Convinced that periodontium, many times, can show alterations in human health, the aim of these studies was to investigate the periodontal situation in patients with endocrine-metabolic disorders such as, Berardinelli-Seip Syndrome, hyperthyroidism, hypothyroidism and acromegaly. Methods- Eight patients with Berardinelli-Seip Syndrome, 16 acromegalics, 30 hypothyroids, 30 hyperthyroids, and a control group with 35 patients were evaluated. Clinical attachment loss, probing depth, gingival bleeding index, gingival overgrowth and Index of Decayed, Missing and Filled Teeth were measured in each patient. All ethical aspects were rigidly observed, being the study conducted after its approval by the University of Fortaleza Research Ethics Committee. Results- The presence of periodontitis was marked in hyperthyroids and in patients with Berardinelli-Seip Syndrome. Hypothyroids showed not much presence of periodontitis, while all acromegalics presented absence of periodontitis. Conclusions- The protective effect of periodontitis in acromegalic patients is a new finding, whose mechanisms are not yet clear, but may be related to the anabolic effects of growth hormone. The presence of periodontitis in Berardinelli-Seip Syndrome may occur due the early onset of diabetes. In hyperthyroids, the high prevalence of periodontitis could be linked to thyroid hormones effects on bone, explaining also the minor prevalence in hypothyroids

Protagonismo juvenil: uma avaliação do programa agente jovem de desenvolvimento humano na cidade de Natal RN (2006/2007).

This paper presents a critical rescue of the term youth, while simultaneously is presented as the lifetime of between 15 and 24 years. Rescue two features in the literature. The first considers youth as a transition period and the second phase work that from a predisposition to rebellion. Discusses the design plural of that term, youth recital to this social and historical aspects of different societies to which it relates and highlights the importance of realizing the diversity of it. Where the object of investigation, the Young Agent Program, the overall objective of the study is to evaluate the effectiveness of the actions of the Young Agent Program for Human Development in Natal-RN. Specifically aims to evaluate the effectiveness of the Young Agent Program: a) as an enhancer of the integration of young people in social spaces of family, school and community, b) as to (re) insertion and the incorporation of issues related to health in adolescence, and c ) regarding the work of young people as multipliers of the actions of the program. With regard to the methodological procedures presents a review of the literature on youth, and the categories of human development, leadership and evaluation of youth policies for the construction of theoretical and analytical approach, using documentary data collection in the Municipal Labor and Social Services - SEMT on the Young Agent Program, and interviews with actors involved in the program. Finally, evaluates the effectiveness of the Young Agent Program from the perspective of participants

Escolha de parceiros na adolescência

Mate choice is a component of sexual selection. Trying to understand the patterns of this process, several studies have emphasized the adaptive value of sexual differences and their influence on the assessment of the market value. The pattern for adults presented on the scientific literature, which is based on the preference for certain characteristics, shows that men search a partner who shows high value of fecundity and fertility, thus looking for partners with the ability of being pregnant and nursing their offspring. On the other hand, women look for partners with high socioeconomic status, which is strongly associated with the ability to protect and provide resources for them and their offspring. Surprisingly, there is few works that investigated the mate choice patterns during the beginning of the period of sexual differentiation on the morphological, physiological and behavioral traits. The aim of this study was to investigate mate choice patterns in adolescence in order to describe their preferences and contribute to the understanding of human reproductive behavior. Took part of this research 1,232 students from educational institutions of Natal, Brazil, and visitors to the Scientific, Technological and Cultural Fair UFRN. In the Experimental Study 1, we applied a questionnaire to evaluate the importance of certain characteristics, assessed the degree of romantic involvement and real and ideal partners age preference. In the Experimental Study 2, we did a survey of characteristics considered relevant and evaluate the importance of these characteristics in mate choice. The Experimental Study 3 brought an investigation of mate choice patterns based on self-assessment of adolescents, evaluating ideal partner for a short-term and long-term relationships and actual partner. We found that adolescents are motivated to live romantic experiences. We also observed a preference for partners of similar age to that described for adults. Finally, we found similarities and differences in the preferences for characteristics in real and ideal partners in relation to the adult pattern. In addition, we observed high similarity on the self-assessment and assessment of real and ideal partners. We suggest that in the mate choice, adolescents are similar to young adults in some aspects but not all. Our results show the relevance of the reproductive behavior investigation in this human developmental period and reinforce that further studies should contribute to the understanding of human behavior in terms of ontogenetic development and their evolutionary history.

Adolescência e ato infracional: a família em conflito

Numerous studies discuss the issue of adolescent in conflict with the law from the adolescent that committed infraction or from his perceptions. Taking into account the importance of the family in the life of all subject in development, this study sought the look of the families about the infraction of their adolescents under socio-educative measures. For this purpose, semi-open interviews were conducted with 20 families, ten of the boys and equal number of the girls. The institutions where the measures are applied in Natal / RN gave space for most family members to be interviewed. The data collected were arranged in tables and analyzed qualitatively following the socio-historical perspective. The survey revealed that the meanings attributed to the time of conflict with the law of the adolescents differ between the boys families and the girls . Most of the boys families see the infraction as a consequence of the influence of bad company, as a minor provocative of changes in the family s relations, left justified in a context marked by violence. Now for most part of the girls families, the infraction is seen as their responsibility, as generator of transformations within the family both emotional and economic , and inaugurates a search movement for conflicts resolutions. Through the testimonies of these families, it became evident that there was a family reality structured also by a conflicting social, economic and community context. Thus, before there is an infraction that demarcates the conflict in adolescence, there is a family in conflict.