Critério de obesidade central em população brasileira: impacto sobre a síndrome metabólica

OBJETIVO: Identificar e propor os melhores pontos de corte da circunferência da cintura (CCp) para diagnosticar obesidade central numa população brasileira; compará-los àqueles recomendados pelo ATPIII (CC-ATPIII) e estimar diferenças nas prevalências da síndrome metabólica (SM) usando os dois critérios. MÉTODOS: Estudo transversal, realizado em subgrupo populacional de 1.439 adultos, Salvador, Brasil. Foram construídas curvas ROC da circunferência da cintura (CC) para identificar diabete melito (DM) e obesidade. Valores >60% da sensibilidade e da especificidade da curva ROC e mais próximos entre si foram usados para definir o CCp. A prevalência da SM foi estimada pelos CCp e pelos CC-ATPIII. RESULTADOS: As 829 mulheres compuseram 57,7% da amostra. Os CCp selecionados foram 84 cm para mulheres e 88 cm para homens. Esses pontos detectaram DM com sensibilidade de 68,7% e 70%, respectivamente, e especificidade de 66,2% e 68,3%. Para obesidade, a sensibilidade e a especificidade foram 79,8% e 77,6% nas mulheres, e 64,3% e 71,6% nos homens. Pelos CC-ATPIII, 88 cm (mulheres) e 102 para (homens), as sensibilidades foram de 53,3% e 26,5%, para diagnosticar DM. Para obesidade, a sensibilidade foi 66,5% (mulheres) e 28,6% (homens). A prevalência da SM, pelos CCp foi 23,7%, IC 95% (21,6 - 25,9) e pelos CC-ATPIII de 19,0%, IC 95% (17,1- 20,9), 1,2 vezes maior pelo CCP. CONCLUSÃO: As CC-ATPIII foram inapropriados e subestimam a prevalência da SM nessa população, particularmente entre os homens. Sugerimos que os pontos de corte da CC de >84 cm nas mulheres e > 88 cm nos homens sejam testados em outras populações brasileiras.

Mortalidade cardiovascular por sexo e faixa etária em São Paulo, Brasil: 1996 a 1998 e 2003 a 2005

FUNDAMENTO: O conhecimento da evolução da mortalidade cardiovascular é importante para levantar hipóteses sobre a sua ocorrência e subsidiar medidas de prevenção e controle. OBJETIVOS: Comparar a mortalidade pelo conjunto das doenças cardiovasculares e seus principais subgrupos: doença isquêmica do coração e cerebrovasculares (DIC e DCBV), no município de São Paulo, por sexo e idade, de 1996 a 1998 e 2003 a 2005. MÉTODOS: Foram usados dados de óbitos do Programa de Aprimoramento das Informações de Mortalidade para o Município (PROAIM) e estimativas populacionais da Fundação Sistema Estadual de Análise de Dados (SEADE) do Estado de São Paulo. A magnitude na mortalidade e as mudanças entre os triênios foram medidas pela descrição de coeficientes e variação percentual relativa. O modelo de regressão de Poisson foi usado também para estimar a mudança na mortalidade entre os períodos. RESULTADOS: Observou-se redução importante da mortalidade cardiovascular. Os coeficientes aumentam com a idade em ambos os sexos. Também são mais elevados na população masculina, na faixa a partir dos 70 anos. Os coeficientes de mortalidade por DIC são maiores que aqueles por DCBV, tanto nos homens como nas mulheres de 50 anos ou mais. O declínio pelo conjunto das doenças cardiovasculares foi maior em mulheres de 20 a 29 anos (-30%) e em homens de 30 a 39 anos (-26%). CONCLUSÃO: A força da intensidade da mortalidade cardiovascular diminuiu entre 1996 e 1998, a 2003 e 2005. Ainda assim há diferenças entre os grupos. Essa redução pode significar, em parte, um maior acesso aos métodos diagnósticos e terapêuticos.

Reproducibility of Left Ventricular Mass by Echocardiogram in the ELSA-Brasil

Background: Echocardiography, though non-invasive and having relatively low-cost, presents issues of variability which can limit its use in epidemiological studies. Objective: To evaluate left ventricular mass reproducibility when assessed at acquisition (online) compared to when assessed at a reading center after electronic transmission (offline) and also when assessed by different readers at the reading center. Methods: Echocardiographers from the 6 ELSA-Brasil study investigation centers measured the left ventricular mass online during the acquisition from 124 studies before transmitting to the reading center, where studies were read according to the study protocol. Half of these studies were blindly read by a second reader in the reading center. Results: From the 124 echocardiograms, 5 (4%) were considered not measurable. Among the remaining 119, 72 (61%) were women, mean age was 50.2 ± 7.0 years and 2 had structural myocardial abnormalities. Images were considered to be optimal/ good by the reading center for 110 (92.4%) cases. No significant difference existed between online and offline measurements (1,29 g, CI 95% −3.60-6.19), and the intraclass correlation coefficient between them was 0.79 (CI 95% 0.71-0.85). For images read by two readers, the intraclass correlation coefficient was 0.86 (CI 95% 0.78-0.91). Conclusion: There were no significant drifts between online and offline left ventricular mass measurements, and reproducibility was similar to that described in previous studies. Central quantitative assessment of echocardiographic studies in reading centers, as performed in the ELSA-Brasil study, is feasible and useful in clinical and epidemiological studies performed in our setting.

Problemas fitogeográficos de São José do Rio Preto, estado de São Paulo, Brasil

O Município de São José do Rio Preto, Estado de São Paulo, Brasil, cujas principais características climáticas e pedológicas estão indicadas no trabalho, apresenta área florestal reduzida e fragmentária, sendo, em sua maior parte, ocupada por formações mais, ou menos savanizadas e, em menor grau, ruderalizadas. Foram, até agora, encontradas espécies vegetais pertencentes a cinco elementos fitogeográficos diferentes: o Geral, o Amazônico, o Atlântico, o Meridional e o Central. Embora nada se possa dizer, com segurança, em relação à formação clímax da região, pode-se admitir que seja a floresta latifoliada tropical, semidecídua e mais ou menos xeromorfa. Continua em aberto, para a região, o problema da origem do cerrado.

Ritmo de alimentação de juvenis de Loricariichthys anus (Siluriformes, Loricariidae) da Lagoa dos Quadros, RS, Brasil

The rhythm of movements and feeding activity of juveniles of Loricariichthys anus (Valenciennes, 1840) in the Quadros lake, South Brazil, are investigated. Between October 1997 and August 1998, 236 specimens were captured during six bimonthly 24 hour gillnet surveys. Significantly elevated levels of movement and feeding activity during the day are registered. The patterns of movement and feeding activity displayed no significant difference, suggesting that high movement activity levels can be attributed to feeding activity. The mean of the intestinal quotient was 1,89, indicating omnivorous feeding habits.

Microhabitats de mosquitos (Diptera, Culicidae) em internódios de taquara na Mata Atlântica, Paraná, Brasil

During two consecutive years, from January 1985 to December 1986, a comparative study of mosquitoes preferences for breeding habitat was carried out in the Atlantic Forest of the Serra do Mar, Paraná State, Brazil. To achieve it, 1875 bamboo internodes aligned vertically in live green, bamboo plants Merostachys speciosa Munro and Merostachys sp. were used, in which metabolic water was exuded from the plant itself, and presenting different size/pattern holes at their lateral walls, bored by the local sylvan fauna. Another group of 1200 individual internode traps was used as comparative element, carved out with a transversal cut by a saw, filled with local stream water and held in branches at different heights in the vegetal strata nearby. At both microhabitat types, a total of 17 culicid species was registered. Culex (Microculex) neglectus Lutz, 1904, Cx. (Carrollia) soperi Antunes & Lane, 1937, Sabethes (Sabethes) batesi Lane & Cerqueira, 1942 and Sa. (Sabethinus) melanonymphe (Dyar, 1924)colonized exclusively live plant internodes, while Culex (Microculex) elongatus Rozeboom & Lane, 1950, Cx. (Carrollia) iridescens (Lutz, 1905), Cx. (Carrollia) kompi Valencia,1973and Trichoprosopon (Trichoprosopon) soaresi Dyar & Knab, 1907 bred only in internode traps. The remaining nine species colonized both habitats indistinctly. Quantitatively, was detected the abundance of 60.1% at live green internodes, against 39.9% for internode traps. Concerning the different patterns of bored live internode holes, 40.3% of the total computed specimens were collected in square or rectangular holes, 31.9% in two hole internodes, one minute circular, the other wider, and the remaining 28.8% of specimens distributed in other pattern type internodes. The mosquitoes breeding at these microhabitats fall in the culicid entomofauna specialized at locating and detecting peculiar and propitious mesogen conditions for breeding purposes.

Um novo gênero de ochlerini do sul do Brasil (Heteroptera, Pentatomidae, Discocephalinae)

The new monotypic genus Ocellatocoris and its type species Ocellatocorisdasys, sp. nov. are described from Santa Catarina, Brazil.

Estrutura floral das angiospermas usadas por Heliconius erato phyllis (Lepidoptera, Nymphalidae) no Rio Grande do Sul, Brasil

A field survey of flowering plants used as food resource by the adults of Heliconius erato phyllis (Fabricius, 1775) was carried out in four sites located in Rio Grande do Sul state, Brazil. Samples were taken in preserved areas of the Atlantic Rain and Myrtaceae forests, an Eucalyptus plantation, and an urban park. Adult feeding frequencies on flowers were registered monthly from December 1996 to May 1997, on plants located on previously marked 200 m long transects. Flowers on which H. erato phyllis fed in the field were collected, drawn and morphometrically characterized. Feeding was registered on flowers of twenty-three species, of which seventeen are new records for H. erato in Brazil . The use of a given plant varied among localities, as a function of its corresponding abundance. The most visited flowers were those of Lantana camara L. and Stachytarpheta cayennensis (Rich.) Vahl, followed by Dahliapinnata Voss in the urban site. The data suggest the existence of size and shape convergence between the proboscis and the small, tubular flowers upon which H. eratophyllis feeds. They also indicate that H. eratophyllis adults have an opportunistic nectar feeding / pollen gathering habit, using several of those flowers available in a given time and locality that fit such a morphometrical pattern. Since plant species of both primitive and derived families are used, there is no indication that phylogenetic constraints play a major role in this association, nor that color of flowers, growth pattern or size of the plants are relevant in determining their use by H. erato phyllis.

Streblidae (Diptera, Hippoboscoidea) em morcegos (Chiroptera, Phyllostomidae) no nordeste do Rio Grande do Sul, Brasil

A survey of the Streblidae batflies on the phyllostomid bats was conducted in the northeastern Rio Grande do Sul State, Brazil, during 1997. Hundred thirty three streblids were collected on 44 parasited hosts. Eleven species of batflies (Trichobius dugesii Townsend, 1891, T. tiptoni Wenzel, 1976, Trichobius sp., Paratrichobius longicrus (Miranda Ribeiro, 1907), Megistopoda aranea (Coquillett, 1899), M. proxima (Séguy, 1926), Exastinion clovisi (Pessoa & Guimarães, 1936), Paraeuctenodes longipes Pessoa & Guimarães, 1936, Anastrebla modestini Wenzel, 1966, A. caudiferae Wenzel, 1976 and Metelasmus pseudopterus Coquillett, 1907) were found on six species of phyllostomid bats (Artibeus lituratus (Olfers, 1818), A. fimbriatus Gray, 1838, Sturnira lilium (E. Geoffroy, 1810), Glossophaga soricina (Pallas, 1766), Anoura caudifera (E. Geoffroy, 1818) and A. geoffroyi Gray, 1838). All records are new for the Rio Grande do Sul and Anastrebla caudiferae is firstly recorded in Brazil. Differences in the batflies community composition in Artibeus fimbriatus and A. lituratus are discussed.

Taxonomia de Apenesia (Hymenoptera, Bethylidae) na Reserva Biológica de Duas Bocas, Espírito Santo, Brasil

The new species Apenesia stricta,A. concavata,A. unipilosa,A. distincta and A. fusilis, from Reserva Biológica de Duas Bocas, Espírito Santo, Brazil, are described and illustrated. Additional specimens of A. transversa Evans, 1963 are examined, species variation analyzed and new distribution data added.

Alimentação de quatro espécies de Leporinus (Characiformes, Anostomidae) durante a formação de um reservatório no sudeste do Brasil

The study reports the changes ocurred in feeding ecology of fish species during a tropical river reservoir formation. It was analysed the stomachal contents of 399 individuals belonging to four species of genus Leporinus (L. elongatus Valenciennes, 1849, n=157; L.friderici (Bloch, 1794), n=87; L. octofasciatus Steindachner, 1917, n=107; L.amblyrhynchus Garavello & Britski, 1987, n=48) during formation of Nova Ponte reservoir, State of Minas Gerais, Brazil, in 1993 and 1994. Specimens were separated by sampling period, according with the rate of filling of the reservoir, and standard lenght classes. The species had included in diet vegetal and animal items of autochtone and alochtone origin in several proportions. L. amblyrhynchus fed on basically dipterans in all the sampling periods and length classes. L. elongatus had presented a diverse diet, with predominance of dipterans and vegetal items, and changed the consumed items proportions along the sampling periods and between lenght classes. L. friderici diet was composed mainly by terrestrial insects during the rapid filling period, that were later substituted by fishes and vegetal items. Ontogenetic trophic changes were observed in this species. L. octofasciatus presented a well characterized herbivorous diet, without trophic ontogeny, but with a opportunistic character. Just three pair-species, L. amblyrhynchus-L. elongatus, L. friderici-L. octofasciatus and L. elongatus-L. octofasciatus, have presented some high value of trophic overlap in at least one sampling period. In spite of the fishes of the genus Leporinus being classified like omnivorous in a general way, the differences found between diets of these four species suggest that there is structuration of trophic niches in the reservoir.

Relacionamento entre anfíbios anuros e bromélias da restinga de Regência, Linhares, Espírito Santo, Brasil

Some anuran amphibians use the bromeliads during the entire life cycle and others only as diurnal shelter. At the sandy coastal plain of Linhares, State of Espírito Santo, Southeastern Brazil, 676 bromeliads were examined, of which 303 of Aechmea blanchetiana (Baker) L. B. Smith., 1955, 287 of Aechmea nudicaulis (L.) Griseb., 1864, and 86 of Vrisea procera (Mart. Ex Schult. f.) Wittm, 1891. The morphometric and physical-chemical analysis of different bromeliads evidenced variations among plants. During the period sampled, six anuran species were found inside the plant axils. The hylid frog Phyllodytes luteolus (Wied, 1824) was the most abundant species (260 specimens). Its abundance was higher in the epiphyte bromeliad Vrisea procera. Phyllodytes luteolus had higher occurrences in bromeliads located at a transitional area between open and under the shrub vegetation. Specimens of Scinax alterus (Lutz, B., 1973) and Aparasphenodon brunoi Miranda-Ribeiro, 1920, were more frequent mainly in transitional areas; Bufo granulosus Spix, 1824 occurred in open and transitional areas, whereas Gastrotheca fissipis (Boulenger, 1888) and Leptodactylus fuscus (Schneider, 1799) were found only in bromeliads located in open areas.

Reprodução de peixes (Osteichthyes) em afluentes do reservatório de Volta Grande, Rio Grande, Sudeste do Brasil

The most abundant species caught in the tributaries of the Volta Grande dam, Buriti, Divisa and Água Comprida streams were Plagioscion squamosissimus (Heckel, 1840), Pimelodus maculatus Lacépède 1803, Myleus tiete (Eigenmann & Norris, 1900), Astyanax bimaculatus (Linnaeus, 1758) and A. fasciatus (Cuvier, 1819). Plagioscion squamosissimus and Pimelodus maculatus do not have reproduction activity in the area, they just use the creeks to food and growth. Myleus tiete and Astyanax bimaculatus use the area to reproduction whereas A. fasciatus uses it to reproduction, food and growth.

Nereididae (Annelida, Polychaeta) da costa nordeste do Brasil: II. Gêneros Namalycastis, Ceratocephale, Laeonereis e Rullierinereis

Six polychaete species belonging to the genera Namalycastis Hartman, 1959, Ceratocephale Malmgren, 1867, Laeonereis Hartman, 1945, and Rullierinereis Pettibone, 1970 were recorded as part of a systematic survey of the family Nereididae in estuaries, exposed sandy beaches, shelly soft bottoms, atolls and coral reefs of the Brazilian northeastern coast. Two new species, Rullierinereis auxiliadorae, from Ceará coast and Ceratocephale rocaensis, from Atol das Rocas, are described.

Miridae (Heteroptera) fitófagos e predadores de Minas Gerais, Brasil, com ênfase em espécies com potencial econômico

A total of 296 species of Miridae belonging to 17 tribes were recorded from State of Minas Gerais, Brazil. New host plant records include 141 species of 43 orders and 69 families. Of this total, 98.5% of plants have some agricultural, pharmacological or ornamental importance; 29 orders and families of host plants have two or more mirid species.