Desenvolvimento e valida����o de um question��rio de avalia����o da atividade f��sica para adolescentes

OBJETIVO: Desenvolver um question��rio de atividade f��sica para adolescentes brasileiros e verificar sua validade e reprodutibilidade. M��TODOS: Participaram do estudo 94 adolescentes (30 meninos e 64 meninas) com idade entre 11 a 16 anos, em 2004. O question��rio foi composto por 17 quest��es sobre atividades habituais exercidas nos ��ltimos 12 meses (exerc��cios f��sicos/esportes e atividades de locomo����o) e foi padronizado para gerar escores semanal e anual. Como m��todo de refer��ncia utilizou-se o teste de corrida vai-e-vem de 20 metros com as vari��veis tempo em minutos, velocidade m��xima em km/h, consumo m��ximo de oxig��nio e freq����ncia card��aca m��xima. Para a an��lise de valida����o, foram utilizados o coeficiente de Spearman e correla����o ajustada por idade. Para a an��lise da reprodutibilidade, utilizou-se medida repetida com intervalo de 15 dias e coeficiente de correla����o intraclasse. RESULTADOS: Para o escore semanal de atividade f��sica, os maiores coeficientes de correla����o foram obtidos com o tempo total para a an��lise em conjunto (r=0,19), velocidade total para os meninos (r=0,20), e consumo m��ximo de oxig��nio e tempo total para as meninas (r=0,17). Para o escore anual de atividade f��sica, os maiores coeficientes de correla����o foram obtidos com o tempo total para a an��lise em conjunto (r=0,30), freq����ncia card��aca final ap��s o ajuste pela idade para os meninos (r=0,22) e tempo total para as meninas (r=0,23). Nas an��lises de reprodutibilidade, a correla����o do escore semanal foi de 0,61 e a do escore anual foi de 0,68. CONCLUS��ES: O question��rio apresentou evid��ncias de validade e reprodutibilidade. Recomenda-se sua utiliza����o para avalia����o da atividade f��sica habitual em estudos epidemiol��gicos com adolescentes.

Aplica����o de regress��o linear para corre����o de dados diet��ticos

OBJETIVO: Estrat��gias metodol��gicas v��m sendo desenvolvidas para minimizar o efeito do erro de medida da dieta. O objetivo do estudo foi descrever a aplica����o de uma estrat��gia para corre����o da informa����o diet��tica pelo erro de medida. M��TODOS: Foram obtidos dados de consumo alimentar pela aplica����o do Question��rio de Freq����ncia Alimentar a 79 adolescentes do Munic��pio de S��o Paulo em 1999. Os dados diet��ticos obtidos foram corrigidos por meio de regress��o linear, ap��s o ajuste pela energia usando-se o m��todo dos res��duos. O m��todo de refer��ncia utilizado foi o recordat��rio de 24 horas, aplicado em tr��s momentos distintos. RESULTADOS: Os valores corrigidos aproximaram-se dos valores de refer��ncia. O fator de corre����o lambda foi de 0,89 para energia. Para os macronutrientes, os fatores foram de 0,41; 0,22 e 0,20, para carboidratos, lip��dios e prote��nas, respectivamente. CONCLUS��ES: As m��dias e desvios-padr��o dos valores corrigidos denotam que houve uma corre����o do erro de medida. Apesar disso, debate-se o desempenho desses m��todos, que s��o notoriamente imperfeitos quando seus pressupostos te��ricos n��o s��o atendidos, o que �� comum nos estudos da dieta que usam instrumentos de medida baseados no relato dos indiv��duos.

Mutation accumulation in Tetrahymena

Background - The rate and fitness effects of mutations are key in understanding the evolution of every species. Traditionally, these parameters are estimated in mutation accumulation experiments where replicate lines are propagated in conditions that allow mutations to randomly accumulate without the purging effect of natural selection. These experiments have been performed with many model organisms but we still lack empirical estimates of the rate and effects of mutation in the protists. Results - We performed a mutation accumulation (MA) experiment in Tetrahymena thermophila, a species that can reproduce sexually and asexually in nature, and measured both the mean decline and variance increase in fitness of 20 lines. The results obtained with T. thermophila were compared with T. pyriformis that is an obligate asexual species. We show that MA lines of T. thermophila go to extinction at a rate of 1.25 clonal extinctions per bottleneck. In contrast, populations of T. pyriformis show a much higher resistance to extinction. Variation in gene copy number is likely to be a key factor in explaining these results, and indeed we show that T. pyriformis has a higher mean copy number per cell than T. thermophila. From fitness measurements during the MA experiment, we infer a rate of mutation to copy number variation of 0.0333 per haploid MAC genome of T. thermophila and a mean effect against copy number variation of 0.16. A strong effect of population size in the rate of fitness decline was also found, consistent with the increased power of natural selection. Conclusions - The rate of clonal extinction measured for T. thermophila is characteristic of a mutational degradation and suggests that this species must undergo sexual reproduction to avoid the deleterious effects detected in the laboratory experiments. We also suggest that an increase in chromosomal copy number associated with the phenotypic assortment of amitotic divisions can provide an alternative mechanism to escape the deleterious effect of random chromosomal copy number variation in species like T. pyriformis that lack the resetting mechanism of sexual reproduction. Our results are relevant to the understanding of cell line longevity and senescence in ciliates.

Endothelial lipase correlated positively with EPA/AA ratio in RBCs membrane

The fatty acid profile of erythrocyte membranes has been considered a good biomarker for several pathologic situations. Dietary intake, digestion, absorption, metabolism, storage and exchange amongst compartments, greatly influence the fatty acids composition of different cells and tissues. Lipoprotein and hepatic lipases were also involved in fatty acid availability. In the present work we examined the correlations between fatty acid in Red Blood Cells (RBCs) membranes, the fatty acid desaturase and elongase activities, glycaemia, blood lipids, lipoproteins and apoproteins, and the endothelial lipase (EL) mass in plasma. Twenty one individuals were considered in the present study, with age >18 y. RBCs membranes were obtained and analysed for fatty acid composition by gas chromatography. The amount of fatty acids (as percentage) were analysed, and the ratios between fatty acid 16:1/16:0; 18:1/18:0; 18:0/16:0; 22:6 n-3/20:5 n-3 and 20:4 n-6/18:2 n-6 were calculated. Bivariate analysis (rs) and partial correlations were determined. SCD16 estimation activity correlated positively with BMI (rs=0.466, p=0.043) and triacylglycerols (TAG) (rs=0.483, p=0.026), and negatively with the ratio ApoA1/ApoB (rs=-0.566, p=0.007). Endothelial lipase (EL) correlated positively with the EPA/AA ratio in RBCs membranes (rs=0.524, p=0.045). After multi-adjustment for BMI, age, hs-CRP and dietary n3/n6 ratio, the correlations remained significant between EL and EPA/AA ratio. At the best of our knowledge this is the first report that correlated EL with the fatty acid profile of RBCs plasma membranes. The association found here can suggest that the enzyme may be involved in the bioavailability and distribution of n-3/n-6 fatty acids, suggesting a major role for EL in the pathophysiological mechanisms involving biomembranes��� fatty acids, such as in inflammatory response and eicosanoids metabolites pathways.

Auditoria energ��tica �� ind��stria t��xtil do Ave

A Ind��stria T��xtil do Ave S.A. (ITA) dedica-se, desde 1948, �� produ����o de componentes t��xteis para pneus em forma de fio torcido (corda) e tela. Estes componentes s��o quimicamente activados e impregnados em estufas, possibilitando assim a posterior ades��o ao pneu. A m��quina de impregnar corda Single End �� composta pelos grupos de estiragem, por um recipiente contendo a solu����o qu��mica e por 4 estufas em s��rie. A m��quina de impregnar tela Zell �� composta pelos grupos de estiragem, pelos acumuladores de sa��da e entrada, pelos recipientes com as solu����es qu��micas e por um grupo de 7 estufas em s��rie. O aquecimento das estufas �� feito atrav��s da queima de g��s natural. O presente trabalho teve como objectivo a realiza����o de uma auditoria energ��tica �� ITA com um especial destaque ��s m��quinas de impregnar corda (Single End) e tela (Zell). As correntes de entrada que contribuem para a pot��ncia t��rmica de impregna����o s��o a combust��o do g��s natural, o ar de combust��o, o ar fresco, o artigo em verde e as solu����es qu��micas. As correntes de sa��da correspondem aos gases de combust��o e exaust��o, ao artigo impregnado e ��s perdas t��rmicas. A auditoria �� m��quina Single End mostrou que a pot��ncia t��rmica de impregna����o �� de 413,1 kW. Dessa pot��ncia t��rmica, 77,2% correspondem �� combust��o do g��s natural, 6,7% ao ar de combust��o, 15% ao ar fresco, 0,7% ��s cordas em verde e 0,4% �� solu����o qu��mica. Da pot��ncia t��rmica de sa��da, 88,4% correspondem aos gases de combust��o e exaust��o, 3,2% ��s cordas impregnadas e 8,4% ��s perdas t��rmicas. Da auditoria �� m��quina Zell observou-se que a pot��ncia t��rmica de impregna����o �� de 5630,7 kW. Dessa pot��ncia, 73,3% corresponde �� combust��o do g��s natural, 1,6% ao ar de combust��o, 24,5% ao ar fresco, 0,3% �� tela em verde e 0,3% ��s solu����es qu��micas. Da pot��ncia t��rmica de sa��da, 65,2% correspondem aos gases de combust��o e exaust��o, 3,1% �� tela impregnada e 31,7% ��s perdas t��rmicas. Foram sugeridas como medidas de optimiza����o a redu����o dos caudais de exaust��o das estufas e o aumento de temperatura do ar fresco. O aumento da temperatura do ar fresco da m��quina de impregnar Single End para 50 ��C, usando ar quente dos torcedores, leva a uma poupan��a de 0,22 ���/h, com um per��odo de retorno do investimento de 13 anos e 4 meses enquanto o aumento para 120 ��C, usando o calor dos gases de combust��o e exaust��o, reduz os custos em 0,88 ���/h, sendo o per��odo de retorno para esse investimento de 2 anos e 6 meses. Na m��quina de impregnar Zell, uma redu����o de 15% no caudal de exaust��o numa das estufas leva a ganhos de 3,43 ���/h. O aumento de temperatura do ar fresco para 45 ��C, usando o calor de gases de combust��o e exaust��o, leva a uma poupan��a de 9,93 ���/h sendo o per��odo de retorno para cada uma das duas sugest��es de investimento de 5 meses e 9 meses.

Performance of a Brazilian population on the test of functional health literacy in adults

OBJECTIVE: To analyze the scoring obtained by an instrument, which evaluates the ability to read and understand items in the health care setting, according to education and age. METHODS: The short version of the Test of Functional Health Literacy in Adults was administered to 312 healthy participants of different ages and years of schooling. The study was conducted between 2006 and 2007, in the city of S��o Paulo, Southeastern Brazil. The test includes actual materials such as pill bottles and appointment slips and measures reading comprehension, assessing the ability to read and correctly pronounce a list of words and understand both prose passages and numerical information. Pearson partial correlations and a multiple regression model were used to verify the association between its scores and education and age. RESULTS: The mean age of the sample was 47.3 years(sd=16.8) and the mean education was 9.7 years(sd=5; range: 1 - 17). A total of 32.4% of the sample showed literacy/numeracy deficits, scoring in the inadequate and marginal functional health literacy ranges. Among the elderly (65 years or older) this rate increased to 51.6%. There was a positive correlation between schooling and scores (r=0.74; p<0.01) and a negative correlation between age and the scores (r=-0.259; p<0.01). The correlation between the scores and age was not significant when the effects of education were held constant (rp=-0.031, p=0.584). A significant association (B=3.877, Beta =0.733; p<0.001) was found between schooling and scores. Age was not a significant predictor in this model (B=-0.035, Beta=-0.22; p=0.584). CONCLUSIONS: The short version of the Test of Functional Health Literacy in Adults was a suitable tool to assess health literacy in the study population. The high number of individuals classified as functional illiterates in this test highlights the importance of special assistance to help them properly understand directions for healthcare.

Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators

OBJECTIVE: To identify clustering areas of infants exposed to HIV during pregnancy and their association with indicators of primary care coverage and socioeconomic condition. METHODS: Ecological study where the unit of analysis was primary care coverage areas in the city of Porto Alegre, Southern Brazil, in 2003. Geographical Information System and spatial analysis tools were used to describe indicators of primary care coverage areas and socioeconomic condition, and estimate the prevalence of liveborn infants exposed to HIV during pregnancy and delivery. Data was obtained from Brazilian national databases. The association between different indicators was assessed using Spearman's nonparametric test. RESULTS: There was found an association between HIV infection and high birth rates (r=0.22, p<0.01) and lack of prenatal care (r=0.15, p<0.05). The highest HIV infection rates were seen in areas with poor socioeconomic conditions and difficult access to health services (r=0.28, p<0.01). The association found between higher rate of prenatal care among HIV-infected women and adequate immunization coverage (r=0.35, p<0.01) indicates that early detection of HIV infection is effective in those areas with better primary care services. CONCLUSIONS: Urban poverty is a strong determinant of mother-to-child HIV transmission but this trend can be fought with health surveillance at the primary care level.

Otimiza����o das condi����es de cultivo de Ulva lactuca (Chlorophyta, Chlorophyceae) para alimenta����o de Haliotis tuberculata

Disserta����o de Mestrado, Estudos Integrados dos Oceanos, 26 Fevereiro de 2016, Universidade dos A��ores.

Locus of control and contraceptive knowledge, attitude and practice among university students

OBJECTIVE: To assess the relationship between locus of control and knowledge, attitude and practice regarding pill and condom use among university students. METHODS: The inquiry was developed in Campinas, a city in Southeastern Brazil, in 2006. A total of 295 adolescent newcomers to a public university answered a structured questionnaire and Levenson's multidimensional locus of control scale. The scores of the dimensions of locus of control were calculated and Spearman's correlation coefficient was used to assess their correlation with knowledge and practice concerning pill and condom use. In order to assess the relationship between the dimensions of locus of control and sociodemographic variables and variables related to the individuals' sex life, Kruskal-Wallis and Mann-Whitney tests were used. RESULTS: Male adolescents had higher scores of powerful others externality when compared to female adolescents (p=0.01). Students living alone had lower internality (p=0.01). When locus of control was compared to condom use in the first intercourse, considering only the 102 students who informed the age of the beginning of sexual activity, greater internality was found among male adolescents who did not use condoms (p<0.05). When the locus of control scores were correlated with contraceptive knowledge and practice, it was found that the higher the powerful others externality locus, the lower the adequate use of contraceptive methods (r = -0.22, p=0.03). CONCLUSIONS: The powerful others externality locus influences the practice of contraceptive use in this group of adolescents.

The epidemiologic paradox of low birth weight in Brazil

OBJECTIVE: To examine whether the low birth weight (LBW) paradox exists in Brazil. METHODS: LBW and cesarean section rates between 1995 and 2007 were estimated based on data from SINASC (Brazilian Live Births Database). Infant mortality rates (IMRs) were obtained using an indirect method that correct for underreporting. Schooling information was obtained from census data. Trends in LBW rate were assessed using joinpoint regression models. The correlations between LBW rate and other indicators were graphically assessed by lowess regression and tested using Spearman's rank correlation. RESULTS: In Brazil, LBW rate trends were non-linear and non-significant: the rate dropped from 7.9% in 1995 to 7.7% in 2000, then increased to 8.2% in 2003 and remained nearly steady thereafter at 8.2% in 2007. However, trends varied among Brazilian regions: there were significant increases in the North from 1999 to 2003 (2.7% per year), and in the South (1.0% per year) and Central-West regions (0.6% per year) from 1995 to 2007. For the entire period studied, higher LBW and lower IMRs were seen in more developed compared to less developed regions. In Brazilian States, in 2005, the higher the IMR rate, the lower the LBW rate (p=0.009); the lower the low schooling rate, the lower the LBW rate (p=0.007); the higher the number of neonatal intensive care beds per 1,000 live births, the higher the LBW rate (p=0.036). CONCLUSIONS: The low birth weight paradox was seen in Brazil. LBW rate is increasing in some Brazilian regions. Regional differences in LBW rate seem to be more associated to availability of perinatal care services than underlying social conditions.

Mortalidade de motociclistas em acidentes de transporte no Distrito Federal, 1996 a 2007

OBJETIVO: Descrever caracter��sticas sociodemogr��ficas e analisar a tend��ncia temporal da mortalidade de motociclistas traumatizados em acidentes de transporte. M��TODOS: Estudo de s��ries temporais com dados de 580 ��bitos de motociclistas do Distrito Federal, de 1996 a 2007, obtidos do Sistema de Informa����es sobre Mortalidade. Foram calculadas as taxas de mortalidade espec��ficas segundo idade e sexo, as taxas padronizadas (m��todo direto) e a raz��o de ��bitos por frota (motocicletas). A m��dia m��vel centralizada da taxa padronizada de mortalidade de homens foi calculada para o per��odo de tr��s anos e um modelo de regress��o linear foi constru��do para estudar a evolu����o temporal da mortalidade. Para calcular o incremento anual da taxa de mortalidade padronizada utilizou-se o m��todo joinpoint (ponto de inflex��o). RESULTADOS: A maior parte dos motociclistas mortos era do sexo masculino, (94,3%), pardo (71,0%) e tinha entre 20 e 39 anos (73,8%). A taxa padronizada de mortalidade de motociclistas (homens) residentes foi de 1,9 para 7,2 ��bitos/100 mil homens entre 1996 e 2007. Entre 1998 e 2007, a raz��o de ��bitos por frota passou de 2,0 ��bitos/10 mil motocicletas para 10,0 ��bitos/10 mil motocicletas entre os homens. Estimou-se incremento anual de 0,48 ��bito/100 mil homens (IC95% 0,31;0,65; p < 0,001). O incremento percentual anual da taxa padronizada de mortalidade para o sexo masculino foi de 36,2% no per��odo 1998-2007 (IC 95% 21,2%;53,2%; p < 0,05). CONCLUS��ES: A taxa de mortalidade de motociclistas decorrente de acidentes de transporte aumentou expressivamente. Esse aumento �� explicado apenas em parte pelo aumento da frota de motocicletas. Caracter��sticas individuais dos condutores, bem como as condi����es locais do tr��fego, necessitam ser investigadas para o planejamento de pol��ticas preventivas.

Influencia del lugar de origen en la utilizaci��n de pruebas de cribado de c��ncer ginecol��gico en Espa��a

OBJETIVO: Analizar la asociaci��n entre el ��rea geogr��fica de procedencia en el uso de las citolog��as y la mamograf��a. M��TODOS: Los datos analizados proceden Encuesta Nacional de Salud de Espa��a-2006 dirigida a poblaci��n mayor de 16 a��os. La Encuesta incluye 13.422 mujeres. Las variables dependientes fueron realizaci��n de una mamograf��a y de una citolog��a vaginal, ambos en los ��ltimos 12 meses. La medida de asociaci��n fue el odds ratio con intervalo de confianza al 95% calculado por regresi��n log��stica. RESULTADOS: Tomando como referencia la poblaci��n espa��ola, la probabilidad de realizarse una mamograf��as entre las mujeres procedentes de ��frica fue 0,36 (IC95% 0,21;0,62) veces menor; Europa del Este 0,40 (IC95% 0,22;0,74) veces menor; Europa Occidental, EEUU y Canad��, 0,60 (IC95% 0,43; 0,84) veces menor y Am��rica Central / Sur 0,64 (IC95% 0,52;0,81) veces menor. En relaci��n a la prevenci��n de c��ncer de cervix, probabilidad de realizarse una citolog��a entre las mujeres Europa del Este fue 0,38 (IC95% 0,28;0,50) veces menor que la poblaci��n espa��ola, ��frica 0,47 (IC95%:0,33;0,67) veces menor y Europa Occidental, EEUU y Canad�� 0,61 (IC95% 0,46;0,81) veces menor. Dichas asociaciones fueron independientes de la edad, indicadores socioecon��micos, estado de salud y cobertura sanitaria. CONCLUSIONES: Las mujeres inmigrantes hacen menor uso de los programas de cribado que las mujeres aut��ctonas. Este dato podr��a reflejar dificultades de acceso a los programas preventivos.

Polycyclic aromatic hydrocarbons in commercial squids from different geographical origins: levels and risks for human consumption

The concentrations of 18 polycyclic aromatic hydrocarbons (PAHs) were determined in five commercially valuable squid species from different geographical origins (Atlantic, Indic and Pacific Oceans). Out of the 18 quantified PAHs (the 16 PAHs considered by US EPA as priority pollutants, dibenzo(a,l)pyrene and benzo(j)fluoranthene) only dibenz(a,h)anthracene was not detected. The total concentrations of PAHs varied by a factor of more than 100-fold, from 0.22 (Loligo gahi) to 60.9 lg/kg ww (Loligo reynaudii). Intraand inter-specific variability of PAH levels was statistically assessed. Nine carcinogenic (probable/possible) PAHs accounted for 1% (L. reynaudii) to 26% (Loligo opalescens) of the total PAHs content being the main contributors naphthalene (in Loligo duvaucelii, L. reynaudii and Loligo vulgaris species), chrysene (in L. opalescens) and indeno(1,2,3-cd)pyrene (in L. gahi). PAHs source analysis indicated that four of the five zones of capture of the different squid species are significantly affected by both petrogenic and pyrolytic sources. Assessment of the target carcinogenic risks, established by the US EPA, suggested that L. gahi (Atlantic Ocean) and L. opalescens (from Pacific Ocean) may pose additional risks for consumers, if not eaten in moderation, derived from benzo(a)pyrene ingestion.

A behavioral intervention in a cohort of Japanese-Brazilians at high cardiometabolic risk

OBJECTIVE: To assess the effect of a health promotion program on cardiometabolic risk profile in Japanese-Brazilians. METHODS: A total of 466 subjects from a study on diabetes prevalence conducted in the city of Bauru, southeastern Brazil, in 2000 completed a 1-year intervention program (2005-2006) based on healthy diet counseling and physical activity. Changes in blood pressure and metabolic parameters in the 2005-2006 period were compared with annual changes in these same variables in the 2000-2005 period. RESULTS: During the intervention, there were greater annual reductions in mean (SD) waist circumference [-0.5(3.8) vs. 1.2(1.2) cm per year, p<0.001], systolic blood pressure [-4.6(17.9) vs. 1.8(4.3) mmHg per year, p<0.001], 2-hour plasma glucose [-1.2(2.1) vs. -0.2(0.6) mmol/L per year, p<0.001], LDL-cholesterol [-0.3(0.9) vs. -0.1(0.2) mmol/L per year, p<0.001] and Framingham coronary heart disease risk score [-0.25(3.03) vs. 0.11(0.66) per year, p=0.02] but not in triglycerides [0.2(1.6) vs. 0.1(0.42) mmol/L per year, p<0.001], and fasting insulin level [1.2(5.8) vs. -0.7(2.2) IU/mL per year, p<0.001] compared with the pre-intervention period. Significant reductions in the prevalence of impaired fasting glucose/impaired glucose tolerance and diabetes were seen during the intervention (from 58.4% to 35.4%, p<0.001; and from 30.1% to 21.7%, p= 0.004, respectively). CONCLUSIONS: A one-year community-based health promotion program brings cardiometabolic benefits in a high-risk population of Japanese-Brazilians.

LER/DORT na terceira d��cada da reestrutura����o banc��ria: novos fatores associados?

OBJETIVO: Estimar a preval��ncia de casos sugestivos de LER/DORT e fatores associados tr��s d��cadas ap��s a reestrutura����o banc��ria. M��TODOS: Estudo transversal com 356 funcion��rios de 27 ag��ncias banc��rias das redes p��blica e privada de Porto Alegre, RS, entre abril e agosto de 2009. Foi utilizada an��lise estat��stica bruta e ajustada pelo modelo de Regress��o de Poisson com vari��ncia robusta, conduzida por modelo hier��rquico em tr��s n��veis, incorporando-se a estrutura do delineamento e ajuste para os conglomerados. Os resultados foram estratificados por porte da ag��ncia e dicotomizados (&#8805; 25 e < 25 funcion��rios). RESULTADOS: A preval��ncia de casos sugestivos de LER/DORT foi menor nos homens (RP = 0,62 IC95% 0,47;0,81). Trabalhadores com idade entre 26 e 45 anos (RP = 2,51 IC95% 1,02;6,14) apresentaram maior preval��ncia do desfecho. Indiv��duos com p��s-gradua����o (RP = 0,45 IC95% 0,22;0,90) e tempo na fun����o entre 5,1 e 15 anos (RP = 0,62 IC95% 0,47;0,81) apresentaram fator de prote����o para os casos sugestivos de LER/DORT. Ao estratificar as an��lises por porte, nas ag��ncias com 25 funcion��rios ou menos, idade, renda e tempo na fun����o permaneceram associados, enquanto nas ag��ncias com mais de 25 funcion��rios, sexo e escolaridade associaram-se ao desfecho. CONCLUS��ES: Aspectos importantes no adoecimento por LER/DORT entre banc��rios parecem hoje ser diferentes dos historicamente conhecidos. Aten����o maior �� organiza����o do trabalho e ��s estrat��gias de gest��o deveria ser considerada na elabora����o de programas de preven����o de adoecimento no trabalho banc��rio.