Atividade física em gestantes assistidas na atenção primária à saúde

OBJETIVO Analisar o padrão de atividade física de gestantes de baixo risco e os fatores associados. MÉTODOS Estudo transversal com 256 gestantes adultas no segundo trimestre gestacional, sorteadas dentre as assistidas pelas unidades de atenção primária à saúde do município de Botucatu, SP, em 2010. As atividades físicas foram investigadas por meio do “pregnancy physical activity questionnaire”, verificando-se tempo e intensidade de atividades ocupacionais, de deslocamento, domésticas e de lazer, expressos em equivalentes metabólicos dia. As gestantes foram classificadas segundo nível de atividade e em relação a atingir 150 min/semana de atividades físicas de lazer, variáveis dependentes do estudo. A associação entre essas variáveis e as socioeconômicas, características maternas, fatores comportamentais e modelo de atenção da unidade de saúde foi avaliada mediante modelos de regressão de Poisson com variância robusta, adotando-se modelo hierárquico. RESULTADOS A maior parte das gestantes era insuficientemente ativa (77,7%), 12,5% moderadamente ativa e 9,8% vigorosamente ativa. Os maiores gastos diários de energia foram com atividades domésticas, seguidas pelas atividades de locomoção; 10,2% atingiram a recomendação de 150 min semanais de atividades físicas de lazer. Trabalho fora de casa reduziu a chance de atingir essa recomendação (RP = 0,39, IC95% 0,16;0,93). Ter tido pelo menos um parto anterior (RP = 0,87, IC95% 0,77;0,99) e excesso ponderal pré-gestacional (RP = 0,85, IC95% 0,731;0,99) reduziram a chance de ser insuficientemente ativa, enquanto consumir menos alimentos saudáveis teve aumento discreto (RP = 1,18, IC95% 1,02;1,36). CONCLUSÕES Gestantes assistidas na atenção primária à saúde são insuficientemente ativas. Ter tido pelo menos um parto e apresentar sobrepeso pré-gestacional foram identificados como fatores protetores contra tal situação, enquanto consumo menos frequente de alimentos saudáveis foi fator de risco, sugerindo aglomeração de fatores de risco à saúde.

Compreender o trabalho na Atenção Primária à Saúde para desenvolver ações em Saúde do Trabalhador: o caso de um município de médio porte

INTRODUCTION: Attention in Worker's Health (WH) integrality incites expansion of Primary Health Care (PHC) actions. So, it is necessary to understand the work carried out at PHC units and its possibilities to subside WH plans and procedures aiming at workers' health integral attention. OBJECTIVE: To present PHC workers' perception concerning WH actions performed in health care units of a mediumsized municipality in the state of São Paulo. METHODOLOGY: data collected through a 20 question-self-assessment questionnaire prepared by the researcher, using descriptive analysis of closed questions and content analysis of open questions. RESULTS: 45% of all workers answered the questionnaire. All health units in the municipality and all the professional categories part of the PHC teams were enclosed. The answers indicated that the PHC personnel, when providing assistance to users, take their jobs into consideration, and that some actions concerning worker's health are carried out at health care units. The respondents also pointed out that their difficulties to perform these actions are much more related to aspects of the system organization and management, than to the particularities of the worker's health area. CONCLUSION: The study indicates that health care worker's working condition is an important issue for the implementation of PHC worker's health actions

Fisiologia e produção da soja tratada com cinetina e cálcio sob deficit hídrico e sombreamento

The objective of this work was to evaluate the effects of kinetin and calcium applications on the physiologic and productive traits of soybean plants, subjected to drought and shade conditions, at flowering. A randomized complete block design was used, in a split-plot arrangement, with four replicates. Soybean plants cultivated in 38 dm³ pots were sprayed with calcium and kinetin, alone or mixed, and subjected to drought and shade during 12 days. After stress period, plants were cultivated under appropriate water and light availability. Calcium and kinetin application resulted in maintenance of the relative water content after four days of drought beginning. Membrane damage, measured at the end of stress period, was lower in plants sprayed with calcium and kinetin. CO2 assimilation diminished by stress condition, mainly under drought, and grain yield decreased at the same intensity in both environments.

Photosynthetic capacity and water use efficiency in sugarcane genotypes subject to water deficit during early growth phase

The objective of this study was to compare the gas exchange, photosynthetic capacity and water potential of sugarcane genotypes cultivated under water deficit conditions imposed during the initial growth phase. Experiments were performed in a greenhouse using two sugarcane genotypes namely: HoCP93-776 (drought susceptible) and TCP02-4587 (drought tolerant). Sixty days after planting, two different water treatments were applied (i.e., with or without water deficit). At 0,30 and 60 days after the treatment, gas exchange variables were evaluated for their relationship with water use, intrinsic instantaneous water use efficiency and instantaneous carboxylation efficiency. The SPAD index, photosynthetic pigments, water potential and relative water content in the leaves were also analyzed. The genotype HoCP93-776 was more sensitive to drought treatment as indicated by the significantly lower values of SPAD index, photosynthetic pigments, water potential (Ψw) and relative water content (RWC) variables. The genotype TCP02-4587 had higher water potential, stomatal control efficiency, water use efficiency (WUE), intrinsic instantaneous water use efficiency (WUEintr), instantaneous carboxylation efficiency and photosynthetic capacity. The highest air vapor pressure deficit during the drought conditions could be due to the stomatal closing in the HoCP93-776, which contributed to its lower photosynthetic capacity.