Modifiable risk factors for overweight and obesity in children and adolescents from São Paulo, Brazil

Background: Brazil is currently experiencing a nutrition transition: the displacement of traditional diets with foods high in saturated fat, sodium, and cholesterol and an increase in sedentary lifestyles. Despite these trends, our understanding of child obesity in Brazil is limited. Thus, the aims of this study were (1) to investigate the current prevalence of overweight and obesity in a large sample of children and adolescents living in São Paulo, Brazil, and (2) to identify the lifestyle behaviors associated with an increased risk of obesity in young Brazilians.Methods: A total of 3,397 children and adolescents (1,596 male) aged 7-18 years were randomly selected from 22 schools in São Paulo, Brazil. Participants were classified as normal weight, overweight, or obese based on international age-and sex-specific body mass index thresholds. Selected sociodemographic, physical activity, and nutrition behaviors were assessed via questionnaire.Results: Overall, 19.4% of boys and 16.1% of girls were overweight while 8.9% and 4.3% were obese. Two-way analysis of variance revealed that the prevalence of overweight and obesity was significantly higher in boys and in younger children when compared to girls and older children, respectively (P < 0.05 for both). Logistic regression analysis revealed that overweight was associated with more computer usage, parental encouragement to be active, and light soft drink consumption after controlling for differences in sex, age, and parental education (P < 0.05 for all). Conversely, overweight was associated with less active transport to school, eating before sleep, and consumption of breakfast, full-sugar soft drinks, fried food and confectionery (P < 0.05 for all).Conclusions: Our results show that obesity in São Paulo children and adolescents has reached a level equivalent to that seen in many developed countries. We have also identified three key modifiable factors related to obesity that may be appropriate targets for future intervention in Brazilian youth: transport mode to school, computer usage, and breakfast consumption.

Thermochronology of the South American platform in the state of São Paulo, Brazil, through apatite fission tracks

The fission-track method (FTM) in apatite was applied to 45 samples collected in the Serra da Mantiqueira (Mantiqueira mountain range), the Serra do Mar (Mar mountain range), regions next to these mountain ranges and the coastal region between Ubatuba and Santos in the State of São Paulo, Brazil, to study the thermochronology of the South American Platform in southeast Brazil and its influence on Santos and Campos basins. The data presented in this work complement the previously presented data on the same region (Tello Saenz et al., 2003. J. S. Am. Earth Sci. 15, 765-774) with 31 new samples analyzed. The weighted mean of the corrected ages from high Mantiqueira (around 1000 m), (121 +/- 6) Ma, coincides with the South Atlantic opening. The fact that its thermal history starts at a relatively low temperature (similar to 80 degrees C) suggests that the age of similar to 120 Ma would be the formation age of Serra da Mantiqueira due to a rapid pulse, in which tracks had no time to be retained at the closure temperature, that is similar to 120 degrees C. The Serra do Mar presents a more complicated thermal history, with several reactivations indicated by the changes in the slope of its cooling curve. The thermal histories obtained in the regions next to these mountain ranges are compatible with the results mentioned above. The Santos Basin has unconformities that agree with changes in the slope thermal histories of the studied region. (c) 2005 Elsevier Ltd. All rights reserved.

Análise da distribuição espacial da hanseníase no Estado de São Paulo, 1991-2002

A hanseníase no Brasil ainda é um problema a ser equacionado e, no Estado de São Paulo, há varias regiões com altas taxas de detecção. O presente estudo objetivou analisar a distribuição e quantificar a dependência espacial das taxas médias de detecção da hanseníase no Estado de São Paulo, no período de 1991-2002, empregando técnicas geoestatísticas. Verificou-se tendência levemente decrescente das taxas médias de detecção para o Estado de São Paulo. Altos índices do indicador podem ser visualizados nas regiões oeste e noroeste de São Paulo. A dependência espacial encontrada foi de aproximadamente 30 km. Com os resultados encontrados, conclui-se que a análise de superfície das taxas médias de detecção pode auxiliar na escolha de áreas prioritárias visando aos exames de coletividade e ao incremento dos exames nos contatos dos casos detectados.

Capacitação no Programa de Saúde da Família: divergências sobre o conceito de visita domiciliar nas equipes de Presidente Epitácio, São Paulo

O Programa de Saúde da Família (PSF) tem por intenção - e mérito - mudar o foco da atenção à saúde centrada no médico e na cura das doenças, para uma atenção centrada na promoção da saúde e prevenção de doenças por meio de uma equipe multidisciplinar. Para atingir esse objetivo, tem na prática de trabalho da visita domiciliar um dos instrumentos fundamentais para o entendimento da totalidade dos condicionantes que afetam a vida do cidadão. Neste artigo, discutem-se os conceitos de visita domiciliar com que operam as três principais categorias de trabalhadores do PSF - médicos, enfermeiros e agentes comunitários - , assim como sua relação com a formação no curso básico. A metodologia se baseia na técnica do discurso do sujeito coletivo a partir das entrevistas aplicadas. Concluímos que a falta de uniformidade sobre o conceito de visita domiciliar pode interferir na proposta de mudança do modelo de atenção à saúde. O artigo tece ainda considerações sobre as distintas concepções de visita domiciliar e sua relação com a organização do trabalho no interior das equipes.

Parcerias com a cana-de-açúcar: tensões e contradições no desenvolvimento das experiências de assentamentos rurais em São Paulo

A controversa presença da cana nos assentamentos rurais nos últimos anos exige uma cuidadosa reflexão sobre sua interferência no modo de vida dos assentados e na relação dos assentamentos com a dinâmica do desenvolvimento regional. A presença da cana-de-açúcar nos assentamentos tem causado conflitos internos e debates não consensuais sobre o passado/presente/futuro dessas experiências. A análise da parceria com as agroindústrias é atravessada, do nosso ponto de vista, pela noção de trama de tensões, exigindo que sejam submetidas ao crivo analítico as desigualdades constitutivas desta polêmica integração dos assentados às usinas de açúcar e álcool, assim como as consequências socioeconômicas e ambientais da problemática transformação dos assentamentos rurais em celeiros da cana. No âmbito desse artigo, serão considerados como objetos da investigação os assentamentos das regiões de Araraquara e do Pontal do Paranapanema e analisadas perspectivas de outro modelo de desenvolvimento.

Conforto térmico em espaços públicos de passagem: estudos em ruas de pedestres no estado de São Paulo

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Controvérsias do desenvolvimento dos assentamentos rurais em São Paulo: produção para os biocombustíveis e as alternativas de programas municipais

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

The Distribuition of Strongyloides stercoralis Frequency in Araraquara, São Paulo State - Brazil

Strongyloidiasis is a disease of emerging public health importance. A survey was conducted in Araraquara city, São Paulo state, Brazil, in order to evaluate the frequency distribution of Strongyloides stercoralis in the area. A total of 9582 single stool samples were examined by direct examination, and by the Coprotest and Rugai's methods from January 2005 to January 2007. Out of the total samples examined, 408 (4,3%) were found to be infected by S. stercoralis (143 men and 265 women). The months with the highest frequency (5,0 - 8,2%) of positive patients were February, September and December (2005); April and November (2006) and January (2007). The frequencies from the other months varied around 2,5 to 4,9%. It was concluded that strongyloidiasis is endemic in Araraquara, but in some months, which presented the highest temperatures followed by rainy periods, the frequencies are typical from hyperendemic areas.

Efeito da estrutura etária nas taxas de homicídios em regiões metropolitanas brasileiras (Natal - Recife - São Paulo)

Este estudio examina el fenómeno de asesinato, desde la perspectiva de cambiar la estructura de edad de la zona metropolitana de Natal, Recife y Sao Paulo, utilizando los datos del Sistema de Información de Mortalidad-SIM/DATASUS, del Ministerio de Salud. Se llevaron a cabo ejercicios teóricos estandarización directa con las estructuras de diferentes edades para evaluar el efecto de los cambios en la estructura de la población en las tasas de mortalidad por homicidio. Los resultados presentados en las pirámides de edad y las cartas apuntan a la población de edad avanzada en las tres áreas metropolitanas de la serie analizada, así como las que muestran un mayor riesgo de victimización en las personas, hombres, de edades comprendidas entre 15 y 39 años. Hemos utilizado diversos ejercicios de las tasas de homicidios con patrones estandarizados de distintas edades, incluyendo una población proyectada para el año 2020 de la Región Metropolitana de São Paulo, cada vez más evidente que cuando la población se vuelve más edad con menos gente en los grupos de mayor riesgo tienden a tener menores tasas de muertes por homicidio, también puede presentar otros resultados siempre la misma línea de razonamiento

Monitoring of the dissemination of Salmonella in the chicken Frankfurt-sausage production line of a sausage factory in the state of São Paulo, Brazil

Poultry meat and its derivatives are among the foodstuffs considered by environmental health authorities to present the highest risks to the public. A total of 185 samples were collected in five monthly batches, from different processing stages in a sausage plant that uses mechanically-deboned chicken meat (MDCM) and tested for the presence of Salmonella. Enrichment was carried out in both Kauffman tetrathionate broth and Rappaport-Vassiliadis broth and isolation on Salmonella-Shigella agar and brilliant-green agar. Live Salmonella bacteria were isolated from six samples of the raw meat and from the emulsion, in batches three, four and five, but not from any sample in batches one or two. The six isolated strains were all classified as Salmonella Albany, which has not previously been reported in MDCM. of the two enrichment broths, Rappaport-Vassiliadis gave the better results. The Pattern of contamination suggests a probable common source, given that a new supplier was used in the third, fourth, and fifth months. It was also shown that the industrial cooking was effective in preventing Salmonella surviving in the final product.