Publications by authors named "Alexandra Dias Moreira"

Objective: To estimate the proportions of awareness, treatment, and control of diabetes mellitus (DM) in the Brazilian adult population.

Method: This is a cross-sectional study, with data from a representative sample of the Brazilian population, taken from the National Health Survey(PNS 2014/2015). Outcomes were defined based on glycated hemoglobin (HbA1c) measurements, self-reported DM diagnosis, and use of hypoglycemic agents or insulin.

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Low- and middle-income countries have high cancer-related mortality rates, and Brazil has one of the highest incidences of all cancers in South America. Since 2008, the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) follows up 15,105 civil adult servants of college education and research institutions in six Brazilian capitals, collecting relevant information on risk factors for the incidence of cancer and other noncommunicable diseases. This study aimed to describe the methodology for surveillance and investigation of the incidence of primary cancers in ELSA-Brasil.

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Article Synopsis
  • - The study investigates how the COVID-19 pandemic affected obstetric practices during labor and delivery in public hospitals in Belo Horizonte, Brazil, noting an increase in interventions that were previously seen as unnecessary.
  • - By comparing two surveys—one conducted before the pandemic and another during—researchers analyzed data from over 1500 women to determine changes in care practices during prenatal and delivery phases.
  • - Results indicated a significant rise in practices recommended by the World Health Organization, including increased offering of diets, non-pharmacological pain relief methods, and breastfeeding during the pandemic.
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Objective: To analyze the factors associated with self-reported arterial hypertension, as well as its prevalence in the Brazilian adult population.

Methods: Data from 88,531 individuals aged 18 years or older who responded to the 2019 National Health Survey were analyzed. The outcome studied was self-reported arterial hypertension.

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Objective: To estimate the prevalence of self-reported high cholesterol diagnosis and to analyze the factors associated with the prevalence in the Brazilian adult population.

Methods: Cross-sectional study, using data from the 2019 National Health Survey. The diagnosis of high cholesterol was self-reported.

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Objectives: to elaborate an e-book about children and adolescents' rights and duties concerning diabetes in schools.

Methods: we developed this methodological study in nine steps: Creation process definition, bibliographic survey, e-book elaboration, readability and apprehensibility examination, illustration, committee of judges and targeted audience validation (students' moms with diabetes and school staff), experts' meetings and final discussion. We have considered acceptable the Content Validity Coefficient minimum of 0.

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The study aims to describe the consumption of alcoholic and non-alcoholic beverages according to sociodemographic, health and location variables. Cross-sectional study with ELSA-Brasil data (2008-2010). A questionnaire was used to collect sociodemographic, food, health data and anthropometry.

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Objective: To examine the association between sleep disturbances and cardiovascular health in Brazilian adults.

Methods: We analyzed cross-sectional data from a nationally representative sample of 36,480 Brazilian adults ages 18 and over. Multivariate Poisson regression models were used to assess the association between sleep disturbances (difficulty falling asleep, frequent interruptions in sleep, or sleeping more than usual) and Life's Simple 7 (LS7) cardiovascular health (CVH) scores through consideration of four behaviors (smoking, physical activity, body mass index, and diet) and three biological factors (hypercholesterolemia, hypertension, and diabetes).

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Objective: To estimate the prevalences of hypertension and diabetes for small areas in Belo Horizonte, according to the Health Vulnerability Index (HVI).

Methods: Ecological study with data from the Surveillance of Risk and Protection Factors for Chronic Diseases by Telephone Survey (Vigitel) conducted in Belo Horizonte, from 2006 to 2013. The self-reported diagnosis of diabetes and hypertension were evaluated.

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Objective: To estimate the prevalence of fruit and vegetable consumption, practice of leisure time physical activity (LTPA) and binge drinking for small areas of Belo Horizonte, Minas Gerais.

Methods: Ecological study conducted with data from the Surveillance System for Risk and Protection Factors for Noncommunicable Diseases by Telephone Survey (Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico - Vigitel). The prevalence of risk and protection factors from 2006 to 2013 were estimated and the 95% confidence intervals calculated.

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Introduction: Chronic kidney disease (CKD) is a public health problem and it is associated with a high risk of mortality. Overweight and obesity are known as independent risk factors for CKD.

Objective: To investigate the association between adiposity indexes and kidney disease.

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This paper aims to estimate the prevalence of cardiovascular health and the validity of the Brazilian population's self-reported score. This is a cross-sectional, methodological study with 8,943 individual adults and laboratory data from the 2013 National Health Survey. We employed behavioral (body mass index, tobacco use, diet, physical activity, ideal if ≥ 3 ideal factors), biological (tobacco use, dyslipidemia, hypertension, and diabetes, ideal if ≥ 3 ideal factors), and cardiovascular health scores (all factors, ideal if ≥ 4 ideal factors).

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Objectives: to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte.

Methods: cross-sectional study developed with data from the study "Being born in Belo Horizonte: survey on childbirth and birth" carried out in seven maternity hospitals in Belo Horizonte - Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women.

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Objectives: to develop and validate a diabetes booklet for Community Health Workers.

Methods: methodological study developed in seven steps: Bibliographic review; Development of the booklet; Calculation of readability and comprehensibility scores; Validation of the booklet by the committee of judges; Discussion between experts; Validation of the booklet by the target audience; and Final discussion between experts. Validation was performed by 10 judges via e-Surv and on a face-to-face test with 5 Community Health Workers, considering the minimum Content Validity Coefficient of 0.

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Background: Occupational aspects have been described as additional risk factors for type 2 diabetes mellitus (DM2). Workers whose job interferes with healthy eating and physical activity might be more susceptible to disease.

Objective: To investigate sociodemographic, clinical, occupational and lifestyle factors associated with DM2 among employees of a public hospital in Belo Horizonte, Minas Gerais, Brazil.

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Objective: To evaluate whether age group, complications or comorbidities are associated with the length of hospitalization of women undergoing cesarean section.

Methods: A cross-sectional study was carried out between June 2012 and July 2017, with 64,437 women undergoing cesarean section and who did not acquire conditions during their hospital stay. Hospital discharge data were collected from national health institutions, using the Diagnosis-Related Groups system (DRG Brasil®).

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Objective: To analyze the impact of the Hospital-Acquired Conditions (HAC) in women in the puerperal and pregnancy cycle during length of stay.

Methods: This cross-sectional study was conducted with 113,456 women, between July 2012 and July 2017, in Brazil's national hospitals of the supplementary healthcare networks and philanthropists accredited to the Unified Health System (SUS). Data on hospital discharges were collected using the Diagnosis-Related Groups (DRG Brasil®) system.

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Objective: To describe the characteristics of elderly patients attended in a teaching hospital emergency room due to falls.

Method: Descriptive, quantitative, cross-sectional study performed at a hospital emergency room. The data was collected in November 2017, considering the medical records of 1.

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Objective: To evaluate the survival of wounds in lower limbs of diabetic and non-diabetic patients.

Method: Retrospective cohort study of patients with lower limb ulcers treated at a specialized center between 2011 and 2013. Outcome: healing of lower limb injuries in days.

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The secular trend of hyperuricemia coincides with the substantial increase in the consumption of sugar-sweetened beverages. Our aim was to evaluate the association between the consumption of soft drinks, dietary fructose and unsweetened, non-processed fruit juices with hyperuricemia in a cross-sectional analysis of baseline data (2008⁻2010; = 7173) of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The explanatory variables were the consumption of soft drinks, fruit juice, and fructose using a validated semi-quantitative food frequency questionnaire.

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Unlabelled: The regular practice of walking can contribute to a better quality of life, reducing the risk of cardiovascular disease.

Objective: To assess the association between sociodemographic and health factors related to adult practice of walking in the Brazilian rural context.

Methods: Cross-sectional study of 567 adults.

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Background: Prevention and reduction of excessive use of alcohol represents damages to society in general. In turn, arterial hypertension is the main attributable risk factor premature life lost years and disability.

Objective: To investigate the relationship between alcohol consumption and high blood pressure in participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

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Objective: Estimating the incidence rate of pressure ulcers and verifying factors associated with this occurrence in a cohort of hospitalized patients.

Method: This is a cohort study in which the considered outcome was the time until pressure ulcer occurrence. Estimated effect of the variables on the cumulative incidence ratio of the outcome was performed using the Cox proportional hazards model.

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Introduction:: Physical activity in Brazil is assessed by the Telephone-based Risk Factor Surveillance System for Chronic Diseases (VIGITEL).

Objectives:: To evaluate the reliability and concurrent validity of VIGITEL physical activity indicators.

Methods:: For the reliability study, 305 individuals responded to VIGITEL interviews, which were repeated with intervals of 7 - 15 days, in Belo Horizonte, 2013.

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Synopsis of recent research by authors named "Alexandra Dias Moreira"

  • - Alexandra Dias Moreira's research primarily focuses on public health issues in Brazil, particularly chronic diseases such as diabetes mellitus, hypertension, and cancer, as well as their associated risk factors among different populations.
  • - Recent studies explore the awareness, treatment, and control of diabetes in Brazil, the incidence of cancer through the ELSA-Brasil cohort, and the impact of the COVID-19 pandemic on obstetric care practices, indicating a comprehensive assessment of health dynamics in the country.
  • - The findings emphasize significant health disparities, the need for targeted health interventions, and the importance of community health worker training to improve health literacy and outcomes related to diabetes management and other chronic conditions.

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