Publications by authors named "Heraclito B Carvalho"

Unlabelled: Education in basic life support is widely proposed to increase survival in out-of-hospital sudden cardiac arrest. The authors aimed to assess knowledge, skills, and attitudes, including willingness to help, regarding myocardial infarction and sudden cardiac arrest among university students of all fields of knowledge.

Methods: An Ethical Research Committee approved this cross-sectional study.

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Background: Metabolic syndrome increases the risk of heart disease and diabetes. Early identification and management are crucial, especially in economically challenged regions with limited healthcare access.

Aims: To develop nomograms for individualized risk estimation for metabolic syndrome in young people from low-income regions.

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Unlabelled: Chronic low-grade inflammation may be associated with the development of chronic non-communicable diseases in young populations, often lasting to adulthood. Studies show that the diet is related to chronic inflammation. The Pro-inflammatory/Anti-inflammatory Food Intake Score (PAIFIS) is an indicator that measures the inflammatory potential of the diet, with the help of validated tools that assess food consumption.

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Purpose: To search for maternal, labor-related and fetal variables associated with low Apgar in the fifth minute in term pregnancy.

Methods: A retrospective case-control study with term births was conducted in a public teaching hospital from 2013 to 2020. Cases were term births with Apgar score less than 7 in the fifth minute, and controls, the next one or two births following a case, with Apgar of 7 or more.

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Information about the reliability and validity of questionnaires in low- and middle-income countries remains scarce. To test the reliability and predictive validity of a food and beverage marketing/advertising questionnaire for South American children and adolescents. A sample of 330 children (3-10 years old) and 215 adolescents (11-18 years old) was included from seven South American cities: Buenos Aires, Lima, Medellín, Montevideo, Santiago, Sao Paulo, and Teresina.

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Article Synopsis
  • The study investigates the prevalence of alcohol and illicit drug use among patients with traumatic injuries in an emergency department in Sao Paulo, Brazil.
  • Conducted from July 2018 to June 2019, it involved analyzing blood samples from 376 injured patients, revealing that 32% had alcohol or drugs in their system, with males and younger individuals being the most affected.
  • Alcohol was identified as the most common substance found (23%), followed by cocaine (12%) and cannabis (5%), indicating that substance use was likely a significant factor in many of the injuries.
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  • The study aimed to create and validate risk scores to predict abdominal obesity in South American children and adolescents, focusing on various factors including sociodemographic and behavioral aspects.
  • Data was gathered from a large sample (727 participants across seven cities) through the SAYCARE Study, with results revealing key predictors of abdominal obesity in adolescents, including gender, age, maternal BMI, and dietary habits.
  • The developed risk scores (A and B) showed good predictive abilities, particularly with an area under the ROC curve of 0.95 for score B, although the findings need further external validation to confirm their reliability.
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Background: A food frequency questionnaire (FFQ) for South American children and adolescents was developed, but its validity for assessing dietary iron intake has not been evaluated.

Objective: To evaluate the validity of the FFQ and 24-hour dietary recalls (24h-DR) for assessing dietary iron intake in children and adolescents.

Design: The South American Youth/Child Cardiovascular and Environmental study is a multicenter observational study, conducted in five South American cities: Buenos Aires (Argentina), Lima (Peru), Medellin (Colombia), Sao Paulo, and Teresina (Brazil).

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Implementation is a key step in ensuring that high-quality clinical practice guideline (CPG) recommendations are followed and have a positive impact. This step must be planned during CPG development. This study aims to inform professionals tasked with developing and implementing CPGs regarding implementation strategies and tools reported in high-quality CPGs for chronic non-communicable diseases (NCDs).

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Context: Blood cutoff values for vitamin A deficiency in children aged 3-10 years have not been addressed in the literature.

Objective: To identify blood retinol concentrations for determining severe vitamin A deficiency in children aged 3-10 years.

Data Sources: The MEDLINE, Web of Science, Embase, and Scopus databases were searched.

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The use of alcohol mixed with energy drinks (AmED) has been reported to be associated with a variety of unsafe driving practices. Truck drivers are vulnerable to driving violations, particularly because of their engagement in drug use. The use of AmED among these professionals remains unknown.

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Background: Multicenter studies from Europe and the United States have developed specifically standardized questionnaires for assessing and comparing sedentary behavior, but they cannot be directly applied for South American countries. The aim of this study was to assess the reliability and validity of the South American Youth Cardiovascular and Environmental (SAYCARE) sedentary behavior questionnaire.

Methods: Children and adolescents from seven South American cities were involved in the test-retest reliability (children: n = 55; adolescents: n = 106) and concurrent validity (children: n = 93; adolescents: n = 94) studies.

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Aim: There is much discussion about the advantages and disadvantages of a trial of labor after cesarean (TOLAC). Some data suggest the greater the likelihood of success, the lower the risks of TOLAC. Our goal was to identify clinical and demographic variables associated with a failed TOLAC, available at admission for spontaneous labor and until 3 h later, with the aim of building two scores for risk of failed TOLAC.

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Objective: The purpose of this study was to analyse the reliability and validity of a semi-quantitative FFQ to assess food group consumption in South American children and adolescents.

Design: The SAYCARE (South American Youth/Child cARdiovascular and Environmental) study is an observational, multicentre, feasibility study performed in a sample of 3- to 18-year-old children and adolescents attending private and public schools from six South American countries. Participants answered the FFQ twice with a two-week interval and three 24-h dietary recalls.

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Objectives: To evaluate the prevalence of drink driving and speeding during 2015-2018 in Sao Paulo, Brazil.

Design: Cross-sectional observational study.

Setting: Roads representing the five main regions of the city of Sao Paulo in Brazil, one of the world's largest urban areas.

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Road traffic crashes (RTCs) are responsible for a large number of deaths worldwide, but low- and middle-income countries frequently present higher rates of deaths; for example, Norway, a high-income country, has a rate of 2.0 drivers killed per 100,000 inhabitants, whereas Brazil, a middle-income country, has a rate of 18.4.

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Despite that fruits and vegetables are key elements for health promotion, there are limited studies validating their intake in children. We aimed to validate the SAYCARE (South American Youth/Child Cardiovascular and Environmental) Study Food Frequency Questionnaire (FFQ) and the combination of the FFQ frequency of intake with the 24 h-dietary-recall (24 h-DR) (mean of 3 days), for children's fruit and vegetable intake. The reference methods were plasma dosages of β-carotene, retinol, ascorbic acid, and α-tocopherol, which were collected in the school environment.

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Article Synopsis
  • * Involving 190 children and 110 adolescents, the research assessed reliability through a retest approach and evaluated validity by comparing questionnaire results to various physical fitness tests and blood pressure readings.
  • * Results showed high reliability scores (κ ≥ 0.93 in children, κ ≥ 0.88 in adolescents) and moderate validity (κ ≥ 0.40), indicating that the questionnaire is a sensitive and effective tool for measuring physical fitness in these populations.
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Adolescence is a critical stage of development and has an important influence on energy balance-related behaviours (EBRBs). When adolescents are associated with obesity it can lead to increased cardiometabolic risk. Here we assess if EBRBs adopted by adolescents included in a subsample are associated with markers of total and abdominal adiposity in a multicentre European study, Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA-CSS) and a Brazilian study, Brazilian Cardiovascular Adolescent Health (BRACAH study), and whether sleep duration influence the association between skipping breakfast, physical activity and sedentary behaviours, with total and abdominal obesity (AO).

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Objective: Truck drivers represent a group that is susceptible to the use of stimulant substances to reduce the symptoms of fatigue, which may be caused by a stressful and exhausting work environment. The use of psychoactive substances may increase the risk for involvement in road traffic crashes. Previous studies have demonstrated that amphetamine, cocaine, and cannabis are the 3 main drugs used by Brazilian truck drivers.

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Objective: To assess the reliability and validity of body weight (BW) and body image (BI) perception reported by parents (in children) and by adolescents in a South American population.

Design: Cross-sectional study. BW perception was evaluated by the question, 'Do you think you/your child are/is: severely wasted, wasted, normal weight, overweight, obese?' BI perception was evaluated using the Gardner scale.

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Objectives: To delineate the clustering of energy balance-related behaviors in adolescents and investigate whether these behaviors are associated with the household socioeconomic status and parental education level.

Methods: Two cross-sectional studies assessed information on sedentary behavior, physical activity, sugar-sweetened beverages and fruit and vegetable consumption, and sleep duration by self-reported questionnaires in adolescents (12.5-17.

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Background Adolescents having early puberty (EP) are more likely to have obesity and increased cardiometabolic and inflammatory markers and atherosclerosis risk. We aimed to assess the indirect and mediated effects of leptin and adiposity on the relation between EP and cardiometabolic and inflammatory markers in European adolescents. Methods A sample of 511 adolescents with EP (12.

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Article Synopsis
  • Fruit and vegetable consumption is linked to better health in children, and researchers reviewed existing questionnaires that measure this consumption against blood biomarkers.
  • The systematic review, covering five databases, found only two articles suitable for inclusion because many studies involved older adolescents, which was outside the target age group.
  • The overall correlation coefficient for the validity of the questionnaires was 0.32, indicating that while these methods provide some insights, they still need improvement for accurate assessment in children.
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Background: Low socioeconomic status (SES) is associated with cardiovascular disease (CVD) risk, but its association with different markers of SES may be heterogeneous by sex and race/ethnicity.

Methods: We have examined the relationships of four SES markers (education, family income, occupation and neighborhood SES) to ideal cardiovascular health (ICH), an index formed by seven variables. A total of 6792 cohort participants from six regions in the USA: Baltimore City and Baltimore County, MD; Chicago, IL; Forsyth County, NC; Los Angeles County, CA; New York, NY; and St.

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