Resultados: Na verificação da associação entre as variáveis empregou-se a regressão logística. A média de peso de nascimento foi 3,216g, variando de 500g a 6,015g. Os determinantes para o baixo peso nas crianças foram gemelaridade, ----sexo, etnia, aparecendo com fator de proteção o acompanhamento pré-natal, o apgar no quinto minuto e o tempo de gestação. Conclusão: A partir desse estudo foi possível reconhecer a importância de fatores pré-natais e pós-natais, mostrando a necessidade de uma atenção preventiva com a finalidade de diminuir os fatores de risco e reforçar condições que funcionem como fatores de proteção. DESCRITORESPeso ao nascer. Fatores de Risco. Recém-Nascido de Baixo Peso. SUMMARYObjective: This study aimed to identify risk factors associated with the low birth weight of children of João Pessoa, PB. Methodology: It was conducted an observational and sectional study, in which we used data from 56,904 live birth certificates from 2005 to 2009. The dependent variable was birth weight, and the independent variables were related to the gestational and maternal characteristics concerning birth and the newborn. Results: Logistic regression was used to investigate the association between the variables. Birth weight average was 3.216g, ranging from 500g to 6.015g. The determinants for the underweight in children were multiple births, gender, ethnicity, appearing as a protection factor the prenatal care, the Apgar score at the fifth minute and the time of pregnancy. Conclusion: From this study it was possible to recognize the importance of prenatal and postnatal factors, showing the need for preventive care in order to reduce risk factors and to reinforce conditions that work as protective factors. DESCRIPTORS
Resumo Este artigo tem como objetivo avaliar o papel das desigualdades sociais nos padrões de alimentação complementar nos países da América Latina e do Caribe. Trata-se de um estudo ecológico que utilizou dados agregados de inquéritos de base populacional. A unidade de análise da pesquisa foram 16 países da América Latina e do Caribe com informações disponíveis. Foram selecionados como desfechos a prevalência dos seguintes indicadores de alimentação complementar: introdução alimentar de alimentos sólidos, semissólidos e pastosos” (IASSP), “diversidade alimentar mínima” (DAM), “frequência alimentar mínima” (FAM) e “alimentação mínima aceitável” (AMA). As diferenças da prevalência dos indicadores entre os quintis de riqueza mais ricos e mais pobres foram calculadas de forma absoluta e relativa. Comparando os quatro indicadores de alimentação complementar, o IASSP teve o melhor desempenho, com 10 países, entre os 11 avaliados, apresentando prevalência acima de 80%. O indicador com pior desempenho foi o AMA, com apenas um país, entre os oito avaliados, com prevalências acima de 60%. Na quase totalidade dos países, a população mais pobre possuía prevalências de indicadores de alimentação complementar menores que os mais ricos.
Objective: To assess the profile of patients hospitalized in a public Covid-19 referral center in Rio de Janeiro. Methods: An observational, cross-sectional, retrospective study was conducted at a public hospital during April 2021. 1413 patients with suspected Covid-19 were included in the study and data were collected from electronic medical records. Results: There was a predominance of older patients (59.12 years of age ± 13.79; mean ± SD) being hospitalized, with no significant male/female difference and the majority of patients came from emergency units. 44.09% of patients occupied intensive care beds. Out of those, 74.52% reported dyspnea, 49.68% had more than 50% pulmonary involvement and the most present chest CT finding was ground-glass opacity. 84.27% had some type of comorbidity and systemic arterial hypertension was the most reported one. The median time elapsed from the onset of symptoms to hospital admission was 8 days (IQR 6-11). Conclusion: Most of those hospitalized with Covid-19 in the analyzed period were elderly, of both sexes. The delay between the onset of symptoms and hospitalization, severe pulmonary involvement and the presence of comorbidities were identified in the records of patients with severe evolution.
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