The objectives of the study were to investigate whether the health conditions of mothers with short stature differed from those with normal stature, and to establish if these aspects were associated with the health of the offspring. Data relating to health and socio-economic, demographic and anthropometric conditions were collected from a probabilistic sample population consisting of 1180 mothers and 1511 children (, 10 years) living in the semi-arid region of the State of Alagoas, Brazil. Mothers were categorised according to stature, with those in the 1st quartile being defined as of short stature and those in the 4th quartile being defined as of normal stature and serving as a reference for the comparison of variables of interest. Following verification that maternal stature fulfilled parametric assumptions, its associations with the other variables were determined by calculating Pearson correlation coefficients. After excluding strongly self-correlated variables (r $0·70), the remaining variables were analysed by multiple linear regression. The results showed that low maternal stature was independently associated with obesity (percentage body fat $30; P¼ 0·045), abdominal adiposity (waist:hip ratio $0·85; P¼ 0·007) and high systolic blood pressure ($140 mmHg; P¼ 0·006). Short maternal stature was associated with low birth weight (,3000 g; P¼ 0·01) and stunting (height-for-age Z score , 22; P¼ 0·019) in the offspring. Thus, in the semi-arid region of Alagoas, women of short stature presented a higher prevalence of chronic degenerative diseases and produced less healthy children than women of normal stature. Anthropometry: Nutritional status: Stunting: ProgrammingIn line with the majority of developing countries, Brazil is experiencing a process of epidemiological transition characterised by a reduction in the prevalence of infectious-parasitic diseases together with an increase in morbidity and mortality caused by chronic non-transmissible diseases (1) . At the same time, the population is undergoing a nutritional transition in which undernutrition is replaced by obesity, a condition which is rapidly becoming a serious public health problem (2) . National surveys conducted by the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute of Geography and Statistics) (3) have revealed that the prevalence of weight deficit in Brazilian women decreased from 10·2 % in 1974-5 to 5·4 % in 2002-3. In contrast, the frequency of excess body weight increased from 28·6 % to 39·2 %, respectively, over the same time period.One explanation for this phenomenon relates to the modernisation and urbanisation of society, which is associated with alterations in food consumption habits and particularly with a tendency towards high-energy foods (simple carbohydrates and fats) (4) . However, following a study of the dietary profile of a poor population living in a shanty town in Maceió (capital of the State of Alagoas, Brazil), Florêncio et al. (5) discovered that, although the women ingested an average of 7238 kJ (1730 k...
anemia prevalence in pregnant women from the semiarid region of Alagoas constitutes a major health problem, deserving special attention by the people in charge of public policy.
Background and Objectives: Recent studies have shown the existence of a positive relationship between physical exercise, symptomatic improvement, and reduction of damage caused by comorbidities associated with autistic spectrum disorder (ASD) in children, adolescents, and adults. The aim of this systematic review with meta-analysis (SRM) was to estimate the effects of physical exercise (PE) on the stereotyped behaviors of children with a diagnosis of ASD in intervention studies. Materials and Methods: The design followed the PRISMA guidelines and the TREND statement to assess the quality of information in each study. Nine non-randomized intervention trial studies with low, moderate, and vigorous physical exercise, with a duration varying from 8 to 48 weeks and a frequency of 3 times a week, were included in the SRM. The dependent variable episodes of stereotypical behaviors was analyzed in all studies and assessed as the number of episodes demonstrated by the child in pre- versus post-exercise intervention conditions. Results: The eight studies included a total 129 children (115 males and 14 females) with an average age of 8.93 ± 1.69 years. Children with ASD showed a reduction of 1.1 in the number of occurrences of stereotypical behaviors after intervention with physical exercise. Conclusion: Evidence was found to support physical exercise as an effective tool in reducing the number of episodes of stereotypical behaviors in children diagnosed with ASD.
CONTEXT AND OBJECTIVE: Compromised maternal mental health (MMH) is considered to be a risk factor for child malnutrition in low income areas. Psychosocial variables associated with MMH are potentially different between urban and rural environments. The aim here was to investigate whether associations existed between MMH and selected sociodemographic risk factors and whether specific to urban or rural settings. DESIGN AND SETTING: Cross-sectional study on a representative population sample of mothers from the semiarid region of Alagoas. METHODS: Multistage sampling was used. The subjects were mothers of children aged up to 60 months. MMH was evaluated through the Self-Reporting Questionnaire-20. Mothers' nutritional status was assessed using the body mass index and waist circumference. Univariate analysis used odds ratios (OR) and chi-square. Logistic regression was performed separately for urban and rural subsamples using MMH as the dependent variable. RESULTS: The sample comprised 288 mothers. The prevalences of common mental disorders (CMD) in rural and urban areas were 56.2% and 43.8%, respectively (OR = 1.03; 95% CI: 0.64-1.63). In univariate analysis and logistic regression, the variable of education remained associated with MMH (OR = 2.2; 95% CI: 1.03-4.6) in urban areas. In rural areas, the variable of lack of partner remained associated (OR = 2.6; 95% CI: 1.01-6.7). CONCLUSIONS: The prevalence of CMD is high among mothers of children aged up to two years in the semiarid region of Alagoas. This seems to be associated with lower educational level in urban settings and lack of partner in rural settings.
The oral mucositis is the most frequent acute oral complication resulting from antineoplastic treatment and may worsen the clinical condition of the patient and interfere with his/her quality of life. This study aimed to comparatively evaluate, from a clinical point of view, the effect of Laser Therapy λ660 nm (wavelength of the red Laser) and λ830 nm (wavelength of the infrared Laser), at extra oral points, in remis sion of severity of oral mucositis and pain associated with it in pediatric oncological patients undergoing che motherapy with the anticancer drug methotrexate, noting which of the two wavelength is the most appropri ate to this new technique. The sample consisted of 13 patients placed at random in each group and subjected to sessions of Low Level Laser Therapy, at pre determined extra oral points for five consecutive days, starting at the beginning of the observation of mucositis injuries. It became possible to note that from the group of patients in the group of Laser λ830 nm (n = 6; 46.15%), four (n = 4; 66.67%) of these patients had remission of injuries to grade 0 (WHO), and as for pain, five patients (n = 5; 83.33%) showed no painful symptoms for mucositis injuries. In the Laser λ660 nm group (n = 7; 53.85%), only two patients (n = 2; 28.57%) achieved a regression of lesions to grade 0 (WHO), while four patients (n = 4; 57.14%) had no pain. So, the extra oral application of Laser Therapy was effective in treating injuries of oral mucositis in the patients treated; and Laser Therapy in the infrared spectrum (λ830 nm) was more effective in the treatment of oral mucositis inju ries compared to the red spectrum (λ660 nm), which can be explained by the greater power of penetration of infrared rays, acting in a more expressive way in deeper places.
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