OBJETIVO: Avaliar o impacto do uso de drogas na qualidade de vida (QV) de usuários, identificando as diferenças entre homens e mulheres.MÉTODOS: Trata-se de um estudo de caráter transversal, exploratório e quantitativo, realizado em instituições de acolhimento a drogaditos na cidade de Maceió, em Alagoas. A pesquisa aplicou o questionário de qualidade de vida WHOQOL-bref numa amostra de 101 indivíduos, que mantinham com o álcool e/ou outras drogas uma relação diagnosticável de dependência. Para tabulação e análise dos dados utilizou-se o Microsoft Office Excel, o software SPSS versão 15 for Windows e o EpiInfo Windows Versão 3.5.4.RESULTADOS: A análise foi constituída por 51 homens (50,5%) e 50 mulheres (49,5%), com média de idade de 33,84 anos. Houve um menor índice de satisfação com os aspectos que integram os domínios meio ambiente (41,89%) e psicológico (43,77%). A autopercepção da QV foi o único parâmetro que apresentou diferença entre os sexos estatisticamente significativa, que revelou o sexo feminino com escores médios mais altos (36,0%) em comparação com o masculino (23,0%). Todos os outros parâmetros não apresentaram diferenças significativas entre os sexos.CONCLUSÕES: O uso de drogas teve impacto na QV, evidenciado pelos baixos escores obtidos pelos usuários nos domínios psicológico e meio ambiente do WHOQOL-bref. De maneira geral, a diferença entre os sexos não apresentou relevância estatística na comparação da QV entre os dependentes químicos, com exceção da autoavaliação da QV.
BACKGROUND: Crohn’s disease and ulcerative colitis are the primary inflammatory bowel diseases (IBD), and its pathogenesis is related to genetic and environmental factors. Currently, the diagnosis of IBD results in a multidisciplinary approach with significant disadvantages, such as its invasive nature, time spent, and the fact that 10% of patients remain without diagnostic classification. However, new methodologies of analysis have emerged that allowed the expansion of knowledge about IBD, as the metabolomics, the study of metabolites. The presence and prevalence of such metabolites may prove to be useful as biomarkers in the diagnosis of IBD. OBJECTIVE: Analyze fecal samples for metabolic analysis in the diagnosis of inflammatory bowel diseases (IBD), providing differentiation between Crohn’s disease and ulcerative colitis. METHODS: This is an observational study with 21 patients diagnosed with IBD (ulcerative colitis 11 and Crohn’s disease 10) and 15 healthy controls, all with the consent and clarification. The fecal extracts of all patients are submitted to a high-resolution Nuclear Magnetic Resonance Hydrogen (1H-NMR) spectroscopy combined with multivariate and univariate pattern recognition techniques. Through the metabolomics of fecal extracts, gives us a characterization of employing a noninvasive approach. RESULTS: We identify some metabolites, such as lactate, succinate, alanine, and tyrosine, in the Crohn’s disease fecal samples, and leucine, alanine, and tyrosine in the ulcerative colitis fecal samples. All the amino acids presented positive covariance for disease correlation. CONCLUSION: The results showed different metabolic profiles between IBD patients and healthy volunteers based on 1H-NMR analysis of fecal extracts. Moreover, the approach discriminated patients with Crohn’s disease and ulcerative colitis. The metabolomics analysis is promising as a novel diagnostic technique for further IBD recognition and surveillance. New studies are necessary to validate these findings.
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