RESUMO
Intestinal parasitoses are a recurrent public health problem in developing countries. Their occurrence is usually associated with poor socioeconomic status and environmental risk factors. This study aims to estimate the prevalence of intestinal parasites and associated risk factors in Pomerode, SC. This was a cross-sectional sample with participants from population-based cohort study SHIP-Brazil (n=2,488). Sociodemographic, lifestyle, and environmental variables were selected from the study database. The stool samples were analyzed by Hoffman, Pons, and Janer, and by Faust methods. We estimated the relative frequency of parasites and its association to the study variable was estimated by prevalence ratio (PR) in a Poisson regression model. Among those who provided stool sample (n=797), the prevalence was 10.8% (95% CI 8.6 to 13.4). Endolimax nana, 4.8% (95% CI, 3.5-6.7) was the most frequent parasite, followed by Entamoeba histolytica/dispar, 1.7% (95% CI, 0.8-3.3), Urbanorum spp., 1.6% (95% CI, 1.0-2.7). Men (PR=1.9 95% CI 1.2-2.9), olders (PR=1.7 95% CI 1.0-2.8), non-white (PR=1.9 95% CI 1.2-3.0), living in high-risk dwelling areas (PR=1.8 95% CI 1.4-2.4) were associated with elevated proportions of parasitosis in the adjusted model. The current study found a low frequency of intestinal parasitoses in Pomerode, SC, Brazil. This frequency was higher among males, older, who live alone, non-white, in low SES, and living in high-risk dwelling areas.
RESUMO
Aging, physical inactivity, and chronic disease can decrease strength and muscle mass and affect mobility and autonomy in older adults. This study aimed to analyze the prevalence and associated factors of low physical functional performance among older adults in the city of Pomerode, in southern Brazil. Methods: This is a cross-sectional population-based study with data on 733 older adults from the Study of Health in Pomerode SHIP-Brazil. Low functional physical performance was defined as handgrip strength ≤ 32 kg for men or ≤ 20 kg for women and/or a Timed Up and Go test ≥ 11 seconds for men or ≥ 13 seconds for women. Associations were analyzed by multiple logistic regression. Results: The prevalence of low physical functional performance was 43.7% (42.2% among women and 45.5% among men). Low physical functional performance was associated with the 7079 years age group (odds ratio [OR] = 2.07) and insufficient physical activity (OR = 2.73) in men, and with the 7079 years age group (OR = 2.09) and multimorbidity (OR = 1.87) in women. In general, older age, insufficient physical activity, and multimorbidity were associated with low physical functional performance in older adults.
O envelhecimento, o sedentarismo e as doenças crônicas podem diminuir a força e a massa muscular e afetar a mobilidade e a autonomia do idoso. O objetivo deste estudo foi analisar a prevalência e os fatores associados ao baixo desempenho funcional em idosos de uma cidade de origem pomerana no sul do Brasil. Metodologia: Estudo transversal de base populacional com dados de 733 idosos do Estudo Vida e Saúde em Pomerode ShipBrazil. O baixo desempenho físico funcional foi definido como a força de preensão palmar ≤ 32 kg para os homens ou ≤ 20 kg para as mulheres e(ou) timed up and go ≥ 11 segundos para os homens ou ≥ 13 segundos para as mulheres. As associações foram analisadas por regressão logística múltipla. Resultados: A prevalência de baixo desempenho físico funcional foi de 43,7% (42,2% idosas e 45,5% idosos). O baixo desempenho físico funcional foi associado à idade, 70-79 anos (OR = 2,07), e à atividade física insuficiente (OR = 2,73) nos homens; e à idade, 7079 anos (OR = 2,09), e à presença de multimorbidade (OR = 1,87) nas mulheres. Em geral, maior idade, atividade física insuficiente e multimorbidade foram associadas ao baixo desempenho físico funcional entre os idosos.