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  • 1
    Online Resource
    Online Resource
    Metabolic status is not associated with job stress in individuals with obesity: the ELSA-Brasil baseline
    Springer Science and Business Media LLC ; 2021
    In:  International Archives of Occupational and Environmental Health Vol. 94, No. 4 ( 2021-05), p. 639-646
    Details
    In: International Archives of Occupational and Environmental Health, Springer Science and Business Media LLC, Vol. 94, No. 4 ( 2021-05), p. 639-646
    Type of Medium: Online Resource
    ISSN: 0340-0131 , 1432-1246
    URL: Article
    DOI: 10.1007/s00420-020-01613-7
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 1459213-7
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  • 2
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    Online Resource
    Alcoholic beverage consumption, changes in blood pressure, and incidence of hypertension in the Longitudinal Adult Health Study (ELSA-Brasil)
    Elsevier BV ; 2021
    In:  Nutrition Vol. 91-92 ( 2021-11), p. 111387-
    Details
    In: Nutrition, Elsevier BV, Vol. 91-92 ( 2021-11), p. 111387-
    Type of Medium: Online Resource
    ISSN: 0899-9007
    URL: Article
    DOI: 10.1016/j.nut.2021.111387
    RVK:
    XA 10000
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 2010168-5
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  • 3
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    Abstract P051: Heterogeneity in the Association of Low Birth Weight with Adult-onset Diabetes: The Brazilian Longitudinal Study of Adult Health
    Ovid Technologies (Wolters Kluwer Health) ; 2016
    In:  Circulation Vol. 133, No. suppl_1 ( 2016-03)
    Details
    In: Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 133, No. suppl_1 ( 2016-03)
    Abstract: Background: Low birth weight is related to adult-onset diabetes, although this association has been sparsely investigated in developing countries. Given reports of sexual dimorphism in fetal programming, we aimed to investigate heterogeneity, by sex and maternal diabetes, in the association of low birth weight with type 2 diabetes in participants from a large Brazilian cohort. Methods: We used baseline (2008-2010) data of 12,066 participants aged 35-74y from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Diabetes was defined by self-reported information and laboratory measurements (OGTT or HbA 1c ). We employed multivariable-adjusted Poisson regression models with robust variance to estimate prevalence ratios (PR) and 95% confidence intervals (CI). Results: Nine hundred and ninety participants (~8% of the total) reported low birth weight (defined as 〈 2.5 kg). Low birth weight was associated with higher prevalence of diabetes in a fully-adjusted model in women (PR 1.54, 95% CI: 1.32-1.80 vs. birth weight of 2.5-4kg), but not in men (PR 1.09, 95% CI 0.91-1.29; P heterogeneity 〈 0.01). Additionally, the association was stronger among participants who had mothers with diabetes (PR 1.60, 95% CI 1.33-1.93), than those who did not (PR 1.18, 95% CI 1.01-1.38; P heterogeneity 〈 0.05). When jointly stratified by sex and maternal diabetes, the low birth weight-diabetes association was observed for women with (PR 1.67, 95% CI 1.28-2.19) and without (PR 1.50, 95% CI 1.25-1.81) maternal diabetes. In contrast, in men, low birth weight was associated with diabetes in participants with maternal diabetes (PR 1.51, 95% CI 1.17-1.93), but not in those without (PR 0.93, 95% CI 0.74-1.18). High birth weight was marginally and homogenously associated with lower prevalence of diabetes. Conclusions: Low birth weight was variably associated with higher prevalence of diabetes in Brazilian adults. The heterogeneity observed supports complex and sex-specific intra-uterine environmental effects on adult metabolic health.
    Type of Medium: Online Resource
    ISSN: 0009-7322 , 1524-4539
    URL: Article
    DOI: 10.1161/circ.133.suppl_1.p051
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2016
    detail.hit.zdb_id: 1466401-X
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  • 4
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    Online Resource
    Racial Inequities in the Control of Hypertension and the Explanatory Role of Residential Segregation: a Decomposition Analysis in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
    Springer Science and Business Media LLC ; 2023
    In:  Journal of Racial and Ethnic Health Disparities
    Details
    In: Journal of Racial and Ethnic Health Disparities, Springer Science and Business Media LLC
    Type of Medium: Online Resource
    ISSN: 2197-3792 , 2196-8837
    URL: Article
    DOI: 10.1007/s40615-023-01582-w
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2760524-3
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  • 5
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    Work‐Family Conflict and Ideal Cardiovascular Health Score in the ELSA‐Brasil Baseline Assessment
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  Journal of the American Heart Association Vol. 8, No. 20 ( 2019-10-15)
    Details
    In: Journal of the American Heart Association, Ovid Technologies (Wolters Kluwer Health), Vol. 8, No. 20 ( 2019-10-15)
    Abstract: There are few data about the association between work‐related stress and the American Heart Association ideal cardiovascular health ( CVH ) metrics. We studied the association between work‐family conflict ( WFC ) and ideal CVH scores in the ELSA ‐Brasil (Brazilian Longitudinal Study of Adult Health) baseline study. Methods and Results We analyzed data of active workers (5424 men and 5967 women), aged 35 to 74 years, from 2008 to 2010. Ideal CVH scores were calculated based on the lifestyle and health metrics proposed by the American Heart Association, using data from questionnaires and clinical and laboratory examinations from the ELSA ‐Brasil study baseline. The WFC questionnaire was based on the Frone model, validated for Brazilian Portuguese. WFC domains (time and strain‐based work interference with family, family interference with work, and lack of time for personal care and leisure) and frequency (never to rarely, sometimes, or frequently) were self‐reported. Main models were adjusted for age, sex, race, educational level, income, and study site. Positive relative predicted score differences ( rPSDs ) indicate higher predicted scores. We found lower lifestyle ideal CVH scores among men ( rPSD , −5.7%; P =0.002) and women ( rPSD, −10.2%; P 〈 0.001) with frequent lack of time for personal care and leisure. We found lower lifestyle ideal CVH scores among women with frequent strain‐based work interference with family ( rPSD, −5.1%; P =0.002), and family interference with work ( rPSD , −8.6%; P =0.001). We found higher health ideal CVH scores among men with frequent WFC , which may be attributable to reverse causation. Conclusions We found significant associations between WFC and ideal CVH scores. These associations were heterogeneous according to sex.
    Type of Medium: Online Resource
    ISSN: 2047-9980
    URL: Article
    DOI: 10.1161/JAHA.119.012701
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
    detail.hit.zdb_id: 2653953-6
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  • 6
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    Abstract P354: Work-Family Conflict and Ideal Cardiovascular Health Score in ELSA-Brasil Baseline Assessment
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  Circulation Vol. 139, No. Suppl_1 ( 2019-03-05)
    Details
    In: Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 139, No. Suppl_1 ( 2019-03-05)
    Abstract: Introduction: Perceived stress (including work-related stress) is associated with cardiovascular health. We studied the association between work-family conflict and AHA’s ideal cardiovascular health (ICH) score at the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline. Hypothesis: Individuals with more frequent work-family conflict have worse ICH scores. Methods: We analyzed data from 11,351 active workers, aged 35-74 years. ICH scores were calculated based on the four lifestyle (diet, physical activity, smoking and body-mass index) and three health (blood pressure, fasting plasma glucose and total cholesterol) metrics proposed by the AHA. Work-family conflict was assessed as time and strain-based work interference with family; family interference with work and lack of time for personal care and leisure. We used quasi-Poisson regression models to analyze the association between work-family conflict and ICH scores, with positive relative predicted score differences (rPSD) indicating higher predicted ICH scores. Results: Subjects with frequent lack of time for personal care and leisure had lower global (rPSD: -2.9%; p=0.01) and lifestyle (rPSD: -8.2%; p 〈 0.01) ICH scores but higher health ones (rPSD: +4.8%; p=0.02). After stratifying by sex, the negative association between lack of time for personal care and leisure and global ICH scores remained significant only in women. In addition, women had a negative association between lifestyle ICH scores and both frequent strain-based work interference with family (rPSD: -5.1%; p 〈 0.01) and family interference with work (rPSD: -8.6%; p 〈 0.01). Conclusions: We found significant associations between work-family conflict and ICH scores in this large multicenter sample. Associations between work-family conflict and ICH score (especially lifestyle metrics) were more intense in women.
    Type of Medium: Online Resource
    ISSN: 0009-7322 , 1524-4539
    URL: Article
    DOI: 10.1161/circ.139.suppl_1.P354
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
    detail.hit.zdb_id: 1466401-X
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  • 7
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    Online Resource
    Migraine Headaches and Mood/Anxiety Disorders in the ELSA B razil
    Wiley ; 2014
    In:  Headache: The Journal of Head and Face Pain Vol. 54, No. 8 ( 2014-09), p. 1310-1319
    Details
    In: Headache: The Journal of Head and Face Pain, Wiley, Vol. 54, No. 8 ( 2014-09), p. 1310-1319
    Abstract: To describe the relationship between mood/anxiety disorders and migraine headaches emphasizing the frequency of episodes based in a cross‐sectional analysis in the B razilian L ongitudinal S tudy of A dult H ealth. Background It has been suggested that frequency of migraine headaches can be directly associated with the presence of psychiatric disorders. Methods Migraine headaches ( I nternational H eadache S ociety criteria) was classified as 〈 1×/month, 1×/month‐1×/week, 2‐6×/week, and daily. Psychiatric disorders using the C linical I nterview S chedule – R evised were classified in 6 categories: common mental ( CMD ), major depressive ( MDD ), generalized anxiety ( GAD ), panic, obsessive‐compulsive ( OCD ), and mixed anxiety and depressive ( MADD ) disorders. We performed multivariate logistic models adjusted for age, race, education, marital status, income, and use of selective serotonin reuptake inhibitors. Results In our sample, 1261 presented definite migraine and 10,531 without migraine headaches (reference). Our main result was an increase in the strength of association between migraine and MDD as frequency of migraine increased for all sample: odds ratio of 2.14 (95% confidence interval [ CI ] 1.33‐3.43) for 〈 1 episode of migraine/month to 6.94 (95% CI 4.20‐11.49) for daily headaches for all sample. Significant associations with migraine were also found for GAD , OCD , MADD , and CMD for total sample: MDD , GAD , OCD , MADD , and CMD for women, and MADD and CMD for men. Among men with daily migraine complaint, we found a significant association between migraine and OCD after correction for multiple comparisons (odds ratio 29.86 [95% CI 4.66‐191.43]). Analyzing probable and definite migraine cases together, we replicated the findings in a lower magnitude. Conclusions The increase in migraine frequency was associated with progressively higher frequencies of having mood/anxiety disorders in all samples suggesting for some psychiatric disorders a likely dose‐response effect especially for women.
    Type of Medium: Online Resource
    ISSN: 0017-8748 , 1526-4610
    URL: Issue
    URL: Article
    DOI: 10.1111/head.2014.54.issue-8
    DOI: 10.1111/head.12397
    Language: English
    Publisher: Wiley
    Publication Date: 2014
    detail.hit.zdb_id: 2020316-0
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  • 8
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    Tabagismo entre trabalhadores de empresa bancária
    FapUNIFESP (SciELO) ; 1998
    In:  Revista de Saúde Pública Vol. 32, No. 6 ( 1998-12), p. 533-540
    Details
    In: Revista de Saúde Pública, FapUNIFESP (SciELO), Vol. 32, No. 6 ( 1998-12), p. 533-540
    Abstract: OBJECTIVE: To describe the prevalence of cigarette smoking and its association with other risk factors for chronic diseases among active workers of communication and data processing centers of a Bank. METHODS: Cross-sectional study in a simple random sample of 647 active workers of the bank. The data were collected in the work environment, through self-administered questionnaires. RESULTS: The prevalence of cigarette smoking was 29.5% (95% Confidence Interval (CI): 27.5%-31.5%), 31.1% (95%CI: 26.2%-35.8%) among men and 27.8% (95%CI: 22.6%-32.9%) among women. On average, males started smoking at the age of 17.6 years and women at the age of 19.4. High prevalence of heavy smokers was observed among men and women (53% and 42%, respectively, smoked more than 20 cigarettes per day). Smokers were older, more likely to be divorced, separated and widowed, to have high blood pressure, to drink alcoholic beverages more often, and to exercise less often than to non-smokers. Those who gave up smoking were older, drank more alcoholic beverages, and were more often overweight. CONCLUSION: The considerable frequency of smoking and other risk factors for chronic diseases among those workers may be an indication of the need for new strategies for health interventions. Opportunities for preventive actions, which are more effective and less costly, may have been lost.
    Type of Medium: Online Resource
    ISSN: 0034-8910
    URL: Article
    DOI: 10.1590/S0034-89101998000600006
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 1998
    detail.hit.zdb_id: 2031055-9
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  • 9
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    Sex-specific associations of low birth weight with adult-onset diabetes and measures of glucose homeostasis: Brazilian Longitudinal Study of Adult Health
    Springer Science and Business Media LLC ; 2016
    In:  Scientific Reports Vol. 6, No. 1 ( 2016-11-15)
    Details
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 6, No. 1 ( 2016-11-15)
    Abstract: Emerging evidence suggests sex differences in the early origins of adult metabolic disease, but this has been little investigated in developing countries. We investigated sex-specific associations between low birth weight (LBW; 〈 2.5 kg) and adult-onset diabetes in 12,525 participants from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Diabetes was defined by self-reported information and laboratory measurements. In confounder-adjusted analyses, LBW (vs. 2.5–4 kg) was associated with higher prevalence of diabetes in women (Prevalence Ratio (PR) 1.54, 95% CI: 1.32–1.79), not in men (PR 1.06, 95% CI: 0.91–1.25; P heterogeneity  = 0.003). The association was stronger among participants with maternal diabetes (PR 1.60, 95% CI: 1.35–1.91), than those without (PR 1.15, 95% CI: 0.99–1.32; P heterogeneity  = 0.03). When jointly stratified by sex and maternal diabetes, the association was observed for women with (PR 1.77, 95% CI: 1.37–2.29) and without (PR 1.45, 95% CI: 1.20–1.75) maternal diabetes. In contrast, in men, LBW was associated with diabetes in participants with maternal diabetes (PR 1.45, 95% CI: 1.15–1.83), but not in those without (PR 0.92, 95% CI: 0.74–1.14). These sex-specific findings extended to continuous measures of glucose homeostasis. LBW was associated with higher diabetes prevalence in Brazilian women, and in men with maternal diabetes, suggesting sex-specific intrauterine effects on adult metabolic health.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    URL: Article
    DOI: 10.1038/srep37032
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2016
    detail.hit.zdb_id: 2615211-3
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  • 10
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    Impact of Work-Family Conflict on Sleep Complaints: Results From the Longitudinal Study of Adult Health (ELSA-Brasil)
    Frontiers Media SA ; 2021
    In:  Frontiers in Public Health Vol. 9 ( 2021-4-21)
    Details
    In: Frontiers in Public Health, Frontiers Media SA, Vol. 9 ( 2021-4-21)
    Abstract: Background: Balancing work and family demands is often a challenge. Family and job responsibilities may affect many aspects of health, and sleep is an important issue. Work-family conflict (WFC) refers to situations where it is difficult to reconcile family and professional demands. WFC can act in two directions: work-to-family conflicts occur when job demands interfere in family life; family-to-work conflicts arise when family demands interfere with job performance. This study evaluated whether dimensions of WFC—time- and strain-related, work-to-family conflict; family-to-work conflict; and lack of time for self-care and leisure due to work and family demands—were cross-sectionally and longitudinally associated with sleep complaints, by gender. Methods: The sample comprised 9,704 active workers (5,057 women and 4,647 men) from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Standardized questionnaires were used to collect data. WFC was measured at baseline (2008–2010), and sleep complaints were measured at baseline and approximately 4 years after the first visit (2012–2014). To test the association between the four WFC dimensions and sleep complaints, crude and multiple logistic regressions were conducted to estimate odds ratios and 95% confidence intervals. The adjusted model included age, education, marital status, hours worked and work schedule. Results: Mean age at baseline was 48.2 years. Most participants were educated to University degree level (54.5%), married (68.2%) and worked ≤ 40 h/week (66.1%). At baseline, 48.3% of women and 41.1% of men reported sleep complaints. Frequent WFC was reported by women and men, respectively, as follows: time-related work-to-family conflict (32.6 and 26.1%), strain-related work-to-family conflict (25.3 and 16.0%), family-to-work conflict (6.6 and 7.6%) and lack of time for self-care (35.2 and 24.7%). For both women and men, time- and strain-related work-to-family conflicts and conflicts for lack of time for self-care were cross-sectionally and longitudinally associated with sleep complaints. The findings also suggest a weaker and non-significant association between family-to-work conflict and sleep complaints. Conclusions: The statistically significant associations observed here underline the importance of reducing WFC. In the modern world, both WFC and sleep problems are increasingly recognized as frequent problems that often lead to ill health, thus posing a public health challenge.
    Type of Medium: Online Resource
    ISSN: 2296-2565
    URL: Article
    DOI: 10.3389/fpubh.2021.649974
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2021
    detail.hit.zdb_id: 2711781-9
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