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  • 1
    Online Resource
    Online Resource
    IDEAL CARDIOVASCULAR HEALTH STATUS AND HEALTH-RELATED QUALITY OF LIFE IN ADOLESCENTS: THE LABMED PHYSICAL ACTIVITY STUDY
    FapUNIFESP (SciELO) ; 2021
    In:  Revista Paulista de Pediatria Vol. 39 ( 2021)
    Details
    In: Revista Paulista de Pediatria, FapUNIFESP (SciELO), Vol. 39 ( 2021)
    Abstract: RESUMO Objetivo: O Índice de Saúde Cardiovascular Ideal (ISCI) do adolescente parece ser um importante indicador do estilo de vida e da saúde cardiometabólica dos jovens, com possíveis consequências positivas para a Qualidade de Vida Relacionada à Saúde (QVRS). O objetivo deste estudo foi examinar as associações do ISCI e da QVRS em adolescentes. Métodos: Este foi um estudo transversal baseado em análises secundárias do estudo LabMed Physical Activity (n=407 adolescentes, 53% meninas). O ISCI, conforme definido pela American Heart Association, foi determinado como atendendo a comportamentos ideais (atividade física, índice de massa corporal, tabagismo e padrão alimentar) e fatores de saúde (pressão arterial, glicose total e colesterol). A QVRS foi mensurada com o questionário de autorrelato Kidscreen-10. Resultados: A análise de covariância mostrou associação entre o acúmulo de métricas ideais de saúde cardiovascular e a QVRS (F(4,403)=4,160; p=0,003). Quanto maior o número de comportamentos ideais de saúde acumulados, maiores os valores médios da QVRS (p-valor de tendência=0,001), após ajustes para idade, sexo, status socioeconômico e estágio pubertal. Conclusões: O índice de saúde cardiovascular ideal associou-se positivamente à QVRS em adolescentes. As métricas ideais de comportamentos de saúde parecem ter uma associação mais forte com a QVRS do que as métricas ideais de fatores de saúde em adolescentes.
    Type of Medium: Online Resource
    ISSN: 1984-0462 , 0103-0582
    URL: Article
    DOI: 10.1590/1984-0462/2021/39/2019343
    Language: English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2021
    detail.hit.zdb_id: 2560228-7
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  • 2
    Online Resource
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    Adherence to Southern European Atlantic Diet and physical fitness on the atherogenic index of plasma in adolescents
    FapUNIFESP (SciELO) ; 2019
    In:  Cadernos de Saúde Pública Vol. 35, No. 12 ( 2019)
    Details
    In: Cadernos de Saúde Pública, FapUNIFESP (SciELO), Vol. 35, No. 12 ( 2019)
    Abstract: Resumo: O estudo teve como objetivos: (i) avaliar as associações entre a aptidão cardiorrespiratória (ACR), aptidão muscular (AM) e Dieta Atlântica do Sul da Europa (SEADiet) e o índice aterogênico do plasma (IAP) e (ii) investigar a associação combinada entre AM, ACR e SEADiet e IAP em adolescentes. Foi realizado um estudo transversal de base escolar em uma amostra de 493 adolescentes (285 do sexo feminino), entre 15 e 18 anos de idade, nos Arquipélago dos Açores, Portugal. A ACR foi medida pelo teste aeróbico de corrida de vai-e-vem e a AM pelos testes de abdominal modificado e de flexão. A adesão ao SEADiet foi avaliada através de um questionário semi-quantitativo de frequência alimentar. O IAP foi calculado como log(TG/HDL-C). Foram avaliadas as medidas de estágio de puberdade e de nível socioeconômico. A regressão linear revelou uma associação inversa significativa entre AM (β padronizado = -0,165; p 〈 0,001), ACR (β padronizado = -0,081; p 〈 0,030) e SEADiet (β padronizado = -0,081; p 〈 0,045) e IAP, depois de ajustar para idade, sexo, estágio de puberdade e escolaridade dos pais. Além disso, os participantes classificados como adesão excelente ou baixa ao padrão alimentar SEADiet mas com BaixaAM/BaixaACR, tiveram, em média, os maiores níveis de IAP (F(7,482) = 3,270; p = 0,002). O grupo com adesão excelente ao SEADiet e AltaAM/AltaACR mostrou IAP mais baixo, comparado com o grupo com baixa adesão ao padrão alimentar SEADiet e AltaAM/AltaACR (p = 0,03). O IAP está associado inversamente com AM, ACR e SEADiet. Os níveis baixos de AM e ACR parecem contrabalançar o efeito saudável potencial da adesão excelente ao padrão alimentar SEADiet sobre o IAP. Entretanto, a adesão excelente ao SEADiet parece melhorar o IAP nos adolescentes com níveis altos de aptidão física.
    Type of Medium: Online Resource
    ISSN: 1678-4464 , 0102-311X
    URL: Article
    DOI: 10.1590/0102-311x00200418
    Language: English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2019
    detail.hit.zdb_id: 2027139-6
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  • 3
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    Online Resource
    Bullying and Health Related Quality of Life among Adolescents—A Systematic Review
    MDPI AG ; 2022
    In:  Children Vol. 9, No. 6 ( 2022-05-24), p. 766-
    Details
    In: Children, MDPI AG, Vol. 9, No. 6 ( 2022-05-24), p. 766-
    Abstract: Health-related quality of life is among global health goals not only in adulthood but also in childhood and adolescence. Being a multi-component construct, health-related quality of life covers various domains, such as physical and psychological wellbeing and social and environmental areas. Bullying might significantly influence those domains especially in adolescence, a period of life when numerous personal and interpersonal transformations are experienced. Therefore, the aim of the current systematic review was to provide a comprehensive overview of the relationship of bullying with the health-related quality of adolescents’ lives. An electronic literature search was performed using PubMed, Embase, and Cochrane Library, and 3621 full-text articles were identified. After a selection process, 12 studies covering diagnosis, prevention and treatment for each of the three sections “adolescents”, “health related quality of life” and “bullying” were reviewed. An overall reduction in health-related quality of life in regard to bullying appeared from the studies analyzed, as well as a decline in adolescent mental health. Different bullying types were identified as causing harm to various adolescents‘ health-related quality of life domains. These findings may contribute to effective bullying management in schools and/or societal settings, and inform intervention strategies for maintaining the quality of life of adolescents being bullied.
    Type of Medium: Online Resource
    ISSN: 2227-9067
    URL: Article
    DOI: 10.3390/children9060766
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2732685-8
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  • 4
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    Online Resource
    Effects of alirocumab on cardiovascular and metabolic outcomes after acute coronary syndrome in patients with or without diabetes: a prespecified analysis of the ODYSSEY OUTCOMES randomised controlled trial
    Elsevier BV ; 2019
    In:  The Lancet Diabetes & Endocrinology Vol. 7, No. 8 ( 2019-08), p. 618-628
    Details
    In: The Lancet Diabetes & Endocrinology, Elsevier BV, Vol. 7, No. 8 ( 2019-08), p. 618-628
    Type of Medium: Online Resource
    ISSN: 2213-8587
    URL: Article
    DOI: 10.1016/S2213-8587(19)30158-5
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
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  • 5
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    Online Resource
    OSTEOARTRITAS: PAPLITIMAS, VEIKSNIAI IR NEMEDIKAMENTINIS GYDYMAS
    Association of Lithuanian Serials (Publications) ; 2014
    In:  Sveikatos mokslai Vol. 24, No. 4 ( 2014-02-20), p. 17-21
    Details
    In: Sveikatos mokslai, Association of Lithuanian Serials (Publications), Vol. 24, No. 4 ( 2014-02-20), p. 17-21
    Abstract: Osteartritas yra plačiai paplitusi vyresnio amžiaus žmonių lėtinė liga, pasireiškianti sąnarių lankstumo sumažėjimu bei sąnarių skausmais. Šiame straipsnyje apžvelgiamas ligos paplitimas, ri- zikos veiksniai bei nemedikamentinis gydymas. Siūloma Lietuvoje įdiegti JAV plačiai žinomą moksliniais įrodymais grindžiamą Fit and Strong! programą, sulėtinančią osteoartrito simptomų pro- gresavimą, pagerinančią sąnarių lankstumą, padidi- nančią raumenų jėgą 18 mėnesių [1]. Ši kombinuota programa fizinius pratimus derina su mokymu kaip suvaldyti osteoartrito eigą atliekant fizinės veiklos pratimus. Programos Fit and Strong! įdiegimas Lie- tuvoje galėtų veiksmingai prisidėti sprendžiant šią opią vyresnių žmonių sveikatos problemą
    Type of Medium: Online Resource
    ISSN: 1392-6373
    URL: Article
    DOI: 10.5200/sm-hs.2014.063
    Language: Unknown
    Publisher: Association of Lithuanian Serials (Publications)
    Publication Date: 2014
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  • 6
    Online Resource
    Online Resource
    Changes In Mortality Trends Of Road Traffic Injuries In Lithuania Over 1971-2014
    Association of Lithuanian Serials (Publications) ; 2017
    In:  Sveikatos mokslai Vol. 26, No. 6 ( 2017-01-19), p. 114-119
    Details
    In: Sveikatos mokslai, Association of Lithuanian Serials (Publications), Vol. 26, No. 6 ( 2017-01-19), p. 114-119
    Abstract: The goal of this study was to analyze the changes in mortality trends of road traffic injuries for the whole population in transitional Lithuania over 1971 to 2014. Special attention was paid to the potential effect of the activities at macro and micro-level, and the socio-economic changes after the Independence in 1991. The data were derived from the Department of Statistics for the Government of the Republic of Lithuania, the Archives of Health Information Centre, and the Institute of Hygiene in Lithuania. The numbers have been based on the International Classification of Diseases (ICD) of the World Health Organization (WHO). Trends were estimated by the use of logarithmic regression. During the study, trends before the Independence in 1991 and after the Independence were compared. The study revealed that during the 44-year study period, a total of 38,982 people died from road traffic injuries in Lithuania. Men deceased 3.2 times more than that of women. About 40% of those killed in road traffic crashes were pedestrians. The mortality rates of road traffic injuries showed no significant change over the pre-independence period (1971- 1991) for the whole group. However, during the post-independence period (1992-2014), the mortality rates of road traffic injuries in the country significantly decreased for the whole population. Before the Independence (1971-1991), no change was presented nor in men and nor in women subgroups, whereas after the Independence (1992-2014), road traffic injury deaths fell significantly in both sexes. In addition, over the post-independence period, a significant decrease in pedestrian mortality trends for the whole population, and in men and women subgroups was observed. The study confirmed that sustainable preventive measures at macro and micro levels had possible impact on fatal road traffic injuries in the country. Socioeconomic changes, political reforms, education activities, safe environment creation, legislation, and improved healthcare seem to have contributed to the significant decrease of fatal road traffic injuries in transitional Lithuania. Continuous and permanent injury prevention and road safety promotion work is recommended for road safety management.
    Type of Medium: Online Resource
    ISSN: 1392-6373
    URL: Article
    DOI: 10.5200/sm-hs.2016.101
    Language: Unknown
    Publisher: Association of Lithuanian Serials (Publications)
    Publication Date: 2017
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  • 7
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    IKIMOKYKLINIO AMŽIAUS VAIKŲ MITYBA TĖVŲ POŽIŪRIU
    Association of Lithuanian Serials (Publications) ; 2014
    In:  Sveikatos mokslai Vol. 24, No. 4 ( 2014-02-20), p. 44-47
    Details
    In: Sveikatos mokslai, Association of Lithuanian Serials (Publications), Vol. 24, No. 4 ( 2014-02-20), p. 44-47
    Abstract: Sveikata didžiąja dalimi priklauso nuo gyvensenos ir mitybos. Vaikas, augdamas šeimoje, perima šeimos gyvenimo būdą, požiūrį ir tradicijas, tačiau tai ne visada būna susiję su sveika gyvensena, sveika mityba, ne kiekvienoje šeimoje jis gauna pakankamai žinių. Tyrimo tikslas: išanalizuoti tėvų požiūrį į ikimokyklinio amžiaus vaikų mitybą. Tyrime dalyvavo 60 respondentų: populiaciją sudarė tėvai, kurie augina 3 - 6 metų ikimokyklinio amžiaus vaikus, lankančius ikimokyklinio ugdymo įstaigą, taip pat besigydantys ligoninėje. Tyrimo metodai: anketinė apklausa, anketą sudarė 23 klausimai: socialiniai – demografiniai klausimai, šeimos mitybos įpročių vertinimas, maitinimo ikimokyklinio ugdymo įstaigoje vertinimas, maisto produktų priedų vertinimas, sveikatos mokymo reikšmės vertinimas. Tyrimas atliktas anoniminės anketinės apklausos būdu, kurio tikslas išanalizuoti tėvų požiūrį į ikimokyklinio amžiaus vaikų mitybą. Apklausai naudotas instrumentas – klausimynas. Imtį sudarė 60 tėvų, kurie augina ikimokyklinio amžiaus vaikus. Tyrimo metu nustatyta, kad tėvų mitybos samprata iš dalies yra teisinga, tėvai žino sveikos mitybos principus, kas yra sveikos mitybos piramidė, tačiau jais šeimoje vadovaujasi ne visi. Tėvams trūksta informacijos apie maisto priedus, papildus, genetiškai modifikuotus maisto produktus (GMO), apie vaiko sveikatai palankius ir nepalankius maisto produktus, taip pat kokios ugdomosios programos, sveikatingumo renginiai, kuriuose yra įgyvendinama sveikatos stiprinimo veikla, vyksta jų vaiko lankomojoje ikimokyklinio ugdymo įstaigoje. Vaiko mitybai ir mitybos įpročiams įtaką daro ir šeimos ekonominė padėtis. Sveikatos mokymo sąvokos samprata tėvų požiūriu labai įvairi: didžioji dauguma mokymą supranta kaip visapusį informavimą apie ligas, sveikatą, profilaktiką, trečdalis mano, kad sveikatos mokymas ieško strategijų sveikesnei gyvensenai pasiekti. Vertinant slaugytojų dalyvavimą sveikatos mokyme, tėvų požiūriu, slaugytojos apie sveikos mitybos reikšmę sveikatai kalba nepakankamai.
    Type of Medium: Online Resource
    ISSN: 1392-6373
    URL: Article
    DOI: 10.5200/sm-hs.2014.067
    Language: Unknown
    Publisher: Association of Lithuanian Serials (Publications)
    Publication Date: 2014
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  • 8
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    Online Resource
    Refliukso simptomų indekso klausimyno lietuviškos versijos kultūrinė adaptacija ir validizacija
    Association of Lithuanian Serials (Publications) ; 2015
    In:  Sveikatos mokslai Vol. 25, No. 6 ( 2015-12-31), p. 63-69
    Details
    In: Sveikatos mokslai, Association of Lithuanian Serials (Publications), Vol. 25, No. 6 ( 2015-12-31), p. 63-69
    Abstract: Darbo tikslas buvo parengti lietuvišką refliukso simptomų indekso (RSI) klausimyno versiją ir įvertinti psichometrines klausimyno savybes, tiriant pacientus, sergančius gastroezofaginio refliukso ligos laringofaringine forma (GERL LF). Lietuviška RSI klausimyno versija buvo paruošta pagal standartinius, griežtus klausimynų vertimo ir adaptavimo procedūros reikalavimus, verčiant klausimyną iš anglų kalbos į lietuvių ir iš lietuvių atgal į anglų, pirminių versijų testavimą Jungtinėse Amerikos Valstijose (JAV), komiteto peržiūras ir galutinės lietuviškos RSI klausimyno versijos psichometrinių savybių testavimą. Tyrime dalyvavo keturios suaugusių asmenų grupės: RSI klausimyno atgalinio lietuviško- angliško vertimo dviejų pirminių versijų testavimas atliktas JAV Balso ir rijimo centre ištyrus 30 balso pacientų; bandomasis lietuviškos RSI versijos tyrimas atliktas Lietuvos universitetinėje ligoninėje įvertinus 20 pacientų atsakymus; galutinės lietuviškos RSI versijos psichometrinės savybės patikrintos ištyrus 25 otorinolaringologinius pacientus, kuriems GERL LF diagnozuota atsižvelgiant į būdingus klinikinius požymius ir nustatytą erozinį ar histologinį ezofagitą. Kontrolinę grupę sudarė 27 sveiko balso panašaus amžiaus savanoriai. Koreliacija tarp originalios ir abiejų pirminių atgalinio vertimo RSI versijų JAV pacientų grupėje buvo labai patikima (r=0,99 ir r=0,98 (p & lt;0,0001). Nustatytas geras galutinės lietuviškos RSI klausimyno versijos bendrasis vidinis nuoseklumas (Kronbach‘o a=0,87) ir klausimyno stabilumas (koreliacijos koeficientas tarp pirmo ir pakartotinio tyrimo buvo 0,99). GERL LF grupės RSI vidurkis reikšmingai skyrėsi nuo kontrolinės grupės rodmenų: atitinkamai 18,2 ±7,1 ir 3,8±4,4 balų (p & lt;0,0001). Patologinis RSI (≥13) nustatytas 88 proc. ir panašiai - patologinis refliukso radinių indeksas (≥7) diagnozuotas 84 proc. GERL LF grupės pacientų. Pagal ROC kreivės duomenis, didesnis nei 10 balų RSI įvertis tiksliausiai skyrė GERL LF pacientus nuo sveikų – bendrasis teisingai suklasifikuotų asmenų procentas buvo 92,3. Lietuviška RSI klausimyno versija yra paprastas, patikimas ir pagrįstas metodas, padedantis diagnozuoti GERL LF.
    Type of Medium: Online Resource
    ISSN: 1392-6373
    URL: Article
    DOI: 10.5200/sm-hs.2015.119
    Language: Unknown
    Publisher: Association of Lithuanian Serials (Publications)
    Publication Date: 2015
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  • 9
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    ANGIOTENZINĄ KONVERTUOJANČIO FERMENTO INHIBITORIAUS SUKELTOS ANGIOEDEMOS GYDYMAS
    Sveikatos mokslai ; 2021
    In:  Health Sciences Vol. 30, No. 7 ( 2021-1-5), p. 35-38
    Details
    In: Health Sciences, Sveikatos mokslai, Vol. 30, No. 7 ( 2021-1-5), p. 35-38
    Abstract: Angiotenziną konvertuojančio fermento (AKF) inhibitorių sukelta angioedema yra pavojinga gyvybei būklė, kuri pasireiškia maždaug 0,5 proc. pacientų, vartojančių AKF inhbitorius. Nors AKF inhibitorių sukeltos angioedemos patofiziologija susijusi su padidėjusiu bradikinino kiekiu kraujo plazmoje, standartinis gydymas paprastai apima kortikosteroidus ir antihistamininius medikamentus. Apžvalgos tikslas yra apibendrinti įrodymus, pagrindžiančius farmakoterapiją, gydant AKF inhibitorių sukeltą angioedemą.
    Type of Medium: Online Resource
    URL: Journal
    URL: Article
    DOI: 10.35988/sm-hs
    DOI: 10.35988/sm-hs.2020.173
    Language: Unknown
    Publisher: Sveikatos mokslai
    Publication Date: 2021
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  • 10
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    Higher Cardiorespiratory Fitness Levels May Attenuate the Detrimental Association between Weight Status, Metabolic Phenotype and C-Reactive Protein in Adolescents—A Multi-Cohort Study
    MDPI AG ; 2020
    In:  Nutrients Vol. 12, No. 5 ( 2020-05-18), p. 1461-
    Details
    In: Nutrients, MDPI AG, Vol. 12, No. 5 ( 2020-05-18), p. 1461-
    Abstract: Results from several studies show that only obese, unfit subjects, but not obese, fit subjects, are at higher mortality risk than are normal-weight fit subjects. The aim of the study was two-fold: (1) to examine the differences in C-reactive protein levels across different metabolic phenotypes (healthy and unhealthy) of weight status and (2) ascertain whether high levels of cardiorespiratory fitness (CRF) attenuate the association of C-reactive protein and metabolic phenotypes of weight status. This was a pooled study, which included data from three cross-sectional projects (1706 youth (921 girls) aged 12–18 years). We used a Shuttle run test to assess CRF. Adolescents were classified into six metabolic phenotypes (healthy and unhealthy) of weight status (non-overweight, overweight and obese), based on age- and sex-specific cutoff points for triglycerides, systolic blood pressure, HDL-cholesterol, glucose and body mass index. High-sensitivity assays were used to obtain the C-reactive protein as inflammatory biomarker. After adjustment for potential confounders (age, sex, pubertal stage and country), the analysis of covariance (ANCOVA) shows that C-reactive protein is directly associated with metabolic phenotypes of weight status. Subjects with obesity, regardless of their metabolic profile, had higher levels of C-reactive protein Z-score. In addition, (after adjustments for potential confounders) a two-way ANCOVA showed that high levels of CRF attenuated the associations of C-reactive protein levels in metabolic healthy non-overweight and in adolescents with obesity. In conclusion, higher CRF levels may attenuate the detrimental association between obesity and C-reactive protein independently of metabolic phenotype. Findings from this study are important for prevention, clinical practice on issues associated with adiposity and metabolic disorders.
    Type of Medium: Online Resource
    ISSN: 2072-6643
    URL: Article
    DOI: 10.3390/nu12051461
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2518386-2
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