Revista De Saude Publica 

About: Revista De Saude Publica is an academic journal published by University of São Paulo. The journal publishes majorly in the area(s): Population & Medicine. It has an ISSN identifier of 0034-8910. It is also open access. Over the lifetime, 7221 publications have been published receiving 165294 citations. The journal is also known as: RSP & Journal of public health.

Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida "WHOQOL-bref"

Abstract: INTRODUCTION: The need of short instruments to evaluate Quality of life determines World Health Organization Quality of Life Group (WHOQOL Group) to develop an abbreviated version of the WHOQOL-100, the WHOQOL-bref. The objective is to present the Brazilian field trial of the WHOQOL-bref. METHODS: WHOQOL-bref is composed by 26 questions divided in four domains: physical, psychological, social relationships and environment. The evaliation instrument, BDI (beck depression inventory) and BHS (beck hopelessness scale) were used in a 300 subjects sample in Porto Alegre, South Brazil. RESULTS/CONCLUSIONS: The instrument showed a good performance concerning internal consistency, discriminant validity, criterion validity, concurrent validity and test-retest reliability. The intrument allies good psychometric performance and practicity for use which puts it as an interesting option to evaluate quality of life in Brazil.

Determinant factors of functional status among the elderly

Abstract: OBJETIVO; Investigar a influencia de fatores socioeconomicos e demograficos relativos a saude, bem como os fatores ligados as atividades sociais e a avaliacao subjetiva da saude sobre a capacidade funcional dos idosos. METODOS: Estudo transversal, integrante de estudo multicentrico, em amostra representativa do municipio de Sao Paulo, realizado em 1989. A capacidade funcional foi avaliada atraves da escala de atividades da vida diaria pessoal e instrumental e investigada como variavel dicotomica: ausencia de dependencia - incapacidade/dificuldade em nenhuma das atividades versus presenca de dependencia moderada/grave - incapacidade/dificuldade em 4 ou mais atividades. Analise de regressao logistica multipla foi aplicada aos fatores hierarquicamente agrupados. RESULTADOS: As caracteristicas que se associaram com a dependencia moderada/grave foram analfabetismo, ser aposentado, ser pensionista, ser dona de casa, nao ser proprietario da moradia, ter mais de 65 anos, ter composicao familiar multigeracional, ter sido internado nos ultimos 6 meses, ser "caso" no rastreamento de saude mental, nao visitar amigos, ter problemas de visao, ter historia de derrame, nao visitar parentes e ter avaliacao pessimista da saude ao se comparar com seus pares. CONCLUSOES: As caracteristicas identificadas que se associaram a dependencia moderada/grave sugerem uma complexa rede causal do declinio da capacidade funcional. Pode-se supor, entretanto, que acoes preventivas especificamente voltadas para certos fatores podem propiciar beneficios para o prolongamento do bem estar da populacao idosa.

Prevalence of chronic low back pain: systematic review

Abstract: OBJECTIVE To estimate worldwide prevalence of chronic low back pain according to age and sex. METHODS We consulted Medline (PubMed), LILACS and EMBASE electronic databases. The search strategy used the following descriptors and combinations: back pain, prevalence, musculoskeletal diseases, chronic musculoskeletal pain, rheumatic, low back pain, musculoskeletal disorders and chronic low back pain. We selected cross-sectional population-based or cohort studies that assessed chronic low back pain as an outcome. We also assessed the quality of the selected studies as well as the chronic low back pain prevalence according to age and sex. RESULTS The review included 28 studies. Based on our qualitative evaluation, around one third of the studies had low scores, mainly due to high non-response rates. Chronic low back pain prevalence was 4.2% in individuals aged between 24 and 39 years old and 19.6% in those aged between 20 and 59. Of nine studies with individuals aged 18 and above, six reported chronic low back pain between 3.9% and 10.2% and three, prevalence between 13.1% and 20.3%. In the Brazilian older population, chronic low back pain prevalence was 25.4%. CONCLUSIONS Chronic low back pain prevalence increases linearly from the third decade of life on, until the 60 years of age, being more prevalent in women. Methodological approaches aiming to reduce high heterogeneity in case definitions of chronic low back pain are essential to consistency and comparative analysis between studies. A standard chronic low back pain definition should include the precise description of the anatomical area, pain duration and limitation level.

Disponibilidade domiciliar de alimentos no Brasil: distribuição e evolução (1974-2003)

Abstract: OBJETIVO: Descrever a distribuicao da disponibilidade domiciliar de alimentos no Brasil em 2002-2003 e avaliar sua evolucao nas areas metropolitanas do Pais no periodo 1974-2003. METODOS: A principal base de dados do estudo e a Pesquisa de Orcamento Familiar de 2002-2003 realizada pelo Instituto Brasileiro de Geografia e Estatistica em 48.470 domicilios brasileiros. Em cada domicilio, num periodo de sete dias consecutivos, foram registradas todas as aquisicoes, monetarias ou nao monetarias, de alimentos e bebidas para consumo familiar. As quantidades de alimentos adquiridas foram transformadas em calorias e macronutrientes, usando tabelas de composicao alimentar. RESULTADOS: Caracteristicas positivas do padrao alimentar, encontradas em todas as regioes e em todas as classes de rendimento, foram a adequacao do teor proteico das dietas e o elevado aporte relativo de proteinas de alto valor biologico. Caracteristicas negativas, tambem disseminadas no Pais, foram excesso de acucar e presenca insuficiente de frutas e hortalicas na dieta. Nas regioes economicamente mais desenvolvidas, no meio urbano e entre familias com maior rendimento houve tambem excesso de gorduras em geral e de gorduras saturadas. A evolucao nas areas metropolitanas do Pais evidenciou declinio no consumo de alimentos basicos, como arroz e feijao, aumentos de ate 400% no consumo de produtos industrializados, como biscoitos e refrigerantes, persistencia do consumo excessivo de acucar e insuficiente de frutas e hortalicas e aumento no teor da dieta em gorduras em geral e gorduras saturadas. CONCLUSOES: Padroes e tendencias da disponibilidade domiciliar de alimentos no Brasil sao consistentes com a importância crescente de doencas cronicas nao transmissiveis no perfil de morbi-mortalidade e com o aumento continuo da prevalencia da obesidade no Pais.

Envelhecimento populacional contemporâneo: demandas, desafios e inovações

Abstract: The paper discusses the social and, particularly, the health consequences resulting from the expansion of the numbers of elderly people in Brazil over a short period. The data used were from the 1998 and 2003 Pesquisa Nacional por Amostra de Domicilios (PNAD, the national household sampling survey), and they express an improvement in elderly people's health conditions and similar distribution of chronic diseases across all income groups. If, on the one hand, elderly people present greater disease burden and incapacities and they use healthcare services more, on the other hand, the current models for healthcare for the elderly are shown to be inefficient and high-cost. Creative and innovative structures are required, such as social centers with health assessments and treatment. Foremost on the agenda for Brazilian public policy, priority should be given to maintaining elderly people's functional capacity, with monitoring of their health conditions; preventive and differentiated actions relating to health and education; and qualified care and multidimensional comprehensive attendance.