I Diretriz de ressuscitação cardiopulmonar e cuidados cardiovasculares de emergência da Sociedade Brasileira de Cardiologia
01 Aug 2013-Arquivos Brasileiros De Cardiologia (Arquivos Brasileiros de Cardiologia)-Vol. 101, Iss: 2, pp 1-221
About: This article is published in Arquivos Brasileiros De Cardiologia.The article was published on 2013-08-01 and is currently open access. It has received 247 citations till now.
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Federal University of Rio de Janeiro1, Rio de Janeiro State University2, Oswaldo Cruz Foundation3, Brazilian Institute of Geography and Statistics4, Sao Paulo State University5, Federal University of Pará6, Universidade Federal de Goiás7, State University of Feira de Santana8, Universidade Federal do Rio Grande do Sul9, Federal University of Amazonas10, Universidade Federal de Minas Gerais11, Universidade Federal do Amapá12, Universidade Federal do Espírito Santo13, University of São Paulo14, Universidade Federal de Santa Catarina15, Federal University of Rio Grande do Norte16, Universidade Federal de Mato Grosso17, State University of Campinas18, Federal University of Bahia19, Pontifícia Universidade Católica do Paraná20, Federal University of Pernambuco21, University of Brasília22, Universidade Federal de Rondônia23, Federal University of Piauí24, Universidade Federal do Acre25, Federal University of Maranhão26, Federal University of Ceará27, Universidade Federal de Sergipe28, Federal University of Paraíba29, Federal University of Alagoas30, Federal University of Roraima31
TL;DR: The study findings will be instrumental to the development of public policies aiming at the prevention of obesity, atherosclerotic diseases and diabetes in an adolescent population.
Abstract: The Study of Cardiovascular Risk in Adolescents (Portuguese acronym, “ERICA”) is a multicenter, school-based country-wide cross-sectional study funded by the Brazilian Ministry of Health, which aims at estimating the prevalence of cardiovascular risk factors, including those included in the definition of the metabolic syndrome, in a random sample of adolescents aged 12 to 17 years in Brazilian cities with more than 100,000 inhabitants. Approximately 85,000 students were assessed in public and private schools. Brazil is a continental country with a heterogeneous population of 190 million living in its five main geographic regions (North, Northeast, Midwest, South and Southeast). ERICA is a pioneering study that will assess the prevalence rates of cardiovascular risk factors in Brazilian adolescents using a sample with national and regional representativeness. This paper describes the rationale, design and procedures of ERICA.
143 citations
TL;DR: A significant proportion of Brazilian adolescents has alterations in their plasma lipids, especially in Brazil’s North and Northeast regions, and the high prevalence of low HDL cholesterol and hypertriglyceridemia must be analyzed in future studies, to support the creation of strategies for efficient interventions.
Abstract: OBJECTIVE To determine the distribution of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides in Brazilian adolescents, as well as the prevalence of altered levels of such parameters. METHODS Data from the Study of Cardiovascular Risks in Adolescents (ERICA) were used. This is a country-wide, school-based cross-sectional study that evaluated 12 to 17-year old adolescents living in cities with over 100,000 inhabitants. The average and distribution of plasma levels of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides were evaluated. Dyslipidemia was determined by levels of total cholesterol ≥ 170 mg/dl, LDL cholesterol ≥ 130 mg/dl, HDL cholesterol < 45 mg/dL, or triglycerides ≥ 130 mg/dl. The data were analyzed by gender, age, and regions in Brazil. RESULTS We evaluated 38,069 adolescents - 59.9% of females, and 54.2% between 15 and 17 years. The average values found were: total cholesterol = 148.1 mg/dl (95%CI 147.1-149.1), HDL cholesterol = 47.3 mg/dl (95%CI 46.7-47.9), LDL cholesterol = 85.3 mg/dl (95%CI 84.5-86.1), and triglycerides = 77.8 mg/dl (95%CI 76.5-79.2). The female adolescents had higher average levels of total cholesterol, LDL cholesterol, and HDL cholesterol, without differences in the levels of triglycerides. We did not observe any significant differences between the average values among 12 to 14 and 15- to 17-year old adolescents. The most prevalent lipid alterations were low HDL cholesterol (46.8% [95%CI 44.8-48.9]), hypercholesterolemia (20.1% [95%CI 19.0-21.3]), and hypertriglyceridemia (7.8% [95%CI 7.1-8.6]). High LDL cholesterol was found in 3.5% (95%CI 3.2-4.0) of the adolescents. Prevalence of low HDL cholesterol was higher in Brazil's North and Northeast regions. CONCLUSIONS A significant proportion of Brazilian adolescents has alterations in their plasma lipids. The high prevalence of low HDL cholesterol and hypertriglyceridemia, especially in Brazil's North and Northeast regions, must be analyzed in future studies, to support the creation of strategies for efficient interventions.
59 citations
TL;DR: Autores da Diretriz: Tales de Carvalho, 1,2 Mauricio Milani,3 Almir Sergio Ferraz,4 Anderson Donelli da Silveira,5,6,7 Artur Haddad Herdy,1,8,9 Carlos Alberto Cordeiro Hossri,4,10 Christina Grüne Souza e Silva,11 Claudio Gil Soares de Araújo,11 Eneas Antonio Rocco,12 José Antonio Cald
Abstract: 1. Introducao Esta cientificamente comprovado, sendo algo incorporado ao senso comum, que ser fisicamente ativo contribui para preservar e recuperar a boa saude do corpo e da mente. Os efeitos favoraveis da reabilitacao cardiovascular (RCV) com enfase nos exercicios fisicos tem sido consistentemente documentados, inclusive em meta-analises de estudos clinicos randomizados, que demonstram significativas reducoes da morbimortalidade cardiovascular e global, bem como da taxa de hospitalizacao, , com expressivo ganho de qualidade de vida, , justificando a sua consensual e [...]
45 citations
TL;DR: From a review of the literature on foods and bioactive compounds, their recommended quantities, and expected effects, it is found that the following nutrients and food components could positively impact the lipid profile: monounsaturated and polyunsaturated fatty acids, soluble fiber, vegetable proteins, phytosterols, and polyphenols.
37 citations
TL;DR: According to the results, self-reported measurements of weight and height can be used cautiously as valid alternatives to determine weight status and the weighted kappa coefficient showed substantial agreement among the weight status categories.
Abstract: Self-reported measures have been used to obtain weight and height information in some epidemiological surveys. The validation of such information is necessary to guarantee data quality. This study assessed the validity of self-reported weight and height to determine weight status. Data were obtained in the Brazilian National Health Survey, a Brazilian household-based nationwide survey carried out in 2013. In this survey, 40,366 individuals (aged ≥ 18 years) provided self-reported and measured information about weight and height. Student’s paired t-test was used to verify the differences between self-reported and measured data. The agreement between measurements was obtained using the intraclass correlation coefficient (ICC) and Bland-Altman method. To evaluate variations in weight status categorizations, the weighted kappa coefficient and exact agreement were used. Sensitivity and specificity were estimated for the self-reported information to classify overweight and obese individuals. There was high agreement between self-reported and measured weight, height, and body mass index (ICC > 0.88). The mean agreements estimated by the Bland-Altman method were 99.6% for weight and 100.6% for height. The weighted kappa coefficient showed substantial agreement among the weight status categories (> 0.66); the exact agreement was 77%. Sensibility and specificity for overweight (83% and 87.5%, respectively) and obesity (73.4% and 96.7%, respectively) were considered high for the sociodemographic characteristics evaluated. According to our results, self-reported measurements of weight and height can be used cautiously as valid alternatives to determine weight status.
33 citations