Isolda Prado de Negreiros Nogueira Maduro possui Graduação em Medicina pela Universidade Federal do Amazonas (1994). Especialista em Clínica Médica (1997) pelo Hospital Universitário Getúlio Vargas - Universidade Federal do Amazonas) e em Nutrologia (2001), pelo Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto -USP). Concluiu o Mestrado (2003) e Doutorado (2007) em Medicina (Clínica Médica Ciências Médicas) pela Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo. Atualmente é professora de Medicina da Universidade do Estado do Amazonas (UEA); Diretora da Editora UEA; Editora Chefe da Revista de Ciências da Saúde da Amazônia (UEA); Coordenadora da Técnica da equipe de Terapia Nutricional da Fundação Hospital Adriano Jorge; Membro Efetivo da Associação Brasileira de Nutrologia, da qual pertence ao grupo editorial da Revista de Nutrologia/International Journal of Nutrology;
RESEARCH, TEACHING, or OTHER INTERESTS
Medicine, Public Health, Environmental and Occupational Health, Medicine, Medicine
Prevalence and Factors Associated with Metabolic Syndrome in Patients at a Psychosocial Care Center: A Cross-Sectional Study Dandara Almeida Reis da Silva, Ludmila Santana de Almeida, Livia Lugarinho Correa, Rodrigo Fernandes Weyll Pimentel, Antonio Marcos Tosoli Gomes, et al. International Journal of Environmental Research and Public Health, 2022 Background: Metabolic syndrome (MS) is associated with greater risk of morbimortality and it has high prevalence in people with mental illness. Objective: Estimate the prevalence of Metabolic Syndrome (MS) and its associated factors in the patients of a Psychosocial Care Center (CAPS in Brazilian Portuguese) in the city of Salvador, state of Bahia, Brazil. Method: Cross-sectional study set at CAPS in the city of Salvador-Bahia between August 2019 and February 2020. MS was evaluated according to the National Cholesterol Education Program’s Adult Treatment Panel III. In addition to descriptive statistics, gross and adjusted prevalence ratios were described. Results: MS was found in 100 (35.2%) individuals, 116 (40.9%) were obese and 165 (58.1%) had increased waist circumference. Polypharmacy was identified in 63 (22.3%) patients and 243 (85.9%) used antipsychotics. Under gross evaluation, women (PR = 1.88; 95%CI: 1.35–2.63) and those who used antidepressants (PR = 1.41; 95%CI: 1.05–1.88) showed an association with MS. After logistic regression, depression (PR = 1.86; 95%CI: 1.38–2.51), acanthosis (PR = 1.50; 95%CI: 1.18–1.90), use of antipsychotics (PR = 1.88; 95%CI: 1.13–2.75), and hypertriglyceridemic waist (PR = 3.33; 95%CI: 2.48–4.46) were associated with MS. Conclusion: The prevalence of MS signals multimorbidity among individuals with mental disorders and suggests a need for clinical screening.
Interaction between Work and Metabolic Syndrome: A Population‐Based Cross‐Sectional Study Amália Ivine Costa Santana, Magno Conceição das Merces, Marcio Costa de Souza, Bruno Gil de Carvalho Lima, Maria José Quina Galdino, et al. Healthcare Switzerland, 2022 Metabolic syndrome (MS) is a clinical condition and a relevant risk factor in the development of cardiovascular diseases; it occurs as a result of lifestyle factors, e.g., work. The aim of this research was to estimate the interaction between work and MS among primary health care (PHC) nursing professionals in the state of Bahia, Brazil. A sectional multicentered study carried out in 43 municipalities in Bahia, whose study population consisted of nursing professionals. The exposure variables were occupation, professional exhaustion, and working time, and the outcome variable was MS. Interaction measures based on the additivity criteria were verified by calculating the excess risks due to the interactions and according to the proportion of cases attributed to the interactions and the synergy index. The global MS prevalence is 24.4%. There was a greater magnitude in the exposure group regarding the three investigated factors (average level occupation, professional exhaustion, and working time in PHC for more than 5 years), reaching an occurrence of 44.9% when compared to the prevalence of 13.1% in the non-exposure group (academic education, without professional burnout, and working time in PHC for up to 5 years). The study’s findings showed a synergistic interaction of work aspects for MS occurrence among PHC nursing professionals.
