{"title":"Reviewed article: Souza IG, Duarte YAO, Nascimento MMG, Molino CGRC, Rezende CP, Santos JLF. Competições terapêuticas e fragilidade em pessoas idosas no município de São Paulo: estudo transversal de base populacional, 2015. Epidemiol Serv Saude. 2025:34;20240104. 10.1590/S2237-96222025v34e20240104.en.","authors":"Ana Isabelle de Gois Queiroz","doi":"10.1590/S2237-96222025v34e20240104.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240104.a","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240104.a"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewed article: Souza IG, Duarte YAO, Nascimento MMG, Molino CGRC, Rezende CP, Santos JLF. Competições terapêuticas e fragilidade em pessoas idosas no município de São Paulo: estudo transversal de base populacional, 2015. Epidemiol Serv Saude. 2025:34;20240104. 10.1590/S2237-96222025v34e20240104.en.","authors":"Clineu Mello Almada Filho","doi":"10.1590/S2237-96222025v34e20240104.b","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240104.b","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240104.b"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lopes MS, Cruz PGCS, Ciqueira JB, Craveiro CFC, Rocha IS, Gomes SM. Is disparity in meat consumption an obstacle to achieving the golden rule of the Dietary Guidelines for the Brazilian Population? Epidemiol Serv Saude. 2025:34;e20240355. doi: 10.1590/S2237-96222025v34.e20240355.en.","authors":"Ana Coelho de Albuquerque","doi":"10.1590/S2237-96222025v34.e20240355.a","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34.e20240355.a","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240355.a"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Igor Gonçalves de Souza, Yeda Aparecida de Oliveira Duarte, Mariana Martins Gonzaga do Nascimento, Caroline de Godoi Rezende Costa Molino, Cristiane de Paula Rezende, Jair Lício Ferreira Santos
{"title":"Therapeutic competitions and frailty among older adults in São Paulo city: a cross-sectional population-based study, 2015.","authors":"Igor Gonçalves de Souza, Yeda Aparecida de Oliveira Duarte, Mariana Martins Gonzaga do Nascimento, Caroline de Godoi Rezende Costa Molino, Cristiane de Paula Rezende, Jair Lício Ferreira Santos","doi":"10.1590/S2237-96222025v34e20240104.en","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240104.en","url":null,"abstract":"<p><strong>Objective: </strong>To identify the presence of therapeutic competitions according to the frailty component classification and to assess association between therapeutic competitions and frailty in people aged 60 or over in the city of São Paulo, Brazil.</p><p><strong>Methods: </strong>This was a population-based cross-sectional study. Frailty was identified when three to five components defined by Fried were present, and pre-frailty was identified when one or two were present. Therapeutic competitions were characterized by use of medication for a specific chronic non-communicable disease that negatively affects another disease. We used multinomial logistic regression.</p><p><strong>Results: </strong>Therapeutic competitions were identified for 13.2% of the 1,224 participants. Of this total, 18.7% were considered to be frail individuals. The most prevalent therapeutic competition involved diabetes and cardiovascular disease (4.2% of the total and 6.8% of frail people) with metformin or angiotensin-converting enzyme inhibitors. The presence of two therapeutic competitions in individuals with multimorbidity increased the likelihood of pre-frailty (odds ratio 2.51; 95% confidence interval 1.10; 5.76).</p><p><strong>Conclusion: </strong>Therapeutic competitions are common in the elderly population and more frequent among frail elderly people, with increased likelihood of pre-frailty when two therapeutic competitions are present.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240104"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mariana Souza Lopes, Paulo Gustavo Costa E Silva Cruz, Joerika Batista Ciqueira, Cecília Furtado Craveiro, Izabele da Silva Rocha, Savio Marcelino Gomes
{"title":"Disparity in meat consumption: An obstacle to achieving the golden rule of the Brazilian Dietary Guidelines?","authors":"Mariana Souza Lopes, Paulo Gustavo Costa E Silva Cruz, Joerika Batista Ciqueira, Cecília Furtado Craveiro, Izabele da Silva Rocha, Savio Marcelino Gomes","doi":"10.1590/S2237-96222025v34e20240355.en","DOIUrl":"https://doi.org/10.1590/S2237-96222025v34e20240355.en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate disparities in meat consumption in Brazil and analyze its relationship with the intake of fresh fruits and vegetables.</p><p><strong>Methods: </strong>This is a cross-sectional study using secondary data from the 2019 National Health Survey. Red meat consumption (in days) was estimated according to socioeconomic and demographic data. Odds ratios (OR) were estimated using multinomial logistic regression, and the association between meat consumption and fruit and vegetable intake was assessed by means of Poisson regression.</p><p><strong>Results: </strong>Of a total of 83,085 Brazilians participating in the study, 29.2% reported consuming meat 5-7 times per week. Sociodemographic and economic factors revealed a lower likelihood of consuming meat 5-7 days/week among women [OR 0.50, 95%CI 0.46; 0.53), older adults (OR 0.48, 95%CI 0.37; 0.63) and residents of the Northeast region of the country (OR 0.72, 95%CI 0.66; 0.79). After adjustments, red meat consumption was directly associated (p-value<0.001) with vegetable intake (0.04) and inversely associated with fruit intake (-0.04).</p><p><strong>Conclusion: </strong>Meat consumption is unequal among Brazilians and may have an impact on the consumption of fresh foods, such as fruits.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240355"},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewed article: Melo MS, Souza TTCM, Soares LM, Santos AD, Raiol T, Ribeiro A. Human papillomavirus vaccination access, coverage and dropout in the Federal District, Brazil: a time series study, 2013-2023. Epidemiol Serv Saude 2025;34:e20240006. 10.1590/S2237-96222025v34e20240006.en.","authors":"Maria Auxiliadora Parreiras Martins","doi":"10.1590/S2237-96222025v34e20240006.b","DOIUrl":"10.1590/S2237-96222025v34e20240006.b","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240006.b"},"PeriodicalIF":2.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reviewed article: Müller CH, Bertoldi AD, Bielemann RM, Machado KP, Tomasi E, Gonzalez MC, Silveira MPT. Prevalence of polypharmacy use and association with mortality: a cohort study of elderly people in Southern Brazil, 2014-2017. Epidemiol Serv Saude. 2025;34:e20240081. 10.1590/S2237-96222025v33e20240081.en.","authors":"Aluísio Oliveira","doi":"10.1590/S2237-96222024v33e20240081.a","DOIUrl":"10.1590/S2237-96222024v33e20240081.a","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240081.a"},"PeriodicalIF":2.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elviani Basso Moura, Bruna de Albuquerque Catelano, Fernanda Perito de Aguiar, Helbert do Nascimento Lima, Paulo Henrique Condeixa de França
{"title":"Survival of critically ill people with COVID-19 and acute kidney injury undergoing hemodialysis in public and private hospitals in Joinville: a cohort study, 2020-2021.","authors":"Elviani Basso Moura, Bruna de Albuquerque Catelano, Fernanda Perito de Aguiar, Helbert do Nascimento Lima, Paulo Henrique Condeixa de França","doi":"10.1590/S2237-96222025v34e20240025.en","DOIUrl":"10.1590/S2237-96222025v34e20240025.en","url":null,"abstract":"<p><strong>Objective: </strong>To compare the 90-day survival of critically ill people with COVID-19 and acute kidney injury in intensive care units (ICU) of public and private hospitals.</p><p><strong>Methods: </strong>This was a retrospective cohort study of critically ill people with COVID-19 and acute kidney injury undergoing hemodialysis in Joinville, Santa Catarina state.</p><p><strong>Results: </strong>The 90-day survival rate in public ICU was 15.7% (95%CI 8.4; 25.1), while in private ICU it was 37.7% (95%CI 24.9; 50.5%). In the multivariate analysis adjusted for sociodemographic variables (Hazard ratio (HR) 2.01; 95%CI 1.31; 3.08) and comorbidities (HR 2.09; 95%CI 1.30; 3.37), admission to a public ICU was associated with a higher risk of death. After including severity of illness, admission to a public ICU was not associated with an increased risk of death compared to private ICU (HR 0.79; 95%CI 0.45; 1.42).</p><p><strong>Conclusion: </strong>Measures implemented during the COVID-19 pandemic may have reduced inequalities between health systems for critically ill patients with acute kidney injury.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240025"},"PeriodicalIF":2.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}