Detalhes bibliográficos
| Ano de defesa: |
2016 |
| Autor(a) principal: |
Azevedo, Cezar Henrique de
 |
| Orientador(a): |
Braga, Alfésio Luis Ferreira
|
| Banca de defesa: |
Ribeiro, Sandra Maria Lima,
Arbex, Marcos Abdo,
Pereira, Luiz Alberto Amador,
Martins, Lourdes Conceição |
| Tipo de documento: |
Tese
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Católica de Santos
|
| Programa de Pós-Graduação: |
Doutorado em Saúde Coletiva
|
| Departamento: |
Centro de Ciências Sociais Aplicadas e Saúde
|
| País: |
Brasil
|
| Palavras-chave em Português: |
|
| Palavras-chave em Inglês: |
|
| Área do conhecimento CNPq: |
|
| Link de acesso: |
https://tede.unisantos.br/handle/tede/3161
|
Resumo: |
Many families ejected from the urban centers by the social transformations found in the rural areas of Baixada Santista Metropolitan Area ¿ BSMA some housing opportunities to develop their comunities, however they have settled in chemical waste deposit areas of the industrial center of Cubatão. The effect of the exposure to social, environmental and dietary features on the elderly health and nutrition are rare or nonexistent. Objective: Investigating the associated features to the nutritional status and anemia in the elderly in contaminated and noncontaminated areas by chemical waste in the BSMA. Methods: cross-sectional study. Participants were 224 elderly, residents in contaminated ¿ Quarentenário neighborhood (n=114) and uncontaminated area ¿ Tancredo Neves neighborhood (n=110), between May and June 2015. The elderly have responded the socio-economic, occupational, environmental and health anamnesis, food anamnesis and food frequency questionnaire, mini nutritional assessment (MNA) to the nutritional diagnosis. Anthropometric and body composition measurement and hemoglobin count to identify anemia were carried out. We carried out descriptive analyses. To evaluate the association between qualitative variables it was used the Chi-square test. To the quantitative variables it was used the student¿s t test (normality and homoscedasticity) and the Mann-Whitney U test. To evaluate associated factors to the outcomes it was used the univariate and multiple logistic regression model. The significance level was set at 5%. Results: There was an association between living in Quarentenário neighborhood and having income of up to R$ 1000,00 and low education, while living in Tancredo Neves¿ neighborhood was associated with the presença of all sanitation itens, using just some part of the money to purchase food and not contributing financially with family, non-exposing to contaminants at work and a normal nutritional status (p<0,05). Anthropometric and food habit related measurements weren¿t different between the elderly in both neighborhoods (p>0,05). The factors related to risk/malnutrition in the final multiple logistic regression model were incomplete education to elementary school (OR=2,02; IC95%: 0,97 ¿ 4,21), having joint desease (OR=2,60; IC95%: 1,06 ¿ 6,42), thinner exposure (OR=3,14; IC95%: 1,01 - 9,74), chlorine exposure (OR=2,03; IC95%: 1,02 ¿ 4,01), not having breakfast (OR=21,40; IC95%: 2,28 ¿ 200,72) and underweight Body Mass Index ¿ BMI (OR=9,61; IC95%: 2,98 ¿ 31,05); inverse association was obtained by spending more than half of financial resources with food (OR=0,32; IC95%: 0,14 ¿ 0,72). The independent variables associated with anemia in the final model were being older than 80 years (OR=15,98; IC95%: 2,32 ¿ 109,82), diabetes (OR=2,86; IC95%: 1,37 ¿ 5,97), quarry dust exposure (OR=12,21; IC95%: 2,40 ¿ 62,04); inverse association was obtained with drinking alcoholic beverage (OR=0,08; IC95%: 0,01 ¿ 0,77). Conclusion: Several factors but not the neighborhood of living were associated with risk/malnutrition and/or anemia. Some of them are preventable and interventions must be done to minimize adverse effects. The elderly ones who have chronic disease, who were exposed to chemical and dust during laboral activities, with socio-economic limitations, who are underweight and do not have one of the main meals of the day deserve to be more carefully evaluated and follow-up by primary attention services, as well as those with anemia, which indicates manifestation of chronic disease. |
