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Abstract: In recent decades, the growing obesity epidemic in Mexico has become one of the most important public health challenges faced by the country. With support from the World Obesity Federation, we formed a working group in 2021 to identify and summarize priority actions that Mexico can take to face this epidemic. More than 1 000 health professionals joined the development and discussion process. Recommendations from previously published, high-level documents and guidelines were taken into account. In commemoration of World Obesity Day 2022, this statement is presented as input for health care professionals to develop actions to address obesity. The statement includes 10 recommendations that include population-level and individual-level actions. It emphasizes the importance of social participation, comprehensive interventions with a person- centered perspective, planetary sustainability, on improving education and communication campaigns, as well as fostering a built environment that promotes active living, and shielding prevention and control efforts from conflicts of interest. The statement calls for obesity to be treated seriously, based on scientific evidence, in a timely and comprehensive manner, employing a life-course and ethical approach that does not perpetuate weight stigma in society.

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https://doi.org/10.21149/13679

Occupational exposures and health-related quality of life in the Manaus Metropolitan Region, Amazonas State, Brazil: a cross-sectional study
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Tiguman, Gustavo Magno Baldin

; Caicedo-Roa, Monica

; Silva, Marcus Tolentino

; Galvao, Tais Freire

Cadernos de Saúde Pública

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2020, Volume 36 N. 12 elocation e00074520

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo: O estudo buscou investigar a associação entre exposições ocupacionais e qualidade de vida relacionada à saúde entre trabalhadores informais e formais na Amazônia brasileira. Realizamos um estudo transversal com trabalhadores adultos na Região Metropolitana de Manaus, Amazonas, em 2015. Os participantes foram selecionados por amostragem probabilística em três estágios. O desfecho primário foi a qualidade de vida relacionada à saúde, medida pela versão brasileira validada do instrumento European Quality of Life 5-Dimensions 3-Levels (EQ-5D-3L). Foi realizada a análise multivariada ajustada por regressão de Tobit, considerando o desenho complexo da amostra. Os resultados foram convertidos em razão de chances (OR). Entre os 1.910 indivíduos na amostra que estavam trabalhando, 60,2% eram trabalhadores formais. Os trabalhadores informais foram mais expostos aos riscos ocupacionais (p ≤ 0,05). A média de utilidade para trabalhadores informais e formais foi 0,886 (IC95%: 0,881; 0,890). A qualidade de vida dos trabalhadores informais foi impactada negativamente pela exposição ao ruído (OR = 1,28; IC95%: 1,13; 1,52), estresse ocupacional (OR = 1,95; IC95%: 1,65; 2,21) e poeiras industriais (OR = 1,46; IC95%: 1,28; 1,72), enquanto trabalhadores formais mostraram uma associação negativa com exposição a substâncias químicas (OR = 1,58; IC95%: 1,28; 1,87), ruído (OR = 1,40; IC95%: 1,23; 1,65), luz solar (OR = 1,65; IC95%: 1,09; 1,40), estresse ocupacional (OR = 1,65; IC95%: 1,46; 1,87), material biológico (OR = 2,61; IC95%: 1,72; 3,97) e poeiras industriais (OR = 1,46; IC95%: 1,28; 1,65). A exposição a riscos ocupacionais entre trabalhadores na Região Metropolitana de Manaus é alta, afetando trabalhadores informais e formais. Políticas brasileiras devem ser implementadas para reduzir os impactos sobre a qualidade de vida dos trabalhadores nessa região do país.

Abstract: We aimed to investigate the association between occupational exposures and health-related quality of life among both informal and formal workers in the Brazilian Amazon. We conducted a cross-sectional study with working adults in the Manaus Metropolitan Region, Amazonas State, in 2015. Participants were selected through a three-step probabilistic sampling. The primary outcome was the health-related quality of life indicator, measured by the Brazilian validated version of the European Quality of Life 5-Dimensions 3-Levels (EQ-5D-3L) tool. Adjusted multivariate analysis was performed by Tobit regression and considered the complex sampling design. Results were converted to odds ratio (OR). Out of the 1,910 working individuals from the sample, 60.2% were formal workers. Informal workers were significantly more exposed to occupational risks than formal workers (p ≤ 0.05). Mean utility score for informal and formal workers was 0.886 (95%CI: 0.881; 0.890). Quality of life of informal workers was negatively impacted by exposure to noise (OR = 1.28; 95%CI: 1.13; 1.52), occupational stress (OR = 1.95; 95%CI: 1.65; 2.21), and industrial dust (OR = 1.46; 95%CI: 1.28; 1.72), while formal workers were negatively associated with exposure to chemical substances (OR = 1.58; 95%CI: 1.28; 1.87), noise (OR = 1.40; 95%CI: 1.23; 1.65), sun (OR = 1.65; 95%CI: 1.09; 1.40), occupational stress (OR = 1.65; 95%CI: 1.46; 1.87), biological material (OR = 2.61; 95%CI: 1.72; 3.97), and industrial dust (OR = 1.46; 95%CI: 1.28; 1.65). Exposure to occupational risks among workers from the Manaus Metropolitan Region was high, affecting both informal and formal workers. Brazilian policies need to be enforced to reduce the impacts on quality of life among workers in this region.

Resumen: El objetivo era investigar la asociación entre exposiciones ocupacionales y calidad de vida relacionada con la salud entre trabajadores formales e informales en la Amazonia Brasileña. Realizamos un estudio transversal con trabajadores adultos en la región metropolitana de Manaus, estado del Amazonas, en 2015. Los participantes fueron seleccionados a través de una muestra probabilística en tres pasos. El resultado primario fue la calidad de vida relacionada con la salud, medida por la versión brasileña validada de la herramienta European Quality of Life 5-Dimensions 3-Levels (EQ-5D-3L). Se realizó un análisis ajustado multivariado mediante la regresión Tobit y se consideró el diseño complejo de la muestra. Los resultados se convertieron en odds ratio (OR). De los 1.910 trabajadores procedentes de la muestra, un 60,2% fueron trabajadores formales. Los trabajadores informales estuvieron significativamente más expuestos a los riesgos ocupacionales que los trabajadores formales (p ≤ 0,05). La puntuación media de utilidad para los trabajadores informales y formales fue 0,886 (IC95%: 0,881; 0,890). La calidad de vida de los trabajadores informales estuvo negativamente impactada por la exposición al ruido (OR = 1,28; IC95%: 1,13; 1,52), estrés ocupacional (OR = 1,95; IC95%: 1,65; 2,21), y polvos industriales OR = 1,46; IC95%: 1,28; 1,72), mientras que los trabajadores formales estuvieron negativamente asociados con la exposición a sustancias químicas (OR = 1,58; IC95%: 1,28; 1,87), ruido (OR = 1,40; IC95%: 1,23; 1,65), sol (OR = 1,65; IC95%: 1,09; 1,40), estrés ocupacional (OR = 1,65; IC95%: 1,46; 1,87), material biológico (OR = 2,61; IC95%: 1,72; 3,97), y polvos industriales (OR = 1,46; IC95%: 1,28; 1,65). La exposición a riesgos ocupacionales entre trabajadores en la región metropolitana de Manaus es alta, afectando tanto a trabajadores informales como formales. Se necesitan imponer políticas brasileñas para reducir los impactos en la calidad de vida entre trabajadores en esta región.

https://doi.org/10.1590/0102-311x00074520

Occupational exposures and health-related quality of life in the Manaus Metropolitan Region, Amazonas State, Brazil: a cross-sectional study
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Tiguman, Gustavo Magno Baldin

; Caicedo-Roa, Monica

; Silva, Marcus Tolentino

; Galvao, Tais Freire

Cadernos de Saúde Pública

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2020, Volume 36 N. 12 elocation e00074520

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/0102-311x00074520 346 downloads

Paulo Freire e a educação popular na história do Serviço Social brasileiro (1980-2010)
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Machado, Aline Maria Batista

; Silva, Andrêsa Melo da

; Tolentino, Graziela Mônica Pereira

Serviço Social & Sociedade

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apr 2019, N. 134 Pages 70 - 87

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo: O presente artigo resgata a contribuição de Paulo Freire na história do Serviço Social brasileiro e destaca a educação popular como instrumento importante no trabalho e formação profissional do assistente social. Além disso, apresenta um levantamento das produções teóricas brasileiras que articulam as temáticas educação popular e Serviço Social no recorte temporal de 1980-2010, assinalando a área mais produtiva; perfil dos autores; ano, tipo, região, temática e abordagem das produções.

Abstract: This article recounts the contribution of Paulo Freire in the history of Brazilian Social Service and highlights popular education as an important tool in the work and professional training of the social worker. In addition, it presents a survey of the Brazilian theoretical productions that articulate the themes of popular education and social service in the temporal cut of 1980-2010, highlighting the most productive area; profile of authors; year, type, region, thematic and approach to productions.

https://doi.org/10.1590/0101-6628.166 5974 downloads

Evaluation of diabetic patients after three month use of continuous subcutaneous insulin infusion, dispensed by a protocolled form at outpatient reference clinic of Taguatinga Regional Hospital
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Miranda, Leonardo Garcia

; Pedrosa, Hermelinda Cordeiro

; Falleiros, Roberta Kelly Menezes Maciel

; Oliveira, Renata de Moraes

; Tolentino, Monica

; Casulari, Luiz Augusto

Archives of Endocrinology and Metabolism

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feb 2015, Volume 59 N. 1 Pages 23 - 28

Abstract: En | Text: En | PDF: En

Objective To evaluate the data of continuous subcutaneous insulin infusion protocol (CSII) for diabetics waived by the Health State Secretariat of Distrito Federal (HSSDF) and therapeutic responses three months after the transfer of multiple daily injections regimen for CSII. Subjects and methods Eighty patients (49 female) took part in this experimental study, mean age and disease duration were 27.9 years and 13 years, respectively; 96% patients had type 1 diabetes mellitus. Results The entire sample (ECO) and 3 subgroups (group 1 – A1c decrease, group 2 – A1c stable, and group 3 – A1c increase), stratified according to a ≥ 0.5% change in A1c, were analyzed. Group 1 involved 64% of the patients. The ECO showed a significant A1c decrease: MDI 8.1 ± 1.4% vs. CSII 7.3 ± 0.9%, p < 0.0001 (0.8% difference pro CSII therapy). Group 1 demonstrated an A1c decrease from 8.7% to 7.3% (1.4% difference). Group 2 mean A1c was 7.1%. Rate of hypoglycemia (< 50 mg/dL) decreased 61% in the ECO and 79% in Group 2. Conclusion This study reinforces the safety and efficacy of CSII with a robust A1c reduction and hypoglycemia. The pioneer care HSSDF ambulatory attests to be achievable the free dispensing by Unified Health System (UHS) following a protocol, and this approach results in less wastage to the patient and represents a rational policy of therapy with CSII for UHS. Arch Endocrinol Metab. 2015;59(1):23-8

https://doi.org/10.1590/2359-3997000000005 2141 downloads

Narrativa infantil en entornos escolares: Una estrategia de promoción de la salud
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Ríos-Cortázar, Víctor

; Gasca-García, Alejandra

; Franco-Martínez, Mónica

; Tolentino-Mayo, Lizbeth

Salud Pública de México

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2014, Volume 56 Suppl. 2 Pages s130 - s138

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Objective. To describe the process of capacity building of an elementary school in Mexico City to promote healthy diet, physical activity and obesity preventive measures, within the Health Promoting School (HPS) initiative, underpinned by a human functioning approach. Materials and methods. The project of HPS had a methodological design of participatory action research, which was adapted and integrated to a participatory method of planning-action-evaluation with a model of collaborative and group learning; thus narrative was defined as a strategy. Results. The participation of children in the process contributed to the development of a set of capabilities related to school performance, socialization, coexistence, diet, physical activity and others related to health in general. Conclusions. The HPS enhances the development of individual and collective capacities of school-aged children that allows them to achieve favorable performances for their health, including diet and physical activity.

Objetivo. Describir el proceso de desarrollo de las capacidades de una población escolar en relación con la alimentación, actividad física y prevención de obesidad, dentro de una iniciativa de Escuela Promotora de Salud (EPS), implementada en una escuela primaria pública y sustentada en un enfoque de funcionamiento humano. Material y métodos. Se formuló un proyecto de EPS con un diseño metodológico de investigación-acción participativa, en el que se adecuó e integró un método participativo de planeación-acción-evaluación con un modelo de aprendizaje grupal y colaborativo, y se definió la narrativa como estrategia. Resultados. La participación de los niños contribuyó al desarrollo de conjuntos de capacidades referidas al desempeño escolar, socialización y convivencia, así como a la alimentación, actividad física y otras relacionadas con salud en general. Conclusiones. La EPS favorece el desarrollo de capacidades individuales y colectivas que permiten a los escolares lograr funcionamientos favorables para su salud, incluyendo alimentación y actividad física.

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Narrativa infantil en entornos escolares: Una estrategia de promoción de la salud
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Ríos-Cortázar, Víctor

; Gasca-García, Alejandra

; Franco-Martínez, Mónica

; Tolentino-Mayo, Lizbeth

Salud Pública de México

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2014, Volume 56 Suppl. 2 Pages s130 - s138

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

2441 downloads

Reducción de la obesidad infantil a través del componente de nutrición de una iniciativa de Escuela Promotora de Salud
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Ríos-Cortázar, Víctor

; Gasca-García, Alejandra

; Ordóñez, Arlette R

; Vera, María Eugenia

; Franco-Martínez, Mónica

; Tolentino-Mayo, Lizbeth

Salud Pública de México

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2013, Volume 55 Pages 431 - 433

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Objective. To present the results of the nutritional component of a Health Promoting School (HPS) project, on the nutritional status of children in an elementary school. Materials and methods. An HPS intervention was designed using children's narrative and participatory action research methodology. Body mass index was utilized to assess nutritional status. Results. In school children the prevalence of excess weight (overweight plus obesity) decreased significantly (p<0.001) after the intervention. Conclusions. In order to develop a successful solution to the problem of excess weight, it is essential to involve those affected.

Objetivo. Presentar los resultados de nutrición de un proyecto de Escuela Promotora de Salud (EPS) sobre el estado de nutrición en escolares de una escuela primaria. Material y métodos. Se diseñó una intervención de EPS teniendo como estrategia la narrativa infantil y un diseño metodológico de investigación de acción participativa. Para evaluar el estado de nutrición se utilizó el índice de masa corporal. Resultados. En escolares la prevalencia del exceso de peso (sobrepeso más obesidad) disminuyó significativamente (p<.001) después de la intervención. Conclusiones. La comprensión promovida desde, con y para los propios implicados en el problema del exceso de peso es condición esencial para su solución.

8798 downloads Cited 1 time in SciELO

Reducción de la obesidad infantil a través del componente de nutrición de una iniciativa de Escuela Promotora de Salud
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Ríos-Cortázar, Víctor

; Gasca-García, Alejandra

; Ordóñez, Arlette R

; Vera, María Eugenia

; Franco-Martínez, Mónica

; Tolentino-Mayo, Lizbeth

Salud Pública de México

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2013, Volume 55 Pages 431 - 433

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

7775 downloads Cited 1 time in SciELO

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