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Bloch KV, Klein CH, Szklo M, Kuschnir MCC, Abreu GDA, Barufaldi LA, da Veiga GV, Schaan B, da Silva TLN, de Vasconcellos MTL, Moraes AJP, Borges AL, de Oliveira AMA, Tavares BM, de Oliveira CL, Cunha CDF, Giannini DT, Belfort DR, Santos EL, de Leon EB, Fujimori E, Oliveira ERA, Magliano EDS, Vasconcelos FDAG, Azevedo GD, Brunken GS, Guimarães ICB, Faria Neto JR, Oliveira JS, de Carvalho KMB, Gonçalves LGDO, Monteiro MI, Santos MM, Jardim PCBV, Ferreira PAM, Montenegro RM, Gurgel RQ, Vianna RP, Vasconcelos SM, Goldberg TBL. ERICA: prevalences of hypertension and obesity in Brazilian adolescents. Rev Saude Publica 2016; 50 Suppl 1:9s. [PMID: 26910553 PMCID: PMC4767032 DOI: 10.1590/s01518-8787.2016050006685] [Citation(s) in RCA: 101] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Accepted: 11/04/2015] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To estimate the prevalence of arterial hypertension and obesity and the population attributable fraction of hypertension that is due to obesity in Brazilian adolescents. METHODS Data from participants in the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA), which was the first national school-based, cross-section study performed in Brazil were evaluated. The sample was divided into 32 geographical strata and clusters from 32 schools and classes, with regional and national representation. Obesity was classified using the body mass index according to age and sex. Arterial hypertension was defined when the average systolic or diastolic blood pressure was greater than or equal to the 95th percentile of the reference curve. Prevalences and 95% confidence intervals (95%CI) of arterial hypertension and obesity, both on a national basis and in the macro-regions of Brazil, were estimated by sex and age group, as were the fractions of hypertension attributable to obesity in the population. RESULTS We evaluated 73,399 students, 55.4% female, with an average age of 14.7 years (SD = 1.6). The prevalence of hypertension was 9.6% (95%CI 9.0-10.3); with the lowest being in the North, 8.4% (95%CI 7.7-9.2) and Northeast regions, 8.4% (95%CI 7.6-9.2), and the highest being in the South, 12.5% (95%CI 11.0-14.2). The prevalence of obesity was 8.4% (95%CI 7.9-8.9), which was lower in the North region and higher in the South region. The prevalences of arterial hypertension and obesity were higher in males. Obese adolescents presented a higher prevalence of hypertension, 28.4% (95%CI 25.5-31.2), than overweight adolescents, 15.4% (95%CI 17.0-13.8), or eutrophic adolescents, 6.3% (95%CI 5.6-7.0). The fraction of hypertension attributable to obesity was 17.8%. CONCLUSIONS ERICA was the first nationally representative Brazilian study providing prevalence estimates of hypertension in adolescents. Regional and sex differences were observed. The study indicates that the control of obesity would lower the prevalence of hypertension among Brazilian adolescents by 1/5.
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Affiliation(s)
- Katia Vergetti Bloch
- Instituto de estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Carlos Henrique Klein
- Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
| | - Moyses Szklo
- Instituto de estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Maria Cristina C Kuschnir
- Núcleo de Estudos da Saúde do Adolescente, Faculdade de Ciência Médicas., Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | | | - Laura Augusta Barufaldi
- Departamento de Vigilância de Doenças e Agravos Não Transmissíveis e Promoção da Saúde, Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, DF, Brasil
| | - Gloria Valeria da Veiga
- Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Beatriz Schaan
- Departamento de Medicina Interna, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil
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Kuschnir MCC, Bloch KV, Szklo M, Klein CH, Barufaldi LA, Abreu GDA, Schaan B, da Veiga GV, da Silva TLN, de Vasconcellos MTL, de Moraes AJP, Borges AL, de Oliveira AMA, Tavares BM, de Oliveira CL, Cunha CDF, Giannini DT, Belfort DR, Santos EL, de Leon EB, Fujimori E, Oliveira ERA, Magliano EDS, Vasconcelos FDAG, Azevedo GD, Brunken GS, Guimarães ICB, Faria Neto JR, Oliveira JS, de Carvalho KMB, Gonçalves LGDO, Monteiro MI, Santos MM, Muniz PT, Jardim PCBV, Ferreira PAM, Montenegro RM, Gurgel RQ, Vianna RP, Vasconcelos SM, Martins SMS, Goldberg TBL. ERICA: prevalence of metabolic syndrome in Brazilian adolescents. Rev Saude Publica 2016; 50 Suppl 1:11s. [PMID: 26910546 PMCID: PMC4767042 DOI: 10.1590/s01518-8787.2016050006701] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2015] [Accepted: 11/04/2015] [Indexed: 01/19/2023] Open
Abstract
OBJECTIVE To determine the prevalence of metabolic syndrome and its components in Brazilian adolescents. METHODS We evaluated 37,504 adolescents who were participants in the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, school-based, national study. The adolescents, aged from 12 to 17 years, lived in cities with populations greater than 100,000 inhabitants. The sample was stratified and clustered into schools and classes. The criteria set out by the International Diabetes Federation were used to define metabolic syndrome. Prevalences of metabolic syndrome were estimated according to sex, age group, school type and nutritional status. RESULTS Of the 37,504 adolescents who were evaluated: 50.2% were female; 54.3% were aged from 15 to 17 years, and 73.3% were from public schools. The prevalence of metabolic syndrome was 2.6% (95%CI 2.3-2.9), slightly higher in males and in those aged from 15 to 17 years in most macro-regions. The prevalence was the highest in residents from the South macro-region, in the younger female adolescents and in the older male adolescents. The prevalence was higher in public schools (2.8% [95%CI 2.4-3.2]), when compared with private schools (1.9% [95%CI 1.4-2.4]) and higher in obese adolescents when compared with nonobese ones. The most common combinations of components, referring to 3/4 of combinations, were: enlarged waist circumference (WC), low HDL-cholesterol (HDL-c) and high blood pressure; followed by enlarged WC, low HDL-c and high triglycerides; and enlarged WC, low HDL-c, high triglycerides and blood pressure. Low HDL was the second most frequent component, but the highest prevalence of metabolic syndrome (26.8%) was observed in the presence of high triglycerides. CONCLUSIONS ERICA is the first Brazilian nation-wide study to present the prevalence of metabolic syndrome and describe the role of its components. Despite the prevalence of Metabolic Syndrome being low, the high prevalences of some components and participation of others in the syndrome composition shows the importance of early diagnosis of this changes, even if not grouped within the metabolic syndrome.
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Affiliation(s)
- Maria Cristina C Kuschnir
- Núcleo de Estudos da Saúde do Adolescente, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Katia Vergetti Bloch
- Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Moyses Szklo
- Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | | | - Laura Augusta Barufaldi
- Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | | | - Beatriz Schaan
- Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil
| | - Gloria Valeria da Veiga
- Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | | | - Maurício T L de Vasconcellos
- Escola Nacional de Ciências Estatísticas, Fundação Instituto Brasileiro de Geografia e Estatística, Rio de Janeiro, RJ, Brasil
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Parisi MCR, Moura Neto A, Menezes FH, Gomes MB, Teixeira RM, de Oliveira JEP, Pereira JRD, Fonseca RMC, Guedes LBA, Costa e Forti A, de Oliveira AMA, de Medeiros Nóbrega MB, Colares VNQ, Schmid H, Nienov OH, Nery M, Fernandes TD, Pedrosa HC, Schreiber de Oliveira CDS, Ronsoni M, Rezende KF, Quilici MTV, Vieira AEF, de Macedo GMC, Stuchi-Perez EG, Dinhane KGI, Pace AE, de Freitas MCF, Calsolari MR, Saad MJA. Baseline characteristics and risk factors for ulcer, amputation and severe neuropathy in diabetic foot at risk: the BRAZUPA study. Diabetol Metab Syndr 2016; 8:25. [PMID: 26989446 PMCID: PMC4794830 DOI: 10.1186/s13098-016-0126-8] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Accepted: 01/25/2016] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Studies on diabetic foot and its complications involving a significant and representative sample of patients in South American countries are scarce. The main objective of this study was to acquire clinical and epidemiological data on a large cohort of diabetic patients from 19 centers from Brazil and focus on factors that could be associated with the risk of ulcer and amputation. METHODS This study presents cross sectional, baseline results of the BRAZUPA Study. A total of 1455 patients were included. Parameters recorded included age, gender, ethnicity, diabetes and comorbidity-related records, previous ulcer or amputation, clinical symptomatic score, foot classification and microvascular complications. RESULTS Patients with ulcer had longer disease duration (17.2 ± 9.9 vs. 13.2 ± 9.4 years; p < 0.001), and poorer glycemic control (HbA1c 9.23 ± 2.03 vs. 8.35 ± 1.99; p < 0.001). Independent risk factors for ulcer were male gender (OR 1.71; 95 % CI 1.2-3.7), smoking (OR 1.78; 95 % CI 1.09-2.89), neuroischemic foot (OR 20.34; 95 % CI 9.31-44.38), region of origin (higher risk for those from developed regions, OR 2.39; 95 % CI 1.47-3.87), presence of retinopathy (OR 1.68; 95 % CI 1.08-2.62) and absence of vibratory sensation (OR 7.95; 95 % CI 4.65-13.59). Risk factors for amputation were male gender (OR 2.12; 95 % CI 1.2-3.73), type 2 diabetes (OR 3.33; 95 % CI 1.01-11.1), foot at risk classification (higher risk for ischemic foot, OR 19.63; 95 % CI 3.43-112.5), hypertension (lower risk, OR 0.3; 95 % CI 0.14-0.63), region of origin (South/Southeast, OR 2.2; 95 % CI 1.1-4.42), previous history of ulcer (OR 9.66; 95 % CI 4.67-19.98) and altered vibratory sensation (OR 3.46; 95 % CI 1.64-7.33). There was no association between either outcome and ethnicity. CONCLUSIONS Ulcer and amputation rates were high. Age at presentation was low and patients with ulcer presented a higher prevalence of neuropathy compared to ischemic foot at risk. Ischemic disease was more associated with amputations. Ethnical differences were not of great importance in a miscegenated population.
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Affiliation(s)
- Maria Candida R. Parisi
- />Faculty of Medical Sciences, State University of Campinas, Campinas, SP 13083-887 Brazil
- />Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Arnaldo Moura Neto
- />Faculty of Medical Sciences, State University of Campinas, Campinas, SP 13083-887 Brazil
| | - Fabio H. Menezes
- />Faculty of Medical Sciences, State University of Campinas, Campinas, SP 13083-887 Brazil
| | - Marilia Brito Gomes
- />Unity of Diabetes, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | | | | | | | | | | | | | | | - Helena Schmid
- />Hospital das Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS Brazil
- />Santa Casa de Porto Alegre, Porto Alegre, RS Brazil
| | - Otto Henrique Nienov
- />Hospital das Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS Brazil
- />Santa Casa de Porto Alegre, Porto Alegre, RS Brazil
| | - Marcia Nery
- />Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Túlio Diniz Fernandes
- />Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | | | | | - Marcelo Ronsoni
- />Faculdade de Medicina, Federal University of Santa Catarina, Florianopolis, Brazil
| | | | | | | | | | | | | | - Ana Emilia Pace
- />Universidade de São Paulo, Faculdade de Medicina, Ribeirão Preto, Brazil
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Bloch KV, Szklo M, Kuschnir MCC, de Azevedo Abreu G, Barufaldi LA, Klein CH, de Vasconcelos MTL, da Veiga GV, Figueiredo VC, Dias A, Moraes AJP, Sousa ALL, Borges ALV, Andrade de Oliveira AM, Schaan BD, Tavares BM, de Oliveira CL, de Freitas Cunha C, Giannini DT, Belfort DR, Ribas DLB, Santos EL, de Leon EB, Fujimori E, Oliveira ERA, da Silva Magliano E, de Assis Guedes Vasconcelos F, Azevedo GD, Brunken GS, Dias GM, Filho HRC, Monteiro MI, Guimarães ICB, Faria Neto JR, Oliveira JS, de Carvalho KMB, Gonzaga de Oliveira Gonçalves L, Santos MM, Muniz PT, Veiga Jardim PCB, Ferreira PAM, Montenegro RM, Gurgel RQ, Vianna RP, Vasconcelos SM, Silva da Matta S, Martins SMS, Goldberg TBL, Nogueira da Silva TL. Erratum to: The study of cardiovascular risk in adolescents--ERICA: rationale, design and sample characteristics of a national survey examining cardiovascular risk factor profile in Brazilian adolescents. BMC Public Health 2015; 15:850. [PMID: 26335689 PMCID: PMC4559346 DOI: 10.1186/s12889-015-2083-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2015] [Accepted: 07/21/2015] [Indexed: 11/12/2022] Open
Affiliation(s)
- Katia Vergetti Bloch
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil.
| | - Moyses Szklo
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil
| | - Maria Cristina C Kuschnir
- Universidade do Estado do Rio de Janeiro, Núcleo de Estudos da Saúde do Adolescente, Rio de Janeiro, Brazil
| | - Gabriela de Azevedo Abreu
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil
| | - Laura Augusta Barufaldi
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil
| | | | - Maurício T L de Vasconcelos
- Escola Nacional de Ciências Estatísticas, Fundação Instituto Brasileiro de Geografia e Estatística (ENCE/IBGE), Rio de Janeiro, Brazil
| | - Glória Valéria da Veiga
- Universidade Federal do Rio de Janeiro, Instituto de Nutrição Josué de Castro, Rio de Janeiro, Brazil
| | | | - Adriano Dias
- Universidade Estadual Paulista, Faculdade de Medicina, São Paulo, Brazil
| | | | - Ana Luiza Lima Sousa
- Universidade Federal de Goiás, Faculdade de Enfermagem e Nutrição, Goiás, Brazil
| | | | | | - Beatriz D'Agord Schaan
- Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil
| | - Bruno Mendes Tavares
- Universidade Federal do Amazonas, Instituto de Saúde e Biotecnologia, Amazonas, Brazil
| | | | | | - Denise Tavares Giannini
- Universidade do Estado do Rio de Janeiro, Centro Biomédico - Nutrição, Rio de Janeiro, Brazil
| | | | | | - Eduardo Lima Santos
- Instituto Federal de Educação Técnico Tecnológico do Tocantins, Tocantis, Brazil
| | - Elisa Brosina de Leon
- Universidade Federal do Amazonas, Faculdade de Educação Física e Fisioterapia, Amazonas, Brazil
| | - Elizabeth Fujimori
- Departamento de Enfermagem em Saúde Coletiva, Universidade de São Paulo, São Paulo, Brazil
| | | | - Erika da Silva Magliano
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil
| | | | - George Dantas Azevedo
- Departamento de Morfologia, Universidade Federal do Rio Grande do Norte, Centro de Biociências, Rio Grande do Norte, Brazil
| | - Gisela Soares Brunken
- Departamento de Saúde Coletiva, Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, Mato Grosso, Brazil
| | - Glauber Monteiro Dias
- Laboratório de Biologia e Diagnósticos Moleculares, Instituto Nacional de Cardiologia, Rio de Janeiro, Brazil
| | - Heleno R Correa Filho
- Departamento de Medicina Preventiva e Social, Universidade Estadual de Campinas, Faculdade de Ciências Médicas, São Paulo, Brazil
| | - Maria Inês Monteiro
- Universidade Estadual de Campinas, Faculdade de Enfermagem, São Paulo, Brazil
| | | | | | | | | | | | - Marize M Santos
- Departamento de Nutrição, Universidade Federal do Piauí, Centro de Ciências da Saúde, Piauí, Brazil
| | - Pascoal Torres Muniz
- Departamento de Ciências da Saúde e Educação Física, Universidade Federal do Acre, Acre, Brazil
| | | | | | | | - Ricardo Queiroz Gurgel
- Departamento de Medicina, Universidade Federal de Sergipe, Centro de Ciências Biológicas e da Saúde, Sergipe, Brazil
| | - Rodrigo Pinheiro Vianna
- Departamento de Nutrição, Universidade Federal da Paraíba, Centro de Ciências da Saúde - Campus I, Paraíba, Brazil
| | | | - Sandro Silva da Matta
- Hospital Estadual Getúlio Vargas, Núcleo Hospitalar de Geriatria e Gerontologia, Rio de Janeiro, Brazil
| | | | - Tamara Beres Lederer Goldberg
- Departamento de Pediatria, Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Medicina de Botucatu, São Paulo, Brazil
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Bloch KV, Szklo M, Kuschnir MCC, Abreu GDA, Barufaldi LA, Klein CH, de Vasconcelos MTL, da Veiga GV, Figueiredo VC, Dias A, Moraes AJP, Souza ALL, de Oliveira AMA, Schaan BD, Tavares BM, de Oliveira CL, Cunha CDF, Giannini DT, Belfort DR, Ribas DLB, Santos EL, de Leon EB, Fujimori E, Oliveira ERA, Magliano EDS, Vasconcelos FDAG, Azevedo GD, Brunken GS, Dias GM, Filho HRC, Monteiro MI, Guimarães ICB, Faria Neto JR, Oliveira JS, de Carvalho KMB, Gonçalves LGDO, Santos MM, Muniz PT, Jardim PCBV, Ferreira PAM, Montenegro RM, Gurgel RQ, Vianna RP, Vasconcelos SM, da Matta SS, Martins SMS, Goldberg TBL, da Silva TLN. The Study of Cardiovascular Risk in Adolescents--ERICA: rationale, design and sample characteristics of a national survey examining cardiovascular risk factor profile in Brazilian adolescents. BMC Public Health 2015; 15:94. [PMID: 25880653 PMCID: PMC4334602 DOI: 10.1186/s12889-015-1442-x] [Citation(s) in RCA: 135] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Accepted: 01/19/2015] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND 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. METHODS/DESIGN Participants answered a self-administered questionnaire using an electronic device, in order to obtain information on demographic and lifestyle characteristics, including physical activity, smoking, alcohol intake, sleeping hours, common mental disorders and reproductive and oral health. Dietary intake was assessed using a 24-hour dietary recall. Anthropometric measures (weight, height and waist circumference) and blood pressure were also be measured. Blood was collected from a subsample of approximately 44,000 adolescents for measurements of fasting glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides, glycated hemoglobin and fasting insulin. DISCUSSION 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.
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Affiliation(s)
- Katia Vergetti Bloch
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil.
| | - Moyses Szklo
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil.
| | - Maria Cristina C Kuschnir
- Universidade do Estado do Rio de Janeiro, Núcleo de Estudos da Saúde do Adolescente, Rio de Janeiro, Brazil.
| | - Gabriela de Azevedo Abreu
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil.
| | - Laura Augusta Barufaldi
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil.
| | | | - Maurício T L de Vasconcelos
- Escola Nacional de Ciências Estatísticas, Fundação Instituto Brasileiro de Geografia e Estatística (ENCE/IBGE), Rio de Janeiro, Brazil.
| | - Glória Valéria da Veiga
- Universidade Federal do Rio de Janeiro, Instituto de Nutrição Josué de Castro, Rio de Janeiro, Brazil.
| | - Valeska C Figueiredo
- Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Rio de Janeiro, Brazil.
| | - Adriano Dias
- Universidade Estadual Paulista, Faculdade de Medicina, São Paulo, Brazil.
| | | | - Ana Luiza Lima Souza
- Universidade Federal de Goiás, Faculdade de Enfermagem e Nutrição, Goiás, Brazil.
| | | | - Beatriz D'Argord Schaan
- Universidade federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil.
| | - Bruno Mendes Tavares
- Universidade Federal do Amazonas, Instituto de Saúde e Biotecnologia, Amazonas, Brazil.
| | | | | | - Denise Tavares Giannini
- Universidade do Estado do Rio de Janeiro, Centro Biomédico - Nutrição, Rio de Janeiro, Brazil.
| | | | | | - Eduardo Lima Santos
- Instituto Federal de Educação Técnico Tecnológico do Tocantins, Tocantis, Brazil.
| | - Elisa Brosina de Leon
- Universidade Federal do Amazonas, Faculdade de Educação Física e Fisioterapia, Amazonas, Brazil.
| | - Elizabeth Fujimori
- Universidade Federal do Espirito Santo, Departamento de Enfermagem, Espírito Santo, Brazil.
| | | | - Erika da Silva Magliano
- Universidade Federal do Rio de Janeiro, Instituto de Estudos em Saúde Coletiva, Rio de Janeiro, Brazil.
| | | | - George Dantas Azevedo
- Universidade Federal do Rio Grande do Norte, Centro de Biociências, Departamento de Morfologia, Rio Grande do Norte, Brazil.
| | - Gisela Soares Brunken
- Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, Departamento de Saúde Coletiva, Mato Grosso, Brazil.
| | - Glauber Monteiro Dias
- Instituto Nacional de Cardiologia, Laboratório de Biologia e Diagnósticos Moleculares, Rio de Janeiro, Brazil.
| | - Heleno R Correa Filho
- Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Medicina Preventiva e Social, São Paulo, Brazil.
| | - Maria Inês Monteiro
- Universidade Estadual de Campinas, Faculdade de Enfermagem, São Paulo, Brazil.
| | | | | | | | | | | | - Marize M Santos
- Universidade Federal do Piauí, Centro de Ciências da Saúde, Departamento de Nutrição, Piauí, Brazil.
| | - Pascoal Torres Muniz
- Universidade Federal do Acre, Departamento de Ciências da Saúde e Educação Física, Acre, Brazil.
| | | | | | | | - Ricardo Queiroz Gurgel
- Universidade Federal de Sergipe, Centro de Ciências Biológicas e da Saúde, Departamento de Medicina, Sergipe, Brazil.
| | - Rodrigo Pinheiro Vianna
- Universidade Federal da Paraíba, Centro de Ciências da Saúde - Campus I, Departamento de Nutrição, Paraíba, Brazil.
| | | | - Sandro Silva da Matta
- Hospital Estadual Getúlio Vargas, Núcleo Hospitalar de Geriatria e Gerontologia, Rio de Janeiro, Brazil.
| | | | - Tamara Beres Lederer Goldberg
- Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Medicina de Botucatu, Departamento de Pediatria, São Paulo, Brazil.
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