Navegando por Autor "Cattafesta, Monica"
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Item Association of selenium intake and development of depression in Brazilian farmers.(2021) Almeida, Tatiana Lourençoni Ferreira de; Petarli, Glenda Blaser; Cattafesta, Monica; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Tristão, Kelly Guimães; Salaroli, Luciane BrescianiIntroduction: Depression and deficiency in the consumption of micronutrients are a public health problem, especially in the rural population. The deficiency in selenium consumption affects mental health, contributing to the development of major depressive disorders. Thus, this study aimed to evaluate selenium intake and its association with depressive symptoms in farmers in southeastern Brazil. Material and Methods: Epidemiological, cross-sectional, and analytical study with 736 farmers aged between 18 and 59. A semistructured questionnaire was used to collect sociodemographic, lifestyle and clinical condition data. For evaluation of food intake, three 24-h recalls were applied, and for identification of depressive episodes, the Mini-International Neuropsychiatric Interview was conducted. Results: A total of 16.1% (n = 119) of the farmers presented symptoms of major depressive episodes, 5.8% (n = 43) presented symptoms of current depressive episodes, and 10.3% (n = 76) presented symptoms of recurrent major depressive episodes. Sociodemographic factors associated with depression were gender (p < 0.001), marital status (p = 0.004), and socioeconomic class (p = 0.015). The consumption of high doses of selenium was associated with a reduction of ∼54% in the chances of occurrence of depression (OR = 0.461; 95% CI = 0.236–0.901). Conclusion: High selenium intake is associated with a lower prevalence of depression even after adjusting for sociodemographic variables, lifestyle, and pesticide intoxication. The findings of this study contributed to highlighting the high prevalence of depression in rural areas and its relationship with selenium intake.Item Cut points of the conicity index and associated factors in brazilian rural workers.(2022) Prado, Camila Bruneli do; Martins, Cleodice Alves; Cremonini, Ana Clara Petersen; Ferreira, Júlia Rabelo Santos; Cattafesta, Monica; Souza, Juliana Almeida de; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Salaroli, Luciane BrescianiBackground: Metabolic syndrome is associated with cardiovascular complications. Therefore, this study aims to establish cut points for the conicity index based on the components of metabolic syndrome and to associate it with characteristic sociodemographic, food consumption and occupational factors in Brazilian rural workers; (2) Methods: A cross-sectional study carried out with farmers. The receiver operating characteristic curve was calculated and the cut-off points for the conicity index were identified by the area under the curve, sensitivity and specificity. The variables included in the binary logistic regression analysis were selected by considering p < 0.20 in the bivariate test; (3) Results: The cut points were similar in females according to both criteria, resulting in a single cut-off of 1.269. In males, the cut points showed differences, resulting in 1.272 according to the NCEP-ATP III and 1.252 according to the IDF. We have shown that younger people, those who work more than 40 h a week and the lowest contribution of culinary ingredients are associated with increased odds of abdominal obesity, while the consumption of the products they sell or produce decreases these chances; (4) Conclusions: The conicity index showed high discriminatory power for the identification of abdominal obesity in rural workers. Therefore, there is a need to improve eating habits and promote healthier eating environments for individuals, respecting traditional food culture, mainly to contain the advance of MS in rural areas.Item Depression in Brazilian farmers : prevalence and associated factors.(2022) Petarli, Glenda Blaser; Cattafesta, Monica; Viana, Maria Carmen Moldes; Bezerra, Olívia Maria de Paula Alves; Zandonade, Eliana; Salaroli, Luciane BrescianiBackground: The unique characteristics of rural areas and agricultural work can contribute to the genesis of diseases, including mental disorders such as depression. Aims: To estimate the prevalence of and factors associated with depression symptoms in Brazilian farmers. Methods: A cross-sectional epidemiological study involving 784 farmers of the state of Espırito Santo/Brazil was carried out. Depression was identified using the Mini-International Neuropsychiatric Interview. Hierarchical logistic regression was used to assess the associated factors. Results: The prevalence of depression symptoms among farmers was 16.8% (n 1⁄4 132). Of those experiencing symptoms, 6.1% (n 1⁄4 48) we’re currently experiencing a depressive episode, and 10.7% (n 1⁄4 84) a recurrent depressive episodes. The associated factors were: female gender (OR 1.63; 95% CI 1.04–2.54), not owning the land (OR 1.79; 95% CI 1.11–2.89), professional dissatisfaction (OR 1.99; 95% CI 1.18–3.35), previous pesticide poisoning (OR 2.87; 95% CI 1.45–5.67), complex multimorbidity (OR 1.95; 95% CI 1.15–3.31) and occurrence of previous depressive episodes (OR 9.83; 95% CI 4.39–21.99). Conclusions: A high prevalence of depression symptoms was identified among rural workers. Sociodemographic, occupational, clinical, and professional dissatisfaction factors were associated with a higher risk of depression symptoms in this population.Item Dietary patterns of Brazilian farmers and their relation with sociodemographic, labor, and lifestyle conditions.(2020) Cattafesta, Monica; Petarli, Glenda Blaser; Luz, Tamires Conceição da; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Salaroli, Luciane BrescianiBackground: The eating habits have changed in the last few decades, but few studies prioritize the food consumption of farmers and the rural population. Therefore, the objective of this study was explore the sociodemographic, occupational and lifestyle factors to the high adherence these dietary patterns. Methods: This is a cross-sectional epidemiological study of 740 farmers (51.5%, n = 381 males; 48.5%, n = 359 females) from a municipality in Southeastern Brazil. Food intake data were obtained by applying multipass 24-h recall and dietary intake was presented in dietary patterns determined by Principal Component Analysis with varimax orthogonal rotation. Results: Three dietary patterns were identified. The first pattern, “local traditional”, was associated with sociodemographic and labor variables, being considered typical of the region’s farmer as white race/color (p = 0.003), not extra-physical activity (p = 0.014) and cultivating 5 or more crops (p = 0.005). The permanence of a “traditional Brazilian” pattern and the occurrence of an “industrialized” pattern were also observed. Farmers working in non-conventional agriculture were 54% less adhere to “traditional Brazilian” pattern (OR 0.46, 95% CI 0.25–0.86, p = 0.014). Individuals aged 50 and over years were 82% less likely (OR 0.18, 95% CI 0.10–0.30) to adhere to “industrialized” pattern. Still, individuals of lower socioeconomic class were 52% less likely to adhere to this pattern (OR 0.48, 95% CI 0.24–0.96). Farmers who spent R$ 200 or more per capita to buy food were more than twice as likely to adhere to this food pattern (OR 2.22, 95% CI 1.32–3.73), and who had the habit of frequently eating out were 1.62 as likely adhere to “industrialized” pattern (95% CI 1.11–2.36). Conclusions: The findings indicate changes in dietary patterns in rural areas of the country, maintaining a traditional Brazilian pattern, as well as a local and an industrialized pattern. This last pattern demonstrates that the contemporary rural population also opts for a diet with ultra-processed products, being associated with the characteristic habits of a more urbanized rural region.Item Energy contribution of NOVA food groups and the nutritional profile of the Brazilian rural workers’ diets.(2020) Cattafesta, Monica; Petarli, Glenda Blaser; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Abreu, Sandra Marlene Ribeiro de; Salaroli, Luciane BrescianiWe estimated the caloric contribution of minimally processed foods, processed culinary ingredients, processed foods and ultra-processed foods in Brazilian farmers’ diets and their association with the nutritional profile of the diet. It is an epidemiological study of cross-sec- tional, analytical and quantitative design with 740 farmers adults of Southeastern Brazil. Food intake data were obtained by applying three 24-hour recalls and were classified according to the degree and purpose of processing. The largest caloric contribution came from the group of minimally processed foods (64.7%), followed by ultra-processed foods (17.7%), processed culinary ingredients (12.4%), and processed foods (5.2%). Individuals in the fourth quartile of caloric contribution from minimally processed foods showed lower energy consumption (β -0.16, P<0.001) and greater consumption of all 15 micronutrients analyzed. In contrast to what was identified for this food group, the higher caloric contribu- tion from ultra-processed foods was associated with a greater caloric content of the diet (β 0.17, P<0.001) and lower consumption of all 23 analyzed nutrients. Therefore, the caloric contribution from the consumption of ultra-processed foods in the rural area is still lower than the national average. However, measures aimed at delaying isocaloric exchanges for the group of ultra-processed foods must be carried out, maintaining the local food culture, since this group had worse nutritional levels. In addition, incentives to the greater consump- tion of minimally processed foods should be carried out, due to their nutritional quality.Item Exposição ocupacional a agrotóxicos, riscos e práticas de segurança na agricultura familiar em município do estado do Espírito Santo, Brasil.(2019) Petarli, Glenda Blaser; Cattafesta, Monica; Luz, Tamires Conceição da; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Salaroli, Luciane BrescianiObjetivo: caracterizar a exposição ocupacional, percepção do risco, práticas de segurança e fatores associados ao uso de equipamento de proteção individual (EPI) durante a manipulação de agrotóxicos. Métodos: estudo transversal com amostra representativa de agricultores de Santa Maria de Jetibá, Espírito Santo. Procedeu-se à caracterização sociodemográfica e ocupacional dos agricultores com exposição direta a agrotóxicos e a identificação dos ingredientes ativos e classificação toxicológica dos produtos utilizados. Resultados: foram referidas 106 marcas comerciais, 45 grupos químicos e 77 ingredientes ativos. Houve predomínio do herbicida glifosato. Dos 550 agricultores avaliados 89% referiram uso de agrotóxicos extremamente tóxicos, 56,3% utilizavam mais de cinco agrotóxicos e 51% trabalhavam há mais de 20 anos em contato direto com estes produtos. Metade não lia rótulo dos agrotóxicos, mais de um terço não observava o tempo de carência para colheita e reaplicação e nem o de reentrada na lavoura; 71,4% não utilizavam EPI ou utilizavam de forma incompleta. Entre os fatores associados à não utilização do EPI, destaca-se a classe socioeconômica (p = 0,002), baixa escolaridade (p = 0,05), falta de suporte técnico (p < 0,001) e não leitura dos rótulos (p < 0,001). Conclusão: os agricultores apresentaram exposição ocupacional prolongada a múltiplos agrotóxicos de elevada toxidade, referindo práticas inseguras de manuseio.Item Fatores de risco cardiovascular em uma população rural brasileira.(2020) Luz, Tamires Conceição da; Cattafesta, Monica; Petarli, Glenda Blaser; Meneghetti, João Paulo; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Salaroli, Luciane BrescianiDiante da extensão dos custos decor- rentes das doenças cardiovasculares e do aumento na prevalência dessas doenças em agricultores este estudo tem como objetivo estimar a prevalência de fatores de risco cardiovascular nesta população e avaliar seus fatores associados. Foi realizado es- tudo transversal envolvendo 790 agricultores do município de Santa Maria de Jetibá-ES. Seis em cada dez agricultores avaliados apresentaram pelo menos um fator de risco cardiovascular (FRC). A hipertensão arterial foi o fator de risco mais prevalente, presente em 35,8% (IC95% 32-39, n = 283) dos agricultores seguido pela dislipidemia (34,4%, IC95% 31-38, n = 272). Ter mais que 50 anos aumentou em 5,6 vezes (IC95% 2,03-15,43) a chance de apresentar dois ou mais FRC, possuir perímetro da cintura elevado ou dobra cutânea triciptal indicando excesso de peso aumentou esta chance em 2,35 vezes (IC95% 1,47-3,76) e em 1,6 vezes (IC95% 1,05-2,44), respectivamente. Estes achados revelam a elevada prevalência de FRC em trabalhadores rurais e o significativo impac- to da idade e do acúmulo de gordura corporal no desenvolvimento destes fatores, demonstrando a necessidade de intensificar políticas públicas de saúde voltadas para esta população.Item Multimorbidity and complex multimorbidity in Brazilian rural workers.(2019) Petarli, Glenda Blaser; Cattafesta, Monica; Sant’Anna, Monike Moreto; Bezerra, Olívia Maria de Paula Alves; Zandonade, Eliana; Salaroli, Luciane BrescianiObjective To estimate the prevalence of multimorbidity and complex multimorbidity in rural workers and their association with sociodemographic characteristics, occupational contact with pes- ticides, lifestyle and clinical condition. Methods This is a cross-sectional epidemiological study with 806 farmers from the main agricultural municipality of the state of Espı ́rito Santo/Brazil, conducted from December 2016 to April 2017. Multimorbidity was defined as the presence of two or more chronic diseases in the same individual, while complex multimorbidity was classified as the occurrence of three or more chronic conditions affecting three or more body systems. Socio-demographic data, occupational contact with pesticides, lifestyle data and clinical condition data were collected through a structured questionnaire. Binary logistic regression was conducted to identify risk factors for multimorbidity. Results The prevalence of multimorbidity among farmers was 41.5% (n = 328), and complex multi- morbidity was 16.7% (n = 132). More than 77% of farmers had at least one chronic illness. Hypertension, dyslipidemia and depression were the most prevalent morbidities. Being 40 years or older (OR 3.33, 95% CI 2.06–5.39), previous medical diagnosis of pesticide poison- ing (OR 1.89, 95% CI 1.03–3.44), high waist circumference (OR 2.82, CI 95% 1.98–4.02) and worse health self-assessment (OR 2.10, 95% CI 1.52–2.91) significantly increased the chances of multimorbidity. The same associations were found for the diagnosis of complex multimorbidity. Conclusion We identified a high prevalence of multimorbidity and complex multimorbidity among the evaluated farmers. These results were associated with increased age, abdominal fat, pesti- cide poisoning, and poor or fair health self-assessment. Public policies are necessary to pre- vent, control and treat this condition in this population.Item Prevalence and determinants of obesity and abdominal obesity among rural workers in Southeastern Brazil.(2022) Cattafesta, Monica; Petarli, Glenda Blaser; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Abreu, Sandra Marlene Ribeiro de; SalaroliI, Luciane BrescianiThe objectives of this study were to assess the nutritional status of rural workers from a municipality in Southeastern Brazil and estimate the association of sociodemographic, labor, lifestyle, and dietary pattern factors with obesity and abdominal obesity of men and women of this rural area. This is a cross-sectional, epidemiological study of 740 farmers (51.5%, n = 381 males; 48.5%, n = 359 females). The sociodemographic, labor, lifestyle and dietary patterns determinants were assessed. Food intake data were obtained by applying three 24-hour recalls and dietary patterns were determined by Principal Component Analysis with Varimax orthogonal rotation. Poisson regression with robust variance stratified by sex was applied. The general prevalence of overweight status was 31.5% (95% CI 28.2– 34.8%), 19.7% of obesity (95% CI 16.8–22.6%) and 31.5% of abdominal obesity (95% CI 28.2–34.8%), with higher rates in women (P < 0.001). Men of higher socioeconomic class had a 2.3 times higher prevalence of obesity (95% CI 1.08–4.90). In addition, the shorter travel time to purchase food increased the prevalence of abdominal obesity in males. For women, the older the age group, the greater the general and central obesity. A lower adherence to traditional dietary patterns (approximately PR [prevalence ratio] 1.6 for general obesity and PR 1.3 for abdominal obesity) and a greater number of places to buy food were associated with higher rates of obesity in women. Finally, women farmers with a higher workload had a 20% lower prevalence of central obesity (PR 0.80; 95% CI 0.65–0.97). Such findings demonstrate that obesity must be an issue in the health care of remote and rural populations. There is a need to promote healthier environments that respect traditional food culture through multiple approaches that consider the heterogeneity of rural areas and the differences between sexes.Item Prevalence and factors associated with arterial hypertension in a Brazilian rural working population.(2020) Salaroli, Luciane Bresciani; Cattafesta, Monica; Petarli, Glenda Blaser; Ribeiro, Sarah Aparecida Vieira; Soares, Ana Cristina de Oliveira; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Mill, José GeraldoOBJECTIVES: To determine the prevalence of hypertension and associated factors in farmers in a rural region of Brazil. METHODS: A cross-sectional study was conducted involving a sample of 790 farmers who were residents of Espı ́rito Santo, Brazil. RESULTS: The prevalence of hypertension was 35.8% (95%CI: 32.5-39.1%, n=283); however, it was higher in men (36.6%, n=151, po0.001) and in those with excess weight (48.9%, n=197, po0.001). Of the 283 hypertensive patients, 125 (44.2%) did not use antihypertensive drugs. In men, lower level of schooling (p=0.004), working in the field for fewer daily hours (po0.001), and having greater abdominal adiposity (p=0.039) were associated with the presence of increased blood pressure. In women, age (p=0.002), lower schooling (p=0.021), and increased central adiposity (p=0.003) were independent predictors of blood pressure. CONCLUSION: The highest prevalence of hypertension was observed in men, with elevated blood pressure being strongly associated with social and economic factors. In women, the association with the classic factors (age, increase in abdominal adiposity, and low schooling) was stronger. In addition, most hypertensive patients are not adequately diagnosed or treated.Item Prevalência de uso de medicamentos em população rural brasileira.(2022) Mendes, Samila Breder Emerich; Petarli, Glenda Blaser; Cattafesta, Monica; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Mill, José Geraldo; Salaroli, Luciane BrescianiIntrodução: Apesar da vulnerabilidade social existente na população rural brasileira, o uso de medicamentos entre agricultores é um tema ainda pouco estudado no país. Objetivo: Analisar o uso de medicamentos e sua associação com características sociodemográficas, laborais, comportamentais e autoavaliação do estado de saúde em agricultores. Método: Estudo epidemiológico transversal com 790 agricultores de 18 a 59 anos, de ambos os sexos, do município de Santa Maria de Jetibá. Os medicamentos foram agrupados segundo o Sistema de Classificação Anatômico-Terapêutico-Químico (ATC) nos níveis 1 e 2. Foram realizadas análise descritiva (frequências absolutas e relativas) e associações entre as variáveis e o uso de medicamentos pelo teste de qui-quadrado. As variáveis que se mostraram associadas com o desfecho com nível de significância de 5% no teste de qui-quadrado foram testadas por regressão logística binária. Resultados: A prevalência de uso de medicamentos foi de 44,2%, sendo menor no sexo masculino (30,3%) do que no feminino (59,4%). Após a análise ajustada, o uso de medicamentos esteve associado ao sexo feminino, à faixa etária de 40 anos ou mais e à pior autoavaliação do estado de saúde. A prevalência de polifarmácia foi de 6,6%. Os medicamentos mais utilizados foram os anti-hipertensivos (19,3%). Conclusão: O estudo evidenciou a importância de se avaliar populações rurais a fim de subsidiar políticas e recursos em saúde pública.