Condições socioeconômicas e padrões alimentares de crianças de 4 a 11 anos: estudo SCAALA - Salvador/ Bahia

OBJETIVOS: identificar os padrões alimentares de crianças e sua associação com o nível socioeconômico das famílias. MÉTODOS: estudo transversal com 1260 crianças de 4 a 11 anos, residentes em Salvador-Bahia que incluiu aplicação de um Questionário de Frequência Alimentar semi-quantitativo. Os padrões alimentares foram identificados, empregando-se análise fatorial por componentes principais. O nível socioeconômico foi avaliado por meio de um indicador socioeconômico composto. Regressão logística multivariada foi empregada. RESULTADOS: identificaram-se quatro padrões que explicaram 45,9% da variabilidade dos dados de frequência alimentar. Crianças que pertencem ao nível socioeconômico mais alto têm 1,60 vezes mais chance (p<0,001) de apresentarem maior frequência de consumo de alimentos do padrão 1 (frutas, verduras, leguminosas, cereais e pescados) e 3,09 vezes mais chance (p<0,001) de apresentarem maior frequência de consumo dos alimentos do padrão 2 (leite/ derivados, catchup/ maionese/ mostarda e frango), quando se compara com aquele de crianças de nível socioeconômico mais baixo. Resultado inverso foi observado no padrão 4 (embutidos, ovos e carnes vermelhas); isto é, quanto maior o nível socioeconômico menor a chance da adoção desse padrão. Tendência similar foi notada para o padrão 3 (frituras, doces, salgadinhos, refrigerante/ suco artificial). CONCLUSÕES: padrões alimentares de crianças são dependentes das condições socioeconômicas das famílias e a adoção de itens alimentares mais saudáveis associa-se aos grupos de mais altos níveis socioeconômicos

Prática do aleitamento materno em comunidades rurais do semi-árido baiano

A Research project in the establishment and duration of total and exclusive breast-feeding in rural communities of Cansação, BA, Brazil, is presented. It included 226 children, from zero to two years old, of families of peasants living on small-holdings in one of the driest and poorest regions of the Brazilian Northeast. The data were collected through questionnaires answered by mothers or any adult responsible for the child during 1988 and 1989. It relates to all children from these families who were two years of age at the time of the study. The survival time was the statistical method used to calculate the median duration of breast-feeding; 91.6% of the 226 children started to be breast-fed. This finding shows that the establishment of the breast-feeding was high. The median duration of total breast-feeding was of 90.28 days and exclusive breastfeeding presented a median duration of 0.1 day. Through the establishment of breast-feeding can be considered high, the median duration of total breast-feeding is extremely short and that of exclusive breast-feeding insignificant.Com o objetivo de conhecer p estabelecimento e duração do aleitamento materno total e exclusivo em comunidades rurais do Semi-Árido Baiano, Brasil, foram estudadas 226 crianças de O a 2 anos de idade, filhas de pequenos produtores rurais que vivem numa das regiões mais secas do nordeste brasileiro, de pobreza absoluta. Os dados referem-se a todas as crianças da família que à data do estudo tinham até 2 anos de idade. Os dados foram coletados por meio de formulários aplicados às mães ou responsáveis pelo menor, no período de 1988 a 1989. A tábua de vida foi o recurso estatístico utilizado para o cálculo da duração mediana do evento. Das 226 crianças que integraram o estudo, 91,6 iniciaram a amamentação ao peito. A duração mediana do aleitamento total foi de 90,28 dias e o aleitamento exclusivo apresentou duração mediana de 0,1 dia. Ainda que o estabelecimento da amamentação ao peito possa ser considerado alto, a duração mediana do aleitamento total foi extrememente curta, e o aleitamento exclusivo foi desprezível

Impact of a Citywide Sanitation Program in Northeast Brazil on Intestinal Parasites Infection in Young Children

BACKGROUND: Sanitation affects health, especially that of young children. Residents of Salvador, in Northeast Brazil, have had a high prevalence of intestinal parasites. A citywide sanitation intervention started in 1996 aimed to raise the level of sewer coverage from 26% to 80% of households. OBJECTIVES: We evaluated the impact of this intervention on the prevalence of Ascaris lumbricoides, Trichuris trichuria, and Giardia duodenalis infections in preschool children. METHODS: The evaluation was composed of two cross-sectional studies (1998 and 2003-2004), each of a sample of 681 and 976 children 1-4 years of age, respectively. Children were sampled from 24 sentinel areas chosen to represent the range of environmental conditions in the study site. Data were collected using an individual/household questionnaire, and an environmental survey was conducted in each area before and after the intervention to assess basic household and neighborhood sanitation conditions. Stool samples were examined for the presence of intestinal parasites. The effect of the intervention was estimated by hierarchical modeling, fitting a sequence of multivariate regression models. FINDINGS: The prevalence ofA. lumbricoides infection was reduced from 24.4% to 12.0%, T. trichuria from 18.0% to 5.0%, and G. duodenalis from 14.1% to 5.3%. Most of this reduction appeared to be explained by the increased coverage in each neighborhood by the sewage system constructed during the intervention. The key explanatory variable was thus an ecological measure of exposure and not household-based, suggesting that the parasite transmission prevented by the program was mainly in the public (vs. the domestic) domain. CONCLUSION: This study, using advanced statistical modeling to control for individual and ecological potential confounders, demonstrates the impact on intestinal parasites of sanitation improvements implemented at the scale of a large population

Overweight, asthma symptoms, atopy and pulmonary function in children of 4-12 years of age: findings from the SCAALA cohort in Salvador, Bahia, Brazil.

OBJECTIVE: To evaluate the association between overweight and the occurrence of asthma and atopy in a cohort of children of 4-12 years of age living in the city of Salvador in 2005. DESIGN: Cross-sectional study nested in a cohort. SETTING: The metropolitan region of Salvador, Bahia, Brazil. SUBJECTS: The study included 1129 children of 4-12 years age who presented complete information on the variables used here. Skin tests for allergy, spirometry, faecal parasitology, serum IgE and anthropometric surveys were conducted. Poisson's multivariate regression was adopted. RESULTS: Wheezing was found in 29·1% and asthma in 22·8% of children, both conditions being more common in those under 6 years of age and 34% more common in overweight children (prevalence ratio (PR) = 1·34; 95% CI 1·07, 1·67) following adjustment. The ratio between forced expiratory volume in 1s and forced vital capacity was associated with overweight (PR = 1·35; 95% CI 1·11, 1·61). No statistically significant association was found between overweight and allergen-specific IgE or with wheezing. CONCLUSIONS: These results are in agreement with the hypothesis that overweight is associated with asthma and pulmonary function, even following adjustment for intervening variables known to be associated with the pathogeny of asthma

Weight gain in the first two years of life, asthma and atopy: the SCAALA cohort study.

OBJECTIVE: To evaluate the association between weight gain in the first two years of life and the occurrence of wheezing, asthma, serum IgE, skin reactivity and pulmonary function. DESIGN: Cohort study. SETTING: The metropolitan region of Salvador, Bahia, Brazil. SUBJECTS: The association was studied between 1997 and 2005 in 669 children up to 11 years of age. Data were collected on asthma and risk factors, both current factors and those present in the first years of life. Weight gain was considered fast when the Z-score was >0·67. Poisson regression was used in the multivariate statistical analysis. RESULTS: Wheezing was reported in 25·6 % of the children. Weight gain was considered fast (Z-score >0·67) in 29·6 % of the children and slow (Z-score <-0·67) in 13·9 %. Children in the slow weight gain group had 36 % fewer symptoms of asthma (prevalence ratio = 0·65; 95 % CI 0·42, 0·99). CONCLUSIONS: Slower weight gain in the early years of life may constitute a protective factor against symptoms of asthma. The relevance of this finding for public health is not yet certain, since it is known that children with slow and fast weight gain may be more likely to develop adverse health consequences related to both these situations

GEOSPATIAL MODEL FOR LARGE SCALE SEA CLIFF ROCKFALL SUSCEPTIBILITY MAPPING

Abstract. Due to their relevance to the environment and economy, coastal areas are considered national strategic segments that should be preserved. Since erosion phenomena occur intensively in those areas, it is capital to monitor them in order to identify risk zones. In addition to national and regional studies, it is also necessary to conduct local monitoring of erosion prone areas, especially those which are often frequented by people, such as beaches limited by high cliffs. Large scale vertical mapping is necessary to model their susceptibility to mass movements, in order to provide adequate prevention, protection and assistance. Recent techniques like laser scanning or aerial photogrammetry using UAVs allow the definition of the status quo of a cliff wall and its situation a few years back. But to assess the susceptibility to rock mass movements in such cliff segments, inventories of past events are of primordial importance. These inventories allow applying several statistic models to better understand susceptibility together with a set of variables of internal and external nature regarding the cliff site. We present a case study focused on the beach of Ribeira d’Ilhas (Mafra, Portugal), where a workflow of terrestrial photogrammetry for present day situation and recovery of old analogue stereoscopic pairs (1999, 2000, 2003) was implemented. A mass movement inventory (1999-2014) was compiled by multitemporal comparison followed by a detailed characterization of the cliff using a GIS software. Finally, the application of the logistic regression method allowed the definition of a susceptibility map of the cliff wall towards the occurrence of mass movements. </jats:p

3D geological model of Lisbon

Within the GeoSIS_Lx project, a geotechnical data base is being implemented and methodologies to generate tridimensional geological and geotechnical models of the city of Lisbon are being developed. The generation of the tridimensional model is being pursued through an iterative process using a Geographical Information System (GIS) platform, designed to be open to the use of several technicians that may not be geology or software experts. Geological surfaces were derived based on information interpolated from cross-sections, resulting in a simple model where first order geological patterns are present, following a validation with the cartographic patterns of geological outcrops and with selected information of the geological database. Future developments include refinement of modeling of faults and an automatic validation procedure against the borehole database and geologic cartographic patterns taking into account the data uncertainties. Results indicate that the methodology in this test suits the requisites of the geological formations of Lisbon.72201-2208DG/NGE

Sea cliff instability susceptibility at regional scale: a statistically based assessment in the southern Algarve, Portugal

Sea cliff evolution is dominated by the occurrence of slope mass movements of different types and sizes, which are a considerable source of natural hazard, making their assessment a relevant issue in terms of human loss prevention and land use regulations. To address the assessment of the spatial component of sea cliff hazards, i.e. the susceptibility, a statistically based study was made to assess the capacity of a set of conditioning factors to express the occurrence of sea cliff failures affecting areas located along their top. <br><br> The study was based on the application of the bivariate information value and multivariate logistic regression statistical methods, using a set of predisposing factors for cliff failures, mainly related to geology (lithology, bedding dip, faults) and geomorphology (maximum and mean slope, height, aspect, plan curvature, toe protection), which were correlated with a photogrammetry-based inventory of cliff failures that occurred in a 60 yr period (1947–2007). The susceptibility models were validated against the inventory data using standard success rate and ROC curves, and provided encouraging results, indicating that the proposed approaches are effective for susceptibility assessment. The results obtained also stress the need for improvement of the predisposing factors to be used in this type of study and the need for detailed and systematic cliff failure inventories

UTILIZAÇÃO DO SISTEMA DE INFORMAÇÃO GEOCIENTÍFICO GEOSIS_LX NA GESTÃO DOS DADOS GEOTÉCNICOS DE LISBOA

Em áreas urbanas a exiguidade de afloramentos, que representa uma dificuldade na aplicação das metodologias habitualmente utilizadas no reconhecimento geológico, é compensada pela existência de grande volume de dados resultantes de trabalhos de prospecção. Os dados de estudos geológicos e geotécnicos realizados em Lisboa constituem, assim, um importante conjunto de informação, muito diversa, dispersa por muitas instituições e, em grande parte, disponível apenas em formato analógico. No âmbito do Projecto GeoSIS_Lx pretende-se desenvolver uma Base de Dados geotécnicos, integrando a informação num Sistema de Informação Geocientífico. O objectivo principal é gerar um modelo geológico 3D que, interagindo com a Base de Dados, permitirá a constante actualização e validação cruzada do modelo e dos dados. Neste trabalho é apresentada a estrutura e o conteúdo da Base de Dados.347-56DG/NGE