Author(s): Moraes, Pilar Maria de Oliveira
Date: 2015
Origin: Oasisbr
Subject(s): Fatores de riscos cardiovasculares - Trabalhadores; Impacto da interven????o nutricional - Trabalhadores; Programa de Alimenta????o do Trabalhador (PAT); Cardiovascular risk factors; Impact of nutritional intervention; OUTROS
Submitted by Geyciane Santos (geyciane_thamires@hotmail.com) on 2015-07-01T13:29:52Z No. of bitstreams: 2 Disserta????o -Pilar Maria de Oliveira Moraes 1.pdf: 186319 bytes, checksum: b1332ee55824a51f80b4f32860e1af90 (MD5) Disserta????o -Pilar Maria de Oliveira Moraes 2.pdf: 604576 bytes, checksum: 341618618f83b7aceabf5e7fc3c2d051 (MD5)
Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-07-07T13:41:41Z (GMT) No. of bitstreams: 2 Disserta????o -Pilar Maria de Oliveira Moraes 1.pdf: 186319 bytes, checksum: b1332ee55824a51f80b4f32860e1af90 (MD5) Disserta????o -Pilar Maria de Oliveira Moraes 2.pdf: 604576 bytes, checksum: 341618618f83b7aceabf5e7fc3c2d051 (MD5)
Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-07-07T13:39:34Z (GMT) No. of bitstreams: 2 Disserta????o -Pilar Maria de Oliveira Moraes 1.pdf: 186319 bytes, checksum: b1332ee55824a51f80b4f32860e1af90 (MD5) Disserta????o -Pilar Maria de Oliveira Moraes 2.pdf: 604576 bytes, checksum: 341618618f83b7aceabf5e7fc3c2d051 (MD5)
Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-07-07T14:35:48Z (GMT) No. of bitstreams: 2 Disserta????o -Pilar Maria de Oliveira Moraes 1.pdf: 186319 bytes, checksum: b1332ee55824a51f80b4f32860e1af90 (MD5) Disserta????o -Pilar Maria de Oliveira Moraes 2.pdf: 604576 bytes, checksum: 341618618f83b7aceabf5e7fc3c2d051 (MD5)
Made available in DSpace on 2015-07-07T14:35:49Z (GMT). No. of bitstreams: 2 Disserta????o -Pilar Maria de Oliveira Moraes 1.pdf: 186319 bytes, checksum: b1332ee55824a51f80b4f32860e1af90 (MD5) Disserta????o -Pilar Maria de Oliveira Moraes 2.pdf: 604576 bytes, checksum: 341618618f83b7aceabf5e7fc3c2d051 (MD5) Previous issue date: 2010-12-14
Outras
This study aims to identify cardiovascular risk factors and the impact of nutritional intervention in the industrial sector workers in Greater Metropolitan Bel??m, Par??, companies accredited to the Workers' Food Program (WFP). We studied 97 employees of the Experimental group (ExpG) and 90 control group (GCON), were included in the randomization workers showed that cardiovascular risk factors for elevated waist circumference (WC). Participated in the randomization of 18 workers and 20 ExpG GCON. For the randomization tests, we used the paired Student t test and Wilcoxon test. Anthropometric variables were identified as Body Mass Index (BMI) and WC, blood levels of cholesterol, triglycerides and glucose levels and socioeconomic characteristics, and used the chi-square test for evaluating the results. The analysis of food consumption was made by means of food frequency questionnaire using a methodology based on the level of consumption: <0.33. Food consumption low,> 0.33 and <0.66 average consumption of food;> 0.66 Food consumption high. It was identified a young population, most living with a partner, with family incomes from 1 to 2 minimum wages, having completed high school. Before the dietary intervention was observed anthropometric findings with a high prevalence of overweight and high levels of lipid fractions in GExp and GCON. The consumption of foods considered cardiovascular risk was high when compared to consumption of foods considered protective in GExp and GCON. The characteristics found related to lifestyle were the improvement in the practice of smoking revealed a low percentage of smokers and former smokers, moderate, moderate to high alcohol consumption and low frequency of physical activity in both groups. After randomization the GCON showed only one variable with significant difference and there is a decrease in systolic blood pressure. In the analysis of anthropometric findings were observed high prevalence of overweight and high levels of lipid fractions in both groups before the intervention and significant improvement of nutritional values in the intervention group nutrition. In the experimental group, there was a significant difference in three variables: the average decrease in BMI, HDL cholesterol increased, demonstrating an apparent improvement after intervention and LDL cholesterol and a decrease of the mean, ie, demonstrating beneficial effects of the action guideline the group of workers ExpG. There was a decrease in CC ExpG signaling a decrease in an important risk factor for developing cardiovascular disease does so with GCON. The action of nutritional intervention results showed significant improvements for the group that was submitted when associated with the control group, confirming that the nutrition education strategy proposed in the TSP, it has practical effects of positive health worker.
Este estudo tem por objetivo identificar os fatores de riscos cardiovasculares e o impacto da interven????o nutricional em trabalhadores do setor industrial na Regi??o Metropolitana de Bel??m-Par??, de empresas credenciadas ao Programa de Alimenta????o do Trabalhador (PAT). Foram estudados 97 trabalhadores do Grupo Experimento (GEXP) e 90 do Grupo Controle (GCON), sendo inclu??dos na randomiza????o trabalhadores que apresentaram fatores de risco cardiovascular elevados para Circunfer??ncia de Cintura(CC). Participaram da randomiza????o 18 trabalhadores do GEXP e 20 do GCON. Para an??lises da randomiza????o, foi utilizado o teste t de Student pareado e o teste de Wilcoxon. Foram identificadas vari??veis antropom??tricas como ??ndice de Massa Corporal (IMC) e CC, n??veis sangu??neos de colesterol, triglicer??deos e glicemia e caracter??sticas socioecon??micas, sendo usado o teste Qui-quadrado para avalia????o dos resultados. A an??lise do consumo alimentar foi feita por meio de question??rio de frequ??ncia alimentar utilizando a metodologia baseada no n??vel de consumo:< 0,33. Alimento de consumo baixo; >0,33 e <0,66 alimento de consumo m??dio; >0,66 Alimento de consumo elevado. Foi identificado uma popula????o jovem, a maioria residindo com companheiro, com renda familiar de 1 a 2 sal??rios m??nimos, possuindo ensino m??dio completo. Antes da interven????o nutricional foi observado resultados antropom??tricos com alta preval??ncia de excesso de peso e ??ndices elevados de fra????es lip??dicas no GEXP e GCON. O consumo de alimentos considerados de risco cardiovascular foi elevado quando comparado ao consumo de alimentos considerados protetores no GEXP e GCON. As caracter??sticas encontradas relacionadas ao estilo de vida foram: a melhoria na pr??tica do tabagismo revelando um percentual baixo de fumante e um moderado de ex-fumantes, moderado a alto consumo de ??lcool e baixa freq????ncia de atividade f??sica nos dois grupos. Ap??s a randomiza????o o GCON apresentou apenas uma vari??vel com diferen??a significativa, verificando-se diminui????o da press??o arterial sist??lica, podendo ser atribu??da a S??ndrome do Jaleco Branco, presen??a do profissional de sa??de associada a eleva????o de press??o arterial. Na an??lise dos resultados antropom??tricos foram observados alta preval??ncia de excesso de peso e ??ndices elevados de fra????es lip??dicas nos dois grupos antes da interven????o nutricional. No grupo experimental, verificou-se a diferen??a significativa em tr??s vari??veis: diminui????o da m??dia do IMC, aumento do colesterol HDL, demonstrando aparente melhora ap??s interven????o e o colesterol LDL, com a diminui????o da m??dia, ou seja, demonstrando efeitos ben??ficos da a????o orientadora para o grupo de trabalhadores do GEXP. Houve diminui????o CC no GEXP sinalizando uma diminui????o de um fator de risco importante para desenvolvimento de doen??as cardiovascular o mesmo n??o acontecendo com o GCON. A a????o de interven????o nutricional apresentou resultados importantes de melhorias para o grupo a que foi submetido quando associado ao grupo controle, confirmando que a estrat??gia de educa????o nutricional proposta no PAT, tem efeitos pr??ticos positivos para a sa??de do trabalhador.
