Navegando por Autor "Lima, Kenio Costa"
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Artigo Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults(Wiley, 2021) Magalhães Junior, Hipólito Virgilio; Pernambuco, Leandro de Araújo; Cavalcanti, Renata Veiga Andersen; Silva, Roberta Gonçalves da; Lima, Kenio Costa; Ferreira, Maria Angela Fernandes; https://orcid.org/0000-0002-8469-9570Objective: The aim of this study was to determine the accuracy of an epidemiological screening questionnaire for oropharyngeal dysphagia in older people. Background: Determining the cut-off point and the accuracy of the self-reported epidemiological questionnaire for screening oropharyngeal dysphagia in older adults is important for mass screening, which may estimate the prevalence of oropharyngeal dysphagia. Materials and Methods: This was a cross-sectional diagnostic study with a convenience sample of 70 older adults over 60 years of age of both sexes, aged between 60 and 90 years (mean age 69.2; SD, 7.6). It used a screening questionnaire with nine ordered items response options resulted in a score ranging from 0 to 18. The criterion test was the fiberoptic endoscopic evaluation of swallowing, with analysis of the receiver operating characteristic (ROC), with a 5% significance level. Results: Oropharyngeal dysphagia frequency by the criterion test was 73%, with no significant difference between age and sex. The area under the ROC curve was 0.88 (95% confidence interval: 0.79-0.98) above the cut-off point 3. This screening questionnaire showed good parameters of sensitivity (80%), specificity (89%), positive predictive value (95%), negative predictive value (63%), positive likelihood ratio (7.64), negative likelihood ratio (0.22) and accuracy (83%). Conclusions: This questionnaire may be a satisfactory screening tool for estimating the prevalence of oropharyngeal dysphagia in older adults.TCC Achados imagenológicos sugestivos de comprometimento endodôntico em radiografias panorâmicas de pessoas idosas(Universidade Federal do Rio Grande do Norte, 2021-04-09) Medeiros, Joyce Jordana da Silva; Lima, Kenio Costa; Nóbrega, Letícia Maria Menezes; Oliveira, Patrícia Teixeira deObjetivos: Realizar rastreio e avaliar a prevalência e fatores relacionados a achados imagenológicos de radiografias panorâmicas relacionados à presença de comprometimento endodôntico em idosos para auxiliar no encaminhamento de exames específicos referentes à necessidade de tratamento endodôntico nesses indivíduos. Métodos: Estudo do tipo individuado e transversal. Foram avaliadas 846 radiografias panorâmicas digitais de idosos dentados com 60 anos ou mais pertencentes ao serviço de Imagenologia Odontológica do Departamento de Odontologia da UFRN obtidas no período de janeiro 2013 a dezembro de 2019. As imagens foram analisadas por um pesquisador e foram coletados dados relativos à presença ou ausência de fatores indicativos de comprometimento endodôntico. Os dados produzidos foram analisados através da análise descritiva e bivariada (teste do qui-quadrado, exato de Fisher ou t de Student) para um nível de significância de 5%. Resultados: 152 (18%) pacientes e destes, 191 (1,44%) dentes, apresentaram achados radiográficos presuntivos de comprometimento endodôntico. A maioria das imagens foram de pacientes do sexo feminino (56,6%) e a média de idade foi de 66,62 (DP= 5,91) anos. A presença de imagem radiolúcida sugestiva de cárie envolvendo a polpa coronária (99,5%), perda e/ou espessamento da lâmina dura (85%) e lesão periapical (51,8%), foram ao achados mais prevalentes. Os dentes mais afetados foram os pré-molares inferiores (25,7%), molares inferiores (19,9%) e molares superiores (18,3%). Observou-se uma relação entre comprometimento endodôntico e o sexo masculino (p=0,014), número de elementos dentários (p=0,007), número de pares em oclusão (p=0,008) e número de molares (p<0,001). Conclusões: Os achados imaginológicos indicativos de comprometimento endodôntico apresentam uma elevada prevalência em idosos e as radiografias panorâmicas representam uma ferramenta importante na identificação desses fatores e podem ser empregadas como exame de inicial de triagem para indicação de incidências mais específicas.Artigo Activity limitations in brazilian institutionalized older adults(Journal Of Geriatric Physical Therapy, 2017) Souza, Dyego Leandro Bezerra de; Roig, Javier Jerez; Medeiros, Jéssica Fernandes de; Fidélis, Kalyne do Nascimento Moreira; Lima Filho, Bartolomeu Fagundes de; Oliveira, Nayara Priscila Dantas de; Andrade, Fabienne Louise Juvêncio Paes de; Ferreira, Lidiane Maria de Brito Macedo; Lima, Kenio Costa; https://orcid.org/0000-0001-8426-3120Background and Purpose: Although functional assessments and programs to prevent activity limitations are fundamental for effi cient geriatric evaluations and interventions, these procedures have not been satisfactorily explored at nursing homes in Brazil. Literature is scarce on the evaluation of disability in Brazilian institutionalized older people. Methods: A cross-sectional study was conducted in 10 nursing homes in the city of Natal (Northeast Brazil). Sociodemographic and health data were collected and activity limitations were assessed by the Katz Index. Results and Discussion: The prevalence of activity limitations was 72.9% (95% confi dence interval: 67.8-77.5) and the most affected activity was “bathing” (71.6%), followed by “dressing” (65.4%) and “toileting” (62.0%). The fi nal model revealed associations with private (for-profi t) institutions (odds ratio [OR] = 3.33; P < .001), age ≥ 83 years (OR = 2.34; P = .003), institutionalization due to lack of caregiver (OR = 1.80: P = .033), and presence of osteoporosis (OR = 2.94; P = .045), adjusted by sex. Conclusions: Activity limitations affected almost 73% of institutionalized older people in this sample and were associated with private nursing homes, age, osteoporosis, and institutionalization due to lack of caregiver. Activity limitations exact high socioeconomic impacts and affect the quality of life of older people. The results obtained herein emphasized the importance of planning strategies for their prevention and treatment, directed to reduce the prevalence of this health issue. Key Words: activities of daily living , health of the elderly , health profi le , institutions for the elderly , personal autonomyArtigo Association between exposure to plasma mixture of essential and toxic elements and the lipid profile in institutionalized older adults(Journal of Trace Elements in Medicine and Biology, 2024-09) Evangelista, Karine Cavalcanti Maurício de Sena; Pacheco, Daniela Antunes; Campêlo, Angélica Lopes de Sousa; Sousa, Sara Estéfani Soares de; Sales, Márcia Cristina; Barbosa Júnior, Fernando; Lima, Kenio Costa; Ferreira, Marcelo Rodrigo Portela; Reis, Bruna Zavarize; Pedrosa, Lucia Fatima CamposBackground: Older adults have a progressive deficiency in the ability to detoxify chemical elements and are susceptible to dyslipidemia and changes in glycemic control. The objective was to evaluate the association of the mixture of essential and toxic elements in the plasma of institutionalized older adults and test the associations with lipid profile variables and glycemic control. Methods: Data were obtained from 149 Brazilian older adults aged ≥60 living in nursing homes (NH) in Natal, Brazil. The concentrations of sixteen chemical elements in plasma and lipid profile parameters and glycemic control of 149 institutionalized older adults were measured. Bayesian kernel machine regression was used to estimate the associations of the mixture of chemical elements with total cholesterol (TC), high-density lipoprotein (HDL-c), low-density lipoprotein (LDL-c), triglycerides (TG), fasting glucose, and glycated hemoglobin. ResultsNon-linear responses to exposure were observed for iron (Fe) about TC, LDL-c, and TG, and for barium (Ba) and copper (Cu) about TG. The concentration of the mixture of chemical elements below the 35th percentile was associated with a decrease in TC. Fe was the main element in the effect of the mixture associated with TC.ConclusionsThe lower concentrations of the mixture of chemical elements in plasma had a protective effect on the increase in TC, with Fe being the main element. Considering the results, the levels of essential and toxic elements in the plasma of older adults require extensive screening, mainly to prevent dyslipidemia and monitor clinical interventionsArtigo Autopercepção da saúde em idosos institucionalizados(FapUNIFESP (SciELO), 2016) Souza, Dyego Leandro Bezerra de; Jerez-Roig, Javier; Andrade, Fabienne Louise Juvêncio Paes de; Lima Filho, Bartolomeu Fagundes de; Medeiros, Rafaela Jordânia de; Oliveira, Nayara Priscila Dantas de; Cabral Neto, Sadote Macêdo; Lima, Kenio Costa; https://orcid.org/0000-0001-8426-3120Este trabalho objetivou determinar a autopercepção da saúde em idosos institucionalizados, assim como verificar a prevalência de percepção negativa da saúde e seus fatores associados. Trata-se de estudo transversal realizado em 10 instituições de longa permanência para idosos (ILPI) da cidade de Natal, entre outubro e dezembro de 2013. Foram analisadas variáveis sociodemográficas, relacionadas à ILPI e às condições de saúde. Realizou-se a análise descritiva, bivariada mediante os testes qui-quadrado, exato de Fisher ou qui-quadrado de tendência linear, assim como multivariado mediante regressão logística. A amostra foi de 127 idosos. A prevalência de autopercepção negativa da saúde foi de 63,19% (IC 95%: 55,07-70,63), e esteve associada à perda de peso (RP: 1,54; IC 95%: 1,19-1,99), doença reumática (RP: 1,46; IC 95%: 1,05-2,01) e ILPI sem fins lucrativos (RP: 1,37; IC 95%: 1,03-1,83), ajustado por sexo. É fundamental desenvolver ações de promoção da saúde nas ILPI, como aquelas baseadas na nutrição e fisioterapia que atuem sobre esses agravos à saúde, com vistas a melhorar a qualidade de vidaTCC Concentração do fluoreto veiculado pela água de abastecimento público do Rio Grande do Norte e sua relação com os registros de fluorose(Universidade Federal do Rio Grande do Norte, 2025-06-06) Leão, Lidiane Oliveira; Lima, Kenio Costa; https://orcid.org/0000-0002-5668-4398; http://lattes.cnpq.br/5835673385014578; https://orcid.org/0009-0007-3965-0851; http://lattes.cnpq.br/3460381131859255; Azevedo, Isabelita Duarte; http://lattes.cnpq.br/5861654012332239; Costa, Maria Regina Macêdo; http://lattes.cnpq.br/6052263447335417O fluoreto está presente naturalmente nas águas e sua ingestão crônica em níveis elevados pode ocasionar a fluorose dentária. Este estudo analisa o teor de fluoreto natural encontrado nas águas de abastecimento público de cidades do Rio Grande do Norte, correlacionando-o com registros de fluorose. Trata-se de um estudo transversal realizado em 20 municípios com mais de 25.000 habitantes, representando 11,9% dos 167 municípios do estado. A primeira etapa da pesquisa consistiu na coleta de dados secundários do Sistema de Informação de Vigilância da Qualidade da Água para Consumo Humano (SISAGUA), referentes ao teor de fluoreto nas águas dessas cidades, e na obtenção de dados sobre fluorose em crianças de 0 a 12 anos dos municípios, disponibilizados pelo Sistema de Informação em Saúde para a Atenção Básica (SISAB). A segunda etapa envolveu a coleta de duas amostras de água por município e análise através da técnica de cromatografia iônica para determinar o teor de fluoreto. As concentrações naturais do composto foram analisadas e classificadas com base no limite moderado de risco para fluorose dentária (0,85 mgF/L). Segundo dados do SISAGUA, nove municípios (47,4%) apresentaram amostras com teores de flúor acima do permitido. Apesar de alguns municípios apresentarem amostras pontuais acima do ideal, a mediana geral esteve dentro dos padrões aceitáveis. Os dados obtidos pela cromatografia iônica corroboram os do SISAGUA. Ao correlacionar os dados das coletas com os casos registrados no SISAB, não foi observada correlação significativa entre os teores de flúor e a fluorose.TCC Condições de saúde bucal de pacientes portadores de Esclerose Lateral Amiotrófica em um centro de referência(Universidade Federal do Rio Grande do Norte, 2021-04-20) Dourado, Júlia Carvalheira; Lima, Kenio Costa; Mário Emilio Teixeira Dourado Júnior; Aguiar, Maria Cecília Azevedo; Lopes, Maria Luiza Diniz de SousaObjetivo: avaliar condições de saúde bucal dos pacientes portadores de Esclerose Lateral Amiotrófica, acompanhados num centro de referência. Métodos: trata-se de um estudo descritivo e analítico, de caráter transversal, tendo o paciente com ELA como unidade de análise. Foram examinados 40 pacientes que são acompanhados no ambulatório do Hospital Universitário Onofre Lopes. A coleta de dados foi composta por uma análise dos prontuários, questionário de higiene bucal e exame epidemiológico bucal (condição de cárie dentária, periodontal e presença de alteração em tecidos moles). Foi realizada análise descritiva da amostra, através dos testes do Qui-quadrado, Exato de Fisher, Mann-Whitney, Kruskal-Wallis e correlações de Spearman para um nível de confiança de 95%. Resultados: Houve predominância do sexo masculino (55%), idade média de 58 anos (DP=13,57). Prevalência do fenótipo espinhal e tempo de doença médio desde o diagnóstico até o dia da coleta de dados foi 39 meses (DP=46,23). A maioria dos pacientes possuía a escala funcional revisada (ALSFRS) menor que 39 (62,1%), sendo a média da escala de 30 pontos (DP= 12,08). Mais da metade da amostra escova os dentes menos de 3x por dia e 75% não utilizam o fio dental. A média CPO-d foi de 18 dentes (DP=7,29). Em relação às condições periodontais (CPI e PIP), os piores escores encontrado foi de cálculo dentário (57,5%) e de perda de inserção foi de 0-3mm (75%). Não houve relação do fenótipo clínico e/ou estado funcional da ELA com a experiência de cárie e condições periodontais. Conclusão: Os indivíduos com ELA apresentam alterações na condição de saúde bucal, mas que não possuíram associação com estado funcional e/ou fenótipo clínico da doença. A participação do Cirurgião-Dentista na equipe interdisciplinar tem extrema importância no cuidado da saúde desses pacientes.TCC Condições de saúde bucal em usuários crônicos de psicotrópicos(Universidade Federal do Rio Grande do Norte, 2022-12-08) Silva, Marciel Oliveira da; Lima, Kenio Costa; 0000-0002-5668-4398; https://lattes.cnpq.br/0613595716980633; Costa, Maria Regina Macedo; Mendes, Tamires Carneiro de OliveiraObjetivos: Avaliar as condições de saúde bucal dos pacientes em uso contínuo de psicotrópicos assistidos por unidades de Estratégias da Saúde da Família em um município do interior do Nordeste brasileiro. Métodos: Tratou-se de um estudo observacional de caráter transversal, no qual foram selecionados usuários das ESFs de São Miguel-RN que faziam uso crônico de psicotrópicos. A partir de uma ficha clínica foram registradas as condições sociodemográficas, histórico médico, práticas de higiene bucal, autopercepção e impactos em saúde bucal, hábitos parafuncionais, sensação de ardência e boca seca, estado dentário (dentes cariados, perdidos e obturados – CPO-D e lesões cervicais não cariosas - LCNC), estado periodontal (CPI), alterações em tecido moles, taxa de fluxo e capacidade de tampão salivar. Resultados: Entre os 181 pacientes arrolados, 95 (52,49%) eram do gênero feminino e 86 (47,51%) do gênero masculino. A média de idade foi de 40,24 (±13,56) anos e 124 (68,51%) residiam na zona urbana. A maioria da amostra (90,87%) apresentou diagnósticos psíquicos dentro do capítulo 6 da classificação internacional de doenças de doenças (CID11), dos quais o transtorno de ansiedade generalizada e depressivo recorrente foram os mais prevalentes. Os psicotrópicos mais utilizados foram os psicolépticos (38,05%) e psicoanalépticos (31,36%) do nível 2 do sistema de anatomia terapêutica química (ATC). Dos participantes, 115 (63,54%) consideram que a medicação causa prejuízo em sua saúde bucal, 81,77% relataram xerostomia, 73,05% provável diagnóstico de bruxismo de vigília e 37,02% alterações em tecidos moles. A média de LCNC foi de 8,37, de CPO-D 14,42 e para o CPI, o escore mais prevalente foi o de bolsa profunda. Entre os 178 pacientes que concordaram em realizar o exame salivar, 83 (46,63%) apresentaram hipossalivação (fluxo menor que 0,7mL) e 89 (49,72%) tamponamento salivar normal. Conclusões: Conclui-se que os usuários crônicos de psicotrópicos apresentam efeitos colaterais desses fármacos, os quais influenciam negativamente no meio ambiente bucal. Deste modo, esses indivíduos necessitam de maior acesso à assistência odontológica e programas preventivos específicos.TCC Construção e validação de questionário para predição de cárie dentária em adolescentes: evidência de validade baseada no conteúdo do teste e nos processos de resposta(Universidade Federal do Rio Grande do Norte, 2019-11-20) Ribeiro Neto, Agenor Francisco; Lima, Kenio Costa; Lima, Kenio CostaObjetivo: A cárie dentária é um agravo ainda muito presente na sociedade brasileira. Portanto estudos para avaliação de risco em relação a esse agravo são importantes para permitir intervenções específicas de saúde pública. Assim, este estudo tem como objetivo a construção e validação de um instrumento que possa predizer o risco de cárie em adolescentes. Métodos: Construção e validação de questionário, segundo SEPT (Standards for Educational anda Psychological Testing), envolvendo as duas primeiras etapas. Primeira etapa: evidência de validade com base no conteúdo do teste, na qual definiu-se a construção e elaboração das perguntas por uma banca de especialistas e avaliou-se a representatividade e relevância dos itens em relação ao construto por um comitê de 9 “expertos”. A análise foi realizada através do índice de validade de conteúdo para itens (IVC-I ≥ 0,78) e índice de validade de conteúdo (IVC ≥ 0,9 ). Segunda etapa: evidência de validade baseada nos processos de resposta. O questionário foi aplicado em 20 adolescentes de 12 a 17 anos usando a estratégia de entrevista cognitiva. Foi realizada análise quantitativa e qualitativa das respostas. Resultados: A primeira versão do questionário consistia em 18 questões relacionadas à carie dentária, com IVC = 0,87 e IVC-I = 0,67 para apenas uma questão (excluída), logo o instrumento com 17 perguntas foi bem aceito pelos adolescentes, exigindo apenas pequenos ajustes na morfossintaxe. Conclusão: As etapas até cumpridas do processo de validação demonstram adequação ao público almejado. Nesse sentido, o instrumento está apto para o prosseguimento do processo completo de validação.Artigo Data report: educational pathway addressing food and nutrition in amyotrophic lateral sclerosis on the AVASUS platform(Frontiers in Digital Health, 2025-01-05) Coutinho, Karla Mônica Dantas; Fernandes, Felipe Ricardo dos Santos; Medeiros, Kelson da Costa; Coutinho, Karilany Dantas; Dias, Aline de Pinho; Valentim, Ricardo Alexsandro de Medeiros; Leite-Lais, Lucia; Lima, Kenio CostaAmyotrophic lateral sclerosis (ALS) is a rare neuromuscular degenerative disease characterized by the progressive loss of motor neurons, which leads to the gradual atrophy of skeletal and respiratory muscles (1–3). The etiology of ALS is multifactorial (2). The disease typically begins in a specific region, affecting the upper or lower limbs, bulbar areas, or respiratory system. As it progresses, it results in muscle paralysis and/or respiratory dysfunction (4). Malnutrition is common among ALS patients, with prevalence ranging from 16% to 55% at the time of diagnosis, increasing with disease progression (5). Weight loss and malnutrition are associated with faster disease progression, higher risk of complications, decline in quality of life, and reduced survival (5–7). Since nutritional status and metabolic balance impact the prognosis of ALS patients (8, 9), integrating nutritional care into the multidisciplinary treatment of ALS is imperative (10). In other words, multidisciplinary care strategies that focus on managing symptoms and improving nutritional status can enhance the quality of life and extend survival for ALS patients (11, 12). Caregivers of ALS patients play a vital and continuous role in patient care and should be considered integral members of the multidisciplinary team. Both health professionals and caregivers often require specialized training to effectively support ALS patients. In this context, health education is essential because it not only promotes health and prevents complications but also fosters engaged individuals who are equipped with the skills for self-care and autonomy (13, 14). In health education, the use of technology-mediated interactions aligns with the growing role of Information and Communication Technologies (ICT) in creating innovative and dynamic educational approaches. These initiatives have enhanced the connection between communication, science, and society (15, 16). The Virtual Learning Environment of the Brazilian Health System (AVASUS) is a free and open technology-mediated educational platform of Brazil's Ministry of Health. AVASUS was developed by the Laboratory for Technological Innovation in Health (LAIS) at the Federal University of Rio Grande do Norte (UFRN), through technical and scientific cooperation (17–20). The platform offers professional qualification and refresher courses within the Brazilian National Health System (SUS), designed to promote, support, and enhance continuing health education (18, 21). Additionally, it serves as a key tool for fostering resilience and responsiveness within the health system. AVASUS is accessible free of charge to health professionals, students, and the general public. Recent data show that AVASUS has over 1.2 million users, more than 3.3 million enrollments, and 424 active courses (22), making it the third-largest public health education platform globally. Studies have demonstrated that AVASUS fosters massive health professional training in various areas of health (17, 18, 23, 24). In light of this, this study aimed to structure and share a database capable of serving as a basis for studies interested in this type of information for health education. It provides a demographic characterization of students enrolled in the educational pathway addressing food and nutrition for people living with ALS. Additionally, it includes descriptive information about the courses within this pathway, in which 20,967 enrollments from the five regions of Brazil and abroad have enrolledArtigo Dietary patterns of young adolescents in urban areas of northeast Brazil(Nutrición Hospitalaria, 2013) Morais, Célia Márcia Medeiros de; Pinheiro, Liana Galvão Bacurau; Lima, Severina Carla Vieira Cunha; Evangelista, Karine Cavalcanti Mauricio de Sena; Lima, Kenio Costa; Pedrosa, Lucia Fatima CamposBackground: Temporal trends in dietary patterns reveal associations between food consumption and increased prevalence of non-communicable chronic diseases. Objectives: This study characterized dietary patterns in adolescents in urban area located in northeast of Brazil, relating it to the markers of a healthy diet. Methods: A cross-sectional study used two 24-hour recalls to assess dietary intake in 430 public school students from Natal-RN, Brazil. Principal component analysis was used to derive dietary patterns according to consumption of food based on weight (grams), energy (Kcal), or fiber (grams). These models resulted in a number of different main components, 7, 8 and 4, respectively (cumulative variance >70%; factor loadings >0.4). The association between independent variables and the factor scores of all components obtained was determined by the Prevalence Ratio (CI 95%). Results: The dietary patterns derived were: (1) Pure Traditional Food System, the highly representative pattern in young adolescents and the first component of the analytical models, (2) Combined and Risk Food System; extraction of total food weight and energy revealed markers of unhealthy diets based on high sugar, saturated fat, and salt consumption, and (3) Modified Traditional Food System represented by fiber; pattern 1 was observed within this model too. The associations observed, predominantly from the TFSm pattern, distinguished by sex, age and nutritional status. Conclusions: Patterns 1 and 3 are characterized by preserved regional food practices that prevent chronic disease, whereas pattern 2 is characterized by health risks. These inter-sectorial findings should be considered in the development of health care policies for children and adolescentsArtigo Educommunication in nutrition and neurodegenerative diseases: a scoping review protocol(BMJ open, 2024) Lais, Lucia Leite; Coutinho, Karla Monica Dantas; Vale, Sancha Helena de Lima; Bezerril, Manaces Santos; Reis, Monica Karina Santos; Lima, Kenio Costa; https://orcid.org/0000-0002-8061-7048Introduction Neurodegenerative diseases affect the nervous system and are characterised by the deterioration and/or death of neurons. Nutrition care is essential for maintaining an adequate nutritional status, which influences the prognosis and survival of patients with neurological diseases. Caregivers participate assiduously in the care of these patients and must be integrated into the multidisciplinary team. They often need specific training or knowledge regarding food and nutrition to perform their roles with patients. Health educommunication is a learning tool that can positively influence the appropriation of the theme and the construction of care autonomy. This scoping review (ScR) will map educommunication actions/strategies in nutrition and neurodegenerative diseases.TCC Estado cognitivo e condições de saúde bucal em idosos: um estudo transversal de base populacional(Universidade Federal do Rio Grande do Norte, 2017-06-19) Costa, Lorena Bezerra de Brito; Lima, Kenio Costa; Lima, Kenio Costa; Soares, Angela Maria De Medeiros; Pessoa, Daniela Mendes da VeigaOBJETIVO: Investigar a ocorrência de associação entre o estado cognitivo e as condições de saúde bucal em idosos, testando essa associação diante da interferência das características socioeconômico-demográficas e do estado de saúde geral. MÉTODO: Foi realizado um estudo transversal de base populacional, com 209 indivíduos com 60 anos de idade ou mais de ambos os sexos. A coleta de dados foi realizada no município de Macaíba, Rio Grande do Norte. O instrumento de coleta foi uma ficha clínica para a obtenção dos dados de saúde bucal, além da aplicação do mini exame do estado mental modificado (MEEM-mo) para avaliação do estado cognitivo, por meio do qual os idosos foram classificados como déficit normal-leve ou moderado-grave. As variáveis relacionadas à saúde bucal foram reduzidas a um único indicador, a partir da técnica da análise fatorial com extração dos fatores pela análise dos componentes principais. Somaram-se os escores fatoriais e o resultado foi dicotomizado pela mediana em condição de saúde bucal favorável ou desfavorável. Finalmente, buscou-se quais variáveis dentre as sociodemográficas e de saúde geral estavam relacionadas às condições de saúde bucal, por meio do teste do qui-quadrado para um nível de significância de 5%, razão de prevalência e IC 95%. RESULTADOS: Não ocorreu significância na relação entre o estado cognitivo e condição de saúde bucal em idosos, provavelmente devido a outros fatores se relacionarem melhor com a variável condições de saúde bucal, como a idade e o fato do idoso morar sozinho. A condição de saúde bucal desfavorável foi encontrada com maior frequência em idosos com 71 anos ou mais e nos que não moram sozinhos. CONCLUSÃO: O estado cognitivo dos idosos não teve influência sobre a sua condição de saúde bucal, o que se atribui à diferença temporal em que os desfechos ocorrem. Idade e independência do idoso foram determinantes às condições favoráveis de saúde bucal.Artigo Factors associated with inflamm-aging in institutionalized older people(Scientific Reports, 2021-09) Evangelista, Karine Cavalcanti Maurício de Sena; Oliveira Neto, Leônidas de; Tavares, Vagner Deuel de Oliveira; Agrícola, Pedro Moraes Dutra; Oliveira, Larissa Praça de; Sales, Márcia Cristina; Gomes, Igor Conterato; Coelho, Nicole Leite Galvão; Pedrosa, Lúcia Fátima Campos; Lima, Kenio CostaThe increase in infammatory cytokines associated with a reduction in the bioavailability of zinc has been used as a marker for infammation. Despite the high infammatory state found in institutionalized older individuals, few studies have proposed verifying the factors associated with this condition in this population. To verify the factors associated with infamm-aging in institutionalized older people. A total of 178 older people (≥ 60 years old) living in nursing homes in Natal/RN were included in the study. Cluster analysis was used to identify three groups according to their infammatory state. Analysis anthropometric, biochemical, sociodemographic, and healthrelated variables was carried out. In sequence, an ordinal logistic regression was performed for a confdence level of 95% in those variables with p< 0.20 in the bivariate analysis. IL-6, TNF-α, zinc, low-density lipids (LDL), high-density lipids (HDL), and triglycerides were associated with infammaging. The increase of 1 unit of measurement of LDL, HDL, and triglycerides increased the chance of infammation-aging by 1.5%, 4.1%, and 0.9%, respectively, while the oldest old (≥80 years old) had an 84.9% chance of presenting infamm-aging in relation to non-long-lived older people (<80 years). The association between biochemical markers and infamm-aging demonstrates a relationship between endothelial injury and the infammatory state. In addition, the presence of a greater amount of fat in the blood may present a higher relative risk of deathArtigo Factors associated with missing teeth in the brazilian elderly institutionalised population(Wiley, 2012) Piuvezam, Grasiela; Lima, Kenio CostaObjective:Identify factors associated with missing teeth in the elderly institutionalised population inBrazil.Methodology:Cross-sectional study of elderly institutionalised Brazilians with 1192 subjects. A ques-tionnaire was applied as well as an epidemiological survey of oral health conditions in accordance withWHO. Factorial analysis was carried out with variables related to missing teeth, as well as the Fisher’s exacttest, chi-squared test and multiple logistic regression.Results:Mean age was 76.3 (±9.8), 53.5% (638) of subjects were women and 717 (60.2) were dependent.Mean of Decayed Missing and Filled Teeth Index (DMFT index) was 29.4 (±4.9). The subjects that did notuse upper and lower dentures were 61.5% (732) and 79.2% (944), respectively. Median number of missingteeth per person was 27.88 (±6.8) with a mean of 4 (±6.6) teeth present and 2.4 (±4.5) caries-free teeth.Factors associated with missing teeth following multivariate analysis were: age, sex, self-assessment of oralhealth, access to health services, type of institution and area of the country.Conclusions:High level of tooth loss and low level of rehabilitation demonstrate precarious oral health. Itis therefore necessary to improve institutional access mechanisms to public health facilities for the insti-tutionalised elderlyArtigo Frequency of metabolic syndrome and associated factors in institutionalized elderly individuals(Clinical Interventions in Aging, 2018) Lima, Severina Carla Vieira Cunha; Sales, Marcia Cristina; Oliveira, Larissa Praça; Liberalino, Laura Camila Pereira; Cunha, Aline Tuane Oliveira; Lemos, Telma Maria Araujo Moura; Lima, Kenio Costa; Evangelista, Karine Cavalcanti Mauricio Sena; Pedrosa, Lucia Fatima Campos; Sousa, Sara estefani soares; https://orcid.org/0000-0001-8268-1986Introduction: Population aging generally accompanies an increase in chronic noncommunicable diseases, such as metabolic syndrome (MS). Nursing homes have provided a solution for the decreased ability of elderly individuals for self-care and familial difficulties in meeting the health care needs of elderly individuals. Purpose: The aim of the present study was to determine the frequency of MS and its associated factors in elderly individuals living in nursing homes. Patients and methods: This cross-sectional study was conducted with 202 institutionalized elderly individuals. MS was diagnosed according to the National Cholesterol Education Program – Adult Treatment Panel III criteria. Sociodemographic, clinical, and lifestyle factors were assessed to verify their association with MS by logistic regression. Results: The MS frequency was 29.2%. The most frequent MS components were low high-density lipoprotein cholesterol level (63.9%) and abdominal obesity (42.7%). Factors associ-ated with MS were female sex (prevalence ratio [PR]=2.16; 95% CI, 1.04–4.49), age-adjusted institutionalization time .50% (PR=2.38, 95% CI, 1.46–3.88), and high concentrations of interleukin-6 (PR=2.01; 95% CI, 1.21–3.32) and tumor necrosis factor-α (PR=1.70; 95% CI, 1.05–2.77). Moreover, it was verified that the likelihood of having MS was 1.85-fold higher (95% CI, 1.11–3.10) in the group with a diet characterized by very high energy, very low fat, and high dietary fiber. Conclusion: The occurrence of MS in institutionalized elderly individuals was higher in females, and individuals with longer age-adjusted institutionalization time, higher concentrations of immunologic biomarkers, and a dietary intake consisting of higher energy and fiber and lower total fat. The results of the study are useful for guiding health care programs aimed at institutionalized elderly individuals.Artigo Frequency of metabolic syndrome and associated factors in institutionalized elderly individuals(Clinical Interventions in Aging, 2018-11) Evangelista, Karine Cavalcanti Maurício de Sena; Sales, Marcia; Oliveira, Larissa Praça; Liberalino, Laura Camila Pereira; Cunha, Aline Tuane Oliveira; Sousa, Sara Estefani Soares; Lemos, Telma Maria Araujo Moura; Lima, Severina Carla Vieira Cunha; Lima, Kenio Costa; Pedrosa, Lucia Fatima CamposIntroduction: Population aging generally accompanies an increase in chronic noncommunicable diseases, such as metabolic syndrome (MS). Nursing homes have provided a solution for the decreased ability of elderly individuals for self-care and familial difficulties in meeting the health care needs of elderly individuals. Purpose: The aim of the present study was to determine the frequency of MS and its associated factors in elderly individuals living in nursing homes. Patients and methods: This cross-sectional study was conducted with 202 institutionalized elderly individuals. MS was diagnosed according to the National Cholesterol Education Program – Adult Treatment Panel III criteria. Sociodemographic, clinical, and lifestyle factors were assessed to verify their association with MS by logistic regression. Results: The MS frequency was 29.2%. The most frequent MS components were low high density lipoprotein cholesterol level (63.9%) and abdominal obesity (42.7%). Factors associ ated with MS were female sex (prevalence ratio [PR]=2.16; 95% CI, 1.04–4.49), age-adjusted institutionalization time .50% (PR=2.38, 95% CI, 1.46–3.88), and high concentrations of interleukin-6 (PR=2.01; 95% CI, 1.21–3.32) and tumor necrosis factor-α (PR=1.70; 95% CI, 1.05–2.77). Moreover, it was verified that the likelihood of having MS was 1.85-fold higher (95% CI, 1.11–3.10) in the group with a diet characterized by very high energy, very low fat, and high dietary fiber. Conclusion: The occurrence of MS in institutionalized elderly individuals was higher in females, and individuals with longer age-adjusted institutionalization time, higher concentrations of immunologic biomarkers, and a dietary intake consisting of higher energy and fiber and lower total fat. The results of the study are useful for guiding health care programs aimed at institutionalized elderly individualsArtigo Health promotion and education: a study of the effectiveness of programs focusing on the aging process(SAGE Publications, 2017) Souza, Dyego Leandro Bezerra de; Lima, Kenio Costa; Caldas, Celia Pereira; Veras, Renato Peixoto; Correa, Renata de Freitas; Bonfada, Diego; Jerez-Roig, Javier; https://orcid.org/0000-0001-8426-3120Considering the population aging and the failure of biologistic and hospital-based treatment model, health promotion programs based on scientific evidence are necessary. A comprehensive review of literature was performed, aiming to identify and analyze health promotion and education experiments focused on the aging process. Papers published in eight databases, together with the database of the Pan-American Health Organization, were selected based on review of titles and abstracts, followed by a full text review conducted by two independent reviewers. A total of 22 studies were included, the majority of which adopted a quantitative approach, with a sample larger than 100 elderly or pre-retirement individuals. The majority of studies reported positive results in terms of health promotion and education. One study obtained minimum improvement and one reported that no statistically significant improvement had occurred. The positive effects most indicated by authors were: general or self-perceived improvement in physical health, improvement in psychosocial aspects and in relation to the aging process, improvement in adherence to preventative actions and in healthy conduct and lifestyle, increase in level of physical activity, improvement in quality of life and/or physical well-being, and improvement in activities of daily living or reduction of the risk of developing disabilitiesArtigo High prevalence of hypovitaminosis D in institutionalized elderly individuals is associated with summer in a region with high ultraviolet radiation levels(Nutrients, 2019-07) Evangelista, Karine Cavalcanti Maurício de Sena; Sousa, Sara Estéfani S.; Sales, Márcia Cristina; Araújo, José Rodolfo Torres; Lima, Kenio Costa; Pedrosa, Lucia Fatima CamposVitamin D may play a significant role in regulating the rate of aging. The objective of the study was to assess vitamin D status and its associated factors in institutionalized elderly individuals. A total of 153 elderly individuals living in Nursing Homes (NH) were recruited into the study. Serum 25-hydroxyvitamin D [25(OH)D] concentration was used as the biomarker of vitamin D status, and it was considered as the dependent variable in the model. The independent variables were the type of NH, age-adjusted time of institutionalization, age, sex, skin color, body mass index, waist and calf circumference, physical activity practice, mobility, dietary intake of vitamin D and calcium, vitamin D supplementation, use of antiepileptics, and season of the year. Serum 25(OH)D concentrations less than or equal to 29 ng/mL were classified as insufficient vitamin D status. The prevalences of inadequate dietary intake of vitamin D and calcium were 95.4% and 79.7%, respectively. The prevalence of hypovitaminosis D was 71.2%, and the mean serum concentration of 25(OH)D was 23.9 ng/mL (95% confidence interval [CI]: 22.8–26.1). Serum 25(OH)D concentration was associated with the season of summer (p = 0.046). There were no associations with other independent variables (all p > 0.05). The present results showed that a high prevalence of hypovitaminosis D was significantly associated with summer in institutionalized elderly individualsArtigo Presence of antibodies against Leishmania chagasi in haemodialysed patients(Transactions of the Royal Society of Tropical Medicine and Hygiene, 2009) Souza, Roberto Mascarenhas; Oliveira, Isaac Braullio Maia Delfino de; Paiva, Vinícius Câmara de Sousa; Lima, Kenio Costa; Santos, Rivaldo Pereira dos; Almeida, José Bruno de; Luz, Kleber Giovanni