Overweight in Older Adults: A Follow-Up of Fifteen Years of the SABE Survey
Despite extensive research on overweight and obesity, there are few studies that present longitudinal statistical analyses among non-institutionalized older adults, particularly in low- and middle-income countries. This study aimed to assess the prevalence and factors associated with excess weight i...
Gespeichert in:
Veröffentlicht in: | International journal of environmental research and public health 2023-03, Vol.20 (6), p.5098 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 6 |
container_start_page | 5098 |
container_title | International journal of environmental research and public health |
container_volume | 20 |
creator | de Araujo, Tânia Aparecida Oliveira, Isabela Martins Silva, Tarsila Guimarães Vieira da da Silva, Vanderlei Carneiro Duarte, Yeda Aparecida de Oliveira |
description | Despite extensive research on overweight and obesity, there are few studies that present longitudinal statistical analyses among non-institutionalized older adults, particularly in low- and middle-income countries. This study aimed to assess the prevalence and factors associated with excess weight in older adults from the same cohort over a period of fifteen years. A total of 264 subjects aged (≥60 years) from the SABE survey (Health, Wellbeing and Aging) in the years 2000, 2006, 2010, and 2015 in the city of São Paulo, Brazil, were evaluated. Overweight was assessed by a BMI of ≥28 kg/m
. Multinomial logistic regression models adjusted for sociodemographic and health data were used to assess factors associated with excess weight. After normal weight, overweight was the most prevalent nutritional status in all evaluated periods: 34.02% in 2000 (95%CI: 28.29-40.26); 34.86% in 2006 (95%CI: 28.77-41.49%); 41.38% in 2010 (95%CI: 35.25-47.79); 33.75% in 2015 (95%CI: 28.02-40.01). Being male was negatively associated with being overweight in all years (OR: 0.34 in 2000; OR: 0.36 in 2006; OR: 0.27 in 2010; and OR: 0.43 in 2015). A greater number of chronic diseases and worse functionality were the main factors associated with overweight, regardless of gender, age, marital status, education, physical activity, and alcohol or tobacco consumption. Older adults with overweight and obesity, a greater number of chronic diseases, and difficulties in carrying out daily tasks required a greater commitment to healthcare. Health services must be prepared to accommodate this rapidly growing population in low- and middle-income countries. |
doi_str_mv | 10.3390/ijerph20065098 |
format | Article |
fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10049442</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A751911950</galeid><sourcerecordid>A751911950</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3568-8469a9002ea4743648e0915ca1c2966305ac22ad0f949ba51e8881077c3a76083</originalsourceid><addsrcrecordid>eNptkUFv1DAQhS0EoqVw5YgsceGSMo4dx-aC0qrbIirtofTAyXKdya5X3nixk63670lEKS2qfLA1_t6zZx4h7xkcc67hs99g2q1LAFmBVi_IIZMSCiGBvXx0PiBvct4AcCWkfk0OuNRq1hyS78s9plv0q_VAfU-XocVEm3YMQ_5CG7qIIcTb4npHY0cXvhsQe_oTbcpzYVgjvWpOzujVmPZ495a86mzI-O5-PyLXi7MfpxfF5fL822lzWTheSVXMf7AaoEQrasGlUAiaVc4yV2opOVTWlaVtodNC39iKoVKKQV07bmsJih-Rr398d-PNFluH_ZBsMLvktzbdmWi9eXrT-7VZxb1hAEILUU4On-4dUvw1Yh7M1meHIdge45hNWeuyAjENeEI__odu4pj6qb-ZYrLioPU_amUDGt93cXrYzaamqSumGdPV7HX8DDWtFrfexR47P9WfE7gUc07YPTTJwMz5m6f5T4IPj0fzgP8NnP8GhlCnrg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2791653099</pqid></control><display><type>article</type><title>Overweight in Older Adults: A Follow-Up of Fifteen Years of the SABE Survey</title><source>MEDLINE</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>de Araujo, Tânia Aparecida ; Oliveira, Isabela Martins ; Silva, Tarsila Guimarães Vieira da ; da Silva, Vanderlei Carneiro ; Duarte, Yeda Aparecida de Oliveira</creator><creatorcontrib>de Araujo, Tânia Aparecida ; Oliveira, Isabela Martins ; Silva, Tarsila Guimarães Vieira da ; da Silva, Vanderlei Carneiro ; Duarte, Yeda Aparecida de Oliveira</creatorcontrib><description>Despite extensive research on overweight and obesity, there are few studies that present longitudinal statistical analyses among non-institutionalized older adults, particularly in low- and middle-income countries. This study aimed to assess the prevalence and factors associated with excess weight in older adults from the same cohort over a period of fifteen years. A total of 264 subjects aged (≥60 years) from the SABE survey (Health, Wellbeing and Aging) in the years 2000, 2006, 2010, and 2015 in the city of São Paulo, Brazil, were evaluated. Overweight was assessed by a BMI of ≥28 kg/m
. Multinomial logistic regression models adjusted for sociodemographic and health data were used to assess factors associated with excess weight. After normal weight, overweight was the most prevalent nutritional status in all evaluated periods: 34.02% in 2000 (95%CI: 28.29-40.26); 34.86% in 2006 (95%CI: 28.77-41.49%); 41.38% in 2010 (95%CI: 35.25-47.79); 33.75% in 2015 (95%CI: 28.02-40.01). Being male was negatively associated with being overweight in all years (OR: 0.34 in 2000; OR: 0.36 in 2006; OR: 0.27 in 2010; and OR: 0.43 in 2015). A greater number of chronic diseases and worse functionality were the main factors associated with overweight, regardless of gender, age, marital status, education, physical activity, and alcohol or tobacco consumption. Older adults with overweight and obesity, a greater number of chronic diseases, and difficulties in carrying out daily tasks required a greater commitment to healthcare. Health services must be prepared to accommodate this rapidly growing population in low- and middle-income countries.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph20065098</identifier><identifier>PMID: 36982006</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Abdomen ; Adults ; Age groups ; Aged ; Aging ; Body Mass Index ; Body weight ; Brazil - epidemiology ; Chronic Disease ; Chronic diseases ; Developing countries ; Education ; Evaluation ; Exercise ; Female ; Follow-Up Studies ; Health care industry ; Health services ; Humans ; LDCs ; Longitudinal studies ; Male ; Nutritional status ; Obesity ; Obesity - epidemiology ; Older people ; Overweight ; Overweight - epidemiology ; Physical activity ; Population ; Prevalence ; Public health ; Regression analysis ; Risk Factors ; Statistical analysis ; Surveys ; Surveys and Questionnaires ; Tobacco ; Variables ; Weight control ; Weight Gain</subject><ispartof>International journal of environmental research and public health, 2023-03, Vol.20 (6), p.5098</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3568-8469a9002ea4743648e0915ca1c2966305ac22ad0f949ba51e8881077c3a76083</cites><orcidid>0000-0003-1595-1880 ; 0000-0001-5894-8695 ; 0000-0001-5838-6944 ; 0000-0001-7799-8292</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049442/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049442/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36982006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Araujo, Tânia Aparecida</creatorcontrib><creatorcontrib>Oliveira, Isabela Martins</creatorcontrib><creatorcontrib>Silva, Tarsila Guimarães Vieira da</creatorcontrib><creatorcontrib>da Silva, Vanderlei Carneiro</creatorcontrib><creatorcontrib>Duarte, Yeda Aparecida de Oliveira</creatorcontrib><title>Overweight in Older Adults: A Follow-Up of Fifteen Years of the SABE Survey</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Despite extensive research on overweight and obesity, there are few studies that present longitudinal statistical analyses among non-institutionalized older adults, particularly in low- and middle-income countries. This study aimed to assess the prevalence and factors associated with excess weight in older adults from the same cohort over a period of fifteen years. A total of 264 subjects aged (≥60 years) from the SABE survey (Health, Wellbeing and Aging) in the years 2000, 2006, 2010, and 2015 in the city of São Paulo, Brazil, were evaluated. Overweight was assessed by a BMI of ≥28 kg/m
. Multinomial logistic regression models adjusted for sociodemographic and health data were used to assess factors associated with excess weight. After normal weight, overweight was the most prevalent nutritional status in all evaluated periods: 34.02% in 2000 (95%CI: 28.29-40.26); 34.86% in 2006 (95%CI: 28.77-41.49%); 41.38% in 2010 (95%CI: 35.25-47.79); 33.75% in 2015 (95%CI: 28.02-40.01). Being male was negatively associated with being overweight in all years (OR: 0.34 in 2000; OR: 0.36 in 2006; OR: 0.27 in 2010; and OR: 0.43 in 2015). A greater number of chronic diseases and worse functionality were the main factors associated with overweight, regardless of gender, age, marital status, education, physical activity, and alcohol or tobacco consumption. Older adults with overweight and obesity, a greater number of chronic diseases, and difficulties in carrying out daily tasks required a greater commitment to healthcare. Health services must be prepared to accommodate this rapidly growing population in low- and middle-income countries.</description><subject>Abdomen</subject><subject>Adults</subject><subject>Age groups</subject><subject>Aged</subject><subject>Aging</subject><subject>Body Mass Index</subject><subject>Body weight</subject><subject>Brazil - epidemiology</subject><subject>Chronic Disease</subject><subject>Chronic diseases</subject><subject>Developing countries</subject><subject>Education</subject><subject>Evaluation</subject><subject>Exercise</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health care industry</subject><subject>Health services</subject><subject>Humans</subject><subject>LDCs</subject><subject>Longitudinal studies</subject><subject>Male</subject><subject>Nutritional status</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Older people</subject><subject>Overweight</subject><subject>Overweight - epidemiology</subject><subject>Physical activity</subject><subject>Population</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Risk Factors</subject><subject>Statistical analysis</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Tobacco</subject><subject>Variables</subject><subject>Weight control</subject><subject>Weight Gain</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkUFv1DAQhS0EoqVw5YgsceGSMo4dx-aC0qrbIirtofTAyXKdya5X3nixk63670lEKS2qfLA1_t6zZx4h7xkcc67hs99g2q1LAFmBVi_IIZMSCiGBvXx0PiBvct4AcCWkfk0OuNRq1hyS78s9plv0q_VAfU-XocVEm3YMQ_5CG7qIIcTb4npHY0cXvhsQe_oTbcpzYVgjvWpOzujVmPZ495a86mzI-O5-PyLXi7MfpxfF5fL822lzWTheSVXMf7AaoEQrasGlUAiaVc4yV2opOVTWlaVtodNC39iKoVKKQV07bmsJih-Rr398d-PNFluH_ZBsMLvktzbdmWi9eXrT-7VZxb1hAEILUU4On-4dUvw1Yh7M1meHIdge45hNWeuyAjENeEI__odu4pj6qb-ZYrLioPU_amUDGt93cXrYzaamqSumGdPV7HX8DDWtFrfexR47P9WfE7gUc07YPTTJwMz5m6f5T4IPj0fzgP8NnP8GhlCnrg</recordid><startdate>20230314</startdate><enddate>20230314</enddate><creator>de Araujo, Tânia Aparecida</creator><creator>Oliveira, Isabela Martins</creator><creator>Silva, Tarsila Guimarães Vieira da</creator><creator>da Silva, Vanderlei Carneiro</creator><creator>Duarte, Yeda Aparecida de Oliveira</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1595-1880</orcidid><orcidid>https://orcid.org/0000-0001-5894-8695</orcidid><orcidid>https://orcid.org/0000-0001-5838-6944</orcidid><orcidid>https://orcid.org/0000-0001-7799-8292</orcidid></search><sort><creationdate>20230314</creationdate><title>Overweight in Older Adults: A Follow-Up of Fifteen Years of the SABE Survey</title><author>de Araujo, Tânia Aparecida ; Oliveira, Isabela Martins ; Silva, Tarsila Guimarães Vieira da ; da Silva, Vanderlei Carneiro ; Duarte, Yeda Aparecida de Oliveira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3568-8469a9002ea4743648e0915ca1c2966305ac22ad0f949ba51e8881077c3a76083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdomen</topic><topic>Adults</topic><topic>Age groups</topic><topic>Aged</topic><topic>Aging</topic><topic>Body Mass Index</topic><topic>Body weight</topic><topic>Brazil - epidemiology</topic><topic>Chronic Disease</topic><topic>Chronic diseases</topic><topic>Developing countries</topic><topic>Education</topic><topic>Evaluation</topic><topic>Exercise</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health care industry</topic><topic>Health services</topic><topic>Humans</topic><topic>LDCs</topic><topic>Longitudinal studies</topic><topic>Male</topic><topic>Nutritional status</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Older people</topic><topic>Overweight</topic><topic>Overweight - epidemiology</topic><topic>Physical activity</topic><topic>Population</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Risk Factors</topic><topic>Statistical analysis</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Tobacco</topic><topic>Variables</topic><topic>Weight control</topic><topic>Weight Gain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Araujo, Tânia Aparecida</creatorcontrib><creatorcontrib>Oliveira, Isabela Martins</creatorcontrib><creatorcontrib>Silva, Tarsila Guimarães Vieira da</creatorcontrib><creatorcontrib>da Silva, Vanderlei Carneiro</creatorcontrib><creatorcontrib>Duarte, Yeda Aparecida de Oliveira</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Araujo, Tânia Aparecida</au><au>Oliveira, Isabela Martins</au><au>Silva, Tarsila Guimarães Vieira da</au><au>da Silva, Vanderlei Carneiro</au><au>Duarte, Yeda Aparecida de Oliveira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Overweight in Older Adults: A Follow-Up of Fifteen Years of the SABE Survey</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2023-03-14</date><risdate>2023</risdate><volume>20</volume><issue>6</issue><spage>5098</spage><pages>5098-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Despite extensive research on overweight and obesity, there are few studies that present longitudinal statistical analyses among non-institutionalized older adults, particularly in low- and middle-income countries. This study aimed to assess the prevalence and factors associated with excess weight in older adults from the same cohort over a period of fifteen years. A total of 264 subjects aged (≥60 years) from the SABE survey (Health, Wellbeing and Aging) in the years 2000, 2006, 2010, and 2015 in the city of São Paulo, Brazil, were evaluated. Overweight was assessed by a BMI of ≥28 kg/m
. Multinomial logistic regression models adjusted for sociodemographic and health data were used to assess factors associated with excess weight. After normal weight, overweight was the most prevalent nutritional status in all evaluated periods: 34.02% in 2000 (95%CI: 28.29-40.26); 34.86% in 2006 (95%CI: 28.77-41.49%); 41.38% in 2010 (95%CI: 35.25-47.79); 33.75% in 2015 (95%CI: 28.02-40.01). Being male was negatively associated with being overweight in all years (OR: 0.34 in 2000; OR: 0.36 in 2006; OR: 0.27 in 2010; and OR: 0.43 in 2015). A greater number of chronic diseases and worse functionality were the main factors associated with overweight, regardless of gender, age, marital status, education, physical activity, and alcohol or tobacco consumption. Older adults with overweight and obesity, a greater number of chronic diseases, and difficulties in carrying out daily tasks required a greater commitment to healthcare. Health services must be prepared to accommodate this rapidly growing population in low- and middle-income countries.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36982006</pmid><doi>10.3390/ijerph20065098</doi><orcidid>https://orcid.org/0000-0003-1595-1880</orcidid><orcidid>https://orcid.org/0000-0001-5894-8695</orcidid><orcidid>https://orcid.org/0000-0001-5838-6944</orcidid><orcidid>https://orcid.org/0000-0001-7799-8292</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1660-4601 |
ispartof | International journal of environmental research and public health, 2023-03, Vol.20 (6), p.5098 |
issn | 1660-4601 1661-7827 1660-4601 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10049442 |
source | MEDLINE; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Abdomen Adults Age groups Aged Aging Body Mass Index Body weight Brazil - epidemiology Chronic Disease Chronic diseases Developing countries Education Evaluation Exercise Female Follow-Up Studies Health care industry Health services Humans LDCs Longitudinal studies Male Nutritional status Obesity Obesity - epidemiology Older people Overweight Overweight - epidemiology Physical activity Population Prevalence Public health Regression analysis Risk Factors Statistical analysis Surveys Surveys and Questionnaires Tobacco Variables Weight control Weight Gain |
title | Overweight in Older Adults: A Follow-Up of Fifteen Years of the SABE Survey |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T11%3A22%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Overweight%20in%20Older%20Adults:%20A%20Follow-Up%20of%20Fifteen%20Years%20of%20the%20SABE%20Survey&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=de%20Araujo,%20T%C3%A2nia%20Aparecida&rft.date=2023-03-14&rft.volume=20&rft.issue=6&rft.spage=5098&rft.pages=5098-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph20065098&rft_dat=%3Cgale_pubme%3EA751911950%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2791653099&rft_id=info:pmid/36982006&rft_galeid=A751911950&rfr_iscdi=true |