Browsing by Author "Alves-Alves, Clara"
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- Inquérito Nacional de Saúde com Exame Físico 2013-2016: protocolo científicoPublication . Nunes, Baltazar; Barreto, Marta; Gil, Ana Paula; Kislaya, Irina; Namorado, Sónia; Antunes, Liliana; Gaio, Vânia; Santos, Ana João; Rodrigues, Ana Paula; Santos, Joana; Roquette, Rita; Alves-Alves, Clara; Castilho, Emília; Cordeiro, Eugénio; Dinis, Ana; Prokopenko, Tamara; Silva, Ana Clara; Vargas, Patrícia; Lyshol, Heidi; Matias Dias, CarlosTrata-se do protocolo científico do pojecto Inquérito Nacional de Saúde com Exame Físico (INSEF) 2013-2016. O INSEF é parte integrante do projeto “Improvement of epidemiological health information to support public health decision and management in Portugal. Towards reduced inequalities, improved health, and bilateral cooperation” que tem como parceiro o Instituto Norueguês de Saúde Pública (FHI) e conta com a colaboração das Administrações Regionais de Saúde (ARS) e das Secretarias Regionais de Saúde e dos Assuntos Socias (SRAS) das Regiões Autónomas dos Açores e Madeira. Este projeto é financiado a 85% pelo Mecanismo Financeiro do Espaço Económico Europeu 2009-2014 através das EEA Grants e será desenvolvido entre 2014 e 2016. Tem como finalidade criar e implementar um Inquérito Nacional de Saúde com Exame Físico (INSEF) que que contribua para a melhoria da saúde dos portugueses apoiando a observação em saúde, a monitorização, a avaliação dos programas nacionais de saúde e a investigação em Saúde Pública em Portugal, sendo seu objetivo geral o de contribuir para melhorar a Saúde Pública e reduzir as desigualdades em saúde na população residente em Portugal, através da disponibilização e comunicação de informação epidemiológica de elevada qualidade sobre o estado de saúde, determinantes e utilização de cuidados de saúde.
- INSEF-ExpoQuim: assessing the exposure of the Portuguese population to chemicalsPublication . Namorado, Sónia; Kislaya, Irina; Alves-Alves, Clara; Castilho, Emília; Cordeiro, Eugénio; Dinis, Ana; Gouveia, Bruna; Prokopenko, Tamara; Vargas, Patrícia; Nunes, Baltazar; Matias Dias, CarlosIntroduction: Exposure to hazardous chemicals may endanger human health and pollute the environment. To assess and minimize the risks associated with the use of chemicals it is essential to know whether and to what extent these substances are present in the human body. We report preliminary results of the recruitment phase in the study of Exposure of the Portuguese Population to Environmental Chemicals: a study nested in INSEF 2015 (INSEF-ExpoQuim). Methods: INSEF-ExpoQuim is an epidemiologic study nested in INSEF 2015 targeting 300 non-institutionalized individuals aged 28-39 years, living in Portugal for more than 12 months, able to follow an interview in Portuguese. Fieldwork started in June 2019 and is ongoing. Procedures are according to the guidelines of the HBM4EU project. Selected individuals receive an invitation letter and are later contacted by phone to schedule sample collection and the telephone interview. Urine samples for determination of heavy metals, bisphenols and Polycyclic Aromatic Hydrocarbons are collected, as well as data on socio-demographic characteristics, living conditions and residential history, habits/lifestyle, nutrition, health, occupation and substance specific information covering nearly all exposure pathways. Results: Up to date 384 of the 848 eligible individuals were successfully contacted (45,3%), of which 172 accepted to participate in INSEF-ExpoQuim corresponding to a participation rate of 20%. Conclusions: Results from INSEF-ExpoQuim will contribute to reduce the health impact that could result from the exposure of the population residing in Portugal to environmental chemicals, by producing high quality data on the actual exposure of the Portuguese population to hazardous chemicals, in order to support the development and implementation of policy measures aimed at minimizing exposure to those chemicals.
- The first Portuguese National Health Examination Survey (2015): design, planning and implementationPublication . Nunes, Baltazar; Barreto, Marta; Gil, Ana Paula; Kislaya, Irina; Namorado, Sónia; Antunes, Liliana; Gaio, Vânia; Santos, Ana João; Rodrigues, Ana Paula; Santos, Joana; Roquette, Rita; Alves-Alves, Clara; Castilho, Emília; Cordeiro, Eugénio; Dinis, Ana; Prokopenko, Tamara; Silva, Ana C; Vargas, Patrícia; Lyshol, Heidi; Dias, Carlos MatiasBackground: In Health Examination Surveys interview information is complemented with objective information, providing more accurate indicators than self-reported data. We report the study design, planning and implementation of the first Portuguese Health Examination Survey (INSEF). Methods: INSEF was a cross-sectional population-based study representative at regional and national level. Individuals aged between 25 and 74 years old, residing in Portugal were selected from the national health users’ registry through multi-stage stratified probabilistic sampling. Sample size was set at 4200 individuals. Data was collected in primary care units and included blood pressure, height, weight, hip and waist measurements, blood collection for lipid profile, HbA1c and blood count and a general health questionnaire. European HES procedures were followed. Results: A total of 4911 individuals agreed to participate (43.9% participation rate). Participation rate varied by region, sex and age group, being lower in Lisbon and Tagus Valley (32.8%), for men (41.8%) and for those aged 25–34 years old (36%). Conclusions: INSEF has set up an experienced national and regional structure for HES implementation. Nationally representative quality epidemiological data is now available for public health monitoring, planning and research.
- Use of Human Biomonitoring in food risk assessment: assessing exposure to bisphenols in PortugalPublication . Namorado, Sónia; Kislaya, Irina; Alves-Alves, Clara; Castilho, Emília; Cordeiro, Eugénio; Dinis, Ana; Gouveia, Bruna; Prokopenko, Tamara; Vargas, Patrícia; Nunes, Baltazar; Matias Dias, CarlosBisphenols are among the chemicals with the highest production volume worldwide and are used to make polycarbonate plastic containers for food use, such as beverage containers and plastic dinnerware, and in the internal coatings of food and beverage cans among other products. According to the scientific literature, small amounts of these compounds migrate from packaging into food resulting in human exposure. Although numerous studies have been carried out in order to assess its effects on human health, there are still uncertainties concerning the possible toxic effects of these compounds. Nevertheless, the most commonly used bisphenol, bisphenol A (BPA), is considered an endocrine disrupting compound. As a consequence, current European legislation prohibits the use of BPA in baby bottles, infant sipping cups and in the coating of food containers for children up to 3 years old and significantly tightens the restrictions on the use of BPA in other food contact materials. This has led to the replacement of BPA by other bisphenols, such as BPS and BPF, whose health effects are still largely unknown. Considering the above and that there is no data on the exposure of the Portuguese population to these compounds, a new project named INSEF-ExpoQuim is currently being developed by the National Health Institute Doutor Ricardo Jorge, in cooperation with the five Regional Health Administrations and the Regional Health Secretariats of the Autonomous Regions of the Azores and Madeira, as part of the European Human Biomonitoring Initiative HBM4EU with the aim to assess exposure to bisphenols in the Portuguese population and contribute to the food risk assessment of bisphenols in Portugal. It is expect that project results will contribute to the reduction of the impact on the health of the Portuguese population that could result from the exposure to these chemicals, by producing high quality data on the actual exposure of the population, in order to support the development and implementation of policy measures aimed at minimizing exposure.