Percorrer por autor "Mendes, Ana Sofia"
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- Chronic respiratory diseases and quality of life in elderly nursing home residentsPublication . Carreiro-Martins, Pedro; Gomes-Belo, Joana; Papoila, Ana Luísa; Caires, Iolanda; Palmeiro, Teresa; Gaspar-Marques, João; Leiria-Pinto, Paula; Mendes, Ana Sofia; Paulo-Teixeira, João; Botelho, Maria Amália; Neuparth, NunoFew studies have assessed the quality of life (QOL) related to chronic respiratory diseases in the elderly. In the framework of the geriatric study on the health effects of air quality in elderly care centers (GERIA) study, a questionnaire was completed by elderly subjects from 53 selected nursing homes. It included various sections in order to assess respiratory complaints, QOL (World Health Organization QOL (WHOQOL)-BREF), and the cognitive and depression status. The outcome variables were the presence of a score lower than 50 (<50) in each of the WHOQOL-BREF domains (physical health, psychological health, social relationships, and environmental health). Chronic bronchitis, frequent cough, current wheezing, asthma, and allergic rhinitis were considered as potential risk factors. The surveyed sample was (n = 887) 79% female, with a mean age of 84 years (SD: 7 years). In the multivariable analysis, a score of <50 in the physical domain was associated with wheezing in the previous 12 months (odds ratio (OR): 2.03, confidence interval (CI): 1.25-3.31) and asthma (OR: 1.95, CI: 1.12-3.38). The psychological domain was related with a frequent cough (OR: 1.43, CI: 0.95-2.91). A score of <50 in the environmental domain was associated with chronic bronchitis (OR: 2.89, CI: 1.34-6.23) and emphysema (OR: 3.89, CI: 1.27-11.88). In view of these findings, the presence of respiratory diseases seems to be an important risk factor for a low QOL among elderly nursing home residents.
- CO2 concentration in day care centres is related to weezing in attending childrenPublication . Carreiro-Martins, Pedro; Viegas, João; Papoila, Ana Luísa; Aelenei, Daniel; Caires, Iolanda; Araújo-Martins, José; Gaspar-Marques, João; Cano, Maria Manuela; Mendes, Ana Sofia; Virella, Daniel; Rosado-Pinto, José; Leiria-Pinto, Paula; Annesi-Maesano, Isabella; Neuparth, NunoPoor ventilation at day care centres (DCCs) was already reported, although its effects on attending children are not clear. This study aimed to evaluate the association between wheezing in children and indoor CO2 (a ventilation surrogate marker) in DCC and to identify behaviours and building characteristics potentially related to CO2. In phase I, 45 DCCs from Lisbon and Oporto (Portugal) were selected through a proportional stratified random sampling. In phase II, 3 months later, 19 DCCs were further reassessed after cluster analysis for the greatest difference comparison. In both phases, children’s respiratory health was assessed by ISAAC-derived questionnaires. Indoor CO2 concentrations and buildingcharacteristics of the DCC were evaluated in both phases, using complementary methods. Mixed effect models were used to analyze the data. In phase I, which included 3,186 children (mean age 3.1±1.5 years), indoor CO2 concentration in the DCC rooms was associated with reported wheezing in the past 12months (27.5 %) (adjusted odds ratio (OR) for each increase of 200 ppm 1.04, 95 % CI 1:01 to 1:07). In phase II, the association in the subsample of 1,196 children seen in 19 out of the initial 45 DCCs was not significant (adjusted OR 1.02, 95 % CI 0.96 to 1.08). Indoor CO2 concentration was inversely associated with the practices of opening windows and internal doors and with higher wind velocity. A positive trend was observed between CO2 and prevalence of reported asthma (4.7 %). Conclusion: Improved ventilation is needed to achieve a healthier indoor environment in DCC.
- Contaminação do ambiente interior de creches e jardins-de-infância por ácaros do pó doméstico: estudo ENVIRHPublication . Cano, Manuela; Azevedo, Susana; Aguiar, Fátima; Mendes, Ana Sofia; Rosa, Nuno
- Environmental determinants of population health in urban settings. A systematic reviewPublication . Salgado, Marta; Madureira, Joana; Mendes, Ana Sofia; Torres, Anália; Teixeira, João Paulo; Oliveira, Mónica DuarteBackground: Population health is influenced by interactions between environmental determinants, which are captured by dimensions and indicators. This study aims to systematically review key environmental determinants and respective dimensions and indicators, relevant to evaluate population health in urban settings, and to understand their potential implications into policies. Methods: A search of literature published between 2008 and 2018 was conducted in PubMed, Web of Science, Scopus and SciELO Portugal databases, on studies with evidence on association between an environmental determinant and a health outcome in urban contexts. Health determinants, dimensions and indicators researched in the selected studies were synthetized, and associations analyzed. An independent assessment of quality of the studies was performed. Key conclusions and policy recommendations were extracted to build a framework to analyze environment related population health and policies in urban settings. Results: Ninety four studies of varied methodological approaches and quality met the inclusion criteria. The review identified positive associations between all environmental determinants -socioeconomic, built environment, natural environment, healthcare, behaviors, and health outcomes - overall mortality and morbidity, in urban settings. Improvements in income, education, air quality, occupation status, mobility and smoking habits indicators have positive impact in overall mortality and chronic diseases morbidity indicators. Initiatives to improve population health in which policymakers can be more evidence-informed include socioeconomic, natural environment and built environment determinants. Conclusions: There is scope and need to further explore which environmental determinants and dimensions most contribute to population health to create a series of robust evidence-based measures to better inform urban planning policies.
- The influence of ambient air pollution on health impacts: The Project FUTURAR preliminary resultsPublication . Mendes, Ana Sofia; Costa, Solange; Ferreira, Joana; Silveira, Carlos; Relvas, Hélder; Lopes, Miriam; Monteiro, Alexandra; Roebeling, Peter; Miranda, A.I; Teixeira, JPThe main goal of FUTURAR Project is to estimate the air pollution impact, costs and benefits of emission reduction scenarios for 2030, using modelling tools to estimate the spatial distribution of environment and health impacts over Portugal. This research will support strategies on air pollution mitigation allowing to fill knowledge gaps and adjust/tune/improve estimates of emissions reduction and consequently environment and health impacts for Portugal, by providing information on key uncertainties and research needs
- The influence of indoor environment in respiratory health and quality of life of older people living in elderly care centersPublication . Mendes, Ana Sofia; Teixeira, João Paulo; Porto, BeatrizThe mean age of the European population is rising and percentage of adults aged 65 years and older is projected to increase from 16% in 2000 to 20% in 2020. It has been estimated that older subjects spend approximately 19 to 20 h/day indoors. Older individuals may be particularly at risk for detrimental effects from pollutants, even at low concentrations, due to reduced immunological defenses and multiple underlying chronic diseases. This cross-sectional study explored environmental variables and buildings characteristics in 22 elderly care centers (ECC) out of a total of 58 institutions in Porto, Portugal.