Browsing by Author "Rodrigues, Ana Maria"
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- Challenges of ageing in Portugal: data from the EpiDoC CohortPublication . Rodrigues, Ana Maria; Gregório, Maria João; Sousa, Rute Dinis; Dias, Sara Simões; Santos, Maria José; Mendes, Jorge M.; Coelho, Pedro Simões; Branco, Jaime C.; Canhão, HelenaPortuguese adults have a long lifespan, but it is unclear whether they live a healthy life in their final years. We aimed to determine the prevalence of multimorbidity and characterize lifestyle and other health outcomes among older Portuguese adults.
- Cohort Profile: The Epidemiology of Chronic Diseases Cohort (EpiDoC)Publication . Rodrigues, Ana Maria; Gregório, Maria João; Sousa, Rute Dinis de; Branco, Jaime Cunha; Canhão, Helena; Dias, Sara
- Common evaluations of disease activity in rheumatoid arthritis reach discordant classifications across different populationsPublication . Canhão, Helena; Rodrigues, Ana Maria; Gregório, Maria João; Dias, Sara Simões; Melo Gomes, José António; Santos, Maria José; Faustino, Augusto; Costa, José António; Allaart, Cornelia; Gvozdenović, Emilia; van der Heijde, Desirée; Machado, Pedro; Branco, Jaime C.; Fonseca, João Eurico; Silva, José AntónioThe classification of disease activity states in rheumatoid arthritis (RA) can be achieved through disease activity indices, such as the Disease Activity Score in 28 joints erythrocyte sedimentation rate (DAS28-ESR), the Simplified Disease Activity Index (SDAI), and the Clinical Disease Activity Index (CDAI). Subjective measurements, such as patient reported outcomes have been incorporated into several of these indices alongside more objective assessments, such as increases in the ESR and C-reactive protein. Moreover, while they use similar criteria, different indices weight these criteria to different extents. Therefore, the classifications based on each evaluation may not always be the same. We aim to compare the performance of the three indices and their individual components in two different populations.
- Obesity- attributable costs of absenteeism among working adults in PortugalPublication . Destri, Kelli; Alves, Joana; Gregório, Maria João; Dias, Sara Simões; Henriques, Ana Rita; Mendonça, Nuno; Canhao, Helena; Rodrigues, Ana MariaBackground: Obesity leads to poor health outcomes and may adversely afect work productivity. This study, aimed to investigate the obesity- attributable costs of absenteeism among working adults in Portugal. Methods: The study population included individuals actively working at baseline from the Epidemiology of Chronic Diseases Cohort (EpiDoC), a large Portuguese population-based prospective study. Body mass index was measured at baseline and in two follow-up interviews. Absenteeism in each wave of the EpiDoC was assessed by the question “Did you have a sick leave in the previous 12 months? yes/no”, followed by “How many days did you miss work due to sickness in the previous twelve months?”. Body mass index (BMI) was classifed into underweight, normal weight, overweight, and obese, based on the standard World Health Organization defnition. Association between obesity and absenteeism was estimated with the negative binomial regression model adjusted for BMI, chronic diseases, and lifestyle. Obesity- attributable costs were calculated using lost gross income during the time absent from work, through the human-capital approach. Results: The EpiDoC included 4338 working adults at baseline. Of these, 15.2% were obese at the beginning of the study and 22.7% of the population had been absent from work in the last 12 months. Participants with obesity missed 66% more days at work (IRR: 1.66; CI 95%:1.13–2.44; (p=0.009.) than those with normal weight. The odds of having been absent from work were 1.4 times higher in obese compared to non-obese individuals (CI 95%: 1.18–1.67; p<0.01) adjusted to sex and type of work. Obese individuals missed 3.8 more days per year than those with normal weight (95%CI: 3.1–4.5). Extrapolating to the entire Portuguese working population, absenteeism due to obesity incurred an additional cost of €238 million per year. Conclusion: Obesity imposes a fnancial burden due to absenteeism in Portugal. Employers and national health regulators should seek efective ways to reduce these costs.
- Quality of life in adults living in the community with previous self-reported myocardial infarctionPublication . Timóteo, Ana Teresa; Dias, Sara Simões; Rodrigues, Ana Maria; Gregório, Maria João; Sousa, Rute Dinis; Canhão, HelenaQuality of life (QoL) is one of the most important patient-reported outcomes in chronic diseases. Using a population-based cohort, our objective was to assess health-related QoL in individuals with a previous myocardial infarction (MI).
- Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based studyPublication . Reis, Cátia; Dias, Sara Simões; Rodrigues, Ana Maria; Sousa, Rute Dinis; Gregório, Maria João; Branco, Jaime; Canhão, Helena; Paiva, TeresaAdequate sleep is essential for health. Both, short and long sleep durations are associated to worse quality of life and poor health outcomes. Portugal represents a specific population model, since according to European statistics it has high rates of chronic diseases like depression, hypertension, diabetes and stroke; and low quality of life as well as low index of physical activity, while in parallel it has some other good health indicators such as: low age-standardized mortality for both genders, nutrition in terms of energy and fruit consumption, smoking and alcohol, obesity and overweight prevalence. The aim of this study was to characterize health and chronic diseases, lifestyles and quality of life in subjects with short and long sleep duration.