Association between Central Obesity and Biochemical Markers of Cardiometabolic Risk in Elderly Attended in Geriatric Ambulatory - Lagarto/SE

Abstract Backgroud: Central obesity, especially visceral adipose tissue (VAT), represents a health risk due to its endocrine and metabolic capacity, contributing to the development of the atherogenic profile and strongly associating with cardiovascular morbimortality. Objective: To identify the association between central obesity and biochemical markers of cardiometabolic risk in elderly patients treated at a geriatric outpatient clinic in Lagarto-SE. Method: This is a cross-sectional study of 159 elderly people of both sexes. Central adiposity was considered an independent variable, identified by measuring the Waist Circumference (WC). Total Cholesterol (TC), LDL-c, HDL-c, non-HDL-c, triglycerides, glycemia and Castelli I and II indices were considered dependent variables. Pearson's chi-square test was used to evaluate the association between central obesity and biochemical markers of cardiometabolic risk. Those with p < 0.20 were used in the bivariate regression analysis, adopting a 95% confidence interval. Results: Mean age was 70.9 ± 7.5 years. Central obesity was present in 43.2% of males and 56.8% of females (p = 0.002). There was statistically significant association between HDL-c, HDL-C and Castelli I Index and central obesity. Individuals with central obesity are 2.48 and 3.13 times more likely to develop changes in HDL-C and Castelli I index, respectively. Conclusion: There is an association between central obesity and biochemical markers of cardiometabolic risk in the elderly.

Literacy practices with six-year-olds in elementary school: different strategies, different conceptions / Práticas de alfabetização com crianças de seis anos no ensino fundamental: diferentes estratégias, diferentes concepções

RESUMO: Este artigo tem o objetivo de apresentar e discutir duas práticas de alfabetização com crianças de seis anos, no contexto da ampliação do tempo no Ensino Fundamental. A perspectiva etnográfica dos Novos Estudos do Letramento configurou-se como principal aporte teórico metodológico. Questionando-nos sobre qual seria o ponto de partida escolhido pelas docentes para o ensino da leitura e da escrita, vislumbramos duas práticas distintas de alfabetização: uma, cujo ponto de partida para a construção dos eventos de letramento era uma determinada letra do alfabeto; e outra, que teve predominantemente o texto e o contexto como disparadores desse processo.

ABSTRACT: This article aims to present and discuss two literacy practices with children six years old in the context of the extension of the time in elementary school. The ethnographic perspective of the New Literacy Studies was configured as main methodological and theoretical support. Questioning about what was the starting point chosen by teachers for teaching reading and writing we contrasted two different literacy practices: one, whose starting point for the construction of literacy events was each letter of the alphabet; and another, who had predominantly text and context as triggers this process.