Browsing by Author "Silva, Sofia"
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- Association between Elevated Iodine Intake and IQ among School Children in PortugalPublication . Carvalho, Irene P.; Peixoto, Bruno; Caldas, José Carlos; Costa, Ana; Silva, Sofia; Moreira, Bárbara; Almeida, Agostinho; Moreira-Rosário, André; Guerra, António; Delerue-Matos, Cristina; Sintra, Diana; Pestana, Diogo; Pinto, Edgar; Mendes, Francisca Castro; Martins, Inês; Leite, João Costa; Fontoura, Manuel; Maia, Maria Luz; Queirós, Pedro; Moreira, Roxana; Leal, Sandra; Norberto, Sónia; Costa, Vera; Fernandes, Virgínia Cruz; Keating, Elisa; Azevedo, Luís; Calhau, ConceiçãoThe goal of this work was to examine whether elevated iodine intake was associated with adverse effects on IQ among school-age children in Portugal. In a representative sample of children from the north of the country, IQ percentiles by age (assessed with Raven’s Colored Progressive Matrices) were dichotomized to <50 (“below-average” IQs) and ≥50. Morning urine iodine concentrations, corrected for creatinine, were dichotomized to <250 µg/g and ≥250 µg/g, according to the European Commission/Scientific Committee on Food’s tolerable upper level of daily iodine intake for young children. Data were examined with Chi-square tests, logistic regression, and GLM univariate analysis. The sample (N = 1965) was classified as generally iodine-adequate (median urinary iodine concentration = 129 µg/L; median iodine-to-creatinine ratio = 126 µg/g) according to the WHO’s criteria. A greater proportion of children in the ≥250 µg/g group had below-average IQs, compared to children with less than 250 µg/g (p = 0.037), despite a sizable (though non-significant) proportion of children in the less-than-250 µg/g group also presenting below-average IQs, at the bottom of the iodine distribution (<50 µg/g). The proportion of below-average IQs increased with increasingly elevated iodine concentrations (p = 0.047). The association remained significant after the adjustment for confounders, with the elevated iodine group showing increased odds of having below-average IQs when compared with the non-elevated iodine group (OR 1.55; 95% CI 1.11–2.17; p = 0.011). Consistently, the former group presented a lower mean IQ than the latter (p = 0.006). High iodine intake was associated with lower IQs even in a population classified as iodine-adequate. These results bear on child cognition and on initiatives involving iodine supplementation
- Association between elevated iodine intake and IQ among school children in PortugalPublication . Carvalho, Irene P.; Peixoto, Bruno; Caldas, José Carlos; Costa, Ana; Silva, Sofia; Moreira, Bárbara; Almeida, Agostinho; Moreira-Rosário, André; Guerra, António; Delerue-Matos, Cristina; Sintra, Diana; Pestana, Diogo; Pinto, Edgar; Mendes, Francisca Castro; Martins, Inês; Leite, João Costa; Fontoura, Manuel; Maia, Maria Luz; Queirós, Pedro; Moreira, Roxana; Leal, Sandra; Norberto, Sónia; Costa, Vera; Fernandes, Virgínia Cruz; Keating, Elisa; Azevedo, Luís; Calhau, ConceiçãoThe goal of this work was to examine whether elevated iodine intake was associated with adverse effects on IQ among school-age children in Portugal. In a representative sample of children from the north of the country, IQ percentiles by age (assessed with Raven’s Colored Progressive Matrices) were dichotomized to <50 (“below-average” IQs) and ≥50. Morning urine iodine concentrations, corrected for creatinine, were dichotomized to <250 µg/g and ≥250 µg/g, according to the European Commission/Scientific Committee on Food’s tolerable upper level of daily iodine intake for young children. Data were examined with Chi-square tests, logistic regression, and GLM univariate analysis. The sample (N = 1965) was classified as generally iodine-adequate (median urinary iodine concentration = 129 µg/L; median iodine-to-creatinine ratio = 126 µg/g) according to the WHO’s criteria. A greater proportion of children in the ≥250 µg/g group had below-average IQs, compared to children with less than 250 µg/g (p = 0.037), despite a sizable (though non-significant) proportion of children in the less-than-250 µg/g group also presenting below-average IQs, at the bottom of the iodine distribution (<50 µg/g). The proportion of below-average IQs increased withncreasingly elevated iodine concentrations (p = .047). The association remained significant after the adjustment for confounders, with the elevated iodine group showing increased odds of having below-average IQs when compared with the non-elevated iodine group (OR 1.55; 95% CI 1.11–2.17; p = 0.011). Consistently, the former group presented a lower mean IQ than the latter (p = 0.006). High iodine intake was associated with lower IQs even in a population classified as iodine-adequate. These results bear on child cognition and on initiatives involving iodine supplementation.
- Iodine Status and Iodised Salt Consumption in Portuguese School-Aged Children: The Iogeneration StudyPublication . Leite, João Costa; Keating, Elisa; Pestana, Diogo; Fernandes, Virgínia; Maia, Maria; Norberto, Sónia; Pinto, Edgar; Moreira-Rosário, André; Sintra, Diana; Moreira, Bárbara; Costa, Ana; Silva, Sofia; Costa, Vera; Martins, Inês; Mendes, Francisca Castro; Queirós, Pedro; Peixoto, Bruno; Caldas, José Carlos; Guerra, António; Fontoura, Manuel; Leal, Sandra; Moreira, Roxana; Carvalho, Irene Palmares; Lima, Rui Matias; Martins, Catia; Delerue-Matos, Cristina; Almeida, Agostinho; Azevedo, Luís; Calhau, ConceiçãoThe World Health Organization promotes salt iodisation to control iodine deficiency. In Portugal, the use of iodised salt in school canteens has been mandatory since 2013. The present study aimed to evaluate iodine status in school-aged children (6-12 years) and to monitor the use of iodised salt in school canteens. A total of 2018 participants were randomly selected to participate in a cross-sectional survey in northern Portugal. Children's urine and salt samples from households and school canteens were collected. A lifestyle questionnaire was completed by parents to assess children's eating frequency of iodine food sources. Urinary iodine concentration (UIC) was measured by inductively coupled plasma-mass spectrometry. The median UIC was 129 µg/L which indicates the adequacy of iodine status and 32% of the children had UIC < 100 µg/L. No school canteen implemented the iodised salt policy and only 2% of the households were using iodised salt. Lower consumption of milk, but not fish, was associated with a higher risk of iodine deficiency. Estimation of sodium intake from spot urine samples could be an opportunity for adequate monitoring of population means. Implementation of iodine deficiency control policies should include a monitoring program aligned with the commitment of reducing the population salt intake.
- Maintaining the cold chain in the distribution of vaccines in Matosinhos’ Local Health UnitPublication . Silva, Rita Pilar; Folha, Dália; Santos, Ana Maria; Silva, SofiaThe Pharmaceutical Services of the Matosinhos’ Local Health Unit (ULSM, EPE) are in charge for the storage, distribution and transportation of vaccines for Health Services in Matosinhos, in order to fulfill the Portuguese Immunization Schedule (PIS) for the children of the county. Vaccines comprising the PIS were approved because of their quality, efficacy and safety; but it depends on how those are transported, stored and managed.
- Representações e Perceções de um Grupo de Profissionais sobre a medida de Regulação das Responsabilidades ParentaisPublication . Silva, Dora Gisela; Silva, Sofia; Serrão, CarlaO divórcio é considerado uma interrupção no tradicional ciclo de vida familiar. Quando este acontece num sistema familiar que envolve diferentes subsistemas – conjugal e parental –, exige dos adultos a capacidade de “manter os papéis sociais e sexuais inteiramente separados, enquanto continuam cooperando como pais para o bem dos filhos” (Wallerstein & Kelly, 1998, p. 349). Ora, nem sempre isto acontece e sendo o divórcio um evento complexo que integra uma série de mudanças legais, psicossociais e económicas entrecruzadas e que se estendem ao longo do tempo, é perfeitamente compreensível as dificuldades que pais e mães mostram neste processo. É fruto desta cadeia de mudanças que os conflitos se amplificam e quando não há acordo entre os pais quanto à regulação das responsabilidades parentais, a Assessoria Técnica de Apoio aos Tribunais é chamada a intervir na tomada de decisão. É neste cenário que surge a motivação em elaborar este estudo que tem como objetivo conhecer as representações sociais e perceções de um grupo de profissionais quanto à regulação das responsabilidades parentais, no que diz respeito à residência habitual do menor com regime de visitas alargado. Para a concretização deste objetivo foi desenvolvida uma entrevista de grupo com a participação de nove profissionais que exercem a sua atividade no âmbito da Assessoria Técnica aos Tribunais. Os dados revelam que os participantes consideram que a residência habitual com regime de visitas alargado é o modelo que melhor asseguram o bem-estar dos menores e a coparentalidade entre progenitores, assegurando, assim, o interesse superior da criança.