masterThesis
Fatores associados e relações entre o padrão sono, sonolência excessiva diurna e obesidade em amostra populacional da zona rural de Caicó - RN
Fecha
2021-07-27Registro en:
MORAES, Paulo Ranieri de Araújo. Fatores associados e relações entre o padrão sono, sonolência excessiva diurna e obesidade em amostra populacional da zona rural de Caicó - RN. 2021. 82f. Dissertação (Mestrado Profissional em Educação, Trabalho e Inovação em Medicina) - Escola Multicampi de Ciências Médicas do Rio Grande do Norte, Universidade Federal do Rio Grande do Norte, Natal, 2021.
Autor
Moraes, Paulo Ranieri de Araújo
Resumen
The sleep pattern and duration expressed in a population can predict health
conditions. There is evidence of urbanization promoting irregularity and sleep
deprivation, related to the increase of excessive daytime sleepiness (EDS) and
obesity in the world, although scarce literature describes such associations in rural
populations. This study evaluated the sleep pattern, occurrence of EDS, and selfreported obesity in a population sample from the rural area of Caicó in the state of
RN. Data collection was performed using the Sociodemographic and Munich
Questionnaires, with the addition of questions to assess naps; Epworth Sleepiness
Scale (ESS); weight, and height. The final sample had 306, distributed in nine rural
communities, with greatest prevalence of subjects over 51 years old (40%), female
(66%), with less than primary education (65.5%), with a partner (76.8%), with
income of less than three minimum wages (91%) and who did not directly practice
any rural activity (63.5%). Most respondents reported a sedentary lifestyle (58.4%),
having three meals a day (59.4%), non-smokers (88.1%) and non-alcoholics
(72.6%). The sleep pattern (Bed time: 9 pm; awakening: 5 am; approximate duration
of sleep: 8h/night) did not present variations between week days and weekends,
based on these data, a low rate and amplitude of social jet lag was observed. Based
on the chronotype classification for this sample, the predominance of morning
(34.4%) and intermediate (36.6%) chronotypes was observed. There was an
occurrence of EDS in 20% of the sample, concomitantly to the reporting of naps,
which lasted an average of 1h/day (73.8%). Self-reported overweight was observed
in 66.3% of the sample, with a significant association with age, marital status,
presence of at least one obese parent and chronotype. Thus, the study revealed
that the sociodemographic profile was similar to that of habitual users of the health
service in that area and that residents of the rural area of the semi-arid region
allocate the sleep episode in response to the environmental and sociocultural
factors experienced, such as geographic positioning, low urbanization, daytime
demand for rural labor, prevention of thermal exposure and solar irradiation. In
addition, the low variability in the expressed sleep pattern and the duration of sleep
per night, associated with the frequent habit of napping, suggest that this rural
population has a satisfactory amount of sleep, which could be associated with the
low prevalence of EDS. Finally, it is considered that revealing sociodemographic
and behavioral habits in association with sleep pattern, occurrence of EDS and
obesity in this sample population is of great importance for the construction of
actions that meet their health needs and for the formulation of strategies to the prevention of diseases.