<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532020000200051</article-id>
<article-id pub-id-type="doi">10.31252/rpso.12.09.2020</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[QUANDO SUSPEITAR DE SÍNDROME METABÓLICA NO EXAME FÍSICO E QUAL A RELEVÂNCIA PARA A SAÚDE OCUPACIONAL?]]></article-title>
<article-title xml:lang="en"><![CDATA[WHEN TO SUSPECT METABOLIC SYNDROME AT PHYSICAL EXAMINATION AND WHAT IS THE RELEVANCE TO OCCUPATIONAL HEALTH?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Vila Nova de Gaia  ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>31</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>10</volume>
<fpage>51</fpage>
<lpage>76</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532020000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532020000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532020000200051&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução/ enquadramento/ objetivo Num mundo ocidental marcado por uma elevada prevalência de alterações relacionadas com síndrome metabólica (obesidade, doenças cardiovasculares, diabetes mellitus tipo 2, hipertensão arterial, dislipidemias), torna-se essencial saber onde procurar sinais de forma precoce. Nas empresas, é comum encontrar trabalhadores com os múltiplos fatores de risco que a caracterizam, sendo que o ambiente e a organização do trabalho podem participar na patogénese (como escolhas alimentares desadequadas nas cantinas, bares ou máquinas de vending, organização do trabalho e stress, ou trabalho por turnos e seu impacto no ritmo circadiano). As suas consequências levarão a mais Certificados de Incapacidade Temporária por doença, mais acidentes de trabalho e mais perda de produtividade para as Empresas. Por isso, nos serviços de Saúde Ocupacional, poderá existir outro caminho que investa na promoção da saúde e do bem-estar, além da prevenção direta de doenças profissionais e acidentes de trabalho, analisando o trabalhador num ponto de vista global, em toda a sua definição de Saúde, e atuando em sinergia com os Cuidados de Saúde Primários. O principal objetivo deste trabalho consiste na elaboração de uma revisão de manifestações cutâneas que possam fornecer pistas no exame físico, tendo como maior foco a síndrome metabólica.  Metodologia Trata-se de uma Scoping Review, iniciada através de uma pesquisa realizada nas bases de dados EBSCO (CINAHL, MEDLINE, Nursing &amp; Allied Health Collection: Comprehensive, Cochrane Database, MedicLatina), PUBMED e RCAAP, durante os meses de Junho e Julho de 2020. As palavras-chave utilizadas foram: &#8220;Manifestações cutâneas&#8221;, &#8220;Sinais na pele&#8221;, &#8220;Resistência à insulina&#8221;, &#8220;Síndrome metabólica&#8221;, bem como as suas traduções em inglês (Skin manifestations, Insulin resistance, Skin signs, Metabolic syndrome).  Resultados Foram encontrados vários sinais sugestivos de Síndrome Metabólica ou resistência à insulina, nomeadamente acanthosis nigricans, acrocórdons, xantelasmas, xantomas eruptivos, prega lobular auricular diagonal, alopécia androgenética, algumas manifestações de carácter inflamatório (acne, hidradenite supurativa) e autoimune (psoríase, vitiligo).  Conclusões É fundamental o incentivo a mudanças de estilo de vida que atenuem/ eliminem a Síndrome Metabólica. Capacitar ou relembrar os profissionais das técnicas de avaliação não invasivas de reconhecimento de sinais, pode contribuir para auxiliar a equipa a detetar manifestações metabólicas, simplesmente olhando para a pele de quem cuidam. Esta abordagem pode ser uma mais-valia nos serviços de Saúde Ocupacional, que se encontram na vanguarda do acompanhamento de adultos, e cujo curso da doença poderá ser controlado ou mesmo revertido, com diagnóstico e intervenção precoce. De facto, analisar o trabalhador em toda a sua definição de saúde (agregando a Medicina/ Enfermagem Preventiva à Curativa) e atuando em sinergia com os Cuidados de Saúde Primários, acabará por influenciar positivamente a produtividade das empresas (ao prevenir baixas médicas por doença, ou até mesmo em reduzir acidentes de trabalho).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction / background / objective In a western world marked by a high prevalence of metabolic changes related to metabolic syndrome (obesity, cardiovascular diseases, type 2 diabetes mellitus, high blood pressure, dyslipidemia), it is essential to know where to look and recognize early signs. In companies, it is common to find workers with various risk factors that characterize metabolic syndrome since the environment and work organization can have an influence (such as inappropriate food choices in cafeteria or vending machines, work organization and stress, or shift work and its impact on circadian rhythm). Its consequences will cause more illnesses, more work accidents and bigger losses for companies. Therefore, in occupational health services, there is another way to invest in the development of health and well-being, in addition to the direct prevention of occupational diseases and accidents at work, by analyzing the worker from a global point of view throughout his life, and acting in synergy with Primary Health Care. The main objective of this work is to elaborate a review of the cutaneous manifestations that can provide clues during the physical exam, having as main focus the metabolic syndrome.  Methodology It is a Scoping Review, carried out in the EBSCO databases (CINAHL, MEDLINE, Nursing &amp; Allied Health Collection: Comprehensive, Cochrane Database, MedicLatina), PUBMED and RCAAP, in the period of June 2020. The keywords used were: &#8220;Skin manifestations&#8221;, &#8220;Signs on the skin&#8221;, &#8220;Insulin resistance&#8221;, &#8220;Metabolic syndrome&#8221;.  Results Several signs suggestive of metabolic syndrome or insulin resistance were found, namely acanthosis nigricans, acrochordons/skin tags, xanthelasmas, eruptive xanthomas, diagonal earlobe crease/ Frank&#8217;s sign, some inflammatory skin manifestations (acne, hidradenitis suppurativa) and autoimmune (psoriasis, vitiligo).  Conclusions It is essential to encourage lifestyle changes that address Metabolic Syndrome. Empowering or reminding professionals of non-invasive assessment techniques for signals recognition, can contribute to helping the team to detect metabolic manifestations early, simply by looking at the skin of those they care for. This approach can be an asset in occupational health services, which are at the forefront of monitoring adults, and whose disease course can be controlled or even reversed with early diagnosis and intervention. In fact, analyzing the worker in his entire definition of health (adding Preventive to Curative Medicine/ Nursing) and working in synergy with Primary Health Care, will end up influencing the productivity of companies (by avoiding sick leave due to illness, or even reducing work accidents).]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Manifestações cutâneas]]></kwd>
<kwd lng="pt"><![CDATA[Resistência à insulina]]></kwd>
<kwd lng="pt"><![CDATA[Sinais pele]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome metabólica]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Ocupacional]]></kwd>
<kwd lng="en"><![CDATA[Skin manifestations]]></kwd>
<kwd lng="en"><![CDATA[Insulin resistance]]></kwd>
<kwd lng="en"><![CDATA[Skin signs]]></kwd>
<kwd lng="en"><![CDATA[metabolic syndrome]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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