Cross-cultural adaptation of the State and Trait Food Cravings Questionnaires ( FCQ-S and FCQ-T) into Portuguese

This study aimed to present the cross-cultural adaptation of the State and Trait Food Cravings Questionnaires (FCQ-S and FCQ-T) into Portuguese. Tools were translated and back-translated, field experts evaluated the conceptual, operational and item-based equivalence and a sample of students assessed tools, evaluating the level of understanding and analyzing internal consistency through Cronbach's coefficient. In addition, the semantic equivalence was assessed though the intraclass correlation coefficient between the bilingual scores in each question of both versions (English and Portuguese). Tools were considered easy to understand (experts scored 95.4% and 97% for the FCQ-T and FCQ-S, respectively, and 81.8% of students considered them easy to understand), and showed satisfactory internal consistency values (FCQ-T ranged from 0.6 to 0.8 and FCQ-S ranged from 0.5 to 0.8). From the cross-cultural adaptation process, the satisfactory results enable the recommendation of the Brazilian version of FCQs.Univ Sao Paulo, Dept Nutr, Fac Saude Publ, Av Dr Arnaldo 715, BR-01246904 Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Inst Saude & Soc, Sao Paulo, SP, BrazilUniv Sao Paulo, Escola Educ Fis & Esporte, Sao Paulo, SP, BrazilUniv Estadual Campinas, UNICAMP, Fac Ciencias Aplicadas, Limeira, SP, BrazilUniv Estadual Campinas, Fac Educ Fis, Campinas, SP, BrazilUniv Fed Sao Paulo, Inst Saude & Soc, Sao Paulo, SP, BrazilWeb of Scienc

Health and Wellness in Obesity: Paradox or Possibility?

The present manuscript briefly reports on the history of a community program aimed to provide non-pharmacological interventions to overweight women. Focus is given to the current format of the program, which presents a multidisciplinary health team able to providing full support to the obese woman who faces trouble to find the society's beauty standards. In our program, we propose a health and quality of life-oriented approach, without a focus on weight loss, following the philosophical principles from “Health at Every Size”. The quantitative and qualitative findings reveal that such approach is promising and may provide an alternative mode of intervention to the traditional one, which is focused on the concept of "weight loss at any cost". The advances on teaching, research and community services will be also addressed throughout the manuscript.O presente artigo relata, brevemente, a história de um curso comunitário destinado a oferecer intervenções não farmacológicas a mulheres com excesso de peso. Ênfase é dada ao formato atual do curso, que conta com equipe multidisciplinar na área de Saúde apta a oferecer suporte amplo à mulher obesa que encontra dificuldade para se enquadrar o padrão de beleza requerido pela sociedade. Em nosso curso, propomos um programa centrado na saúde e na qualidade de vida do indivíduo obeso, sem foco na perda de peso, de acordo com os princípios da filosofia “Health at Every Size”. Os resultados qualitativos preliminares indicam que tal abordagem é promissora, oferecendo aos profissionais de saúde uma alternativa à proposta vigente de "perda de peso a qualquer custo". Os avanços no ensino, na pesquisa e na extensão associados ao curso também são discutidos ao longo do artigo

Cross-cultural Adaptation Of The State And Trait Food Cravings Questionnaires (fcq-s And Fcq-t) Into Portuguese

Este estudo objetivou apresentar a adaptação transcultural dos Questionários de Desejos Intensos por Comida – Estado ou Traço (QDIC-E e QDIC-T) dos State and Trait Food-Cravings Questionnaires (FCQ-S and FCQ-T) para o Português. Fez-se a tradução e a retradução dos instrumentos, a avaliação da equivalência conceitual, operacional e de itens por especialistas da área e a avaliação dos instrumentos por uma amostra de universitários, por meio da avaliação do grau de compreensão e análise da consistência interna dos instrumentos pelo coeficiente Alpha de Cronbach. Ademais, fez-se a avaliação da equivalência semântica pelo coeficiente de correlação intraclasse entre os escores obtidos por bilíngues em cada questão das versões em inglês e português. Os instrumentos foram considerados de fácil compreensão (para os especialistas foi de 95,4% e 97%, para o QDIC-T e QDIC-E, respectivamente, e, para os universitários, 81,8% os consideraram de fácil compreensão), e demonstraram valores de consistência interna satisfatórios (QDIC-T: variaram de 0,6 a 0,8; QDIC-E: variaram de 0,5 a 0,8). A partir do processo de adaptação transcultural, os resultados satisfatórios possibilitam a recomendação da versão brasileira dos QDICs22240341

Does creatine supplementation improve the plasma lipid profile in healthy male subjects undergoing aerobic training?

Abstract\ud \ud \ud \ud \ud \ud We aimed to investigate the effects of creatine (Cr) supplementation on the plasma lipid profile in sedentary male subjects undergoing aerobic training.\ud \ud \ud \ud Methods\ud \ud Subjects (n = 22) were randomly divided into two groups and were allocated to receive treatment with either creatine monohydrate (CR) (~20 g·day-1 for one week followed by ~10 g·day-1 for a further eleven weeks) or placebo (PL) (dextrose) in a double blind fashion. All subjects undertook moderate intensity aerobic training during three 40-minute sessions per week, over 3 months. High-density lipoprotein cholesterol (HDL), low-density lipoprotein cholesterol (LDL), very low-density lipoprotein cholesterol (VLDL), total cholesterol (TC), triglyceride (TAG), fasting insulin and fasting glycemia were analyzed in plasma. Thereafter, the homeostasis model assessment (HOMA) was calculated. Tests were performed at baseline (Pre) and after four (Post 4), eight (Post 8) and twelve (Post 12) weeks.\ud \ud \ud \ud Results\ud \ud We observed main time effects in both groups for HDL (Post 4 versus Post 8; P = 0.01), TAG and VLDL (Pre versus Post 4 and Post 8; P = 0.02 and P = 0.01, respectively). However, no between group differences were noted in HDL, LDL, CT, VLDL and TAG. Additionally, fasting insulin, fasting glycemia and HOMA did not change significantly.\ud \ud \ud \ud Conclusion\ud \ud These findings suggest that Cr supplementation does not exert any additional effect on the improvement in the plasma lipid profile than aerobic training alone.We are grateful to Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP, 2003/140885) and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) for financial support.We are grateful to Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP, 2003/14088-5) and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) for financial support

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Fires enhance flammability in Ulex parviflorus

6 páginas, 2 figuras, 2 tablas.This work was financed by the VIRRA project (CGL2009-12048 ⁄ BOS) from the Spanish Government. G.A.A. is supported by a Juan de la Cierva scholarship (JDC 2009-5067; Spanish Government) and B.M. by an FCT grant (SFRH ⁄BD⁄ 41343 ⁄ 2007; Portuguese Government). CIDE is supported by the Spanish National Research Council (CSIC), Generalitat Valenciana and the University of Valencia. We thank R. Bossi (CEAM, GRACCIE project, CONSOLIDERINGENIO 2010), E. Beltran, S. Paula, J. Chofre and O. González-Pelayo for their collaboration in the field and laboratory work, M. C. Castellanos for comments on an early version of the manuscript, and Fundación Caja Castellón-Bancaja for permission to work in Barranc dels Horts (Ares del Maestrat).Peer reviewe