Estado antropométrico de pacientes pediátricos com doença inflamatória intestinal

Introdução: a Doença Inflamatória Intestinal (DII) é decorrente de vários fatores que provocam alteração na homeostase do microbioma na resposta imune e no aumento da permeabilidade intestinal. O estado nutricional inadequado, principalmente em pacientes pediátricos com DII, representa prognóstico ruim e pode influenciar na resposta ao tratamento, à morbidade e à mortalidade. Objetivo: esse estudo teve objetivo de caracterizar o estado antropométrico de pacientes pediátricos atendidos em um ambulatório referência para DII. Metodologia: a amostra foi constituída por pacientes atendidos em primeira consulta no ambulatório, de junho de 2020 até fevereiro de 2021. Foram incluídos pacientes com diagnóstico clínico de Doença de Cronh e Colite Ulcerativa, de ambos sexos, com idade entre 2 a 19 anos. Resultados: dos pacientes com CU, 54,7% apresentaram adequado estado nutricional e 45,3% dos pacientes com DC. O percentual de déficit de massa muscular foi de 47,6% dos pacientes com CU e 52,4% dos pacientes com DC.A baixa estatura foi de 37,5% nos pacientes com CU e 62,5% com DC. Conclusão: a avaliação nutricional de crianças e adolescentes portadores de doenças inflamatórias intestinais deve fazer parte da rotina de atendimento, para que sejam promovidas práticas alimentares saudáveis que favoreçam o crescimento, recuperação ponderal e manutenção de massa muscula

Exposição a dieta hiperlipídica no período perinatal e pós desmame aumenta risco cardiometabólico e altera histomorfometria aórtica em ratos jovens

Introdução: Estudos sugerem forte associação da exposição intrauterina e pós-natal a dietas hiperlipídicas e complicações cardiovasculares. Objetivo: avaliar efeitos da exposição a dieta hiperlipídica no período perinatal e pós desmame sobre indicadores de risco cardiometabólico e alterações histomorfometrica aórtica em ratos. Metodologia: Ratas Wistar gestantes foram separadas em grupos: controle (n=3) e hiperlipídica (n=3). No 21º dia descendentes foram divididos em subgrupos (n=6) de acordo com a manipulação nutricional: grupo (CC) formado por animais que consumiram dieta controle, grupo (CH) formado por animais que a mãe consumiu dieta controle e após o desmame os descendentes consumiram dieta hiperlipídica, grupo (HH) formado por descendentes que consumiram apenas dieta hiperlipídica  e grupo (HC) formado por animais que a mãe consumiu dieta hiperlipídica e após o desmame os descendentes consumiram dieta controle. No 60º dia índices aterogênicos, proteína C reativa e histomorfometria da aorta dos descendentes foram avaliados. Resultados: Grupo CH apresentou maior razão colesterol total / HDL-colesterol e colesterol não-HDL / HDL-colesterol (coeficiente aterogênico) em comparação ao grupo CC (p < 0,01). Espessura da aorta dos grupos CH e HH foram maiores que CC e HC (p < 0,01). As lamelas elásticas do grupo HH apresentaram maior espessura em comparação a HC e CC (p < 0,001). A quantidade de lamelas elásticas foi maior nos grupos CH e HH em comparação a CC e HC (p < 0, 01). Conclusão: exposição a dieta hiperlipídica nos períodos perinatal e pós desmame aumentou o risco cardiometabólico e alterou a histomorfometria aórtica em ratos

Reduction of relative handgrip strength and cardiometabolic risk in individuals with HIV/AIDS

Abstract INTRODUCTION: Low handgrip strength (HS) is associated with cardiometabolic alterations that have affected people with HIV/AIDS. METHODS: This was a cross-sectional study performed in adults receiving antiretroviral treatment. HS was evaluated using a dynamometer and divided by body weight to obtain the relative strength. The association between relative HS and overweight, increased waist circumference (WC), high body fat percentage, glycemia, and lipid ratios were assessed using logistic regression. RESULTS: Low relative HS was identified in 35% of participants and associated with increased WC (odds ratio = 9.7; 95% confidence interval = 2.8-33.0). CONCLUSIONS: The prevalence of low HS was high and associated with increased WC

Indicadores antropométricos na predição de síndrome metabólica em crianças e adolescentes: um estudo de base populacional

Objetivos: avaliar a capacidade dos indicadores antropométricos e pontos de corte na predição da síndrome metabólica (SM) em crianças e adolescentes. Métodos: estudo transversal, envolvendo amostra probabilística de 879 crianças e adolescentes de ambos os sexos. Dados metabólicos, antropométricos e sociodemográficos foram coletados. Para diagnóstico da SM, foi utilizada a definição modificada do National Cholesterol Education Program's Adult Treatment Panel III (NCEP-ATP III). A capacidade dos indicadores antropométricos na predição do SM foi avaliada por meio da curva Receiver Operating Characteristic (ROC). Resultados: a prevalência de SM foi de 6,6%. Na predição da SM, a área sob a curva ROC foi de 0,79 (0,72; 0,85) para índice de massa corporal (IMC), de 0,79 (0,73; 0,85) para circunferência da cintura (CC) e de 0,83 (0,78; 0,89) para circunferência da cintura corrigida pela estatura (RCE). O ponto de corte identificado para RCE na predição da SM foi de 0,448 (ambos os gêneros). Conclusões: todos os indicadores antropométricos utilizados, com pequena superioridade da RCE, foram bons preditores da SM. O ponto de corte identificado para RCE na predição da SM aproxima-se daquele proposto por alguns autores como universal. Sugere-se o uso deste índice dado a sua simples operacionalidade em estudos clínicos e epidemiológicos como preditor da SM

Public Health Nutr.

Objective: To assess the association between physical intimate partner violence and household food security within households with schoolchildren. Design: Cross-sectional study. Setting: Salvador, Bahia, north-eastern Brazil. Subjects: The study was conducted in 1019 households with students. Violence between couples was evaluated using the Portuguese version of the revised Conflict Tactics Scales (CTS2), previously adapted and validated for use in Brazil. The Brazilian Food Insecurity Scale (BFIS) was used to identify food insecurity. We also obtained socio-economic information for each participant. We used multivariate Poisson regression to assess the associations of interest. Results: According to the results of the BFIS, 62·5% of the households were found to experience food insecurity, including 19·5% moderate food insecurity and 6·5% severe food insecurity. The prevalence of minor physical violence was 9·6% (95% CI 7·8, 11·4%) and of severe physical violence was 4·7% (95% CI 3·4, 6·0%) among the couples. In the final multivariate model, it was found that couples reporting minor (prevalence ratio=1·23; 95% CI 1·12, 1·35) and severe (prevalence ratio=1·16; 95 % CI 1·00, 1·34) physical violence were more likely to be experiencing household food insecurity, compared with those not reporting physical violence. Conclusions: Physical intimate partner violence was associated with food insecurity of households. The present study brings new data to the subject of the role of violence in the context of food insecurity.Wallingfor

Insatisfação com a imagem corporal e padrões alimentares de acordo com o estado nutricional em adolescentes

Objective: There is a lack of data on the association between body self-perception and eating patterns in Brazil. Thus, this study aimed to explore the relationship between body image dissatisfaction and eating patterns by the anthropometric status in adolescents. Methods: A cross-sectional study of 1496 adolescents was conducted. The participants completed the Body Shape Questionnaire. Demographic, anthropometric, and socioeconomic data were collected, as well as information regarding the pubertal development and dietary intake. Logistic regression was performed to evaluate the associations of interest. Results: Body image dissatisfaction was identified in 19.5% of the adolescents. Three dietary patterns were identified: (1) the Western pattern was composed of sweets and sugars, soft drinks, typical dishes, pastries, fast food, beef, milk, and dairy products; (2) the Traditional pattern was composed of oils, chicken, fish, eggs, processed meat products, cereals (rice, cassava flour, pasta, etc.), baked beans, and bread; and (3) the Restrictive pattern was composed of granola, roots, vegetables, and fruit. Among overweight/obese adolescents, the data indicated a negative association of slight body image dissatisfaction (OR: 0.240 [0.100; 0.576]) and moderate body image dissatisfaction (OR: 0.235 [0.086; 0.645]) with the Western dietary pattern. Additionally, in this group, there was a positive association between high body image dissatisfaction and the Restrictive pattern (OR: 2.794 [1.178; 6.630]). Conclusion: Amongst overweight/obese adolescents, those with slight and moderate body image dissatisfaction were less likely to follow a Western-like dietary pattern when compared with those satisfied with their body image. Additionally, in this group, adolescents with high body image dissatisfaction was more likely to follow a restrictive pattern.Objetivo: Há poucos dados sobre a associação entre autopercepção corporal e padrões alimentares no Brasil. Assim, este estudo teve como objetivo explorar a relação entre insatisfação com a imagem corporal (IIC) e padrões alimentares de acordo com o estado antropométrico em adolescentes. Métodos: Um estudo transversal com 1.496 adolescentes foi conduzido. Os participantes preencheram o Questionário de Imagem Corporal. Dados demográficos, antropométricos e socioeconômicos foram coletados, bem como informações relacionadas ao desenvolvimento puberal e ao consumo alimentar. Foi realizada uma regressão logística para avaliar as associações de interesse. Resultados: A IIC foi identificada em 19,5% dos adolescentes. Três padrões alimentares foram identificados: (1) O padrão Ocidental, composto de doces e açúcares, refrigerantes, pratos típicos, artigos de pastelaria, fast food, carne bovina, leite e laticínios, (2) o padrão Tradicional, composto de óleos, frango, peixe, ovos, produtos de carne processada, cereais (arroz, farinha de mandioca, massas, etc.), feijão cozido e pão e (3) o padrão Restritivo, composto de granola, raízes, verduras e frutas. Entre adolescentes acima do peso/obesos, os dados indicaram uma associação negativa entre IIC leve [RC = 0,240 (0,100; 0,576)] e IIC moderada [RC = 0,235 (0,086; 0,645)] e padrões alimentares Ocidentais. Além disso, nesse grupo, houve uma associação positiva entre a IIC grave e o padrão Restritivo [RC = 2,794 (1,178; 6,630)]. Conclusão: Entre adolescentes acima do peso/obesos, aqueles com IIC (leve e moderada) apresentaram menor probabilidade de seguir um padrão alimentar Ocidental em comparação aos satisfeitos com sua imagem corporal. Além disso, nesse grupo, adolescentes com IIC grave apresentaram maior probabilidade de seguir um padrão Restritivo.Fundação de Amparo à Pesquisa do Estado da Bahia (Fapesb)- Projeto nº 7638/2009

Insatisfação com a imagem corporal e padrões alimentares de acordo com o estado nutricional em adolescentes

Objective: There is a lack of data on the association between body self-perception and eating patterns in Brazil. Thus, this study aimed to explore the relationship between body image dissatisfaction and eating patterns by the anthropometric status in adolescents. Methods: A cross-sectional study of 1496 adolescents was conducted. The participants completed the Body Shape Questionnaire. Demographic, anthropometric, and socioeconomic data were collected, as well as information regarding the pubertal development and dietary intake. Logistic regression was performed to evaluate the associations of interest. Results: Body image dissatisfaction was identified in 19.5% of the adolescents. Three dietary patterns were identified: (1) the Western pattern was composed of sweets and sugars, soft drinks, typical dishes, pastries, fast food, beef, milk, and dairy products; (2) the Traditional pattern was composed of oils, chicken, fish, eggs, processed meat products, cereals (rice, cassava flour, pasta, etc.), baked beans, and bread; and (3) the Restrictive pattern was composed of granola, roots, vegetables, and fruit. Among overweight/obese adolescents, the data indicated a negative association of slight body image dissatisfaction (OR: 0.240 [0.100; 0.576]) and moderate body image dissatisfaction (OR: 0.235 [0.086; 0.645]) with the Western dietary pattern. Additionally, in this group, there was a positive association between high body image dissatisfaction and the Restrictive pattern (OR: 2.794 [1.178; 6.630]). Conclusion: Amongst overweight/obese adolescents, those with slight and moderate body image dissatisfaction were less likely to follow a Western-like dietary pattern when compared with those satisfied with their body image. Additionally, in this group, adolescents with high body image dissatisfaction was more likely to follow a restrictive pattern.Objetivo: Há poucos dados sobre a associação entre autopercepção corporal e padrões alimentares no Brasil. Assim, este estudo teve como objetivo explorar a relação entre insatisfação com a imagem corporal (IIC) e padrões alimentares de acordo com o estado antropométrico em adolescentes. Métodos: Um estudo transversal com 1.496 adolescentes foi conduzido. Os participantes preencheram o Questionário de Imagem Corporal. Dados demográficos, antropométricos e socioeconômicos foram coletados, bem como informações relacionadas ao desenvolvimento puberal e ao consumo alimentar. Foi realizada uma regressão logística para avaliar as associações de interesse. Resultados: A IIC foi identificada em 19,5% dos adolescentes. Três padrões alimentares foram identificados: (1) O padrão Ocidental, composto de doces e açúcares, refrigerantes, pratos típicos, artigos de pastelaria, fast food, carne bovina, leite e laticínios, (2) o padrão Tradicional, composto de óleos, frango, peixe, ovos, produtos de carne processada, cereais (arroz, farinha de mandioca, massas, etc.), feijão cozido e pão e (3) o padrão Restritivo, composto de granola, raízes, verduras e frutas. Entre adolescentes acima do peso/obesos, os dados indicaram uma associação negativa entre IIC leve [RC = 0,240 (0,100; 0,576)] e IIC moderada [RC = 0,235 (0,086; 0,645)] e padrões alimentares Ocidentais. Além disso, nesse grupo, houve uma associação positiva entre a IIC grave e o padrão Restritivo [RC = 2,794 (1,178; 6,630)]. Conclusão: Entre adolescentes acima do peso/obesos, aqueles com IIC (leve e moderada) apresentaram menor probabilidade de seguir um padrão alimentar Ocidental em comparação aos satisfeitos com sua imagem corporal. Além disso, nesse grupo, adolescentes com IIC grave apresentaram maior probabilidade de seguir um padrão Restritivo.Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB)- Project No. 7638/2009

Body image dissatisfaction and dietary patterns according to nutritional status in adolescents

Objective: There is a lack of data on the association between body self-perception and eating patterns in Brazil. Thus, this study aimed to explore the relationship between body image dissatisfaction and eating patterns by the anthropometric status in adolescents. Methods: A cross-sectional study of 1496 adolescents was conducted. The participants completed the Body Shape Questionnaire. Demographic, anthropometric, and socioeconomic data were collected, as well as information regarding the pubertal development and dietary intake. Logistic regression was performed to evaluate the associations of interest. Results: Body image dissatisfaction was identified in 19.5% of the adolescents. Three dietary patterns were identified: (1) the Western pattern was composed of sweets and sugars, soft drinks, typical dishes, pastries, fast food, beef, milk, and dairy products; (2) the Traditional pattern was composed of oils, chicken, fish, eggs, processed meat products, cereals (rice, cassava flour, pasta, etc.), baked beans, and bread; and (3) the Restrictive pattern was composed of granola, roots, vegetables, and fruit. Among overweight/obese adolescents, the data indicated a negative association of slight body image dissatisfaction (OR: 0.240 [0.100; 0.576])and moderate body image dissatisfaction (OR: 0.235 [0.086; 0.645]) with the Western dietary pattern. Additionally, in this group, there was a positive association between high body image dissatisfaction and the Restrictive pattern (OR: 2.794 [1.178; 6.630]).Conclusion: Amongst overweight/obese adolescents, those with slight and moderate bodyimage dissatisfaction were less likely to follow a Western-like dietary pattern when compa-red with those satisfied with their body image. Additionally, in this group, adolescents withhigh body image dissatisfaction was more likely to follow a restrictive pattern.Rio de Janeir

Body image dissatisfaction and dietary patterns according to nutritional status in adolescents

Abstract Objective There is a lack of data on the association between body self-perception and eating patterns in Brazil. Thus, this study aimed to explore the relationship between body image dissatisfaction and eating patterns by the anthropometric status in adolescents. Methods A cross-sectional study of 1496 adolescents was conducted. The participants completed the Body Shape Questionnaire. Demographic, anthropometric, and socioeconomic data were collected, as well as information regarding the pubertal development and dietary intake. Logistic regression was performed to evaluate the associations of interest. Results Body image dissatisfaction was identified in 19.5% of the adolescents. Three dietary patterns were identified: (1) the Western pattern was composed of sweets and sugars, soft drinks, typical dishes, pastries, fast food, beef, milk, and dairy products; (2) the Traditional pattern was composed of oils, chicken, fish, eggs, processed meat products, cereals (rice, cassava flour, pasta, etc.), baked beans, and bread; and (3) the Restrictive pattern was composed of granola, roots, vegetables, and fruit. Among overweight/obese adolescents, the data indicated a negative association of slight body image dissatisfaction (OR: 0.240 [0.100; 0.576]) and moderate body image dissatisfaction (OR: 0.235 [0.086; 0.645]) with the Western dietary pattern. Additionally, in this group, there was a positive association between high body image dissatisfaction and the Restrictive pattern (OR: 2.794 [1.178; 6.630]). Conclusion Amongst overweight/obese adolescents, those with slight and moderate body image dissatisfaction were less likely to follow a Western-like dietary pattern when compared with those satisfied with their body image. Additionally, in this group, adolescents with high body image dissatisfaction was more likely to follow a restrictive pattern

The association between intimate partner domestic violence and the food security status of poor families in Brazil

Barreto, Maurício Lima “Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento”.Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2017-08-08T14:04:18Z No. of bitstreams: 1 Silva RCR The association_between_intimate....pdf: 175651 bytes, checksum: 29a4bf76f81f01ad9d7e1de7a357f8e4 (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2017-08-08T14:17:13Z (GMT) No. of bitstreams: 1 Silva RCR The association_between_intimate....pdf: 175651 bytes, checksum: 29a4bf76f81f01ad9d7e1de7a357f8e4 (MD5)Made available in DSpace on 2017-08-08T14:17:13Z (GMT). No. of bitstreams: 1 Silva RCR The association_between_intimate....pdf: 175651 bytes, checksum: 29a4bf76f81f01ad9d7e1de7a357f8e4 (MD5) Previous issue date: 2016Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB; project numbers 7638/2009 and RED 0005/2014).Universidade Federal da Bahia. Escola de Nutrição. Departamento Ciência da Nutrição. Salvador, BA, BrasilUniversidade Federal da Bahia. Instituto de Matemática. Departamento de Estatística. Salvador, BA, BrasilUniversidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilUniversidade Federal da Bahia. Escola de Nutrição. Departamento Ciência da Nutrição. Salvador, BA, BrasilUniversidade Federal da Bahia. Escola de Nutrição. Departamento Ciência da Nutrição. Salvador, BA, BrasilUniversidade Federal da Bahia. Escola de Nutrição. Departamento Ciência da Nutrição. Salvador, BA, BrasilUniversidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilTo assess the association between physical intimate partner violence and household food security within households with schoolchildren. Design: Cross-sectional study. Setting: Salvador, Bahia, north-eastern Brazil. Subjects: The study was conducted in 1019 households with students. Violence between couples was evaluated using the Portuguese version of the revised Conflict Tactics Scales (CTS2), previously adapted and validated for use in Brazil. The Brazilian Food Insecurity Scale (BFIS) was used to identify food insecurity. We also obtained socio-economic information for each participant. We used multivariate Poisson regression to assess the associations of interest. Results: According to the results of the BFIS, 62·5% of the households were found to experience food insecurity, including 19·5% moderate food insecurity and 6·5% severe food insecurity. The prevalence of minor physical violence was 9·6% (95% CI 7·8, 11·4%) and of severe physical violence was 4·7% (95% CI 3·4, 6·0%) among the couples. In the final multivariate model, it was found that couples reporting minor (prevalence ratio=1·23; 95% CI 1·12, 1·35) and severe (prevalence ratio=1·16; 95 % CI 1·00, 1·34) physical violence were more likely to be experiencing household food insecurity, compared with those not reporting physical violence. Conclusions: Physical intimate partner violence was associated with food insecurity of households. The present study brings new data to the subject of the role of violence in the context of food insecurity