Níveis de ureia em dietas contendo co-produto de vitivinícolas e palma forrageira para ovinos Santa Inês Urea levels in diets containing dried grape byproduct and forage cactus for Santa Inês sheep

Avaliou-se o efeito da inclusão de níveis crescentes de ureia sobre o consumo e a digestibilidade aparente dos nutrientes de dietas contendo coproduto de vitivinícolas desidratado (CVD) e palma forrageira in natura. Foram utilizados 16 ovinos da raça Santa Inês machos, não castrados, com peso médio de 37kg e média de idade de 11 meses. As dietas continham 60% de CVD e 40% de palma forrageira, e níveis crescentes de ureia, 0, 1, 2 e 3%, na matéria seca (MS). O delineamento experimental foi o inteiramente ao acaso, e o experimento foi desenvolvido em dois períodos, com 15 dias de adaptação e cinco dias de coleta cada. Os consumos da MS, fibra em detergente neutro (FDN), carboidratos não fibrosos (CNF) e nutrientes digestíveis totais (NDT) apresentaram comportamento quadrático com valores máximos de 2,04; 0,66; 0,74; 1,50kg/dia, respectivamente. No consumo de proteína bruta (PB), a cada acréscimo de uma unidade percentual de ureia ocorreu aumento de 20 gramas no consumo de PB. Os coeficientes de digestibilidade da MS, PB, FDN e CNF apresentaram comportamento quadrático com valores máximos de 62,5; 85,0; 81,0; e 97,8%, respectivamente. A inclusão de ureia até 2% nas dietas contendo coproduto de vitivinícolas desidratado e palma forrageira in natura possibilitou incrementos no consumo e no coeficiente de digestibilidade dos nutrientes.<br>The effect of urea levels on intake and apparent digestibility of nutrients in diets containing dried wine grape byproduct and fresh forage cactus was evaluated. Sixteen male, non-castrated, Santa Inês sheep, averaging 37kg and 11-month-old were used. The diets had 60% of dried grape byproduct (DGB) and 40% of forage cactus, and increasing levels of urea - 0, 1, 2, and 3% in dry matter. Completely randomized designs with two periods with 15 adjust days and five days for samples collection was carried out. Dry matter (DM), neuter detergent fiber (NDF), non-fibrous carbohydrates (NFC), and total digestive nutrients (TDN) intakes presented quadratic behavior with maximum values of 2.04; 0.66; 0.74; and 1.50kg/day, respectively. For each increase of an unit percentage of urea an increase of 20 grams in the CP intake occurred. The digestibility coefficients of DM, CP, NDF, and NFC presented quadratic behavior with maximum values of 62.5, 85.0, 81.0, and 97.8%, respectively. The inclusion of urea up to 2% in the diets containing dried grape byproduct and fresh forage cactus made possible increases in nutrient intake and coefficient of digestibility of nutrients

Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial

Background: Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD. Methods: In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels. Results: From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P <.01), mainly due to a 0.5-serving/d greater intake of fruits and of vegetables in the BALANCE group. Primary end point events occurred in 236 participants (18.8%) in the BALANCE group and in 207 participants (16.4%) in the control group (hazard ratio, 1.15; 95% CI 0.95-1.38; P =.15). Secondary end points did not differ between groups after follow-up. Conclusions: The BALANCE Program only slightly improved adherence to a healthy diet in patients with established CVD and had no significant effect on the incidence of cardiovascular events or death. © 2019 The Author