Estresse no trabalho e qualidade de vida associados aos padrões alimentares em servidores de uma universidade pública

Objective: To analyze if dietary patterns are associated with quality of life and work stress of employees of a Public University in Fortaleza, Ceará. Methods: Cross-sectional study with 324 employees, with data collected through a questionnaire for sociodemographic, occupational and lifestyle characterization, as well as the Stress at Work Scale, Whoqol-bref Questionnaire and dietary recall. Feed patterns were identified by factor analysis by principal components, followed by varimax ortho-diagonal rotation. Poisson regression with robust variance estimation was used to estimate the prevalence ratios of variables in relation to dietary patterns. Results: Five dietary patterns were identified: mixed, prudent, common Brazilian, seafood and infused vegetables and dense in energy. Stress at work related to low social support and physical environment with low quality of life were significantly associated with lower adherence to the mixed standard, while high demand for work stress was associated with lower adherence to the common Brazilian standard. Conclusion: The findings showed influences on the eating pattern associated with sociodemographic factors, stress at work and low quality of life in university employees.O objetivo deste trabalho é analisar se os padrões alimentares estão associados à qualidade de vida e ao estresse no trabalho de servidores de uma Universidade Pública em Fortaleza, Ceará, utilizando-se de um estudo transversal com 324 servidores, com dados coletados por meio de questionário para caracterização sociodemográfica, ocupacional e estilo de vida, além da Escala de Estresse no Trabalho, Questionário Whoqol-bref e recordatório alimentar. Os padrões alimentares foram identificados por análise fatorial por componentes principais, seguida da rotação ortogonal varimax. A Regressão de Poisson com estimativa robusta da variância foi utilizada para estimar as razões de prevalências das variáveis em relação aos padrões alimentares. Foram identificados cinco padrões alimentares: misto, prudente, comum brasileiro, vegetais frutos do mar e infusos e densos em energia. O estresse no trabalho relacionado ao baixo apoio social e o ambiente físico com baixa qualidade de vida apresentaram associação estatística significativa com a menor adesão ao padrão misto, enquanto a alta demanda de estresse no trabalho apresentou associação com a menor adesão ao padrão comum brasileiro. Os achados evidenciaram influências no padrão alimentar associado aos fatores sociodemográficos, estresse no trabalho e baixa qualidade de vida nos servidores universitários. 

Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil : data from the Brazilian Type 1 Diabetes Study Group

Background: In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. Methods: This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. Results: We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North- Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Conclusions: Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities

Perfil nutricional de adolescentes praticantes de exercício resistido

Objetivo: Analisar o perfil nutricional de adolescentes praticantes de exercício resistido, determinando a adequação do consumo calórico de macronutrientes e micronutrientes e o estado nutricional destes. Métodos: Tratou-se de um estudo do tipo observacional, transversal e descritivo, realizado de agosto a setembro de 2010 em uma academia de Fortaleza-CE, sendo aplicado, com os adolescentes, um questionário contendo dados de identificação, antropométricos, alimentares e complementares. Os dados foram analisados através do software Avanutri, que avaliou o estado nutricional e o consumo calórico de macronutrientes e micronutrientes dos adolescentes. Resultados: A amostra do estudo constituiu-se de 33 alunos, dos quais 66,7% (22) eram do sexo masculino e 33,3% (11), do sexo feminino. Destaca-se que a maioria do sexo masculino – 60,6% (20) – e do sexo feminino – 27,3% (9) – encontrava-se com o Índice de Massa Corporal (IMC) adequado. Quanto à ingestão calórica, predominou o consumo insuficiente entre os meninos – 39,4% (13). Com relação aos macronutrientes, o consumo insuficiente de carboidratos predominou em ambos os sexos. A ingestão proteica estava adequada na maioria do grupo e o consumo lipídico predominante foi excessivo. Quanto aos micronutrientes, houve grande inadequação, principalmente na ingestão de cálcio, vitaminas A, B2, B6, zinco, magnésio e cobre. A vitamina E, niacina e piridoxina estavam sendo consumidas em valores possivelmente nocivos. Conclusão: Apesar de a maioria dos adolescentes ter apresentado estado nutricional normal, os recordatórios analisados demonstraram uma grande inadequação, podendo, em longo prazo, trazer prejuízos à saúde

Avaliação da imagem corporal de estudantes do curso de Nutrição de um centro universitário particular de Fortaleza

RESUMO Objetivos Avaliar a imagem corporal e identificar os mais diversos tipos de distorção de imagem corporal. Métodos O presente estudo é de natureza quantitativa, com delineamento transversal, e foi realizado em um centro universitário de Fortaleza – CE. A coleta de dados foi realizada no período de abril a maio de 2015. A amostra foi composta por 300 estudantes do curso de Nutrição, do sexo feminino, com idade variando de 17 a 51 anos. Foram utilizados na pesquisa o Body Shape Questionnaire (BSQ) e uma ficha de avaliação na qual foram aferidos peso e altura atual. As estudantes referiram o peso e a altura que elas almejavam, se eram praticantes de atividade física e a frequência dessa prática, para identificar também outros possíveis transtornos. Resultados A amostra foi de 300 estudantes, tendo como média de idade 25,45 anos (±6,60). O escore médio do BSQ foi de 81,43 pontos (±30,45), correspondendo à preocupação leve com a imagem corporal. O valor médio do IMC foi de 22,90 kg/m2 (±3,15). Foi observado também que as estudantes, apesar de estarem em sua maioria com peso e altura adequados, queriam ser mais magras e altas (peso almejado = 57,39 kg; altura almejada = 1,63m). Conclusão Os resultados evidenciam que as estudantes desse grupo apresentam o desejo de ser mais magras e mais altas, mesmo estando em um padrão eutrófico de estado nutricional. Quando se trata de estudantes de Nutrição, esse estudo possui impacto maior, pois elas exercerão papel de cuidadoras de seus pacientes

Diagnóstico nutricional e risco de doença cardiovascular em crianças de uma escola pública de Fortaleza, CE

Introdução: O excesso de peso caracteriza­se como uma epidemia de caráter mundial, ocorrendo também um significativo crescimento de sua incidência na população infantil, tornando­se um problema de Saúde Pública de acordo com a Organização Mundial de Saúde, apresentando índices alarmantes também no Brasil, onde a faixa etária de cinco a nove anos apresentou um percentual de 51,4% em meninos e 43,8% em meninas. A circunferência da cintura é um dos métodos mais práticos da avaliação antropométrica, mede alterações metabólicas e risco de cardiovascular em pessoas com IMC normal. As doenças cardiovasculares vêm crescendo em crianças e adolescentes, podendo ser devido ao estilo de vida sedentário, a dieta desequilibrada, o excesso de peso e a circunferência da área abdominal elevada. Objetivos: Relacionar o diagnóstico nutricional com o risco cardiovascular em escolares de uma escola pública de Fortaleza, CE. Materiais e métodos: Foi realizado um estudo com 82 crianças com idade de 5 a 8 anos de ambos os sexos, matriculados em uma escola pública de Fortaleza, Ce. Foram aferidos peso, altura e circunferência da cintura, sendo esta última mensurada por dois métodos. As medidas peso e altura foram utilizadas para a obtenção dos índices antropométricos IMC/I e (P/I). O diagnóstico nutricional foi realizado com o auxílio do programa WHO AntroPlus, 2007. A circunferência cintura foi utilizada na determinação de risco de doença cardiovascular. Os dados obtidos foram calculados em freqüência simples em percentuais. Resultados: entre os escolares 48,8% eram meninas e 51,2% eram meninos. Segundo o IMC/I 63,8% eram eutróficos, 22% sobrepesadas e 9,7% obesas. Segundo a CC 15,9% e 24,4% estavam com excesso de adiposidade abdominal, segundo Taylor e Fernández, respectivamente. Quanto à relação CC e IMC/I verificou­se que 3,6% (Taylor) e 7,2 % (Fernández) das crianças eutróficas possuem elevada CC. Já dos escolares com sobrepeso 16,6% possuem excesso, segundo Taylor e de acordo com Fernández 44,4% tem a circunferência da cintura aumentada. Na relação P/I e CC as crianças que estavam com peso adequado para a idade mostrou 13,2% e 18% com excesso de adiposidade abdominal por Taylor e Fernandez respectivamente e todas as crianças com peso elevado possuíam excesso de adiposidade abdominal. Conclusão: O grupo estudado apresentou significativo excesso de peso (31,7%), de acordo com o IMC, e em todos os estudantes obesos a CC estava elevada, mostrando grande relação da CC com o estado nutricional.Introduction: Overweight is characterized as a global epidemic character also experiencing a significant increase in its incidence in children, making it a public health problem according to the World Health Organization. Showing alarming rates in Brazil as well, where the age group of five to nine years had a percentage of 51.4% for boys and 43.8% girls. Also alarming rates in Brazil, where the age group of five to nine years had a percentage of 51.4% for boys and 43.8% girls. Waist circumference is one of the most practical methods of anthropometric measurements, measures metabolic and cardiovascular risk in people with normal BMI. Cardiovascular diseases are increasing in children and adolescents and may be due to sedentary lifestyle, unbalanced diet, excess weight and the circumference of the high abdominal area. The following paper aims to relate the nutritional diagnosis with cardiovascular risk in students from a public school in Fortaleza, CE. Methodology:: We conducted a study of 82 children aged 5­8 years of both sexes, enrolled in a public school in Fortaleza, Ce. They were measured weight, height and waist circumference, the latter being measured by two methods. Measures weight and height were used to obtain the anthropometric indexes IMC/I and (P/I). The nutritional diagnosis was made with the assistance of WHO AntroPlus program, 2007. The waist circumference was used to determine the risk of cardiovascular disease. The data were calculated on simple frequency percentage. Results: among students 48.8% were female and 51.2% were boys. According to the IMC/I 63.8% were normal weight, 22% overweight and 9.7% obese. According to CC 15.9% and 24.4% had excess abdominal fat, according to Taylor and Fernandez, respectively. The relationship WC and IMC/I was found that 3.6% (Taylor) and 7.2% (Fernandez) of normal children have high CC. Already the school with 16.6% overweight have excess, according to Taylor and according to Fernandez 44.4% have a waist circumference increased. The P / I and CC children who were with adequate weight for age showed 13.2% and 18% with excess abdominal adiposity by Taylor and Fernandez respectively and all children with high weight had excess adiposity abdominal. Conclusion: The study group showed significant overweight (31.7%), according to IMC, and all obese students CC was high, showing great respect CC with nutritional status

Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil : data from the Brazilian Type 1 Diabetes Study Group

Background: In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. Methods: This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. Results: We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North- Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Conclusions: Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities

Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil : data from the Brazilian Type 1 Diabetes Study Group

Background: In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. Methods: This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. Results: We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North- Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Conclusions: Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures