Comparison of glycemic and lipid profiles indicators among obese children and adolescents treated at public or private services from the city of Ribeirão Preto (SP)

Design: Observational cross-sectional. Objectives: To compare the lipid and glycemic profiles of obese children and adolescents, followed at a public or a private health service. Methods: A cross-sectional study involving 113 obese patients, aged 7 to 18 years, conducted at two clinics, one public (n = 51) and the other private ( n = 62). Anthropometric data and blood samples were collected and glucose, insulin, HOMA and lipid profile have been compared between groups. Results: regarding averages, it was observed differences only for HDL, with lower values for public service. The prevalence of indicators outside the normal range, has always been above 45%, with the exception of hyperglycemia witch was rare. Only the prevalence of individuals with low HDL was different between groups, being lower at the private service. Conclusions: there was almost no hyperglycemia, but the prevalence of dyslipidemia and insulin resistance were high in both services. HDL was the only indicator that showed differences between the two groups and, considering that it is the most sensitive to the quality of nutrition and physical activity, it may be suggested that at the public health and on the individual management, these aspects should be better managed in lower income populationsModelo: Observacional transversal. Objetivo: comparar os perfis lipídico e glicêmico de crianças e adolescentes obesos atendidos em serviços de saúde público e privado. Metodologia: estudo transversal, envolvendo 113 indivíduos obesos com idades entre 7 e 18 anos, conduzido em dois ambulatórios, um público (n=51) e outro privado (n=62). Foram colhidos dados antropométricos e amostras de sangue, tendo-se comparado, entre os grupos, glicemia, insulinemia, HOMA e lipidograma. Resultados: em relação às médias, apenas para o HDL houve diferença, sendo os valores inferiores para o serviço público. Quanto à prevalência de indicadores fora da faixa de normalidade, esteve sempre acima de 45%, com exceção da hiperglicemia que se mostrou rara. Apenas a prevalência de indivíduos com HDL baixo foi diferente entre os grupos, sendo inferior para o serviço privado. Conclusões: Não se observou hiperglicemia, mas as prevalências de dislipidemia e resistência insulínica foram elevadas em ambos os serviços. O HDL foi o único indicador que se mostrou diferente entre os dois grupos e, considerando-se que ele é o mais sensível à qualidade da alimentação e à atividades física, pode-se sugerir que, tanto do ponto de vista de saúde pública como individual, esses aspectos devam ser melhor cuidados nas populações de menor rend

Motivation for Brazilian Older Adult Women to Join a Community Physical Activity Program Before COVID-19 Pandemic

Background: Intrinsic and extrinsic motivational factors can affect the levels of adherence of physical activity (PA) during the aging process. Objectives: Investigate the intrinsic and extrinsic aspects and motivation that led older women to enroll in and adhere to a community PA program before the COVID-19 pandemic. Methods: Data were collected via transversal survey before the COVID-19 pandemic. The sample consisted of 21 women, participants of a PA workshop, aged between 60 to 86 years [< 1-year (n = 8) and ≥ 1-year (n = 13) groups]. Motivation was assessed by the Motivation Inventory for Regular Physical Activity Practice (IMPRAF-54), using the 60th percentile to categorize high and low motivation, and two open questions. For qualitative assessment, content analysis was used and the answers were framed into subcategories regarding the motivation factors for adherence and permanence. Results: That adherence to the program was motivated by sociability purposes [total score: 36.0 (6.0), median (interquartile range)] and pleasure [34.0; (6.0)], while the main motivation for permanence was health [40.0 (11.0)]. Differences were noticed between the groups for sociability [38.0 (3.0) P = 0.030] and competitiveness [9.50 (12.0); P = 0.037] highest medians for the < 1 year group. Furthermore, the factors that least motivated older women were competitiveness and aesthetics. Conclusions: Health and sociability were the main motivators for the practice of physical activity among older adult women. Motivation played a fundamental role in the permanence of older adult women in the physical activity program

Profile of Self-Care Capacity and Alcohol Use in Elderly Brazilians during the COVID-19 Outbreak: An Online Study

Background: Preventive and positive online coping strategies are essential for harm reduction associated with alcohol abuse among older adults in pandemic and social isolation scenarios. The objectives were to examine the relationship between alcohol use/abuse and physical capacity/self-care to perform the physical activities of daily living or impairment of the functional capacity of the elderly in the COVID-19 pandemic. Methods: An online cross-sectional survey was carried out. One hundred and one elderly people in the city of São Paulo, Brazil, participated in a community program. Results: Most participants (52.5%) showed excellent self-care skills. Approximately 12% of participants reported problems related to alcohol use/abuse. There was no association between self-care ability and abuse and probable alcohol dependence. Conclusions: Although most participants have excellent self-care and functional capacity and have not evidenced alcohol use/abuse, health professionals need to systematically provide information to prevent alcohol abuse, especially in scenarios of great emotional distress, such as in a pandemic. In addition, the online meetings held by the UAPI program were shown to be opportunities for social interaction and were essential to minimize the negative effects of the possible presence of alcohol use/abuse and the deteriorating performance of physical activities of daily living during a pandemic outbreak for the elderly

Zinc deficiency disrupts pain signaling promoting nociceptive but not inflammatory pain in mice

Abstract Zinc (Zn) is an essential micronutrient involved in the physiology of nervous system and pain modulation. There is little evidence for the role of nutritional Zn alternations to the onset and progression of neuropathic (NP) and inflammatory pain. The study investigated the effects of a zinc restricted diet on the development of pain. Weaned mice were submitted to a regular (38 mg/kg of Zn) or Zn deficient (11 mg/kg of Zn) diets for four weeks, pain responses evaluated (mechanical, cold and heat allodynia; formalin- and carrageenan-induced inflammatory hypernociception), plasma and tissues collected for biochemical and metabolomic analysis. Zn deficient diet inhibited animal growth (37%) and changed mice sensitivity pattern, inducing an intense allodynia evoked by mechanical, cold and heat stimulus for four weeks. The inflammatory pain behavior of formalin test was drastically reduced or absent when challenged by an inflammatory stimulus. Zn restriction also reduce plasma TNF, increase neuronal activation, oxidative stress, indicating a disruption of the immune response. Liver metabolomic analyses suggest a downregulation of lipid metabolism of arachidonic acid. Zn restriction since weaned disrupts pain signaling considerably and reduce inflammatory pain. Zn could be considered a predisposing factor for the onset of chronic pain such as painful neuropathies

Avaliação da medida translucência nucal em gestantes de risco

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