Navegando por Palavras-chave "Nutritional education"
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- ItemAcesso aberto (Open Access)Caracterização do consumo de adoçantes alternativos e produtos dietéticos por indivíduos diabéticos(Sociedade Brasileira de Endocrinologia e Metabologia, 2002-06-01) Castro, Adriana G.p. de [UNIFESP]; Franco, Laercio Joel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The consumption of alternative sweeteners and dietetic products is increasing in the last few years. These products play an important role in the diet of patients with diabetes (DM), since they can provide the taste of sweetness, without adding calories. To know the pattern of consumption of these products among individuals with DM, a survey was carried out in a diabetes reference center in the city of São Paulo, Brazil, from January 1998 to April 1999. A questionnaire was applied to a random sample of 389 patients, from both sexes, aged 18 years or more. Data analysis was performed through the software Epi-Info 6.02. The majority of the participants (90.5%) consumes sweeteners, usually chooses products according to their preference (46.3%) and has the diagnosis of DM as the main determinant factor for its use (38%). Soft drinks are the dietetic product most consumed.
- ItemAcesso aberto (Open Access)Efeitos de processo educativo nutricional sobre o nível de conhecimento de escolares na prevenção e controle da obesidade infantil(Universidade Federal de São Paulo (UNIFESP), 2016-09-30) Picerni, Cristiane Mara Cedra [UNIFESP]; Dâmaso, Ana Raimunda [UNIFESP]; http://lattes.cnpq.br/8198400959291700; http://lattes.cnpq.br/3440056040330466; Universidade Federal de São Paulo (UNIFESP)Obesity is a worldwide prevalence disease regarded as a 21st century epidemic. It decreases the quality of life and reduces from five to eight years the average of life expectancy. The sedentary lifestyle of children, whom spend many hours watching TV and playing video games, associated with large availability of high calorie foods, encourages and increases obesity in children. Changes in lifestyle, including physical exercises and clinical, nutritional and psychological monitoring, are considered effective strategies for improving nutritional staus, body composition, weight loss and healthy food consumption. As overweight children are more likely to become obese in their adulthood, it is essential to develop strategies at school since it is an ideal place to work nutritional education activities. The aim of this study was to apply an educational tool to verify the improvement of children knowledge level in the area of healthy nutrition. In addition, the study aimed at the prevention and control of obesity in children. The protocol was developed by the Obesity Study Group of UNIFESP and was based on the book that comprises nutritional education activities. The research was performed on 49 students from one private school in São Paulo, whom underwent a nutritional intervention protocol in their curriculum during four months. The main finding was that the intervention model has shown significant improvements in the level of nutrition knowledge, favoring the control of obesity and its comorbidities in children.
- ItemAcesso aberto (Open Access)Fluid intake patterns: an epidemiological study among children and adolescents in Brazil(Biomed Central Ltd, 2012-11-20) Feferbaum, Rubens; Abreu, Luiz Carlos de [UNIFESP]; Leone, Claudio; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP); Fac Med ABCBackground: Energy from liquids is one of the most important factors that could impact on the high prevalence of children and adolescents obesity around the world. There are few data on the liquid consumption in Brazil. the aim of this study is to evaluate the volume and quality of liquids consumed by Brazilian children and adolescents and to determine the proportion of their daily energy intake composed of liquids.Methods: A multicenter study was conducted in five Brazilian cities; the study included 831 participants between 3 and 17 years of age. A four-day dietary record specific to fluids was completed for each individual, and the volume of and Kcal from liquid intake were evaluated. the average number of Kcal in each beverage was determined based on label information, and the daily energy intake data from liquids were compared with the recommendations of the National Health Surveillance Agency (Agencia Nacional de Vigilancia Sanitaria-ANVISA), the Brazilian food regulation authority, according to each subject's age.Results: As the children aged, the volume of carbonated beverages that they consumed increased significantly, and their milk intake decreased significantly. for children between the ages of 3 and 10, milk and dairy products contributed the greatest daily number of Kcal from liquids. Sugar sweetened beverages which included carbonated beverages, nectars and artificial beverages, accounted for 37% and 45% of the total Kcal from liquid intake in the 3-to 6-year-old and 7- to 10-year-old groups, respectively. Among adolescents (participants 11- to 17-years old), most of the energy intake from liquids came from carbonated beverages, which accounted for an average of 207 kcal/day in this group (42% of their total energy intake from liquids). Health professionals should be attentive to the excessive consumption of sugar sweetened beverages in children and adolescents. the movement toward healthier dietary patterns at the individual and population levels may help to improve programs for preventing overweight and obesity in children and adolescents.Conclusion: From childhood to adolescence the daily volume of liquid ingested increased reaching a total of 2.0 liters on average. of this volume, the daily volume of milk ingested decreased while the carbonated drinks, sweetened, nectars and artificial beverages increased significantly. the proportion of water remained constant in about 1/3 of the total volume. From 3 to 17 years of age the energy intake from carbonated beverages increased by about 20%. the carbonated drinks on average corresponded to a tenth of the daily requirements of energy of adolescents.
- ItemAcesso aberto (Open Access)Introdução da sacarose no plano alimentar de portadores de diabetes mellitus tipo 1: sua influência no controle glicêmico(Sociedade Brasileira de Endocrinologia e Metabologia, 2005-06-01) Costa, Paula Cristina A. da [UNIFESP]; Franco, Laercio Joel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)To evaluate the influence of sucrose intake in the glycemic control, ten adolescents with type 1 diabetes were followed during eight months. Initially, they received personalized orientation on diet, self monitoring blood glucose and insulin dose adjustment; after four months, all patients introduced sucrose in their afternoon meals, throught the method of carbohydrate counting. Total cholesterol and triglycerides levels were measured in the beginning and in the final of the study. Hemoglobin A1C levels were measured in the beginning, after four months without and after four months with intake of foods with sucrose. All patients showed adequate pubertal development and growth; two had overweight and the others were eutrophic. After four mounths of follow up, the frequency of self monitoring blood glucose was reduced (p< 0.001). Total cholesterol and triglycerides values were in the normal range and A1C values decreased during the observed period (p= 0.027). Conclusion: the consumption of foods with sucrose, using the technique of carbohydrate counting, did not affect the metabolic control of adolescents with type 1 diabetes.
- ItemSomente MetadadadosLong-term nutrition education reduces several risk factors for type 2 diabetes mellitus in Brazilians with impaired glucose tolerance(Elsevier B.V., 2010-03-01) Pimentel, Gustavo D. [UNIFESP]; Portero-Mclellan, Katia C.; Oliveira, Erick P.; Spada, Ana P. M.; Oshiiwa, Marie; Zemdegs, Juliane C. S. [UNIFESP]; Barbalho, Sandra M.; Universidade Federal de São Paulo (UNIFESP); Pontificia Univ Catolica Campinas; Universidade de São Paulo (USP); Univ MariliaThe aim of this study was to evaluate the effects of a nutrition education program (NEP) on anthropometric, dietetic, and metabolic parameters in high-risk subjects for type 2 diabetes mellitus. Fifty-one participants, both sexes, were randomly assigned to either the control (58.8%) or the intervention (NEP) group. the intervention group received frequent individual and group nutritional counseling from a team of nutritionists. Participants were assessed at baseline (M0) and after 12 months (M1) for anthropometric, dietetic, and metabolic parameters. the hypothesis was that high-risk subjects for type 2 diabetes mellitus participating in NEP would show an improvement in these parameters. At M1, the intervention group showed a significant decline in body weight (-3.4%), body mass index (-5.7%), cholesterol intake (-49.5%), fasting glycemia (-14.0%), fasting insulin (-9.0%), postprandial glycemia (-21.0%), postprandial insulin (-71.0%), total serum cholesterol (-23.0%), and glycated hemoglobin (-24.0%). A decrease in energy intake (5%, P = .06) and low-density lipoprotein cholesterol (25%, P = .07) was observed in the interventional group, although it did not reach statistical significance. in contrast, the control group presented a significantly higher energy intake (19%, P = .04) and a nonsignificant increase in consumption of all macronutrients. the long-term NEP was found to improve anthropometric, dietary, and metabolic parameters in high-risk subjects for type 2 diabetes mellitus. (C) 2010 Elsevier Inc. All rights reserved.