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- ItemAcesso aberto (Open Access)Amenorréia e osteoporose em adolescentes atletas(Pontifícia Universidade Católica de Campinas, 2002-09-01) Mantoanelli, Graziela [UNIFESP]; Vitalle, Maria Sylvia de Souza [UNIFESP]; Amancio, Olga Maria Silverio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The female participation in sports has been increasing over the years. Scientific studies have shown the benefits this practice brings to women's health, but, when it comes to competitive sports, problems may arise. The most common complication described by the literature is the Female Athlete Triad, which involves three processes: the eating disorder, the amenorrhea, and the osteoporosis. In the United States, the amenorrhea afflicts up to 66% of the competition athletes, and some of its possible causes of are: weight loss, excessive training, insufficient quantity of body fat, loss of specific stores of body fat, and inadequate diet. As a consequence of the amenorrhea, the sportswoman may develop precocious osteoporosis. It is not known for sure the percentage of athletes with osteopenia, but there are indications that the lack of estrogen, the inadequate diet, and the insufficient consumption of calcium are factors predisposing them to develop the disease.
- ItemSomente MetadadadosAvaliação do consumo alimentar de pacientes com síndrome do intestino irritável em acompanhamento ambulatorial(Universidade Federal de São Paulo (UNIFESP), 2014-12-16) Lopes, Suzana Soares [UNIFESP]; Miszputen, Sender Jankiel Miszputen [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Irritable Bowel Syndrome (IBS) is a chronic functional disorder characterized by abdominal pain and/or discomfort associated with changes in the bowel movements (constipation, diarrhea). Patients may present with abdominal distension, change in stool consistency and sense of incomplete evacuation. We need to do a review of dietary habits, directing a more adequate food, with special attention to that which increases the symptoms, such as lactose, sorbitol, fructose and fats. Increasing dietary fiber content may benefit the consistency and frequency of bowel movements in constipated patients, although some do not relieve the complaint of abdominal pain. In cases of predominant diarrhea, it is recommended to reduce the consumption of carbohydrate fermentation in particular the oligosaccharides, disaccharides, monosaccharides and polyols fermentable (FODMAPS). Objective: To evaluate the amount of carbohydrates, fiber and fats from the diet in individuals diagnosed with IBS. Patients and methods: Cross-sectional study conducted at the Clinic of Intestinal Diseases in the Department of Gastroenterology, Escola Paulista de Medicina/UNIFESP. Nutrients of interest selected for this study were: fibers, carbohydrates in general and those classified as FODMAPs, calculating the quantity in grams, in addition to fat products, analyzed through the portions consumed. The research instruments used were: nutrition monitoring and record Questionnaire Semi-quantitative Food Frequency (QSFF). Results: The sample included 63 adult patients diagnosed with Irritable Bowel Syndrome in constipated formats (C) (21), diarrheal (D) (21) and mixed (M) (21), with female people predominance . Foods that worsened the symptoms of the patients were: breads, cakes, pasta, potatoes, milk and dairy products, legumes and fatty foods. 79,3% of patients preferred not to modify or delete them from their diet. The carbohydrate intake was inadequate in 35 cases (55,6%); between those who had high intake, 8 subjects were of the diarrhea group (38,1%), 3 in the mixed (14,3%) and 8 in the constipated group (38,1%). Low consumption levels of this nutrient was identified in 6 cases of diarrhea (28,6%) and 10 (47,6%) of patients in the mixed group. We observed an average intake of 23 g fiber/day in patients of all groups, lower than recommended. With the exception of sugar and sweets patients had inadequate intake of all food groups, when compared with that recommended by the Brazilian Food Guide. Data from the dietary survey showed increased consumption of oils, fats and oilseeds. Conclusion: We concluded that 55,6% patients showed carbohydrate consumption above that recommended; 69,8% of patients of both genders were in poor condition in terms of fibers, below the recommendation. A total of 52,4% of patients with diarrheal manifestation of groups D and M reported excessive consumption of carbohydrates in general, as well as those classified as FODMAPs. Increased intake (76%) of oily food correlated with symptoms (diarrhea and/or strain) of patients in 3 groups. FODMAPs were responsible for symptoms of the disease in all groups. Sugars and sweets, vegetables, dairy products, and meats and eggs were consumed below recommended by the Brazilian Food Guide all other food groups were considered unsuitable for consumption in excess.
- ItemAcesso aberto (Open Access)Avaliação do perfil metabólico, nutricional e efeitos adversos de crianças com epilepsia refratária em uso da dieta cetogênica(Pontifícia Universidade Católica de Campinas, 2006-10-01) Rizzutti, Sueli [UNIFESP]; Ramos, Ana Maria Figueiredo [UNIFESP]; Cintra, Isa de Pádua [UNIFESP]; Muszkat, Mauro [UNIFESP]; Gabbai, Alberto Alain [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: The purpose of this research was to evaluate adverse events, serum biochemistry, growth and nutritional status of children with difficult-to-control seizures who were submitted to ketogenic diet. METHODS: Twenty-three patients aging from 2 to 17 years with refractory epilepsies, where 43.5% (n=10) were males and 56.5% (n=13) females from the Sector of Neuropediatrics, Discipline of Neurology of the Universidade Federal de São Paulo (UNIFESP), were treated with the ketogenic diet and followed up for at least 1 year. Two patients were not able to achieve persistent ketosis either because they rejected the diets or their parents did not comply. RESULTS: Adverse events were all reversible and included hyperlipidemia, constipation (17.4%), nausea and vomiting (43.4%), drowsiness (47.8%), intercurrent infections (3.0%), diet refusal (13.0%) and epistaxis (4.3%). Growth was not affected in the short term and most heights remained within the normal centile lines. CONCLUSION: The ketogenic diet can be considered a safe and effective treatment for children with intractable seizures.
- ItemAcesso aberto (Open Access)Conhecimento de pediatras e nutricionistas sobre o tratamento da alergia ao leite de vaca no lactente(Sociedade de Pediatria de São Paulo, 2007-06-01) Cortez, Ana Paula B. [UNIFESP]; Medeiros, Lilian Cristiane da S. [UNIFESP]; Speridião, Patrícia da Graça Leite [UNIFESP]; Mattar, Regina Helena G. M. [UNIFESP]; Fagundes Neto, Ulysses [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: Evaluate the knowledge of pediatricians and nutritionists regarding the exclusion diet of cow milk and derivates, with emphasis on questions related to the nutrition of children submitted to such diet. METHODS: Cross-sectional study that enrolled pediatricians (n=53) and nutritionists (n=29) from public hospitals in São Paulo, Brazil, during 2005. Data was collected through self-administered questionnaires. RESULTS: The age of the professionals varied from 21 to 50 years old. Regarding professional experience, 41.2% were graduated for less than five years and 91.6% had a specialization course, masters and/or PhD degree. The vast majority of professionals (97.5%) confirmed that they regularly evaluated the diet of children that needed exclusion of cow milk. However, only 48% of the professionals conducted a more detailed evaluation of the diet, including calculations of food ingestion. Only 38.7% of the professionals compared child s food ingestion with some recommended pattern. Recommendations for daily ingestion of calcium by children up to the age of 36 months were properly mentioned by 22% of the pediatricians and 60.7% of the nutritionists (p=0.001). Inadequate cow milk substitute products were recommended by 66% of the pediatricians and by 48.3% of the nutritionists. Regarding labels of industrialized products, 81.6% of the pediatricians and 96.4% of the nutritionists advised the parents to look for all terms that could indicate the presence of cow milk protein. CONCLUSIONS: Pediatricians and nutritionists made conceptual errors in their main recommendations regarding the treatment of cow milk protein allergy.
- ItemAcesso aberto (Open Access)Consumo alimentar e doença macrovascular em nipo-brasileiros: um estudo transversal(Sociedade Brasileira de Endocrinologia e Metabologia, 2009-10-01) Salvo, Vera Lúcia Morais Antonio de; Cardoso, Marly Augusto; Barros Junior, Newton de [UNIFESP]; Ferreira, Sandra Roberta Gouvea [UNIFESP]; Gimeno, Suely Godoy Agostinho [UNIFESP]; Universidade Metodista de São Paulo; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To describe the food intake of Japanese-Brazilians with and without macrovascular disease (MVD). METHODS: MVD was defined, for 1,165 Japanese-Brazilians, by scores attributed to the health historical, electrocardiogram and ankle-brachial index values. The usual dietary intake was determined using a food frequency questionnaire. RESULTS: The MVD prevalence was of 3.2%, being similar among genders. Statistically higher frequencies of individuals with MVD were observed among those of first generation, with age > 60 years, tobacco user, with hypertension, hypertriglyceridemia and diabetes. Subjects with MVD were older, with smaller hip circumference, and higher systolic blood pressure levels, triglycerides and glycemia concentration; they informed higher consumption of iron source food and smaller of grains fibers. Statistically significant difference was found to saturated fat (crude analysis: second tercile versus first tercile). CONCLUSIONS: Programs of nutritional education should be stimulated in this group with high prevalence of non-communicable chronic diseases.
- ItemAcesso aberto (Open Access)Dieta e câncer: um enfoque epidemiológico(Pontifícia Universidade Católica de Campinas, 2004-12-01) Garófolo, Adriana [UNIFESP]; Avesani, Carla Maria [UNIFESP]; Camargo, Kátia Gavranich [UNIFESP]; Barros, Maria Elisa [UNIFESP]; Silva, Sandra Regina Justino [UNIFESP]; Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]; Sigulem, Dirce Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Santo Amaro Disciplina Saúde PúblicaRecent data have shown that the prevalence of cancer in the world has significantly risen in the last century. Cancer epidemiologists believe that it is related to the industrialization and urbanization that occurred during this period. In fact, the cancer incidence and mortality observed in developed countries are higher than in non-developed countries. Moreover, some specific sites of cancer such as colon-rectum, prostate and female mama are more pronounced in developed countries, whereas others as stomach, esophagus and cervix are prevalent in non-developed countries. Different patterns of cancer are also observed among migrants when they migrate to a new country or region. Based on epidemiological data, the association between cancer and diet was analyzed, as well as the changes in some food intake patterns and how they can prevent some types of cancer in the future.
- ItemAcesso aberto (Open Access)Insatisfação corporal, prática de dietas e comportamentos de risco para transtornos alimentares em mães residentes em Santos(Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, 2012-01-01) Scagliusi, Fernanda Baeza [UNIFESP]; Pereira, Patrícia da Rocha [UNIFESP]; Stelmo, Isis de Carvalho [UNIFESP]; Unsain, Ramiro Fernandez; Martins, Paula Andrea [UNIFESP]; Sato, Priscila de Morais; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP); Universidad de Buenos Aires Faculdad de Filosofía y LetrasOBJECTIVE: To evaluate body dissatisfaction, dieting and risk behaviors for eating disorders among a sample of mothers living in the city of Santos. METHODS: It was conducted a cross-sectional population-based study with 453 mothers of children aged until 10 years old. The mothers answered to the Eating Attitudes Test (EAT-26), the Stunkard's Figure Scale and a question about being currently dieting. RESULTS: 29.9% presented a positive score for risk behaviors for eating disorders and 21.8% were currently dieting. Regarding body image, 17.5% of the mothers were satisfied with their current body size, 71.5% would like to decrease their body sizes and 11.0% would like to increase it. The risk behaviors for eating disorders were more frequent among the body-dissatisfied mothers (p < 0.0001). CONCLUSION: Most of the mothers were dissatisfied with their body sizes. The frequency of mothers who practiced diets or presented risk behaviors for eating disorders was similar or superior to the rest of the national studies, conducted, at large, with populations considered at risk, such as adolescent girls or young college women.
- ItemAcesso aberto (Open Access)Perfil lipídico e efeitos da orientação nutricional em adolescentes com história familiar de doença arterial coronariana prematura(Sociedade Brasileira de Cardiologia - SBC, 2006-05-01) Mendes, Gislaine Aparecida Nogueira [UNIFESP]; Martinez, Tania L. [UNIFESP]; Izar, Maria Cristina de Oliveira [UNIFESP]; Amancio, Olga Maria Silverio [UNIFESP]; Novo, Neil Ferreira [UNIFESP]; Matheus, Simone Cristina Pinto [UNIFESP]; Bertolami, Marcelo C. [UNIFESP]; Fonseca, Francisco Antonio Helfenstein [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Instituto Dante Pazzanese de CardiologiaOBJECTIVE: To assess lipid profile and nutritional parameters from adolescents with family history of premature coronary artery disease (CAD) and assess the effects of nutritional counseling. METHODS: The study included 48 adolescents of both gender and with ages ranging from 10 and 19 years old (case group, n=18; control group, n=30). RESULTS: Offspring of young individuals with coronary artery disease showed higher values of total cholesterol (189 ± 30 vs. 167 ± 26 mg/dl, p < 0.01), LDL-C (144 ± 20 vs. 100 ± 27 mg/dl, p < 0.001) and apoB (80 ± 15 vs. 61 ± 18 mg/dl, p = 0.001) and lower values of HDL-C (45 ± 9 vs. 51 ± 13 mg/dl, p < 0.02) than control young individuals. Differences were not found for triglycerides and apoA-I. With a dietotherapeutic counseling, we obtained a reduction in alimentary consumption of saturated fatty acids (pre: 15.5 ± 4.7% vs. post: 6.6 ± 3.7%, p = 0.003) and an improvement in lipid profile: TC (-8%, p = 0.033), LDL-C (-18.2%, p = 0.001), TG (-53%, p = 0.002) rates in offspring of premature CAD patients who showed hyperlipidemia. CONCLUSION: The presence of dyslipidemia was more prevalent among offspring adolescents of premature CAD patients, but it was responsive to nutritional intervention.
- ItemAcesso aberto (Open Access)Short-term effects of soy protein diet in patients with proteinuric glomerulopathies(Sociedade Brasileira de Nefrologia, 2011-06-01) Ahmed, Marion Souza [UNIFESP]; Baxmann, Alessandra Calábria [UNIFESP]; Mastroianni Kirsztajn, Gianna [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); SBN Department of Epidemiology and Kidney Diseases PreventionINTRODUCTION: It has been suggested that soy protein can slow renal disease progression by decreasing plasma cholesterol and proteinuria in patients with nephropathies. This study was designed to evaluate the effect of soy protein on proteinuria and dyslipidemia, in patients with proteinuric glomerulopathies. PATIENTS AND METHODS: Patients were divided into three groups: Control Group (n = 9) received diet with 0.8 g/kg/day of animal protein; Study Group 1 (n = 9), 0.8 g/kg/day of soy protein; and Group 2 (n = 9), 0.8 g/kg/day of soy protein plus fibers. The study period corresponded to eight weeks. During the baseline period and by the end of the study, patients were submitted to laboratorial and anthropometric evaluation. RESULTS: There was no statistically significant difference between baseline and post-diet periods among the three groups in anthropometric parameters or body composition, neither in proteinuria levels (Control: 0.7 ± 0.6 versus 0.8 ± 0.6; Group 1: 2.0 ± 1.7 versus 1.9 ± 1.8; Group 2: 2.0 ± 1.4 versus 2.1 ± 2.0). However, a slight decrease in triglycerides (244.8 ± 275.9 versus 200.5 ± 34.0), total (234.0 ± 59.4 versus 181.2 ± 110.3) and LDL (136.0 ± 59.1 versus 104.1 ± 39.4) cholesterol in Group 1 was observed, although not significant. CONCLUSION: We have not observed beneficial effects when using soy protein instead of animal protein with the aim of attenuating proteinuria and hyperlipidemia, but we have shown that soy protein has not caused deleterious changes in body composition, ensuring an adequate nutritional state.
- ItemAcesso aberto (Open Access)Verificação do volume residual gástrico em unidade de terapia intensiva(Associação Brasileira de Enfermagem, 2003-12-01) Mori, Satomi [UNIFESP]; Matsuba, Cláudia Satiko Takemura [UNIFESP]; Whitaker, Iveth Yamaguchi [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Hospital do Coração - São PauloThis descriptive study aims at verifying whether or not the gastric residual volume (GRV) is assessed prior to the administration of the diet and the procedure performed by the Nursing staff when such a factor occurs. Most Nursing staff members (76.56%) did not verify the GRV before administration of the diet via tube feeding, despite the fact that the majority of them (90.63%) had asserted that they use the procedure. 20,31% stated opening the tube feeding from 100 ml of the GRV, and the majority of them referred to disposing of the aspirated material and 57.78% stated to have administered 100% of the prescribed volume independent of the GRV aspirated by the tube feeding. The study showed the need for supervision and guidance for the nursing staff concerning the care related to administration of the diet via tube feeding.