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- ItemAcesso aberto (Open Access)Ácidos graxos ômega 3 e tratamento da esquizofrenia(Faculdade de Medicina da Universidade de São Paulo, 2010-01-01) Zemdegs, Juliane Costa Silva [UNIFESP]; Pimentel, Gustavo Duarte [UNIFESP]; Priel, Margareth Rose; Universidade Federal de São Paulo (UNIFESP); Centro Universitário São CamiloBACKGROUND: Schizophrenia is a complex and debilitating psychiatric disorder, whose primary pharmacological intervention is the use of antipsychotics. There is, however, growing evidence that dietary supplementation with omega 3 fatty acids (n-3) may be beneficial in several psychiatric conditions. OBJECTIVE: To review the efficacy of n-3 as a treatment for schizophrenia. METHODS: Electronic searches of the following databases were performed: Medline, Lilacs e SciELO. The search strategy also included cited reference searching. All relevant randomized controlled trials were included in the review. RESULTS: To date, five out of six randomized, double-blind, and placebo controlled studies obtained improvement in the symptoms of the psychosis. Besides, an advantage in the intake of eicosapentaenoic fatty acid (EPA) in relation to docosahexaenoic fatty acid was designated. Essentially, the intake of 2 g/day of EPA in addition to the standard medication was effective in decreasing the symptoms of schizophrenia. DISCUSSION: The nutritional therapy with EPA revealed to be useful as coadjutant in the treatment of schizophrenia. Therefore, we suggest that the schizophrenic patients should be encouraged to consume balanced and healthy meals rich in EPA and, if the ideal amount is not reached by the diet, the supplementation is likely to be beneficial.
- ItemSomente MetadadadosAlteração do estado nutricional na população geral e em pacientes com dpoc em três cidades da américa latina - estudo platino seguimento(Universidade Federal de São Paulo (UNIFESP), 2016-05-31) Luize, Ana Paula Bauermann Tfardowski [UNIFESP]; Jardim, Jose Roberto de Brito Jardim [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: PLATINO is a populational-based longitudinal study that may help to understand the natural history of nutritional status in real life. Objective: Evaluate the nutritional status according to body mass índex (BMI) and addomen circumference (AC) of a same population of three large cities in Latin America including COPD patients after 6 to 9 years of follow up in Montevideo, Santiago and São Paulo. Methods: Population was submitted to pre and post-BD spirometry, answered a clinical questionnaire and had the BMI and AC measured. Results: 2107 individuals out of 3116 of Basal PLATINO were re-evaluated. There was a reduction in the proportion of individuals with low BMI in São Paulo (20.2% to 15.9%) and Montevideo (from 15.4% to 11.7%) and increase in the proportion of subjects with obesity in São Paulo (26.4% to 32.6%) and Montevideo (35.1% to 39.0%). COPD patients increased weight in São Paulo (70.0 ± 2.8kg to 71.0 ± 2.8kg), while decreased in Montevideo (74.3 ± 2.2kg to 73.3 ± 2.2kg) and Santiago (73.6 ± 1.3kg to 72.7 ± 1.3kg). AC increased in all three cities. Factors at the PLATINO Basal associated to weight gain and abdominal circumference increase were female gender, lower age, higher FEV1 and living in São Paulo. Conclusion: Overall there was an increase in overweight and obese individuals; factors at Basal PLATINO associated to weight gain were be a woman, to have better lung function and younger age. COPD patients lost weight in Montevideo and Santiago but increased abdominal circumference in all three cities; this finding make us to believe that these patients lost muscle mass.
- ItemAcesso aberto (Open Access)Aplicação da escala de conhecimento nutricional em atletas profissionais e amadores de atletismo(Sociedade Brasileira de Medicina do Exercício e do Esporte, 2008-06-01) Nicastro, Humberto; Dattilo, Murilo [UNIFESP]; Santos, Tânia Rodrigues dos; Padilha, Heloisa Vidigal Guarita [UNIFESP]; Zimberg, Ioná Zalcman [UNIFESP]; Crispim, Cibele Aparecida [UNIFESP]; Stulbach, Tamara Eugênia; Centro Universitário São Camilo São Paulo; RG Nutri Consultoria Nutricional São Paulo; Universidade Federal de São Paulo (UNIFESP)An adequate nutrition is necessary to supply the energy demand required by exercise as much for active individuals and for athletes. However, much more than sports performance, the nutrition knowledge is essential for both populations for prevention of illnesses. Many interventions centered in nutritional education have been lead with the intention to increase nutrition knowledge and, consequently, improve nutritional behaviors. The aim of the present study was to evaluate the nutrition knowledge of professional and amateur track and field athletes with application of a scale previously validated in Brazil. The sample was composed by 26 professional and 41 amateur track and field athletes of several modalities in phase of continuous training. The results have shown that professional and amateur track and field athletes generally presented moderate nutritional knowledge, with the latter presenting punctuation significantly higher than the professional group, a fact associated with their higher educational background. In conclusion, professional track and field athletes present lower nutritional knowledge, which can be partly attributed to the fact that they see the nutritional science with performance as main objective. Further applications of this scale in professional and amateur athletes must be carried out in order to assess the nutritional knowledge level of this population.
- ItemSomente MetadadadosCardiopulmonary reflex is attenuated in iron overload conscious rats(Taylor & Francis Ltd, 2007-01-01) Cardoso, Leonardo Maximo; Fernandes, Luciano Goncalves; Alves, Arthur Moreira; Pedrosa, Maria Lucia; Silva, Marcelo Eustaquio; Colombari, Eduardo; Dutra Moraes, Marcio Flavio; Chianca, Deoclecio Alves; Univ Fed Ouro Preto; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Minas Gerais (UFMG)Increased iron intake can lead to iron accumulation in serum and tissues. Its has been described that serum and tissue iron overload increase reactive oxygen species (ROS) levels and reduce the effectiveness of the cardiovascular neural mechanisms involved in the maintenance of the arterial blood pressure whithin a narrow range of variation, therefore, iron overload may disrupt cardiovascular homeostasis contributing to physiopathological status development. in the present study we evaluated whether iron accumulated in serum or tissue of awake animals affect the cardiovascular homeostasis through changes in the cardiopulmonary reflex (CPR). We observed that the CPR is reduced in both serum and tissue iron overloaded groups, but no changes were found in the left ventricular pressure measurements, suggesting that iron-related effects are restrict to the CPR neural pathways. We also observed that the serum overloaded group presented lower basal heart rate levels, suggesting an increased parasympathetic efferent activity directed to the heart in this group. Taken together, our data suggest an important role for the iron-generated ROS to the cardiovascular homeostasis, especially regarding the CPR in awake animals.
- ItemAcesso aberto (Open Access)Communication in health: a new time(Soc Brasileira Ciencia Tecnologia Alimentos, 2017) Ferreira, Carolina Menezes; Giardelli, Gil; Lima, Mike Lopes; Kapim, Gabriela; Garbin, Daiana; Fisberg, Mauro [UNIFESP]; Zambrone, Flavio; Correa, Tadeu; Boulos, Marcos; Poltronieri, Fabiana; Paulon, Clarice Pimentel; Silva, Gumercindo; Escobar, Ana; Malzyner, Gabriela; Atalla, Marcio; Neves, Bianca [UNIFESP]; Antonaccio, Cynthia; Silvestre, Paulo; Reis, Ciro Dias; Grisolia, Daisy [UNIFESP]; Crescia, Elena; Otto, GustavoThe interface between the fields of health and communication brings together a wide diversity of topics, perspectives and articulations between academic production (scientific content) and its dissemination to the public (health journalism). The development and convergence of communication technologies, the progressive mediatization of society and institutions, the new generation of readers and their ways of consuming health content are some of the examples of the various issues addressed in health communication. The aim of this article is to reflect on the relationship between media and health and its current importance in the production and dissemination of contents, in light of the new information and communication technologies, producing efficient and credible information, directed to different audiences.
- ItemAcesso aberto (Open Access)Conhecimentos, atitudes e práticas de professores de ciclo básico, expostos e não expostos a Curso de Educação Nutricional(Pontifícia Universidade Católica de Campinas, 2004-06-01) Davanço, Giovana Mochi; Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]; Gaglianone, Cristina Pereira [UNIFESP]; Universidade do Oeste Paulista Faculdade de Nutrição; Universidade Federal de São Paulo (UNIFESP)OBJETIVE: The objective of this study was to evaluate the knowledge of teacher who had (or had not) been exposed to the educative program that involved the use of games with educative and playful purposes and the didactic planning for the application of these activities. METHODS: The studied sample comprised 51 teachers (15 exposed and 36 not exposed). The questionnaire contained questions on nutritional concepts and on the role of the teacher and the school as a means of promotion of healthy nutritional habits. RESULTS: The studied variables included knowledge, attitude and nutritional practice of the teachers. Tables of contingency were used for the description of the frequencies of the variables and for the Exact Test of Fisher was used for the comparisons between the exposed and non exposed group, with significance rates of 0,05% or 5%. CONCLUSION: It had been observed that the exposed teachers had presented themselves better conceptually prepared and more sensitized in relation to the teacher's role and the school's while transforming reality, demonstrating that the program of school feeding can become a space of learning, production and knowledge production.
- ItemSomente MetadadadosContribution of anthocyanin-rich foods in obesity control through gut microbiota interactions(Wiley, 2017) Jamar, Giovana [UNIFESP]; Estadella, Debora [UNIFESP]; Pisani, Luciana Pellegrini [UNIFESP]Obesity is characterized by low-grade inflammation and a number of metabolic disorders. Distal gut microbes' content (microbiota) is not yet fully understood but evidence shows that it is influenced by internal and external factors that modulate its composition and function. The evidence that gut microbiota composition can differ between healthy and obese individuals, as well as for those who maintain specific dietary habits, has led to the study of this environmental factor as a key link between the pathophysiology of obesity and gut microbiota. Data obtained about the role of anthocyanins (ACNs) in microbiota may lead to different strategies to manipulate bacterial populations and promote health. Anthocyanins have been identified as modulators of gut microbiota that contribute to obesity control and these bioactive compounds should be considered to have a prebiotic action. This review addresses the relevance of knowledge about the influence of anthocyanins-rich food consumption on microbiota, and their health-promoting potential in the pathophysiology of obesity. (c) 2017 BioFactors, 43(4):507-516, 2017
- ItemAcesso aberto (Open Access)O crescimento de crianças alimentadas com leite materno exclusivo nos primeiros 6 meses de vida(Sociedade Brasileira de Pediatria, 2004-04-01) Marques, Rosa Fátima da Silva Vieira [UNIFESP]; Lopez, Fábio Ancona [UNIFESP]; Braga, Josefina Aparecida Pellegrini [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Santo Amaro Departamento de PediatriaOBJECTIVE: To evaluate the growth of exclusively breastfed infants from birth to six months of life. METHODS: This was a longitudinal study of 184 children who received primary care at a public institution (Exclusive Breastfeeding Stimulation Program, PROAME) in Belém, state of Pará, Brazil, between February 2000 and January 2001. A total of 102 children completed the study. All were born at full term with a birth weight greater than or equal to 2,500 g. No events were recorded during the neonatal period and the infants were exclusively breastfed, on demand, since their birth. The infants were followed up monthly, and the weight and length measured at birth and at the end of the first, fourth and sixth months of life were compared to the 50th percentile line of the NCHS growth charts and to other previous studies of Brazilian children who were exclusively breastfed. RESULTS: Growth was adequate for all the children, who doubled their weight before the fourth month of life. Despite a slow-down in weight and height gain after the fourth month, the weight averages at six months were greater than the standards used for comparison. CONCLUSIONS: The average weight of these exclusively breastfed children was above the 50th percentile of the NCHS curve at six months, thus confirming the nutritional advantages of breast milk, especially when the mothers receive guidance regarding the appropriate techniques for breastfeeding.
- ItemSomente MetadadadosDay care centres as an institution for health promotion among needy children: an analytical study in São Paulo, Brazil(Nature Publishing Group, 2000-09-01) Silva, EMK; Miranda, C. T.; Puccini, R. F.; Nobrega, F. J.; Universidade Federal de São Paulo (UNIFESP)Objective: To evaluate the role of day care centres in the nutritional state of children belonging to a low-income population, comparing the nutritional state of the children in the day care centres with children in the same population who were given other types of day care.Design: Analytical cross-sectional study.Setting: Public day care centres/primary health care.Participants: Children aged 0-6 yr attending in 4 public day care centres (n = 446), and sample of population obtained during vaccination campaign (n = 1626).Measurement: Nutritional evaluation was conducted through weight and height measurements, using as a standard the NCHS (USA) table and Gomez and Waterlow methodology. the type of daily care received by the children was assessed through a questionnaire answered by the responsible persons during the vaccination campaign.Results: the nutritional status of children attended in the day care centers was better than children of the same community receiving other types of daily care (OR = 0.48; CI 95% = 0.36-0.65; P < 0.0001), the improvement was related to more than 1 year of enrollment in the day care (OR = 0.74; CI 95% = 0.57-0.96; P = 0.02).
- ItemSomente MetadadadosDevelopment and Implementation: B'More Healthy Communities for Kid's Store and Wholesaler Intervention(Sage Publications Inc, 2017) Schwendler, Teresa; Shipley, Cara; Budd, Nadine; Trude, Angela; Surkan, Pamela J.; Steeves, Elizabeth Anderson; Sato, Priscila de Morais [UNIFESP]; Eckmann, Thomas; Loh, Hong; Gittelsohn, JoelHigher rates of obesity and obesity-related chronic disease are prevalent in communities where there is limited access to affordable, healthy food. The B'More Healthy Communities for Kids (BHCK) trial worked at multiple levels of the food environment including food wholesalers and corner stores to improve the surrounding community's access to healthy food. The objective of this article is to describe the development and implementation of BHCK's corner store and wholesaler interventions through formal process evaluation. Researchers evaluated each level of the intervention to assess reach, dose delivered, and fidelity. Corner store and wholesaler reach, dose delivered, and fidelity were measured by number of interactions, promotional materials distributed, and maintenance of study materials, respectively. Overall, the corner store implementation showed moderate reach, dose delivered, and high fidelity. The wholesaler intervention was implemented with high reach, dose, and fidelity. The program held 355 corner store interactive sessions and had 9,347 community member interactions, 21% of which were with children between the ages of 10 and 14 years. There was a 15% increase in corner store promoted food stocking during Wave 1 and a 17% increase during Wave 2. These findings demonstrate a successfully implemented food retailer intervention in a low-income urban setting.
- 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.
- ItemSomente MetadadadosDietary Patterns, Metabolic Markers and Subjective Sleep Measures in Resident Physicians(Informa Healthcare, 2013-01-01) Mota, Maria Carliana; De-Souza, Daurea Abadia; Rossato, Luana Thomazetto; Silva, Catarina Mendes; Jeha Araujo, Maria Bernadete; Tufik, Sergio [UNIFESP]; Mello, Marco Tulio de [UNIFESP]; Crispim, Cibele Aparecida [UNIFESP]; Universidade Federal de Uberlândia (UFU); Universidade Federal de São Paulo (UNIFESP)Shiftwork is common in medical training and is necessary for 24-h hospital coverage. Shiftwork poses difficulties not only because of the loss of actual sleep hours but also because it can affect other factors related to lifestyle, such as food intake, physical activity level, and, therefore, metabolic patterns. However, few studies have investigated the nutritional and metabolic profiles of medical personnel receiving training who are participating in shiftwork. the aim of the present study was to identify the possible negative effects of food intake, anthropometric variables, and metabolic and sleep patterns of resident physicians and establish the differences between genders. the study included 72 resident physicians (52 women and 20 men) who underwent the following assessments: nutritional assessment (3-day dietary recall evaluated by the Adapted Healthy Eating Index), anthropometric variables (height, weight, body mass index, and waist circumference), fasting metabolism (lipids, cortisol, high-sensitivity C-reactive protein [hs-CRP], glucose, and insulin), physical activity level (Baecke questionnaire), sleep quality (Pittsburgh Sleep Quality Index; PSQI), and sleepiness (Epworth Sleepiness Scale; ESS). We observed a high frequency of residents who were overweight or obese (65% for men and 21% for women; p = 0.004). Men displayed significantly greater body mass index (BMI) values (p = 0.002) and self-reported weight gain after the beginning of residency (p = 0.008) than women. Poor diet was observed for both genders, including the low intake of vegetables and fruits and the high intake of sweets, saturated fat, cholesterol, and caffeine. the PSQI global scores indicated significant differences between genders (5.9 vs. 7.5 for women and men, respectively; p = 0.01). Women had significantly higher mean high-density lipoprotein cholesterol (HDL-C; p<0.005), hs-CRP (p = 0.04), and cortisol (p = 0.009) values than men. the elevated prevalence of hypertriglyceridemia and abnormal values of low-density lipoprotein cholesterol (LDL-C; >100 mg/dL) were observed in most individuals. Higher than recommended hs-CRP levels were observed in 66% of the examined resident physicians. Based on current recommendations, a high prevalence of low sleep quality and excessive daytime sleepiness was identified. These observations indicate the need to monitor health status and develop actions to reassess the workload of medical residency and the need for permission to perform extra night shifts for medical residents to avoid worsening health problems in these individuals.
- ItemAcesso aberto (Open Access)Efeitos da terapia multidisciplinar de longo prazo sobre a composição corporal de adolescentes internados com obesidade severa(Sociedade Brasileira de Pediatria, 2009-06-01) Prado, Wagner Luiz do [UNIFESP]; Siegfried, Alena; Dâmaso, Ana Raimunda [UNIFESP]; Carnier, June [UNIFESP]; Piano, Aline de [UNIFESP]; Siegfried, Wolfgang; Universidade Federal de São Paulo (UNIFESP); Obesity Rehabilitation Centre INSULAOBJECTIVE: To describe the effects of long-term multidisciplinary inpatient therapy on body composition of severely obese adolescents. METHODS: A total of 728 extremely obese adolescents, including 249 boys (aged 15.25±1.56 years) and 479 girls (aged 15.34±1.59 years) received multidisciplinary therapy during a period of 3 to 9 months. The therapy consisted of reduced energy intake, dietetic education, physical exercises and psychological therapy. Body composition was assessed by bioelectrical impedance analysis, and physical capacity was assessed by the multistage cycle ergometer test. Type and duration of each activity were recorded using a daily controlled activity diary. RESULTS: There was a significant decrease (p < 0.05) in body mass (27.84±12.49 kg for boys and 21.60±9.87 kg for girls), body mass index (9.19±3.88 kg/m² for boys and 7.72±3.98 kg/m² for girls) and fat mass. In addition, the percentage of fat free mass increased significantly (p < 0.05) in boys (from 58.8±6.41 to 69.98±7.43%) and in girls (from 51.86±4.96 to 60.04±5.65%). CONCLUSION: Long-term multidisciplinary approach allows significant reduction in severe obesity, preserving growth and percentage of fat free mass.
- ItemSomente MetadadadosEvaluation of inexpensive pollen substitute diets through quantification of haemolymph proteins(Int Bee Research Assoc, 2013-01-01) Morais, Michelle M. [UNIFESP]; Turcatto, Aline P.; Francoy, Tiago M.; Goncalves, Lionel S.; Cappelari, Fabricio A.; De Jong, David; Universidade de São Paulo (USP); Univ Fed Rural Semi Arido; Universidade Federal de São Paulo (UNIFESP)
- ItemSomente MetadadadosEvaluation of Mid-upper Arm Circumference in Pre-school Children: Comparison Between NCHS/CDC-2000 and WHO-2006 References(Oxford Univ Press, 2011-06-01) Nascimento, Viviane G.; Machado, Thais Costa; Bertoli, Ciro Joao; Abreu, Luiz Carlos de; Valenti, Vitor Engrácia [UNIFESP]; Leone, Claudio; Universidade de São Paulo (USP); Univ Taubate; Fac Med ABC; Universidade Federal de São Paulo (UNIFESP)We aimed to evaluate the classification of arm circumference (AC) in pre-school children by using National Center for Health Statistics (NCHS/CDC-2000) and World Health Organization (WHO-2006) references. We evaluated 205 children: weight, height and AC were assessed and the body mass index (BMI) was calculated. the BMI values were classified into Z-scores by the WHO referential. the AC was classified into Z-cores by two references, comparing the whole-sample value and among groups (tercis) of BMI Z-score. the correlation was also evaluated between differences of AC with BMI Z-score. the WHO referential classified the AC in Z-scores greater than the NCHS/CDC, which is more specific and less sensitive than the NCHS/CDC for lean children and at the same time more sensitive and less specific for children with overweight. in conclusion, a significant difference in the AC classification occurs according to the referential used.
- ItemSomente MetadadadosHigh sodium chloride intake is associated with low bone density in calcium stone-forming patients(Dustri-verlag Dr Karl Feistle, 2000-08-01) Martini, Lígia Araújo [UNIFESP]; Cuppari, Lilian [UNIFESP]; Colugnati, Fernando Antonio Basile [UNIFESP]; Sigulem, Dirce Maria [UNIFESP]; Szejnfeld, Vera Lucia [UNIFESP]; Schor, Nestor [UNIFESP]; Heilberg, Ita Pfeferman [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Background: Although renal stone disease has been associated with reduced bone mass, the impact of nutrient intake on bone loss is unknown. Subjects and methods: The present study was undertaken to investigate the influence of nutrient intake on bone density of 85 calcium stone-forming (CSF) patients (47 male and 38 premenopausal females) aged 41 +/- 11 years (X +/- SD). Bone mineral density (BMD) was measured using dual energy X-ray absorptiometry at the lumbar spine (L-2 - L-4) and femoral neck sites: and low BMD was defined as a T score < -1 (WHO criteria). A 4-day dietary record and a 24-hour urine sample were obtained from each patient for the assessment of nutrient intake and urinary calcium (Uc,), sodium (U-Na), phosphate and creatinine excretion. Results: Forty-eight patients (56%) presented normal BMD and 37 (44%) low BMD. There were no statistical differences regarding age, weight, height, body mass index, protein, calcium and phosphorus intakes between both groups. The mean Uc,, phosphorus and nitrogen appearance also did not differ between groups. However, there was a higher percentage of hypercalciuria among low vs normal BMD patients (62 vs 33%, p < 0.05). Low BMD patients presented a higher mean sodium chloride (NaCl) intake and excretion (UNa) than normal BMD (14 +/- 5 vs 12 +/- 4 g/day and 246 +/- 85 vs 204 +/- 68 mEq/day, respectively p < 0.05). The percentage of patients presenting NaCl intake greater than or equal to 16 g/day was also higher among low vs normal BMD patients (35 vs 12%, p < 0.05). After adjustment for calcium and protein intakes, age, weight, body mass index, urinary calcium, citrate and uric acid excretion, and duration of stone disease, multiple-regression analysis showed that a high NaCl intake (2 16 g/day) was the single variable that was predictive of risk of low bone density in CSF patients (odds ratio = 3.8). Conclusion: These data suggest that reducing salt intake should be recommended for CSF patients presenting hypercalciuria and osteopenia.
- ItemAcesso aberto (Open Access)Impacto de um programa de intervenção sobre o estilo de vida nos perfis metabólico, antropométrico e dietético em nipo-brasileiros com e sem síndrome metabólica(Sociedade Brasileira de Endocrinologia e Metabologia, 2011-03-01) Damião, Renata; Sartorelli, Daniela Saes; Hirai, Amélia [UNIFESP]; Bevilacqua, Marselle Rodrigues [UNIFESP]; Salvo, Vera Lúcia Morais Antonio de [UNIFESP]; Ferreira, Sandra Roberta Gouvea [UNIFESP]; Gimeno, Suely Godoy Agostinho [UNIFESP]; Universidade Federal do Triângulo Mineiro Departamento de Nutrição; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: We evaluated the changes in biochemical and nutritional profiles of Japanese-Brazilians with and without metabolic syndrome after two years of participation in the intervention program. MATERIALS AND METHODS: It was a non-controlled experimental study. The biochemical and clinical assessments were conducted at baseline (2005), after a year (2006) and after two years (2007) of intervention. On the present study, data of 360 individuals, who participated on the three assessments were considered. RESULTS: Both groups presented improvements on the anthropometric and metabolic profile, after two years of intervention. It was observed reduction in the intake of total fat, saturated fat, and dietary cholesterol, and increased intake of fiber among men without metabolic syndrome. It was observed reduction in the intake of total fat (p = 0,003) and monounsaturated fatty acid (p = 0,002). CONCLUSION: The results showed a positive impact of the lifestyle intervention program in metabolic and nutritional profile of Japanese-Brazilians with and without metabolic syndrome.
- ItemAcesso aberto (Open Access)A importância do consumo dietético de cálcio e vitamina D no crescimento(Sociedade Brasileira de Pediatria, 2008-10-01) Bueno, Aline L.; Czepielewski, Mauro A. [UNIFESP]; Universidade Federal do Rio Grande do Sul; Universidade Federal de São Paulo (UNIFESP); UFRGS Faculdade de Medicina Programa de Pós-Graduação em Ciências Médicas: Endocrinologia e NutriçãoOBJECTIVE: To investigate the role of dietary calcium and vitamin D in the process of growth and development of children and adolescents, focusing in particular on the prevention and treatment of delayed growth caused by nutritional deficiency. SOURCES: Information was gathered from articles published in the last 2 decades, from searches on the databases SciELO, PubMed and Medline, technical books and publications of international organizations. SUMMARY OF THE FINDINGS: Growth is influenced by intrinsic (genetic and metabolic) and extrinsic factors (environmental factors such as diet, health, hygiene, housing and access to health services). Among the nutritional factors are vitamin and oligoelement deficiencies which may be associated with malnutrition or caused by insufficient absorption. Since calcium is one of the main mineral components of bone tissue, it is essential for adequate bone formation and, considering that vitamin D plays an important role in calcium metabolism, a diet with insufficient quantities of these nutrients can impact on the formation of the skeleton and on the process of growth and development. CONCLUSIONS: In children and adolescents, low intake or low absorption of calcium and vitamin D may limit their statural growth, and it is necessary to supply sufficient quantities of both during the critical growth phases.
- ItemAcesso aberto (Open Access)Intervenções não farmacológicas para manejo do ganho de peso em pacientes com esquizofrenia em uso de antipsicóticos(Sociedade Brasileira de Endocrinologia e Metabologia, 2009-06-01) Attux, Cecília [UNIFESP]; Martini, Larissa Campagna [UNIFESP]; Reis, André Fernandes [UNIFESP]; Bressan, Rodrigo Affonseca [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)INTRODUCTION: Schizophrenic patients have a higher prevalence of obesity than the general population. There are several factors implicated in weight gain, including poor dietary conditions, sedentary lifestyle and antipsychotic drugs use. Obesity is also associated with metabolic disturbances such as diabetes mellitus. Weight gain interventions are necessary in this population, especially non-pharmacological interventions. OBJECTIVE: To review the non-pharmacological interventions for weight gain management in patients with schizophrenia. METHODS: Eight clinical trials and four open-label studies using these interventions were found. The methodology, strength and limitations of the studies were reviewed. CONCLUSIONS: Non-pharmacological interventions seem to have an important effect on weight gain prevention and control, and should be encouraged and adapted to patients and in mental health institution's reality.
- ItemSomente MetadadadosLong-Term Impact of Early Life Events on Physiology and Behaviour(Wiley-Blackwell, 2014-09-01) Boersma, G. J.; Bale, T. L.; Casanello, P.; Lara, H. E.; Lucion, A. B.; Suchecki, D. [UNIFESP]; Tamashiro, K. L.; Johns Hopkins Univ; Univ Penn; Pontificia Univ Catolica Chile; Univ Chile; Univ Fed Rio Grande do Sul; Universidade Federal de São Paulo (UNIFESP)This review discusses the effects of stress and nutrition throughout development and summarises studies investigating how exposure to stress or alterations in nutrition during the pre-conception, prenatal and early postnatal periods can affect the long-term health of an individual. in general, the data presented here suggest that that anything signalling potential adverse conditions later in life, such as high levels of stress or low levels of food availability, will lead to alterations in the offspring, possibly of an epigenetic nature, preparing the offspring for these conditions later in life. However, when similar environmental conditions are not met in adulthood, these alterations may have maladaptive consequences, resulting in obesity and heightened stress sensitivity. the data also suggest that the mechanism underlying these adult phenotypes might be dependent on the type and the timing of exposure.