Navegando por Palavras-chave "nutritional status"

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    Alteração 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.
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    Analysis of the Level of Dysphagia, Anxiety, and Nutritional Status Before and After Speech Therapy in Patients with Stroke
    (Fundação Otorrinolaringologia, 2014-04-01) Drozdz, Daniela; Mancopes, Renata; Silva, Ana Maria Toniolo; Reppold, Caroline; Universidade Federal de Santa Maria; Universidade Federal de Santa Catarina; Universidade Federal de São Paulo (UNIFESP); Universidade São Francisco
    Introduction:The rehabilitation in oropharyngeal dysphagia evidence-based implies the relationship between the interventions and their results. Objective:Analyze level of dysphagia, oral ingestion, anxiety levels and nutritional status of patients with stroke diagnosis, before and after speech therapy. Method:Clinical assessment of dysphagia partially using the Protocol of Risk Assessment for Dysphagia (PARD), applying the scale Functional Oral Intake Scale for Dysphagia in Stroke Patients (FOIS), Beck Anxiety Inventory (BAI) and the Mini Nutritional Assessment MNA®. The sample consisted of 12 patients, mean age of 64.6 years, with a medical diagnosis of hemorrhagic and ischemic stroke and without cognitive disorders. All tests were applied before and after speech therapy (15 sessions). Statistical analysis was performed using the chi-square test or Fisher's exact test, McNemar's test, Bowker's symmetry test and Wilcoxon's test. Results:During the pre-speech therapy assessments, 33.3% of patients had mild to moderate dysphagia, 88.2% did not receive food orally, 47.1% of the patients showed malnutrition and 35.3% of patients had mild anxiety level. After the therapy sessions, it was found that 33.3% of patients had mild dysphagia, 16.7% were malnourished and 50% of patients had minimal level of anxiety. Conclusion:There were statistically significant evolution of the level of dysphagia (p = 0.017) and oral intake (p = 0.003) post-speech therapy. Although not statistically significant, there was considerable progress in relation to the level of anxiety and nutritional status.
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    Anemia do lactente: etiologia e prevalência
    (Sociedade Brasileira de Pediatria, 2002-01-01) Hadler, Maria Claret C.m. [UNIFESP]; Juliano, Yara; Sigulem, Dirce Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Goiás Faculdade de Nutrição; Universidade Santo Amaro
    Objective: To verify the prevalence of anemia, iron deficiency anemia and iron deficiency in infants, at a Public Health Unit in the city of Goiânia - Brazil; to analyze and to correlate the hematologic and biochemical variables. Methods: A cross-sectional study was carried out. One hundred and ten full-term infants of the 120 mothers interviewed were included. The infants aged between six and twelve months and there were not twins. Socioeconomic and hematologic data was obtained. Venous blood was taken from fasting infants in order to carry out a complete hemogram through electronic cell counting, serum iron, serum ferritin and C-reactive protein, which were used in the evaluation of the etiology of iron deficiency in the anemic infants. Children with hemoglobin < 11g/dL were considered anemic. Results: The prevalence of anemia was 60.9%. In the diagnosis of the iron deficiency etiology in infants without an inflammation process, when considering the alteration of hemoglobin plus two more indices among mean corpuscular volume (MCV) or mean corpuscular hemoglobin (MCH) or serum ferritin or serum iron, the prevalence of the iron deficiency was 87%. Nevertheless, when red cell distribution width (RDW) was included in the indices, the prevalence was 97.8%. In the non-anemic infants, considering ferritin and RDW, the prevalence of iron deficiency observed was 28%. The best correlation among hematologic and biochemical variables were between hemoglobin and hematocrit (r = 0.946), and MCH with MCV (r = 0.950). Conclusions: The main etiology in infants was iron deficiency anemia and its prevalence varied according to different parameters and criteria.
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    Aptidão física e estado nutricional dos indígenas Khisedje, Parque Indígena do Xingu
    (Universidade Federal de São Paulo (UNIFESP), 2013) Tsutsui, Mario Luiz da Silva [UNIFESP]; Gimeno, Suely Godoy Agostinho [UNIFESP]; http://lattes.cnpq.br/8795620569662647; http://lattes.cnpq.br/3764283477437612
    O objetivo dessa investigação foi verificar a existência de associação entre aptidão física, atividade física (AF) e o estado nutricional dos indígenas Khisêdjê que vivem no Parque indígena do Xingu, de ambos os sexos e com idade ≥ 20 anos. Para tal, em estudo transversal cuja coleta de dados se deu nos anos de 2010 e 2011, obtiveram-se informações relativas a variáveis demográficas (sexo e idade), aptidão física (capacidade cardiorrespiratória (CC), força, resistência muscular (RM) e flexibilidade), atividade física (contador de passos – pedômetro) e estado nutricional (índice de massa corpora (IMC) e perímetro de cintura (PC). Participaram do estudo 166 indígenas (87,4% do total de sujeitos elegíveis). A existência relação entre as variáveis de interesse foi avaliada pela estatística qui-quadrado (variáveis categóricas) ou pelo teste t de Student (variáveis quantitativas). Foram consideradas como estatisticamente significantes aquelas relações cujo valor de p foi < 0,05. Entre os participantes, 40% era do sexo feminino (n=66). A média de idade foi de 38,4 anos (desvio padrão = 14,6 anos). Em relação à aptidão física, observou-se que a maior parte dos indígenas apresentou bom desempenho em praticamente todos os testes com exceção do teste de força, onde apenas 1% dos participantes apresentou desempenho bom. Entre aqueles que participaram da avaliação de AF com o pedômetro, 67,15% foram classificados como muito ativos ou plenamente ativos. A prevalência de sobrepeso ou obesidade foi de 50,0%, enquanto que a de obesidade central (OC) foi de 39,2%. Entre as variáveis indicativas do grau de aptidão física, apenas a CC associou-se significativamente ao IMC (p = 0,014), enquanto que a presença de OC associou-se com as variáveis de CC (p < 0,001), teste de flexibilidade (p=0,034), teste de RM de tronco (p=0,036) e com o número médio de passos/dia (p = 0,005). Esses resultados indicam que apesar da alta prevalência de excesso de peso e de obesidade central observada entre os Khisêdjê, esses indivíduos possuem bons níveis de aptidão física e AF. A ausência de associação da AF e da maioria das variáveis de aptidão física com o estado nutricional explica–se, pelo menos em parte, pela rotina diária que impõe aos Khisêdjê, para sua subsistência (agricultura, caça e pesca, por exemplo), um estilo de vida ativo.
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    Aspectos nutricionais e epidemiológicos de pacientes com doença renal crônica submetidos a tratamento hemodialítico no Brasil, 2010
    (Sociedade Brasileira de Nefrologia, 2012-09-01) Biavo, Bárbara Margareth Menardi; Tzanno-martins, Carmen; Cunha, Lucas Maciel; Araujo, Melissa Luciana de; Ribeiro, Márcia Machado Cunha; Sachs, Anita [UNIFESP]; Uezima, Clarissa Baia Bargas; Draibe, Sergio Antonio [UNIFESP]; Rodrigues, Cibele Isaac Saad; Barros, Elvino José Guardão; Grupo CINE-HDC-RENALCLASS; CENEMGE; CLINEMGE; Universidade Federal de São Paulo (UNIFESP); SPDM PROHDOM; PUC Faculdade de Ciências Médicas e da Saúde; SBN Departamento de Hipertensão Arterial; UFRGS
    INTRODUCTION: The Nutrition Committee of the Brazilian Society of Nephrology (SBN) held in 2010 the first Brazilian Nutrition Census in hemodialysis patients. Multicenter data contribute to clinical development and nutritional intervention. OBJECTIVE: To describe epidemiological and nutritional aspects of hemodialysis patients. METHOD: Cross-sectional study in 36 dialysis clinics and 2,622 randomly selected participants. Socio-demographical, clinical, biochemical and anthropometric records were collected. RESULTS: 60.45% of the patients lived in the Brazilian Southeast. 13.53% came from Northeast region, while 12.81% from South, 10.33% from Midwest and 2.86% from North regions. Approximately 58% were male and 63.1% were below 60 years old. 58.5% of patients were married or in cohabitation. Around 80% of them depended on the government Unified Health System. Smoking showed a difference between gender and age. Presumptive etiologies were Hypertensive Nephrosclerosis (26.4%), Diabetic Nephropathy (24.6%), unknown/undiagnosed causes (19.9%), Glomerulopathies (13.6%) and others (11.2%). Both Hypertension and Diabetes Mellitus affect approximately 30% of patients, especially over 60 years. Body Mass Index did not differ between genders, although it differed between age groups and when used different evaluation criteria. Men and women average waist circumference were respectively 90.5 and 88.0 cm. Lipid profile did not differ between age groups, but it did between genders. Albumin values were lower in women and in patients older than 60 years. CONCLUSION: This study characterized Brazilian hemodialysis patients in 2010, and may support further studies to monitor nutrition and epidemiological transitions of the population.
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    Association Between Nutrition Status and Survival in Elderly Patients With Colorectal Cancer
    (Sage Publications Inc, 2017) Barao, Katia [UNIFESP]; Vicente Cavagnari, Mariana Abe [UNIFESP]; Fucuta, Patricia Silva; Forones, Nora Manoukian [UNIFESP]
    Background: Aging patients with cancer have a higher risk of mortality and treatment-associated morbidity than younger patients. Nutrition status may play an important role in cancer mortality. We aimed to evaluate the survival time of elderly patients with colorectal cancer and its association with body mass index (BMI), the patient-generated subjective global assessment (PG-SGA), and phase angle (PA). Materials and Methods: BMI, PG-SGA, and PA were determined for all patients (n = 250) at first assessment. Results: Seventy-one (28.4%) patients were in active oncologic treatment (group 1) and 179 (71.6%) were in remission (group 2). At the time of the analysis, 73 (29.2%) patients had died and 177 (70.8%) were censored. The mean (standard deviation) age was 70.9 (7.49) years
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    Bone mineral density of the lumbar spine in children and adolescents with celiac disease on a gluten-free diet in São Paulo, Brazil
    (Lippincott Williams & Wilkins, 2003-11-01) Sdepanian, Vera Lucia [UNIFESP]; Carvalho, Cecília Noronha de Miranda [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Colugnati, Fernando Antonio Basile [UNIFESP]; Fagundes Neto, Ulysses [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Background: To compare bone mineral density (BMD) in children and adolescents with celiac disease (CD) and control subjects and to evaluate diet adequacy and calcium metabolism in patients with CD.Methods: Thirty patients with asymptomatic CD (17 children, 13 adolescents). on a gluten-free diet, and 23 healthy subjects were studied. BMD of the lumbar spine (dual energy x-ray absorptiometry) was performed on all patients and control subjects. in patients. food diaries for nine nonconsecutive days were obtained and analyzed. in patients, laboratory tests pertaining to calcium balance were obtained.Results: the mean weight and height of the adolescents with CD Were lower than those of control subjects (weight: 45.8 +/- 10.5 kg v 55.3 +/- 10.5 kg, P = 0.037; height: 153.0 +/- 11.0 cm v 167 +/- 12.0 cm. P = 0.007). the mean BMD in adolescents With CD was significantly lower than that of the control subjects (0.917 +/- 0.116 g/cm(2) v 1.060 +/- 0.158 g/cm(2), P = 0.015), whereas no significant difference was found between children with CD and control subjects (P = 0.595). A multiple-regression model shows that increases in BMD relative to height were lower in adolescents with CD than in control subjects. the proportion of adolescents who had started a gluten-free diet after 2 years of age was higher than that of children with CD (P < 0.001). High percentages of magnesium, calcium, and phosphorous deficiencies were present in CD patients' diets. the serum levels of ionized and total calcium and parathormone were normal.Conclusions: the BMD of adolescents with CD was lower than that of the control subjects, whereas no difference was found between the BMD of children with CD and that of control subjects.
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    Chronic obstructive pulmonary disease and body mass index in five Latin America cities: the PLATINO study
    (W B Saunders Co Ltd, 2008-05-01) Oca, Maria Montes de; Talamo, Carlos; Pérez-Padilla, Rogelio; Jardim, José Roberto [UNIFESP]; Muino, Adriana; Lopez, Maria Victorina; Valdivia, Gonzalo; Pertuze, Julio; Moreno, Dolores; Halbert, Ronald J.; Menezes, Ana Maria Baptista; Platino Team; Cent Univ Venezuela; Inst Resp Dis; Universidade Federal de São Paulo (UNIFESP); Univ Republica; Pontificia Univ Catolica Chile; Univ Calif Los Angeles; Univ Fed Pelotas Duque Caxias
    Background: the body mass index (BMI) is a prognostic factor for chronic obstructive pulmonary disease (COPD). Despite its importance, little information is available regarding BMI alteration in COPD from a population-based study. We examined characteristics by BMI categories in the total and COPD populations in five Latin-American cities, and explored the factors influencing BMI in COPD.Methods: COPD was defined as a postbronchodilator forced expiratory volume in the first second/forced vital capacity (FEV(1)/FVC)< 0.70. BMI was categorized as underweight (< 20 kg/m(2)), normal weight (20 - 24.9 kg/m(2)), overweight (25.0 - 29.9 kg/m(2)), and obese (>= 30.0 kg/m(2)).Results: Interviews were completed in 5571 subjects from 6711 eligible individuals, and spirometry was performed in 5314 subjects. There were 759 subjects with COPD and 4555 without COPD. Compared with the non-COPD group, there was a higher proportion of COPD subjects in the underweight and normal weight categories, and a lower proportion in the obese category. Over one-half COPD subjects had BMI over 25 kg/m(2). No differences in BMI strata among countries were found in COPD subjects. Factors associated with lower BMI in mates with COPD were aging, current smoking, and global initiative for chronic obstructive lung disease (GOLD) stages III - IV, whereas wheeze and residing in Santiago and Montevideo were associated with higher BMI. in females with COPD, current smoking, lower education, and GOLD stages II - IV were associated with lower BMI, while dyspnea and wheeze were associated with higher BMI.Conclusions: BMI alterations are common in COPD with no significant differences among countries. Current smoking, age, GOLD stages, education level, residing in Santiago and Montevideo, dyspnea and wheeze were independently associated with BMI in COPD. (c) 2008 Elsevier B.V. All rights reserved.
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    Comparação entre as curvas de crescimento do Centers for Disease Control and Prevention e da Organização Mundial da Saúde para lactentes com idade de seis a 12 meses
    (Sociedade de Pediatria de São Paulo, 2010-12-01) Pires, Bianca Sant'Anna [UNIFESP]; Akutsu, Rita de Cássia [UNIFESP]; Castro, Lucíola Sant'Anna de [UNIFESP]; Asakura, Leiko; Sachs, Anita [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Coca, Kelly Pereira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de Brasília Departamento de Nutrição da UnB; Universidade de São Paulo (USP)
    OBJECTIVE: Compare the nutritional status of male and female infants classified according to the growth curve proposed by the Center for Disease Control and Prevention (CDC-2000) and the new growth curve proposed by the World Health Organization (WHO-2006). METHODS: This longitudinal study enrolled children of 6-12 months old of both genders. They were born at term and exclusively or predominantly breastfed. A single researcher collected demographic, anthropometric and nutritional data. The Wilcoxon test was used to compare curves and the Friedman test was used to analyze the variance. RESULTS: Among the 55 followed children, 51% (n=28) were males. The percentages of normal weight-for-age and proper height-for-age in both genders were above 80%. The nutritional status classification according to both growth curves was similar. Agreement between the two curves regarding weight and height was 98.2 and 96.4%, respectively. CONCLUSIONS: CDC-2000 and WHO-2006 growth curves were similar regarding nutritional status classification of 6-12 months old breastfeed infants.
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    Concentrações de vitaminas C e E em pacientes com ataxia telangiectasia: relação com biomarcadores associados a aterosclerose e ao estresse oxidativo.
    (Universidade Federal de São Paulo (UNIFESP), 2013) Andrade, Itana Gomes Alves [UNIFESP]; Sarni, Roseli Oselka Saccardo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introdução: A ataxia telangiectasia (AT) e uma doenca neurodegenerativa, que cursa com imunodefiCiência em graus variaveis, disfuncao mitocondrial e exacerbacao do estresse oxidativo. Objetivo: avaliar o estado nutricional, perfil lipidico, peroxidacao lipidica e as concentracoes plasmaticas de vitaminas C e E e relaciona-las com biomarcadores associados ao risco de aterosclerose de pacientes com AT e controles. Metodos: Estudo transversal controlado envolvendo 13 pacientes e 22 controles saudaveis, pareados por genero e idade. Foram avaliados: estado nutricional, consumo alimentar, perfil lipidico e suas relacoes, concentracoes plasmaticas de vitaminas C e E, malondialdeido (MDA) e proteina C reativa ultrassensivel (PCRus). Resultados: A media de idade do grupo AT foi 14,6 anos; 4/13 (30,8%) eram desnutridos e 3/13 (23,1%) apresentavam baixa estatura para idade. Os pacientes apresentaram maior comprometimento de massa magra comparativamente aos controles. As concentracoes de triglicerides, colesterol total e de LDL-c foram significantemente mais elevadas nos pacientes e as de HDL-c, mais baixas. As relacoes associadas ao risco de aterosclerose (CT/HDL-c, LDL-c/HDL-c e Log TG/HDL-c) e o colesterol nao HDL (NHDL-c) foram significantemente superiores no grupo de pacientes em comparacao aos controles. Nao houve diferenca para as concentracoes de malondialdeido, proteina C reativa e de vitaminas C e E entre os dois grupos. As relacoes vitamina E/lipideos totais e vitamina E/triglicerides mostraram valores mais baixos no grupo de pacientes; correlacao significante e inversa entre estas relacoes e NHDL-c, CT/HDL-c, LDL-c/HDL-c e Log TG/HDL-c foi observada no grupo de pacientes. A alanina aminotransferase (ALT) correlacionou-se de forma direta e significante com NHDL-c, CT/HDL-c e LDL-c/HDL-c, no grupo de pacientes. A inGestão dietetica de energia, macronutrientes e de vitaminas C e E nao diferiu entre os grupos. Conclusao: O elevado risco aterosclerotico de pacientes com AT aliado ao comprometimento da defesa antioxidante e do estado nutricional pode complicar a evolucao da doenca e enfatiza a importancia da atencao multiprofissional com monitoramento de biomarcadores e orientacao nutricional apropriada
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    Densidade energética da dieta e sua relação com a presença de doenças crônicas não transmissíveis em idosos
    (Universidade Federal de São Paulo (UNIFESP), 2015-06-23) Pimenta, Sabrina Pessoni [UNIFESP]; Ramos, Luiz Roberto Ramos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: The energy density (ED) is defined as the amount of energy (kcal) per weight of food (grams). A decrease in the consumption of foods with high ED may help to reduce the total caloric value of the diet, preventing weight gain and the onset of chronic noncommunicable diseases (NCDs). Objectives: To assess the energy density of the diet and its relation to nutritional status, diabetes mellitus, dyslipidemia and hypertension and socio-demographic variables in the elderly, as well as to analyze the prevalence of NCD and identify the nutritional status and point out which meal higher and lower energy density. Methods: Cross-sectional study with the elderly, part of a cohort of Epidoso.Foi assessed the diets of 345 elderly through the Food Recall 24 hours. The ED of diet was calculated with all solid and liquid food, excluding drinks energy value less than 5 kcal/100g. To examine the relationship between ED diet and the presence of NCD used the chi-square test or Fisher's exact test extension. Results: There was no significant variation between the DE into tertiles and NCD, nutritional status, sex, age and education. The total energy of the diet is lower in older age groups and higher for men. DE was very similar in all age groups and both sexes. The highest and lowest average DE were found in the breakfast and evening snack, respectively. Most seniors who consumed a diet with amount of lipids above the recommended carbohydrate and lower than recommended, was the last tertile of energy density. Conclusions: We found a high prevalence for NCDs and females was significantly related to low birth weight and obesity. The average found DE was 1.14 kcal/g, showing no association with the NCD, nutritional status and sociodemographic variables. Most DE meal was breakfast.
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    Densidade mineral óssea, composição corporal e ingestão alimentar de adolescentes modelos de passarela
    (Sociedade Brasileira de Pediatria, 2009-12-01) Rodrigues, Alexandra Magna [UNIFESP]; Cintra, Isa de Pádua [UNIFESP]; Santos, Luana Caroline; Martini, Ligia Araújo; Mello, Marco Tulio de [UNIFESP]; Fisberg, Mauro [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Minas Gerais Escola de Enfermagem; Universidade de São Paulo (USP)
    OBJECTIVE: To evaluate the bone mineral density (BMD) and to relate it to the food intake and body composition of adolescent runway models. METHODS: Cross-sectional study evaluating 33 models and 33 non-models aged from 15 to 18 years, paired by age and body mass index (BMI). BMD of spine (L1-L4) was evaluated using the dual-energy X-ray absorptiometry technique (Lunar® DPX Alpha), and body composition was assessed by means of plethysmography. Food intake was evaluated by a 3-day-food record. RESULTS: The subjects mean age was 16.75±1.04 years, and 24% had BMI below ideal value for their age. BMD values (g/cm2) were similar between models (1.108±0.080) and non-models (1.096±0.102) (p > 0.05), and 6% of the participants had low BMD for age. We found that the mean energy intake was lower among models as compared to non-models (1,480.93±582.95 vs. 1,973.00±557.63 kcal) (p < 0.05) and that most of the adolescents in both groups presented an inadequate consumption of micronutrients, with emphasis to the low calcium intakes. There was only significant correlation between BMD and lean body mass (kg) (r = 0.362 for models and r = 0.618 for non-models) (p < 0.05). CONCLUSION: Although no association was found between BMD, BMI, and intake of nutrients which are important for the bone mineralization process, inadequacies of food intake have an adverse influence on the acquisition of bone mass, which is more effective at this stage of life.
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    Diagnóstico do estado nutricional de escolares: comparação entre critério nacional e internacional
    (Sociedade Brasileira de Pediatria, 2008-12-01) Silva, Henyse G. Valente da; Chiara, Vera Lucia; Barros, Maria Elisa [UNIFESP]; Rêgo, Ana Lúcia; Ferreira, Adriana; Pitasi, Bruna A.; Mattos, Thaís; Universidade Federal do Rio de Janeiro Faculdade de Medicina; Universidade Federal do Rio de Janeiro Instituto de Medicina Social; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual do Rio de Janeiro Instituto de Nutrição; UERJ Faculdade de Ciências Médicas; UERJ Instituto de Nutrição
    OBJECTIVE: To compare Brazilian and international criteria for assessing the nutritional status of schoolchildren. METHODS: This was a cross-sectional study that enrolled 160 schoolchildren from a public school in the city of Rio de Janeiro, 91 boys and 69 girls, aged 7 to 9 full years. Body mass index (BMI) for sex and age was used to diagnose underweight, healthy weight and overweight, according to Cole et al., Conde & Monteiro, and the World Health Organization (WHO) criteria. Student's t test, the chi-square test, the Kendall concordance test and the chi-square test for tendencies were used to analyze the data; graphs were plotted demonstrating BMI by age, according to the nutritional diagnosis at each set of criteria. RESULTS: Mean BMI did not differ by sex (t = 0.2845, p = 0.7789). According to the first two sets of criteria, none of the children were underweight, whereas, according to the WHO criteria, one of the boys was underweight. The Kendall test did not demonstrate any significant difference between the three sets of criteria (coefficient of concordance for boys was W < 0.0004 and for girls it was W < 0.0008, with p = 1.00). There was a greater proportion of assessments that did not agree among the boys, at 15.13%, while for the girls this figure was 13.04%. A significant tendency was observed for the difference between the criteria to increase with age among the boys (chi-square for tendencies = 6.552, p = 0.0105), which was evident on the graph and was independent of nutritional status. CONCLUSIONS: The criteria used here converged on the same result, without discrepancies between them or advantages for either. Nevertheless, among the boys there was a significant tendency for the diagnoses to differentiate and BMI to increase with age, which is a warning to take care when choosing among criteria.
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    Espessura do músculo adutor do polegar como preditor da força de preensão manual nos pacientes em hemodiálise
    (Sociedade Brasileira de Nefrologia, 2013-09-01) Pereira, Raíssa Antunes [UNIFESP]; Caetano, Alex Lopes [UNIFESP]; Cuppari, Lilian [UNIFESP]; Kamimura, Maria Ayako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    INTRODUCTION: Recently, the adductor pollicis muscle thickness (APMT) has been suggested as a new nutritional marker in several population. OBJECTIVE: In view of the scarce data regarding the use of this marker in CKD patients, we aimed to evaluate APMT and its association with nutritional parameters in patients on hemodialysis. METHODS: We evaluated 73 hemodialysis patients (52.3 ± 17 years, without residual renal function). The APMT was assessed in the non vascular access arm by means of skinfold caliper. Body composition (bioelectrical impedance), handgrip strength (HGS, dynamometer), nutritional status (subjective global assessment), and laboratory parameters (creatinine, total protein and albumin) were also evaluated. RESULTS: Subjects with APMT values above the median were in greater proportion black/ brown, younger and had higher HGS. The APMT correlated positively with HGS, albumin and body cell mass (%), and negatively with age. In the linear regression analysis adjusted for sex, age and length on hemodialysis, APMT was independently associated with HGS. CONCLUSION: APMT was able to predict HGS in hemodialysis patients, suggesting APMT as a promising nutritional marker in this population.
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    Estado nutricional de crianças atendidas na rede pública de saúde do município de Santos
    (Sociedade de Pediatria de São Paulo, 2009-06-01) Damaceno, Rafael Jeferson P. [UNIFESP]; Martins, Paula Andrea [UNIFESP]; Devincenzi, Macarena Urrestarazu [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: Evaluate the nutritional status of children with 6 to 24 months of age assisted by the public health service in the city of Santos, Brazil, and its relation with socioeconomic status, health and nutritional conditions. METHODS: This cross-sectional study enrolled 95 children who attended regular pediatric visits in 5 units of public primary health centers. Weight and height were measured and parents were requested to answer a questionnaire with health, nutrition and socioeconomic information of their children. Nutritional status was assessed by the NCHS (1977), CDC (2000) and WHO (2006) child growth standard curves. Weight for age, height for age and weight for height Z scores were calculated. Values of the these indices below -2.0 Z score defined malnutrition and values of weight for height above +2.0 Z score defined overweight. RESULTS: The frequency of malnutrition according to the different indices were: weight for age 4.2%, 9.5% and 3.2%; height for age 2.1%, 2.1% and 4.2%, and weight for age 2.1%, 4.2% and 1.0%, respectively, according to the NCHS (1977), CDC (2000) and WHO (2006) reference curves. Overweight was found in 4.2%, 3.2% and 5.3% by the NCHS (1977), CDC (2000) and WHO (2006) reference curves, respectively. CONCLUSIONS: There was a low frequency of malnutrition. The WHO curve detected less patients with nutritional deficits than the other NCHS (1977) and CDC (2000) curves.
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    Estado nutricional de crianças e adolescentes hospitalizados em enfermaria de cirurgia pediátrica
    (Sociedade de Pediatria de São Paulo, 2010-03-01) Simões, Ana Paula B. [UNIFESP]; Palchetti, Cecília Zanin [UNIFESP]; Patin, Rose Vega [UNIFESP]; Mauri, Juliana Ferreira [UNIFESP]; Oliveira, Fernanda Luisa Ceragioli [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To evaluate the nutritional status, duration of hospital stay and clinical specialties of patients hospitalized in the Pediatric Surgery Unit of São Paulo Hospital, UNIFESP-EPM. METHODS: This cross-sectional retrospective study enrolled 749 children and adolescents of both genders admitted to the Pediatric Surgery Unit during the period of August 2007 to July 2008. The following data were collected: anthropometric variables, duration of hospital stay and surgical procedures. For nutritional status classification, the Z score for body mass index (Z BMI) and height-for-age (Z H/A) were used according to the World Health Organization growth chart (WHO, 2007). The children were classified according to the surgical procedures performed. Results were compared by ANOVA followed by Bonferroni multiple comparisons test, being significant p<0.05. Statistical analysis was carried out through STATA 8.0 software. RESULTS: Patients' mean age was seven years old (0 to 18), 59% were males and 18% had ear, neck or throat surgery. Among the hospitalized patients, 66% had appropriated height for age, 43% were eutrophic and 31% obese/overweight. The malnourished patients presented longer hospital stay than the obese/overweight patients (7.2 versus 4.1 days; p=0,035). Infants had prolonged hospital stay (p=0,006) and less Z BMI values in comparison to the other age groups. (p=0,001). Infants that needed cardiac surgery presented lower Z BMI in relation to the others (p=0,002). CONCLUSIONS: The patients profile in the Pediatric Surgery Unit followed the nutritional pattern observed in Brazil, with increasing prevalence of obesity together with malnutrition. However, malnutrition is still an aggravating factor for prolonged hospital stay
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    Estado nutricional e consumo alimentar de crianças menores de dois anos atendidas em unidades básicas de saúde da cidade de Diadema, São Paulo, Brasil
    (Universidade Federal de São Paulo (UNIFESP), 2014-07-07) Castro, Lucíola Sant'Anna de [UNIFESP]; Gimeno, Suely Godoy Agostinho [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objetivo: Avaliar o estado nutricional e o consumo alimentar de crianças menores de dois anos atendidas em Unidades Básicas de Saúde (UBS) da cidade de Diadema, SP, Brasil. Métodos: Estudo transversal, realizado de abril a dezembro de 2012, que avaliou lactentes frequentadores de 6 UBS da cidade de Diadema, SP. Foram coletados dados antropométricos (peso e comprimento atuais) e de consumo alimentar dos lactentes, conforme o Formulário de Marcadores de Consumo Alimentar para Indivíduos Menores de 5 anos do Sistema de Vigilância Alimentar e Nutricional, e dados sociodemográficos maternos. O estado nutricional, em escore z, foi classificado com base nos pontos de corte recomendados pela Organização Mundial da Saúde e o consumo alimentar foi categorizado de acordo com o formulário. Com o objetivo de identificar perfis socioeconômicos maternos, empregou-se a técnica estatística de análise fatorial exploratória, encontrando-se dois perfis socioeconômicos: Perfil 1: mães com menor renda, menor escolaridade e beneficiárias do Programa Bolsa Família (PBF); Perfil 2: mães com mais idade, com maior número de filhos e com maior número de residentes no domicílio. Empregaram-se estatísticas qui-quadrado e t de Student nas análises inferenciais, considerando o nível de significância ? igual a 5%. Resultados: Entre as 350 crianças incluídas no estudo, 51,7% das crianças eram do sexo feminino e 68% tinham idade entre 6 e 23 meses. Observou-se elevada prevalência de excesso de peso (17,4%) entre as crianças de 6 a 23 meses (p=0,000), principalmente entre aquelas que faziam uso de mamadeira (p= 0,020) e eram beneficiárias do PBF (p= 0,045). O déficit ponderal foi de menor magnitude, porém importante nas crianças menores de seis meses (IC95%= 1,14; 19,9), enquanto que o déficit de estatura para idade foi moderado (11,6%). Em relação ao consumo alimentar, 56% do total de crianças recebia leite materno por ocasião da coleta de dados. Dentre as crianças com menos de 6 meses (n= 112), as prevalências de aleitamento materno exclusivo, predominante e complementado foi de 41,1%, 21,4% e 21,4%, respectivamente; a introdução dos alimentos complementares foi precoce com maior freqüência de água ou chá (58,6%), fórmula infantil (49,2%) e leite de vaca (25%). Dentre as crianças de 6 a 23 meses, a maioria não recebia mais o leite materno (55,6%), tinha consumo insuficiente de frutas, legumes/verduras, carnes e feijão, tendo recebido açúcar, mel ou melado (32,4%) e papa salgada antes dos seis meses de idade (45,2%); e as práticas alimentares inadequadas, mais frequentes, foram o consumo de suco ou refresco industrializado no último mês (60,8%), não ter recebido leite materno no dia anterior (56,9%), consumo de leite com espessante no dia anterior (54,3%), refrigerante no último mês (54,2%), ter realizado alguma refeição assistindo TV (33,3%). Dos perfis socioeconômicos maternos encontrados, o Perfil 1 foi associado estatisticamente com o excesso de peso nas crianças (p=0,011) e com o consumo de água/chá (p= 0,047), leite de vaca (p= 0,030) e papa salgada (p= 0,019), enquanto o Perfil 2 foi associado estatisticamente com os déficits de estatura e peso e o excesso de peso (p= 0,024, p=0,003 e p= 0,025, respectivamente) e com o consumo de leite materno (p= 0,048). Conclusão: Com este estudo pôde-se concluir que as crianças menores de dois anos, atendidas nas UBS da cidade de Diadema estudadas, apresentaram elevada prevalência de excesso de peso, principalmente as beneficiárias do PBF, e consumo alimentar inadequado. Os resultados indicam a necessidade de qualificação e conscientização dos profissionais de saúde para a promoção das ações de alimentação e nutrição, bem como, para a vigilância alimentar e nutricional no cotidiano de trabalho.
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    Estado nutricional e consumo de energia e nutrientes de pré-escolares que frequentam creches no município de Manaus, Amazonas: existem diferenças entre creches públicas e privadas?
    (Sociedade de Pediatria de São Paulo, 2012-01-01) Tavares, Bruno Mendes; Veiga, Gloria Valeria Da; Yuyama, Lucia Kiyoko O.; Bueno, Milena Baptista; Fisberg, Regina Mara; Fisberg, Mauro [UNIFESP]; Universidade Federal do Amazonas Instituto de Saúde e Biotecnologia; UFRJ Instituto de Nutrição Josué de Castro; Instituto Nacional de Pesquisa da Amazônia; Universidade Paulista; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVES: To assess the nutritional status and dietary intakes of children attending public and private day care centers in Manaus, Brazil. METHODS: The study assessed children aged 24 to 72 months, enrolled at two public (n=217) and two private (n=91) day care centers in Manaus. Nutritional status was classified according to Z scores for weight-for-age, weight-for-height, height-for-age and BMI-for-age. Dietary intakes were measured using the direct food-weighing method for 1 day. A 1-day dietary recall was administered to parents to assess dietary intakes outside the day care centers. The frequencies of children with nutrient intakes above and below the Estimated Average Requirements (EAR) or Adequate Intake (AI) cutoffs were calculated. RESULTS: There proportion of overweight children was higher at the private day care centers, according to both weight-for-height and BMI-for-age indexes. Children from the public day care centers had higher intakes of polyunsaturated fat, trans fat, omega-6, vitamin C and sodium, and lower zinc intake when compared to those at private centers. Elevated energy intake and a high proportion of children with vitamin A, vitamin C, zinc and sodium intakes over the Tolerable Upper Intake Levels were observed at both types of day care center. There was a higher proportion of children with inadequate calcium intake at the public centers (27.6 vs. 7.9%, p<0.001). CONCLUSION: Energy and sodium intakes were above recommended levels at both types of day care center. Calcium intakes were below recommended, especially at the public day care centers. Children's diets should be monitored more closely to prevent diseases later in life.
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    Estado nutricional e níveis hematológicos e séricos de ferro em pré-escolares de municípios com diferentes índices de desenvolvimento infantil
    (Sociedade de Pediatria de São Paulo, 2008-09-01) Oliveira, Wilson Luis de; Oliveira, Fernanda Luisa Ceragioli [UNIFESP]; Amancio, Olga Maria Silverio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To evaluate nutritional status and iron hematological and serum levels of preschool children from cities with different child development indexes (CDI). METHODS: This cross-sectional study enrolled 34 preschool children aged between three to six years from two municipalities of Brazil: Laranjal, Paraná, with a low CDI, and Presidente Prudente, São Paulo, with a medium CDI. Children of both cities were matched by age and gender. The nutritional status was evaluated by Z score for weight/height and height/age. The biochemical evaluation included hemoglobin, hematocrit, seric iron and ferritin levels. The following tests were used for statistical analysis: t test, Mann-Whitney, chi-square and Fisher's exact test. RESULTS: The weight, height and Z score of the anthropometric relationships were significantly lower in the group of Laranjal children. Anemia was present in 8.8% of the children studied in both cities, without significant differences in the prevalence of iron deficiency or in the ferritin levels. CONCLUSIONS: The preschool children from the city with low CDI presented mainly malnutrition, while overweight and obesity were more prevalent on preschool children from the city with a medium CDI. Hematimetric values, iron and ferritin levels were similar between the preschool children of both cities.
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    Estado nutricional e teste do hidrogênio no ar expirado com lactose e lactulose em crianças indígenas terenas
    (Sociedade Brasileira de Pediatria, 2002-04-01) Alves, Gildney Maria Dos Santos; Morais, Mauro Batista de [UNIFESP]; Fagundes-neto, Ulysses [UNIFESP]; Universidade Federal do Mato Grosso do Sul Departamento de Pediatria; Universidade Federal de São Paulo (UNIFESP)
    Objective: to evaluate the nutritional status, absorption and tolerance of lactose and the occurrence of small-bowel bacterial overgrowth. Methods: a cross-sectional study including all 264 Terena Indian children younger than 10 years from two tribes (Limão Verde and Córrego Seco) in Mato Grosso do Sul. The nutritional status was assessed based upon weight and height, using NCHS data as reference. The breath hydrogen test after an oral lactose (18g) administration was used for evaluation of lactose absorption and tolerance. The occurrence of bacterial overgrowth was evaluated using the breath hydrogen test after the administration of lactulose (5g). Results: the median z scores of weight-for-age, weight-for-height and height-for-age were, respectively, in infants under 1 year (n=34): -0.66, +0.60 and -0.85. Between 1 and 5 years (n=111), the values were: -0.50, +0.28 and -1.17. Between 5 and 10 years (n=119), these anthropometric values were, respectively: -0.09, +0.50 and -0.60. Deficient lactose absorption or malabsorption was verified only after the fourth year of age in 89.3% of the 197 evaluated children. Lactose intolerance was found in 37.1% of them. Small-bowel overgrowth was detected in 11.5% of the Terena Indian children (n=252). Conclusions: the prevalence of recent malnutrition was low, but the median height-for-age was lower than the NCHS reference. The prevalence of ontogenetic lactase deficiency was high. Bacterial overgrowth may be considered as evidence of the occurrence of nonsymptomatic environmental enteropathy in Terena Indian children.