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Barros CADA, Gonçalves Panissa VL, Ferreira TADP, Cardoso LKDA, de Oliveira JPR, Vieira MM, Torres ALDC, Miranda RMDP, Rossi PAQ, Rossi FE. Influence of short-time resistance training on appetite and energy intake in young women with and without obesity. Physiol Behav 2024; 286:114667. [PMID: 39151651 DOI: 10.1016/j.physbeh.2024.114667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Revised: 07/11/2024] [Accepted: 08/13/2024] [Indexed: 08/19/2024]
Abstract
The aim of this study was to investigate the effect of 6-weeks resistance training (RT) on appetite, energy intake and body composition in young women with and without obesity, and to examine the relationship between these variables. Thirty-five young women were divided according to the amount of body fat [with obesity (n = 16) and without obesity (n = 19)]. Appetite was assessed through self-reported hunger, fullness, desire to eat, satiety quotient, food frequency diary and motivations to eat palatable food (power of food scale) in both fasted and fed states (after a standardized breakfast). Energy intake and body composition were evaluated at pre- and post-6 weeks of RT. Results showed that self-reported hunger increased significantly in both fasted and fed states (p = 0.007 and p = 0.029, respectively), while self-reported fullness decreased at the fasted state (p = 0.030) in both groups. There were no significant effects for desire to eat fatty, sweet, savory and salty foods, motivation to eat palatable foods, or for total energy intake. Food frequency analysis indicated a decrease in consumption of soup and past (p = 0.045), vegetables and eggs (p = 0.034), and leafy vegetables (p = 0.022) in both groups. Fat-free mass increased significantly in both groups (p = 0.011 and p = 0.003), while fat mass did not show significant changes. There were no correlations between changes in appetite/energy intake and changes in body composition. In conclusion, following the 6-week RT program, both women with and without obesity exhibited increased self-reported hunger alongside decreased fullness, suggesting an increase in orexigenic drive. However, neither group showed an increase in energy intake and fat mass, while both groups experienced an increase in fat-free mass. Registered under Brazilian Registry of Clinical Trials n°. RBR-1024f4qs.
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Affiliation(s)
- Clara Andressa de Araujo Barros
- Postgraduate student in Science and Health, Federal University of Piauí (UFPI), Teresina-PI, Brazil; Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - Valéria Leme Gonçalves Panissa
- Laboratory of Toxicology School of Medical Science, University of Campinas, Campinas, SP, Brazil; Exercise and Immunometabolism Research Group, Department of Physical Education, Faculty of Sciences and Technology, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - Thaís Alves de Paiva Ferreira
- Postgraduate student in Science and Health, Federal University of Piauí (UFPI), Teresina-PI, Brazil; Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - Larissa Kelly de Araújo Cardoso
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | | | - Matheus Mesquita Vieira
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil; Department of Physical Education, Federal University of Piaui (UFPI), Teresina-PI, Brazil; Postgraduate student in Movement Sciences - Interunits, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - Aline Leal de Carvalho Torres
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - Rodrigo Matheus da Paz Miranda
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - Priscila Almeida Queiroz Rossi
- Exercise and Immunometabolism Research Group, Department of Physical Education, Faculty of Sciences and Technology, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil
| | - Fabrício Eduardo Rossi
- Postgraduate student in Science and Health, Federal University of Piauí (UFPI), Teresina-PI, Brazil; Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil; Professor at Graduate Program in Movement Science - Interunits, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil and Professor at Graduate Program in Science and Health, Federal University of Piauí (UFPI), Teresina-PI, Brazil.
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Teixeira CD, Gomes SM, Medeiros Jacob MC. Beyond gender: Exploring sexual orientation, race and motivations among Brazilian flexitarians. Appetite 2024; 199:107396. [PMID: 38734376 DOI: 10.1016/j.appet.2024.107396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 04/14/2024] [Accepted: 05/02/2024] [Indexed: 05/13/2024]
Abstract
In this study, we analyzed 989 Brazilian individuals identified as flexitarians to explore the relationship between gender, sexual orientation, and meat consumption reduction behavior, while evaluating the impact of motivations driving individuals towards this dietary model. To achieve this goal, we tested the following hypotheses: women consume less meat than men; LGBT women consume less meat than heterosexual women; LGBT men consume less meat than heterosexual men; and women are more motivated by the environmental impact of meat. Our findings revealed that although gender significantly influences motivations, with women showing a greater influence from animal ethics, flexitarians of both genders exhibit similar meat consumption patterns. Neither sexual orientation nor gender influence meat reduction patterns among flexitarians. However, the race/ethnicity of white individuals is a predominant factor among those who reduce meat consumption the most. Consequently, we conclude that (i) the social theories applied to explain gender differences in meat exclusion behavior may not be the most suitable for explaining meat reduction behavior, and (ii) intersectional approaches are needed to investigate flexitarianism.
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Affiliation(s)
- Carla Djaine Teixeira
- Graduate Program in Social Sciences, Center for Human Sciences, Letters and Arts, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, s/n, Lagoa Nova, 59078-970, Natal, RN, Brazil.
| | - Sávio Marcelino Gomes
- Department of Nutrition, Federal University of Paraíba, Street Tabelião Stanislau Eloy, s/n, Castelo Branco, 58050-585, João Pessoa, PB, Brazil.
| | - Michelle Cristine Medeiros Jacob
- LabNutrir, Department, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, s/n, Lagoa Nova, 59078-970, Natal, RN, Brazil.
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Bersch-Ferreira AC, Machado RHV, de Oliveira JS, Santos RHN, da Silva LR, Mota LGS, Pagano R, Sady ERR, Miyada DHK, Valeis N, Martins PN, de Almeida JC, Marchioni DML, Lara EMS, Gherardi-Donato ECS, Quinhoneiro D, Carvalho APPF, Machado MMA, Gedda LPF, Ferro CMB, Carvalho ACMS, Feoli AMP, Walker MS, Pinto SL, Silva KC, Bruscato NM, Moriguchi EH, Penafort AM, Santiago RA, Osório DRD, Rower HB, Barbosa MR, da Silva JGST, Weber B, Cavalcanti AB, Marcadenti A. Effectiveness of a two-component nutritional strategy for blood pressure control in individuals with hypertension users of a public health system: a randomized controlled clinical trial. J Hypertens 2024; 42:1173-1183. [PMID: 38690885 DOI: 10.1097/hjh.0000000000003703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2024]
Abstract
OBJECTIVE To evaluate the effectiveness of a nutritional strategy based on two components and adapted for the public health system on blood pressure, cardiometabolic features, self-care, qualify of life and diet quality in individuals with hypertension. METHODS NUPRESS was an open-label, parallel-group, superiority randomized controlled clinical trial in which participants at least 21 years with hypertension and poorly controlled blood pressure were randomly assigned (1 : 1 allocation ratio) to either an individualized dietary prescription according to nutritional guidelines (control group, n = 205); or a two-component nutrition strategy, including a goal-directed nutritional counseling and mindfulness techniques (NUPRESS [intervention] group, n = 205). Primary outcomes were SBP (mmHg) after 24 weeks of follow up and blood pressure control, defined as either having SBP more than 140 mmHg at baseline and achieving 140 mmHg or less after follow-up or having SBP 140 mmHg or less at baseline and reducing the frequency of antihypertensive drugs in use after follow-up. RESULTS In total, 410 participants were randomized and submitted to an intention-to-treat analysis regarding primary outcomes. Both groups decreased blood pressure, but after adjusting for baseline values, there was no significant difference between them on SBP [intervention-control difference: -0.03 (-3.01; 2.94); P = 0.98] nor blood pressure control [odds ratio 1.27 (0.82; 1.97); P = 0.28]. No differences between groups were also detected regarding secondary and tertiary outcomes. CONCLUSION There was no difference between a two-component nutritional strategy and an established dietary intervention on blood pressure in participants with hypertension.
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Affiliation(s)
- Angela C Bersch-Ferreira
- Hcor Teaching Institute, São Paulo
- Department of Research, BP - A Beneficência Portuguesa de São Paulo, São Paulo
| | | | | | | | | | | | - Raira Pagano
- Department of Research, BP - A Beneficência Portuguesa de São Paulo, São Paulo
| | | | | | | | - Pedro N Martins
- School of Medicine, Universidade Federal de Juiz de Fora, Juiz de Fora
| | - Jussara C de Almeida
- Department of Nutrition, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul
- Division of Nutrition and Dietetics, Hospital de Clínicas de Porto Alegre, Porto Alegre
| | - Dirce M L Marchioni
- Department of Nutrition, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo
| | | | | | - Driele Quinhoneiro
- Ribeirão Preto College of Nursing, Universidade de São Paulo, Ribeirão Preto
| | - Ana Paula P F Carvalho
- Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia
| | - Malaine M A Machado
- Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia
| | - Lana P F Gedda
- Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia
| | - Camila M B Ferro
- Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia
| | - Ana Clara M S Carvalho
- Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia
| | - Ana Maria P Feoli
- Postgraduate Program in Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre
| | - Marthina S Walker
- Postgraduate Program in Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre
| | - Sônia L Pinto
- Nutrition Course, Universidade Federal do Tocantins, Palmas
| | - Kellen C Silva
- Nutrition Course, Universidade Federal do Tocantins, Palmas
| | | | - Emilio H Moriguchi
- Instituto Moriguchi, Veranópolis
- Internal Medicine Service, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre
| | | | | | - Denise R D Osório
- Multiprofessional Outpatient Systemic Arterial Hypertension, Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre
| | - Helena B Rower
- Multiprofessional Outpatient Systemic Arterial Hypertension, Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre
| | - Marina R Barbosa
- Nutrition Course, School of Medicine, Universidade Federal de Uberlândia, Uberlândia
| | | | - Bernardete Weber
- Department of Research, BP - A Beneficência Portuguesa de São Paulo, São Paulo
| | | | - Aline Marcadenti
- Hcor Research Institute, São Paulo
- Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre, Brazil
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Real Rodrigues CC, Crispim D, Busnello FM, Sahade V, Correa D, Dos Santos TA, Bersch-Ferreira AC, Marcadenti A, de Almeida JC. Food intake, plasma copeptin and cardiovascular risk in patients with type 2 diabetes: A cross-sectional analysis. Nutr Metab Cardiovasc Dis 2024; 34:1427-1437. [PMID: 38503617 DOI: 10.1016/j.numecd.2024.01.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 01/04/2024] [Accepted: 01/29/2024] [Indexed: 03/21/2024]
Abstract
BACKGROUND AND AIM Increased consumption of ultra-processed foods has been linked to both mortality and cardiovascular risk. Copeptin levels may serve as potential risk markers for cardiovascular death and events. This cross-sectional analysis seeks to assess the potential correlation between the intake of ultra-processed foods and copeptin levels in outpatients diagnosed with type 2 diabetes, based on estimates of cardiovascular risk. METHODS AND RESULTS Outpatients underwent clinical and nutritional assessments. Dietary information was gathered using a validated quantitative food frequency questionnaire, and the consumption of all foods, beverages, and food products was assessed according to the NOVA food classification system. Fasting plasma-EDTA samples were collected and preserved at -80 °C. Plasma copeptin measurements were analyzed using an enzyme-linked immunosorbent assay based on the competition principle. Participants were categorized into two groups: high risk and very high risk, based on cardiovascular risk calculated by the HEARTS calculator. A total of 190 participants were included in the evaluation, with an average age of 60 ± 9 years, glycated hemoglobin of 8.4 ± 1.4%, and a diabetes duration of 11 (5-19) years. Patients at a very high cardiovascular risk exhibited higher plasma copeptin levels compared to those at high cardiovascular risk. Notably, 92.1% of patients reported consuming more than 10% of total energy intake from ultra-processed foods, although this proportion did not differ between the two groups. CONCLUSION This patient sample reported elevated consumption of ultra-processed foods; nevertheless, the correlation between ultra-processed foods and plasma copeptin has not been substantiated.
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Affiliation(s)
- Cíntia C Real Rodrigues
- Graduate Medical Sciences Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil
| | - Daisy Crispim
- Division of Endocrinology, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil
| | - Fernanda M Busnello
- Department of Nutrition, Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, Brazil
| | | | - Daniela Correa
- Universidade Federal de Juiz de Fora, Minas Gerais, Brazil
| | - Tainara A Dos Santos
- Graduate Medical Sciences Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil
| | | | - Aline Marcadenti
- Hcor Research Institute, São Paulo, Brazil; Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia, Rio Grande do Sul, Brazil; Graduate Program in Epidemiology, Universidade de São Paulo, São Paulo, Brazil
| | - Jussara C de Almeida
- Graduate Medical Sciences Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil; Division of Endocrinology, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil; Nutrition and Dietetics Service, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil; Department of Nutrition, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brazil.
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Aloy Dos Santos T, Chites VS, Riboldi BP, Marcadenti A, Bersch-Ferreira ÂC, Vieira Machado RH, Marchioni DML, Carnevale de Almeida J. Could the Wheel of Cardiovascular Health Diet Be a Tool for Diet Quality in Nutritional Counseling? Comparison with Healthy Eating Index-2020. JOURNAL OF THE AMERICAN NUTRITION ASSOCIATION 2024; 43:376-383. [PMID: 38175725 DOI: 10.1080/27697061.2023.2297888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 12/17/2023] [Indexed: 01/05/2024]
Abstract
OBJECTIVE The Wheel of Cardiovascular Health Diet was recently elaborated based on current nutritional recommendations for healthy eating and was made for person-centered nutritional counseling, thus it may be an interesting tool to improve food awareness. However, its validity is yet to be tested. We hypothesized that the self-perception of patients diagnosed with chronic diseases, evaluated by the Wheel of Cardiovascular Health Diet, is satisfactory in assessing the quality of their diets, compared with the Healthy Eating Index-2020. METHODS This is a cross-sectional analysis of adults with uncontrolled hypertension or type 2 diabetes. The patients answered the Wheel of Cardiovascular Health Diet, and then, based on the food frequency questionnaire, we analyzed the Healthy Eating Index-2020. RESULTS A total of 330 patients were included in the study: 91.5% had hypertension, 58.5% had type 2 diabetes, and the median age was 58 (50-65) years. The mean difference observed between the percentage of the graphic area assessed by the patients' self-perception from the Wheel of Cardiovascular Health Diet and Healthy Eating Index-2020 was -10.0% (95%CI -35.3 to 15.3), and a moderate correlation was observed. Linear Regression models showed that a 10-point increase in patients' self-perception in the Wheel of Cardiovascular Health Diet is associated with a 2.9% increase (95%CI 2.08 to 3.70) in the diet quality by the Healthy Eating Index-2020 and is associated with lower BMI values: β = -0.42 kg/m2 (95%CI -0.83 to -0.01). CONCLUSION The Wheel of Cardiovascular Health Diet performed satisfactorily regarding validity and reliability by BMI and was associated with higher overall dietary quality, with the Healthy Eating Index-2020 as a relative reference.
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Affiliation(s)
- Tainara Aloy Dos Santos
- Medical Sciences Graduate Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
| | - Victória Silva Chites
- Medical Sciences Graduate Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
| | - Bárbara Pelicioli Riboldi
- Medical Sciences Graduate Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
| | - Aline Marcadenti
- Hcor Research Institute, Associação Beneficente Síria (Hcor), São Paulo, Brazil
- Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul (IC/FUC), Porto Alegre, Brazil
| | | | | | - Dirce Maria Lobo Marchioni
- Department of Nutrition, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, São Paulo, Brazil São Paulo, Brazil
| | - Jussara Carnevale de Almeida
- Medical Sciences Graduate Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
- Department of Nutrition, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
- Nutrition and Dietetics Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil Rio Grande do Sul, Brazil
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Vasconcelos ÉPCOD, Ferreira FCG, Souza SOD, Dos Santos ACO. Different factors are associated with changing body composition in people living with HIV. AIDS Care 2024; 36:314-319. [PMID: 36200391 DOI: 10.1080/09540121.2022.2129035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 09/21/2022] [Indexed: 10/10/2022]
Abstract
INTRODUCTION Antiretroviral Therapy (ART) gives people living with HIV/AIDS (PLWHA) a new perspective of life, although some develop changes in impaired body composition. This study aimed to assess the factors associated with changes in body composition in PLWHA using ART, depending food consumption. MATERIAL AND METHODS It was a cross-sectional study and took place through interviews with patients treated at an University Hospital. Secondary data: CD4+ T cells, ART time and age. The level of physical activity and smoking were self-reported. For the assessment of body composition, electrical bioimpedance and measurements of weight, height and waist circumference were used. RESULTS The highest percentages of fat mass and fat-free mass, in treatment for more than 5 years, were in the female group (p <0.01), aged> 50 years (p = 0.02) and in the male group (p <0.01), young adult (p <0.01), respectively. The final linear regression model for both free fat mass and fat mass had sex, age, smoking and nutritional diagnosis as relevant factors. The frequency of food consumption was inadequate for calories, carbohydrates, proteins and lipids was high, however it did not significantly influence body composition. CONCLUSIONS Gender, age, smoking and nutritional diagnosis by BMI significantly influence body composition.
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Teixeira CD, Marchioni DM, Motta VWDL, Chaves VM, Gomes SM, Jacob MCM. Flexitarians in Brazil: Who are they, what do they eat, and why? Appetite 2024; 192:107093. [PMID: 37923061 DOI: 10.1016/j.appet.2023.107093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 10/16/2023] [Accepted: 10/18/2023] [Indexed: 11/07/2023]
Abstract
In this study, we conducted the first scientific investigation focusing on Brazilian flexitarians, aiming to characterize their socio-economic and demographic profiles, motivations for adopting flexitarianism, the frequency of animal-based meat consumption, and the primary meat substitutes they consume. To accomplish this, we distributed an online questionnaire with the assistance of university students and researchers from various regions of the country. Data were collected from 1029 individuals in Brazil who self-identified as flexitarians. Our findings reveal that the flexitarian dietary model is primarily adopted by women, constituting 76% of the sample (n = 786). Their motivations include concerns about the environmental impact of meat consumption (n = 361, 35%), personal health (n = 344, 33%), and animal welfare (n = 219, 21%). Flexitarians exhibit varying consumption patterns, which can be categorized into three groups: light flexitarians (consuming meat 36 times a week), medium flexitarians (consuming meat 7 times a week), and heavy flexitarians (consuming meat 4 times a week). The flexitarian dietary pattern is characterized by reduced beef consumption (less than 2 times per week) and higher consumption of chicken (3 times per week). It is complemented by plant-based protein sources and eggs as the primary meat substitutes. The recognition of legumes as the principal meat substitutes opens avenues for an expanded discussion on sustainable food systems and alternative meat products in Brazil. This provides opportunities to enhance the availability and accessibility of these foods and to develop nutritional interventions that prioritize plant-based proteins.
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Affiliation(s)
- Carla D Teixeira
- Graduate Program in Social Sciences, Center for Human Sciences, Letters and Arts, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, s/n, Lagoa Nova, 59078-970, Natal, RN, Brazil.
| | - Dirce Maria Marchioni
- Department of Nutrition, School of Public Health, University of São Paulo, Av Dr Arnaldo 715, 01246-904, São Paulo, SP, Brazil.
| | - Virginia W de L Motta
- Program in Nutrition, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, s/n, Lagoa Nova, 59078-970, Natal, Brazil.
| | - Viviany M Chaves
- Graduate Program in Social Sciences, Center for Human Sciences, Letters and Arts, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, s/n, Lagoa Nova, 59078-970, Natal, RN, Brazil.
| | - Sávio M Gomes
- Department of Nutrition, Federal University of Paraíba, Street Tabelião Stanislau Eloy, s/n, Castelo Branco, 58050-585, João Pessoa, PB, Brazil.
| | - Michelle C M Jacob
- LabNutrir, Department, Federal University of Rio Grande do Norte, Av. Senador Salgado Filho, s/n, Lagoa Nova, 59078-970, Natal, RN, Brazil.
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Silva IA, da Silva Santos AM, Maldonado AJ, de Moura HPDSN, Rossi PAQ, Neves LM, Dos Santos MAP, Machado DCD, Ribeiro SLG, Rossi FE. Detraining and retraining in badminton athletes following 1-year COVID-19 pandemic on psychological and physiological response. SPORT SCIENCES FOR HEALTH 2022; 18:1427-1437. [PMID: 35502298 PMCID: PMC9045036 DOI: 10.1007/s11332-022-00939-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 03/30/2022] [Indexed: 12/01/2022]
Abstract
Purpose Badminton is a racket sport, with fast and explosive movements and mental skills employed to anticipate the opponent’s movements. The COVID-19 pandemic, led to social restriction in Brazil and sport event cancellations, subsequently, sports training was banned. Thus, the objective of this study was to compare the impact of long-period detraining due to COVID-19 social restriction (8 months and 1-year) on cardiorespiratory fitness, body composition, nutritional behavior, and profile of mood states in badminton athletes and to verify if the athletes who returned to their regular training 4 months earlier than athletes who stopped their daily training routine during 1-year would improve these variables. Methods Twenty-three young badminton athletes were analyzed: retrained group (14 athletes who stopped their daily training routine for 8 months due to the COVID-19 pandemic plus 4 months of retraining), and detrained group (9 athletes who stopped their daily training routine during 1 year of the COVID-19 pandemic but performed home-based training). We evaluated body composition, cardiorespiratory fitness, nutritional behavior, and mood states profiles. Results Retrained athletes showed lower body fat (− 24.1% vs. + 20.8%, p < 0.001) and higher fat-free mass (+ 6.0% vs. − 0.2%, p = 0.007) after 1 year compared with the detrained group. For cardiorespiratory fitness [retrained: baseline = 55.5 ± 5.3 (47.1, 63.9) and after 1 year = 58.1 ± 2.4 (54.2, 61.9), ES = 0.65 vs. detrained: baseline = 53.4 ± 6.7 (47.2, 59.5) and after 1 year = 53.1 ± 5.6 (48.0, 58.3), ES = − 0.03] and nutritional behavior, including sauces and spices [retrained: baseline = 8.9 ± 7.0 (4.5, 13.4), and after 1 year = 3.4 ± 2.9 (1.8, 5.5), ES = − 1.11 vs. detrained: baseline = 6.8 ± 6.7 (1.6, 11.9) and after 1 year = 6.3 ± 5.5 (2.1, 10.6), ES = − 0.08], the ESs were medium and large, respectively, for Retrained but trivial for detrained group. For depression, ES was trivial in the retrained [baseline = 2.7 ± 3.3 (0.7, 4.7) and after 1 year = 2.6 ± 2.9 (0.8, 4.4), ES = 0.03] and moderate for detrained [baseline = 1.0 ± 1.5 (− 0.1, 2.1) and after 1 year = 1.8 ± 2.7 (− 0.3, 3.8), ES = 0.50]. Conclusions Young badminton athletes who returned to their regular daily training 4 months earlier than athletes who stopped their daily training routine during 1-year due to COVID-19 social restriction decreased fat mass and increased fat-free mass. There were no significant differences between groups for cardiorespiratory fitness, nutritional behavior, and profile of mood state response.
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Affiliation(s)
- Igor Almeida Silva
- Postgraduate Student in Science and Health and Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Federal University of Piauí (UFPI), Teresina, PI Brazil
| | - Arilene Maria da Silva Santos
- Postgraduate Student in Science and Health and Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Federal University of Piauí (UFPI), Teresina, PI Brazil
| | - Alberto Jimenez Maldonado
- Facultad de Deportes Campus Ensenada, Universidad Autónoma de Baja California México, Ensenada, Mexico
| | - Helton Pereira Dos Santos Nunes de Moura
- Postgraduate Student in Science and Health and Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Federal University of Piauí (UFPI), Teresina, PI Brazil
| | - Priscila Almeida Queiroz Rossi
- Postgraduate Student in Science and Health and Nucleus of Study in Physiology Applied to Performance and Health (NEFADS), Department of Physical Education, Federal University of Piaui (UFPI), Teresina, PI Brazil
| | - Lucas Melo Neves
- Postgraduate Program in Health Sciences, Santo Amaro University, São Paulo, Brazil.,Bipolar Disorder Program (PROMAN), Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil
| | - Marcos Antonio Pereira Dos Santos
- Nucleus of Study in Physiology Applied to Performance and Health (NEFADS), Department of Biophysics and Physiology, Federal University of Piaui, Campus Minister Petrônio Portela, Ininga, Teresina, Piaui Brazil
| | | | | | - Fabricio Eduardo Rossi
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education and Professor at Graduate Program in Science and Health, Federal University of Piauí (UFPI), Teresina, PI Brazil.,Department of Physical Education, Federal University of Piauí (UFPI), "Ministro Petrônio Portella" Campus, Teresina, PI 64049-550 Brazil
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9
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Pires RS, Braga PGS, Santos JMB, Amaral JB, Amirato GR, Trettel CS, Dos Santos CAF, Vaisberg M, Nali LHS, Vieira RP, Maranhão RC, Pithon-Curi TC, Barros MP, Bachi ALL. l-Glutamine supplementation enhances glutathione peroxidase and paraoxonase-1 activities in HDL of exercising older individuals. Exp Gerontol 2021; 156:111584. [PMID: 34653558 DOI: 10.1016/j.exger.2021.111584] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Revised: 09/22/2021] [Accepted: 10/02/2021] [Indexed: 02/06/2023]
Abstract
BACKGROUND Oxidative stress is an important factor in the formation of atherosclerotic plaques. High-density lipoprotein (HDL) harbors paraoxonase-1 (PON-1) and glutathione peroxidase (GPx), key enzymes in the protection against the harmful effects of oxidative stress. Although exercise training can increase both HDL-c content and its antioxidant action, and glutamine (Gln) intake also promotes GPx-based defenses, the association between exercise training and Gln in the regulation of PON-1 activity was not explored. Therefore, the objective of this study was to investigate the effects of Gln supplementation on the redox balance and on the total HDL antioxidant capacity by evaluation of the activity of PON-1 and GPx enzymes in physically exercised elderly individuals compared to non-exercised ones. METHODS Fifty-one practitioners of a combined exercise training program (CET, age: 71.9 ± 5.7 years) and 32 non-practitioners (NP, age: 73 ± 6.3 years) participated in the study. CET and NP groups were separated into 2 subgroups according to the supplementation: Gln, 0.3 g/kg/day + 10 g maltodextrin (CET-Gln, n = 26; and NP-Gln, n = 16) or placebo, 10 g maltodextrin (CET-PL, n = 25; and NP-PL, n = 16). Blood samples were drawn at baseline and after 30 days after commencement of the supplementation for biochemical and enzyme activity analyses. RESULTS Increased HDL-c, total peroxidase (PRx), and GPx activities were found in both CET-Gln and NP-Gln after the supplementation period, compared to baseline, in opposition to CET-PL and NP-PL groups. PON-1 activity increased only in CET-Gln. In both CET-Gln and NP-Gln groups, there was a reduction of the total peroxides/PRx, iron/PRx, and total peroxides/GPX ratios after supplementation. In CET-Gln, thiobarbituric acid-reactive substances (TBARS)/PRx and TBARS/GPx ratios were also lower after supplementation. CET-Gln and CET-PL subgroups had lower glycemia than NP-Gln and NP-PL, either at baseline or after the supplementation periods. The other parameters were unchanged after supplementation [total cholesterol, LDL-c, triglycerides, non-HDL cholesterol, total peroxides, TBARS, iron serum, Trolox-equivalent antioxidant capacity (TEAC), and uric acid]. CONCLUSIONS Gln supplementation can increase glutathione peroxidase activity regardless the individuals were physically active or sedentary, but the PON-1 activity only increased in physically active individuals. These results show the potential of Gln supplementation in the maintenance of the vascular redox balance, with potential implications for atherogenesis protection.
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Affiliation(s)
- Renier S Pires
- Post-Graduation Program in Health Sciences, Santo Amaro University (UNISA), São Paulo, SP 04829-300, Brazil
| | - Pedro G S Braga
- Lipid Metabolism Laboratory, Heart Institute (InCor), Medical School Hospital, University of São Paulo, SP 05403-900, Brazil
| | - Juliana M B Santos
- Post-Graduation Program in Science of Human and Rehabilitation, Federal University of São Paulo (UNIFESP), Santos, SP 11015-020, Brazil
| | - Jônatas B Amaral
- ENT Lab, Department of Otorhinolaryngology, Federal University of São Paulo (UNIFESP), São Paulo, SP 04025-002, Brazil
| | - Gislene R Amirato
- ENT Lab, Department of Otorhinolaryngology, Federal University of São Paulo (UNIFESP), São Paulo, SP 04025-002, Brazil
| | - Caio S Trettel
- Interdisciplinary Program in Health Sciences, Institute of Physical Activity Sciences and Sports (ICAFE), Cruzeiro do Sul University, São Paulo, SP 01506-000, Brazil
| | - Carlos A F Dos Santos
- Department of Medicine (Geriatrics and Gerontology), Federal University of São Paulo (UNIFESP), São Paulo, SP 04020-050, Brazil
| | - Mauro Vaisberg
- ENT Lab, Department of Otorhinolaryngology, Federal University of São Paulo (UNIFESP), São Paulo, SP 04025-002, Brazil
| | - Luis H S Nali
- Post-Graduation Program in Health Sciences, Santo Amaro University (UNISA), São Paulo, SP 04829-300, Brazil
| | - Rodolfo P Vieira
- Post-Graduation Program in Science of Human and Rehabilitation, Federal University of São Paulo (UNIFESP), Santos, SP 11015-020, Brazil; Post-graduation Program in Bioengineering and Biomedical Engineering, Universidade Brasil, São Paulo, SP 08230-030, Brazil; Brazilian Institute of Teaching and Research in Pulmonary and Exercise Immunology (IBEPIPE), São Jose dos Campos, SP 12245-520, Brazil
| | - Raul C Maranhão
- Lipid Metabolism Laboratory, Heart Institute (InCor), Medical School Hospital, University of São Paulo, SP 05403-900, Brazil
| | - Tania C Pithon-Curi
- Interdisciplinary Program in Health Sciences, Institute of Physical Activity Sciences and Sports (ICAFE), Cruzeiro do Sul University, São Paulo, SP 01506-000, Brazil
| | - Marcelo P Barros
- Interdisciplinary Program in Health Sciences, Institute of Physical Activity Sciences and Sports (ICAFE), Cruzeiro do Sul University, São Paulo, SP 01506-000, Brazil
| | - André L L Bachi
- Post-Graduation Program in Health Sciences, Santo Amaro University (UNISA), São Paulo, SP 04829-300, Brazil; ENT Lab, Department of Otorhinolaryngology, Federal University of São Paulo (UNIFESP), São Paulo, SP 04025-002, Brazil; Brazilian Institute of Teaching and Research in Pulmonary and Exercise Immunology (IBEPIPE), São Jose dos Campos, SP 12245-520, Brazil.
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10
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Abstract
Babies born small-for-gestational age (SGA) have an increased risk of mortality, morbidity and adverse functional consequences. Studies suggest that pre-pregnancy maternal diet may influence newborns' size. This study aimed to determine whether maternal pre-pregnancy dietary patterns (DP) are associated with delivering SGA newborns in the ProcriAr Cohort Study, Sao Paulo-Brazil. Pre-pregnancy DP of 299 women were investigated using factor analysis with principal component's estimation, based on intake reported on a validated 110-item FFQ. Newborns were classified as SGA if their weight and/or length, adjusted by gestational age and sex, were below the 10th percentile of the INTERGROWTH-21st standards. Multivariate Poisson regression modelling with robust error variance was performed to examine associations between the different DP (in quintiles) and SGA. In a model adjusted by maternal sociodemographic and health behaviours, women who scored in the highest quintile of the DP 'Snacks, sandwiches, sweets and soft drinks' (in relation to the women who scored in the lowest quintile) were significantly more likely to deliver SGA babies (relative risk 1·92; 95 % CI 1·08, 3·39). This study verified that women's pre-pregnancy dietary behaviour characterised by an energy-dense nutrient-poor food intake was a risk factor for delivering SGA newborns. Investments in education and improved access to healthful food and nutritional information before pregnancy should be prioritised due to their potential positive impact on child health. However, further studies are warranted to identify specific metabolic pathways that may be underlying these associations.
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11
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Marcadenti A, Weber B, Bersch-Ferreira AC, Machado RHV, Torreglosa CR, de Sousa Lara EM, da Silva LR, Santos RHN, Miyada DHK, Sady ERR, Costa RP, Piegas L, de Abreu-Silva EO, de Quadros AS, Weschenfelder C, Dos Santos JL, Souza GC, Parahiba SM, Fayh APT, Bezerra DS, Carvalho APPF, Machado MMA, Vasconcelos SML, Araújo J, de Figueiredo Neto JA, Dias LPP, Nagano FEZ, de Almeida CCP, Moreira ASB, Gapanowicz DP, Purgatto E, Rogero MM, Sampaio GR, da Silva Torres EAF, Duarte GBS, Cavalcanti AB. Effects of a Brazilian cardioprotective diet and nuts on cardiometabolic parameters after myocardial infarction: study protocol for a randomized controlled clinical trial. Trials 2021; 22:582. [PMID: 34470656 PMCID: PMC8411551 DOI: 10.1186/s13063-021-05494-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 07/27/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Nut consumption has been related to improvements on cardiometabolic parameters and reduction in the severity of atherosclerosis mainly in primary cardiovascular prevention. The objective of this trial is to evaluate the effects of the Brazilian Cardioprotective Diet (DIeta CArdioprotetora Brasileira, DICA Br) based on consumption of inexpensive locally accessible foods supplemented or not with mixed nuts on cardiometabolic features in patients with previous myocardial infarction (MI). METHODS DICA-NUTS study is a national, multicenter, randomized 16-week follow-up clinical trial. Patients over 40 years old with diagnosis of previous MI in the last 2 to 6 months will be recruited (n = 388). A standardized questionnaire will be applied to data collection and blood samples will be obtained. Patients will be allocated in two groups: Group 1: DICA Br supplemented with 30 g/day of mixed nuts (10 g of peanuts, 10 g of cashew, 10 g of Brazil nuts); and Group 2: only DICA Br. The primary outcome will consist of LDL cholesterol means (in mg/dL) after 16 weeks of intervention. Secondary outcomes will consist of other markers of lipid profile, glycemic profile, and anthropometric data. DISCUSSION It is expected that DICA Br supplemented with mixed nuts have superior beneficial effects on cardiometabolic parameters in patients after a MI, when compared to DICA Br. TRIAL REGISTRATION ClinicalTrials.gov Identifier NCT03728127 . First register: November 1, 2018; Last update: June 16, 2021. World Health Organization Universal Trial Number (WHO-UTN): U1111-1259-8105.
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Affiliation(s)
- Aline Marcadenti
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil.
- Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia (IC/FUC), Porto Alegre, Rio Grande do Sul, Brazil.
| | - Bernardete Weber
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
| | - Angela Cristine Bersch-Ferreira
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
| | - Rachel Helena Vieira Machado
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
| | - Camila Ragne Torreglosa
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
| | - Enilda Maria de Sousa Lara
- Health Knowledge Implementation Laboratory (LICS), Hospital do Coração (HCor), São Paulo, São Paulo, Brazil
| | - Lucas Ribeiro da Silva
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
| | - Renato Hideo Nakagawa Santos
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
| | - Debora Harumi Kodama Miyada
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
| | - Erica Regina Ribeiro Sady
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
| | - Rosana Perim Costa
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
| | - Leopoldo Piegas
- Division of Cardiology, Hospital do Coração (HCor), São Paulo, São Paulo, Brazil
| | - Erlon Oliveira de Abreu-Silva
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
- Division of Cardiology, Hospital do Coração (HCor), São Paulo, São Paulo, Brazil
- Hemodynamics Service, Hospital do Servidor Público Estadual (HSPE), São Paulo, São Paulo, Brazil
| | - Alexandre Schaan de Quadros
- Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia (IC/FUC), Porto Alegre, Rio Grande do Sul, Brazil
| | - Camila Weschenfelder
- Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia (IC/FUC), Porto Alegre, Rio Grande do Sul, Brazil
| | - Júlia Lorenzon Dos Santos
- Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia (IC/FUC), Porto Alegre, Rio Grande do Sul, Brazil
| | - Gabriela Corrêa Souza
- Division of Nutrition, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Rio Grande do Sul, Brazil
- Post-Graduation Program in Food, Nutrition and Health, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Suena Medeiros Parahiba
- Post-Graduation Program in Food, Nutrition and Health, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Ana Paula Trussardi Fayh
- Department of Nutrition, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
| | - Danielle Soares Bezerra
- Faculty of Health Science of Trairi, Universidade Federal do Rio Grande do Norte (FACISA-UFRN), Santa Cruz, Rio Grande do Norte, Brazil
| | | | - Malaine Morais Alves Machado
- Clinical Nutrition Unit, Hospital de Clínicas, Universidade Federal de Goiás (HC-UFG/EBSERH), Goiânia, Goiás, Brazil
| | | | - Jéssika Araújo
- Faculty of Nutrition, Universidade Federal de Alagoas (UFAL), Maceió, Alagoas, Brazil
| | | | | | | | | | | | | | - Eduardo Purgatto
- Department of Food Science and Experimental Nutrition/Food Research Center, Faculty of Pharmaceutical Sciences, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil
| | - Marcelo Macedo Rogero
- Department of Nutrition, School of Public Health, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil
| | - Geni Rodrigues Sampaio
- Department of Nutrition, School of Public Health, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil
| | | | - Graziela Biude Silva Duarte
- Department of Food Science and Experimental Nutrition, Faculty of Pharmaceutical Science, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil
| | - Alexandre Biasi Cavalcanti
- HCor Research Institute (IP-HCor), Hospital do Coração (HCor), Abílio Soares Street, 250, 12th floor, São Paulo, SP, Zip Code 04004-050, Brazil
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12
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Motta VWDL, Lima SCVC, Marchioni DML, Lyra CDO. Food frequency questionnaire for adults in the Brazilian Northeast region: emphasis on the level of food processing. Rev Saude Publica 2021; 55:51. [PMID: 34406278 PMCID: PMC8352563 DOI: 10.11606/s1518-8787.2021055002473] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Accepted: 10/06/2020] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To develop a quantitative Food Frequency Questionnaire (FFQ) for adults in the Northeast region of Brazil, in order to identify the frequency of consumption of foods considered to be of protection and risk for chronic non-communicable diseases (NCDs), grouping food items by processing level. METHODS To develop the FFQ, data from 7,516 adults from Northeastern Brazil were used, extracted from the 2008-2009 Household Budget Survey. The food lists were elaborated according to the methodology of the relative contribution of each item, identifying foods with the highest relative contribution for macronutrients, fiber, saturated fat, trans fat, sodium and potassium. All foods whose contribution sum was up to 90% composed such lists. The final structure of the FFQ organized the food items in order to respect the mental image of the meals. RESULT The FFQ resulted in 83 food items, distributed in minimally processed, processed and ultra-processed. We chose the previous year as the time to estimate food consumption, and frequency options ranged from "never" to "10 times". The instrument includes guidelines for filling and collects data on serving sizes (small, medium, large and extra-large), as well as additional information on culinary preparations. There was a high percentage of people who were overweight (44.1%). CONCLUSION The study culminated in an FFQ to identify the frequency of consumption of foods considered protective and risk for NCDs. The instrument can support epidemiological studies that evaluate outcomes related to the diet of adults considering the level of food processing, in accordance with the Guia alimentar para a população brasileira .
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Affiliation(s)
- Virginia Williane de Lima Motta
- Universidade Federal do Rio Grande do NorteCentro de Ciências da SaúdePrograma de Pós-Graduação em NutriçãoNatalRNBrasil Universidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Programa de Pós-Graduação em Nutrição. Natal, RN, Brasil
| | - Severina Carla Vieira Cunha Lima
- Universidade Federal do Rio Grande do NorteCentro de Ciências da SaúdeDepartamento de NutriçãoNatalRNBrasil Universidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Departamento de Nutrição. Natal, RN, Brasil
| | - Dirce Maria Lobo Marchioni
- Universidade de São PauloFaculdade de Saúde PúblicaDepartamento de NutriçãoSão PauloSPBrasil Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Nutrição. São Paulo, SP, Brasil
| | - Clélia de Oliveira Lyra
- Universidade Federal do Rio Grande do NorteCentro de Ciências da SaúdeDepartamento de NutriçãoNatalRNBrasil Universidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Departamento de Nutrição. Natal, RN, Brasil
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13
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Reis-Canaan JC, Canaan MM, Costa PD, Rodrigues-Juliatte TP, Pereira MCA, Castelo PM, Pardi V, M. Murata R, Pereira LJ. Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil. Nutrients 2021; 13:2260. [PMID: 34209002 PMCID: PMC8308412 DOI: 10.3390/nu13072260] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Revised: 06/25/2021] [Accepted: 06/26/2021] [Indexed: 11/17/2022] Open
Abstract
Chronotype (CT) has been associated with predisposition to chronic noncommunicable diseases (CNCDs), such as diabetes mellitus and obesity. However, the effects of CT on individuals assisted by public health systems (PHSs) in middle-up economies are still poorly explored. The objective of this study was to evaluate the relationship between CT and clinical, sociobehavioral and nutritional aspects in adults assisted by a PHS in Brazil. This is a population-based cross-sectional study. The sample consisted of 380 individuals, selected through probabilistic sampling by clusters, in all health units in a city of approximately 100 thousand inhabitants. Data collection was performed during home visits, by means of general and nutritional interviews, anthropometric measurements and the Morningness-Eveningness Questionnaire (MEQ). Statistical analysis comprised chi-square test and principal component analysis (CPA) followed by Fisher's discriminant analysis to determine aspects associated with each CT (morning, evening or intermediate). With the aim of explaining the variation in the CT scores, the consumption of micronutrients (corrected to the total energy intake) and other individual and sociodemographic variables were used as explanatory factors in the adjustment of a linear regression model. The morning group was characterized by older men, with less than eight years of schooling, with low body mass index (BMI) and with low intake of omega-6, omega-3, sodium, zinc, thiamine, pyridoxine and niacin. The evening group, on the other hand, was composed of younger individuals, with a high consumption of these same nutrients, with high BMI and a higher frequency of heart diseases (p < 0.05). It was concluded that most morning CT individuals were elderly thin males with lower consumption of omega-6 and -3, sodium, zinc, thiamine, pyridoxine and niacin, whereas evening individuals were younger, had higher BMI and had higher consumption of the studied micronutrients. The identification of circadian and behavioral risk groups can help to provide preventive and multidisciplinary health promotion measures.
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Affiliation(s)
- Juliana C. Reis-Canaan
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, Brazil; (J.C.R.-C.); (M.M.C.); (P.D.C.); (T.P.R.-J.); (M.C.A.P.)
| | - Marcelo M. Canaan
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, Brazil; (J.C.R.-C.); (M.M.C.); (P.D.C.); (T.P.R.-J.); (M.C.A.P.)
| | - Patrícia D. Costa
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, Brazil; (J.C.R.-C.); (M.M.C.); (P.D.C.); (T.P.R.-J.); (M.C.A.P.)
| | - Tamires P. Rodrigues-Juliatte
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, Brazil; (J.C.R.-C.); (M.M.C.); (P.D.C.); (T.P.R.-J.); (M.C.A.P.)
| | - Michel C. A. Pereira
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, Brazil; (J.C.R.-C.); (M.M.C.); (P.D.C.); (T.P.R.-J.); (M.C.A.P.)
| | - Paula M. Castelo
- Department of Pharmaceutical Sciences, Universidade Federal de São Paulo (UNIFESP), Diadema 09913-030, SP, Brazil;
| | - Vanessa Pardi
- Department of Foundational Sciences, School of Dental Medicine, East Carolina University (ECU), Greenville, NC 27834, USA;
| | - Ramiro M. Murata
- Department of Foundational Sciences, School of Dental Medicine, East Carolina University (ECU), Greenville, NC 27834, USA;
| | - Luciano J. Pereira
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, Brazil; (J.C.R.-C.); (M.M.C.); (P.D.C.); (T.P.R.-J.); (M.C.A.P.)
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14
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Almeida VAHD, Costa RAD, Paganoti CDF, Mikami FC, Sousa AMDS, Peres SV, Lopes MAB, Francisco RPV. Diet Quality Indices and Physical Activity Levels Associated with Adequacy of Gestational Weight Gain in Pregnant Women with Gestational Diabetes Mellitus. Nutrients 2021; 13:1842. [PMID: 34071239 PMCID: PMC8226941 DOI: 10.3390/nu13061842] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 05/12/2021] [Accepted: 05/24/2021] [Indexed: 12/17/2022] Open
Abstract
The aim of this study was to evaluate the Diet Quality Index (DQI) and the Physical Activity (PA) levels associated with adequacy of gestational weight gain in pregnant women with gestational diabetes mellitus (GDM). A total of 172 pregnant women with a single fetus and a diagnosis of GDM participated. Food intake was self-reported on the food frequency questionnaire and DQI was quantified using the index validated and revised for Brazil (DQI-R). To assess PA, the Pregnancy Physical Activity Questionnaire was administered. Gestational weight gain was classified, following the criteria of the Institute of Medicine, into adequate (AWG), insufficient (IWG), or excessive (EWG) weight gain. A multinomial logistic regression analysis was performed, with level of significance <0.05. The participants were divided into 3 groups: AWG (33.1%), IWG (27.3%), and EWG (39.5%). The analysis indicated that if the pregnant women PA fell into tertile 1 or 2, then they had a greater chance of having IWG, whereas those with the lowest scores on the DQI-R, whose PA fell into tertile 2, and pregestational obesity women had the greatest chance of having EWG. This study has shown that low PA levels may contribute towards IWG. On the other hand, a low final DQI-R score, representing inadequate food habits, low PA levels, and pregestational obesity may increase the chance of EWG in patients with GDM.
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Affiliation(s)
- Vanessa Averof Honorato de Almeida
- Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255, Cerqueira César 05403-000, São Paulo, Brazil
| | - Rafaela Alkmin da Costa
- Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255, Cerqueira César 05403-000, São Paulo, Brazil
| | - Cristiane de Freitas Paganoti
- Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255, Cerqueira César 05403-000, São Paulo, Brazil
| | - Fernanda Cristina Mikami
- Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255, Cerqueira César 05403-000, São Paulo, Brazil
| | - Ana Maria da Silva Sousa
- Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255, Cerqueira César 05403-000, São Paulo, Brazil
| | - Stela Verzinhasse Peres
- Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255, Cerqueira César 05403-000, São Paulo, Brazil
| | - Marco Antonio Borges Lopes
- Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255, Cerqueira César 05403-000, São Paulo, Brazil
| | - Rossana Pulcineli Vieira Francisco
- Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255, Cerqueira César 05403-000, São Paulo, Brazil
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Yamashita LM, Corona LP, Dantas da Silva E, Monteiro de Mendonça AP, de Assumpção D, Barros Filho ADA, Barrett JS, Geloneze B, Vasques ACJ. FODMAP project: Development, validation and reproducibility of a short food frequency questionnaire to estimate consumption of fermentable carbohydrates. Clin Nutr 2021; 40:3409-3420. [DOI: 10.1016/j.clnu.2020.11.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 10/05/2020] [Accepted: 11/15/2020] [Indexed: 12/13/2022]
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Costa PD, Canaan JCR, Midori Castelo P, Campideli Fonseca D, Márcia Pereira-Dourado S, Mendonça Murata R, Pardi V, José Pereira L. Influence of Micronutrient Intake, Sociodemographic, and Behavioral Factors on Periodontal Status of Adults Assisted by a Public Health Care System in Brazil: A Cross-Sectional Multivariate Analysis. Nutrients 2021; 13:973. [PMID: 33802889 PMCID: PMC8002608 DOI: 10.3390/nu13030973] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 03/14/2021] [Accepted: 03/16/2021] [Indexed: 02/06/2023] Open
Abstract
The lack of access to a balanced diet, rich in vitamins and minerals, can predispose people to inflammatory diseases such as obesity, diabetes mellitus, and periodontitis. We aimed to evaluate the relationship between micronutrient intake, sociodemographic behavioral characteristics, and periodontal health in adults assisted by a public health care system. Participants (n = 450) answered a food frequency questionnaire and were submitted to anthropometric and oral clinical examinations. Principal component analysis was used to summarize the number of components emerging from 17-micronutrient intake. Subsequently, cluster analysis was employed. The prevalence of at least one periodontal pocket ≥ 4 mm was 67.4%. Three clusters were identified according to periodontal status. Cluster 1 "poor periodontal status" was characterized by older individuals (n = 202; 85% females) with poor periodontal status, lower education level, mainly smokers with non-transmissible chronic diseases (NTCD), with lower energy, omega-3, fiber, Zn, K, Cu, and vitamin C intake. Cluster 3 "healthy periodontal status" included younger individuals (n = 54) with the healthiest periodontal status, a higher education level, without NTCD, and with higher energy, omega-3, fiber, Zn, calcium, retinol, and riboflavin intake. Cluster 2 was labeled as "intermediate periodontal status". Micronutrient ingestion was associated with periodontal status and may be considered in health promotion actions for low-income populations.
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Affiliation(s)
- Patrícia Daniela Costa
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), 37200-900 Lavras, Minas Gerais, Brazil; (P.D.C.); (J.C.R.C.); (S.M.P.-D.)
| | - Juliana Cristina Reis Canaan
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), 37200-900 Lavras, Minas Gerais, Brazil; (P.D.C.); (J.C.R.C.); (S.M.P.-D.)
| | - Paula Midori Castelo
- Department of Pharmaceutical Sciences, Universidade Federal de São Paulo (UNIFESP), 09913-030 Diadema, São Paulo, Brazil;
| | | | - Stela Márcia Pereira-Dourado
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), 37200-900 Lavras, Minas Gerais, Brazil; (P.D.C.); (J.C.R.C.); (S.M.P.-D.)
| | - Ramiro Mendonça Murata
- Department of Foundational Sciences, School of Dental Medicine, East Carolina University (ECU), Greenville, NC 27834, USA;
| | - Vanessa Pardi
- Department of Foundational Sciences, School of Dental Medicine, East Carolina University (ECU), Greenville, NC 27834, USA;
| | - Luciano José Pereira
- Health Sciences Faculty, Universidade Federal de Lavras (UFLA), 37200-900 Lavras, Minas Gerais, Brazil; (P.D.C.); (J.C.R.C.); (S.M.P.-D.)
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LOPES RDVC, TEIXEIRA JA, MARCHIONI DM, VILLA LL, GIULIANO AR, FISBERG RM. Improvement in dietary intake estimates through the combined use of different approaches. REV NUTR 2019. [DOI: 10.1590/1678-9865201932e180137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective This study aimed to compare dietary intake estimates using two different methodological approaches: use of new portions obtained with the 24-Hour Diet Recall, which was applied in the current study population, and the application of calibration equations, which were estimated using the same 24h-recalls. Methods Calibration equations were estimated using linear regression. The medians and confidence intervals of energy and nutrient intakes were assessed using all the approaches. The U Mann Whitney test was applied to verify differences among dietary intakes obtained with the 24 Hour Recall and Food Frequency Questionnaire-based methods. The correlation between different measures was assessed with Spearman coefficient. Weighted Kappa was used to verify the capability of the Food Frequency Questionnaire -based methods to classify individuals in the same intake levels of the 24 Hour Recall. Results Nine of the eleven components that were analyzed using the Food Frequency Questionnaire with standard portions and calibrated had medians significantly different from those obtained using the 24 Hour Recall; only the measurements of vitamin E and energy were statistically equal. For the Food Frequency Questionnaire with 24 Hour Recall portions, only the medians of vitamin D and B12 did not significantly differ from the 24 Hour Recall medians. Finally, for the Food Frequency Questionnaire with 24 Hour Recall portions and calibrated, all components, except folate and iron, had medians statistically equal to those obtained using the 24 Hour Recall. Spearman correlation coefficients were higher for the Food Frequency Questionnaire with 24 Hour Recall portions calibrated for all the assessed components, and the values ranged from 0.27 (total fat) to 0.57 (iron). Higher Kappa correlation coefficients were found for the Food Frequency Questionnaire 24 Hour Recall portions calibrated. Conclusion Calibrated FFQ with portions estimated from the own target population obtained better estimates of dietary intake, with values considerably more similar to those obtained with the reference method.
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De Carli E, Dias GC, Morimoto JM, Marchioni DML, Colli C. Dietary Iron Bioavailability: Agreement between Estimation Methods and Association with Serum Ferritin Concentrations in Women of Childbearing Age. Nutrients 2018; 10:nu10050650. [PMID: 29883384 PMCID: PMC5986529 DOI: 10.3390/nu10050650] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2018] [Revised: 05/02/2018] [Accepted: 05/04/2018] [Indexed: 01/04/2023] Open
Abstract
Predictive iron bioavailability (FeBio) methods aimed at evaluating the association between diet and body iron have been proposed, but few studies explored their validity and practical usefulness in epidemiological studies. In this cross-sectional study involving 127 women (18–42 years) with presumably steady-state body iron balance, correlations were checked among various FeBio estimates (probabilistic approach and meal-based and diet-based algorithms) and serum ferritin (SF) concentrations. Iron deficiency was defined as SF < 15 µg/L. Pearson correlation, Friedman test, and linear regression were employed. Iron intake and prevalence of iron deficiency were 10.9 mg/day and 12.6%. Algorithm estimates were strongly correlated (0.69≤ r ≥0.85; p < 0.001), although diet-based models (8.5–8.9%) diverged from meal-based models (11.6–12.8%; p < 0.001). Still, all algorithms underestimated the probabilistic approach (17.2%). No significant association was found between SF and FeBio from Monsen (1978), Reddy (2000), and Armah (2013) algorithms. Nevertheless, there was a 30–37% difference in SF concentrations between women stratified at extreme tertiles of FeBio from Hallberg and Hulthén (2000) and Collings’ (2013) models. The results demonstrate discordance of FeBio from probabilistic approach and algorithm methods while suggesting two models with best performances to rank individuals according to their bioavailable iron intakes.
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Affiliation(s)
- Eduardo De Carli
- Department of Food and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil.
| | - Gisele Cristina Dias
- Department of Food and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil.
| | - Juliana Massami Morimoto
- Center for Biological and Health Sciences, Mackenzie Presbyterian University, Sao Paulo 01302-907, Brazil.
| | - Dirce Maria Lobo Marchioni
- Department of Nutrition, Faculty of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil.
| | - Célia Colli
- Department of Food and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil.
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Teixeira JA, Castro TG, Grant CC, Wall CR, Castro ALDS, Francisco RPV, Vieira SE, Saldiva SRDM, Marchioni DM. Dietary patterns are influenced by socio-demographic conditions of women in childbearing age: a cohort study of pregnant women. BMC Public Health 2018; 18:301. [PMID: 29490638 PMCID: PMC5831579 DOI: 10.1186/s12889-018-5184-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Accepted: 02/19/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Women's health during their reproductive years and whilst pregnant has implications for their children's health, both in utero and during childhood. Associations of women's pre-pregnancy dietary patterns (DP) with maternal socio-demographic characteristics and nutrient intake were investigated in ProcriAr cohort study in São Paulo/Brazil, 2012. METHODS The DPs of 454 women were investigated by principal component factor analysis, using dietary information from a validated 110-item food frequency questionnaire. Multiple linear regression models identified independent associations between DPs and maternal socio-demographic characteristics and Spearman's correlation determined associations between DPs and nutrients intake. RESULTS Participants' mean age was 26.1 years (standard deviation = 6.3), 10.3% had more than 8 years of formal education, 30% were migrants from outside of the Southeast of Brazil, 48% were employed, 13% were smokers, and 51% were overweight/obese. Four DPs were derived: 'Lentils, whole grains and soups,' 'Snacks, sandwiches, sweets and soft drinks,' 'Seasoned vegetables and lean meats,' and 'Sweetened juices, bread and butter, rice and beans'. The 'Lentils, whole grains and soups' score was positively related to maternal age, being non-smoker and born in the South, North or Midwest of Brazil. The 'Snacks, sandwiches, sweets and soft drinks' score was positively related to higher maternal education, and negatively related to age, lack of formal work and being born in the Northeast region. The 'Seasoned vegetables and lean meats' score was positively related to higher maternal education. The 'Sweetened juices, bread and butter, rice and beans' score was positively related to unemployment and to no family history of hypertension, and negatively related to maternal overweight and obesity. Dietary intake of fruits and vegetables, foods that require preparation, nutrients from one-carbon metabolism, protein, iron, calcium and vitamin D were correlated with the 'Seasoned vegetables and lean meats'. Dietary intake of sugar-sweetened and alcoholic beverages, industrialized and takeaway foods, and foods rich in sugar, energy, fat, and synthetic folate were correlated with the 'Snacks, sandwiches, sweets and soft drinks'. CONCLUSIONS Findings from this study add perspectives to be considered in the implementation of health interventions, which could improve women's nutritional status and provide an adequate environment for the developing fetus.
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Affiliation(s)
- Juliana Araujo Teixeira
- Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo, 01246-904 Brazil
| | - Teresa Gontijo Castro
- The Centre for Longitudinal Research – He Ara ki Mua, University of Auckland, Auckland, 1072 New Zealand
- Department of Paediatrics: Child and Youth Health, University of Auckland, Auckland, 1142 New Zealand
| | - Cameron C. Grant
- The Centre for Longitudinal Research – He Ara ki Mua, University of Auckland, Auckland, 1072 New Zealand
- Department of Paediatrics: Child and Youth Health, University of Auckland, Auckland, 1142 New Zealand
- Starship Children’s Hospital, Auckland District Health Board, Auckland, 1023 New Zealand
| | - Clare R. Wall
- The Centre for Longitudinal Research – He Ara ki Mua, University of Auckland, Auckland, 1072 New Zealand
- Discipline of Nutrition and Dietetics, School of Medical Sciences, University of Auckland, Auckland, 1023 New Zealand
| | - Ana Lúcia da Silva Castro
- Department of Obstetrics and Gynecology, School of Medicine, University of Sao Paulo, Sao Paulo, 05403-000 Brazil
| | | | - Sandra Elisabete Vieira
- Department of Pediatrics, School of Medicine, University of Sao Paulo, Sao Paulo, 05403-000 Brazil
| | | | - Dirce Maria Marchioni
- Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo, 01246-904 Brazil
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Pedraza DF, Menezes TND. [Food Frequency Questionnaire developed and validated for the Brazilian population: a review of the literature]. CIENCIA & SAUDE COLETIVA 2017; 20:2697-720. [PMID: 26331503 DOI: 10.1590/1413-81232015209.12602014] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Assessing food intake is a challenge for researchers given the inherent complexity of the issue. One of the methods used in epidemiological studies is the Food Frequency Questionnaire (FFQ). The scope of this paper was to identify studies that developed and/or validated the FFQ in Brazil, analyzing the methods used and the main results of the validation. The PubMed, LILACS and SciELO databases were researched for studies published prior to 2013 on the development and validation of the FFQ in Brazil. These studies were analyzed according to: i) the main methodological characteristics of the elaboration/validation process of the questionnaires; ii) the key results related to validation. Forty-one studies were assessed: 6 on the development of the FFQ; 18 on the development and validation of the FFQ; 17 on the validation of the FFQ. There were inter-regional differences in the publications and methodological differences in the elaboration and validation of the FFQ. Adults and adolescents were the groups most covered for the validation of the FFQ, though specific studies for children < 5 years of age were not found. The methodological rigor and statistical results guarantee the suitability of the validation of the FFQ for the target populations, with high correlations for energy, carbohydrates, fibers, calcium and vitamin C.
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da Silva DCG, Segheto W, de Lima MFC, Pessoa MC, Pelúzio MCG, Marchioni DML, Cunha DB, Longo GZ. Using the method of triads in the validation of a food frequency questionnaire to assess the consumption of fatty acids in adults. J Hum Nutr Diet 2017; 31:85-95. [DOI: 10.1111/jhn.12497] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Affiliation(s)
- D. C. G. da Silva
- Department of Nutrition and Health; Federal University of Viçosa; Viçosa Brazil
| | - W. Segheto
- Department of Nutrition and Health; Federal University of Viçosa; Viçosa Brazil
| | - M. F. C. de Lima
- Department of Nutrition and Health; Federal University of Viçosa; Viçosa Brazil
| | - M. C. Pessoa
- Nursing Department; Federal University of Minas Gerais; Belo Horizonte Brazil
| | - M. C. G. Pelúzio
- Department of Nutrition and Health; Federal University of Viçosa; Viçosa Brazil
| | - D. M. L. Marchioni
- Nutrition Department; School of Public Health; University of São Paulo; São Paulo Brazil
| | - D. B. Cunha
- Department of Epidemiology; University of the State Rio de Janeiro; Rio de Janeiro Brazil
| | - G. Z. Longo
- Department of Nutrition and Health; Federal University of Viçosa; Viçosa Brazil
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22
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Da Silva Pinto EA, Garcia EM, de Almeida KA, Fernandes CFL, Tavella RA, Soares MCF, Baisch PRM, Muccillo-Baisch AL, da Silva Júnior FMR. Genotoxicity in adult residents in mineral coal region-a cross-sectional study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2017; 24:16806-16814. [PMID: 28567685 DOI: 10.1007/s11356-017-9312-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2016] [Accepted: 05/18/2017] [Indexed: 06/07/2023]
Abstract
The present study assessed the DNA damage in environmentally exposed volunteers living in seven municipalities in an industrial coal region, through the use of the comet assay with blood cells and the micronucleus test with buccal cells. Blood and buccal smears were collected from 320 male volunteers living in seven cities inserted in a coal region. They were ages of 18 and 50 years and also completed a questionnaire intended to identify factors associated with DNA damage through a Poisson regression analysis. The comet assay detected significant differences in DNA damage in volunteers from different municipalities, and neighboring cities (Pedras Altas, Aceguá, and Hulha Negra) had a higher level of DNA damage in relation to control city. Some of the risk factors associated with identified DNA lesions included residence time and life habits. On the other hand, the micronucleus test did not identify differences between the cities studied, but the regression analysis identified risk factors such as age and life habits (consumption of mate tea and low carbohydrates diet). We conclude that there are differences in the DNA damage of volunteers from different cities of the carboniferous region, but the presence of micronuclei in the oral mucosa does not differ between the same cities. Furthermore, we alert that some related factors may increase the risk of genotoxicity, such as residence location and time, and living and food habits. Finally, we suggest the need for continuous biomonitoring of the population, as well as for investing in health promotion in these vulnerable populations.
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Affiliation(s)
- Edlaine Acosta Da Silva Pinto
- Laboratório de Ensaios Farmacológicos e Toxicológicos, Instituto de Ciências Biológicas, Universidade Federal do Rio Grande - FURG, Av. Itália, km 8, Campus Carreiros, Rio Grande, RS, 96203-900, Brazil
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal do Rio Grande (FURG), Rua Visconde de Paranaguá 102 Centro, Rio Grande, RS, 96203-900, Brazil
| | - Edariane Menestrino Garcia
- Laboratório de Ensaios Farmacológicos e Toxicológicos, Instituto de Ciências Biológicas, Universidade Federal do Rio Grande - FURG, Av. Itália, km 8, Campus Carreiros, Rio Grande, RS, 96203-900, Brazil
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal do Rio Grande (FURG), Rua Visconde de Paranaguá 102 Centro, Rio Grande, RS, 96203-900, Brazil
| | - Krissia Aparecida de Almeida
- Laboratório de Ensaios Farmacológicos e Toxicológicos, Instituto de Ciências Biológicas, Universidade Federal do Rio Grande - FURG, Av. Itália, km 8, Campus Carreiros, Rio Grande, RS, 96203-900, Brazil
| | - Caroline Feijó Lopes Fernandes
- Laboratório de Ensaios Farmacológicos e Toxicológicos, Instituto de Ciências Biológicas, Universidade Federal do Rio Grande - FURG, Av. Itália, km 8, Campus Carreiros, Rio Grande, RS, 96203-900, Brazil
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal do Rio Grande (FURG), Rua Visconde de Paranaguá 102 Centro, Rio Grande, RS, 96203-900, Brazil
| | - Ronan Adler Tavella
- Laboratório de Ensaios Farmacológicos e Toxicológicos, Instituto de Ciências Biológicas, Universidade Federal do Rio Grande - FURG, Av. Itália, km 8, Campus Carreiros, Rio Grande, RS, 96203-900, Brazil
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal do Rio Grande (FURG), Rua Visconde de Paranaguá 102 Centro, Rio Grande, RS, 96203-900, Brazil
| | - Maria Cristina Flores Soares
- Laboratório de Ensaios Farmacológicos e Toxicológicos, Instituto de Ciências Biológicas, Universidade Federal do Rio Grande - FURG, Av. Itália, km 8, Campus Carreiros, Rio Grande, RS, 96203-900, Brazil
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal do Rio Grande (FURG), Rua Visconde de Paranaguá 102 Centro, Rio Grande, RS, 96203-900, Brazil
| | - Paulo Roberto Martins Baisch
- Laboratório de Oceanografia Geológica, Instituto de Oceanografia, Universidade Federal do Rio Grande do Sul - FURG, Av. Itália, km 8, Campus Carreiros, Rio Grande, RS, 96201-900, Brazil
| | - Ana Luíza Muccillo-Baisch
- Laboratório de Ensaios Farmacológicos e Toxicológicos, Instituto de Ciências Biológicas, Universidade Federal do Rio Grande - FURG, Av. Itália, km 8, Campus Carreiros, Rio Grande, RS, 96203-900, Brazil
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal do Rio Grande (FURG), Rua Visconde de Paranaguá 102 Centro, Rio Grande, RS, 96203-900, Brazil
| | - Flavio Manoel Rodrigues da Silva Júnior
- Laboratório de Ensaios Farmacológicos e Toxicológicos, Instituto de Ciências Biológicas, Universidade Federal do Rio Grande - FURG, Av. Itália, km 8, Campus Carreiros, Rio Grande, RS, 96203-900, Brazil.
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal do Rio Grande (FURG), Rua Visconde de Paranaguá 102 Centro, Rio Grande, RS, 96203-900, Brazil.
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Lopes RDVC, Teixeira JA, Marchioni D, Villa LL, Giuliano AR, Luiza Baggio M, Fisberg RM. Dietary intake of selected nutrients and persistence of HPV infection in men. Int J Cancer 2017; 141:757-765. [PMID: 28486774 DOI: 10.1002/ijc.30772] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Revised: 03/22/2017] [Accepted: 04/26/2017] [Indexed: 01/18/2023]
Abstract
Human papillomavirus (HPV) infection is a common sexually transmitted disease. Although often transitory, persistent oncogenic HPV infection may progress to a precursor lesion and, if not treated, can further increase the risk of cancer. The purpose of this study was to investigate the relation between dietary intake and HPV persistent infection in men of a Brazilian cohort. The study population consisted of 1,248 men from the Brazilian cohort of the HIM (HPV in Men) Study, ages 18 to 70 years, who completed a quantitative food frequency questionnaire. U Mann-Whitney test was used to assess differences in median nutrient intake of selected nutrients. The association of dietary intake and persistent HPV infection was assessed in multivariate logistic models. The prevalence of any HPV infection at baseline was 66.6%. Of 1,248 participants analyzed, 1,211 (97.0%) were HPV positive at one or more times during the 4 years of follow-up and 781 (62.6%) were persistently HPV positive. Men with nonpersistent oncogenic HPV infections had higher median intake of retinol (p = 0.008), vitamin A (p < 0.001) and folate (DFE; p = 0.003) and lower median intake of energy (p = 0.005) and lycopene (p = 0.008) in comparison to men with persistent oncogenic infections. No significant association was found between selected nutrients and persistent oncogenic HPV infection. For nononcogenic persistent infections, only vitamin B12 intake was significantly associated (p = 0.003, test for trend). No association was observed between dietary intake and persistent oncogenic-type HPV infection; however, vitamin B12 intake was inversely associated with nononcogenic HPV persistence.
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Affiliation(s)
| | - Juliana A Teixeira
- Department of Nutrition, Faculdade de Saúde Pública, Universidade de São Paulo, Brazil
| | - Dirce Marchioni
- Department of Nutrition, Faculdade de Saúde Pública, Universidade de São Paulo, Brazil
| | - Luisa L Villa
- Department of Radiology and Oncology, Faculdade de Medicina, Universidade de São Paulo and Center for Translational Research in Oncology, Instituto do Câncer do Estado de São Paulo - ICESP, Brazil
| | - Anna R Giuliano
- Center for Infection Research in Cancer (CIRC) H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida
| | - Maria Luiza Baggio
- Center for Translational Research in Oncology, Instituto do Câncer do Estado de São Paulo, Brazil
| | - Regina M Fisberg
- Department of Nutrition, Faculdade de Saúde Pública, Universidade de São Paulo, Brazil
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Dias Medici Saldiva SR, Bassani L, da Silva Castro AL, Gonçalves IB, de Oliveira Sales CR, Lobo Marchioni DM. Agreement between Dietary Intake of Older Adults and Proxy Respondents Assessed by a Food Frequency Questionnaire. J Nutr Health Aging 2017; 21:266-270. [PMID: 28244565 DOI: 10.1007/s12603-016-0789-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To evaluate the degree of agreement of dietary intake reported by the patient subject with the dietary intake reported by a respondent (a next-of-kin or a caregiver), collected by a validated Food Frequency Questionnaire (FFQ). METHODOLOGY 126 adults, both sexes, the average age was 65.9 years for patients and 54.4 years for respondents. They were recruited from the General Practice Clinic at the Clinical Hospital of São Paulo (AGD-FMUSP). The agreement between the responses given by patients and respondents was assessed using Spearman, weighted Kappa and Bland Altman tests. RESULTS The analysis for accuracy between responses (Spearman test) showed a moderate degree of agreement (0.31-0.39) for Energy, Total fat, Total Saturated Fatty Acids (SFA), Total Monounsaturated Fatty Acids (MUFA). Regarding food groups a moderate agreement was found for the majority of the foods (fruits (0.30), dairy products (0.50), natural juices (0.45), beans (0.48), butter/margarine (0.55), coffee (0.41) and soda (0.45), with the exception of vegetables (0.12) and rice (0.63). The ingestion differences did not exceeded the limit of the two standard deviations for the majority of the pairs (Bland Altman). A respondent subsample composed only of husband/wives (N = 36) revealed a moderate agreement concordance for most macronutrients studied (0.30 - 0.58), except polyunsaturated fats (0.25). CONCLUSION The results of this study show that, the FFQ may be used in cases where is impossible to get the answers directly from the patients.
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Affiliation(s)
- S R Dias Medici Saldiva
- Silvia Regina Dias Medici Saldiva Health Institute /State Secretary of Health - Rua Santo Antonio 590, cep 01314000. Bela Vista - São Paulo.
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Trindade EM, Gebara TSES, Cambi MPC, Baretta GAP. NUTRITIONAL ASPECTS AND THE USE OF NUTRITIONAL SUPPLEMENTS BY WOMEN WHO UNDERWENT GASTRIC BYPASS. ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA : ABCD = BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY 2017; 30:11-13. [PMID: 28489160 PMCID: PMC5424678 DOI: 10.1590/0102-6720201700010004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 12/15/2016] [Indexed: 01/22/2023]
Abstract
Background Bariatric surgery is deemed one of the most effective procedures for the treatment of obesity and it aims at the reduction and maintenance of weight loss in long term, as the control of the related comorbidities. Aim Quantify the occurrence of alterations of the gastrointestinal tract, suggestive signs of nutritional deficiencies and the use of supplements in a group of women undergoing bariatric surgery. Methods The sample consisted of women aged 20-65 years submitted to Roux-en-Y gastric bypass with monitoring equal to or higher than 24 months. For the qualitative analysis, the Feeding Frequency Questionnaire was used. Results In the postoperative period, alopecia was the most reported (79.3%), followed by changes in the texture of the nails, both considered predictive of nutritional deficiencies. Changes in the gastrointestinal tract were described in 86.2%, and episodes of dumping were reported in 65.5%. Qualitative analysis has shown reduced daily consumption of sources of animal and plant proteins. Conclusion After bariatric surgery can occur flatulence, vomiting and dumping syndrome as the most frequent representative symptoms of digestive functional disorders. Alopecia and nail changes are the most important signs of nutritional deficiency. The use of dietary supplements in the postoperative period is scarce and sporadic.
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Previdelli ÁN, de Andrade SC, Fisberg RM, Marchioni DM. Using Two Different Approaches to Assess Dietary Patterns: Hypothesis-Driven and Data-Driven Analysis. Nutrients 2016; 8:nu8100593. [PMID: 27669289 PMCID: PMC5083981 DOI: 10.3390/nu8100593] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Revised: 08/29/2016] [Accepted: 09/01/2016] [Indexed: 01/07/2023] Open
Abstract
The use of dietary patterns to assess dietary intake has become increasingly common in nutritional epidemiology studies due to the complexity and multidimensionality of the diet. Currently, two main approaches have been widely used to assess dietary patterns: data-driven and hypothesis-driven analysis. Since the methods explore different angles of dietary intake, using both approaches simultaneously might yield complementary and useful information; thus, we aimed to use both approaches to gain knowledge of adolescents’ dietary patterns. Food intake from a cross-sectional survey with 295 adolescents was assessed by 24 h dietary recall (24HR). In hypothesis-driven analysis, based on the American National Cancer Institute method, the usual intake of Brazilian Healthy Eating Index Revised components were estimated. In the data-driven approach, the usual intake of foods/food groups was estimated by the Multiple Source Method. In the results, hypothesis-driven analysis showed low scores for Whole grains, Total vegetables, Total fruit and Whole fruits), while, in data-driven analysis, fruits and whole grains were not presented in any pattern. High intakes of sodium, fats and sugars were observed in hypothesis-driven analysis with low total scores for Sodium, Saturated fat and SoFAA (calories from solid fat, alcohol and added sugar) components in agreement, while the data-driven approach showed the intake of several foods/food groups rich in these nutrients, such as butter/margarine, cookies, chocolate powder, whole milk, cheese, processed meat/cold cuts and candies. In this study, using both approaches at the same time provided consistent and complementary information with regard to assessing the overall dietary habits that will be important in order to drive public health programs, and improve their efficiency to monitor and evaluate the dietary patterns of populations.
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Affiliation(s)
- Ágatha Nogueira Previdelli
- Department of Nutrition, School of Public Health, University of São Paulo-USP, São Paulo 01246-904, Brazil.
| | - Samantha Caesar de Andrade
- Department of Nutrition, School of Public Health, University of São Paulo-USP, São Paulo 01246-904, Brazil.
| | - Regina Mara Fisberg
- Department of Nutrition, School of Public Health, University of São Paulo-USP, São Paulo 01246-904, Brazil.
| | - Dirce Maria Marchioni
- Department of Nutrition, School of Public Health, University of São Paulo-USP, São Paulo 01246-904, Brazil.
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Folchetti LGD, da Silva IT, de Almeida-Pititto B, Ferreira SRG. Nutritionists' Health Study cohort: a web-based approach of life events, habits and health outcomes. BMJ Open 2016; 6:e012081. [PMID: 27580834 PMCID: PMC5013419 DOI: 10.1136/bmjopen-2016-012081] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
INTRODUCTION Non-communicable chronic diseases (NCCDs) represent a burden for public health. Alongside the established cardiometabolic risk factors such as high blood pressure and disorders of glucose and lipid metabolism, living habits and nutritional status at different stages of life are seen as contributors to this scenario. Gut microbiota composition and subclinical inflammation have been pointed out as underlying mechanisms of NCCDs. Studies involving health professionals have brought relevant contributions to the knowledge about risk factors. Technological advances facilitate data collection and analysis for big samples. A web-based survey addressed to collect data from a cohort study, which is able to identify NCCDs risk factors, is highly desirable. The objective of the Brazilian Nutritionists' Health Study (NutriHS) is to gather online information on early life events, daily habits, emergent cardiometabolic risk factors and health outcomes of a specific subset of the Brazilian population. METHODS AND ANALYSIS NutriHS, developed at the School of Public Health-University of Sao Paulo, Brazil, is a research initiative that enrols undergraduates of nutrition courses from Brazilian universities and graduated volunteers. A web-based self-administered system was designed to collect health-related data. After fulfilling online questionnaires (socioeconomic, early life events and lifestyle data), participants are invited to a clinical visit for physical examination and laboratory procedures (blood sampling, faeces collection and body composition). At a 3-year interval, they will be invited to repeat similar procedures. ETHICS AND DISSEMINATION The NutriHS research protocol was approved by the Institutional Ethics Committee and is providing promising data which contribute to the understanding of pathophysiological links between early life events, body composition, gut microbiota, and inflammatory and metabolic risk profile. The combination of a friendly tool with the innovative purposes of NutriHS offers a remarkable resource for testing hypotheses about mechanisms of nutrition-related diseases and further planning of preventive programmes in public health.
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Affiliation(s)
| | - Isis Tande da Silva
- Department of Nutrition, School of Public Health, University of Sao Paulo, São Paulo, Brazil
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Factors Associated With Intestinal Constipation in Chronic Patients With Stroke Sequelae Undergoing Rehabilitation. Gastroenterol Nurs 2016; 39:432-442. [DOI: 10.1097/sga.0000000000000163] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Freitas CFCD, Peralta AM, Carvalho AM, Carioca AAF, Fisberg RM, Marchioni DML. Qualidade da dieta entre consumidores e não consumidores de carnes vermelhas e processadas: estudo ISA-Capital. REV NUTR 2015. [DOI: 10.1590/1415-52732015000600010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJETIVO: Avaliar a qualidade da dieta entre consumidores e não consumidores de carnes vermelhas e processadas em residentes do município de São Paulo. MÉTODOS: Foram utilizados dados do estudo transversal do Inquérito de Saúde de São Paulo - 2008, com informações de 726 indivíduos que possuíam todas as informações dos inquéritos dietéticos, sendo 195 adolescentes, 272 adultos e 259 idosos. Os dados de consumo alimentar foram obtidos por dois recordatórios alimentares de 24 horas, aplicados em dias não consecutivos, incluindo final de semana e todas as estações do ano, e um questionário de frequência alimentar para estimar a frequência do consumo de carnes vermelhas e processadas. A ingestão alimentar habitual foi estimada pelo Multiple Source Method. O Índice de Qualidade da Dieta - Revisado foi calculado a partir da ingestão habitual dos participantes. As recomendações da Organização Mundial de Saúde foram utilizadas para estimar a participação percentual dos macronutrientes no valor energético total. RESULTADOS: O grupo de não consumidores apresentou maior pontuação média do índice (p=0,006), do grupo das frutas integrais (p=0,022), dos leites e derivados (p<0,001) e menor pontuação média de gordura sólida, álcool e açúcar de adição (p=0,039) e carnes, ovos e leguminosas (p<0,001). Também se mostrou maior percentual de adequação de gordura no grupo de não consumidores de carnes vermelhas e processadas. CONCLUSÃO: Sugere-se que não consumidores de carne vermelha e processada tenha melhor qualidade da dieta e maior adequação da contribuição energética dos lipídeos em comparação com consumidores desse alimento.
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Souza DRD, Anjos LAD, Wahrlich V, Vasconcellos MTLD. Fontes alimentares de macronutrientes em amostra probabilística de adultos brasileiros. CIENCIA & SAUDE COLETIVA 2015; 20:1595-606. [DOI: 10.1590/1413-81232015205.01562014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2014] [Accepted: 09/22/2014] [Indexed: 11/22/2022] Open
Abstract
Uma vez disponíveis, as informações de Ingestão Alimentar (IA) podem permitir o desenvolvimento de estratégias para intervir, acompanhar e explorar padrões dietéticos com métodos estatísticos mais sofisticados. Assim, o objetivo do presente artigo foi documentar as características quantitativas da IA em adultos em um inquérito domiciliar em Niterói, RJ. Realizou-se recordatório de 24 horas de um dia típico. Os alimentos mais ingeridos (> 50%) foram arroz branco, café, feijão, açúcar refinado e pão francês. Leite integral foi mais ingerido do que leite desnatado ou semidesnatado. Carne de vaca foi mais ingerida que carne de frango, peixe ou porco. Mais adultos ingeriram refrigerantes do que sucos, e frutas tiveram ingestão relativamente alta (63,3%). A combinação de arroz, feijão, carne e pão francês foi responsável por 25% da ingestão de energia, proteínas e carboidratos, e 17% da ingestão de lipídeos. Um total de 65 alimentos correspondeu a 90% da ingestão de energia e macronutrientes. O presente estudo gerou uma lista de alimentos mais frequentemente ingeridos, que é bastante semelhante ao que foi observado em inquérito anterior realizado em São Paulo, capital, o que pode servir como base para a geração de um questionário de frequência alimentar único para a população urbana do sudeste brasileiro.
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Selem SSDC, Carvalho AMD, Verly-Junior E, Carlos JV, Teixeira JA, Marchioni DML, Fisberg RM. Validity and reproducibility of a food frequency questionnaire for adults of São Paulo, Brazil. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2014; 17:852-9. [DOI: 10.1590/1809-4503201400040005] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2014] [Accepted: 04/29/2014] [Indexed: 05/28/2023] Open
Abstract
OBJECTIVES: To assess the validity and reproducibility of a food frequency questionnaire developed for estimating the food consumption of adults in São Paulo, Brazil, based population study. METHODS: A sample of individuals aged above 20 years, of both genders, living in São Paulo, was used for the validation study (n = 77) and reproducibility study (n = 74) of the food frequency questionnaire. To verify the validity and reproducibility of energy and 19 nutrients were applied two food frequency questionnaires (60 items) and three 24-hour dietary recalls (24HR - reference method). The validity was verified by Spearman correlation coefficient (crude and de-attenuated) and weighted Kappa, and reproducibility by intraclass correlation coefficients and weighted kappa. RESULTS: In analyzes of validity de-attenuated correlation coefficients ranged from 0.21 (carbohydrate) to 0.74 (energy), and weighted kappa exceeded 0.40 for 30% of the nutrients. Polyunsaturated fat and folate did not show significant correlation and weighted kappa. In reproducibility correlation coefficients ranged from 0.36 (polyunsaturated fat) to 0.69 (calcium), and weighted kappa exceeded 0.40 for 80% of the nutrients. CONCLUSION: The food frequency questionnaire analyzed has good validity and reproducibility for estimating the food consumption of adults in São Paulo compared to the reference method, so it is an appropriate instrument to be used in epidemiological studies on similar populations. Estimates of polyunsaturated fat and folate should be interpreted with caution.
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Avelino GF, Previdelli AN, Castro MAD, Marchioni DML, Fisberg RM. [Underreporting of energy intake and associated factors in a population-based study]. CAD SAUDE PUBLICA 2014; 30:663-8. [PMID: 24714955 DOI: 10.1590/0102-311x00073713] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Accepted: 11/04/2013] [Indexed: 11/22/2022] Open
Abstract
This study aimed to identify the prevalence of underreporting of energy intake and associated factors in a sample of 331 individuals from the population-based Health Survey in the City of São Paulo, Brazil. Energy intake was assessed by averaging two 24-hour recalls collected on nonconsecutive days. Total energy expenditure was calculated by the predictive equation, and under-reporters were defined as individuals with energy intake less than 2 standard deviations from the energy intake/predicted total energy expenditure ratio. Poisson regression was used to identify factors associated with underreporting. Prevalence of underreporting of energy intake was 15.1%, whereas individuals with overweight and dissatisfied with body weight were more likely to underreport when compared to individuals without excess weight and who were satisfied with body weight, respectively. We conclude that these factors should be considered when developing techniques to improve the accuracy of dietary assessment.
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Momm N, Höfelmann DA. Qualidade da dieta e fatores associados em crianças matriculadas em uma escola municipal de Itajaí, Santa Catarina. ACTA ACUST UNITED AC 2014. [DOI: 10.1590/1414-462x201400010006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
O estudo teve como objetivo avaliar a qualidade da alimentação e fatores associados em escolares do primeiro ao quinto ano de uma escola municipal de Itajaí, Santa Catarina. A qualidade da dieta foi analisada por meio de um índice que conferia pontuação a cada item alimentar conforme sua frequência de consumo. Variáveis socioeconômicas, demográficas e comportamentos relacionados à saúde foram identificados por questionário. Foram calculadas razões de prevalência (RP) brutas e ajustadas, e respectivos intervalos de confiança de 95% (IC95%) por meio da Regressão de Poisson. Avaliaram-se 523 crianças (88,9% da amostra calculada), 52,6% (IC95%: 48,3-56,9%) tiveram sua dieta classificada como inadequada, com pontuação média de 6,97, variando de -9 a +17 pontos. O sexo feminino (RP=0,81, IC95%: 0,66-0,98) e a menor escolaridade (RP=1,35, IC95%: 1,04-1,75) do responsável estiveram associados ao desfecho. Crianças com obesidade abdominal e que realizavam refeições em frente à televisão tiveram dieta de pior qualidade. Sabe-se que o consumo alimentar em frente à televisão é associado a maiores volumes de ingestão. Variáveis infantis e do responsável estiveram relacionadas à pior qualidade da alimentação. Desta forma, atividades para melhorar a qualidade da dieta devem envolver crianças e seus cuidadores.
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Martins CM, Fonseca FA, Ballus CA, Figueiredo-Neto AM, Meinhart AD, de Godoy HT, Izar MC. Common sources and composition of phytosterols and their estimated intake by the population in the city of São Paulo, Brazil. Nutrition 2013; 29:865-71. [DOI: 10.1016/j.nut.2012.12.017] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2012] [Revised: 12/05/2012] [Accepted: 12/10/2012] [Indexed: 10/27/2022]
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Santos MVRD, Oliveira DCD, Novaes MDA. A telehealth strategy for increasing adherence in the treatment of hypertension in primary care. Telemed J E Health 2013; 19:241-7. [PMID: 23509920 DOI: 10.1089/tmj.2012.0036] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE This study describes and analyzes a telehealth strategy for Family Health Teams (FHTs) providing primary care services. This strategy aimed to increase the adherence to the treatment of hypertension. SUBJECTS AND METHODS We conducted a before-after study that enrolled 21 professionals and 502 hypertensive patients in two of the Family Health Units connected to our Telehealth Center Network. Seminars addressing the treatment adherence of hypertension were offered by Web conferences, for a period of 6 months, to the FHTs. The adherence to antihypertensive drugs, low salt diet, and physical activity was measured by specific questionnaires. The rates of adherence were assessed before and after a continuing education program (CEP). After the telehealth intervention, 17 professionals and 465 patients were re-evaluated. RESULTS The participation in the question and answer session, after the seminar, was significant. The qualitative evaluation of the sessions by FHTs showed 87.5% of great/good. There was a trend toward a greater critical understanding of the results and targets set for the team, although at insignificant levels. The rates of adherence to antihypertensive medication, physical activity, and sodium control, before and after the CEP, were 37.8% versus 46.7% (p<0.004), 90.3% versus 89.9% (p=0.90), and 92.2% versus 96.3% (p<0.001), respectively. CONCLUSIONS The adherence to antihypertensive drugs and low salt diet improved after the CEP. Preliminarily, this telehealth strategy suggests a positive impact on hypertensive patients.
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Silva TDAE, Vasconcelos SML. Procedimentos metodológicos empregados em questionários de frequência alimentar elaborados no Brasil: uma revisão sistemática. REV NUTR 2012. [DOI: 10.1590/s1415-52732012000600010] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Esta revisão teve como objetivo analisar e discutir os procedimentos metodológicos empregados nos Questionários de Frequência Alimentar elaborados no Brasil. Foram consultadas as bases de dados PubMed, SciELO, Lilacs, IBECS, MedLine e Cochrane Library, e encontrados vinte e dois Questionários de Frequência Alimentar elaborados para populações brasileiras. Entre os Questionários de Frequência Alimentar encontrados 50% deles (n=11) foram elaborados a partir de recordatório de 24 horas, 27,27% (n=6) de Questionários de Frequência Alimentar pré-existentes, 13,63% (n=3) de registro alimentar e 9,09% (n=2) de outras fontes; 72,72% (n=16) apresentaram listas com 50 a 100 itens, número ideal. Quanto ao tipo, 45,45% (n=10) eram quantitativos, 45,45% (n=10) semiquantitativos e 9,09% (n=2) qualitativos. Apenas 27,27% (n=6) relataram teste em estudo-piloto e apenas 45,45% (n=10) referiram teste de validação ou validação e reprodutibilidade. Quanto à faixa etária, apenas 36,36% (n=8) dos Questionários de Frequência Alimentar apresentavam público-alvo específico: crianças, adolescentes ou adultos. O maior número de Questionários de Frequência Alimentar (54,54%; n=12) foi desenvolvido na região Sudeste, especialmente no estado de São Paulo. A revisão da literatura permitiu conhecer os Questionários de Frequência Alimentar elaborados para a população brasileira e suas respectivas metodologias, público-alvo, bem como sua distribuição em termos de região do País. Embora exista uma orientação em termos de proposta metodológica de elaboração aqui discutida, há algum distanciamento em relação ao recomendado que deve ser observado pelos pesquisadores da área, ainda que haja uma maioria de procedimentos adequados aos métodos pressupostos.
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Is the food frequency consumption essential as covariate to estimate usual intake of episodically consumed foods? Eur J Clin Nutr 2012; 66:1254-8. [DOI: 10.1038/ejcn.2012.119] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Graff SK, Alves BC, Toscani MK, Spritzer PM. Benefits of pedometer-measured habitual physical activity in healthy women. Appl Physiol Nutr Metab 2012; 37:149-56. [DOI: 10.1139/h11-145] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This cross-sectional study aimed at (i) characterizing pedometer-determined physical activity and (ii) examining its associations with dietary intake and anthropometric and metabolic profile in healthy women. Anthropometric and metabolic profile was evaluated in 68 healthy women of reproductive age. Habitual physical activity was assessed using a pedometer for 6 consecutive days, including weekends. Participants were stratified into active and inactive according to the mean steps·day–1(≥6000 and <6000, respectively). Food consumption was evaluated by 24-h recall in a subsample of 35 participants. Thirty-eight women were defined as active and had significantly lower body mass index (BMI), fat percentage, waist circumference, sum of skinfold thickness, insulin, and HOMA than the sedentary group. Mean BMI was 27 kg·m–2(overweight) in active participants and 31 kg·m–2(class I obesity) in inactive participants. Active women consumed more carbohydrates (55.5% ± 9.4% vs. 46.3% ± 7.6%) and calories (2138 ± 679 vs. 1664 ± 558 kcal), and less protein (15.4% ± 4.2% vs. 19.9% ± 5.8%) and lipids (29.0% ± 7.2% vs. 33.8% ± 6.2%) than inactive individuals (p < 0.05). Fiber, cholesterol, and fatty acid intake was similar in both groups. The number of steps was lower on Sunday than on weekdays for the overall group. Using a pedometer for 3 days was sufficient to determine habitual physical activity (sensitivity: 94%; specificity 91% vs. 6 days of pedometer use). In the present study, nonstructured physical activity was associated with more adequate dietary consumption and contributed toward a healthier anthropometric and metabolic profile in young women, despite the high prevalence of overweight.
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Affiliation(s)
- Scheila Karen Graff
- Gynecological Endocrinology Unit, Division of Endocrinology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- National Institute of Hormones and Women’s Health, CNPq, Porto Alegre, Brazil
| | - Bruna Cherubini Alves
- Gynecological Endocrinology Unit, Division of Endocrinology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- Laboratory of Molecular Endocrinology, Department of Physiology, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Mariana Kirjner Toscani
- Gynecological Endocrinology Unit, Division of Endocrinology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- National Institute of Hormones and Women’s Health, CNPq, Porto Alegre, Brazil
| | - Poli Mara Spritzer
- Gynecological Endocrinology Unit, Division of Endocrinology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- National Institute of Hormones and Women’s Health, CNPq, Porto Alegre, Brazil
- Laboratory of Molecular Endocrinology, Department of Physiology, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
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Teixeira JA, Baggio ML, Giuliano AR, Fisberg RM, Marchioni DML. Performance of the quantitative food frequency questionnaire used in the Brazilian center of the prospective study Natural History of Human Papillomavirus Infection in Men: The HIM Study. JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION 2011; 111:1045-51. [PMID: 21703383 PMCID: PMC3471779 DOI: 10.1016/j.jada.2011.04.006] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2010] [Accepted: 01/05/2011] [Indexed: 11/25/2022]
Abstract
The Natural History of Human Papillomavirus (HPV) Infection in Men: The HIM Study is a prospective multicenter cohort study that, among other factors, analyzes participants' diet. A parallel cross-sectional study was designed to evaluate the validity and reproducibility of the quantitative food frequency questionnaire (QFFQ) used in the Brazilian center from the HIM Study. For this, a convenience subsample of 98 men aged 18 to 70 years from the HIM Study in Brazil answered three 54-item QFFQ and three 24-hour recall interviews, with 6-month intervals between them (data collection January to September 2007). A Bland-Altman analysis indicated that the difference between instruments was dependent on the magnitude of the intake for energy and most nutrients included in the validity analysis, with the exception of carbohydrates, fiber, polyunsaturated fat, vitamin C, and vitamin E. The correlation between the QFFQ and the 24-hour recall for the deattenuated and energy-adjusted data ranged from 0.05 (total fat) to 0.57 (calcium). For the energy and nutrients consumption included in the validity analysis, 33.5% of participants on average were correctly classified into quartiles, and the average value of 0.26 for weighted kappa shows a reasonable agreement. The intraclass correlation coefficients for all nutrients were greater than 0.40 in the reproducibility analysis. The QFFQ demonstrated good reproducibility and acceptable validity. The results support the use of this instrument in the HIM Study.
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Affiliation(s)
- Juliana Araujo Teixeira
- MSc, Department of Nutrition, School of Public Health, University of São Paulo, São Paulo-SP, Brazil
| | - Maria Luiza Baggio
- Study coordinator, Ludwig Institute for Cancer Research, São Paulo-SP, Brazil
| | - Anna R. Giuliano
- PhD, H. Lee Moffitt Cancer Center and Research Institute, Tampa-Florida, USA
| | - Regina Mara Fisberg
- PhD, Department of Nutrition, School of Public Health, University of São Paulo, São Paulo-SP, Brazil
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Fisberg RM, Marchioni DML, Colucci ACA. [Assessment of food consumption and nutrient intake in clinical practice]. ACTA ACUST UNITED AC 2011; 53:617-24. [PMID: 19768252 DOI: 10.1590/s0004-27302009000500014] [Citation(s) in RCA: 100] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2009] [Accepted: 06/05/2009] [Indexed: 11/22/2022]
Abstract
The assessment of food consumption in clinical practice is often carried out to develop and implement nutritional advice. Factors as the patient health conditions, the evolution of his/her clinical condition as well as the reasons that motivated the search for advice will guide the selection of the best method of assessment of food consumption or nutrient intake to employ. The chosen method might drive the professional to offer a food plan that aims to promote health, to prevent illness, and to alter the nutritional state of the patient. Despite the easily available national literature on methods and techniques to estimate food consumption, it is not uncommon that professionals still have doubts about what methods are the most appropriated in daily practice. This study aimed to present a critical analysis, taking into account the clinical applicability, of the food assessment methods and its characteristics.
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Affiliation(s)
- Regina Mara Fisberg
- Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo Av. Doutor Arnaldo, 715, 2o andar 01246-904 -- São Paulo, SP, Brasil.
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Toscani MK, Mario FM, Radavelli-Bagatini S, Spritzer PM. Insulin resistance is not strictly associated with energy intake or dietary macronutrient composition in women with polycystic ovary syndrome. Nutr Res 2011; 31:97-103. [DOI: 10.1016/j.nutres.2011.01.009] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2010] [Revised: 12/29/2010] [Accepted: 01/24/2011] [Indexed: 10/18/2022]
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Teixeira JA, Baggio ML, Fisberg RM, Marchioni DML. Calibration of the dietary data obtained from the Brazilian center of the Natural History of HPV Infection in Men study: the HIM Study. CAD SAUDE PUBLICA 2010; 26:2323-33. [DOI: 10.1590/s0102-311x2010001200011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2009] [Accepted: 05/21/2010] [Indexed: 11/22/2022] Open
Abstract
The objective of this study was to estimate the regressions calibration for the dietary data that were measured using the quantitative food frequency questionnaire (QFFQ) in the Natural History of HPV Infection in Men: the HIM Study in Brazil. A sample of 98 individuals from the HIM study answered one QFFQ and three 24-hour recalls (24HR) at interviews. The calibration was performed using linear regression analysis in which the 24HR was the dependent variable and the QFFQ was the independent variable. Age, body mass index, physical activity, income and schooling were used as adjustment variables in the models. The geometric means between the 24HR and the calibration-corrected QFFQ were statistically equal. The dispersion graphs between the instruments demonstrate increased correlation after making the correction, although there is greater dispersion of the points with worse explanatory power of the models. Identification of the regressions calibration for the dietary data of the HIM study will make it possible to estimate the effect of the diet on HPV infection, corrected for the measurement error of the QFFQ.
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Oliveira TD, Marquitti FD, Carvalhaes MADBL, Sartorelli DS. Desenvolvimento de um Questionário Quantitativo de Freqüência Alimentar (QQFA) para gestantes usuárias de Unidades Básicas de Saúde de Ribeirão Preto, São Paulo, Brasil. CAD SAUDE PUBLICA 2010; 26:2296-306. [DOI: 10.1590/s0102-311x2010001200008] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2010] [Accepted: 08/02/2010] [Indexed: 12/16/2022] Open
Abstract
O objetivo do presente estudo foi desenvolver um questionário quantitativo de freqüência alimentar para gestantes adultas usuárias do Sistema Único de Saúde de Ribeirão Preto, São Paulo, Brasil. Um inquérito recordatório de 24 horas (IR24h) foi obtido de 150 gestantes, 50 em cada trimestre gestacional, com idade entre 18 e 35 anos. Um segundo IR24h foi obtido de 90 gestantes, 30 em cada trimestre gestacional, entre 7 e 15 dias após o primeiro inquérito. Uma lista de 85 alimentos foi estabelecida por regressão linear múltipla stepwise, estimando-se a contribuição percentual para a variabilidade interindividual da estimativa de energia e 28 nutrientes de interesse, com contribuição de 74,2 a 98,8% para os nutrientes de interesse selecionados. As porções alimentares foram determinadas de acordo com a distribuição percentual dos pesos relatados e descritas nos percentis 25, 50, 75 e 100. Desconhecemos a existência de questionário quantitativo de freqüência alimentar desenvolvido para gestantes no Brasil.
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Anjos LAD, Wahrlich V, Vasconcellos MTLD, Souza DRD, Olinto MTA, Waissmann W, Henn RL, Rossato SL, Lourenço AEP, Bressan AW. Development of a food frequency questionnaire in a probabilistic sample of adults from Niterói, Rio de Janeiro, Brazil. CAD SAUDE PUBLICA 2010; 26:2196-204. [DOI: 10.1590/s0102-311x2010001100021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2009] [Accepted: 05/04/2010] [Indexed: 11/22/2022] Open
Abstract
With the purpose of generating a list of foods for a food-frequency questionnaire, data from 24h dietary recalls on a typical day from a probabilistic sample of 1,724 adults of Niterói, Rio de Janeiro, Brazil, were analyzed. The frequency of food intake, the total intake of energy and macronutrients and the relative contribution of each food item to total energy and macronutrient intake were calculated. The most frequently reported food items (> 50% of adults) were rice, coffee, beans, refined canesugar, and bread. Whole milk was consumed more frequently then skimmed milk or semi-skimmed milk. Beef was consumed by more adults than chicken, pork or fish. Approximately 90% of energy and macronutrients intake was explained by 65 food items. The list of food items generated in the present analysis is similar to those found in other samples of adults from urban areas in Brazil. It may be possible to generate a core list of common foods with addition of regional foods to be used nationally in urban areas of the country.
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Anjos LAD, Souza DRD, Rossato SL. Desafios na medição quantitativa da ingestão alimentar em estudos populacionais. REV NUTR 2009. [DOI: 10.1590/s1415-52732009000100014] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
A avaliação da ingestão alimentar em populações é uma medida cada vez mais presente em estudos epidemiológicos para a investigação da relação entre nutrição e doenças crônicas não transmissíveis já que as atuais recomendações indicam a necessidade de se manter uma vida ativa com controle da ingestão alimentar. A medida da ingestão alimentar quantitativa é geralmente feita por meio de recordatório (ou diário) alimentar de 24h ou por questionários semiquantitativos de freqüência alimentar. O presente artigo discute os principais fatores que envolvem a obtenção e a análise dessas informações, particularmente no que diz respeito à ingestão energética. Fica evidente a necessidade de aprimorar as condições de obtenção das informações sobre as porções ingeridas, as tabelas de composição química de alimentos e da estimativa do gasto energético para a determinação das recomendações energéticas.
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