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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. J Am Nutr Assoc 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] [What about the content of this article? (0)] [Affiliation(s)] [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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Marcadenti A, Machado RHV, Santos RHN, Kasai CCDS, Kovacs C, Bello A, de Matos CH, Bertacco RTA, Souza GC, Schirmann GDS, Nagano FEZ, Poloni S, Kik RME, Feres NH, Rodrigues IG, Sousa ACS, Pinheiro JMF, Vasconcelos SML, Carlos DMDO, Souza VS, Gomes AB, Figueiredo Neto JAD, Moriguchi EH, Izar MC, Pinto SL, Bressan J, de Souza SR, Kumbier MC, de Araújo CBP, Torreglosa CR, Weber B, Bersch-Ferreira ÂC. Adequacy of Fatty Acids Consumption Among Individuals in Secondary Cardiovascular Prevention. Arq Bras Cardiol 2024; 121:e20230487. [PMID: 38597553 DOI: 10.36660/abc.20230487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 12/13/2023] [Indexed: 04/11/2024] Open
Abstract
BACKGROUND Adhering to a diet adequate in macronutrients is crucial for the secondary prevention of cardiovascular diseases. OBJECTIVE To assess the prevalence of adherence to recommendations for the consumption of dietary fatty acids for the prevention and treatment of cardiovascular diseases and to estimate whether the presence of certain cardiovascular risk factors would be associated with adherence. METHODS Cross-sectional study using baseline data from 2,358 participants included in the "Brazilian Cardioprotective Nutritional Program Trial". Dietary intake and cardiovascular risk factors were assessed. Adequate intake of polyunsaturated fatty acids (PUFA) was considered as ≥10% of total daily energy intake; for monounsaturated fatty acids (MUFA), 20%; and for saturated fatty acids (SFA), <7% according to the Brazilian Society of Cardiology. A significance level of 5% was considered in the statistical analysis. RESULTS No participant adhered to all recommendations simultaneously, and more than half (1,482 [62.9%]) did not adhere to any recommendation. Adherence exclusively to the SFA recommendation was the most prevalent, fulfilled by 659 (28%) participants, followed by adherence exclusively to the PUFA (178 [7.6%]) and MUFA (5 [0.2%]) recommendations. There was no association between the number of comorbidities and adherence to nutritional recommendations (p = 0.269). Participants from the Brazilian Northeast region showed a higher proportion of adherence to SFA consumption recommendations (38.42%) and lower adherence to PUFA intake (3.52%) (p <0.001) compared to other regions. CONCLUSIONS Among the evaluated sample, there was low adherence to nutritional recommendations for dietary fatty acid consumption.
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Affiliation(s)
| | | | | | | | - Cristiane Kovacs
- Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil
| | - Annie Bello
- Instituto Nacional de Cardiologia, Rio de Janeiro, RJ - Brasil
| | | | | | - Gabriela C Souza
- Universidade Federal do Rio Grande do Sul, Porto Alegre, RS - Brasil
| | | | | | - Soraia Poloni
- Hospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brasil
| | - Raquel Milani El Kik
- Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS - Brasil
| | | | - Isa G Rodrigues
- Pronto Socorro Cardiológico Universitário de Pernambuco, Recife, PE - Brasil
| | | | | | | | | | | | | | | | | | | | | | | | | | - Magali C Kumbier
- Consultoria Terapia Nutricional - COTENUT, Porto Alegre, RS - Brasil
| | | | | | - Bernardete Weber
- Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, SP - Brasil
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Bonafe SM, Costa DAG, Vaz MJR, Senise JF, Pott-Junior H, Machado RHV, Castelo A. A randomized controlled trial to assess safety, tolerability, and antepartum viral load with increased lopinavir/ritonavir dosage in pregnancy. AIDS Patient Care STDS 2013; 27:589-95. [PMID: 24138537 PMCID: PMC3820124 DOI: 10.1089/apc.2013.0159] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
HIV mother-to-child transmission (MTCT) is significantly reduced if antepartum viral load (apVL) is<50 copies/mL. Pharmacokinetic studies suggest increasing the dosage of lopinavir/ritonavir (LPV/r) in pregnancy. It is important to assess tolerance, safety, and rate of patients presenting a apVL<50 copies/mL when treating with increased dose of LPV/r during pregnancy. Confirmed HIV-infected pregnant women with a fetus at a gestational age of 14-33 weeks were randomly assigned to receive LPV/r 400/100 or 600/150 mg b.i.d. plus two nucleoside analogues (NRTIs). Treatment was discontinued in the case of alanine transaminase (ALT) of grade III elevation or higher, glucose, or triglycerides. Thirty-two women were randomized to the LPV/r 400/100 mg dose, and 31 women were randomized to the 600/150 mg dose. Overall, 9.4% of the women receiving the conventional dose, and 17.2% receiving the increased dose, discontinued treatment because of adverse events (p=0.29). The rates of gastrointestinal (GI) symptoms, laboratory abnormalities, preterm delivery, and low birth weight were similar in both groups. There were no cases of HIV MTCT. Among the women with a baseline VL>50 copies/mL assigned to the conventional dose group, 45% (95% confidence interval [CI] 62.5-27.5%) had a apVL>50 copies/mL compared with 10.5% (95% CI 21.6-0.6%) of those assigned to the increased dose group (p=0.01). There was no significant difference found for the patients with a baseline VL<50 copies/mL. In pregnant women with a baseline VL>50 copies/mL, it may be warranted to initiate LPV/r dosing at 600/150 mg, whereas the conventional dose is sufficient for pregnant women with a baseline VL<50 copies/mL.
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Affiliation(s)
- Simone Martins Bonafe
- Reference Center for HIV-Infected Pregnant Women - NUPAIG, Division of Infectious Diseases, Universidade Federal de São Paulo , São Paulo, Brazil
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