Modelos de variables latentes en patrones de alimentación y actividad física en niños/adolescentes: una revisión sistemática / Models of latent variables used for eating and physical activity patterns in children/ adolescents: a systematic review

Introducción. Debido a la poca evidencia sobre el modelamiento de los patrones de alimentación y actividad física (AF), basado en variables latentes, el presente estudio de revisión pretende describir las técnicas estadísticas aplicadas para modelar estos patrones en niños y adolescentes y valorar su calidad metodológica. Materiales y métodos. La búsqueda se realizó en bases de datos electrónicas (Science Direct, PubMed, SCOPUS, Web of science y Cochrane) con las palabras "diet", 'physical activity', children y 'latent variable'. Se incluyeron artículos que utilizaron modelos estadísticos basados en variables latentes para analizar patrones de alimentación y AF en niños y adolescentes sanos, publicados entre 2014­2019, en inglés o español. Resultados. Entre los 27 artículos seleccionados, el Modelo de Ecuaciones Estructurales (MEE) fue el más utilizado (77,78%); seguido del Modelo de Perfil Latente (7,41%), mientras, el restante, 14,81% aplican el Modelo del Factor Común, Modelo Ecológico y el Modelo de Regresión Logística Multinivel. El MEE fue aplicado a 12 de los 16 artículos con enfoque de AF, y en 7 de los 9 artículos con enfoque de Alimentación. El 48,15% de los estudios sí justificaba el uso del modelo, y el 37,04% poseen una calidad "Excelente" (cumplen el 85% o más de los ítems de STROBE). Conclusiones. El MEE fue el más utilizado para abstraer los patrones de AF y alimentación en niños y adolescentes, sin embargo, solo la mitad de los artículos justifica su pertinencia. Las guías de reporte de estudios deberían evaluar la calidad metodológica de los modelos estadísticos aplicados(AU)

Introduction. Due to the limited evidence on the modeling of eating and physical activity (PA) patterns based on latent variables, the present review study aims to describe the statistical techniques applied to model these patterns in children and adolescents and to assess their methodological quality. Materials and methods. The search was performed in electronic databases (Science Direct, PubMed, SCOPUS, Web of science and Cochrane) with the words 'diet', 'physical activity', children and 'latent variable'. We included articles that used statistical models based on latent variables to analyze diet and PA patterns in healthy children and adolescents, published between 2014-2019, in English or Spanish. Results. Among the 27 selected articles, the Structural Equation Model (SEM) was the most used (77.78%); followed by the Latent Profile Model (7.41%), while, the remaining 14.81% applied the Common Factor Model, Ecological Model and Multilevel Logistic Regression Model. The SEM was applied to 12 of the 16 articles with PA approach, and in 7 of the 9 articles with eating approach. The 48.15% of studies did justify the use of the model, and 37.04% were classified as "Excellent" quality (meet 85% or more of the STROBE items). Conclusions. The SEM was the most commonly used to model the PA and eating patterns in children and adolescents, however, only half of the articles justify their relevance. Study reporting guidelines should evaluate the methodological quality of the statistical models applied(AU)

Unhealthy food consumption among Ecuadorian children: A cross-sectional study in the context of the school food regulation / Consumo de alimentos poco saludables en niños ecuatorianos: estudio transversal en el contexto del reglamento de alimentación escolar

Introduction. The intake of energy-dense unhealthy food at school could influence the overall energy intake of children. Objective: To characterize the patterns of buying a snack at school and to analyze the association of these patterns with the source of the school snack (brought from home or bought at school) and screen time. Materials and methods: A cross-sectional study was conducted from October 2018 until May 2019 among school children (9 to 12-year-olds) from Cuenca-Ecuador. Intake of energy-dense unhealthy food groups, the source of the school snack, and screen time were assessed using questionnaires. Multiple correspondence analysis was used to identify intake patterns of unhealthy food groups, and logistic regression to assess the association between intake of energy-dense unhealthy food groups (FG) with the school snack source. Results: Among 1,028 children recruited 63%, 42%, 30% and 22% of the children reported consuming sweets/confiture, savory snacks, fast food, and pastry products, respectively, at least two days per week. Around 39% of the children were classified as "Frequent consumers of energy-dense unhealthy FG". Buying the snack at school was associated with a more frequent intake of sweets/confiture (OR=1.56, CI 95% =1.05-2.32) and fast food (OR=2.01, CI 95% =1.15-3.50) during the week, as well as with being classified in the "frequent consumer of energy-dense unhealthy FG" (OR=1.99, 95% CI=1.40-2.82). Conclusions: Ecuadorian children still consume prohibited unhealthy foods at school. These results reinforce the importance of evaluating, monitoring, and adapting strategies to promote a balanced diet(AU)

Introducción. La ingesta de alimentos poco saludables con alto contenido energético en la escuela podría influir en la ingesta energética total de los niños. Objetivo: Caracterizar los patrones de compra de snacks en el colegio y analizar la asociación de estos patrones con la procedencia del snack escolar (de la casa o comprada en el colegio) y el tiempo de pantalla. Materiales y métodos: Se realizó un estudio transversal (octubre 2018-mayo 2019) en escolares (9-12 años) Cuenca- Ecuador. La ingesta de grupos de alimentos (FG) no saludables altos en energía, la fuente del snack escolar y el tiempo de pantalla se evaluaron mediante cuestionarios. Se utilizó análisis de correspondencias múltiples para identificar patrones de ingesta de FG poco saludables y la regresión logística para evaluar asociación entre la ingesta FG no saludables con la fuente del snack escolar. Resultados: En 1.028 niños 63%, 42%, 30% y 22% declararon consumir dulces/golosinas, aperitivos salados, comida rápida y productos de pastelería, respectivamente, al menos dos/días/ semana. Un 39% fueron clasificados como "Consumidores frecuentes de FG poco saludables de alta densidad energética". La compra de los snacks en el colegio se asoció con una ingesta más frecuente de dulces/golosinas (OR=1,56; IC95%=1,05-2,32) y comida rápida (OR=2,01; IC95%=1,15-3,50) durante la semana y con la clasificación en el grupo" consumidores frecuentes de FG poco saludables de alta densidad energética" (OR=1,99; IC95%=1,40- 2,82). Conclusiones: Los niños ecuatorianos aún consumen alimentos no saludables prohibidos en la escuela. Estos resultados refuerzan la importancia de evaluar, monitorear y adaptar estrategias para promover una dieta balanceada(AU)

Potencial antimicrobiano de seis plantas do semiárido paraibano contra bactérias relacionadas à infecção endodôntica / Antimicrobial potential of six plants from the semiarid zone of Paraíba State (Brazil) against bacteria related to endodontic infection

Com o aumento dos microrganismos resistentes às substâncias antimicrobianas já conhecidas, vários extratos de plantas medicinais foram testados com a finalidade de procurar novos compostos com atividade antimicrobiana reconhecida. Assim este estudo teve como objetivo avaliar a atividade antimicrobiana de diferentes extratos vegetais em bactérias relacionadas à infecção endodôntica. Foram testados os extratos hidroalcóolicos das espécies Syderoxylum obtusifolium Roem e Schult (quixabeira), Bauhínia forficata Linn (mororó), Anadenanthera colubrina Brenan (angico), Spondias tuberosa Arruda (umbuzeiro), Tabebuia pentaphylla Vell. (ipê rosa) e Guapira graciliflora Mart. (joão-mole), contra o Enterococcus faecalis, Staphylococcus aureus e Escherichia coli. Foram realizados os ensaios antimicrobianos pela técnica do disco difusão em ágar e pelo método de microdiluição em caldo. Todos os extratos analisados apresentaram atividade antimicrobiana contra pelo menos uma espécie bacteriana. Os melhores resultados foram encontrados com T. pentaphylla Vell e G. graciliflora Mart, apresentando atividade contra todas as cepas testadas, destacando-se a atividade de T. pentaphylla Vell frente a S.aureus na concentração de 0,78μl/μl e da casca de G. graciliflora Mart frente a E.faecalisna concentração de 6,25μl/μl. Os resultados sinalizam o potencial antimicrobiano dessas plantas, podendo ser promissoras para estudos de desenvolvimento de novos produtos de uso endodôntico.

In the face of an increasing range of microorganisms known to be resistant to antimicrobial substances, various herbal extracts have been screened in order to find new compounds with recognized antimicrobial activity. In particular, this study was carried out to assess the antimicrobial activity of such extracts on bacteria related to endodontic infection. Hydroalcoholic extracts of the species Syderoxylum obtusifolium Roem and Schult (quixabeira), Bauhinia forficata Linn (mororó) Anadenanthera colubrina Brenan (angico), Spondias tuberosa Arruda (umbuzeiro), Tabebuia pentaphylla Vell. (ipê rosa) and Guapira graciliflora Mart. (joão-mole), were tested against Enterococcus faecalis, Staphylococcus aureus and Escherichia coli. The antimicrobial assays were performed by the disk agar diffusion and broth microdilution methods. All extracts analyzed showed antimicrobial activity against at least one bacterial species. The best results were obtained with T. pentaphylla and G. graciliflora, which showed activity against all tested strains; specifically, that of T. pentaphylla against S. aureus, at a concentration of 0.78μL/μL, and of G. graciliflora bark against E. faecalis, at a concentration of 6.25μL/μL, should be highlighted. The results indicate that extracts of these plants may be promising for the study and development of new antimicrobials for endodontic use.

Atividade antimicrobiana "In Vitro" de extratos hidroalcoólicos de plantas medicinais do nordeste brasileiro em bactérias do gênero streptococcus / In vitro antimicrobial activity of hydroalcoholic extracts from brazilian northeastern medicinal plants against streptococcus

Objetivo: Avaliar a atividade antimicrobiana de extratos hidroalcoólicos de plantas medicinais do Nordeste brasileiro em bactérias do gênero Streptococcus. Método: As amostras vegetais foram secas em estufa de ventilação forçada a 40ºC, e pulverizadas em moinho de facas com 10 mesh. O material vegetal foi submetido à extração por maceração, à temperatura ambiente, utilizando como solvente uma solução na concentração 30:70 (água:etanol). Para determinação da concentração inibitória mínima (CIM) foi utilizada a técnica de microdiluição em microplaca, contendo 96 cavidades. O inóculo bacteriano foi padronizado em espectrofotômetro, com comprimento de onda de 625 nm, de modo a obter a concentração de 106 UFC/ml, conforme preconizado no CLSI. Foram realizadas diluições sucessivas dos extratos em microplaca, contendo o inóculo e o digluconato de clorexidina a 0,12% utilizado como controle positivo. As placas foram incubadas a 37°C. O crescimento microbiano foi indicado pela adição de resazurina a 0,01% em cada poço e incubação de 2h à temperatura ambiente. A determinação da concentração bactericida mínima (CBM) foi realizada através do subcultivo em placas de Preti, dos poços que não apresentaram crescimento bacteriano. As placas foram incubadas a 37°C por 24h. Resultados: Todos os extratos vegetais analisados apresentaram atividade antimicrobiana para a maioria das espécies de Streptococcus, sendo todos sensíveis a, pelo menos, um extrato. Os extratos que apresentaram os menores valores de CIM e CBM foram os de Schinus terebintifolius Raddi e de Syderoxylum obtusifolium Roem & Schult. S. parasanguis foi a espécie mais resistente contra os extratos vegetais testados. Conclusão: Os extratos vegetais testados mostraram-se promissores quanto à produção de novos antimicrobianos para a odontologia, havendo a necessidade de novos estudos pré-clínicos e clínicos com vistas ao desenvolvimento destes...

Objective: To evaluate the antimicrobial activity of hydroalcoholic extracts from Brazilian northeastern medicinal plants against streptococcus.Method: The plant samples were dried in an oven with forced circulating air at 40 ºC and ground in a Wiley mill to 10 mesh. The obtained material was macerated at room temperature using as solvent a water:ethanol solution at a 30:70 ratio. The minimum inhibitory concentration (MIC) was obtained by the microdilution technique in 96-well microplates. The bacterial inoculum was standardized in a spectrophotometer at 625 nm wavelength in order to obtain a 106CFU/mL concentration, according to the Clinical and Laboratory Standards Institute standards and guidelines. Successive dilutions of the extracts were made in the microplates containing the bacterial inoculum and 0.12% chlorhexidine digluconate was used as a positive control. The plates were incubated at 37 °C. Microbial growth was indicated by the addition of 0.01% resazurine into each well and 2-hour incubation at room temperature. The minimum bactericidal concentration (MBC) was obtained by subculture in Petri plates in the wells without bacterial growth. The microplates were incubated at 37 °C for 24 hours.Results: All plant extracts presented antimicrobial activity against most Streptococcus sp., which presented sensitivity to at least one extract. The extracts with lowest MIC and MBC values were Schinus terebintifolius Raddi and Syderoxylum obtusifolium Roem & Schult. S. parasanguis was the most resistant species to the plant extracts.Conclusion: The plant extracts evaluated in this study showed promising results regarding the production of new antimicrobials for use in Dentistry, but further preclinical and clinical studies are required for their development...