ABSTRACT
Introdução: Estudantes universitários da área de saúde apresentam uma rotina que exacerba inadequações no estilo de vida e sono, as quais contribuem para um estado de inflamação crônica de baixo grau. Objetivo: investigar se há associação entre o consumo de uma dieta pró-inflamatória e a qualidade do sono de estudantes universitários. Materiais e métodos: Estudo transversal, com amostra de conveniência que incluiu 102 universitários, com 18 ou mais anos de idade, recrutados entre março de 2019 e março de 2020, matriculados em cursos de Nutrição de universidades públicas e privadas da cidade de Fortaleza. A qualidade do sono foi avaliada por meio da escala Pittsburgh Sleep Quality Index (PSQI) ou Índice de Qualidade do Sono de Pittsburgh, validado no Brasil (PSQI-BR). O consumo alimentar foi investigado a partir de um questionário de frequência alimentar. Foi determinado o Padrão Empírico de Inflamação da Dieta (EDIP-SP), validado para o Brasil, o qual quantifica ingestão de carnes processadas, verduras, legumes, frutas, arroz e feijão. Também foi determinada a presença de inflamação crônica por meio dos marcadores proteína C-reativa e Relação Neutrófilo/Linfócito. Resultados: A alimentação consumida é, em média, anti-inflamatória (-1,57 ± 0,69). Apenas 1,96% dos avaliados tinha boa qualidade do sono; 75,49% apresentavam distúrbio do sono. Não houve associação entre o EDIP-SP e os marcadores inflamatórios investigados, nem com a qualidade do sono. Discussão: A maioria dos estudantes apresentou má qualidade do sono e dieta anti-inflamatória. Esta homogeneidade pode ter determinado a ausência de associação e correlações. Conclusões: Os estudantes universitários avaliados têm má qualidade do sono, mas ingerem dieta anti-inflamatória, sem associação entre estas duas variáveis(AU)
Introduction: University students in the health area have a routine that exacerbates inadequacies in lifestyle and sleep, which contribute to a state of chronic low-grade inflammation. Objective: to evaluate whether there is an association between the consumption of pro-inflammatory diet and the sleep quality of university students. Material and Methods: Cross-sectional study, with a convenience sample that included 102 university students, aged 18 or over, recruited between March 2019 and March 2020, enrolled in Nutrition courses at public and private universities in the Fortaleza city. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), validated in Brazil (PSQI-BR). Food consumption was investigated using a food frequency questionnaire, and the Empirical Dietary Inflammation Pattern (EDIP-SP), validated by Brazil. The EDIP-SP quantifies the intake of processed meats, vegetables, fruits, rice and beans. The presence of inflammation was also determined through the markers C-reactive protein and Neutrophil/ Lymphocyte Ratio. Results: The food consumed is, on average, anti-inflammatory (-1.57 ± 0.69). Only 1.96% of those evaluated had good sleep quality; 75.49% had a sleep disorder. There was no association between EDIPSP and the inflammatory markers investigated, nor with sleep quality. Discussion: Most students had poor sleep quality and anti-inflammatory diet. This homogeneity may have determined the absence of association and correlations. Conclusions: The evaluated university students have poor sleep quality, but eat an antiinflammatory diet, with no association between these two variables(AU)
Subject(s)
Humans , Male , Female , Adolescent , Adult , Sleep Wake Disorders , Diet , Eating , Inflammation , Life Style , Body WeightABSTRACT
Objetivo. Evaluar los conocimientos sobre alimentación saludable (AS) de los estudiantes del área de la salud y los factores asociados al entorno universitario. Materiales y métodos. Se trata de un estudio transversal con 512 estudiantes universitarios (≥ 18 años) matriculados en nueve carreras de grado en salud. Se llevó a cabo de abril a noviembre de 2017. Se aplicaron el Instrumento Evaluativo de la promoción de la salud en la universidad y el Cuestionario Internacional de Actividad Física. Además, se midió el peso, talla y perímetro abdominal. Se realizaron análisis bivariados y multivariados utilizando SPSS versión 23.0. Resultados. Se encontró que la mayoría de los estudiantes universitarios de las nueve carreras de salud tenían conocimientos insuficientes sobre alimentación saludable (71,9%; n=368). Sin embargo, la mayor proporción de estudiantes con conocimientos suficientes se encontraron en el área de nutrición (15,3%; n=22), seguidos de aquellos del área de educación física (12,5%; n=18). El menor porcentaje de estudiantes con conocimientos suficientes se encontró en la carrera de medicina (8,3%; n=12). En el análisis multivariado se evidenció que el conocimiento suficiente sobre alimentación saludable estaba relacionado con la participación en actividades de alimentación saludable (p=0,012; RP=1,94), participación en actividades que aborden la autoestima y el autoconocimiento (p=0,046; RP=0,59) y con tener exceso de peso (p=0,036; RP=1,53). Conclusión. Se evidenció un bajo porcentaje de estudiantes de salud con conocimientos suficientes sobre alimentación saludable. Sin embargo, la participación en actividades de alimentación saludable, autoestima y autoconocimiento en la universidad logró mejorar el nivel de conocimiento. Se recomienda el desarrollo de proyectos universitarios que abarquen la tríada psicológica, alimentaria y corporal, involucrando así todas las carreras de salud, con el objetivo de mejorar la salud y la calidad de vida de los universitarios.
Objective. To assess the healthy eating (HE) knowledge of health students and the factors associated with the university environment. Materials and methods. This was a cross-sectional study of 512 university students (≥ 18 years) enrolled in nine undergraduate health careers. It was conducted from April to November 2017. The Instrument for Assessment of Health Promotion in Universities and the International Physical Activity Questionnaire were used. In addition, we measured weight, height and waist circumference. Bivariate and multivariate analyses were carried out with SPSS version 23.0. Results. We found that most university students from the nine health careers had insufficient knowledge about healthy eating (71.9%; n=368). However, the highest proportion of students with sufficient knowledge was found in the career of nutrition (15.3%; n=22), followed by those in the physical education career (12.5%; n=18). The lowest percentage of students with sufficient knowledge was found in the career of medicine (8.3%; n=12). Multivariate analysis showed that sufficient knowledge about healthy eating was related to participation in healthy eating activities (p=0.012; PR=1.94), participation in activities addressing self-esteem and self-knowledge (p=0.046; PR=0.59) and being overweight (p=0.036; PR=1.53). Conclusion. A low percentage of health students had sufficient knowledge about healthy eating. However, participation in healthy eating, self-esteem and self-knowledge activities at the university managed to improve the level of knowledge. We recommend the development of university projects that include the psychological, food and body triad, thus involving all health careers, with the aim of improving the health and quality of life of university students.
Subject(s)
Humans , Male , Female , AdolescentABSTRACT
The use of anthropometric indexes, to follow up cardiovascular and metabolic risk factors, has been the focus of several studies during the last years. The Lipid Accumulation Product (LAP) innovates in combining waist circumference (WC), an anthropometric parameter, with fasting triglycerides, a biochemical parameter: the. The LAP was proposed in 2005 by Kahn as a better index than the Body Mass Index (BMI) to predict cardiovascular risk. The few studies published do not present LAP in young female population. For this reason, our study analyzed the association between LAP and fasting glycemia in female university students. A significant positive correlation was found, confirming previous studies with different populations.
La utilización de índices antropométricos para rastrear factores de riesgo cardiovascular y metabólico, ha sido de interés en varios estudios durante los últimos años. El Producto de Acumulación Lipídica (PAL) innova al combinar la circunferencia de cintura (CC), el cual es un parámetro antropométrico, con un parámetro bioquímico: los triglicéridos en ayunas. Kahn propuso el PAL el año 2005 como un índice mejor que el Indice de Masa Corporal (IMC) para predecir riesgo cardiovascular. Algunos estudios publicados no muestran el PAL en una población de mujeres jóvenes. Por esta razón, el objetivo del presente estudio fue analizar la asociación entre PAL y la glucemia en ayunas en estudiantes universitarias. Se detectó una correlación significativamente positiva, confirmando estudios previos en diferentes poblaciones.