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1.
Arq. ciências saúde UNIPAR ; 25(1): 25-30, jan-abr. 2021.
Article in Portuguese | LILACS | ID: biblio-1151401

ABSTRACT

O objetivo do estudo foi analisar a composição corporal com utilização do DXA e correlacioná-la com a idade cronológica em adolescentes pós-púberes, de ambos os sexos. Participaram da pesquisa 46 adolescentes em fase pós-puberal, sendo 27 meninas (17,23±0,98) e 19 meninos (17,65±0,74) de ensino médio de uma escola estadual da Zona Sul da cidade do Rio de Janeiro. Foram realizadas uma anamnese, avaliação antropométrica e o DXA para avaliações. O teste U de Mann Whitney e o coeficiente de correlação de Spearman foram utilizados, adotando P<0,05 para significância. Verificou-se que as meninas apresentam composição corporal diferentedos meninos (P<0,05) e que com o aumento da idade elas tendem a diminuir o percentual de gordura, embora tenha sido observado um quantitativo alto de meninas com percentual de gordura elevado. Os meninos apresentaram uma tendência de aumento do percentual de gordura e da massa magra com o aumento da idade. As medidas de conteúdo e densidade mineral ósseo dentro da normalidade, com tendência de aumento com o avanço da idade cronológica. Conclui-se que os grupos masculino e feminino apresentaram comportamentos diferenciados quanto à composição corporal e os valores apresentados trazem mais um complemento à literatura a respeito de referências para a composição corporal, obtida com o DXA, em adolescentes pós-púberes.


The purpose of this study was to analyze body composition using DXA and correlate it with chronological age in post-pubertal adolescents of both genders. A total of 46 adolescents participated in the study, of which 27 were girls (17.23±0.98) and 19 boys (17.65±0.74) from a state school in the South District in the city of Rio de Janeiro. An anamnesis, anthropometric evaluation and DXA were performed for evaluations. The Mann-Whitney U test and the Spearman correlation coefficient were used, adopting P <0.05 for significance. Girls were found to have a different body composition than boys (P <0.05) and that, with increasing age, they tended to present a decrease in fat percentage, although in general a high number of girls presented a high fat level. The boys presented a tendency to increase the percentage of fat and lean mass with the increase of the age. Measurements of bone mineral content and density were considered as being within normality, with a tendency to increase with the advancing of the chronological age. Girls and boys present a different behavior regarding body composition and the values presented in this study bring an addition to the literature regarding body composition references through DXA in post-pubertal adolescents.


Subject(s)
Humans , Male , Female , Adolescent , Body Composition/physiology , Body Weights and Measures , Puberty/physiology , Weight by Height/physiology , Bone Density/physiology , Nutritional Status , Adolescent/physiology , Fats/metabolism , Obesity/metabolism
2.
Arq. ciências saúde UNIPAR ; 25(1): 61-77, jan-abr. 2021.
Article in Portuguese | LILACS | ID: biblio-1151421

ABSTRACT

A obesidade é caracterizada pelo aumento excessivo da gordura corporal e está ligada ao estilo de vida, ao meio ambiente e a genética do indivíduo. O equilíbrio entre ingestão e gasto energético é controlado por mecanismos neurais, hormonais, químicos e genéticos. Estudos sugerem que o gene FTO (Fat mass and obesity associated) atua como regulador primário do acúmulo de gordura corporal, quando associado a SNPs (Single Nucleotide Polymorphism) específicos, predispõe à obesidade. O propósito deste trabalho foi verificar a produção científica, analisar e catalogar os estudos de polimorfismos no gene FTO associados à obesidade e suas comorbidades. A busca por publicações entre 2009 e 2018 foi realizada na base de dados SciELO com a palavra-chave "FTO". Foram encontrados 23 artigos originais dentro dos critérios da pesquisa que correlacionam o FTO à obesidade. O nome do autor principal, país, idioma, ano de publicação, título, objetivo, polimorfismo associado e os resultados dos estudos foram extraídos e organizados para facilitar a tabulação dos dados. Também foram pesquisados os números de citações de cada artigo, utilizando-se a plataforma Google Acadêmico. Embora o Brasil se encontre em primeiro lugar em produção científica para o gene FTO na base de dados prospectada, o número de artigos originais ainda é muito modesto. Assim, os resultados encontrados podem servir de subsídio no delineamento de novas pesquisas sobre os polimorfismos do gene FTO e as causas da obesidade.


Obesity is characterized by the excessive increase in body fat and is correlated to the lifestyle, environment, and also to the genetics of the individual. The balance between energy intake and expenditure is controlled by neural, hormonal, chemical, and genetic mechanisms. Studies suggest that the FTO (fat mass and obesity associated), a gene associated with fat mass, plays a role as a primary regulator of body fat buildup, when associated to specific Single Nucleotide Polymorphisms (SNPs), causing predisposition to obesity. This paper aimed at reviewing, analyzing, and cataloguing the studies on FTO gene polymorphisms associated with obesity and its comorbidities. The search was carried out in SciELO database, checking articles published between 2009 and 2018 using the keyword "FTO". Twenty-three original articles, matching the research criteria, correlating FTO either positively or negatively with obesity, were found. The main author's name, country, language, year of publication, title, objective, associated polymorphism, and the study results were extracted and organized to facilitate data tabulation. The citation numbers for each article were also searched by using the Google Scholar platform. Although Brazil ranks first in scientific production on the FTO gene in the surveyed database, the number of original articles is still very modest. Therefore, the results found in this paper may be used as a basis for the design of new research on the FTO gene polymorphisms and the causes of obesity.


Subject(s)
Polymorphism, Single Nucleotide , Genetics , Obesity/genetics , Satiety Response , Energy Intake/genetics , Body Mass Index , Adipose Tissue , Lipid Metabolism/genetics , Nutrigenomics , Fats , Genotype , Life Style , Metabolism/genetics
3.
Clin. biomed. res ; 41(4): 275-282, 20210000. tab
Article in English | LILACS | ID: biblio-1349333

ABSTRACT

Introduction: Consumption of foods with anti-inflammatory and antioxidant components could contribute to a better control of the asthma. The aim of this study was to assess the association between dietary patterns, nutritional status, and asthma control in patients treated at an asthma referral center in Porto Alegre, Brazil. Methods: This is a cross-sectional study with 198 adult asthma patients. Participants completed a 24-hour food recall and a questionnaire on disease history, degree of control, and severity, as well as pulmonary and anthropometric assessments. We used exploratory factor analysis and principal component analysis as an extraction method to derive the dietary patterns. Results: The mean body mass index was 29.6 (SD, 5.7) kg/m2, and 41.9% were classified as obese. Regarding disease severity, 72.7% were classified as having severe persistent asthma, and concerning the degree of control, 59.6% of the patients had uncontrolled asthma. Three dietary patterns were identified: "Sugars", "Healthy", and "Fats and Alcohol". It was observed that the Fats and Alcohol pattern was significantly associated with men. However, no associations were observed between the other variables and dietary patterns. Conclusion: This was the first study to identify the dietary patterns in asthmatics in Brazil. Patterns found in the present study were "Sugars", "Healthy" and "Fats and Alcohol". However, there was no significant association between the 3 patterns and nutritional status or disease control. (AU)


Subject(s)
Asthma , Diet , Alcohol Drinking , Sugars , Fats , Diet, Healthy
4.
J. coloproctol. (Rio J., Impr.) ; 40(3): 227-232, July-Sept. 2020. tab, ilus
Article in English | LILACS | ID: biblio-1134984

ABSTRACT

Abstract Purpose: Faecal incontinence (FI) is a frequent condition that can occur due to different causes; with negative impact on self-esteem and quality of life, secondary morbidity, disability and significant costs. For its treatment there is a wide range of options, being medical treatment, hygienic dietary modifications and biofeedback, the first line of treatment; reserving surgery for patients who do not respond or with severe FI; this with variable success rates and high cost. This study has the primary aim to assess the efficacy and describe the Technique of Application of Autologous Fat with Platelet Rich Plasma (AFPRiP) in patients with faecal incontinence as well as secondary endpoints of quality of life, manometric and ultrasound evaluation, safety of implantation, and complications. Methods: A single-centre prospective, experimental study, was conducted from January 2017 to February 2018 in Domingo Luciani Hospital. Wexner and FIQL scores were filled preoperative and compared at follow-up at 3, 6 and 12 months as well as anorectal manometry and endoanal ultrasound were performed before and 6 months after surgery. Results: Twelve patients were operated, mean time 43 min, no major complications. Wexner finding continence improvement from 10.4 pre to 4 in the 3rd month (p = 0.066) 4.74 at the 6th month (p = 0.001) and 5 at one year (p = 0.001); that is, improvement of >50% in 83.4%. FIQL 50.9 prior to 98.6 at 3rd month (p = 0.001) 95.5 to 6th month (p = 0.001) and 91.3 a year (p = 0.066). Conclusions: We conclude that AFPRiP is innovative, safe and with adequate results.


Resumo Objetivo: A incontinência fecal é uma condição frequente que pode ocorrer devido a diferentes causas, com impacto negativo na autoestima e qualidade de vida, morbidade secundária, incapacidade e custos significativos. Existem várias opções para o manejo da incontinência fecal; o tratamento médico, as modificações higiênicas da dieta e o biofeedback, são os de primeira linha. A cirurgia é recomendada apenas para pacientes que não respondem ao tratamento de primeira linha ou aqueles com incontinência fecal grave; as taxas de sucesso são variáveis e o custo do tratamento cirúrgico é elevado. Este estudo teve como objetivo principal avaliar a eficácia e descrever a técnica de aplicação de gordura autóloga com plasma rico em plaquetas (AFPRiP) em pacientes com incontinência fecal; o estudo também avaliou parâmetros secundários de qualidade de vida, manométricos e ultrassonográficos, bem como a segurança da implantação e suas complicações. Métodos: Um estudo experimental prospectivo, de centro único, foi realizado de janeiro de 2017 a fevereiro de 2018 no Hospital Domingo Luciani. A escala de Wexner e o FIQL foram preenchidos no pré-operatório e comparados no seguimento de três, seis e 12 meses; manometria anorretal e ultrassonografia endoanal foram realizadas antes e seis meses após a cirurgia. Resultados: Doze pacientes foram operados; o tempo médio da cirurgia foi de 43 minutos, sem maiores complicações. Na escala de Wexner, observou-se melhora na continência: de 10,4 pré-operatório a 4 no terceiro mês (p = 0,066), 4,74 no sexto mês (p = 0,001) e 5 em um ano (p = 0,001), uma melhoria de 83,4%. Já o FIQL evoluiu de 50,9 no período pré-operatório para 98,6 no terceiro mês (p = 0,001), 95,5 no sexto mês (p = 0,001) e 91,3 em um ano (p = 0,066). Conclusões: A AFPRiP é uma técnica inovadora, segura e que apresenta resultados adequados.


Subject(s)
Humans , Male , Female , Platelet-Rich Plasma , Fats , Fecal Incontinence/surgery , Ultrasonography , Fecal Incontinence/pathology , Manometry
5.
Fisioter. Bras ; 21(4): 396-406, Ago 08, 2020.
Article in Portuguese | LILACS | ID: biblio-1283410

ABSTRACT

Introdução: A adiposidade localizada é considerada uma das disfunções estéticas mais procuradas para tratamento no âmbito da estética. Como opção de tratamento apresentamos a lipoescultura gessada que é um método não invasivo e inovador, que consiste em reduzir a lipodistrofia localizada pelo aumento do metabolismo através da Lei de Van't Hoff. Consta em tratamento baseado em uma linha de cosmecêuticos ortomoleculares da marca Bothanica Mineral®, empregados no combate à celulite, gordura localizada e flacidez, agindo de forma diversificada nas disfunções estéticas. Objetivo: O objetivo deste trabalho foi identificar os efeitos da lipoescultura gessada no abdome em mulheres de 20 a 35 anos com IMC ideal. Métodos: Trata-se de uma pesquisa intervencional. O estudo foi composto por 36 mulheres, apresentando lipodistrofia localizada no abdome, selecionadas através de entrevista. Após seleção, foram coletados dados através da ficha de avaliação da lipoescultura gessada contendo perfil sociodemográfico, bioimpedância, perimetria abdominal e caracterização da gordura, com um total de 8 sessões, 2 vezes na semana. Foi realizada uma reavaliação delas na nona sessão. Resultados: Diversos são os tipos de aparelhos e procedimentos estéticos disponíveis para intensificar os resultados do tratamento da lipodistrofia localizada do abdome em mulheres, porém, uma lipoescultura gessada bem-feita e associada a bons cosméticos e cuidados diários após o tratamento permitem um ótimo resultado, como comprovado em nosso trabalho. Conclusão: Conclui-se, então, que o protocolo de tratamento da lipoescultura gessada resultou em melhorias das condições gerais de gordura das mulheres estudadas, melhorando o contorno corporal. (AU)


Introduction: Localized adiposity is considered one of the most sought aesthetic dysfunctions for aesthetic treatment. As a treatment option we present a noninvasive and innovative method, the plastered liposculpture, which consists in reducing localized lipodystrophy by increasing metabolism through Van't Hoff's Law. It is based on a line of Orthomolecular cosmeceuticals Bothanica Mineral®, used in the therapy against cellulite, localized fat and flaccidity, acting in a diversified way in aesthetic dysfunctions. Objective: The objective of this study was to identify the effects of plastered liposculpture on the abdomen in women aged 20 to 35 years with ideal BMI. Methods: This is an interventional research. The study was composed of 36 women, presenting lipodystrophy located in the abdomen, selected through interview. After selection, data were collected through the plastered liposculpture evaluation card containing sociodemographic profile, bioimpedance, abdominal perimetry and fat characterization, with 8 sessions, 2 times a week. A reassessment was made at the ninth session. Results: Several types of devices and aesthetic procedures are available to intensify the results of the treatment of localized lipodystrophy of the abdomen in women, however, a well-made plastered liposculpture, associated with good cosmetics and daily care after treatment allow a significative result, such as proven in our work. Conclusion: It was concluded that the treatment protocol of plastered liposculpture resulted in improvement in the general fat conditions of the studied women, improving the body contour. (AU)


Subject(s)
Humans , Female , Adult , Adipose Tissue , Abdomen , Fats , Esthetics
6.
Rev. bras. ciênc. mov ; 28(2): 100-106, abr.-jun. 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1122799

ABSTRACT

O diabetes mellitus tipo 2 (DM2) é uma doença crônico-degenerativ a n ão t ran smissív el, caracterizada pela hiperglicemia que acomete cada vez mais a população idosa, principalmente, devido ao estilo de vida. Os sintomas da doença envolvem algumas complicações fisiológicas, dentre elas ex iste a possibilidade de desenvolvimento da neuropatia autonômica cardiovascular, que comumente acomete o diabético com a diminuição da variabilidade da frequência cardíaca (VFC). Levando assim, a uma insuficiência cardíaca que pode comprometer de forma severa a vida do diabético. Sendo assim, o objetivo foi analisar o efeito crônico da prática do exercício físico em idosas com DM2 baseado nos parâmetros da VFC. Para que a pesquisa fosse realizada um grupo de 30 idosas foi selecionado aleatoriamente, sen do divididos em três grupos de 10 voluntárias: grupo diabético ativo (GDA), grupo diabético sedentário (GDS) e grupo controle (GC), para ambos os grupos foram coletados as seguintes variáveis: idade, estatura, massa corporal, IMC, gordura corporal relativa e VFC. Os resultados demonstraram que ido sas GDA (870,6 ± 55,3 ms) tiveram uma menor média do intervalo RR e pode demonstrar que com a pratica regular de atividade física é possível retardar e/ou evitar quando comparado ao GC (788,4 ± 27,7 m s) as possíveis complicações cardíacas que acometem ao GDS (874,3 ± 45,7 ms). Diante do exposto acr edita-se que o exercício físico foi determinante para o resultado encontrado na VFC, principalmente, a m édia do intervalo RR no que tange estratificar idosas que possuem diabete tipo 2...(AU)


Type 2 diabetes mellitus (DM2) is a non-transmissible chronic degenerative disease characterized by hyperglycemia that increasingly affects the elderly population, mainly due t o lifesty le. The symptoms of the disease involve some physiological complications, such as, the possibility of developing autonomic cardiovascular neuropathy, which commonly affects the diabetic with the reduction of heart rate variability (HRV). This leads to heart failure that can severely comprom ise th e life o f th e diabetic. Therefore, the aim of this study is to analyze the chronic effect of physical exercise practice o n elderly DM2 based on the parameters of heart rate variability (HRV). In order to carry out the research , a group of 30 elderly women was randomly selected and divided into three groups of 10 volunteers: active diabetic group (GDA), sedentary diabetic group (GDS) and control group (CG). Fo r bo th group s were collected the following variables: age, height, body mass, BMI, relative body fat and HRV. Although t he literature showed that elderly GDA (870.6±55.3 ms) had a lower mean RR interval sh o win g t hat wit h regular practice of physical activity it is possible to delay and/or avoid when compared to GC (788.4±27.7 ms) the possible cardiac complications that affect GDS (874.3 ± 45.7 ms). In conclusio n, th e p h ysical exercise was determinant for the HRV result, especially, the mean RR interval in th e st ratificatio n o f elderly women with type 2 diabetes...(AU)


Subject(s)
Humans , Female , Aged , Aged, 80 and over , Women , Aged , Exercise , Control Groups , Diabetes Mellitus , Diabetes Mellitus, Type 2 , Heart Failure , Heart Rate , Hyperglycemia , Chronic Disease , Control , Reference Parameters , Fats , Life Style
7.
Semina cienc. biol. saude ; 41(2): 165-176, jun./dez. 2020. Ilus
Article in English | LILACS | ID: biblio-1224275

ABSTRACT

This study aimed to evaluate the production of lipases by a new strain of Pseudomonas sp. using fermentation medium containing byproducts of poultry meat or soybean oil industry. The results indicate that chicken fat and soybean gum induced 48.3 U/mL and 93.3 of lipase activity, respectively. However, the higher lipase production was obtained when the crude lecithin gum was used, archiving 272.6 U/ml of activity after 24 hours. The partial biochemical characterization of the enzyme showed that the optimum reaction conditions were pH 9.0 and 35 °C. The enzyme was stable at temperatures between 25 to 75 °C and at pH from 6 to 9. The enzyme also showed good stability in organic solvents, such as acetronitrile, hexane, ethanol and isopropanol. This study indicates that the byproducts tested are promising for the production of lipase and can contribute to the reduction of enzymatic production costs on a large scale, increase the value of these byproducts and reduce potential environmental impacts caused by its accumulation in nature.(AU)


Este estudo teve como objetivo avaliar a produção de lipases por uma nova cepa de Pseudomonas sp. utilizando meio de fermentação contendo subprodutos de industrialização de carne de frango e óleo de soja. Os resultados indicaram que a gordura de frango e a goma de soja induziram 48,3 U/mL e 93,3 U/ml de atividade lipásica, respectivamente. No entanto, a produção de lipase mais elevada foi obtida quando a goma de lecitina bruta foi utilizada, induzindo 272,6 U/ml de atividade após 24 horas. A caracterização bioquímica parcial da enzima mostrou que as condições de reação ótimas foram de pH 9,0 e 35 °C. A enzima foi estável nas temperaturas entre 25 a 75 °C e pH de 6 a 9. A enzima mostrou boa estabilidade em solventes orgânicos, tais como acetonitrila, hexano, etanol e isopropanol. Este estudo indicou que os subprodutos testados são promissores para a produção de lipase e podem contribuir para a redução dos custos de produção enzimática em larga escala, aumentar o valor desses subprodutos e reduzir potenciais impactos ambientais causados por sua acumulação na natureza.(AU)


Subject(s)
Pseudomonas , Lipase , Lecithins , Fats , Fermentation
8.
Rev. chil. nutr ; 47(3): 411-422, jun. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1126139

ABSTRACT

RESUMEN Se estableció la caracterización de salchichas secas tipo cabanossi con carne de llama, cerdo y muestras comerciales mediante un análisis proximal (contenidos de grasa: 18,6 a 29,6% y proteína: 19,4 a 36,2%), color (C*: 15,8 a 33,7), actividad de agua (0,770 a 0,960), pH (5,2 a 6,5) y propiedades mecánicas como dureza (47,8 a 124 N) y masticabilidad (9,4 a 33,2 N). Se obtuvieron 19 descriptores a partir de la opinión de 83 consumidores; luego, se empleó el método CATA (Check-all-that-apply) para describir las características sensoriales del cabanossi empleando 55 consumidores. Se evidenció que el cabanossi con carne de llama presentó el menor contenido de grasa total y ácidos grasos saturados, y mayor contenido de ácidos grasos poliinsaturados en comparación a las otras muestras. Los descriptores más utilizados fueron: olor característico/embutido, sabor a especias/condimentos, picante y sensación residual picante. Los consumidores indicaron como atributos relevantes para la aceptabilidad al color rojo claro, blando/suave, masticable y picante. La utilización de carne de llama constituye una alternativa en el desarrollo de nuevos productos cárnicos basados sobre las características presentadas.


ABSTRACT The chemical and physical characterization of cabanossi-type dry sausages made with lama meat, pork and commercial samples were performed. Remarkable differences were found in terms of fat (18.6 to 29.6%), color (15.8 to 33.7), water activity (0.770 to 0.960), pH (5.6 to 6.5), hardness (47.8 to 124 N) and chewiness (9.4 to 33.2 N). Nineteen descriptive terms based on the opinions of 83 consumers were used. Then, 55 consumers used the CATA (Check-all-that-apply) method to describe the sensory traits of cabanossi . Sausage from lama meat had the lowest total fat and saturated fatty acid content, and the highest polyunsaturated fatty acid content in comparison to the other samples. The most utilized sensory terms were: characteristic odor/smell of sausage, spicy flavor and spicy after taste. For sensory acceptability, consumers selected light red color, soft/tender, chewable and spicy as the most relevant traits. The application of lama meat represents an alternative to new meat products developed based on the characteristics studied.


Subject(s)
Animals , Meat Products/analysis , Swine , Taste , Camelids, New World , Proteins/analysis , Fats/analysis
9.
Rev. bras. ciênc. mov ; 28(1): 42-50, jan.-mar., 2020. ilus, graf
Article in Portuguese | LILACS | ID: biblio-1102389

ABSTRACT

Os objetivos do presente estudo foram (i) testar se existe associação e (ii) diferença entre o nível de atividade física (NAF) e composição corporal de adolescentes de escolas públicas e p riv adas. Participaram do presente estudo 84 adolescentes (feminino: n = 52; 61,9% e masculino: n = 3 2 ; 3 8 ,1 %) com idade média de 16,4 ± 0,8 anos (feminino = 16,5±0,8 anos e masculino 16,4 ± 0,8 anos) regularmente matriculados em uma escola pública e uma privada do município de Fortaleza/CE. O NAF foi quantificado por meio da aplicação do o questionário de atividade física para adolescentes. Posteriormente foram obtidos dados (massa corporal e estatura) para cálculo do índice de massa corporal (IMC). O percentual de gordura (%G) foi estimado de acordo com o sexo. O teste de correlação de Pea rso n foi utilizado para verificar associação entre as variáveis. Para comparação entre estudantes de escolas públicas e privadas, utilizamos as diferenças de médias estandardizadas, intervalo de co n fiança (90 %), tamanho do efeito e probabilidades de haver diferenças. Não encontramos associações significantes en tre o NAF e IMC (r = 0,033 à 0,214; p > 0,05) e NAF e %G (r = - 0,199 à 0,310; p > 0,05). Não h ouv eram diferenças substanciais entre estudantes de escolas pública e privada para NAF e variáveis de composição corporal. A falta de associação forte entre NAF e composição corporal aponta para o caráter multifatorial que perpassa a relação entre essas duas variáveis na população jovem. Adicionalmente, estudar em escola pública ou privada parece não afetar o NAF e a composição corporal de adolescentes...(AU)


The objectives of present study were (i) to test if there is an association and (ii) differen ce between the level of physical activity (LPA) and body composition of adolescents from public and private schools. A total of 84 adolescents (female: n = 52, 61.9% and males: n = 32, 38.1%), with a mean age o f .4 ± 0.8 years (female = 16.5 ± 0, 8 years and male 16.4 ± 0.8 years) regularly enrolled in a public an d private school in the municipality of Fortaleza/CE. NAF was quantified through the ap p lication o f t he physical activity questionnaire for adolescents. Subsequently data were obtained (body mass and height) to calculate the body mass index (BMI). The percentage of body fat (% BF) was estimated according to sex . The Pearson correlation test was used to verify association between the variables. For comparison between public and private school students, we used the differences of standardized means, co nfiden ce in terv al (90%), effect size and probability of differences. We did not find significant associations bet ween LPA and BMI (r = 0.033 to 0.214; p> 0.05) and LPA and % BF (r = - 0.19 to 0.310; p> 0.05). There were n o substantial differences between public and private school students for LPA and body co mpo sition. The lack of strong association between NAF and body composition points to the multifactorial character t hat per passes the relationship between these two variables in the young population. Additionally, studying in a public or private school does not seem to affect LPA and the body composition of adolescents...(AU)


Subject(s)
Humans , Male , Female , Adolescent , Physical Education and Training , Students , Body Composition , Body Mass Index , Adolescent , Motor Activity , Obesity , Schools , Fats , Goals
10.
Biosci. j. (Online) ; 35(6): 1968-1978, nov./dec. 2019. ilus, tab, graf
Article in English | LILACS | ID: biblio-1049177

ABSTRACT

The purpose of this study was to determine and compare fat composition and chemical properties of fish fillets of selected warm-water fish obtained from Straits of Malacca. A cold water fish, namely salmon was used for comparison. Moisture content, crude fat, fatty acids composition and chemical characteristics of fish fillets of Yellowstripe scad, Japanese threadfin bream and salmon were determined. Japanese threadfin bream fillet had highest moisture and crude fat contents, followed by fillets of Yellowstripe scad and salmon. A significantly strong and negative correlation was found between moisture and crude fat contents of these fish fillets. Fillets of Japanese threadfin bream and Yellowstripe scad also had higher total saturated fatty acids than total unsaturated fatty acids. Although salmon fillet had lowest percentage of saturated fatty acids, it had highest monounsaturated fatty acids and polyunsaturated fatty acids (PUFA) compared with the two warm-water fish. Palmitic acid and oleic acid were the major fatty acids in the fish fillets. Chemical properties of the oils extracted from the warm-water fish fillets were varied compared to salmon. The selected warm-water fish fillets offer favorable fatty acids composition and chemical properties, which can potentially be used as good sources of PUFA.


O objetivo deste estudo foi determinar e comparar a composição gordurosa e as propriedades químicas de filés de peixes selecionados de água quente obtidos no Estreito de Malaca. Um peixe de água fria, o salmão, foi usado para comparação. Foram determinados o teor de umidade, a gordura bruta, a composição de ácidos graxos e as características químicas dos filés de yellowstripe scad, sargo japonês e salmão. Os filés de sargo japonês apresentaram maior teor de umidade e de gordura bruta, seguidos por filés de yellowstripe scad e de salmão. Foi encontrada uma correlação significativamente forte e negativa entre a umidade e o teor de gordura bruta desses filés de peixe. Filés de sargo japonês e de yellowstripe scad também apresentaram ácidos graxos saturados totais mais altos do que os ácidos graxos insaturados totais. Embora o filé de salmão tenha menor porcentagem de ácidos graxos saturados, ele apresentou os maiores ácidos graxos monoinsaturados e ácidos graxos poliinsaturados (PUFA em comparação com os dois peixes de água quente. O ácido palmítico e o ácido oleico foram os principais ácidos graxos dos filés de peixe. As propriedades químicas dos óleos extraídos dos filés de peixe de água quente foram variadas em comparação ao salmão. Os filés de peixe de água quente selecionados oferecem composição favorável de ácidos graxos e propriedades químicas, que podem ser potencialmente usadas como boas fontes de PUFAs.


Subject(s)
Chemical Properties , Fats , Fishes
11.
Arch. argent. pediatr ; 117(3): 224-231, jun. 2019. tab
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1001193

ABSTRACT

Introducción. El estreñimiento funcional (EF) es un problema frecuente en la niñez. El objetivo fue investigar los hallazgos alimentarios y antropométricos de los niños con EF. Población y métodos. Se clasificó a los pacientes con EF según Roma IV. El grupo de referencia incluyó a niños sin diagnóstico de EF ni ninguna otra enfermedad. Se incluyó a los niños de los consultorios de gastroenterología pediátrica entre septiembre de 2017 y marzo de 2018. Se registraron peso, estatura e índice de masa corporal. Se usaron los puntajes Z del índice de masa corporal para identificar sobrepeso y obesidad. La desnutrición se definió según Waterlow. Se evaluaron los diarios de alimentación de tres días de ambos grupos; el mismo nutricionista calculó el promedio diario de calorías, fibra, hidratos de carbono, proteínas y grasa. Resultados. Se incluyó a 40 pacientes con EF y 40 controles sanos. Veinticuatro pacientes con EF tenían estatura y peso normales. No hubo diferencias significativas en el promedio diario de calorías, hidratos de carbono, grasa y fibra entre los grupos de EF y de referencia. Si bien la proporción (%) de proteínas en la dieta fue significativamente más baja en los niños con EF, la cantidad de proteínas ingerida a diario estuvo dentro de los límites normales en ambos grupos. Conclusión. La mayoría de los niños con EF tenían estatura y peso normales. No hubo una relación significativa entre el EF y el contenido de hidratos de carbono, grasa y fibra; solo proporciones bajas de proteínas en el EF.


Introduction. Functional constipation (FC) is a common problem in childhood. This study intended to investigate the dietary properties and anthropometric findings of children with FC. Population and methods. Patients with FC were defined according to the Rome IV diagnostic criteria. The control group included children who were not diagnosed with FC or any other organic disease. The children who admitted to pediatric gastroenterology outpatient clinic between September 2017-March 2018 were included. Anthropometric measurements of weight, height, and body mass index were recorded. Body mass index z-scores were used to identify for overweight and obese children. Malnutrition was defined according to Waterlow criteria. The three-day nutritional diaries of both FC patients and control subjects were assessed and the daily average of calorie, fiber, carbohydrate, protein and fat intake were calculated by the same nutritionist. Results. Fourty patients with FC and fourty healthy control were included. Twenty-four patients with FC were in the normal height and weight ranges. There was no significant difference in the average daily calorie, carbohydrate, fat and fiber intake between the FC and control groups. Although protein ratios (%) in the diet were found to be significantly lower in children with FC, the amount of protein that taken daily was found to be within normal limits in both groups. Conclusion. Most children with FC were in the normal range for height and weight. There was no significant relationship between FC and carbohydrate, fat and fiber content in the diet, only low protein ratios were found in FC.


Subject(s)
Humans , Child, Preschool , Child , Adolescent , Adult , Dietary Fiber , Proteins , Anthropometry , Constipation , Fats
12.
Article in English | WPRIM | ID: wpr-785917

ABSTRACT

BACKGROUND: This study aimed to investigate the food intake behavior of cancer survivors based on main sources of energy intake from different food groups in comparison with healthy individuals.METHODS: Baseline survey data from the Health Examinee cohort, which recruited participants from 2014 to 2013 were applied. A total of 5,269 cancer survivors and 5,219 healthy subjects without comorbidities who were matched by age, sex, and enrollment center were included in the analysis. The proportion of energy intake for 17 food groups was devided into lower median and median or upper. OR and 95% CIs were determined to measure the difference of energy intake proportion in cancer survivors, five major types of cancer survivors versus healthy individuals.RESULTS: Generally, the proportion of calories intake from sugars and sweets, meat and poultry, oils and fats, and beverage was lower in cancer survivors than in healthy individuals (OR = 0.83 [95% CI = 0.79–0.88], 0.75 [95% CI = 0.71–0.80], 0.84 [95% CI = 0.80–0.89], and 0.93 [95% CI = 0.88–0.99], respectively) with more prominently shown in breast, colon, and thyroid cancer individuals. In contrast, cancer survivors tended to intake calories from potatoes and starches, legume, seeds and nuts, vegetables, mushrooms, fruits, and seasonings more than healthy individuals (OR = 1.09 [95% CI = 1.03–1.16], 1.13 [95% CI = 1.06–1.19], 1.15 [95% CI = 1.09–1.22], 1.07 [95% CI = 1.01–1.13], 1.07 [95% CI = 1.02–1.14], 1.15 [95% CI = 1.08–1.21], and 1.17 [95% CI = 1.10–1.23], respectively) which were more prominent in gastric and breast cancer survivors.CONCLUSIONS: The dietary behavior measured by main sources of energy intake in cancer survivors was different from healthy individuals in terms of several food groups. Although there are nutrition guidelines for cancer survivors, because of the differences between Western population and Asian people in terms of food culture, the guidelines for balanced nutritious behavior should be established among Asian cancer survivors.


Subject(s)
Agaricales , Asian Continental Ancestry Group , Beverages , Breast , Breast Neoplasms , Carbohydrates , Cohort Studies , Colon , Comorbidity , Eating , Energy Intake , Fabaceae , Fats , Fruit , Healthy Volunteers , Humans , Meat , Nutrition Policy , Nutritional Status , Nuts , Oils , Poultry , Seasons , Solanum tuberosum , Starch , Surveys and Questionnaires , Survivors , Thyroid Neoplasms , Vegetables
13.
Article in English | WPRIM | ID: wpr-763019

ABSTRACT

Atherosclerosis is a widespread and chronic progressive arterial disease that has been regarded as one of the major causes of death worldwide. It is caused by the deposition of cholesterol, fats, and other substances in the tunica intima which leads to narrowing of the blood vessels, loss of elasticity, and arterial wall thickening, thus causing difficulty in blood flow. Natural products have been used as one of the most important strategies for the treatment and prevention of cardiovascular diseases for a long time. In recent decades, as interests in natural products including medicinal herbs have increased, many studies regarding natural compounds that are effective against atherosclerosis have been conducted. The purpose of this review is to provide a brief over-view of the natural compounds that have been used for the treatment and prevention of atherosclerosis, and their mechanisms of action based on recent research.


Subject(s)
Atherosclerosis , Biological Products , Blood Vessels , Cardiovascular Diseases , Cause of Death , Cholesterol , Classification , Elasticity , Fats , Plants, Medicinal , Tunica Intima
14.
Article in English | WPRIM | ID: wpr-741703

ABSTRACT

BACKGROUND/OBJECTIVES: Over the past few decades, Malaysia has been experiencing an increased prevalence of overweight and obesity that threatens the health of Malaysians. Poor dietary intake is one of the major contributors to the development of obesity and many non-communicable diseases. The dietary intakes of adults in Malaysia were assessed to determine the association between the dietary intake variables and the body mass index (BMI) and waist circumference (WC) measurements. This study examined whether the dietary intake achieved the recommended nutritional guidelines and compared the intakes between both sexes. SUBJECTS/METHODS: The height, weight, and WC of four-hundred-and-ninety adults (n = 490) in Malaysia were measured using standard procedures. The three-day 24-hour dietary recalls were conducted on 422 out of the 490 adults and their dietary intakes were evaluated in detail. The selected dietary intake variables were used to determine the associations with the obesity indicators. RESULTS: Among the participants, 52.8% were overweight or obese. After data analysis, the mean energy intake was 1,550 kcal/day, in which male participants had a significantly higher energy and macronutrients intake than females. Protein consumption and its percentage of energy contribution exceeded the recommended range. The consumption of fruits, vegetables, and milk and milk products were lower than the recommended number of servings for a healthy diet. The male participants consumed significantly more servings of carbohydrate-based foods, meat, and fats, oils, and sweets than females. Among the selected dietary intake variables, only the carbohydrate intake was negatively associated with the BMI (Estimate b = −0.008) and WC measurements (Estimate b = −0.019) after adjusting for covariates. CONCLUSIONS: This study evaluated the dietary intakes of a sample of Malaysian adults and its association with the obesity indicators. The results highlight the need for improvements and modifications of the dietary intake of Malaysians to reduce the overweight and obesity rates.


Subject(s)
Adult , Body Mass Index , Diet , Energy Intake , Fats , Female , Fruit , Humans , Malaysia , Male , Meat , Micronutrients , Milk , Obesity , Obesity, Abdominal , Oils , Overweight , Prevalence , Statistics as Topic , Vegetables , Waist Circumference
15.
Article in English | WPRIM | ID: wpr-760606

ABSTRACT

BACKGROUND/OBJECTIVES: Little is known about the dietary patterns (DPs) of women during pregnancy. The present study aimed to identify the DPs of pregnant Malaysian women and their associations with socio-demographic, obstetric, and anthropometric characteristics. SUBJECTS AND METHODS: This prospective cohort study included 737 participants enrolled in Seremban Cohort Study between 2013 and 2015. Food consumption was assessed using a validated 126-food item semi-quantitative food frequency questionnaire (SFFQ) at four time-points, namely, pre-pregnancy and at each trimester (first, second, and third). Principal component analysis (PCA) was used to identify DPs. RESULTS: Three DPs were identified at each time point and designated DP 1–3 (pre-pregnancy), DP 4–6 (first trimester), DP 7–9 (second trimester) and DP 10–12 (third trimester). DP 1, 4, and 7 appeared to be more prudent diets, characterized by higher intakes of nuts, seeds & legumes, green leafy vegetables, other vegetables, eggs, fruits, and milk & dairy products. DP 2, 5, 8, and 11 had greater loadings of condiments & spices, sugar, spreads & creamer, though DP 2 had additional sweet foods, DP 5 and 8 had additional oils & fats, and DP 11 had additional tea & coffee, respectively. DP 3 and 6 were characterized by high protein (poultry, meat, processed, dairy, eggs, and fish), sugars (mainly as beverages and sweet foods), and energy (bread, cereal & cereal products, rice, noodles & pasta) intakes. DP 9 had additional fruits. However, DP 12 had greater loadings of energy foods (bread, cereal & cereal products, rice, noodles & pasta), sugars (mainly as beverages, and sweet foods), and good protein sources (eggs, nuts, seeds & legumes). Malays were more likely to have lower adherence (LA) for DP 1 and 10 than non-Malays. DP 2, 8, and 11 were more prevalent among Malays than non-Malays. Women with a higher education were more likely to have LA for DP 10, and women with a greater waist circumference at first prenatal visit were more likely to show LA for DP 11. CONCLUSIONS: DPs observed in the present study were substantially different from those reported in Western populations. Information concerning associations between ethnicity, waist circumference and education with specific DPs before and throughout pregnancy could facilitate efforts to promote healthy dietary behavior and the overall health and well-being of pregnant women.


Subject(s)
Beverages , Carbohydrates , Coffee , Cohort Studies , Condiments , Dairy Products , Diet , Edible Grain , Education , Eggs , Fabaceae , Fats , Female , Fruit , Humans , Meat , Milk , Nuts , Oils , Ovum , Pregnancy , Pregnant Women , Principal Component Analysis , Prospective Studies , Spices , Tea , Vegetables , Waist Circumference
16.
São Paulo; s.n; s.n; 2019. 105 p. tab, graf.
Thesis in Portuguese | LILACS | ID: biblio-1015323

ABSTRACT

O chocolate é conhecido mundialmente, proveniente do fruto do cacaueiro (Theobroma cacao) normalmente consumido em forma de barra, mas também podendo ser usado de inúmeras formas como coberturas, recheios dentre outras. Um importante componente na produção do chocolate é a gordura utilizada, uma vez que esta é responsável pela textura, brilho e características organolépticas do produto. O objetivo deste trabalho foi utilizar a manteiga de cupuaçu (proveniente do fruto da Theobroma grandiflorum) na elaboração de chocolate amargo. Para tanto a manteiga de cacau foi substituída de forma parcial e total. Foram desenvolvidas duas formulações de chocolate padrão com liquor de cacau (P1) e com cacau em pó (P2), e quatro formulações com substituição parcial da manteiga de cacau por manteiga de cupuaçu a partir de P2(F1 e F2) e de P1 (F3 e F4). As amostras elaboradas e os ingredientes (líquor de cacau, cacau em pó, manteiga de cacau e manteiga de cupuaçu) foram avaliadas por análise térmica (DSC-Differential Scanning Calorimetry), reologia, tamanho de partícula, composição em ácidos graxos e em triacilgliceróis, índice de temperagem e índice de resfriamento, bem como testes de acompanhamento de 112 dias como cor, atividade de água e textura. A manteiga de cupuaçu apresentou maior quantidade de ácido oleico quando comparada com a manteiga de cacau, aproximadamente 11,5%, e também características reológicas diferentes dos padrões: tensões iniciais variaram de 3,4 ± 0,3 a 7,9 ± 2,0 Pa para as amostras e 2,9 ± 1,4 a 6,2 ± 0,7 Pa para os padrões; viscosidade de 1,6 ± 0,1 a 2,9 ± 0,4 Pa*s para as amostras e 1,9 ± 0,8 a 2,9 ± 0,9 Pa*s para os padrões; tamanho de partícula das amostras de 21 ± 2 a 22 ± 2 µm, padrões de 20 ± 2 a 34 ± 4 µm. Durante os 112 dias de estudo de prateleira: Aw variou de 0,405 ± 0,03 a 0,424 ± 0,02 nas amostras e 0,399 ± 0,03 no padrão; textura variou de 16,3 ± 1,2 a 31,6 ± 2,0 N para as amostras e 25,9 ± 3,0 a 28,6 ± 7,2 N para os padrões; WI variou de 24,1 ± 0,6 a 25,4 ± 0,3 para as amostras e 23,0 ± 0,4 a 23,9 ± 0,8 para os padrões; ΔE variou de 0,4 a 2,2 para as amostras e de 0,5 a 1,2 para os padrões. Concluiu-se que: A variação do líquor de cacau para cacau em pó acarretou aumentando do tempo total de processo em aproximadamente 15 min. Os chocolates com maior teor de manteiga de cupuaçu apresentaram aumento em triacilglicerol C54, com redução de POP e POS. A faixa de fusão dos chocolates com maiores porcentagens de manteiga de cupuaçu (F3 e F4) foi maior do que para chocolates formulados apenas com manteiga de cacau (P1 e P2). A manteiga de cupuaçu tem relação direta com a queda da tensão inicial e da viscosidade (sem diferença significativa, p<0,05) nos chocolates produzidos. O baixo ponto de fusão do ácido oleico contido na manteiga de cupuaçu alterou a temperatura final e o valor do índice de temperagem nas amostras com maior teor de manteiga de cupuaçu (F3 e F4)


The chocolate is known worldwide, coming from the fruit of the cacao (Theobroma cacao) normally consumed in the form of a bar, but also can be used in countless ways like coverings, fillings among others. An important component in the production of chocolate is the fat used, since it is responsible for the texture, brightness and organoleptic characteristics of the product. The objective of this work was to use cupuassu butter (from the fruit of Theobroma grandiflorum) in elaboration of bitter chocolate. For this purpose, the cocoa butter was partially and totally replaced. Two formulations of standard chocolate with cocoa liquor (P1) and with cocoa powder (P2) were developed, and four formulations with partial replacement of cocoa butter by cupuassu butter from P2 (F1 and F2) and P1 (F3 and F4). The elaborated samples and the ingredients (cocoa liquor, cocoa powder, cocoa butter and cupuassu butter) were evaluated by DSC, rheology, particle size, fatty acid composition and triacylglycerol, temperature index and cooling index, as well as follow-up tests of 112 days such as color, water activity and texture. The cupuassu butter presented a higher amount of oleic acid when compared to cocoa butter, approximately 11.5%, and also different rheological characteristics of the standards: initial tensions ranged from 3.4 ± 0.3 to 7.9 ± 2, 0 Pa for the samples and 2.9 ± 1.4 to 6.2 ± 0.7 Pa for the standards; viscosity of 1.6 ± 0.1 to 2.9 ± 0.4 Pa*s for the samples and 1.9 ± 0.8 to 2.9 ± 0.9 Pa*s for the standards; sample particle size from 21 ± 2 to 22 ± 2 µm, patterns from 20 ± 2 to 34 ± 4 µm. During the 112 days of shelf study: Aw ranged from 0.405 ± 0.03 to 0.424 ± 0.02 in the samples and 0.399 ± 0.03 in the standard; texture ranged from 16.3 ± 1.2 to 31.6 ± 2.0 N for the samples and 25.9 ± 3.0 to 28.6 ± 7.2 N for the standards; WI ranged from 24.1 ± 0.6 to 25.4 ± 0.3 for the samples and 23.0 ± 0.4 to 23.9 ± 0.8 for the standards; ΔE ranged from 0.4 to 2.2 for the samples and from 0.5 to 1.2 for the standards. It was concluded that: The variation of cocoa liquor to cocoa powder increased the total process time by approximately 15 min. The chocolates with higher content of cupuassu butter presented increase in triacylglycerol C54, with reduction of POP and POS. The melting range of chocolates with higher percentages of cupuassu butter (F3 and F4) was higher than for chocolates formulated with cocoa butter alone (P1 and P2). Cupuassu butter is directly related to the drop in initial tension and viscosity (without significant difference, p <0.05) in the chocolates produced. The low melting point of the oleic acid contained in the cupuassu butter altered the final temperature and the temperature index value in the samples with the highest cupuassu butter content (F3 and F4)


Subject(s)
Rheology/instrumentation , Malvaceae/classification , Cacao Butter , Chocolate/analysis , Crystallization , Fats/analysis
17.
HU rev ; 45(3): 276-282, 2019.
Article in Portuguese | LILACS | ID: biblio-1049328

ABSTRACT

Introdução: O excesso de gordura corporal está relacionado com as alterações no perfil lipídico, que, por sua vez, é considerado um importante fator de risco para doenças crônicas não transmissíveis. Objetivo: avaliar o estado nutricional, a composição corporal e verificar a associação destes com o perfil lipídico e pressão arterial de adolescentes. Material e Métodos: Foram avaliados 302 adolescentes, de ambos os gêneros, com idades entre 15 a 17 anos, de escolas públicas e privadas do município de Juiz de Fora, MG. Os participantes foram divididos em quatro grupos: grupo 1 (adolescentes eutróficos com percentual de gordura corpórea dentro da normalidade), grupo 2 (eutróficos com percentual de gordura elevado), grupo 3 (adolescentes em sobrepeso com percentual de gordura elevado) e grupo 4 (obesos com percentual de gordura elevado). Realizou-se avaliação antropométrica, de composição corporal, análise do perfil lipídico e aferição da pressão arterial. Os testes estatísticos T'Student ou ANOVA e Mann-Whitney ou Kruskall Wallis foram utilizados para comparação dos grupos, segundo a distribuição das variáveis, considerando nível de significância (p<0,05). Resultados: Notou-se que 74,83% dos avaliados apresentaram elevado percentual de gordura corporal, em sua maioria adolescentes do gênero feminino (57,97%). Mesmo eutróficos, 52,6% dos adolescentes apresentaram elevado percentual de gordura corporal. A maior alteração do perfil lipídico observada foi o colesterol total aumentado (40,3%), o HDL-C reduzido (27,8%), triglicerídeo aumentado (13,9%) e LDL-C aumentado (13,2%). Os adolescentes com excesso de gordura corporal, mesmo com IMC adequado apresentaram valores elevados de colesterol total, LDL-c, triglicerídeos e pressão arterial diastólica. Conclusão: O perfil lipídico desfavorável está mais relacionado com o percentual de gordura corporal total, do que com a classificação do estado nutricional segundo IMC. É imprescindível, portanto, a intensificação das ações de promoção da saúde a fim de reduzir os altos índices de doenças cardiovasculares no futuro.


Introduction: Excess body fat is related to changes in lipid profile, which, in turn, is considered an important risk factor for chronic noncommunicable diseases. Objective: To evaluate nutritional status, body composition and to verify their association with lipid profile and blood pressure in adolescents. Material and Methods: We have evaluated 302 adolescents of both genders, aged 15 to 17 years, from public and private schools in the city of Juiz de Fora, MG. Participants were divided into four groups: group 1 (eutrophic adolescents with normal body fat percentage), group 2 (eutrophic patients with high fat percentage), group 3 (overweight adolescents with high fat percentage), and group 4 (obese with high fat percentage). Anthropometric assessment, body composition, lipid profile analysis and blood pressure measurement were performed. Statistical tests T'Student or ANOVA and Mann-Whitney or Kruskall Wallis were used to compare groups according to the distribution of variables, considering significance level (p<0.05). Results:Noticed that 74.83% of the subjects had a high percentage of body fat, mostly female adolescents (57.97%). Even eutrophic, 52.6% of adolescents had a high percentage of body fat. The largest change in lipid profile was increased total cholesterol (40.3%), reduced HDL-C (27.8%), increased triglyceride (13.9%) and increased LDL-C (13.2%). The adolescents with excess body fat, even with adequate BMI, presented high values of total cholesterol, LDL-c, triglycerides and diastolic blood pressure. Conclusion: The unfavorable lipid profile is more related to the percentage of total body fat than to the nutritional status classification according to BMI. Therefore, intensification of health promotion actions is essential in order to reduce the high rates of cardiovascular disease in the future.


Subject(s)
Humans , Male , Female , Quality of Life , Triglycerides , Blood Pressure , Body Composition , Cardiovascular Diseases , Body Mass Index , Adipose Tissue , Cholesterol , Health , Nutritional Status , Chronic Disease , Analysis of Variance , Adolescent , Overweight , Body Fat Distribution , Fats , Arterial Pressure , Noncommunicable Diseases , Health Promotion , Cholesterol, HDL , Cholesterol, LDL
18.
Annals of Coloproctology ; : 144-151, 2019.
Article in English | WPRIM | ID: wpr-762306

ABSTRACT

PURPOSE: The most common risk factor for fecal incontinence (FI) is obstetric injury. FI affects 1.4%–18% of adults. Most patients are unaware when they are young, when symptoms appear suddenly and worsen with aging. Autologous fat graft is widely used in cosmetic surgical field and may substitute for injectable bulky agents in treating FI. Authors have done fat graft for past several years. This article reports the effectiveness of the fat graft in treating FI and discusses satisfaction with the procedure. METHODS: Fat was harvested from both lateral thighs using 10-mL Luer-loc syringe. Pure fat was extracted from harvests and mixed with fat, oil, and tumescent through refinement. Fats were injected into upper border of posterior ano-rectal ring, submucosa of anal canal and intersphincteric space. Thirty-five patients with FI were treated with this method from July 2016 to February 2017 in Busan Hangun Hospital. They were 13 male (mean age, 60.8 years) and 22 female patients (mean age, 63.3 years). The Wexner score was checked before procedure. We evaluated outcome in outpatients by asking the patients. For 19 patients we checked the Wexner score after procedure. RESULTS: Symptom improved in 29 (82.9%), and not improved in 6 (17.1%). In 2 of 6 patients, they felt better than before procedure, although not satisfied. No improvement in 4. Mean Wexner score was 9.7 before procedure. There were no serious complications such as inflammation or fat embolism. CONCLUSION: Autologous fat graft can be an effective alternative treatment for FI. It is safe and easy to perform, and cost effective.


Subject(s)
Adult , Aging , Anal Canal , Embolism, Fat , Fats , Fecal Incontinence , Female , Humans , Inflammation , Male , Methods , Outpatients , Risk Factors , Syringes , Thigh , Transplants
19.
Article in Korean | WPRIM | ID: wpr-740549

ABSTRACT

PURPOSE: This study examined the food and nutrient intake of Korean elderly according to the anxiety and depressive condition using the data from the Korea National Health and Nutrition Survey (KNHANES) from 2013 to 2015. METHODS: The participants were 3,504 elderly people over 65 years of age (1,523 in men and, 1,981 in women). The dietary information was analyzed using the 24-hour recall data. The anxiety and depressive state was assessed using the self-reported scale EQ-5D in the quality of life dimension. The subjects were divided into the anxiety · depression group (AD) and non-anxiety · depression group (NAD) according to their anxiety and depressive conditions. RESULTS: In the male elderly, the AD group had a significantly lower education and economic level and higher proportion in living alone than the NAD group. The percentage of eating lunch and dinner alone in the male AD group was higher than that of the NAD group. The female AD group showed less a lower frequency of dinner than the NAD group. The male AD group had a lower consumption of total foods, fish and shellfishes, seaweeds, mushrooms, oils and fats, and seasonings than the NAD group. With regard to the nutrient intake, the male elderly NAD group had more sufficient nutrient intakes than the AD group. In particular, the daily intakes of dietary fiber, riboflavin, niacin, potassium and iron were significantly lower in the AD group. To compare with the nutrient density of the two groups, the vitamin C and niacin intakes were lower in the AD group than in the NAD group. Overall, the nutritional status of the male AD group was significantly lower than that of the NAD group. Meanwhile, the female elderly had showed a smaller difference in nutrient intake according to their anxiety and depressive condition. CONCLUSION: These results of this study show that more nutritional education and emotional support are needed to improve the nutritional status and health of the male elderly with anxiety or depression.


Subject(s)
Agaricales , Aged , Anxiety , Ascorbic Acid , Depression , Dietary Fiber , Eating , Education , Fats , Female , Humans , Iron , Korea , Lunch , Male , Meals , NAD , Niacin , Nutrition Surveys , Nutritional Status , Oils , Potassium , Quality of Life , Riboflavin , Seasons , Shellfish
20.
Rev. bras. cir. plást ; 33(4): 446-452, out.-dez. 2018. ilus, tab
Article in English, Portuguese | LILACS | ID: biblio-979940

ABSTRACT

Introdução: O tecido gorduroso bucal foi descrito pela primeira vez em 1732, por Heister. Em 1802, Bichat diagnosticou sua natureza adiposa. Há uma estreita relação entre a gordura bucal e músculos da mastigação, auxiliando os lactentes na sucção do leite por atuar com um tecido de deslizamento. Sua projeção diminui com o aumento da idade, tanto pela redução discreta de seu volume quanto pelo crescimento facial. A bichectomia ou bichatectomia é o procedimento cirúrgico que visa remover a "bola gordurosa de Bichat", com fins estéticos e/ ou funcionais. O objetivo é demonstrar que a bichectomia é um procedimento de baixo risco cirúrgico e com bons resultados, desde que seja bem indicada e siga os padrões técnicos, respeitando a anatomia das estruturas faciais. Métodos: Estudo prospectivo de coorte, realizado entre janeiro de 2016 e abril de 2018, totalizando 59 pacientes, com média de idade de 31 anos. O tempo de seguimento foi de 12 a 26 meses. Resultados: Foram avaliados 59 pacientes, com média de idade de 31 anos, sendo 46 do sexo feminino e 13 do sexo masculino. Todos os pacientes receberam alta no mesmo dia. Em média, foram retirados 3,2ml de volume da gordura de Bichat. Conclusão: A retirada de porções das gorduras de Bichat é segura, desde que sejam observados os detalhes anatômicos. Pode oferecer maior harmonia entre os três terços da face. O sucesso dos resultados depende de uma indicação precisa para o procedimento.


Introduction: Buccal fat removal was described for the first time by Heister in 1732. In 1802, Bichat identified the adipose nature of this tissue. There is a close association between buccal fat and masticatory muscles, which helps infants suck owing to the sliding motion of the tissues. Its prominence diminishes with age, both through modest reduction in volume and facial growth. Bichectomy or bichatectomy is a surgical procedure that involves extraction of Bichat's fat pad for aesthetic and/or functional purposes. This study aimed to show that bichectomy is a low-risk surgical procedure with good results, provided it is appropriately indicated and is performed following technical standards according to the anatomy of the facial structures. Methods: This prospective cohort study was conducted between January 2016 and April 2018 and included 59 patients with a mean age of 31 years. The follow-up time was 12-26 months. Results: Of 59 patients, 46 were female, and 13 were male. All patients underwent same-day surgery. On average, 3.2 mL of fat was removed. Conclusion: Removal of Bichat's fat according to anatomical principles is safe. This technique can improve facial harmony. Success depends on application of appropriate techniques.


Subject(s)
Humans , Male , Female , Adult , Adipose Tissue/anatomy & histology , Adipose Tissue/surgery , Oral Surgical Procedures/methods , Reconstructive Surgical Procedures/methods , Facial Asymmetry/surgery , Mouth/anatomy & histology , Mouth/surgery , Fats
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