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1.
Ludovica pediátr ; 26(2): 28-38, dic.2023.
Article in Spanish | LILACS | ID: biblio-1531133

ABSTRACT

La malnutrición en los pacientes hospitalizados representa un importante problema sanitario asociado a una mayor tasa de complicaciones con un incremento de la morbimortalidad


Malnutrition in hospitalized patients represents a significant health problem associated with an increased rate of complications and higher morbidity and mortality


Subject(s)
Child, Hospitalized , Enteral Nutrition , Malnutrition , Child , Nutritional Status , Protein-Energy Malnutrition
2.
Int. j. morphol ; 41(5): 1411-1420, oct. 2023. ilus, tab
Article in English | LILACS | ID: biblio-1521016

ABSTRACT

SUMMARY: This study aims to assess the nutritional status of Aymara and non-Aymara children in Arica, comparing anthropometric measurements of boys and girls aged 4-10 to inform interventions for child health and development. We conducted a non-experimental, quantitative, cross-sectional study in Arica, Chile. The sample included 458 children, with equal representation of Aymara and non-Aymara children from diverse socioeconomic backgrounds. Trained research assistants collected anthropometric data using standardized techniques. IBM SPSS statistical software was used for data analysis, including Student's t-test and the Levene test. Both Aymara and non-Aymara children showed high prevalence of overweight and obesity. Boys had a meso-endomorph somatotype, while girls had an endomorph somatotype. Among 8-year-olds, non-Aymara children had a slightly higher mean body weight (35.87, SD 4.50) compared to Aymara children (32.27, SD 4.31), but the difference was not statistically significant (p>0.05). However, 10-year-old Aymara girls had a significantly higher mean body mass index (22.34, SD 4.21) than non-Aymara girls (20.10, SD 3.58) (p=0.05). Regarding body fat percentage, 10-year- old non-Aymara girls had a slightly higher mean (31.01, SD 5.64) than Aymara girls (26.12, SD 5.63), but the difference was not statistically significant (p>0.05). The study found high levels of overweight and obesity in children from northern Chile, increasing with age for both Aymara and non-Aymara groups. The somatotype patterns were consistent across both groups. Although the differences between Aymara and non-Aymara children were not statistically significant, the Aymara group showed slightly higher levels of overweight and obesity. Further research with a larger sample size is needed to confirm these results and identify potential trends. Efforts should focus on promoting healthy nutrition and physical activity to address the growing problem of overweight and obesity in this region.


Este estudio tiene como objetivo evaluar el estado nutricional de los niños Aymaras y no Aymaras en Arica, comparando las medidas antropométricas de niños y niñas de 4 a 10 años para informar las intervenciones para la salud y el desarrollo infantil. Realizamos un estudio no experimental, cuantitativo, de corte transversal en Arica, Chile. La muestra incluyó a 458 niños, con igual representación de niños Aymaras y no Aymaras de diversos estratos socioeconómicos. Asistentes de investigación capacitados recolectaron datos antropométricos utilizando técnicas estandarizadas. Se utilizó el software estadístico IBM SPSS para el análisis de datos, incluyendo la prueba t de Student y la prueba de Levene. Tanto los niños Aymaras como los no Aymaras presentaron una alta prevalencia de sobrepeso y obesidad. Los niños tenían un somatotipo meso-endomorfo, mientras que las niñas tenían un somatotipo endomorfo. Entre los niños de 8 años, los niños no Aymaras tenían un peso corporal medio ligeramente superior (35,87, DE 4,50) en comparación con los niños Aymaras (32,27, DE 4,31), pero la diferencia no fue estadísticamente significativa (p>0,05). Sin embargo, las niñas Aymaras de 10 años tenían un índice de masa corporal medio significativamente mayor (22,34, SD 4,21) que las niñas no Aymaras (20,10, SD 3,58) (p=0,05). En cuanto al porcentaje de grasa corporal, las niñas no Aymaras de 10 años tuvieron una media ligeramente superior (31,01, DE 5,64) que las niñas Aymaras (26,12, DE 5,63), pero la diferencia no fue estadísticamente significativa (p>0,05). El estudio encontró altos niveles de sobrepeso y obesidad en niños del norte de Chile, aumentando con la edad tanto para los grupos Aymaras como para los no Aymaras. Los patrones de somatotipo fueron consistentes en ambos grupos. Aunque las diferencias entre los niños Aymaras y no Aymaras no fueron estadísticamente significativas, el grupo Aymara mostró niveles ligeramente más altos de sobrepeso y obesidad. Se necesita más investigación con un tamaño de muestra más grande para confirmar estos resultados e identificar tendencias potenciales. Los esfuerzos deben centrarse en promover una nutrición saludable y la actividad física para abordar el creciente problema del sobrepeso y la obesidad en esta región.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Body Composition , Indians, South American , Anthropometry , Somatotypes , Body Height , Body Weight , Body Mass Index , Chile , Adipose Tissue , Nutritional Status , Cross-Sectional Studies , Overweight , Obesity
3.
Arch. argent. pediatr ; 121(5): e202202861, oct. 2023. tab, graf
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1452095

ABSTRACT

Introducción. A nivel mundial los niños, niñas y adolescentes lideran el consumo de productos ultraprocesados. El objetivo de este trabajo fue caracterizar la ingesta de energía según el grado de procesamiento de los alimentos por grupo etario, en la población urbana mayor de 2 años de la Argentina. Población y métodos. Estudio transversal, con datos de la 2da Encuesta Nacional de Nutrición y Salud 2018-19, en una muestra probabilística polietápica de localidades urbanas de Argentina. A partir de la información recopilada con el recordatorio de 24 horas, se analizó la ingesta diaria de energía, para cada grupo etario, de 1) alimentos sin procesar o mínimamente procesados; 2) ingredientes culinarios procesados; 3) alimentos procesados, y 4) productos ultraprocesados. Se realizó análisis estadístico descriptivo. Resultados. En 15 444 individuos mayores de 2 años, los alimentos mínimamente procesados representaron el 34,5 % de la energía diaria; los productos ultraprocesados, el 26,0 %; los alimentos procesados, el 23,0 %, y los ingredientes culinarios, el 16,6 %. El porcentaje de energía aportada por ultraprocesados es mayor en niños, niñas y adolescentes que en los adultos (p <0,01), mientras que para alimentos procesados e ingredientes culinarios la tendencia es opuesta (p <0,01). Las galletitas, los amasados de pastelería, las bebidas azucaradas y las golosinas representaron dos tercios de la energía aportada por ultraprocesados. Conclusión. Los niños, niñas y adolescentes de entornos urbanos de la Argentina presentan la mayor ingesta de energía a partir de productos ultraprocesados. Las políticas alimentarias deben contemplar la situación de cada grupo etario para promover una alimentación más saludable.


Introduction. Worldwide, children and adolescents lead the consumption of ultra-processed foods. The objective of this study was to describe the energy intake by the degree of food processing by age group in the urban population over 2 years of age in Argentina. Population and methods. Cross-sectional study based on data from the 2nd National Survey on Nutrition and Health of 2018­2019 conducted using a multistage probability sample from urban areas of Argentina. Data were collected from a 24-hour recall and were analized, for each age group, the daily energy intake from 1) unprocessed or minimally processed foods; 2) processed culinary ingredients; 3) processed foods; and 4) ultra-processed foods. A descriptive, statistical analysis was performed. Results. In 15 444 individuals older than 2 years, minimally processed foods accounted for 34.5% of daily energy; ultra-processed foods, 26.0%; processed foods, 23.0%; and culinary ingredients, 16.6%. The percentage of energy from ultra-processed foods is higher in children and adolescents than in adults (p < 0.01), while the trend is the opposite from processed foods and culinary ingredients (p < 0.01). Cookies, pastries, sweetened beverage and confectionery accounted for two-thirds of the energy contributed by ultra-processed foods. Conclusion. Children and adolescents in urban areas in Argentina showed the highest energy intake from ultra-processed. Food policies should consider the characteristics of each age group to promote a healthier diet.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Energy Intake , Diet , Nutritional Status , Cross-Sectional Studies , Food Handling
4.
Arch. latinoam. nutr ; 73(3): 180-190, sept 2023. tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1516062

ABSTRACT

Introducción. En Chile la prevalencia de obesidad total en población escolar alcanza al 31% y la obesidad severa al 10,8%. La Región de Magallanes y Antártica Chilena, es una de las más afectadas por esta epidemia. El diagnóstico nutricional confiable y una intervención oportuna pueden evitar que los niños enfermen y deterioren su calidad de vida. Objetivo: Analizar la tendencia del estado nutricional de escolares de la Región de Magallanes, según datos reportados por la Junta Nacional de Auxilio Escolar y Becas, JUNAEB, entre 2009-2019 y comparar resultados del año 2010 con un estudio propio. Materiales y métodos. Se analizó el estado nutricional de 71.334 escolares de la Región de Magallanes y Antártica Chilena por nivel educacional y variables demográficas, según información de JUNAEB. Luego se compararon los resultados de escolares de 1º básico del año 2010, obtenidos a través de dos metodologías: fuente secundaria, Encuesta JUNAEB, y fuente primaria, estudio antropométrico realizado en la misma región y año. Resultados. Según datos de JUNAEB el exceso ponderal se incrementó en escolares de la región en 4,4 % entre 2009 y 2019, el grupo más afectado fue 1º básico. En el año 2010 la prevalencia de obesidad para escolares de 1º básico según JUNAEB fue 21,8% y según estudio regional propio fue 25,7%. Conclusiones. La malnutrición por exceso afecta al 53,8% de los escolares de la Región de Magallanes y podría ser mayor, considerando que la información censal podría estar subestimando el sobrepeso y obesidad. Es urgente intervenir para evitar perpetuar esta epidemia(AU)


Introduction. In Chile the prevalence of total obesity in school population reaches 31% and severe obesity 10.8%. The Magallanes and Chilean Antarctica Region is one of the most affected by this epidemic. Reliable nutritional diagnosis and timely intervention can prevent children from getting sick and deteriorating their quality of life. Objective. To analyze the trend of nutritional status of schoolchildren in the Magallanes Region, according to data reported by the National Board of School Aid and Scholarships, JUNAEB between 2009-2019 and compare results from 2010 with our own study. Materials and methods. The nutritional status of 71,334 schoolchildren in the Magallanes Region and Chilean Antarctica was analyzed by educational level and demographic variables, according to information from JUNAEB. Then, the results of schoolchildren in 1st grade in 2010 were compared, obtained through two methods: secondary source, JUNAEB survey, and primary source, anthropometric study carried out in the same region and year. Results. According to JUNAEB data, overweight increased in school children in the region by 4.4% between 2009 and 2019, the most affected group was 1st grade. In 2010 the prevalence of obesity for 1st grade schoolchildren according to JUNAEB was 21.8% and according to our own regional study it was 25.7%. Conclusions. Excess malnutrition affects 53.8% of school children in the Magallanes Region and could be higher, considering that census information could be underestimating overweight and obesity. It is urgent to intervene to avoid perpetuating this epidemic(AU)


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Nutritional Status , Feeding Behavior , Pediatric Obesity , Malnutrition , Overweight
5.
Rev. Inst. Adolfo Lutz ; 82: 39114, maio 2023. tab, graf
Article in Portuguese | LILACS, CONASS, ColecionaSUS, SES-SP, SESSP-ACVSES, SESSP-IALPROD, SES-SP, SESSP-IALACERVO | ID: biblio-1525580

ABSTRACT

O estado nutricional gestacional adequado constitui-se como elemento essencial para a saúde materna e fetal. Este estudo teve como objetivo identificar a associação entre determinantes sociais, quesito raça/cor e estado nutricional, em gestantes do Recôncavo da Bahia, Brasil. Trata-se de um estudo ecológico, com dados extraídos do Sistema de Vigilância Alimentar e Nutricional no ano de 2020, referente ao estado nutricional de gestantes adultas e adolescentes dos 19 municípios do Recôncavo da Bahia. Foi utilizada a regressão quantílica para a análise do desfecho do estado nutricional de gestantes, variável exposição principal, raça/cor autorreferida e covariáveis Coeficiente de Gini (CG) e Índice de Desenvolvimento Humano (IDHM). Foram acompanhadas 4.061 gestantes (14,35% eram adolescentes) com predominância daquelas que se autodeclararam pretas ou pardas (62,34%). Houve prevalência de excesso de peso em 53,36% das gestantes. Identificou-se associação positiva do excesso de peso com a raça/cor preta ou parda e inversamente ao CG. Este estudo revelou que o estado nutricional de gestantes é influenciado pela raça/cor preta e/ou parda e pelo CG. Tais resultados podem contribuir para o planejamento de programas e/ou projetos que incluam ações de alimentação e nutrição e visam o acompanhamento nutricional de gestantes, principalmente dos grupos socialmente vulnerabilizados. (AU)


Adequate gestational nutritional status is an essential element for maternal and fetal health. The objective of this study was to identify the association between social determinants, race/color and nutritional status in pregnant women from Recôncavo da Bahia, Brazil. This ecological study, utilized data extracted from the 2020 Food and Nutrition Surveillance System, focusing on the nutritional status of adults and adolescents pregnant women across the 19 municipalities in the Recôncavo da Bahia. Quantile Regression was employed to analyze the nutritional status of pregnant women, considering the main exposure variable as self-reported race/color and covariates such as the Gini Coefficient and Human Development Index. In 2020, a total of 4,061 pregnant women were followed, with 14.35% being adolescents. The majority of pregnant women self-identified as black or brown (62.34%). The prevalence of overweight among pregnant women was 53.36%. The analysis revealed a positive association between overweight and black or brown race/color, while an inverse association was observed with the Gini Coefficient. These findings have implications for planning programs and projects that encompass food and nutrition interventions aimed at monitoring and improving the nutritional status of pregnant women, particularly those belonging to socially vulnerable groups. (AU)


Subject(s)
Humans , Female , Brazil , Nutritional Status , Pregnant Women , Food Insecurity , Indicators (Statistics)
6.
Arch. argent. pediatr ; 121(2): e202102528, abr. 2023. tab
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1418567

ABSTRACT

Introducción. En la Argentina, según los datos de la última Encuesta Nacional de Nutrición y Salud, 4 de cada 10 niños, niñas y adolescentes (NNyA) entre 5 y 17 años presentan exceso de peso. Objetivo. Identificar las estrategias de marketing en las páginas de Facebook® e Instagram® de las marcas de los alimentos consumidos por niñas, niños y adolescentes (NNyA), y categorizarlos según las Guías Alimentarias para la Población Argentina (GAPA). Métodos. El análisis se realizó en las publicaciones de agosto y septiembre de 2019, se identificaron aquellas dirigidas a NNyA y se categorizaron los alimentos promocionados según las GAPA. Resultados. De las 200 marcas identificadas, 111 tenían página de Facebook® y 95 de Instagram®. Las marcas que tenían página de Facebook® presentaron 65 publicaciones y las que tenían Instagram®, 64 publicaciones. Las estrategias más utilizadas fueron la imagen del producto y la interacción con los consumidores. La mitad de las páginas estaban dirigidas a NNyA. De los alimentos promocionados, 6 de cada 10 correspondieron al grupo de opcionales según las GAPA. Conclusiones. Se evidencia la importancia de monitorear la implicancia de las redes sociales en las conductas alimentarias.


Introduction. As per the National Survey on Nutrition and Health, in Argentina, 4/10 children and adolescents aged 5­17 years are overweight. Objective. To identify marketing strategies on Facebook® and Instagram® of brands of foods consumed by children and adolescents and to categorize them according to the Dietary Guidelines for the Argentine Population (GAPA). Methods. The posts made between August and September 2019 were analyzed, identifying those targeted at children and adolescents and categorizing promoted foods according to the GAPA. Results. Out of 200 brands identified, 111 had a Facebook® page and made 65 posts and 95 had an Instagram® account and made 64 posts. Product image and interaction with consumers were the more used stategies. Six out of 10 of the foods promoted corresponded to the optional group according to the GAPA. Conclusions. It is important to monitor the implications social media have on eating behaviors.


Subject(s)
Humans , Child , Adolescent , Marketing/methods , Social Media , Argentina , Nutritional Status , Cross-Sectional Studies , Food
7.
Rev. ecuat. pediatr ; 24(1): 42-50, 21 de abril 2023.
Article in Spanish | LILACS | ID: biblio-1435058

ABSTRACT

Introducción: El estado nutricional se entiende como una condición de salud que valora patologías nutricionales como anemia y malnutrición en grupos de edades consideradas vulnerables. El objetivo del presente estudio fue determinar la relación entre estado nutricional y anemia en la población shuar de 6 meses a 5 años de edad, de la Comunidad Shimpis, Cantón Logroño, Morona Santiago-Ecuador desde agosto 2018-agosto 2019. Métodos: El presente estudio transversal. Universo de 235 y muestra de 163 tomada del Epi Info. Los datos se obtuvieron de historias clínicas y Sistema de Vigilancia Alimentaria Nutricional. El estado nutricional se analizó con software WHO Anthro. La anemia se basó en valores de referencia de hemoglobina establecidos por Organización Mundial y Ministerio de Salud Pública. Los datos fueron tabulados en el programa estadístico SPSS 25. Se realizaron tablas simples de frecuencia y porcentaje, tablas de asociación considerando valor P<0.05 estadísticamente significativo. Resultados: Se incluyeron 163 niños, 46.0% hombres, 54% mujeres, el grupo etario predominante fue de 2-5 años con porcentaje de 56.4%. Frecuencia de anemia fue 38%. Niños con anemia y desnutrición crónica fueron: 42, con desnutrición aguda: 10, con desnutrición global: 3, con sobrepeso: 2, en eutróficos 5. Al relacionar ambas variables se obtuvo valor p estadísticamente significativo (P< 0.001). Conclusiones: el grupo etario es un factor predisponente en la alteración del estado nutricional en niños. También se observó que el estado nutricional alterado tiene mayor predisposición a presentar anemia.


Introduction: Nutritional status is a health condition that assesses nutritional pathologies such as anemia and malnutrition in vulnerable age groups. The objective of this study was to determine the relationship between nutritional status and anemia in the Shuar population from 6 months to 5 years of age from the Shimpis Community, Logroño Canton, Morona Santiago-Ecuador, from August 2018-August 2019. Methods: The present cross-sectional study. A total of 235 samples and 163 samples were taken from Epi Info. The data were obtained from medical records and the Nutritional Food Surveillance System, and nutritional status was analyzed using WHO Anthro software. Anemia was based on hemoglobin reference values established by the World Organization and the Ministry of Public Health. The data were tabulated in the statistical program SPSS 25. Simple tables of frequency and percentage were made, and tables of association considering P value <0.05 were statistically significant. Results: A total of 163 children were included, 46.0% men and 54% women, and the predominant age group was 2-5 years, with a percentage of 56.4%. The anemia frequency was 38%. There were 42 children with anemia and chronic malnutrition, 10 with acute malnutrition, 3 with global malnutrition, 2 with overweight, and 5 with eutrophy. When relating both variables, a statistically significant p-value was obtained (P < 0.001). Conclusions: The age group is a predisposing factor in the alteration of nutritional status in children. It was also observed that altered nutritional status has a greater predisposition to anemia.


Subject(s)
Humans , Infant , Child, Preschool , Child, Preschool , Nutritional Status , Infant , Weight by Age , Body Mass Index , Anemia
8.
ABCS health sci ; 48: e023206, 14 fev. 2023. tab
Article in English | LILACS | ID: biblio-1414619

ABSTRACT

INTRODUCTION: Nutrition Impact Symptoms (NIS) are common in hospitalized patients and can be aggravated in the presence of malnutrition. OBJECTIVE: To verify the presence of NIS and its association with sociodemographic and clinical variables, sarcopenia phenotype, and nutritional status of individuals hospitalized. METHODS: This is a cross-sectional study with hospitalized patients, of both sexes and ≥50 years old. Patient-Generated Subjective Global Assessment (PG-SGA), handgrip strength (HGS), gait speed GS), and anthropometric measurements were performed up to 48 hours after admission. NIS was obtained through PG-SGA and stratified into two groups: <3 and ≥3 symptoms. The chi-square test (χ2) was performed, and a 5% significance level was adopted. RESULTS: A total of 90 patients (65.4±9.67 years) were studied, with the majority of men (56.7%), older people (70.0%), married (68.9%), low economic class (72.2%), without work activity (70.5%), with two previous diseases (60.0%), overweight by body mass index (46.7%) and adequate adductor pollicis muscle thickness (83.3%). The most prevalent NIS were "dry mouth", "anorexia", and "smells sick" respectively 31.1%, 30.0%, and 16.7%. There was an association between NIS and SARC-F score (p=0.002), handgrip strength (p=0.016), the status of sarcopenia (p=0.020), PG-SGA (p<0.001), and economic status (p=0.020). CONCLUSION: The identification of NIS is common, and may infer negative nutritional status and functional performance of patients. The use of protocols to identify NIS during hospitalization should be considered to minimize the negative impact on nutritional status.


INTRODUÇÃO: Sintomas de impacto nutricional (SIN) são comuns em pacientes hospitalizados e estes podem ser agravados na presença da desnutrição. OBJETIVO: Verificar a presença de SIN e sua associação com as variáveis sociodemográficas, clínicas, fenótipo de sarcopenia e estado nutricional de indivíduos hospitalizados. MÉTODOS: Trata-se de estudo transversal com pacientes internados, de ambos os sexos e idade ≥ 50 anos. Realizou-se Avaliação Subjetiva Global produzida pelo Paciente (ASG-PPP), força de preensão palmar (FPP), velocidade de caminhada (VC) e medidas antropométricas até 48 horas da admissão. Os SIN foram obtidos por meio da ASG-PPP e compilados em <3 ou ≥3 sintomas. Realizou-se o teste de qui-quadrado (χ2). Adotou-se nível de significância de 5%. RESULTADOS: Um total de 90 pacientes (65,4±9,67 anos), sendo a maioria homem (56,7%), idoso (70,0%), casado (68,9%), classe econômica baixa (72,2%), sem atividade de trabalho (70,5%), com uma a duas doenças pregressas (60,0%), excesso de peso ao índice de massa corporal (46,7%) e adequada espessura do músculo adutor do polegar (83,3%). Os SIN "boca seca", "anorexia" e "cheiros enjoam" foram os mais prevalentes, respectivamente 31,1%, 30,0% e 16,7%. Houve associação dos SIN com as variáveis que compõem o fenótipo de sarcopenia: o escore SARC-F (p=0,002) e FPP (p=0,016), status de sarcopenia (p=0,020), ASG-PPP (p<0,001) e classe econômica (p=0,020). CONCLUSÃO: A identificação de SIN é comum, podendo inferir negativamente no estado nutricional e desempenho funcional dos pacientes. Considerar o uso de protocolos para identificação dos SIN durante a hospitalização a fim de minimizar a repercussão negativa no estado nutricional.


Subject(s)
Humans , Male , Middle Aged , Aged , Nutrition Assessment , Nutritional Status , Malnutrition , Sarcopenia , Sociodemographic Factors , Inpatients , Cross-Sectional Studies
9.
ABCS health sci ; 48: e023210, 14 fev. 2023. tab, ilus
Article in English | LILACS | ID: biblio-1438253

ABSTRACT

INTRODUCTION: Phase angle (PhA) is a Bioelectrical impedance analysis (BIA) parameter representing an indicator of cellular health and has been suggested as a biomarker of nutritional status. OBJECTIVE: To evaluate the association between PhA and nutritional parameters in older adults. METHODS: A cross-sectional study was conducted with community-dwelling older adults. Body mass index (BMI), arm muscle circumference (AMC), calf circumference (CC), body fat percentage (BF%), appendicular skeletal muscle mass (ASMM), serum albumin, mini-nutritional assessment (MNA), and PhA were assessed. Kolmogorov­Smirnov test, Spearman's correlation coefficient, chi-square test, and Poisson regression models were performed. RESULTS: 144 participants were included in the study, and most of them were female, aged ≥80 years, and underweight. Most older adults with lower PhA were women, aged range 80­89 years, and with reduced ASMM (p<0.05). PhA presented a significant correlation with age (r=­0.417; p<0.001), ASMM (r=0.427; p<0.001), AMC (r=0.195; p=0.019) and BF% (r=­0.223; p=0.007). Older adults with lower PhA present reduced ASMM (PR: 1.25; 95%CI: 1.04­1.50), and hypoalbuminemia (PR: 1.50; 95%CI: 1.11­2.03). CONCLUSION: PhA is related to commonly nutritional indicators used in clinical practice and could be an important biomarker of muscle mass reserves in community-living older adults of both sexes.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Biomarkers , Nutrition Assessment , Nutritional Status , Health of the Elderly , Electric Impedance , Cross-Sectional Studies
10.
Rev. cient. cienc. salud ; 5(1): 1-10, 26-01-2023.
Article in Spanish | LILACS, BDNPAR | ID: biblio-1511706

ABSTRACT

Introducción. El Trastorno del espectro autista (TEA) engloba un grupo de trastornos que afectan el desarrollo infantil. Además del desarrollo neurológico, el aspecto nutricional es uno de los más afectados. En ocasiones esta alteración pasa desapercibida debido a la percepción alterada del estado nutricional (EN) que tienen los progenitores del niño. Objetivo. Determinar la concordancia entre el estado nutricional objetivo y percibido por padres de niños con TEA que asisten a la Asociación Esperanza para el Autismo, en la ciudad de Asunción, de junio a setiembre del 2018. Materiales y métodos. Estudio observacional, descriptivo, de corte trasverso, muestreo no probabilístico por conveniencia. Participaron 29 padres de 29 niños. Se utilizó un cuestionario para determinar hábitos de alimentación. Para determinar la percepción del EN se empleó la Escala de Warschburger-Kröller (2009) y la Children's Body Image Scale (2012) Se evaluó concordancia entre lo percibido y observado mediante el Índice de Kappa. Resultados. Predominó el sexo masculino (86%), y participaron 23 madres. La media de edad de los niños fue de 4,7 años, y de los progenitores 36 años. El 56% de los niños (< 5 años) presentó un estado nutricional adecuado, mientras que el 53% de los mayores de 5 años presentó obesidad. Se observó una ligera concordancia entre la percepción de los padres y el estado nutricional objetivo. Conclusión.la educación nutricional a los padres de niños con TEA es fundamental para mejorar el estado nutricional actual, y permitir una percepción más cercana a la objetiva. Palabras Clave: percepción; niño; estado nutricional; educación especial; trastorno autístico


Introduction. Autism Spectrum Disorder (ASD) encompasses a group of disorders that affect child development. In addition to neurological development, the nutritional aspect is one of the most affected. Sometimes this alteration goes unnoticed due to the altered perception of the nutritional status that the parents of the child have. Objective.Determine the concordance between the objective nutritional status and that perceived by parents of children with ASD who attend the Esperanza para el Autismo Association, in the city of Asunción, Paraguay, from June to September 2018. Materials and methods. observational, descriptive, cross-sectional study, non-probability sampling for convenience. 29 parents of 29 children participated. A questionnaire was used to determine eating habits. To determine the perception of the nutritional status, the Warschburger-Kröller Scale (2009) and the Children's Body Image Scale (2012) were used. Concordance between what was perceived and observed was evaluated using the Kappa Index.Results.the male sex predominated (86%), and 23 mothers participated. The mean age of the children was 4.7 years, and the parents 36 years. 56% of the children (<5 years) presented an adequate nutritional status, while 53% of those older than 5 years presented obesity. A slight concordance was observed between the perception of the parents and the objective nutritional status.Conclusion.nutritional education for parents of children with ASD is essential to improve the current nutritional status, and allow a perception closer to the objective. Key words: hypertension; blood pressure; treatment adherence and compliance; epidemiology


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adult , Autistic Disorder , Nutritional Status , Perception , Child , Education, Special
11.
REME rev. min. enferm ; 27: 1517, jan.-2023. Tab., Fig.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1523734

ABSTRACT

Objetivo: sintetizar as evidências científicas sobre a ocorrência de doenças crônicas não transmissíveis (DCNT) e seus fatores de risco (FR) na população beneficiária do Programa Bolsa Família (PBF). Métodos: trata-se de uma revisão integrativa da literatura, cuja busca por publicações de 2004 a 2020 foi feita nas seguintes bases de dados: Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS) e Indice Bibliográico Español en Ciencias de la Salud (IBECS), via Biblioteca Virtual da Saúde (BVS); Medline, via Pubmed, SCOPUS (via Portal CAPES); e Scientific Electronic Library Online - SciELO. Resultados: foram selecionados 23 artigos, os quais foram agrupados em três categorias: 1) Prevalência dos fatores de risco para DCNT em mulheres beneficiárias do PBF: as mulheres beneficiárias apresentaram piores desfechos no consumo de tabaco, menor prática de atividade física, maior prevalência de diabetes, hipertensão e obesidade; 2) Estado nutricional e insegurança alimentar em crianças, adolescentes e famílias beneficiárias do PBF: os estudos apontaram para uma elevada prevalência de obesidade e coexistência de déficit estatural em crianças beneficiárias; e 3) Consumo alimentar de beneficiários do PBF: foi identificado um padrão não saudável de alimentação. Conclusão: usuários do PBF apresentam elevadas prevalências de fatores de risco para doenças crônicas não transmissíveis e pior padrão alimentar. Esses dados reforçam a importância de o PBF estar sendo direcionado às populações mais vulneráveis, visando mitigar as imensas desigualdades sociais. No entanto, é necessário avançar em outras políticas públicas de proteção social que impactem os determinantes sociais e melhorem a qualidade de vida de extensa camada da população brasileira.(AU)


occurrence and their risk factors (RF) in the Bolsa Família Program (BFP) beneficiary population. Methods: this is an integrative literature review whose search for publications from 2004 to 2020 was carried out in the following databases: Latin American and Caribbean Literature in Health Sciences (LILACS) and Indice Bibliográico Español en Ciencias de la Salud (IBECS), via the Virtual Health Library (VHL); Medline, via Pubmed, Scopus (via Portal CAPES); and Scientific Electronic Library Online - SciELO. Results: 23 articles were selected and grouped into three categories: 1) Prevalence of risk factors for NCDs in BFP beneficiary women: beneficiary women had worse outcomes in tobacco consumption, lower physical activity, higher prevalence of diabetes, hypertension, and obesity; 2) Nutritional status and food insecurity in BFP beneficiary children, adolescents and families: the studies pointed to a high prevalence of obesity and coexistence of height deficit in beneficiary children; and 3) Food consumption of BFP beneficiaries: an unhealthy eating pattern was identified. Conclusion: BFP users have a high prevalence of risk factors for chronic non-communicable diseases and worse dietary patterns. These data reinforce the importance of the BFP being directed to the most vulnerable populations, aiming to mitigate the immense social inequalities. However, it is necessary to advance other public policies of social protection that impact the social determinants and improve the life quality of a large part of the Brazilian population.(AU)


Objetivo: sintetizar evidencias científicas sobre la ocurrencia de enfermedades crónicas no transmisibles (ECNT) y sus factores de riesgo (FR) en la población beneficiaria del Programa Bolsa Familia (PBF). Método: se trata de una revisión bibliográfica integradora, cuya búsqueda de publicaciones entre 2004 y 2020 fue realizada en las bases de datos Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS) e Índice Bibliográfico Español en Ciencias de la Salud (IBECS) a través de la Biblioteca Virtual en Salud (BVS), Medline a través del Pubmed, Scopus (vía Portal CAPES) y Scientific Electronic Library Online - SciELO...(AU)


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Socioeconomic Factors , Nutrition for Vulnerable Groups , Risk Factors , Feeding Behavior , Social Determinants of Health , Noncommunicable Diseases/prevention & control , Access to Healthy Foods , Quality of Life , Nutritional Status
12.
Arq. ciências saúde UNIPAR ; 27(1): 332-358, Jan-Abr. 2023.
Article in Portuguese | LILACS | ID: biblio-1414877

ABSTRACT

Fatores de risco, incluindo os de cunho materno, interferem no crescimento e desenvolvimento infantil. Nesse sentido, o conhecimento desses fatores e avaliação ade- quada desses processos são necessários para articulação de estratégias preventivas de transtornos futuros. Assim, o estudo visou investigar o crescimento e desenvolvimento de crianças atendidas em consulta de puericultura em unidades básicas de saúde de um mu- nicípio cearense, que integra uma universidade brasileira de cunho internacional, e seus fatores de risco. Trata-se de estudo observacional, analítico, transversal e de abordagem quantitativa, conduzido com crianças e suas mães no Centro de Saúde de Acarape e Posto de Saúde São Benedito (Acarape ­ CE), no período de fevereiro a julho de 2021. Após consentimento, as mães preencheram um questionário, seguido de avaliação do cresci- mento e desenvolvimento das crianças. Os dados obtidos foram analisados. Das 70 crian- ças, 50,00% (n = 17) e 51,43% (n = 18) dos meninos e meninas tinham baixa estatura para idade, respectivamente. Para o desenvolvimento psicossocial, dos 284 testes condu- zidos, 86,27% (n = 245) foram realizados em plenitude pelas crianças. Observou-se as- sociação significativa entre a gestante ter concebido o filho com, no mínimo, 9 meses de período gestacional e esse apresentar relação Peso/Idade adequada e Estatura/Idade ina- dequada. Houve associação significativa entre a criança não ingerir refresco em pó e apre- sentar relação Peso/Idade adequada. Conclui-se que as crianças tinham idade gestacional adequada e apresentavam estado nutricional apropriado, apesar da baixa estatura para idade. Manifestavam desenvolvimento psicossocial, de linguagem e físico normais. Sobre os fatores de risco, esses envolveram os de cunho materno e o consumo de alimentos cariogênicos.


Risk factors, including maternal ones, interfere with child growth and de- velopment. In this sense, knowledge of these factors and adequate evaluation of these processes are necessary to articulate preventive strategies for future disorders. Thus, the study aimed to investigate the growth and development of children seen in childcare con- sultations in primary health units in Ceará, part of a Brazilian university of international character, and their risk factors. This is an observational, analytical, cross-sectional study with a quantitative approach, conducted with children and their mothers at the Acarape Health Center and São Benedito Health Center (Acarape ­ CE), from February to July 2021. After consent, the mothers completed a questionnaire, followed by an assessment of the children's growth and development. The data obtained were analyzed. Of the 70 children, 50.00% (n = 17) and 51.43% (n = 18) of the boys and girls were short for their age, respectively. Of the 284 tests conducted for psychosocial development, 86.27% (n = 245) were entirely performed by the children. A significant association was observed between the pregnant woman having conceived her child at least nine months of gestation and having an adequate Weight/Age and Height/Age ratio. There was a significant asso- ciation between the child not ingesting powdered soft drinks and having an appropriate Weight/Age ratio. It was concluded that the children had an adequate gestational age and had an appropriate nutritional status, despite their low height for their age. They showed normal psychosocial, language, and physical development. The risk factors involved those of mother nature and the consumption of cariogenic foods.


Los factores de riesgo, incluidos los maternos, interfieren en el crecimiento y desarrollo infantil. En este sentido, el conocimiento de estos factores y la evaluación adecuada de estos procesos son necesarios para articular estrategias preventivas de futu- ros trastornos. Así, el estudio tuvo como objetivo investigar el crecimiento y desarrollo de niños atendidos en consultas de puericultura en unidades básicas de salud de un muni- cipio de Ceará, que forma parte de una universidad brasileña de carácter internacional, y sus factores de riesgo. Se trata de un estudio observacional, analítico, transversal, con enfoque cuantitativo, realizado con niños y sus madres en el Centro de Salud de Acarape y el Centro de Salud São Benedito (Acarape ­ CE), de febrero a julio de 2021. Después del consentimiento, las madres completaron un cuestionario, seguido de una evaluación del crecimiento y desarrollo de los niños. Los datos obtenidos fueron analizados. De los 70 niños, el 50,00% (n = 17) y el 51,43% (n = 18) de los niños y niñas eran bajos para su edad, respectivamente. Para el desarrollo psicosocial, de las 284 pruebas realizadas, el 86,27% (n = 245) fueron realizadas íntegramente por los niños. Se observó una asociación significativa entre la gestante haber concebido a su hijo con al menos 9 meses de gesta- ción y tener una adecuada relación Peso/Edad y Talla/Edad. Hubo asociación significativa entre el niño que no ingiere gaseosas en polvo y presentar una adecuada relación Peso/Edad. Se concluyó que los niños tenían una edad gestacional adecuada y un estado nutricional adecuado, a pesar de su baja talla para su edad. Presentaron un desarrollo psi- cosocial, lingüístico y físico normal. En cuanto a los factores de riesgo, estos involucraron los de naturaleza materna y el consumo de alimentos cariogénicos.


Subject(s)
Humans , Male , Female , Child , Universities , Child Development/physiology , Risk Factors , Cariogenic Agents , Child , Nutritional Status/physiology , Cross-Sectional Studies/methods , Gestational Age , Maternal-Fetal Relations/physiology , Growth and Development/physiology , Eating/physiology
13.
Estud. interdiscip. envelhec ; v. 27(n. 1 (2022)): 181-198, jan.2023. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1426844

ABSTRACT

O Estado Nutricional (EN) exerce grande influência na morbimortalidade de idosos institucionalizados, e a sua avaliação permite definir uma intervenção nutricional individualizada. Esse estudo objetivou avaliar o estado nutricional e o consumo alimentar de idosos residentes de uma instituição de longa permanência. Trata-se de um estudo transversal, realizado com 37 idosos institucionalizados residentes, no ano de 2019. O EN foi avaliado pelo questionário da Mini Avaliação Nutricional (MAN). O consumo alimentar foi obtido através da pesagem total dos alimentos, verificando sua adequação de acordo com as recomendações para idade. As diferenças entre variáveis foram testadas por meio do teste t de Student e o teste de Mann-Whitney. As associações entre variáveis foram investigadas com auxílio dos coeficientes de correlação de Pearson e Spearman. As prevalências de desnutrição e risco de desnutrição nos idosos foram de 21,6% e 73%, respectivamente. O Índice de Massa Corporal (IMC) demonstrou predominância de baixo peso nos homens (38,9%) e sobrepeso nas mulheres (47,4%). Foi encontrado consumo excessivo de carboidratos e proteínas na população, sendo que, a ingestão de energia, proteínas e lipídios foi superior entre o grupo masculino. A circunferência do braço (p= 0,007), necessidade energética estimada (p= 0,049) e IMC (p <0,001) foram associados positivamente com a MAN. Os resultados demonstraram que, esses idosos são caracterizados por alto risco nutricional associado a alterações na composição corporal, e inadequações nutricionais. Sugerindo que, independente do consumo alimentar estar adequado em quantidade, não foi suficiente para prevenir o quadro de desnutrição nos idosos institucionalizados.(AU)


The Nutritional Status (NS) has a great influence on the morbidity and mortality of institutionalized elderly, and its evaluation allows to define of an individualized nutritional intervention. This study aimed to assess the nutritional status and food consumption of elderly residents of a long-term institution. This is a cross-sectional study carried out with 37 institutionalized elderly residents in 2019. The NS was assessed by the Mini Nutritional Assessment (MNA) questionnaire. Dietary intake was obtained through total weighing of the food, checking its adequacy according to the recommendations for age. Differences between variables were tested using the Student's t-test and the Mann-Whitney test. Associations between variables were investigated with the aid of Pearson and Spearman correlation coefficients. The prevalence of malnutrition and risk of malnutrition in the elderly was 21.6% and 73%, respectively. The Body Mass Index (BMI) showed a predominance of low weight in men (38.9%) and overweight in women (47.4%). Excessive consumption of carbohydrates and proteins was found in the population, and the intake of energy, proteins, and lipids was higher among the male group. Arm circumference (p = 0.007), estimated energy requirement (p = 0.049) and BMI (p <0.001) were positively associated with MAN. The results demonstrate that these elderly people are characterized by the high nutritional risk associated with changes in body composition, and nutritional inadequacies. Suggesting that, regardless of whether food intake was adequate in quantity, it was not enough to prevent malnutrition in institutionalized elderly.(AU)


Subject(s)
Aged , Nutrition Assessment , Nutritional Status , Eating , Health of Institutionalized Elderly
14.
REVISA (Online) ; 12(3): 538-546, 2023.
Article in Portuguese | LILACS | ID: biblio-1509668

ABSTRACT

Objetivo: analisar a relação entre a ansiedade e a alimentação em estudantes de diversas áreas da graduação de uma Universidade do Sul Catarinense. Método: A pesquisa aconteceu durante o primeiro semestre de 2023. Para a obtenção de dados foi elaborado um questionário pelas pesquisadoras responsáveis via Google Forms ®. Foram realizadas perguntas sobre as condições socioeconômicas dos estudantes, estado de ansiedade, hábitos alimentares, dados como peso e altura e informações sobre o comportamento alimentar. Resultados: Observou-se uma amostra de 85 universitários das três áreas da graduação pesquisadas. Foi aplicado um questionário para verificar o estado nutricional dos estudantes, questões relacionadas com ansiedade, bem como alimentação, comportamento alimentar e comer compulsivamente. Identificou-se que 58,82% (n=50) do IMC dos universitários foi adequado/eutrófico, 78,82% (n=67) se sentiam ansiosos no dia a dia e 82,35% (n=70) relatam que a ansiedade tem relação com o comer compulsivo. Conclusão: Conclui-se que a ansiedade e o comer compulsivo são prejudiciais tanto para a saúde do estudante quanto para seu desempenho em seus estudos, bem como sua saúde física e mental.


Objective: to analyze the relationship between anxiety and eating in students from different areas of graduation at a University in Southern Santa Catarina. Method: The research took place during the first semester of 2023. To obtain data, a questionnaire was prepared by the responsible researchers via Google Forms ®. Questions were asked about the students' socioeconomic conditions, state of anxiety, eating habits, data such as weight and height, and information about eating behavior. Results: A sample of 85 university students from the three undergraduate areas surveyed was observed. A questionnaire was applied to verify the nutritional status of students, issues related to anxiety, as well as food, eating behavior and compulsive eating. It was identified that 58.82% (n=50) of the BMI of university students was adequate/eutrophic, 78.82% (n=67) felt anxious in their daily lives and 82.35% (n=70) reported that anxiety is related to compulsive eating. Conclusion: It is concluded that anxiety and compulsive eating are harmful both for the student's health and for their performance in their studies, as well as their physical and mental health.


Objetivo: analizar la relación entre la ansiedad y la alimentación en estudiantes de diferentes áreas de graduación de una Universidad del Sur de Santa Catarina. Método: La investigación se desarrolló durante el primer semestre de 2023. Para la obtención de datos se elaboró un cuestionario por parte de los investigadores responsables a través de Google Forms®. Se realizaron preguntas sobre las condiciones socioeconómicas de los estudiantes, estado de ansiedad, hábitos alimentarios, datos como peso y talla e información sobre la conducta alimentaria. Resultados: Se observó una muestra de 85 estudiantes universitarios de las tres carreras encuestadas. Se aplicó un cuestionario para verificar el estado nutricional de los estudiantes, temas relacionados con la ansiedad, así como la alimentación, conducta alimentaria y alimentación compulsiva. Se identificó que el 58,82% (n=50) del IMC de universitarios fue adecuado/eutrófico, el 78,82% (n=67) se sintió ansioso en su cotidiano y el 82,35% (n=70) refirió que la ansiedad está relacionada con la alimentación compulsiva. Conclusión: Se concluye que la ansiedad y la alimentación compulsiva son perjudiciales tanto para la salud del estudiante como para su desempeño en sus estudios, así como su salud física y mental


Subject(s)
Nutritional Status , Students , Universities , Eating , Feeding Behavior
15.
Horiz. enferm ; 34(1): 90-104, 2023. tab
Article in Spanish | LILACS | ID: biblio-1427989

ABSTRACT

OBJETIVO: Algunas investigaciones realizadas en comunidades universitarias alrededor del mundo, muestran como durante esta etapa se presentan cambios significativos frente a los estilos y dinámicas de vida los estudiantes. En este estudio se identificaron indicadores antropométricos y patrones alimentarios que caracterizan a los estudiantes universitarios de la Facultad de Ciencias de la Nutrición y los Alimentos de la Universidad CES (Colombia) en el período 2018 y 2019. MATERIALES Y MÉTODOS: Estudio retrospectivo, observacional y descriptivo, con datos provenientes de fuentes de información secundarias donde reposaba la información de los indicadores antropométricos y patrones alimentarios de los estudiantes durante el periodo en mención, las cuales fueron revisadas el primer semestre del año 2022. RESULTADOS: Tomando en cuenta el indicador de índice de masas corporal (IMC) de los evaluados, el 2,7% presento obesidad, el 18,3% sobrepeso, el 72,3 % adecuación, el 6,2 % bajo peso y un 0,4% bajo peso severo. Se encontró que los alimentos de mayor consumo diario fueron cereales refinados, raíces, plátanos y tubérculos, verduras, lácteos reducidos en grasa, carnes magras, huevos, grasas de origen vegetal y azúcares. Respecto a los alimentos con mayor consumo ocasional o sin consumo, se encuentran los cereales integrales, lácteos enteros, carnes altas en grasas, grasa de origen animal y claras de huevo. CONCLUSIONES: resultados develan que la mayor parte de los investigados reflejo un IMC normal y un menor porcentaje evidencian problemas asociados con la malnutrición, un 6,6 % presentó déficit de peso, mientras que un 21,0% presento exceso de peso, a la par se observan patrones alimentarios protectores como un elevado porcentaje de consumo diario de frutas, verduras, carnes magras, grasas de origen vegetal y consumo ocasional o no consumo de lácteos enteros, carnes altas en grasa y grasa de origen animal.


OBJECTIVE: Some investigations carried out in university communities around the world show how during this stage significant changes are presented regarding the styles and dynamics of life of the students. In this study, anthropometric indicators and eating patterns that characterize university students of the Faculty of Nutrition and Food Sciences of the CES University in the period 2018 and 2019 were identified. MATERIALS AND METHODS: Retrospective, observational and descriptive study, with data from secondary information sources where the information on the anthropometric indicators and eating patterns of the students rested during the period in question, which were reviewed the first semester of 2022. RESULTS: Taking into account the mass index indicator (BMI) of those evaluated, 2,7% present obesity, 18,3% overweight, 72,3% adequacy, 6,2% underweight and 0,4% severe underweight. It was found that the foods with the highest daily consumption were refined cereals, roots, bananas and tubers, vegetables, reduced-fat dairy products, lean meats, eggs, fats of vegetable origin, and sugars. Regarding foods with greater occasional consumption or without consumption, there are whole grains, whole milk products, high-fat meats, fat of animal origin and egg whites. CONCLUSIONS: the results reveal that the majority of those investigated reflect a normal BMI and a lower percentage show problems associated with malnutrition, 6.6% presented weight deficit, while 21,0% presented excess weight, at the same time they are observed protective food patterns such as a high percentage of daily consumption of fruits, vegetables, lean meats, fats of vegetable origin and occasional consumption or non-consumption of full-fat dairy products, meats high in fat and fat of animal origin.


Subject(s)
Humans , Male , Female , Young Adult , Anthropometry , Nutritional Status
16.
Demetra (Rio J.) ; 18: 65621, 2023. ^eilus
Article in English, Portuguese | LILACS | ID: biblio-1435664

ABSTRACT

Introdução: O transtorno do espectro autista (TEA) é um grupo de desordens neurocomportamentais de grande complexidade. Ao longo dos anos, um número crescente de pessoas vem apresentando o diagnóstico. No Brasil, ainda há poucos estudos sobre o perfil nutricional desse grupo populacional. Objetivo: Traçar o perfil socioeconômico, demográfico, antropométrico e consumo alimentar de crianças com TEA de um movimento social de Macaé, Rio de Janeiro. Métodos: Realizou-se um estudo do tipo exploratório, descritivo, quantitativo, de base primária, no período entre março e junho de 2020, com 92 crianças entre 2 e 9 anos e suas respectivas mães vinculadas ao movimento social de Macaé. Utilizaram-se dois questionários, o primeiro semiestruturado contendo variáveis socioeconômicas, demográficas, clínicas e antropométricas; e o segundo estruturado sobre consumo alimentar. As variáveis contínuas foram descritas por média, desvio-padrão, e as variáveis categóricas como proporção (%). Para verificar a significância das diferenças encontradas nas respostas por grupos e categorias, foi utilizado o teste estatístico qui-quadrado. Utilizou-se o pvalor <0,05 para significância estatística. Resultados: A maioria das crianças era do sexo masculino (81,5%) e não estava alfabetizada (75,0%). Detectaram-se 53,5% crianças com excesso de peso para a idade, segundo IMC por idade, e 91,1% com estatura adequada, segundo estatura por idade. Das 59 crianças avaliadas quanto ao consumo alimentar, 78,0% consumiram feijão no dia anterior; 57,6% frutas frescas e 54,2% vegetais e/ou legumes; 59,3% bebidas adoçadas e 37,3% doces. Conclusão: O excesso de peso e o consumo de marcadores de alimentos não saudáveis foram elevados no grupo avaliado.


Introduction: Autism spectrum disorder (ADS) is a group of highly complex disorders. Over the years, there has been a growing number of ADS-diagnosed persons. In Brazil, there are few studies on the nutritional profile of this population. Objective: To describe the socioeconomic, demographic, anthropometric characteristics and food consumption of children with ADS from a social movement in Macaé, Rio de Janeiro. Methods: An exploratory, descriptive, quantitative, primary research was carried out between March and June 2020, with 92 children aged 2 to 9 years and their respective mothers, members of the social movement in Macaé. Two questionnaires were used: the first was semi-structured containing socioeconomic, demographic clinical and anthropometric variables; the second, a structured questionnaire about foods consumption. The continuous variables were described as means, standard deviation, and the categorical variables as proportion (%). To determine the significance of the differences found in the responses by groups and categories, the chi-square test was used. P-value <0.05 was used for statistical significance. Results: Most children were male (81.5%) and illiterate (75.0%). It was found that 53.5% of the children were overweight, according to the BMI for age, and 91.1% had adequate height for age. Out of 59 children assessed for foods intake, 78.0% ate beans the day before the interview; 57.6% ate fresh fruits, and 54.2% vegetables; 59.3% consumed sweetened drinks and 37.3%, sweets. Conclusion: Overweight and markers of unhealthy eating habits were high for he assessed group.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Autistic Disorder , Socioeconomic Factors , Anthropometry , Demography , Nutritional Status , Eating , Brazil , Overweight , Diet, Healthy
17.
Demetra (Rio J.) ; 18: 66420, 2023. ^etab, ^eilus
Article in English, Portuguese | LILACS | ID: biblio-1437582

ABSTRACT

Introdução: Pacientes com câncer avançado apresentam sintomas e distúrbios metabólicos que podem impossibilitar a alimentação oral adequada e levar à perda de peso, com implicações na capacidade funcional e na qualidade de vida, sendo indicadas sondas/ostomias para alimentação. Objetivos: Compreender os sentidos e significados da alimentação por sondas/ostomias para pacientes com câncer avançado em cuidados paliativos exclusivos e cuidadores. Métodos: Trata-se de uma pesquisa qualitativa, exploratório-descritiva, realizada em hospital do Rio de Janeiro, através de entrevistas semiestruturadas com 12 pacientes e 12 cuidadores, no ano de 2021. Após transcrições, utilizou-se a análise de conteúdo de Laurence Bardin. Como referenciais teóricos, as ideias de Elizabeth Kübler-Ross e perspectivas da Psicologia Social. Resultados: Três dimensões temáticas foram identificadas sobre indicação, vivências e sentidos e significados da alimentação por sonda/ostomias, com respectivas categorias. A maioria dos pacientes e cuidadores abordou a evolução da doença e a participação na decisão da via alimentar alternativa. Como sentidos da alimentação: qualidade de vida, conforto, vida e esperança. Conclusões: Dessa forma, a nutrição artificial é ressignificada como a nova alimentação possível, apresentando também aspectos simbólicos, além da função biológica.


Introduction: Patients with advanced cancer show symptoms and metabolic disorders that can make appropriate oral feeding impossible causing weight loss, with implications regarding functional capacity and quality of life; feeding tubes/ostomies are indicated in such cases. Objectives: To understand the senses and meanings of tube feeding/ostomies for patients with advanced cancer in exclusive palliative care and for caregivers. Methods: This is a qualitative, exploratory-descriptive investigation, carried out in a hospital in Rio de Janeiro, through semi-structured interviews with 12 patients and 12 caregivers, in the year 2021. After transcriptions, Laurence Bardin's content analysis was used. As theoretical references, the ideas of Elizabeth Kübler-Ross and perspectives of Social Psychology were used. Results: Three thematic dimensions were identified on indication, experiences and senses and meanings of tube feeding/ostomy, with respective categories. Most patients and caregivers addressed the evolution of the disease and their decision on the alternative food route. As meanings of food: quality of life, comfort, life and hope. Conclusions: In this way, artificial nutrition is resignified as the new possible feeding method; artificial nutrition also presents symbolic aspects besides the biological function.


Subject(s)
Humans , Male , Female , Palliative Care , Enteral Nutrition , Life Change Events , Neoplasms/therapy , Quality of Life , Brazil , Cancer Care Facilities , Nutritional Status , Caregivers , Qualitative Research
18.
Rev. chil. endocrinol. diabetes ; 16(1): 10-16, 2023. ilus, tab
Article in Spanish | LILACS | ID: biblio-1438514

ABSTRACT

La diabetes mellitus tipo 1 (DM1) es una enfermedad autoinmune que genera dependencia exógena de insulina de forma permanente, presenta inflamación subclínica crónica lo que conlleva a una elevación de marcadores de inflamación como factor de necrosis tumoral alfa (TNF-α), proteína C reactiva (PCR) e interleuquina 6 (IL-6). OBJETIVO: determinar la relación entre el IMC sobre los marcadores de inflamación y el control metabólico en niños y jóvenes con DM1 entre 5 a 15 años de edad. METODOLOGÍA: Se realizó un estudio clínico, observacional, exploratorio. A partir de La recolección de datos de fichas clínicas y muestras de sangre en el Instituto de Investigaciones Materno Infantil (IDIMI) del Hospital San Borja Arriarán de la Universidad de Chile. Clasificación del estado nutricional utilizando datos registrados en ficha clínica. Marcadores de inflamación por medio de ELISA, hemoglobina glicosilada mediante métodos estándares. El análisis estadístico incluyó correlaciones mediante test de Spearman y diferencia de medias mediante test de Kruskal-Wallis seguido de post hoc Dunns. RESULTADOS: Un 30% de los pacientes con DM1 presentaron malnutrición por exceso. Al analizar la relación entre los niveles de marcadores inflamatorios y Hb glicosilada se observó la existencia de asociacion positiva entre usPCR y HbA1c (r= 0,30; p=0,0352) y entre IL-6 y HbA1c (r= - 0,038; p=0,0352). CONCLUSIONES: este estudio describe una posible asociación entre parámetros clásicos de inflamación con la hemoglobina glicosilada en las categorias de sobrepeso y obesidad en pacientes con DM1.


Type 1 diabetes mellitus (T1D) is an autoimmune disease that generates permanent exogenous insulin dependence, accompanied by chronic subclinical inflammation that leads to an elevation of inflammation markers such as tumor necrosis factor-alpha (TNF-α), C-reactive protein (CRP) and interleukin-6 (IL-6). OBJECTIVE: To determine the relationship between BMI on markers of inflammation and metabolic control in children and young people with T1D between 5 and 15 years of age. METHODOLOGY: A clinical, observational and exploratory study was carried out, based on the collection of data from clinical records and blood samples of children and adolescents with DM1 at the Instituto de Investigaciones Materno Infantil (IDIMI) of the Hospital San Borja Arriarán of the Universidad de Chile. Nutritional status, levels of inflammation markers and glycosylated hemoglobin were determined by standardized methods. Statistical analysis included correlations by Spearman test and mean difference by Kruskal-Wallis test followed by post hoc Dunns test. RESULTS: A total of 56 patients with T1D were analyzed, 30% of whom presented excess malnutrition. Those children or adolescents with obesity presented significantly higher usPCR levels compared to underweight patients or patients at risk of malnutrition (p=0.039). In addition, HbA1c levels were determined which were negatively associated with usPCR (r= 0.30; p=0.0352) and IL-6 (r= - 0.038; p=0.0352) levels. CONCLUSIONS: This study points out that nutritional status is associated with usPCR levels, in agreement with what is described in the literature and shows a possible association between classical parameters of inflammation with glycosylated hemoglobin in children and adolescents with nutritional diagnosis of overweight or obesity.


Subject(s)
Humans , Child , Adolescent , Glycated Hemoglobin/analysis , Biomarkers/analysis , Body Mass Index , Diabetes Mellitus, Type 1/metabolism , C-Reactive Protein/analysis , Enzyme-Linked Immunosorbent Assay , Nutritional Status , Interleukin-6/analysis , Tumor Necrosis Factor-alpha/analysis , Statistics, Nonparametric , Inflammation
19.
Demetra (Rio J.) ; 18: 67398, 2023. ^etab, ^eilus
Article in English, Portuguese | LILACS | ID: biblio-1442892

ABSTRACT

ntrodução: A desnutrição é uma das condições frequentemente observadas em pacientes sob cuidados paliativos, afetando a via de alimentação e impactando na diminuição da ingestão alimentar. O atendimento nutricional permite a identificação das alterações nutricionais, direcionando para terapia nutricional adequada. Objetivo: Analisar a terapia nutricional domiciliar e identificar o estado nutricional em pacientes sob cuidados paliativos no domicílio. Método: Estudo prospectivo, observacional com pacientes do Programa Melhor em Casa, em Guarapuava-PR. Foram avaliados por meio de anamnese, que compreendia diagnóstico clínico, exame físico, caracterização e intercorrências da dieta, SARC-F e avaliação antropométrica. Resultados: Participaram do estudo 24 pacientes, com média de idade 70,2+15,0 anos. Os principais diagnóstico clínicos foram: 45,83% câncer e 45,83% doença neurológica. O baixo peso e a classificação sugestiva de sarcopenia predominaram nos avaliados, sendo 54,17% e 87,5%, respectivamente. A via de acesso para alimentação prevalente foi a oral (45,8%), seguida de 41,7% para sonda nasoenteral; a fórmula mais utiliza foi a hiperproteica. A maioria apresentou sinal da asa quebrada (70,8%), perda da bola de Bichat (66,7%) e perda de massa nos membros superiores e inferiores. O diagnóstico nutricional padronizado mais frequente foi NC-3.2 (perda de peso não intencional), seguido de 41,7% com NI-1.2 (ingestão de energia subótima). Conclusão: Observou-se que a maioria dos pacientes eram idosos, acamados, com doença neurológica e câncer. Em relação ao estado nutricional, a maioria apresentou baixo peso e sinais de desnutrição. O atendimento nutricional com pacientes em cuidados paliativos se faz necessário, pois são pacientes com risco nutricional.


Introduction: Malnutrition is one of the most common conditions seen in palliative care patients, which can affect the feeding route and decrease food intake. Nutritional counseling allows the detection of dietary changes, and referral to appropriate nutritional therapy. Aim: The purpose of this study was to analyze home nutritional therapy, and identify nutrient-related diagnoses in home palliative care patients. Materials and methods: It's a prospective, observational study involving patients assisted by the "Better at Home Program", in Guarapuava - PR. Anamnesis was carried out to assess the patients, which included clinical diagnosis, physical examination, diet characterization and complications, SARC-F, and anthropometric assessment. Results: The study included 24 patients, with an average age of 70,2+15,0. The most frequent clinical diagnoses were cancer (45.83 percent) and neurological disease (45.83 percent). Low weight and a classification indicative of sarcopenia predominated among the patients, accounting for 54.17% and 87.55%, respectively. The most common feeding route was oral (45.8%), followed by nasoenteral feeding l (41.7%). The most commonly used formula was the hyperproteic. The majority of patients had sunken temples (70.8%), loss of Bichat's fat pad (66.7%), and loss of muscle mass in the upper and lower limbs. The most frequent standardized nutrition diagnosis was NC-3.2 (unintentional weight loss), followed by 41.7% NI-1.2 (suboptimal energy intake). Conclusion: Most patients were elderly, bedridden, and had neurologic disease or cancer. Regarding the nutritional status, the majority were underweight and exhibited signs of malnutrition. Palliative care patients require nutritional therapy since they are at risk of malnutrition


Subject(s)
Humans , Male , Female , Palliative Care , Nutrition Assessment , Nutritional Status , Nutrition Therapy , Home Nursing , Brazil , Malnutrition
20.
São Paulo; s.n; 2023. 152 p.
Thesis in Portuguese | LILACS | ID: biblio-1442965

ABSTRACT

Introdução: As práticas de alimentação no início da vida podem afetar diretamente o desenvolvimento, crescimento e a sobrevivência infantil. Entre os indicadores de saúde infantil propostos pela Organização Mundial da Saúde, a frequência e a duração das práticas de aleitamento materno (AM) até os dois anos de vida, e os fatores relacionados, são fundamentais para o monitoramento das ações para promoção, proteção e apoio à amamentação. Objetivos: a) Identificar as evidências disponíveis em estudos longitudinais sobre a frequência do aleitamento materno exclusivo (AME) aos 30 dias de vida (artigo 1); b) Investigar a associação entre ganho de peso gestacional (GPG) e desfechos perinatais em gestantes Amazônicas (artigo 2); c) Examinar o papel do GPG excessivo e das práticas de amamentação no índice de massa corporal (IMC) aos 2 anos de idade na primeira coorte de nascimentos de base populacional na Amazônia brasileira (artigo 3); e d) Identificar os preditores da interrupção do AME antes dos seis meses de vida e do AM antes dos dois anos de idade em crianças Amazônicas (artigo 4). Métodos: Trata-se de revisão integrativa da literatura (artigo1) e análises de dados do estudo de coorte de nascimentos MINA-Brasil: Materno-INfantil no Acre (artigos 2, 3 e 4). Mães e seus bebês nascidos entre julho de 2015 e de junho de 2016 na única maternidade do município de Cruzeiro do Sul foram convidados a participar do estudo. As participantes foram entrevistadas logo após o parto e em avaliações de seguimento aos 30-45 dias, 6 meses, 1 e 2 anos sobre dados socioeconômicos, demográficos, práticas alimentares e condições de saúde e morbidade materno-infantil. Regressão de Poisson com estimativas robustas, regressão linear (artigo 2 e 3), e modelos de regressão de Cox estendido (artigo 4) foram utilizados para investigar as associações de interesse. As análises foram realizadas em Stata 15.0, ao nível de significância de p<0,05. Resultados: No artigo 1, foram selecionados 17 estudos originais. Apesar das diferenças metodológicas entre eles, em relação ao tipo e tamanho de amostra, a definição do AME e método de mensuração, os resultados indicam alta taxa de início da amamentação (≥86%) e ampla variação da ocorrência de AME aos 30 dias de vida (4,5%- 86%), com declínio substancial (<60%) em 63% dos locais investigados. No artigo 2, seguindo as recomendações do Instituto de Medicina (IOM, n = 1305), a frequência de GPG insuficiente e excessivo foram semelhantes (32%). O GPG excessivo foi associado a maior escore-z de peso ao nascer (PN); maior risco de macrossomia, grande para a idade gestacional (GIG) e cesariana; e menor risco de baixo peso ao nascer (BPN) e ser pequeno para a idade gestacional (PIG). O GWG insuficiente foi associado a escore-z de PN mais baixo. Entre as mulheres com IMC pré-gestacional normal (n = 658), o GPG inapropriado foi elevado segundo o IOM (66%) e o Intergrowth-21st (42%). Ambos os métodos indicaram que os recém-nascidos de mulheres com GPG excessivo apresentaram maiores escore-z de PN, e maior risco de macrossomia e GIG. Mulheres com GPG abaixo dos padrões intergrowth-21st tiveram maior probabilidade de dar à luz um bebê PIG e com escores-z de PN mais baixos. No artigo 3 (n = 743), o GPG excessivo e o AM<1 ano foram associados a maior escore-z de IMC aos 2 anos de idade após ajuste por covariáveis. No artigo 4 (n = 1145), a probabilidade de AME até 6 meses foi 11,8% e a de AM até 2 anos 34,5%. Entre crianças nascidas a termo, os preditores da interrupção precoce do AME foram a mãe ser primípara, alimentar o bebê com pré-lácteos, o uso de chupeta no período perinatal e a ocorrência de diarreia nas duas primeiras semanas de vida. Os preditores da interrupção precoce do AM foram a criança ser do sexo masculino, o uso de chupeta no período perinatal e o AME menor a 3 meses. Conclusão: Entre crianças amazônicas brasileiras a duração das práticas de aleitamento materno foi consideravelmente menor do que as recomendações internacionais. Os preditores para a interrupção precoce da amamentação identificados nesta coorte de nascimentos devem ser considerados para avaliar estratégias locais e desenvolver intervenções para alcançar um comportamento ideal de amamentação.


Introduction: Early life feeding practices can directly affect infant development, growth, and survival. Among the indicators for child health proposed by the World Health Organization, the frequency and duration of breastfeeding (BF) practices up to two years of life, and related factors, are fundamental for monitoring actions for the promotion, protection, and support of breastfeeding. Objectives: a) To identify the evidence available in longitudinal studies on the frequency of exclusive breastfeeding (EBF) at 30 days of life (article 1); b) To investigate the association between gestational weight gain (GWG) and perinatal outcomes in Amazonian pregnant women (article 2); c) To examine the role of excessive GWG and breastfeeding practices on body mass index (BMI) at 2 years of age in the first population-based birth cohort in the Brazilian Amazon (article 3); and d) To identify the predictors of EBF interruption before six months of life and BF before two years of age in Amazonian children (Article 4). Methods: We performed an integrative literature review (article 1) and analysis of data from the MINA- Brazil birth cohort study: Maternal and Child in Acre (articles 2, 3 and 4). Mothers and their babies born between July 2015 and June 2016 in the only maternity hospital in the municipality of Cruzeiro do Sul were invited to participate in the study. Participants were assessed shortly after delivery and at follow-up visits at 30-45 days, 6 months, 1 and 2 years of childs age about socioeconomic and demographic data, dietary practices, health conditions, and maternal and child morbidity. Poisson regression with robust estimates, linear regression (article 2 and 3), and extended Cox regressions analyses (article 4) were run to investigate the associations of interest. Analyses were performed in Stata 15.0, at a significance level of p<0.05. Results: In article 1, 17 original studies were selected. Despite the methodological differences between them, regarding type and size of the sample, the definition of EBF, and the method of measurement, the results indicate a high rate of initiation of breastfeeding (≥86%) and a wide variation in the occurrence of EBF at 30 days of life (4.5%-86%), with substantial decline (<60%) in 63% of the investigated sites. In article 2, following the Institute of Medicine (IOM) recommendations (n = 1305), the frequencies of insufficient and excessive GWG were similar (32%). Excessive GWG was associated with higher new-born birthweight (BW) z-scores; increased risk of macrosomia, large for gestational age (LGA), and cesarean delivery; and lower risk of low birth weight (LBW) and being small for gestational age (SGA). Insufficient GWG was associated with lower new-born BW z-scores. Among women with normal pre- pregnancy BMI (n = 658), inappropriate GWG was high according to the IOM (66%) and the Intergrowth-21st (42%). Both methods indicated that new-born of women with excessive GWG had higher BW z-scores, and a higher risk of macrosomia and LGA. Women with GWG below intergrowth-21st standards were more likely to give birth to an SGA baby and with lower BW z-scores. In article 3 (n = 743), excessive GWG and BF <1 year were associated with higher BMI z-score at 2 years of age after adjustment for covariates. In article 4 (n = 1145), the probability of EBF up to 6 months and BF up to 2 years were 11.8% and 34.5%, respectively. Among children born at term, the predictors of early EBF interruption were the mother being primiparous, feeding the baby with prelacteal food, use of a pacifier in the perinatal period, and occurrence of diarrhea in the first two weeks of life. The predictors of early BF interruption were a male child, use of pacifier in the perinatal period, and EBF for less than 3 months. Conclusion: Among Brazilian Amazonian children, the duration of breastfeeding practices was considerably shorter than the international recommendations. Predictors for early cessation of breastfeeding identified in this birth cohort should be considered to assess local strategies and develop interventions to achieve optimal breastfeeding behavior.


Subject(s)
Breast Feeding , Nutritional Status , Longitudinal Studies , Gestational Weight Gain
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