Association of coffee intake and its polyphenols with mammographic findings in women who visited the Brazilian Public Health Service / Asociación de la ingesta de café y sus polifenoles con hallazgos mamográficos en mujeres atendidas en el Servicio de Salud Pública de Brasil

Objective: this study aimed to evaluate if there is an association of intake of coffee and its polyphenols with mammographic findings in women treated at a breast care service unit of the Unified Health System (SUS), Brazil. Research methods and procedures: this was a cross-sectional study with 532 women treated at a health service. The participants were divided according to their mammographic reports into two groups: without and with altered findings. Two 24-h dietary recalls were applied and coffee consumption was categorized into three groups (less than 1 cup, 1 to 3 cups, and more than 3 cups). Phenolic acids were determined using the Phenol Explorer program. The intake of polyphenols was calculated by adding the values obtained from the total amount of coffee consumed during the day. The Multiple Source Method (MSM) was applied to analyze the usual intake. Results: of the 532 women, 178 (33.5 %) had altered mammographic findings. The participants' average daily coffee intake was 193.4 mL. No significant association was found between coffee consumption and mammographic findings. However, it was found that the second tertile of polyphenols was a protective factor for breast changes. Conclusion: Coffee polyphenols are protective against breast changes in the group evaluated and, thus, can help prevent breast cancer. (AU)

Objetivo: este estudio tuvo como objetivo evaluar si existe una asociación de la ingesta de café y sus polifenoles con los hallazgos mamográficos de mujeres tratadas en una unidad de patología mamaria del Sistema Unificado de Salud (SUS), Brasil. Métodos y procedimientos de investigación: este fue un estudio transversal con 532 mujeres tratadas en un servicio de salud. Las participantes se dividieron de acuerdo con sus informes mamográficos en dos grupos: sin y con hallazgos alterados. Se aplicaron dos registros dietéticos de 24 horas y el consumo de café se clasificó en tres grupos (menos de 1 taza, 1 a 3 tazas y más de 3 tazas). Los ácidos fenólicos se determinaron utilizando el programa Phenol Explorer. La ingesta de polifenoles se calculó sumando los valores obtenidos de la cantidad total de café consumido durante el día. Se aplicó el método de fuentes múltiples (MSM) para analizar la ingesta habitual. Resultados: de las 532 mujeres, 178 (33,5 %) tenían hallazgos mamográficos alterados. La ingesta diaria promedio de café de los participantes fue de 193,4 ml. No se encontró una asociación significativa entre el consumo de café y los hallazgos mamográficos. Sin embargo, se encontró que el segundo tercil de polifenoles era un factor protector para los cambios mamarios. Conclusión: los polifenoles del café son protectores contra los cambios mamarios en el grupo evaluado y, por lo tanto, podrían ayudar a prevenir el cáncer de mama. (AU)

Association of coffee intake and its polyphenols with mammographic findings in women who visited the Brazilian Public Health Service.

Introduction: Objective: this study aimed to evaluate if there is an association of intake of coffee and its polyphenols with mammographic findings in women treated at a breast care service unit of the Unified Health System (SUS), Brazil. Research methods and procedures: this was a cross-sectional study with 532 women treated at a health service. The participants were divided according to their mammographic reports into two groups: without and with altered findings. Two 24-h dietary recalls were applied and coffee consumption was categorized into three groups (less than 1 cup, 1 to 3 cups, and more than 3 cups). Phenolic acids were determined using the Phenol Explorer program. The intake of polyphenols was calculated by adding the values obtained from the total amount of coffee consumed during the day. The Multiple Source Method (MSM) was applied to analyze the usual intake. Results: of the 532 women, 178 (33.5 %) had altered mammographic findings. The participants' average daily coffee intake was 193.4 mL. No significant association was found between coffee consumption and mammographic findings. However, it was found that the second tertile of polyphenols was a protective factor for breast changes. Conclusion: Coffee polyphenols are protective against breast changes in the group evaluated and, thus, can help prevent breast cancer.

Introducción: Objetivo: este estudio tuvo como objetivo evaluar si existe una asociación de la ingesta de café y sus polifenoles con los hallazgos mamográficos de mujeres tratadas en una unidad de patología mamaria del Sistema Unificado de Salud (SUS), Brasil. Métodos y procedimientos de investigación: este fue un estudio transversal con 532 mujeres tratadas en un servicio de salud. Las participantes se dividieron de acuerdo con sus informes mamográficos en dos grupos: sin y con hallazgos alterados. Se aplicaron dos registros dietéticos de 24 horas y el consumo de café se clasificó en tres grupos (menos de 1 taza, 1 a 3 tazas y más de 3 tazas). Los ácidos fenólicos se determinaron utilizando el programa Phenol Explorer. La ingesta de polifenoles se calculó sumando los valores obtenidos de la cantidad total de café consumido durante el día. Se aplicó el método de fuentes múltiples (MSM) para analizar la ingesta habitual. Resultados: de las 532 mujeres, 178 (33,5 %) tenían hallazgos mamográficos alterados. La ingesta diaria promedio de café de los participantes fue de 193,4 ml. No se encontró una asociación significativa entre el consumo de café y los hallazgos mamográficos. Sin embargo, se encontró que el segundo tercil de polifenoles era un factor protector para los cambios mamarios. Conclusión: los polifenoles del café son protectores contra los cambios mamarios en el grupo evaluado y, por lo tanto, podrían ayudar a prevenir el cáncer de mama.

Higher carbohydrate quality index is associated with better adequate micronutrient consumption in Brazilian women.

Introduction: Introduction: inadequate consumption of micronutrients is an emerging public health problem that can compromise health. Objectives: to assess whether the quality of dietary carbohydrates is associated with the consumption of 13 micronutrients in a sample of women monitored by the Brazilian Unified Health System. Methods: this cross-sectional study included 648 women monitored by the Brazilian Unified Health System. The association between quality of dietary carbohydrates and adequacy of consumption of 13 micronutrients was investigated using logistic regression models adjusted for potential confounding variables. Results: the consumption of micronutrients increased as the quality of carbohydrates improved. The micronutrients with the highest prevalence of inadequate intake were vitamin A, magnesium, manganese, and thiamine. After adjustments using logistic regression models, women in the third tertile of the carbohydrate quality index were less likely to have an inadequate consumption of magnesium (odds ratio (OR), 0.29; 95 % confidence interval (CI), 0.14-0.59), manganese (OR, 0.32; 95% CI, 0.21-0.49), and copper (OR, 0.22; 95% CI, 0.12-0.37). Conclusions: intake of a higher quality of dietary carbohydrates is associated with improved adequacy in consumption of most micronutrients in women monitored by the Brazilian Unified Health System, especially magnesium, manganese, and copper, after adjustment using regression models.

Introducción: Introducción: el consumo inadecuado de micronutrientes es un problema de salud pública emergente que puede comprometer la salud. Objetivo: evaluar si la calidad de los carbohidratos de la dieta está asociada con el consumo de 13 micronutrientes en una muestra de mujeres monitoreadas por el Sistema Único de Salud de Brasil. Métodos: este estudio transversal incluyó a 648 mujeres monitoreadas por el Sistema Único de Salud de Brasil. La asociación entre la calidad de los carbohidratos de la dieta y la adecuación del consumo de 13 micronutrientes se investigó mediante modelos de regresión logística ajustados por posibles variables de confusión. Resultados: el consumo de micronutrientes aumentó a medida que mejoraba la calidad de los carbohidratos. Los micronutrientes con mayor prevalencia de ingesta inadecuada fueron: vitamina A, magnesio, manganeso y tiamina. Después de los ajustes mediante modelos de regresión logística, las mujeres del tercer tercil del índice de calidad de carbohidratos tenían menos probabilidades de tener un consumo inadecuado de magnesio (odds ratio (OR): 0,29; intervalo de confianza (IC) del 95 %: 0,14-0,59), manganeso (OR: 0,32 ; IC del 95 %: 0,21 a 0,49) y cobre (OR: 0,22; IC del 95 %: 0,12 a 0,37). Conclusiones: la ingesta de una mayor calidad de carbohidratos en la dieta se asocia con una mejor adecuación en el consumo de la mayoría de los micronutrientes en mujeres monitoreadas por el Sistema Único de Salud de Brasil, especialmente magnesio, manganeso y cobre, después del ajuste mediante modelos de regresión.

Concentrações dietéticas de micronutrientes antioxidantes e associação com achados mamográficos / Dietary concentrations of antioxidant micronutrients and association with mammographic findings

INTRODUÇÃO: O câncer de mama configura-se como um problema de saúde pública, sendo responsável por grande parte dos tipos de cânceres, acometendo sobretudo as mulheres. Diversos fatores estão relacionados ao seu desenvolvimento, como uma dieta com baixo aporte em micronutrientes. OBJETIVO: Avaliar a relação entre a adequação dietética de micronutrientes e os resultados das mamografias de mulheres atendidas em um serviço de mastologia. METODOLOGIA: Estudo transversal desenvolvido em um Serviço de Referência para Diagnóstico em Mastologia do Sistema Único de Saúde, situado na capital do estado do Ceará, no nordeste do Brasil. Os dados foram coletados entre os anos de 2016 a 2017 com 648 mulheres. Foram levantadas informações sociodemográficas, de consumo alimentar e os laudos das mamografias. O consumo alimentar foi avaliado através de dois recordatórios alimentares de 24 horas e foram avaliados de acordo com a Ingestão Dietética de Referência. As mamografias foram avaliadas de acordo com o Breast Image Reporting and Data System. As analises estatísticas foram feitas no SPPS versão 20.0 e foram considerados valores com p < 0,05 como significantes. RESULTADOS: A idade média das participantes foi de 52,4 (9,3) anos. Maiores prevalências de inadequação foram observadas para vitaminas A, D e E e para os minerais cálcio e magnésio, em ambos os grupos. Na avaliação do consumo médio, foram encontrados diferenças estatísticas para o consumo de magnésio (p = 0,008) e de fosforo (p = 0,009) entre as mulheres com achados alterados e não alterados. DISCUSSÃO: Dos micronutrientes avaliados em nosso estudo, os principais que obtiveram grandes proporções de inadequação, destacam-se as vitaminas A, D e E e os minerais magnésio e cálcio, independente do grupo avaliado, corroborando com outros estudos já realizados. CONCLUSÃO: A alta prevalência de ingestão inadequada gera preocupações, devido ao fato de tais micronutrientes serem propostos como componentes preventivos do câncer de mama

INTRODUCTION: Breast cancer is a public health problem, being responsible for most cancers, affecting mainly women. Several sizes are related to its development, such as a low micronutrient diet. OBJECTIVE: To obtain a relationship between dietary adequacy of micronutrients and mammogram results of women treated at a mastology service. METHODOLOGY: Cross-sectional study conducted in a reference service for the diagnosis of mastology of the Unified Health System, located in the state capital of Ceará, in northeastern Brazil. Data were collected between 2016 and 2017 with 648 women. Sociodemographic, food consumption and mammography reports were collected. Food intake was sampled using two 24-hour dietary records and was judged according to a Reference Dietary Intake. How mammograms were evaluated according to the Breast Image Reporting and Data System. As analyzes were made in SPPS version 20.0 and were values with p <0.05 as significant. RESULTS: The average participation was 52.4 (9.3) years. Higher prevalence of inadequacy was observed for vitamins A, D and E and for minerals, calcium and magnesium in both groups. In the average consumption evaluation, differences were found for magnesium (p = 0.008) and phosphorus (p = 0.009) consumption between women with altered and unchanged findings. DISCUSSION: Of the micronutrients evaluated in our study, the main ones that obtained large proportions of inadequacy, stand out as vitamins A, D and E the magnesium and calcium minerals, regardless of the group evaluated, corroborating with other studies already performed. CONCLUSION: The high prevalence of inadequate intake generates pain, while micronutrients are proposed as preventive components of breast cancer

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Perfil antropométrico e consumo alimentar de mulheres com lúpus eritematoso sistêmico / Anthropometric profile and food intake in women with systemic lupus erythematosus

Introdução: O Lúpus Eritematoso Sistêmico é uma doença autoimune de etiologia desconhecida, na qual ocorre uma falha no sistema imunológico, tornando-o reativo ao próprio organismo. Os pacientes acometidos pela doença têm um estado nutricional complicado, com altos índices de excesso de peso e risco aumentado de desenvolver doenças metabólicas, também há relatos na literatura sobre deficiência de ferro devido à anemia por doença autoimune, Vitamina D e cálcio, resultante da alta ingestão de corticosteroides por longos períodos que impedem a absorção que a longo prazo podem acarretar graves deficiências. Objetivo: Traçar o perfil antropométrico e consumo alimentar de mulheres com lúpus eritematoso sistêmico. Metodologia: Estudo de natureza quantitativo-descritivo com delineamento transversal. Participaram do estudo 40 mulheres adultas portadoras de LES, com idade de 19 a 59 anos. Foi realizada avaliação antropométrica com dados de peso e altura para o cálculo do Índice de Massa Corpórea e Circunferência abdominal. Avaliação do consumo alimentar foi realizada pelo recordatório de 24 horas, quantificando-se e classificando-se os macronutrientes e micronutrientes. A análise estatística foi realizada pelo teste de Qui-Quadrado, considerando estatisticamente significantes as análises com p<0,05. Resultados: O estudo avaliou 40 mulheres com idade média de 34 anos, houve alta prevalência de excesso de peso, 60%, relacionando-se com o consumo calórico, e 90% das pacientes apresentaram circunferência abdominal aumentada. Evidenciou-se baixo consumo de micronutrientes em comparação ao que é recomendado pela literatura. Conclusão: O excesso de peso é frequente no LES e está estritamente relacionado com o consumo alimentar hipercalórico. A circunferência abdominal elevada relacionou-se com o excesso de peso, pois, 100% dos que tinham excesso de peso, apresentaram também circunferência abdominal aumentada.

Introduction: Systemic lupus erythematosus is an autoimmune disease of unknown etiology, remitting and recurring, where a failure occurs in the immune system, making it reactive to the body itself. Patients affected by the disease have a nutritional status complicated, with high rates of overweight and increased risk of developing metabolic diseases, also there are reports in the literature on iron deficiency due to anemia by autoimmune disease, Vitamin D and calcium, resulting from the high intake of corticosteroids for long periods that prevent the absorption which in the long term can lead to serious deficiencies. Objectives: Trace the anthropometric and food consumption of women with systemic lupus erythematosus. Methodology: Quantitative-descriptive study with cross-sectional design. The study included 40 women with SLE with age of 19 to 59 years. It conducted anthropometric weight and height data to calculate the body mass index and abdominal circumference. Evaluation food consumption by 24-hour recall, quantifying and classifying the macronutrients and micronutrients. Statistical analysis was performed using the chi-square test, considering statistically significant analysis with p <0.05. Results: The study evaluated 40 women aged 34 ±, there was high prevalence of overweight with 60% of the sample with excess, relating to the calorie intake, 90% of patients had increased waist circumference. It has performed low consumption of micronutrients according to the recommended. Conclusion: It concluded that excess weight is closely associated with the high-calorie feed intake. The high waist circumference was related to overweight, since excess total sample weight was increased circumference.

Avaliação da imagem corporal de estudantes do curso de Nutrição de um centro universitário particular de Fortaleza / Body image evaluation of Nutrition students a private college of Fortaleza

RESUMO Objetivos Avaliar a imagem corporal e identificar os mais diversos tipos de distorção de imagem corporal. Métodos O presente estudo é de natureza quantitativa, com delineamento transversal, e foi realizado em um centro universitário de Fortaleza – CE. A coleta de dados foi realizada no período de abril a maio de 2015. A amostra foi composta por 300 estudantes do curso de Nutrição, do sexo feminino, com idade variando de 17 a 51 anos. Foram utilizados na pesquisa o Body Shape Questionnaire (BSQ) e uma ficha de avaliação na qual foram aferidos peso e altura atual. As estudantes referiram o peso e a altura que elas almejavam, se eram praticantes de atividade física e a frequência dessa prática, para identificar também outros possíveis transtornos. Resultados A amostra foi de 300 estudantes, tendo como média de idade 25,45 anos (±6,60). O escore médio do BSQ foi de 81,43 pontos (±30,45), correspondendo à preocupação leve com a imagem corporal. O valor médio do IMC foi de 22,90 kg/m2 (±3,15). Foi observado também que as estudantes, apesar de estarem em sua maioria com peso e altura adequados, queriam ser mais magras e altas (peso almejado = 57,39 kg; altura almejada = 1,63m). Conclusão Os resultados evidenciam que as estudantes desse grupo apresentam o desejo de ser mais magras e mais altas, mesmo estando em um padrão eutrófico de estado nutricional. Quando se trata de estudantes de Nutrição, esse estudo possui impacto maior, pois elas exercerão papel de cuidadoras de seus pacientes.

ABSTRACT Objectives Assessing body image and identifying the various types of body image distortion. Methods This research is quantitative, with cross-sectional design and it was held in a University Center of Fortaleza (Ceará). Data collection was conducted from April to May of 2015. The sample consisted of 300 undergraduate students of Nutrition, female, aged 17-51 years. Body Shape Questionnaire (BSQ) and an evaluation sheet were used to measured current weight and height. The students reported their weight and height that they craved, if they were physically active and the frequency of this activity as a way to identify other possible disturbances. Results The sample consisted of 300 students, with the mean age 25.45 years (±6.60). The average score of the BSQ was 81.43 points (±30.45), corresponding to mild concern with body image. The current average BMI was 22.90 kg/m2 (±3.15). It was observed that the students, although they are mostly with suitable weight and height, they wanted to be thinner and taller (desired weight = 57.39 kg, desired height = 1.63 m). Conclusion The results evidence that the group would like to be thinner and taller even presenting eutrophic nutritional status. When it comes from Nutrition students this study has an important impact because they will become healthcare professionals.