ABSTRACT
OBJECTIVE: To evaluate the effectiveness of a nutritional strategy based on two components and adapted for the public health system on blood pressure, cardiometabolic features, self-care, qualify of life and diet quality in individuals with hypertension. METHODS: NUPRESS was an open-label, parallel-group, superiority randomized controlled clinical trial in which participants at least 21âyears with hypertension and poorly controlled blood pressure were randomly assigned (1â:â1 allocation ratio) to either an individualized dietary prescription according to nutritional guidelines (control group, n â=â205); or a two-component nutrition strategy, including a goal-directed nutritional counseling and mindfulness techniques (NUPRESS [intervention] group, n â=â205). Primary outcomes were SBP (mmHg) after 24 weeks of follow up and blood pressure control, defined as either having SBP more than 140âmmHg at baseline and achieving 140âmmHg or less after follow-up or having SBP 140âmmHg or less at baseline and reducing the frequency of antihypertensive drugs in use after follow-up. RESULTS: In total, 410 participants were randomized and submitted to an intention-to-treat analysis regarding primary outcomes. Both groups decreased blood pressure, but after adjusting for baseline values, there was no significant difference between them on SBP [intervention-control difference: -0.03 (-3.01; 2.94); P â=â0.98] nor blood pressure control [odds ratio 1.27 (0.82; 1.97); P â=â0.28]. No differences between groups were also detected regarding secondary and tertiary outcomes. CONCLUSION: There was no difference between a two-component nutritional strategy and an established dietary intervention on blood pressure in participants with hypertension.
Subject(s)
Blood Pressure , Hypertension , Humans , Hypertension/diet therapy , Hypertension/therapy , Male , Female , Middle Aged , Aged , Treatment Outcome , Adult , Public Health , Antihypertensive Agents/therapeutic useABSTRACT
CONTEXT: Nut-enriched diets have a positive impact on cardiovascular risk factors, such as body mass, blood pressure, and fasting blood glucose. However, studies in individuals undergoing secondary cardiovascular prevention show controversial results. OBJECTIVE: This systematic review with meta-analysis assessed the effect of nut supplementation on anthropometric, glycemic, and blood pressure indices in patients with atherosclerotic cardiovascular disease, as well as the frequency of adverse events. DATA SOURCES: Six databases were used for the search-PubMed, Cochrane Library, EMBASE, BVS (Biblioteca Virtual da Saude), Web of Science, and ClinicalTrials.gov-until February 2023, with no language restrictions. DATA EXTRACTION: The Cochrane Handbook for Systematic Reviews of Interventions methodology and the PICOS (Population, Intervention, Comparison, Outcome, Setting/design) strategy were used. Seven independent reviewers were involved in data extraction and resolution of disagreements. Certainty of the evidence was evaluated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system. DATA ANALYSIS: From 5187 records identified, 6 publications containing data referring to 5 randomized clinical trials (n = 436) were included in the final analyses. The nuts evaluated were almonds, pecans, Brazil nuts, and mixed nuts, with portions that varied between 5 g and 85 g (median: 30 g/day). The intervention period varied between 6 and 12 weeks. The nuts had no effect on fasting glucose and anthropometric indices, although the certainty of the evidence for most of these outcomes was low or very low. They also had no effect on systolic (mean difference [MD]: -1.16 mmHg [95% CI, -5.68 to 3.35], I2 = 0%-moderate certainty of evidence) or diastolic (MD: 0.10 mmHg [95% CI, -2.30 to 2.51], I2 = 0%-high certainty of evidence) blood pressure. It was not possible to aggregate data on adverse events. CONCLUSION: Nut supplementation had no effect on blood pressure, fasting glucose, or anthropometric profile in the context of atherosclerotic cardiovascular disease. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration no. CRD42020163456.
ABSTRACT
Gold nanoclusters have attracted significant attention due to their unique physical-chemical properties, which can be tuned by alloying with elements such as Cu, Pd, Ag, and Pt to design materials for various applications. Although Au-nanoalloys have promising applications, our atomistic understanding of the descriptors that drive their stability is far from satisfactory. To address this problem, we considered 55-atom model nanoalloys that have been synthesized by experimental techniques. Here, we combined data mining techniques for creating a large sample of representative configurations, density functional theory for performing total energy optimizations, and Spearman correlation analyses to identify the most important descriptors. Among our results, we have identified trends in core-shell formation in the AuCu and AuPd systems and an onion-like design in the AuAg system, characterized by the aggregation of gold atoms on nanocluster surfaces. These features are explained by Au's surface energy, packing efficiency, and charge transfer mechanisms, which are enhanced by the alloys' preference for adopting the structure of the alloying metal rather than the low-symmetry one presented by Au55. These generalizations provide insights into the interplay between electronic and structural properties in gold nanoalloys, contributing to the understanding of their stabilization mechanisms and potential applications in various fields.
ABSTRACT
The responses of arthropods to thermal stress are vital in ecological studies in order to understand survival, development, and reproduction. However, this subject is poorly addressed. In the order Mesostigmata, an abundance of species lives in the soil. Among these species, Stratiolaelaps scimitus (Womersley) is a predator used in the control of pest organisms that live in the soil. Mites of this species are commercialized in several countries, including Brazil, presenting efficiency in pest control in several crops. The objective of this study was to evaluate the effect of thermal shock on S. scimitus females, as well as to monitor the temperature variation in the environment. For each temperature, 80 experimental units were assembled for different periods (0.5, 1, 2, and 4 h). Experimental units were maintained at 25 °C, after exposure of the mites. Mortality and oviposition were evaluated. The results showed a 40% reduction in the survival of mites exposed to 37 °C for 4 h, compared to the control treatment (25 °C). Oviposition was less affected at 1 h exposure to temperatures of 19 and 12 °C and thermic fluctuation was observed in the greenhouse, especially inside the slabs. Understanding temperature effects in mites and the thermic fluctuation in the environment is essential to achieve satisfactory results in biological control. It is important to observe the scenario in which predatory mites will be released as these aspects are decisive in predatory activity.
