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Magalhaes J.P.,Federal University of Minas Gerais | Da Silva Oliveira M.,Federal University of Minas Gerais | Monteiro M.A.M.,Nutricionista | Schaefer M.A.,Federal University of Minas Gerais | Garcia M.A.V.T.,Engenheira de Alimentos
Nutricion Clinica y Dietetica Hospitalaria | Year: 2017

Objective: This study aimed to evaluate the risks of cross-contamination of gluten in a university restaurant with preparations for celiac individuals. Methods: This is an observational descriptive study carried out between the months of September and November 2014 in a university restaurant in the city of Belo Horizonte-MG, Brazil. A checklist was elaborated, based on literature related to celiac disease and on Resolution 275, issued on October 2002, to identify the risks of cross contamination by gluten according to the production flow adopted at the restaurant. The analysis was performed in a qualitative manner. Results and Discussion: Eight critical points were identified, ranging from the reception of raw material to the meal distribution at the restaurant's dining hall. The two critical points identified in the checklist as susceptible to change were in the warehouse. The remaining items have no possibility of changes in the short term. Conclusions: Despite the restaurant food handlers have been trained previously to make preparations gluten-free, the risk of contamination by this protein are great. In this scenario it is necessary strict control over the production line in a restaurant that distinguishes preparations with and without gluten or choose to make preparations in another physical space to ensure the safety of food.

Tarraga Marcos M.L.,Residencia geriatrica Los Alamos | Panisello Royo J.M.,Medicina Interna | Rosich Domenech N.,Nutricionista | Alins Presas J.,ABS ABRERA | Tarraga Lopez P.J.,University of Castilla - La Mancha
Clinica e Investigacion en Arteriosclerosis | Year: 2017

Objective: To assess the effect on lipid parameters most associated with excess weight (triglycerides [TG], cholesterol, and high density lipoprotein [HDL-C]) of an intervention to reduce weight in overweight and obese patients. Methods: A randomised, controlled, double blind clinical trial, with three groups, and a follow-up of 12 months.Patients included in the study were randomised into three intervention groups: Obesity motivational intervention group with previously trained nurse (G1), lower intensity consultation, non-motivational group, with digital platform support (G2), and a third group that received a recommendation to lose weight and usual follow-up (G3). The anthropometric variables measured were height, weight, and abdominal/waist circumference, and laboratory results, total cholesterol, TG and HDL cholesterol). Results: The study include 176 patients, of whom 60 were randomised to G1, 61 to G2, and 59 to G3. All groups significantly decreased body weight at the end of the study, with a decrease in G1 (-5.6. kg), followed by G2 (-4.3. kg), and G3 (-1.7. kg), with an overall mean loss of -3.9. kg. There was a also significant decrease (P <. .05) in total cholesterol and TG, and an increased HDL-C. These changes were more marked in the G1 group (the group that lost more weight). The clinical relevance indicators that were significant were: in the case of TG: G1/G3: relative risk: 1.42 (95% CI: 1.11-1.80); relative risk reduction: 41.7% (11.4-80.2); absolute risk reduction: 25% (9.2-40.8) and NNT: 5 (3-11). In the case of G1/G2 HDL-C: relative risk: 1.32 (1.07-1.63); relative risk reduction: 32.2% (7.4-62.6); absolute risk reduction: 21.1% (6.4-35.8) and NNT: 5 (3-16). Conclusions: Weight reduction is accompanied by favorable changes in the lipid parameters related to overweight and obesity, being more intense the greater the weight loss. © 2017 Sociedad Española de Arteriosclerosis.

da Silveira J.A.C.,Federal University of Alagoas | Meneses S.S.,Nutricionista | Quintana P.T.,Nutricionista | Santos V.S.,Nutricionista
Revista de Nutricao | Year: 2017

Objective To assess the consumption of ultra-processed food and sugar-sweetened beverages and to identify the association of this consumption with overweight among vegetarians. Methods A cross-sectional study with a convenience sampling method was conducted. Data were collected using an online questionnaire from 8/24/2015 to 10/8/2015. Subjects were male and female vegetarians aged > 16 years. Using a food frequency questionnaire, we assessed the weekly consumption of ultra-processed food and sugar-sweetened beverages and described the frequency of daily consumption overall and according to type of vegetarianism. The association between overweight and excessive daily intake of ultra-processed food was analyzed by multiple logistic regression (OR [95CI%]). Results Information was retrieved from 503 individuals (29.8±8.5 years old); 83.7% were women. The most frequent types of vegetarianism in our sample were ovo-lacto (45.5%) and vegan (41.7%), and the median time of vegetarianism was 5.3 years. The consumption of sugar-sweetened beverages (≥2x/day) and ultra-processed food (≥3x/day) was 21.0% and 16.0%, respectively, and regarding the different vegetarianism types, vegans showed the lowest frequency of excessive daily sugar-sweetened beverages and ultra-processed food consumption. In the multivariable analysis, consumption of ultra-processed food ≥3x/day (2.33 [1.36-4.03]), male sex (1.73 [1.01-2.96]), age ≥35 years (2.03 [1.23-3.36]) and not preparing one's food (1.67 [0.95-2.94]) were independently associated with overweight. Conclusion Although vegetarianism is frequently associated with a healthier diet and, consequently, prevention of poor health outcomes, this study found that the excessive consumption of sugar-sweetened beverages and ultra-processed food was associated with overweight.

Inoue D.Y.,Nutricionista | Osorio M.M.,Federal University of Pernambuco | Taconeli C.A.,Federal University of Paraná | Schmidt S.T.,Federal University of Paraná | Almeida C.C.B.,Federal University of Paraná
Revista de Nutricao | Year: 2015

Objective To analyze food consumption in 12-30 month-old children attending Municipal Daycare Centers. Methods Cross-sectional study including 86 children of Municipal Daycare Centers in Colombo, Paraná State. Food consumption in the daycare centers was evaluated using the individual direct food weighing method in two non-consecutive days, and household food consumption was evaluated using the individual 24-hour dietary recall method. The median intake values and the prevalence of inadequacy of energy and nutrient intake were analyzed according to the Dietary Reference Intakes and the recommendations of the National School Feeding Program. Results Most of the nutrients had median daily intake values above the daily dietary intake level, the Recommended Dietary Intake. Calcium had the highest prevalence of inadequacy among the nutrients evaluated; high energy intake was observed in 43% of children, and fat intake was below the recommended levels. The consumption of energy, carbohydrate, fat, calcium, iron, and fiber in the daycare centers evaluated was below the recommendations of the National School Feeding Program. The consumption of energy and fat at the household level accounts for more than 50% of the daily intake. Conclusion The nutrient median intake values were in general above the recommended allowance, which, associated with the risk of inadequate intake of certain micronutrients and the high energy level consumption, demonstrates the importance of adequate food intake and the promotion healthy eating habits in children.

Soares I.C.C.,Nutricionista | da Silva E.R.,Secretaria de Estado da Saude de Minas Gerais | Priore S.E.,Secretaria de Estado da Saude de Minas Gerais | Ribeiro R.C.L.,Secretaria de Estado da Saude de Minas Gerais | And 2 more authors.
Revista de Nutricao | Year: 2011

Objective The purpose of this study was to quantify and assess the cost of food wastage in eight cafeterias of a big steel mill. Methods Eight cafeterias were followed during five months. Quantification of food wastage was done considering the leftovers and the number of meals planned and served daily. For determining the cost, preparations were divided into groups, and the cost was obtained from the average price of foodstuffs purchased during the month. Results Fifty percent of the cafeterias did not achieve wastage less or equal to 30g (the per capita food wastage goal set by the company). The total per capita food wastage ranged from 24g to 60g, equivalent to 176-1213kg of food wasted monthly. Salads were wasted more often in most foodservices. The monthly cost of food wastage reached 2.2% to 3.0% of the amount spent monthly on food. It represented a high expense for the foodservice (approximately 80-108 minimum wages). The results allowed the proposal of intervention measures such as planning and development of appropriate preparations, identification of customers, and nutrition education actions. Conclusion The cafeterias presented considerable food wastage, hence money loss. Implementation of interventions can minimize these losses. Savings from reducing wasteful spending could be used for improving production processes.

Peixinho A.,Nutricionista | Balaban D.,Fundo Nacional de Desenvolvimento da Educacao | Rimkus L.,University of Illinois at Chicago | Schwartzman F.,Consultora da FAO | Galante A.P.,University of Sao Paulo
Mundo da Saude | Year: 2011

This paper aims to describe two of the broader world school lunch programs, the Programa Nacional de Alimentação Escolar [National School Lunch Program], from Brazil, and the National School Lunch Program, from the United States. This review discusses some of their differences and similarities regarding history, people included, the kind of management system, and the most important advances in the last 10 years. Began almost at the same time (the 40's and 50's), the programs were created with similar goals but distinct guidelines and management systems. The historical report of the programs shows the necessity these programs had of changing their characteristics according to the political, economic and social environment.

Siqueira D.G.B.,Nutricionista | de Souza R.K.T.,State University Londrina | Mesas A.E.,State University Londrina | dos Santos H.G.,University of Sao Paulo | Bortoletto M.S.S.,State University Londrina
Revista de Nutricao | Year: 2015

Objective To investigate gender differences in the prevalence of excess abdominal weight and its determinants in adults aged 40 years and over. Methods Cross-sectional population-based study conducted in the city of Cambé, Paraná, Brazil, with 161 individuals 40 years or older living in all urban sectors. Abdominal obesity was defined as a waist circumference ≥88 cm in women and ≥102 cm in men. The analysis of associated factors was performed for each gender using the hierarchical Poisson regression based on a conceptual theoretical model, with the selection of distal, intermediate, and proximal variables. Results The prevalence of abdominal obesity was 49.7%, which increased with age in both genders. Women had more than double the prevalence compared to men (PR=2.29; 95%CI=1.98-2.65). After adjustment, the following variables remained associated with abdominal obesity in both genders: physical inactivity, age, and hypertension. Socioeconomic status, smoking, and diabetes were associated with abdominal obesity only in women. Conclusion The high prevalence of abdominal obesity, especially among women, and the presence of some factors found to be distinctly associated in each gender show the need for different measures to address this issue.

Santos L.A.S.,Federal University of Bahia | de Paiva J.B.,Nutricionista | Mello A.L.,Federal University of Bahia | Fontes G.A.V.,Federal University of Bahia | And 2 more authors.
Revista de Nutricao | Year: 2012

Objective: This study assessed a training program for dieticians, actors of the Brazilian School Food Program, in Northeast Brazil. This program was developed by a partnership between the Schoolchildren's Food and Nutrition Collaborator Center from the Federal University of Bahia and National Education Development Fund, from 2007 and 2008. Methods: The focus group method was administered to dieticians who participated in the training program. Four focus groups were done and the data were organized into two categories: one about learning during the training program and one about the ability to make changes. Results: Most participants were females aged 20 to 35 years. Their participation in the training program had been at least three months before the study. Assessment of the training program showed that the program improved their technical and scientific knowledge about themes related to professional practice and about the ethical and political dimension of their work. The program encouraged mobilization for possibly strengthening the category, incentivized partnerships among different agents and sectors and promoted the planning of new law-enforcement actions. Conclusion: The dialogical perspective was striking for the participants, enabling them to confront their realities and collectively reflect on the dietician's role in the field of school food.

Mataratzis P.S.R.,Nutricionista | Accioly E.,Federal University of Rio de Janeiro | Padilha P.C.,Federal University of Rio de Janeiro
Revista Brasileira de Hematologia e Hemoterapia | Year: 2010

Sickle cell anemia is a chronic hemolitic disease and very common in Brazil and there are few information about nutritional status of micronutrients in people with sickle cell anemia in this country. International studies have shown positive correlation between deficiency of micronutrients and worst evolution of the disease. The aim of this study was to carry out a systematic review about deficiency of micronutrients in children and adolescents with sickle cell anemia The publications included were selected through scientific bases Medline and Lilacs, by Pubmed and Scielo, available between 1998 and 2008. In this analysis were included publications with children and adolescents with homozygotic type of the disease (SS). The methodological quality of scientific articles was evaluated according to STROBE recommendations: 11 publications were selected, 2 cross-sectionals, 4 case-controls and 5 cohort studies, all of them from United States of America. The level of concordance between data collected by different researchers showed a very good concordance (k = 1,00) and 90,9% of the studies were classified as B category. The analysis of results noticed an unfavourable nutritional status for the majority of the nutrients studied (vitamins A, D, B6, folic acid, calcium, zinc) except for iron and vitamin B12, which results showed low or none biochemical or dietetic inadequate levels. All these results confirm the need of nutritional care with these patients in order to reach a better quality of life for them.

Food choice is a process of high complexity, established by the combination of personal, biological, sociocultural and environmental factors. Peers have an important role in the psychosocial development of children since pre-school. A monographic study on the influence of peers on dietary habits of children and adolescents was carried out and the implications of research results to the design of interventions to promote healthy eating habits were analysed. The influence of peers in the dietary habits of children and adolescents occurs through various processes, among which we emphasize modeling attitudes and beliefs about food and the pressure and normative behaviors. This influence is revealed in the acceptance, preferences, selection and consumption of foods. It appears there are differences by gender and age group and the influence of peers seems to manifest itself differently on different foods. The potential of interventions to promote healthy eating habits in children and adolescents based on the larger group of peers seems not fully exploited. The various processes of influence are elements that can be used in these interventions.

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