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Magalhaes T.C.A.,Nutricionista | Vieira S.A.,Federal University of Viçosa | Priore S.E.,Federal University of Viçosa | Ribeiro A.Q.,Federal University of Viçosa | And 2 more authors.
Revista de Nutricao | Year: 2015

Objective: To evaluate the lipid profile and associated factors with dyslipidemia in children. Methods: A cross-sectional study that evaluated children 4-7 years old, followed the first months of life in a Program of the Universidade Federal de Viçosa, Minas Gerais. Performed biochemical measurements were total cholesterol, high density lipoprotein, low density lipoprotein and triglycerides. The variables possibly associated with lipid profile were maternal variables, sociodemographic and those associated with the child. Bivariate and multivariate analyses have been done, the latter by multiple logistic regressions. Results: The sample consisted of 185 children, both genders. It was observed that 46.5% (n=86) showed increased levels of total cholesterol, 9.2% (n=17) of low density lipoprotein and 4.9% (n=9) in triglycerides. With relation to the high density lipoprotein, 35.1% (n=65) had values less than desirable. Demonstrated an independent association with the lipid profile of children the per capita income, maternal education and maternal age (with low density lipoprotein) and overweight, which was associated with a higher prevalence of changes in triglycerides. Conclusion: High prevalence of dyslipidemia were observed. Sociodemographic conditions and nutritional status demonstrated influence, also in children, the occurrence of dyslipidemia, which are cited as risk factors for cardiovascular disease. Reveals the importance of studying these factors since childhood, performing studies with other age groups to check the prevalence and associated factors to promote the health care of this population group.

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.

Correia F.,University of Porto | Correia F.,Instituto Superior Of Ciencias Da Saude Egas Moniz | Correia F.,Hospital Of Sao Joao | Carrasco L.,Instituto Superior Of Ciencias Da Saude Egas Moniz | And 6 more authors.
Revista de Alimentacao Humana | Year: 2010

Different methods can be used to diagnose pre-diabetes and diabetes in asymptomatic individuals, specifically the hemoglobin A1c, the OGTT and fasting plasma glucose. Patients with obesity have higher predisposition to develop diabetes, becoming difficult to control it due to the development of insulin resistance and to the increasing of glucose concentration in the blood. The present study aimed: (1) to verify the achievement of the new criteria of the American Diabetes Association (ADA) on pre-diabetes and diabetes based on A1c within obese subjects without previous diagnosis of pre-diabetes; and (2) to compare between the number of patients diagnosed with pre-diabetes and Diabetes Mellitus by fasting plasma glucose, OGTT and the new ADA criteria for the A1c. We evaluated 111 obese subjects (85.6% females), with ages between 16 and 64 years (mean = 41.4; sd = 11.4). The diagnosis of diabetes and pre-diabetes in obese individuals without previous diagnosis appears to be influenced by the method applied. The OGTT diagnosed more patients, followed by the new A1c criteria and, finally, the fasting plasma glucose test, which resulted in a lower proportion of new diagnoses.

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.

Objective This study analyzed the internal functioning, organization and political participation of the local food and nutrition security council and possible implications of their participation on the creation of a municipal food and nutrition security policy in the city of São Paulo. Methods This qualitative study was done in three stages: document analysis; observation of meetings and semi-structured interviews with board members considered key informants. The axis of analysis was the political participation of the council, considering its internal aspects, like board members, operating dynamics of political participation of its members and the relationship between these topics and the council's actions for the definition and creation of a food and nutrition security policy. Results The intellectual profile of the board members does not represent the majority of the population, thereby facilitating the omission of actual issues in council discussions. Its strict internal dynamics and the asymmetry of its members generally prevent the active participation of board members and, specifically, discussions about a food and nutrition security policy. The so-called "militant members" have a differentiated, more aggressive participation, with greater mastery of the subject and its topics. Conclusion The board member profiles, internal organization of the council, complexity of the subject and its low insertion in the society distance the council from social needs and lead them to act incipiently with regard to the municipal policies of food and nutrition security.

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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