Brazilian Journal of Obesity, Nutrition and Weight Loss

Effects of vitamin and mineral supplementation in the treatment of chagas disease: perceptions from studies in animals and humans

2025-07-26T15:55:57-07:00

It is estimated that there are at least one million people infected with T. cruzi in Brazil. The clinical treatment of this pathology should be done with dietary guidance, anti-inflammatory foods, esophageal washings with a probe, and the use of esophageal mucosal protectors, and depending on the case, with the aid of medication. Thus, this study aims to describe how nutritional therapeutic measures can contribute to the clinical improvement of patients diagnosed with Chagas disease. It is an integrative review, with a high-sensitivity search. The article selection occurred between April 2023 and December 2023 in the following databases: Medline (PubMed), EMBASE (Elsevier), and Virtual Health Library (BVS). During the searches, 339 articles were identified, with 179 in MEDLINE via PUBMED, 100 in EMBASE, and 61 in BVS. After exclusions for duplication and not addressing the theme, 13 articles remained for full analysis. It was observed that the supplementation of antioxidant and anti-inflammatory components demonstrated a beneficial effect in parasitic diseases, reducing oxidative stress in the acute and chronic phases of the disease, improving the antiparasitic effect of the treatment, modulating immune and oxidative responses involved in the international and cardiac disorders caused by the infection, as well as, a favorable improvement in lipid and inflammatory profile. It was concluded that the most cited nutrient was Selenium, however, there is a small amount of available studies tested in humans and there is still no defined methodology on the supplementation of vitamins and/or minerals, but that these exert their antioxidant and anti-inflammatory role, reducing the adverse effects of the pathology.

Evaluation of the nutritional composition and costs of the basic food basket in the municipality of Francisco Beltrão - southwest of Paraná

2025-07-26T07:46:13-07:00

The products that make up the Basic Food Basket and the quantities necessary to feed an adult worker for a period of one month are established by Decree Law No. 399/1938, however the cost of these items is surveyed by DIEESE. The present work aims to analyze the nutritional composition of the Basic Food Basket and compare it with the recommendations of the Dietary Reference Intakes (DRIs), in order to verify whether they are sufficient to guarantee adequate nutrition, in quality and quantity. In a complementary way, it is also proposed to present a new composition of the Basic Food Basket, nutritionally adequate, in accordance with MDS Ordinance No. 966; and also compare the costs of both in relation to the current minimum wage. The results demonstrated that it was not satisfactorily adequate in terms of nutrients, showing a lack of micronutrients and an excess of macronutrients. In relation to the comparison of costs between the current basic food basket and the proposal, it was found that the second has, for the period of analysis, a lower monetary value than the first. The study presented a new proposal for a food basket in line with the recommendations of the DRIs, as well as MDS Ordinance No. 966. The Basic Food Basket had a cost of R$ 585.27, requiring a 91-hour working day and 11 minutes to acquire it, while the proposed basic food basket cost R$ 427.45, corresponding to 71 hours and 14 minutes, both carried out in Francisco Beltrão, according to the DIEESE methodology in March 2024.

Quality of sleep of university students who use caffeine

2025-07-26T07:24:10-07:00

Introduction: Sleep deprivation is considered a public health problem and is directly related to several academic and health consequences. Caffeine is the main substance ingested by university students who aim to improve performance in their studies, however caffeine can cause harm due to its effects on the central nervous system, impairing the quality of sleep. Objective: To evaluate the quality of sleep of university students who use caffeine. Materials and methods: this is a descriptive and quantitative research that evaluated the responses to an online questionnaire on food frequency and sleep quality among university students from different courses and periods of study, aged between 18 and 59 years old, both sexes, with statistical data analysis. Results: The main foods eaten by university students every day are pure coffee, coffee or chocolate milk and other foods with chocolate and drinks such as sodas, cola and guarana are consumed once a week. Conclusions: this study concluded that the main food containing caffeine consumed by students is pure coffee and coffee with chocolate or coffee. Further work with a larger number of university participants is recommended to analyze the association of caffeine consumption with quality of sleep using standardized instruments.

Evaluation of gluten labeling on foods sold in Belo Horizonte, Minas Gerais

2025-07-26T07:11:53-07:00

Labeling encompasses all the information present on a product's packaging and is considered a means of communication between the producer and the consumer. Therefore, the information must be clear and concise. One pertinent piece of information on food labels is the indication of gluten, which guides the choices of individuals with wheat sensitivity or allergy and those with celiac disease. The regulation regarding gluten has been in effect since 2003 and was established as a way to prevent and control celiac disease. Based on this information, the aim of this study was to evaluate the compliance of gluten declarations on food product labels sold in the city of Belo Horizonte, Minas Gerais. The label analysis was conducted in accordance with current Brazilian legislation (Law 10.674/03 and RDC Nº. 727/22). A total of 500 food product labels available in six supermarkets located in Belo Horizonte-MG were analyzed. The results raise concerns, as 20 analyzed products still have labels that do not comply with the norms prescribed by the legislation, which can harm the health of consumers who have pathologies related to gluten consumption, such as abdominal discomfort, diarrhea, and poor nutrient absorption. Therefore, these findings highlight the need for stricter oversight by regulatory authorities, as well as awareness among food producers about the importance of correct labeling.

Body image and eating compulsion in adolescents at the private school in the southwest of Bahia

2025-07-26T07:03:25-07:00

Adolescence is marked by intense changes in physical, social and psychological development. These when associated with image standardization, widely stimulated through various media spaces, may favor the emergence of insecurities related to self-perception and, consequently, possible changes in eating behavior. This study aimed to investigate the prevalence of body image dissatisfaction and binge eating in adolescents enrolled in a private educational institution in southwestern Bahia. Through a descriptive and field approach, the Body Shape Questionnaire (BSQ) e Eating Attitude Test (EAT-26) questionnaires, anthropometric data of weight and height for the evaluation and nutritional classification according to the Ministry of Health were used for data collection. The target audience was composed of 18 adolescents from the 1st to the 3rd year of high school, in which most had adequate height and eutrophy in relation to Body Mass Index (BMI), but the presence of overweight was observed in 8.7% of the adolescents, given this concern. Regarding body image dissatisfaction, it was observed that 39.1% of those studied presented mild to severe dissatisfaction. Thus the risk of developing binge eating and dissatisfaction with body image were present and showed expressive in the participants investigated. This fact highlights the need for the development of educational interventions involving planning with all (directors, educators, parents, among others), so that they can corroborate with the awareness of students regarding the theme and mitigate the deleterious effects on health.

Male body dissatisfaction and eating behavior: a cross-sectional study

2025-07-26T06:52:46-07:00

Introduction: Inadequate eating behavior and body dissatisfaction are common themes among studies that compare males and females. However, few of these are exclusively aimed at males and their characteristics. Objective: To evaluate the prevalence of body dissatisfaction and inadequate eating behavior among men in Serra Gaúcha and their associations. Materials and Methods: An online survey was conducted using the Google Forms platform, with a self-administered questionnaire targeted at men over 18 years old living in Serra Gaúcha. Sociodemographic data were collected, in addition to reported weight and height. Body image dissatisfaction was assessed using the Stunkard silhouette scale. Eating behavior was assessed using the EAT-26 tool. Results: A total of 107 men aged 35.42 ± 13.81 years were included, most of whom had completed or incomplete higher education, were single and practiced physical activity, and had a body mass index of 26.79 ± 4.59 kg/m². There was 87.8% of body dissatisfaction and 9.3% of inadequate eating behavior. Among men dissatisfied with their body image, there was a higher prevalence of overweight and obesity (p=0.028). Conclusion: There was a high rate of body dissatisfaction among men, associated with excess weight.

Consequences of early weaning for infants and nursing mothers

2025-07-26T06:44:17-07:00

Objective: to describe the consequences of early weaning for the health and nutrition of infants and nursing mothers. Materials and Methods: to search for works, the following databases were used: Google Scholar, Scientific Electronic Library Online (Scielo), PubMed and Science Direct. In the search strategy, the Booleans AND and OR were applied with the following descriptors, in Portuguese and English: breastfeeding; early weaning, health repercussions, infants, lactating women, anemia, cancer, diarrhea, depression, overweight and obesity. Publications from 2018 to 2023 were considered. 231 articles were identified and at the end of the selection process, eight were included in this review. Results: the consequences of early interruption of exclusive breastfeeding for the child were: development of possible allergies and food intolerances; delayed oral motor development in children; low weight and/or excess weight and diarrhea as the main consequences for the infant, directly impacting their intestinal microbiota and immune system. Regarding the consequences for breastfeeding women, risk of developing breast and/or ovarian cancer, anemia and postpartum depression; difficulty in recovering psychosocial well-being. Conclusion: the importance of health education actions to encourage exclusive breastfeeding in the first six months of a child's life is verified as a measure to promote the health of the mother-child binomial.

Effects of nutritional interventions on eating behavior after bariatric surgery

2025-07-26T06:37:10-07:00

Four adult women with weight relapse and difficulty adhering to nutritional treatment participated. At baseline, sociodemographic, clinical history assessment and treatment adherence questionnaires were applied, in addition to the Beck anxiety inventory and the three dietary factors questionnaire. Intervention 1 (I1): Intervention with a conventional eating plan; Intervention 2 (I2): Intervention based on changing eating behavior. Better results were noticed in the short term with I2. I1 contributed to increasing or maintaining anxiety levels and the frequency of dysfunctional eating behaviors. However, regular long-term monitoring appears to be necessary to provide social reinforcement that motivates adherence behaviors to be maintained even in the absence of improvements in biological markers.

Açaí (Euterpe oleracea Martius) supplementation in a high-fat maternal diet modulates short-chain fatty acids concentration in dams and offspring.

2025-07-26T06:27:34-07:00

Introduction: maternal diet high in fat can metabolically program their offspring, increasing the risk of metabolic changes associated with obesity in adult life. The effect of dietary components on the microbiota has been studied as an adjuvant therapeutic strategy. Açaí, a fruit from the Amazon, is described in the literature as having these bioactive compounds. Objective: to evaluate the effect of supplementation with açaí pulp in a maternal HF diet on the concentration of short-chain fatty acids (SCFA) in colonic content and liver concentration of tumor necrosis factor (TNF) in post-weaning rats and pups. Methods: firstly, in vitro antioxidant characterization of the açaí pulp used was carried out. For the experimental model, 32 rats were divided into 4 groups: Control, HF, A (Control supplemented with 2% açaí pulp) and HFA (HF supplemented with 2% açaí pulp) before mating, during pregnancy and lactation. Açaí pulp has exceptional antioxidant activity. Results and discussion: we identified that rats in the HAF group had lower concentrations of total SCFA, acetic and propionic acid than those in the HF group. Açaí in the HF diet prevented the increase in hepatic TNF in rats. Açaí in the maternal HF diet increased the concentration of butyric acid and reduced propionic acid in their offspring. Conclusion: the results suggest that açaí, rich in fiber and polyphenols, can alter the SCFA profile in rats and puppies, contributing to its recognition as an adjuvant therapeutic strategy for metabolic complications associated with obesity.

Evaluation of the effect of tirzepatide on weight loss: a systematic review

2025-07-26T06:03:55-07:00

Obesity is a condition related to chronic inflammation that leads to a series of health complications for patients. The aim of this study was to systematize the evidence of weight loss with the use of Tirzepatide, a novel GLP-1 RAs and GIP in pharmacological treatment for obesity. This is a systematic literature review conducted in December 2023. Randomized clinical trials from the "PubMed" and "Web of Science" databases were included, involving a population aged 18 years and older, comparing Tirzepatide with other treatments for obesity or placebo, and providing information on weight reduction. A total of 17 articles were included in the review. Among the results, reductions of up to 6 - 20.8% in body weight were observed with the use of Tirzepatide doses ranging from 1 – 15 mg, over a follow-up period ranging from 24 to 88 weeks. It is concluded that Tirzepatide is effective for the treatment of obesity due to its weight loss effects. The greatest weight reductions were observed with higher doses over a longer duration of use.

Muscular strength, agility, aerobic capacity and body composition in elderly women undergoing combined practice of two types of physical exercise

2025-07-22T14:01:40-07:00

Introduction: Physical exercise is a widely used strategy to reduce the harmful effects of aging. Assessments of body composition, muscular strength, agility and aerobic capacity are used to verify how much the variables of muscular performance and cardiovascular health can influence the functional capacity and health of this population. The objective of the present study was to investigate the relationships between muscular strength, agility, aerobic capacity and body composition in elderly people who practice physical exercise. Materials and Methods: Descriptive correlational study, carried out with 66 elderly women (69.15 ±5.66 years) with combined practice of water aerobics and resistance training twice a week for each modality, on alternate days. Handgrip strength (HGS), Sitting and Standing (SL) tests were performed; Elbow Flexion (Flex Cot), Timed Upand Go (TUG), 6-minute walk (C6m) and body mass index (BMI) and waist-hip ratio (WHR). Results: The Spearman demonstration test showed positive associations of HGS with the CMT (rho= 0.253; p=0.505); Flex Crib (rho= 0.200; p= <0.001); C6m (rho= 0.335; p= 0.005) and inverse association between WHR and sit-stand test (rho= -0.240; p=0.049). Discussion: Negative purification between WHR and lower limb strength can increase metabolic demand and decrease cardiac subsidence (CD). The instability caused between muscle-fat with advancing age can promote low-grade inflammatory damage to sarcopenic obesity. Conclusion: The present study found associations between global muscular strength and functional capacity in elderly women who practice physical exercise

Evaluation of intake leftover index in a hospital food and nutrition unit

2025-07-22T13:46:02-07:00

Introduction: A Food and Nutrition Unit (FNU) is a place where meals are produced and provided to diners, including the procedures for receiving food, pre-preparation, and cooking. Rest Intake (RI) consists of a quantitative measure that indicates the amount of food that was distributed and not consumed, losing existing waste. Measuring RI can be effective for understanding the reality of consumption, adapting portions and menu accessibility, in addition to improving the production process and improving profits. Objective: To determine the rest-intake index of a hospital FNU and compare it with the values recommended in the literature. Materials and Methods: Data collection was conducted in a Hospital FNU located in Rio de Janeiro-RJ, during the first 15 days of December 2020, considering the lunch. Diners were instructed to discard their leftovers in a designated bin. The waste was quantified after subtracting the weight of the container from the weight of the discarded food. Data analysis was performed using Microsoft Excel Office 365 software, the variables presented were in the form of mean and standard deviation, minimum and maximum values. Results and Discussion: The results found indicate RI percentages of 4.37% ±1.48, these values demonstrated within acceptable parameters, being an indicator of the facilities offered on the menu. Conclusion: It is noted that the value of rest-intake of the studied institution are within the recommendations in the literature.

Intra and extra hospital antagonism of obesity in Brazil

2025-07-22T13:37:55-07:00

Introduction: Obesity is a condition in which fat accumulates in the body to the point of being a risk factor or marker for a series of chronic diseases, influencing morbidity and mortality rates in the country. In Brazil, the prevalence of this disease doubled from 2002 to 2019, reaching 19.8% of the population and 26.8% of the adult population. Objective: To analyze the trend of hospitalizations and mortality due to obesity inside and outside the hospital in Brazilian regions. Materials and Methods: This is an ecological, retrospective and cross-sectional study whose data were obtained from the Hospital Information System and deaths from the Mortality Information System of the Ministry of Health, available at the electronic address of the Department of Informatics of the Unified Health System. Trend analysis of hospitalization and mortality rates was performed using polynomial regression modeling. Results: There were 109,667 hospitalizations and 25,784 deaths due to obesity, with a trend towards an increase in hospitalizations in the South and Southeast regions for both sexes. Of the deaths, 16,731 were in-hospital and 9,053 were out-of-hospital. The trend of in-hospital mortality was decreasing and contrary to extra-hospital mortality, with regional differences. Conclusion: The nutritional transition affected the profile of intra- and extra-hospital obesity, requiring strong strategies to combat the disease.

Insulin resistance in elderly people with osteoarthritis: characterization and associated factors

2025-07-22T06:42:31-07:00

Studies have identified that insulin resistance is a marker of inflammation, and that there is an association between inflammation and negative metabolic outcomes. Considering these aspects, the present study aims to verify the prevalence of insulin resistance in elderly people with knee osteoarthritis (KOA) and verify the factors associated with this problem. This is a cross-sectional study carried out with a convenience sample of elderly people with KOA undergoing physiotherapeutic and nutritional treatment at a Physiotherapy School Clinic. The elderly were subjected to sociodemographic, economic, health, anthropometric and biochemical evaluation. For statistical analysis, logistic regression was used. A significant level of 0.05 was adopted. 33 elderly people participated in the study, of which 18.2% and 72.7% were respectively insulin resistant and overweight. The average age of the group was 72 years. The majority are female (n=30, 90.0%), with high cardiovascular risk (n=29; 87.9%) and low level of education (n=20; 60.7%). Most elderly people used 5 or more medications per day, these being for the treatment of high blood pressure (n=25; 75.5%), followed by osteoarthritis (n=14; 42.0%), dyslipidemia (n=9; 27.3%) and diabetes (n=7; 21.2%). No variable assessed was associated with insulin resistance. The results of this study indicate that the elderly people evaluated present a worrying situation, they present problems that together put them at high cardiovascular risk, that is, they are overweight, have a high waist circumference, high blood pressure, diabetes and insulin resistance. However, no factors associated with insulin resistance were identified. These findings reinforce the need for comprehensive health care for this population.

Association between adherence to physical activity, carbohydrate counting and glycemic monitoring in adults with type 1 diabetes during the covid-19 pandemic

2025-07-29T23:38:01-07:00

Introduction: Measures imposed during the COVID-19 pandemic may have compromised factors in the treatment of Type 1 Diabetes Mellitus (DM1), such as adherence to physical activity (PA), glycemic monitoring and dietary care. The objective of this study was to test the association between adherence to PA, Carbohydrate Count (CC) and glycemic monitoring by adults with DM1 during the COVID-19 pandemic in Brazil. Materials and methods: Cross-sectional, descriptive and analytical study, carried out using an online questionnaire with a convenience sample. Information was collected in the following axes: sociodemographic, PA, CC and glycemic monitoring. For statistical analysis, Pearson's Chi-square test was applied, with adjusted residual analysis. Results: Of the 472 participants, 27.5% stopped and 9.5% started practicing PA post-social distancing, 39% remained active and 23.9% remained inactive during this period. The interruption of PA was associated with the interruption of CC (p=0.030), inaccessibility of supplies by the Government for glycemic monitoring, as well as not being able to purchase supplies was associated with physical inactivity (p=0.048). Using a Continuous Glucose Monitoring System (SMCG) and glucometer was associated with remaining active (p=0.007). Knowing, but not doing CC was inversely associated with staying active, and performing it frequently was associated with staying active, even in isolation (p=0.030). Conclusion: Performing CC, using SMCG, a glucometer and purchasing or receiving supplies for glycemic monitoring were factors associated with adherence to PA practice by adults with DM1 in Brazil.

Health-related quality of life in individuals with obesity in the south region of Espírito Santo

2025-07-21T16:19:12-07:00

Introduction: Obesity is considered one of the most relevant public health problems in society, as it constitutes a risk factor for the development of several diseases. The negative impact of obesity on individuals' quality of life has been the subject of several investigations. Objective: To evaluate the Health-Related Quality of Life (HRQoL) in individuals with obesity, as well as its associated factors in a municipality in the southern region of Espírito Santo. Materials and Methods: An epidemiological study with a cross-sectional design was conducted, through a household survey, in the municipality of Alegre, Espírito Santo, between the months of November and December 2021. In a representative and probabilistic sample of the urban population, a sociodemographic, clinical data and health-related habits. HRQOL was measured using the European Quality of Life 5 Dimensions 3 Levels (EQ-5D-3L) instrument and associated factors were obtained using Tobit regression. Results: 645 individuals participated in the study, of which 178 (27.6%) were obese. There was an average quality of life of 0.862 (Standard deviation = 0.150), in addition, 52.8% consider their health status to be very good or good. Factors associated with lower levels of HRQOL included worse self-perceived health, frequent medical appointments, problems adhering to pharmacotherapy and a diagnosis of anxiety. Conclusion: The prevalence of obesity reflects the growing trend in the Brazilian population, and reduced HRQOL in obese people is especially associated with comorbidities, difficulties in adhering to pharmacotherapy and negative self-perception of health.

Anthropometric and strength profile of hemodialysis patients

2025-07-21T14:41:53-07:00

Introduction: chronic kidney disease (CKD) is a condition characterized by kidney damage and gradual loss of the kidneys in terms of functionality (glomerular, tubular and endocrine). Hemodialysis patients, through the accumulation of toxins in the muscle, tend to have progressive losses in strength capacities (dynapenia), which is aggravated by factors such as atrophy due to disuse and generalized muscle weakness. Objective: to draw an anthropometric and strength profile linked to the clinical risk factors of hemodialysis patients. Materials and methods: this is a descriptive cross-sectional study, in which 42 subjects were considered in the research, based on the proposed criteria. All patients underwent established methods for profile evaluation, with the occurrence of dynamometry and anthropometry. After the evaluation, the Body Mass Index (BMI), cardiovascular risk based on the Waist-Hip Ratio (WHR) and the Body Adiposity Index (JI) were calculated. Discussion: Our findings show that the methods used in this study, as they are simple and less invasive assessments, should be incorporated into clinical practice, helping the interprofessional team of treatment centers. Results: patients with dynapenia or obesity have more worrisome values than other anthropometry indices. However, this is aggravated in the set of obesity + dynapenia (OB/DIN). Conclusion: the association between a profile of obesity and reduced strength in patients undergoing hemodialysis is a point of concern, given the evidence of risk factors found in this study, thus predisposing to an unfavorable clinical picture for the population in question.

Influence of psychological variables on loss of body mass index after bariatric surgery

2025-07-21T14:32:52-07:00

Introduction: Bariatric surgery is a treatment for obesity. In this procedure, weight regain is seen as an indicator of failure and this outcome not only involves physiological issues, but also psychological ones. Objective: To investigate the predictive capacity of coping strategies, scores of anxious, depressive and binge eating symptoms in relation to the percentage of loss of Body Mass Index (BMI) in people who underwent bariatric surgery at least 24 years ago. months. Materials and methods: The sample consisted of 43 participants, and the research design was non-probabilistic, with convenience sampling. A sociodemographic questionnaire, a clinical questionnaire, and the Brief COPE, Generalized Anxiety Disorder Scale, Patient Health Questionnaire-9 and Binge Eating Scale were used. Results and discussion: The sample showed high rates of psychopathological symptoms and greater use of problem-focused coping strategies. The variables that obtained a statistically significant correlation with the dependent variable were included in the predictive model, in bivariate analyses: binge eating and the behavioral disinvestment strategy. After linear regression analysis, these variables were identified as predictors of the loss of BMI percentage. Therefore, only binge eating and behavioral disinvestment, among the variables studied, seem to influence the outcome of bariatric surgery in terms of the percentage of BMI lost. Conclusion: It is understood that these findings can contribute to the development of interventions, as they optimize the targeting of aspects that actually interact with the loss of BMI.

Impacts of prebiotics in infant formulas in the first year of life

2025-07-21T14:23:10-07:00

Naturally, prebiotics are introduced into the human body in the first hours of life, through breast milk, however, when breastfeeding is not possible, infants are fed with infant formula (IF). Currently, IF may contain the addition of prebiotics, with the most commonly used being fructo-oligosaccharides (FOS) and galacto-oligosaccharides (GOS). The aim was to evaluate the impacts of infant formula containing FOS and GOS on the development of children in the first year of life, through an integrative review that assessed randomized clinical studies from the last 10 years. FOS are linear polymers of fructose and GOS are composed of short chains of galactose molecules. The studies used in this article demonstrated that FOS and GOS stimulated the growth of Bifidobacterium and Lactobacillus in the infant intestinal tract, resulting in more frequent and softer stools, decreased fecal pH, modest reduction in infections in babies, decreased risk of atopic diseases, and stabilization of the sleep-wake cycle. In premature babies, the presence of prebiotics reduced the incidence of necrotizing enterocolitis. Therefore, formulas supplemented with prebiotics were similar to breast milk in relation to the development of intestinal microbiota; formula supplemented with prebiotics can be an appropriate substitute for breast milk when it is not available. Further longitudinal and long-term studies are needed to better understand the effects of prebiotics in early life, including their positive and negative consequences on microbiota function, immunity, and metabolic profiles over time.

Sleep, eating habits and socioeconomic changes in children: effects of the COVID-19 pandenic

2025-07-29T23:36:40-07:00

The current pandemic scenario has brought consequences for the health of the child population, including changes in sleep and eating behavior. The present study aimed to evaluate changes in sleep, eating habits and socioeconomic status during the pandemic outbreak. A longitudinal study with 37 children between 4-10 years old from a public school. Sleep habits were evaluated through the Questionnaire of Sleep Habits for Children (QSTC), food ingestion, through the 24-hour Recall, and collected socioeconomic data. There was an increase in total sleep time (p<0.01) and a decrease in the overall sleep quality (p<0.01). A reduction in the number of meals consumed was observed (p<0.01). Higher consumption of ultraprocessed food was observed in relation to in natura, with no changes after pandemic. A socioeconomic decline was observed in 43.2% of families (p<0.01). Improvements in children's sleep quality and duration, a reduction in the number of meals per day and the loss of access to school meals was observed.

Effects of celiac disease on different organ systems

2025-07-19T15:57:17-07:00

Introduction and Objective: Celiac disease is an autoimmune enteropathy triggered by exposure to gluten, which is found in cereals such as wheat, rye, barley and malt. This condition damages the mucosa of the small intestine, resulting in gastrointestinal symptoms and negatively affecting systems such as bone, reproductive, cardiovascular, mental and neurological health. This study aims to review the effects of celiac disease on different organ systems. Materials and Methods: The literature review was carried out using the Google Scholar, Scielo and PubMed databases. In the search for articles, the following descriptors were used: celiac disease, gluten-induced enteropathy, gluten-free diet. Articles were selected that met the following limits: ten years of publication, considering studies with adults over 18 years of age, in the languages: Portuguese, Spanish and English. The review was carried out between August 2023 and February 2024. Results and discussion: 28 international and five national and regarding the type of study, 10 were review and 18 cohorts, observational and longitudinal studies. Studies show the implications of CD in different systems, highlighting that in addition to gastrointestinal symptoms, we can observe the presence of extraintestinal symptoms, and regarding treatment with adherence to a gluten-free diet, we realize the psychological and social challenges faced by celiac patients. Conclusion: A Celiac disease has consequences on all organic systems and this highlights the appropriate management of the disease to prevent additional complications and improve patients' quality of life.

Body dysmorphic disorder and physical appearance perfectionism in brazilian university students

2025-07-19T15:47:56-07:00

Body dysmorphic disorder is a disorder which its symptoms developed in adolescence, but it is only diagnosed in the adulthood. Being worried about body areas, presenting obsessive thought and compulsive behaviors are some of the common symptoms in this mental disorder. This paper aimed to analyze the relationship between the presence of body dysmorphic symptomatology, physical appearance perfectionism, gender and minority sexual orientation in a sample of Brazilian university students. A total of 489 students from 16 Brazilian states participated in the present study by answering an online questionnaire. The results showed that there was no significant difference between the genders in physical appearance perfectionism means and minority sexual orientation scored higher in the physical appearance perfectionism scale. In logistic regression, physical appearance perfectionism was considered a high predictor for body dysmorphic disorder. It was concluded that, when taking into account the aforementioned variables, only perfectionism was able to predict body dysmorphic disorder. The study is nationally scientific relevant once it is the first to analyze physical appearance perfectionism as a predictor factor for body dysmorphic disorder.

Nutritional status and symptoms of binge eating and bulimia nervosa in university students

2025-07-19T15:33:00-07:00

Introduction and objective: Academics are at increased risk of developing eating disorders due to concerns about body image, especially students on health courses. The objective of this study was to evaluate and compare nutritional status and the prevalence of binge eating and bulimia nervosa symptoms in university students. Materials and methods: The study was carried out with 230 university students and socioeconomic data, nutritional status, prevalence of binge eating and bulimia nervosa were evaluated. The questionnaires were used: diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) and the Edinburgh Bulimic Investigation Test. The data were analyzed using Stata 14.0® software, with a significance of 5% (p<0.05). Results and discussion: An association was observed between sex and DSM-5 criterion A2 (feeling of lack of control over intake during the binge episode) among students of the Literature course, where 88.10% of those who qualified in this criterion, they were female (p=0.005). It was observed that the risk of bulimia was higher among overweight students and women. Conclusion: A high frequency of possible cases of diagnosis of bulimia nervosa was observed among university students, regardless of the course area.

The duality of eating behavior and the influence of others on the decision for bariatric surgery: a qualitative study

2025-07-19T15:23:28-07:00

The Duality of Feeding Behavior and The Influence of Others on the Decision for Bariatric Surgery: A Qualitative Study. Severe obesity is a chronic, multifactorial disease that is increasingly prevalent in Brazil and worldwide. One of the most effective treatments for the disease is bariatric surgery, however, despite the reduction in excess fat mass, there are collateral factors of the procedure, such as changes in nutritional status, imbalance in the absorption and intake of nutrients and destructuring of body composition. The objective of this study was to describe the duality of eating behavior and the influence of others on the decision for bariatric surgery. This is a descriptive and qualitative study, carried out with individuals between 18 and 65 years of age in the postoperative period of bariatric surgery in two university hospitals (Hospital de Clínicas de Uberlândia and Mário Palmério Hospital Universitário). Based on interviews with 7 postoperative bariatric surgery patients, of different ages, gender and education level, based on the construction of a retrospective of the pre- and post-operative individual, relating social factors and eating habits. The reports converge and show that, after the action of a multidisciplinary team, highlighted by the Nutritionist, it was possible to improve the patients' relationship with food and expand their knowledge about food, thus improving their feeding behavior and the physical and mental health of the interviewees.

Analysis of patient satisfaction with the Food and Nutrition Unit of a university hospital in Maceió-AL

2025-07-19T15:03:34-07:00

Hospital meals are routinely seen as monotonous and with unsatisfactory flavor, variety, temperature and appearance. In this context, the satisfaction survey is important to understand patients' perception and encourage improvements in the service provided. Therefore, this study aimed to analyze the degree of patient satisfaction in relation to the food service offered by a public hospital in Maceió-Alagoas. A cross-sectional study was carried out from July to December 2023. Information was collected on employee service, quality of sensory attributes of the meals served and level of satisfaction with the nutrition service. A descriptive analysis of the variables was carried out and to verify the relationship between length of stay, patient gender and satisfaction, Pearson's chi-square test was used. The sample consisted of 335 individuals. When analyzing the cordiality of the waiters, satisfaction was > 90%. Around 80% of individuals considered the temperature and quantity of food served to be adequate and; around 90% reported appropriateness in the time at which meals are served. 90.4% of patients with 7 (seven) days or more of hospitalization were satisfied with the taste of the meals; the variety was satisfactory for more than 80% of those interviewed and; around 90% of individuals demonstrated that they were satisfied with the presentation of the meals regardless of the length of stay. Given the above, it can be concluded that patients are satisfied with the food service provided by the hospital.

Emotional eating in patients at a nutrition outpatient in south Brazil

2025-07-19T12:13:03-07:00

Emotional eating is defined as eating under the influence of negative emotions and is associated with eating disorders, impulsivity, depression and weight gain, which can cause obesity-related illnesses. Individuals with depression are more likely to have a compromised control over emotional eating, which harms their quality of life and health, also making eating more difficult to control. Furthermore, these conditions encourage weight gain. Thus, the objective of this study was to characterize and compare the domain of emotional eating among patients at a Nutrition outpatient clinic in Southern Brazil. This is a cross-sectional study, which used data from a pre-existing database. Emotional eating was assessed using the validated questionnaire, Three Factor Eating Questionnaire R-21, the diagnosis of depression was obtained from the medical record, while the variables, age, sex, height and body mass index were obtained through standard nutritional history. of the service. Data were collected from 252 patients, with type 2 diabetes mellitus and/or hypertension, adults and elderly people, of both sexes, in their first consultation. In relation to emotional eating, patients who had depression, women, adults and overweight patients presented significantly higher values than those without depression, men, elderly people and eutrophic people, respectively. In conclusion, the assessment of eating behavior, especially the domain related to emotional eating, is extremely important to carry out more assertive nutritional monitoring.

Hypovitaminosis D and low ferritin levels in pregnant women assisted by the public health network of a municipality in southern Minas Gerais

2025-07-19T11:36:01-07:00

Pregnancy is a phase in a woman's life that represents the formation of a new being, with public health and maternal and child care being a priority area. In view of the above, this study aimed to evaluate the prevalence of vitamin D and ferritin deficiency, and the consumption of foods that are sources of vitamin D and iron in pregnant women attended by the public health network in Lavras-MG. Cross-sectional study, sociodemographic, economic, obstetric, biochemical and nutritional characteristics were collected. Association of vitamin D deficiency and ferritin levels with covariates was performed using Chi-square test. Among the 67 pregnant women, 32.8% had 25-hydroxyvitamin D deficiency and 37.3% had insufficient ferritin levels. An inadequate weekly intake of vitamin D was found in 58.2% of the sample, with the average intake being statistically (p=0.047) lower in pregnant women with vitamin D deficiency. Weekly iron intake was inadequate across the entire sample. The evidence that more than a third of pregnant women have vitamin D deficiency and low ferritin levels associated with inadequate consumption of vitamin D and iron and the potential impact of this on maternal-fetal health. These findings can contribute to the development of public health policies for the prevention and promotion of maternal and child health.

Food insecurity and obesity in brazilian children: a paradox

2025-07-19T11:05:13-07:00

Obesity and food and nutritional insecurity in childhood are interconnected. Food insecurity, which consists of a lack of access to sufficient and nutritious food, can lead children to consume high-calorie foods, rich in fat, and with excess sugar and sodium. Furthermore, childhood obesity can worsen food insecurity, especially for families in socially vulnerable conditions, who often do not have choices or access to adequate and healthy food. In this sense, the present work, through documentary research with a literature review, aimed to demonstrate the association between food insecurity and childhood obesity in Brazil. The data was obtained through public access to the database of the Information Technology Department of the Unified Health System of Brazil and the National Survey on Food Insecurity in the Context of the Covid-19 Pandemic. The information collected indicated that children who experienced food insecurity were more likely to develop obesity. The Covid-19 Pandemic added an additional dimension to the results, exacerbating challenges related to food insecurity, directly impacting children's health. The lack of access to nutritious foods and the dependence on higher-calorie, sometimes less healthy, options may have contributed to the increased prevalence of childhood obesity among households affected by food insecurity. These results highlight the importance of integrated approaches to address both food insecurity and childhood obesity in Brazil. Public policies that aim to improve access to healthy foods, in addition to promoting food and nutritional education with appropriate eating habits, are crucial to mitigating these problems and improving the health of children in the country.

Overweight and obesity in children aged six to nine years: World Health Organization reference curves

2025-07-19T10:29:43-07:00

Introduction: The occurrence of overweight has increased in recent decades among children and adolescents from various regions of the world. The health damage that overweight and obesity entails, increase the importance of diagnosis in young people. Objective: To construct and compare a specific body mass index (BMI) curve for children aged six to nine years with the normative values of the World Health Organization of 2007 and to show nutritional diagnosis by classifying the percentiles. Materials and Methods: Non-probabilistic cross-sectional study for convenience. The sample consisted of 800 children with simple randomized pairing by sex, performed in Porto Velho-RO, 2018. Weight and height measurements were performed to calculate BMI (kg/m²). The LMS method was used to construct the curves. Results: I) Most children in the male group presented values in each percentile higher than the female group. II) The prevalence of obesity was higher in boys at all ages from six to nine years. III) Bmi percentiles for children aged six to nine years showed higher normative values for both sexes from the P50 percentile when viewed with the world health organization reference percentiles of 2007. Conclusion: Boys from six to nine years of age were more overweight than girls. Therefore, local, and population-specific BMI curves should be developed to assess the growth of children.

Nutritionists perception on the quantification of food consumption reported by individuals with obesity

2025-07-19T09:37:58-07:00

Aim: To assess the perception of nutritionists on the quantification of food consumption reported by individuals with obesity. Materials and Methods: Qualitative study conducted with nutritionists between 2019 and 2020. Content analysis was performed using data from three focus groups and employing the thematic analysis technique. Results: The study highlighted four factors that may affect food consumption reporting. 1) Feelings of individuals with obesity; 2) Relationship between the professional nutritionist and the individual with obesity; 3) Aspects that hinder food quantification; and 4) Aspects that facilitate food quantification. Discussion: Firstly, the study aids in identifying the essential skills required for training nutritionists, particularly in relation to assessing food consumption, which is often undocumented. Secondly, it emphasizes the significance of nutritionists paying close attention to the emotions expressed by individuals with obesity while quantifying their food consumption, ensuring the demonstration of empathy when needed. Thirdly, it highlights the need for nutritionists to remain vigilant regarding the potential deliberate misrepresentation of food quantities among individuals with obesity who are seeking approval for bariatric surgery. Lastly, it acknowledges the value of previous experiences of individuals with obesity in adhering to diets and undergoing nutritional assessments as influential factors in facilitating dietary assessments. Conclusions: This study adds knowledge about the perception of nutritionists on the food quantification of individuals with obesity, which may be aid in more accurate and reliable assessment of food intake.

The relationship of attention deficit hyperactivity disorder with food: a review

2025-07-19T09:16:28-07:00

Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is a neurobiological disorder, which can occur due to reduced dopamine levels, resulting in lower brain levels. Treatment seeks to alleviate symptoms through behavioral therapy and medication, and as a complementary alternative to changing eating habits. Objective: to evaluate the relationship between the development of ADHD and nutrition. Materials and Methods: This is an integrative review, in which the PICO question was: “What is the relationship between attention deficit hyperactivity disorder and food?” The inclusion criteria applied consisted of experimental and clinical research articles, in Portuguese and English, available in electronic magazines and indexed scientific journals. As exclusion criteria, abstracts, books, letters, review articles, dissertations and theses, which were included outside the time limit of 2018 to 2022. Results: 45 references were found and after applying the eligibility criteria, 10 articles made up the final sample. Significant associations were found between the consumption of foods that are sources of vitamin D, magnesium and omega-3 with the prevention of the disorder, as well as a reduction in complaints and prevalence of symptoms, such as gastrointestinal complications, irregular sleep and inflammation. Conclusion: It is understood that nutrition can be an ally in reducing the symptoms and complaints of ADHD, and that a diet rich in fruits, vegetables and greens, with reduced amounts of salt and saturated fats can be beneficial for treating the disorder.

Influence of body satisfaction on the eating behavior of patients with obesity treated in the TIMES extention

2025-07-19T08:48:10-07:00

Introduction: Obesity has become a global health problem, reaching alarming numbers. Assessing the level of body satisfaction of patients with obesity and its relationship with the way this person eats is of great relevance because it can influence adherence to weight loss programs. Objective: Identify whether body satisfaction influences the eating behavior of patients with obesity. Materials and methods: A cross-sectional, observational, descriptive study with participants of a social project of a university in the Vale do Sinos region, between 18 and 59 years old, of both genders, with a Body Mass Index (BMI) > 30 kg/m², according to the WHO Classification (1995). Data collection occurred in person, using the Kakeshita Silhouettes Scale, the Body Shape Questionary (BSQ), the Portuguese version, and a questionnaire created for the research, which addressed questions related to the characteristics of the sample, eating habits and behaviors perceived at mealtimes and related to body satisfaction. Data were collected from 19 individuals, 3 of them were excluded according to the study exclusion criteria, and the 16 remaining participants' data was analyzed. Of these, 81.3% (n=13) were women, with a mean age of 45.8±10.2 years. Results and discussion: The comparative results between the questionnaire and the BSQ indicated that participants have higher food intake when they are more dissatisfied with their physical shape (p = 0.031) and feel more dissatisfied when they consume more food. Conclusion: Body satisfaction influences eating behavior, and this must be considered in nutritional treatment.

Time trend of nutritional status of children aged 0 to 5 years between 2008 and 2021: an analysis using data from SISVAN

2025-08-11T09:05:25-07:00

Introduction: In the last decades there was a transition in the nutritional status of children, in which a decrease in the levels of severe thinness and an increase in excessive weight was observed. Aim: To observe the time trend of nutritional status of children aged 0 to 5 years, between 2008 and 2021, according to sex and region. Materials and Methods: Descriptive study that observed the nutritional status of children using the data available from the Brazilian Food and Nutrition Surveillance System (SISVAN) of the Ministry of Health. Results: The results showed a considerable increase in children using the system from 2008 (2,011,279 children) to 2021 (4,408,739 children). Regarding nutritional status, there was a decrease in the prevalence of children with severe thinness, decreasing from 4.53% to 3.09%. This decrease was above 1.00% for both female (4.33% vs. 2.91%) and male (4.71% vs. 3.26%) children. The prevalence of children with adequate BMI increased 1.46% (58.60% to 60.06%). When analyzed by region, results showed an increase above 1.00% of children with adequate BMI in the Midwest, Southeast and South. Concerning obesity, an increase of 1.29% was detected in the Southern Region (6.28% to 7.57%). Conclusion: Between 2008 and 2021 more children using the National Unified Health System considerably increased. A decrease in the prevalence of severe thinness was observed in both female and male children, following the international tendency. Among Brazilian Regions, the South presented an increase in the prevalence of children with obesity.

Muscular strength, agility, aerobic capacity and body composition in elderly women undergoing combined practice of two types of physical exercise

2025-07-18T16:53:42-07:00

Introduction: Physical exercise is a widely used strategy to reduce the harmful effects of aging. Assessments of body composition, muscular strength, agility and aerobic capacity are used to verify how much the variables of muscular performance and cardiovascular health can influence the functional capacity and health of this population. The objective of the present study was to investigate the relationships between muscular strength, agility, aerobic capacity and body composition in elderly people who practice physical exercise. Materials and methods: Descriptive correlational study, carried out with 66 elderly women (69.15±5.66 years) with combined practice of water aerobics and resistance training twice a week for each modality, on alternate days. Handgrip strength (HGS), Sitting and Standing (SL) tests were performed; Elbow Flexion (Flex Cot), Timed Upand Go (TUG), 6-minute walk (C6m) and body mass index (BMI) and waist-hip ratio (WHR). Results: The Spearman demonstration test showed positive associations of HGS with the CMT (rho= 0.253; p=0.505); Flex Crib (rho= 0.200; p= <0.001); C6m (rho= 0.335; p= 0.005) and inverse association between WHR and sit-stand test (rho= -0.240; p=0.049). Discussion: Negative purification between WHR and lower limb strength can increase metabolic demand and decrease cardiac subsidence (CD). The instability caused between muscle-fat with advancing age can promote low-grade inflammatory damage to sarcopenic obesity. Conclusion: The present study found associations between global muscular strength and functional capacity in elderly women who practice physical exercise.

Correlation between hand grip strength and muscle mass of individuals with viral hepatitis without cirrhosis assisted in a reference center in the Amazon

2025-07-18T16:37:07-07:00

Sarcopenia is an important complication of advanced liver disease. For its evaluation, several techniques can be used. This cross-sectional, descriptive, and analytical study aimed to evaluate the relationship between hand grip strength and muscle mass in individuals with chronic liver disease. 39 patients with hepatitis B and/or C were evaluated. Sociodemographic data, hand grip strength (HGS), weight, height and body mass index, 24-hour dietary recall to assess protein intake, and bioelectrical impedance analysis were collected. A correlation was observed between HGS and muscle mass (B=0.505; CI 0.616; 2.243; p=0.001) regardless of protein intake (B=0.623; CI 0.910; 2.618; p<0.001), age (B=0.622; CI 0.896; 2.626; p<0.001), body mass index (B=0.622; CI 0.891-2.631; p<0.001) and practice of physical activity (B= 0.622; CI 0.876; 2.641; p<0.001). In addition, there was a correlation between muscle mass and protein intake (B=0.398; CI 0.016; 0.123; p=0.012), which remained regardless of age (B=0.399; CI 0.015; 0.124; p=0.013), body mass index (B=0.403; CI 0.015; 0.125; p=0.014) and the practice of physical activity (B=0.408; CI 0.013; 0.129; p=0.017). The use of HGS to verify and monitor the loss of muscle strength is suggested, as it is a simple method, easy to transport and apply, cost-effective.

Association of ultra-processed food consumption with endothelial function and arterial stifeness

2025-07-18T14:59:53-07:00

Objective: The objective of the study was to assess whether the consumption of ultra-processed foods is associated with endothelial dysfunction and induction of arterial stiffness in eutrophic and overweight individuals. Methods and Results: Cross-sectional study in adults (>18 years), with body mass index (BMI) between 18.5 and 30 kg/m², and low to intermediate cardiovascular risk. Endothelial function was measured using the flow-mediated dilation (FMD) technique, and arterial stiffness (PWV, Alx@75, and central blood pressure) was assessed using an standarized oscillometric method. The eating habits of three months were collected with three 24-hour recalls, and the classification for ultra-processed foods was performed according to NOVA and categorized into tertiles for statistical assessment. Thirty-three individuals were assessed, with a mean age of 38.6±10.0 years, 82% female, 85% white, 52% single, 88% individuals with more than 12 years of schooling, and 46% had a formal job. The mean consumption of ultra-processed foods was 700 Kcal/day, and total calorie consumption was 1631 Kcal/day. There was no statistical difference between the groups of consumption of ultra-processed foods and PWV (p=0.538), Alx@75 (p=0.780), central systolic blood pressure (p=0.718), central diastolic blood pressure (p=0.864), and %FMD (p=0.246). Conclusion: In eutrophic and overweight adults with low to intermediate cardiovascular risk, consuming ultra-processed foods was not associated with endothelial function as measured by FMD or arterial stiffness.

The controversy over the effects of lard on health: a study of influencers and content shared on a social network

2025-07-18T14:50:36-07:00

There is a lot of controversial information regarding the consumption of lard as a substitute for vegetable oils. Lard contains a large amount of saturated fats, which in excess can be harmful to cardiovascular health according to the Brazilian Society of Cardiology. The objective of this study was to evaluate the information disseminated about lard on Instagram and to know the profiles of influencers involved in the topic. For the research, hashtags were used to search for posts about lard on Instagram. The content of the posts was analyzed according to national guidelines for fat consumption. Of the 72 posts analyzed, 40.3% recommended the use of lard to replace vegetable oils, 31.9% recommended the use of lard and 27.8% did not recommend its use. The information found about lard was controversial posts, sometimes recommending its use, containing claims about its benefits; other times not recommending the use of lard, with claims about its harm to health. There was a significant association (p<0.05) with the recommendation of using lard by bloggers/ coaches and other influencers when they are not nutritionists. However, a considerable number of nutritionists/ dietists recommended the consumption of lard (12 recommended, 14 did not recommend). Information about lard without a scientific basis for nutritional advice disseminated on social media could induce undesirable habits for the health of users, regardless of the influencer who disseminates it.

Evaluation of the micronutrient composition of the diet offered to adult pregnant women in a public maternity hospital

2025-07-18T14:42:39-07:00

Introduction: Pregnancy is a period of countless changes and transformations. At this stage, adequate food intake is essential due to increased maternal nutritional needs, mainly iron, calcium, zinc and vitamin A. Objective: to evaluate whether the micronutrients iron, zinc, calcium and vitamin A in the diet offered in a maternity hospital meet the daily recommendation for pregnant women. Materials and methods: This is a cross-sectional, descriptive study, with quantitative analysis. An evaluation of the menu offered to pregnant women hospitalized in a maternity hospital in Salvador - BA was carried out. Four weekly menus were evaluated in soft consistency. The recommendations of the Dietary Reference Intakes – DRI's were used as a comparison parameter to quantify the values of zinc, calcium, iron and vitamin A. Results: The percentage of iron and vitamin A adequacy was , respectively, 71.6% and 54.29%. In the zinc and calcium analysis, the values exceeded 100% of the DRIs, with adequacy values of 149% and 128.5%, respectively, but were within the tolerable intake limits. Conclusion: There was an adequacy in the average supply of the minerals calcium and zinc, however, a deficiency in the supply of the micronutrients iron and vitamin A for hospitalized pregnant women.

Association of eating habits with markers of food consumption in children from a private school in Minas Gerais, Brazil

2025-07-18T14:34:10-07:00

Introduction and Objective: Childhood obesity rates are increasing over the years. Considering the evidence on the impact of unhealthy eating behaviors and practices on children's health, it is necessary to investigate the association between eating practices/behaviors and food consumption in children. Materials and methods: This is a quantitative cross-sectional study. The study included children aged between 6 and 10, enrolled in a private school located in the city of Juiz de Fora, Minas Gerais. The children and their guardians were invited to take part in the study voluntarily. Results: 50 children with an average age of 8.2 ± 1.5 years were assessed. Beans were the healthy food most consumed by the children (90%), while among the unhealthy foods, sweetened drinks (68%) were the most consumed. The results also show that children who skip breakfast consume more ultra-processed foods (75%) than those who don't (6.5%) (p=0.004). Discussion: The association observed in this study between food consumption and dietary practices is based on the relevant results found, such as the fact that half of the children have the habit of eating their meals while watching TV/eating on the computer and/or cell phone, and the highest percentage of children usually eat at fast-food restaurants, a habit which also harms their diet. Conclusion: In general, schoolchildren have eating habits that can be considered risk factors for developing obesity and associated diseases.

Relationship between cardiovascular risk and anthropometric parameters of people with hepatitis b and/or c treated at a public reference hospital in the amazon region

2025-07-18T14:09:55-07:00

Introduction: Individuals with viral hepatitis present metabolic and nutritional status changes. Therefore, anthropometric assessment allows the identification of changes in body composition that reflect cardiovascular risk (CVR). Objective: To evaluate the relationship between CVR and anthropometric parameters of people with hepatitis B and/or C. Materials and methods: Cross-sectional, descriptive and analytical study, carried out from August 2020 to August 2021.Socioeconomic, demographic, clinical and anthropometric characterization were evaluated (weight, height, body mass index-BMI, neck circumference, abdominal circumference-WC, waist circumference, hip circumference-HC, waist-to-height ratio-WHR, waist-hip ratio-WHR and visceral adiposity index-VAI). In addition, RCV stratification was carried out, classifying them as very high, high, intermediate or low. For analysis, the G or Chi-Square test of independence was used, and multinomial logistic regression analysis, considering a significance level of p<0.05. Results: 145 individuals with hepatitis B and/or C, aged 53.54±12.14 years, 53.10% female. There was an association between CVR and sex (p<0.001), age (p<0.001), diagnosis of hepatitis (p<0.001), T2DM (p<0.001), hypertension (p<0.001), WHtR (p=0.042) and VAI (p=0.014).From the regression analysis, the model containing age and VAI was significant (p<0.0001) for females, and the model containing age, VAI and WC (p<0.0001) for male. Conclusion: The use of WC is suggested to evaluate CVR in males and VAI for both sexes, in people with viral hepatitis, as they are practical and low-cost tools.

Relationship of the repercussions of polycystic ovary syndrome, nutritional status and food consumption

2025-07-21T13:30:20-07:00

Introduction and Objectives: Polycystic ovary syndrome (PCOS) is a hormonal disorder that interferes with the normal metabolism of ovulation and that generates several consequences for sufferers, such as obesity, insulin resistance, increased risk of type 2 diabetes and infertility. Nutritional treatment is linked to controlling the disease and treating its complications. The study aimed to show the relationship between the repercussions of PCOS, food consumption and nutritional status. Materials and Methods: Systematic review with articles published between 2019 and 2023, with women, adolescents and adults, in the languages: Portuguese, Spanish and English, in the Google Scholar, Scielo and Pubmed databases, with the descriptors: PCOS; Food Consumption; Nutritional status. Discussion: Studies indicate that there is a relationship between the diagnosis of PCOS, nutritional status and food consumption in women of reproductive age. Results: 41 articles were found that dealt with the topic, of which 32 (78%) reviewed articles and nine (22%) were prevalent articles. The selected articles related PCOS to nutritional status and food consumption mainly address the problems and consequences of inadequate food consumption and overweight and obesity. Furthermore, a relationship was observed between obesity and the complications it can cause in women with PCOS. Conclusion: Nutritional status and food consumption are related to PCOS, from preventing its onset to the development of complications arising from the disease, requiring nutritional monitoring, as a balanced diet is a fundamental part of the treatment.

Self-perception and satisfaction with body image in healthcare professionals

2025-07-21T13:17:00-07:00

Objective: To evaluate self-perception and satisfaction with body image in health professionals. Materials and methods: Cross-sectional study carried out with men and women, workers at Basic Health Units in Guarapuava-PR. Sociodemographic data, weight and height were collected to calculate body mass index (BMI). A Silhouette Scale was used to assess body image. Results: 269 individuals with a prevalence of inadequate nutritional status (69.1%) according to BMI participated. There was a prevalence of dissatisfaction with body image (77.4%) and body image distortion (85.2%), mainly associated with inadequate BMI (p<0.05). Conclusion: Distortion and dissatisfaction with body image was observed, especially in individuals with inadequate BMI, low education, physically inactive, in a relationship and who judged their health status as poor/regular. It is suggested that participants are influenced by the environment in which they live and aspects of everyday life on their perception of body image.

Food consumption, nutritional status and comorbidities in children and adolescents during the COVID-19 pandemic in Piauí

2025-07-21T13:02:34-07:00

Introduction: COVID-19 is considered a Public Health problem. It affects children and adolescents, in addition to having indirect impacts on health, affecting nutritional status and food consumption. Objective: To analyze food consumption, nutritional status and comorbidities of children and adolescents during the COVID-19 pandemic in Piauí. Materials and Methods: This is a cross-sectional, population-based, household study, of a quantitative, analytical nature, an excerpt from a broader research, conducted through a serological survey throughout Piauí, called EpiCovid. Results: Children aged 4 to 5 years had an appropriate weight for their age before and during the pandemic, 60% and 80% respectively and 75% had an appropriate height for their age, from 5 to 10 years old they were classified as eutrophic, before the pandemic (41.2%) and during (33.4%) and a higher rate of overweight during the pandemic (20.5%). 29.9% of adolescents were eutrophic before the pandemic and 37.2% during the pandemic, there was also an increase in overweight to 9.8%. The most prevalent comorbidities were: asthma, other respiratory diseases and obesity. There was regular consumption of fruit, good consumption of rice and beans and high consumption of processed foods. Conclusions: The children and adolescents were eutrophic, with adequate height for their age. The most prevalent comorbidities were: asthma, other respiratory diseases and obesity. There was a high consumption of regional staple foods (rice, beans) and eggs, a higher consumption of chicken; the consumption of Fruits, Vegetables and Vegetables (FV) was regular and there was a high consumption of ultra-processed foods.

Intestinal dysbiosis and lifestyle of college students during the COVID-19 pandemic

2025-07-21T10:11:23-07:00

Intestinal dysbiosis is a condition of microbiota imbalance that favors the emergence of various pathologies. It occurs for different causes, including psychological stress, diet, physical inactivity and sleep deprivation. The object of this study is to relate the signs and symptoms of intestinal dysbiosis with the lifestyle of university students during the COVID-19 pandemic. This is a cross-sectional analytical study realized during the period from September to December 2022. There were used three instruments to collect data: a Sociodemographic Questionnaire, The Metabolic Trace Survey and Convid - Behavior Survey Questionnaire, they both adapted. 656 students participated, of which 52% reached a score indicative of food hypersensitivity. The average age was 21 years old and the sample was mostly female (79,2%). The results evidenced that, about the lifestyle of the group classified as dysbiosis, mostly reported having sleep problems during the pandemic. Furthermore, the sadness and depression symptoms, as well as anxiety and nervousness, had a high incidence. This data was also equivalent to the recurrence of the return to alcohol consumption and the high screen use among this group. It was also evidenced that there were no significant differences between the groups when analysed diet and physical activity. Therefore, it was concluded that the COVID-19 pandemic impacted the lives of students, favoring dysbiosis. So, adaptations in the university reality are interesting to achieve positive vitality and increase academic performance of this group.

Association between symptoms intestinal dysbiosis and food consumption in Nutrition students

2025-07-20T18:10:51-07:00

The eating pattern of university students is usually characterized by an excess of processed foods, sodium and sugar, and this inadequate diet can trigger gastrointestinal changes. Therefore, the main objective was to correlate food consumption with symptoms indicative of intestinal dysbiosis in nutrition students at a higher education institution in Belo Horizonte. This is a cross-sectional and descriptive study with academics of both sexes. Weight, height, and waist circumference were measured, in addition to health and physical activity data. Food consumption on 3 non-consecutive days was recorded through 24-hour recalls. Symptoms indicative of dysbiosis were assessed using the gastrointestinal tract symptoms present in the Metabolic Tracking Questionnaire and the type of feces was assessed using the Bristol Scale. 48 students were evaluated (81.3% women). Men had a higher average water consumption than women (p=0.004). Regarding intestinal function, 22.9% said they had constipation and 2.1% reported diarrhea, with no differences between men and women (p=0.651). In metabolic screening for symptoms indicative of dysbiosis, the median sum was 3 (0–21), being higher among women (p=0.040). In the correlation analysis, there was a positive association between the sum of dysbiosis symptoms and the amount of lipids ingested (r=0.312, p=0.031) and the amount of lipids per kilogram of body weight (r=0.306, p=0.035). Thus, this research demonstrated a good prevalence of symptoms suggestive of dysbiosis in nutrition students and an association between lipid consumption and the severity of these symptoms, especially among women.

Role of beet juice supplementation in cyclists' performance: a review study

2025-07-20T17:41:57-07:00

Cycling is a highly demanding sport that can impose significant strain on individuals, making performance impacts a major concern for practitioners. Current studies indicate that beetroot juice, a source of nitrate, may have the potential to enhance performance due to its role in promoting vasodilation and improving blood flow. Therefore, the aim of this study was to review and discuss the main findings in the literature that demonstrate the role of beetroot juice supplementation in the performance of cyclists, supporting its use as an ergogenic resource. A literature review was carried out, using the PubMed databases employing descriptors “Beet juice supplementation”, “Beet juice” OR “sport” E “Beet juice” OR “performance” in both English and Portuguese between the years 2011 to 2023. After applying inclusion and exclusion criteria, 15 studies were included in the quantitative synthesis. Beetroot juice supplementation (70 to 500 mL) significantly improved cyclists' performance in six studies, but divergent results were observed in time trial tests, especially in cyclists trained in normobaric hypoxia. Although there are improvements in aerobic efficiency for long-duration endurance, supplementation may not be effective for predominantly anaerobic activities such as repeated sprints. Beetroot juice supplementation revealed significant improvements in cyclists' performance, especially in long-duration aerobic activities, although its effectiveness in time trials and anaerobic activities remains inconclusive.

Dietary consumption of middle-aged adults and older people before and during the pandemic

2025-07-20T17:27:09-07:00

Introduction and objective: The COVID-19 pandemic impacted on people's lifestyle habits, affecting eating behaviors. The objective was to compare the food consumption of middle-aged and older adults before and during the pandemic, and to identify the sociodemographic and health factors associated with significant changes in this consumption. Materials and methods: Quantitative and longitudinal study, with 200 participants aged 45 years or over, registered in Primary Care in Três Lagoas, Mato Grosso do Sul. Sociodemographic and health characterization was carried out and markers of a healthy diet were evaluated (regular consumption of fruit, beans and vegetables) and unhealthy (regular consumption of sweets and soft drinks), before (2018/2019) and during the pandemic (2021). The McNemar test and regression models were used in the analyses. Results: The majority of the sample was female, older adult, with partner and with more than four years of education. When comparing the two assessments, there was no difference in the prevalence of regular consumption of beans (66.0% and 66.0%) and fruits (43.5% and 45.5%). Regular consumption of vegetables showed a significant increase, from 45.5% to 57.0%. The unhealthy diet markers did not show a significant difference, being 22.5% and 18.5% for regular consumption of soft drinks, and 21.0% and 21.5% for sweets. Having more than four years of education reduced the risk of increasing vegetable consumption and having depressive symptoms increased the risk of increasing this consumption. Conclusion: An increase in the prevalence of vegetable consumption was identified, especially in participants with less education and with depressive symptoms.

Nutritional status, cardiovascular risk and lifestyle of diabetic people served in UBS in the interior of Piaui

2025-07-20T17:18:53-07:00

Diabetes mellitus presents itself as a heterogeneous group of metabolic disorders characterized by chronic hyperglycemia. This condition is notably correlated with a significant increase in the risk associated with the development of cardiovascular diseases. Nutritional status and daily behavior play a crucial role in diabetes management, directly influencing glycemic control and the cardiovascular risk associated with the condition. The objective of this research is to determine the nutritional status, cardiovascular risk, and lifestyle of diabetic individuals attended to in basic health units in the interior of Piauí. The study is analytical, observational, cross-sectional with a qualitative approach, conducted with adults and the elderly. The sample was non-probabilistic, convenience-based, composed of individuals seeking care through the HIPERDIA program in Basic Health Units (UBS). The study revealed that among the diabetics attended to in UBS in the interior of Piauí, 56.1% were elderly women with low educational attainment and income. These individuals exhibited significant nutritional inadequacies and a high cardiovascular risk, indicating the need for a more stringent nutritional follow-up to reverse and control the presented conditions, leading to a consequent reduction in the risk of developing associated diseases.

A critical analysis of interventions conducted in primary health care to address obesity based on a Scoping Review

2025-07-20T16:44:21-07:00

Obesity is considered a serious global public health issue, with a negative impact on individuals' quality of life and healthcare systems. Primary Health Care (PHC) is crucial in addressing the issues of overweight and obesity, as it provides comprehensive care to individuals with these conditions and is situated in the communities where people live and work, allowing for the establishment of strong connections with the population. The objective of this scoping review was to present a critical analysis of food and nutrition interventions related to addressing obesity in PHC. It was based on the recommendations of the Prisma Extension for Scoping Reviews (PRISMA-SCR) and followed the structure proposed by Arksey and O'Malley. The results revealed significant gaps in interventions, such as the limited number of interventions targeting the male population, the lack of sustainable practices considering individual needs and the symbolic, social, and cultural aspects of eating, and the necessity for research that aligns with the needs of patients, healthcare professionals, and the structure of PHC.

Eating behavior of patients with obesity attending an extension project in the Vale do Rio dos Sinos-RS

2025-07-20T15:57:40-07:00

Introduction: In the past, obesity was seen as a lack of motivation to lose weight. Nowadays, it is known it depends on multifactors. One of them is psychic, in which studies already indicate the correlation of the binge eating disorder which may be associated with the high Body Mass Index (BMI). Objectives: Objective: In view of the above, the objective of this study was to analyze the eating behavior of patients with obesity treated in an Extension Project in the region of Vale do Rio dos Sinos-RS. Materials and methods: Exploratory study with a quantitative approach, conducted with patients of an extension project which is conducted in an interdisciplinary format, with the application of questionanaires: Binge Eating Scale (BES) and “The Three Factor Eating Questionnaire - R21 (TFEQ-21).” Also, weight and height data were measured to evaluate the nutritional diagnostic. Results and discussion: Were evaluated 10 patients, being 100% (n=10) female. A significant difference was verified in the results of body mass and the BMI. In the BES, it was observed an increase of 20,0% (n=2) of the classification of those without the BE disorder, although there was also an increase of 20,0% (n=2) of patients who started to present compulsion. In the TFEQ-21 questionnaire, there was a 30% (n=3) decrease between the medium and high levels. Regarding the Cognitive Restraint (CR), there was an increase in the medium levels, corresponding to 30% (n=3). It was observed that after interventions with the interdisciplinary team, there was a decrease in the levels of Eating Disorder (ED) and in Emotional Eating (EA), and an increase in Food Restriction (FR). In binge eating there was an increase in the levels of patients who remained without BE disorder, although there was also an increase in the high levels.