Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235e220020
Cansu MEMİÇ-İNAN, Pınar SÖKÜLMEZ-KAYA, Semih Akar
ABSTRACT Objective This study was conducted to determine the frequency of vitamin D deficiency in patients with lumbar spinal stenosis and to define the relationship between vitamin D levels and obesity, depression, and pain intensity. Methods This study was conducted with 69 patients (Male = 32, Female = 37) diagnosed with lumbar spinal stenosis. The participants’ 25(OH)D levels were measured by radioimmunoassay. In addition, bone metabolic status, including bone mineral density and bone turnover markers, was also evaluated. The Beck Depression Inventory was used to determine the depression statuses of the patients, while the McGill Melzack Pain Questionnaire was administered to measure pain intensity. The results were evaluated at a significance level of p<0.05. Results Vitamin D deficiency (<20 ng/mL) was found in 76.8% of the patients. Binary logistic regression analysis showed a significantly higher frequency of vitamin D deficiency in patients who: 1) had higher body mass indexes (OR 3.197, 95% CI 1.549-6.599); 2) fared higher in Beck’s depression score (OR 1.817, 95% CI 1.027–3.217); and 3) were female rather than male (OR 1.700, 95% CI 0.931-3.224) (p<0.05). Conclusion In this study, vitamin D deficiency was prevalent in lumbar spinal stenosis patients. In addition, obese, depressed, and female individuals have higher risks of vitamin D deficiency.
【摘要】目的本研究旨在确定腰椎管狭窄症患者维生素D缺乏的频率，并确定维生素D水平与肥胖、抑郁和疼痛强度之间的关系。方法对诊断为腰椎管狭窄症的69例患者(男32例，女37例)进行研究。用放射免疫法测定受试者的25(OH)D水平。此外，还评估了骨代谢状态，包括骨矿物质密度和骨转换标志物。采用Beck抑郁量表测定患者的抑郁状态，采用McGill Melzack疼痛问卷测定患者的疼痛强度。结果以p<0.05的显著性水平进行评价。结果76.8%的患者存在维生素D缺乏症(<20 ng/mL)。二元logistic回归分析显示:1)体质指数较高的患者出现维生素D缺乏症的频率显著较高(OR 3.197, 95% CI 1.549-6.599);2) Beck抑郁评分较高(OR 1.817, 95% CI 1.027 ~ 3.217);3)女性多于男性(OR 1.700, 95% CI 0.931-3.224) (p<0.05)。结论本研究中，腰椎管狭窄症患者普遍缺乏维生素D。此外，肥胖、抑郁和女性个体缺乏维生素D的风险更高。
{"title":"Frequency of vitamin d deficiency in patients with lumbar spinal stenosis and its relationship with obesity, depression, and pain intensity: a cross-sectional study","authors":"Cansu MEMİÇ-İNAN, Pınar SÖKÜLMEZ-KAYA, Semih Akar","doi":"10.1590/1678-9865202235e220020","DOIUrl":"https://doi.org/10.1590/1678-9865202235e220020","url":null,"abstract":"ABSTRACT Objective This study was conducted to determine the frequency of vitamin D deficiency in patients with lumbar spinal stenosis and to define the relationship between vitamin D levels and obesity, depression, and pain intensity. Methods This study was conducted with 69 patients (Male = 32, Female = 37) diagnosed with lumbar spinal stenosis. The participants’ 25(OH)D levels were measured by radioimmunoassay. In addition, bone metabolic status, including bone mineral density and bone turnover markers, was also evaluated. The Beck Depression Inventory was used to determine the depression statuses of the patients, while the McGill Melzack Pain Questionnaire was administered to measure pain intensity. The results were evaluated at a significance level of p<0.05. Results Vitamin D deficiency (<20 ng/mL) was found in 76.8% of the patients. Binary logistic regression analysis showed a significantly higher frequency of vitamin D deficiency in patients who: 1) had higher body mass indexes (OR 3.197, 95% CI 1.549-6.599); 2) fared higher in Beck’s depression score (OR 1.817, 95% CI 1.027–3.217); and 3) were female rather than male (OR 1.700, 95% CI 0.931-3.224) (p<0.05). Conclusion In this study, vitamin D deficiency was prevalent in lumbar spinal stenosis patients. In addition, obese, depressed, and female individuals have higher risks of vitamin D deficiency.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67561319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235e210233
Beatrice Orthmann, Mick Lennon Machado, Milena Corrêa Martins, Claudia Soar, Murilo Lyra Pinto, C. G. Gabriel
ABSTRACT Objective This study aimed to identify and characterize the legislation published in Brazilian capitals regarding food and nutritional security. Methods This is a descriptive, exploratory, and documentary research, with a survey on public and free access websites to legislation published until July 2021 in the 26 Brazilian state capitals. Document characterization information was extracted, systematized, and systematically analyzed. Results Of the 1,390 legislations found, 307 were included in the analysis, 31% from the South region of Brazil and 23% from the Southeast region. The legislation mainly referred to the Structuring of the Brazilian System of Food and Nutritional Security (76.5%) and the Promotion of Universal Access to Adequate Food (17.3%). The categories less present were Evaluation and Monitoring of the Brazilian System of Food and Nutritional Security and Food and Nutritional Security (1.9%), Food and Nutrition Actions Aimed at Quilombolas and Traditional Communities (1.3%) and Universal Access to Water (0.7%), with 17 capitals (65.4%) having no localized legislation for these three themes. Conclusion The results point to the need for qualification of transparency mechanisms in public management and good governance, and demonstrate an incipient process of implementing the government food and nutrition security agenda in Brazilian capitals, with low incidence on different government sectors and other public policies
{"title":"Normative decentralization of the food and nutrition security agenda: descriptive study of legislation published in Brazilian capitals","authors":"Beatrice Orthmann, Mick Lennon Machado, Milena Corrêa Martins, Claudia Soar, Murilo Lyra Pinto, C. G. Gabriel","doi":"10.1590/1678-9865202235e210233","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210233","url":null,"abstract":"ABSTRACT Objective This study aimed to identify and characterize the legislation published in Brazilian capitals regarding food and nutritional security. Methods This is a descriptive, exploratory, and documentary research, with a survey on public and free access websites to legislation published until July 2021 in the 26 Brazilian state capitals. Document characterization information was extracted, systematized, and systematically analyzed. Results Of the 1,390 legislations found, 307 were included in the analysis, 31% from the South region of Brazil and 23% from the Southeast region. The legislation mainly referred to the Structuring of the Brazilian System of Food and Nutritional Security (76.5%) and the Promotion of Universal Access to Adequate Food (17.3%). The categories less present were Evaluation and Monitoring of the Brazilian System of Food and Nutritional Security and Food and Nutritional Security (1.9%), Food and Nutrition Actions Aimed at Quilombolas and Traditional Communities (1.3%) and Universal Access to Water (0.7%), with 17 capitals (65.4%) having no localized legislation for these three themes. Conclusion The results point to the need for qualification of transparency mechanisms in public management and good governance, and demonstrate an incipient process of implementing the government food and nutrition security agenda in Brazilian capitals, with low incidence on different government sectors and other public policies","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67561351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235e210256
Giselle Mara Mendes Silva Leão, L. C. Crivellenti, M. Brito, M. Silveira, L. Pinho
ABSTRACT Objective To evaluate the quality of the diet of the pregnant women monitored by the Family Health Strategy teams and associated factors. Methods This is a population-based cross-sectional study, carried out with 1244 pregnant women between 2018 and 2019. The Diet Quality Index Adapted for Pregnant Women was used to measure the quality of the diet and associate it with risk factors (sociodemographic, obstetric, clinical, behavioral, nutritional status) during the pregnancy. A hierarchical model composed of three blocks was used. A multinomial logistic regression was applied. Results The general average of this Diet Quality Index was 72.75 points, the average of the 1st tercile was 56.06 points, the average of the 2nd tercile was 73.71 points and the average of the 3rd was 88.51 points. The worst diet quality was related to pregnant women with lower education (OR=2.36; 95% CI=1.39-4.01), sedentary women (OR=1.37; 95% CI=1.17-2, 61), those who had a negative self-perception of food (OR=2.00; 95% CI=1.45-2.76) and who had 3 to 5 meals a day (OR=1.83; 95% CI=1.26-2.77), and less than 3 (OR=2.64; 95% CI=1.13-6.18). Conclusion The present study identified that pregnant women with less education, sedentary, and with inadequate nutritional characteristics presented worse diet qualities.
{"title":"Quality of the diet of pregnant women in the scope of Primary Health Care","authors":"Giselle Mara Mendes Silva Leão, L. C. Crivellenti, M. Brito, M. Silveira, L. Pinho","doi":"10.1590/1678-9865202235e210256","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210256","url":null,"abstract":"ABSTRACT Objective To evaluate the quality of the diet of the pregnant women monitored by the Family Health Strategy teams and associated factors. Methods This is a population-based cross-sectional study, carried out with 1244 pregnant women between 2018 and 2019. The Diet Quality Index Adapted for Pregnant Women was used to measure the quality of the diet and associate it with risk factors (sociodemographic, obstetric, clinical, behavioral, nutritional status) during the pregnancy. A hierarchical model composed of three blocks was used. A multinomial logistic regression was applied. Results The general average of this Diet Quality Index was 72.75 points, the average of the 1st tercile was 56.06 points, the average of the 2nd tercile was 73.71 points and the average of the 3rd was 88.51 points. The worst diet quality was related to pregnant women with lower education (OR=2.36; 95% CI=1.39-4.01), sedentary women (OR=1.37; 95% CI=1.17-2, 61), those who had a negative self-perception of food (OR=2.00; 95% CI=1.45-2.76) and who had 3 to 5 meals a day (OR=1.83; 95% CI=1.26-2.77), and less than 3 (OR=2.64; 95% CI=1.13-6.18). Conclusion The present study identified that pregnant women with less education, sedentary, and with inadequate nutritional characteristics presented worse diet qualities.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67561572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235e200323
Lisiane Marçal Pérez, Eduardo Mundstock, Marina Azambuja Amaral, F. Vendrusculo, Wilson Cañón-Montañez, R. Mattiello
ABSTRACT Objective To evaluate the association between children and adolescents’ body composition with family income. Methods Cross-sectional study, participants between 5 and 19 years were included. A standardized questionnaire assessed socioeconomic variables. The outcome variables were z-score of Body Mass Index and bioimpedance parameters (skeletal muscle mass, fat-free mass, and fat percentage) and predictor variables (age, sex, race, place of residence, father’s education, birth weight and breastfeeding) were analyzed using the quantile regression model and data from the 50th percentile are presented. The tests were bidirectional and the differences were considered significant with p<0.05. Results Among the 529 participants included, 284 (53.6%) were female and the mean age was 11.41±3.9 years. The Body Mass Index z-score was the only outcome that did not show differences between sexes (p=0.158). In the crude model, lower family income was associated with lower skeletal muscle mass (Difference=-7.70; 95% CI -9.32 to -5.89), p<0.001), lower fat-free mass (Difference= -13.40; 95% CI -16.40 to -10.39, p<0.001) and the lowest percentage of fat was associated with lower family income (Difference= -5.01, 95% CI -9.91 to -0.11, p=0.027). The z-score of BMI was not associated with family income. Conclusion Family income is directly associated with lower fat-free mass, fat percentage, and skeletal muscle mass in children and adolescents.
【摘要】目的探讨儿童青少年身体成分与家庭收入的关系。方法采用横断面研究，选取年龄在5 ~ 19岁的受试者。一份标准化问卷评估了社会经济变量。结果变量为身体质量指数z分数和生物阻抗参数(骨骼肌质量、无脂质量和脂肪百分比)，预测变量(年龄、性别、种族、居住地、父亲受教育程度、出生体重和母乳喂养)使用分位数回归模型进行分析，并给出第50百分位的数据。检验为双向检验，p<0.05为差异有统计学意义。结果529例患者中，女性284例(53.6%)，平均年龄11.41±3.9岁。身体质量指数z得分是唯一没有显示性别差异的结果(p=0.158)。在粗模型中，较低的家庭收入与较低的骨骼肌质量相关(差异=-7.70;95% CI -9.32至-5.89)，p<0.001)，低脂肪质量(差异= -13.40;95% CI -16.40至-10.39,p<0.001)，最低脂肪百分比与较低的家庭收入相关(差异= -5.01,95% CI -9.91至-0.11,p=0.027)。BMI的z-score与家庭收入无关。结论家庭收入与儿童青少年无脂量、脂肪率和骨骼肌量的降低有直接关系。
{"title":"Association between children and adolescents’ body composition with family income","authors":"Lisiane Marçal Pérez, Eduardo Mundstock, Marina Azambuja Amaral, F. Vendrusculo, Wilson Cañón-Montañez, R. Mattiello","doi":"10.1590/1678-9865202235e200323","DOIUrl":"https://doi.org/10.1590/1678-9865202235e200323","url":null,"abstract":"ABSTRACT Objective To evaluate the association between children and adolescents’ body composition with family income. Methods Cross-sectional study, participants between 5 and 19 years were included. A standardized questionnaire assessed socioeconomic variables. The outcome variables were z-score of Body Mass Index and bioimpedance parameters (skeletal muscle mass, fat-free mass, and fat percentage) and predictor variables (age, sex, race, place of residence, father’s education, birth weight and breastfeeding) were analyzed using the quantile regression model and data from the 50th percentile are presented. The tests were bidirectional and the differences were considered significant with p<0.05. Results Among the 529 participants included, 284 (53.6%) were female and the mean age was 11.41±3.9 years. The Body Mass Index z-score was the only outcome that did not show differences between sexes (p=0.158). In the crude model, lower family income was associated with lower skeletal muscle mass (Difference=-7.70; 95% CI -9.32 to -5.89), p<0.001), lower fat-free mass (Difference= -13.40; 95% CI -16.40 to -10.39, p<0.001) and the lowest percentage of fat was associated with lower family income (Difference= -5.01, 95% CI -9.91 to -0.11, p=0.027). The z-score of BMI was not associated with family income. Conclusion Family income is directly associated with lower fat-free mass, fat percentage, and skeletal muscle mass in children and adolescents.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67559934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235200243
Lidiane Barbosa Santiago, A. K. C. Roriz, C. C. Oliveira, Tatiane Melo de Oliveira, M. E. P. Conceição-Machado, L. Ramos
ABSTRACT Objective We investigated the utility of the phase angle as a screening tool for sarcopenia. Methods We performed a cross-sectional study that included 169 active community-dwelling elderly women. The phase angle was determined using tetrapolar bioelectrical impedance, and sarcopenia was diagnosed based on skeletal muscle mass, muscle strength, and physical performance using bioelectrical impedance analysis, a handheld dynamometer, and the gait speed test, respectively. Receiver operating characteristic curve analysis was performed to investigate the role of the phase angle as a predictor of sarcopenia. Results The prevalence of sarcopenia was 12.4%. The median phase angle was 5.30°; elderly women with sarcopenia had lower phase angles than those without sarcopenia (p=0.006). The phase angle cutoff for the detection of sarcopenia was ?5.15°, with an area under the curve of 0.685, sensitivity 81.0%, specificity 60.8%, and accuracy 63.31%. Elderly women with a low phase angle show a high risk of presenting with reduced muscle mass. Conclusions The phase angle was shown to be a useful screening tool in elderly women with sarcopenia.
{"title":"Phase angle as a screening method for sarcopenia in community-dwelling older adults","authors":"Lidiane Barbosa Santiago, A. K. C. Roriz, C. C. Oliveira, Tatiane Melo de Oliveira, M. E. P. Conceição-Machado, L. Ramos","doi":"10.1590/1678-9865202235200243","DOIUrl":"https://doi.org/10.1590/1678-9865202235200243","url":null,"abstract":"ABSTRACT Objective We investigated the utility of the phase angle as a screening tool for sarcopenia. Methods We performed a cross-sectional study that included 169 active community-dwelling elderly women. The phase angle was determined using tetrapolar bioelectrical impedance, and sarcopenia was diagnosed based on skeletal muscle mass, muscle strength, and physical performance using bioelectrical impedance analysis, a handheld dynamometer, and the gait speed test, respectively. Receiver operating characteristic curve analysis was performed to investigate the role of the phase angle as a predictor of sarcopenia. Results The prevalence of sarcopenia was 12.4%. The median phase angle was 5.30°; elderly women with sarcopenia had lower phase angles than those without sarcopenia (p=0.006). The phase angle cutoff for the detection of sarcopenia was ?5.15°, with an area under the curve of 0.685, sensitivity 81.0%, specificity 60.8%, and accuracy 63.31%. Elderly women with a low phase angle show a high risk of presenting with reduced muscle mass. Conclusions The phase angle was shown to be a useful screening tool in elderly women with sarcopenia.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67560246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235e210132
I. N. Bezerra, Jessica Brito Cavalcante, T. M. Vasconcelos, R. Pereira, E. Yokoo, R. Sichieri
ABSTRACT Objective To present changes in the estimated amount of food intake in Brazil between the 2008-2009 and 2017-2018 National Dietary Surveys. Methods Food intake data from the 2008-2009 and 2017-2018 surveys were used to highlight the differences in the frequencies of foods mentioned, the number of the measurement units mentioned, and the frequency of measurements that were incompatible with the reported food and were exchanged by the most mentioned measurement (standard measurement), as well as to describe the updates performed in the database between edits. Results The elaboration of the 2017-2018 referenced measurement table was based on the 2008-2009 table, which was revised and updated. In the 2008-2009 survey, 9980 household measurements were mentioned for 1970 types of food and preparations, while in 2017-2018 there were 11050 and 2534, respectively. While in 2008-2009, 2.8% of citations were replaced by the standard measurement, in 2017-2018, only 0.7% of food items needed to be replaced. Conclusion The procedures used to estimate the amount of food intake between the surveys allowed updating the table of household measurements and minimizing errors in the estimate of this amount, with a reduction in measurement units that were inconsistent or incompatible with the aforementioned foods.
{"title":"Evolution of food intake estimates in Brazil: the 2008-2009 and 2017-2018 National Dietary Surveys","authors":"I. N. Bezerra, Jessica Brito Cavalcante, T. M. Vasconcelos, R. Pereira, E. Yokoo, R. Sichieri","doi":"10.1590/1678-9865202235e210132","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210132","url":null,"abstract":"ABSTRACT Objective To present changes in the estimated amount of food intake in Brazil between the 2008-2009 and 2017-2018 National Dietary Surveys. Methods Food intake data from the 2008-2009 and 2017-2018 surveys were used to highlight the differences in the frequencies of foods mentioned, the number of the measurement units mentioned, and the frequency of measurements that were incompatible with the reported food and were exchanged by the most mentioned measurement (standard measurement), as well as to describe the updates performed in the database between edits. Results The elaboration of the 2017-2018 referenced measurement table was based on the 2008-2009 table, which was revised and updated. In the 2008-2009 survey, 9980 household measurements were mentioned for 1970 types of food and preparations, while in 2017-2018 there were 11050 and 2534, respectively. While in 2008-2009, 2.8% of citations were replaced by the standard measurement, in 2017-2018, only 0.7% of food items needed to be replaced. Conclusion The procedures used to estimate the amount of food intake between the surveys allowed updating the table of household measurements and minimizing errors in the estimate of this amount, with a reduction in measurement units that were inconsistent or incompatible with the aforementioned foods.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67560537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235e210120
Claudia Soar, Vitória de Resende Salles, R. E. Filipini, Leila Schumacher Corrêa, Patrícia de Fragas Hinning
ABSTRACT Objective To assess the association of socioeconomic factors, characteristics of the academic trajectory, and curriculum of students of a Nutrition course in the academic performance in the Exame Nacional de Desempenho dos Estudantes. Methods A study of cross-sectional panels with secondary data (Exame Nacional de Desempenho dos Estudantes 2004, 2007, 2010, 2013, 2016, and 2019) of 174 graduating students was carried out. Academic performance was classified into two groups, one with a score below the median and another above the median. The differences in median scores according to the variables were tested using the Mann-Whitney, Kruskal-Wallis, or non-parametric trend analysis. Logistic regression analysis was used to assess the association of the score variable with the other variables. The analyses were carried out using the Stata version 13.0 program, using a value of p<0.05 for the statistical decision. Results It was observed that the profile of graduating students was composed mainly of female individuals (92.5%), self-declared white (90.8%), and mostly coming from private schools (65.8%). Those who had some type of income obtained a higher score in Exame Nacional de Desempenho dos Estudantes compared to those who did not have an income (61.8 vs. 57.4, respectively, p=0.010), and the curricular change seems to be the main variable in the chances of obtaining a score above the median of the course (OR: 1.92, p=0.046). Conclusion Financial status and curriculum change were associated with the academic performance of the assessed students. These results can be used as a reference for investigations in other institutions, public or private, of different courses and, thus, assist in planning more effective educational policies.
【摘要】目的探讨社会经济因素、学业轨迹特征和营养课程设置对全国大学生Desempenho考试成绩的影响。方法采用二手资料(2004年、2007年、2010年、2013年、2016年和2019年全国大学生Desempenho考试)对174名应届毕业生进行横断面研究。学业成绩被分为两组，一组低于中位数，另一组高于中位数。采用Mann-Whitney、Kruskal-Wallis或非参数趋势分析对各变量中位数得分的差异进行检验。采用Logistic回归分析评估得分变量与其他变量的相关性。采用Stata version 13.0程序进行分析，采用p<0.05为统计判定值。结果毕业学生以女性为主(92.5%)，以自称白人为主(90.8%)，以私立学校为主(65.8%)。在全国学生考试中，有收入的学生比没有收入的学生获得更高的分数(61.8比57.4,p=0.010)，而课程的变化似乎是获得课程中位数以上分数的主要变量(OR: 1.92, p=0.046)。结论经济状况和课程变化与被评估学生的学习成绩有关。这些结果可作为在其他公立或私立机构开展不同课程调查的参考，从而协助规划更有效的教育政策。
{"title":"Factors associated with the academic performance of Nutrition students at a public university in southern Brazil","authors":"Claudia Soar, Vitória de Resende Salles, R. E. Filipini, Leila Schumacher Corrêa, Patrícia de Fragas Hinning","doi":"10.1590/1678-9865202235e210120","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210120","url":null,"abstract":"ABSTRACT Objective To assess the association of socioeconomic factors, characteristics of the academic trajectory, and curriculum of students of a Nutrition course in the academic performance in the Exame Nacional de Desempenho dos Estudantes. Methods A study of cross-sectional panels with secondary data (Exame Nacional de Desempenho dos Estudantes 2004, 2007, 2010, 2013, 2016, and 2019) of 174 graduating students was carried out. Academic performance was classified into two groups, one with a score below the median and another above the median. The differences in median scores according to the variables were tested using the Mann-Whitney, Kruskal-Wallis, or non-parametric trend analysis. Logistic regression analysis was used to assess the association of the score variable with the other variables. The analyses were carried out using the Stata version 13.0 program, using a value of p<0.05 for the statistical decision. Results It was observed that the profile of graduating students was composed mainly of female individuals (92.5%), self-declared white (90.8%), and mostly coming from private schools (65.8%). Those who had some type of income obtained a higher score in Exame Nacional de Desempenho dos Estudantes compared to those who did not have an income (61.8 vs. 57.4, respectively, p=0.010), and the curricular change seems to be the main variable in the chances of obtaining a score above the median of the course (OR: 1.92, p=0.046). Conclusion Financial status and curriculum change were associated with the academic performance of the assessed students. These results can be used as a reference for investigations in other institutions, public or private, of different courses and, thus, assist in planning more effective educational policies.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67560794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235e210230
Yukari Sato, Mayline Menezes da Mata, Maria AngÚlica de Tavares Medeiros
ABSTRACT Objective Characterize and comparatively analyse the organization of nutritional attention to prenatal care, the puerperium period and breastfeeding, in primary health care, in two municipalities of Baixada Santista, São Paulo, Brazil. Methods This was an exploratory-analytical study of family health units and the mixed basic care units of Cubatão (n=17) and Guarujá (n=14). For this purpose, seven domains of the Nutritional Attention Assessment Instrument in Primary Health Care were used. Descriptive analysis and the Mann-Whitney and Pearson’s chi-square tests were performed. Results In the comparison between the municipalities, the best scores were obtained in Guarujá. Statistically significant differences were found for the following indicators: support for nutritional attention actions: infrastructure and permanent education (<0.001); food and nutritional surveillance (<0.001); nutritional attention focused on prenatal care (<0.001); and nutritional attention focused on postpartum care and breastfeeding (0.012). Nutritional attention actions for mother-infant groups were more frequent in the city of Guarujá, which compared with Cubatão, achieved better scores for the nutritional attention evaluation indicators. Conclusion The municipality of Guarujá had better indicators of infrastructure and permanent education, food and nutrition surveillance, and puerperal and breastfeeding nutritional care. However, weaknesses persist in the organization of nutritional care in the two cities studied, especially regarding the work process.
{"title":"Food and nutrition actions for the maternal and child population in primary healthcare: comparative analysis of municipalities in the Metropolitan Region of Baixada Santista, São Paulo, Brazil","authors":"Yukari Sato, Mayline Menezes da Mata, Maria AngÚlica de Tavares Medeiros","doi":"10.1590/1678-9865202235e210230","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210230","url":null,"abstract":"ABSTRACT Objective Characterize and comparatively analyse the organization of nutritional attention to prenatal care, the puerperium period and breastfeeding, in primary health care, in two municipalities of Baixada Santista, São Paulo, Brazil. Methods This was an exploratory-analytical study of family health units and the mixed basic care units of Cubatão (n=17) and Guarujá (n=14). For this purpose, seven domains of the Nutritional Attention Assessment Instrument in Primary Health Care were used. Descriptive analysis and the Mann-Whitney and Pearson’s chi-square tests were performed. Results In the comparison between the municipalities, the best scores were obtained in Guarujá. Statistically significant differences were found for the following indicators: support for nutritional attention actions: infrastructure and permanent education (<0.001); food and nutritional surveillance (<0.001); nutritional attention focused on prenatal care (<0.001); and nutritional attention focused on postpartum care and breastfeeding (0.012). Nutritional attention actions for mother-infant groups were more frequent in the city of Guarujá, which compared with Cubatão, achieved better scores for the nutritional attention evaluation indicators. Conclusion The municipality of Guarujá had better indicators of infrastructure and permanent education, food and nutrition surveillance, and puerperal and breastfeeding nutritional care. However, weaknesses persist in the organization of nutritional care in the two cities studied, especially regarding the work process.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67560846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235e210168
Yasmin Gonçales Amaral, F. Penaforte, L. Araújo, C. Japur
ABSTRACT Objective To assess and identify factors linked to the accuracy of patients’ food intake estimations through a self-monitoring instrument filled in by the patient. Methods This cross-sectional study approached adult hospital patients subjected to regular or therapeutic diets. The actual food intake percentage was obtained by the ratio between the actual food intake and the amount of food served x 100. Patients had to complete a food chart including 9 circles representing plates of food in percentages (increasing scale of 12.5%) to represent their food intake at lunch and/or dinner. The Bland-Altman method assessed the agreement between the actual and the estimated values. The associations between variables (age, sex, hospitalization day, diet prescription, amount of food served and actual food intake percentage) and the accuracy of the food intake estimation (adequate ±10%, overestimated and underestimated) were evaluated through univariate multinomial logistic regression. Results Ninety-six patients were evaluated (51.0% male; 44.0±15.8 years of age). The Bland-Altman analysis showed good agreement between the actual and the estimated food intake. The actual food intake percentage was the only variable associated with the accuracy of the food intake estimation. Conclusion Most patients (~70%) adequately estimated their food intake using the 9-point food chart tested. Furthermore, the only factor linked to the accuracy of the food intake estimation was the actual food-intake percentage. These findings provide preliminary support for the usefulness of this instrument. However, it must be tested in a representative sample of hospitalized patients.
{"title":"Can hospitalized patients adequately estimate their own food intake? A cross-sectional pilot study","authors":"Yasmin Gonçales Amaral, F. Penaforte, L. Araújo, C. Japur","doi":"10.1590/1678-9865202235e210168","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210168","url":null,"abstract":"ABSTRACT Objective To assess and identify factors linked to the accuracy of patients’ food intake estimations through a self-monitoring instrument filled in by the patient. Methods This cross-sectional study approached adult hospital patients subjected to regular or therapeutic diets. The actual food intake percentage was obtained by the ratio between the actual food intake and the amount of food served x 100. Patients had to complete a food chart including 9 circles representing plates of food in percentages (increasing scale of 12.5%) to represent their food intake at lunch and/or dinner. The Bland-Altman method assessed the agreement between the actual and the estimated values. The associations between variables (age, sex, hospitalization day, diet prescription, amount of food served and actual food intake percentage) and the accuracy of the food intake estimation (adequate ±10%, overestimated and underestimated) were evaluated through univariate multinomial logistic regression. Results Ninety-six patients were evaluated (51.0% male; 44.0±15.8 years of age). The Bland-Altman analysis showed good agreement between the actual and the estimated food intake. The actual food intake percentage was the only variable associated with the accuracy of the food intake estimation. Conclusion Most patients (~70%) adequately estimated their food intake using the 9-point food chart tested. Furthermore, the only factor linked to the accuracy of the food intake estimation was the actual food-intake percentage. These findings provide preliminary support for the usefulness of this instrument. However, it must be tested in a representative sample of hospitalized patients.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67560981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1590/1678-9865202235e210269
Carolina Bottini Prates, M. Passos, D. Masquio
ABSTRACT: Objective: To investigate the association between parental feeding practices and the consumption of ultra-processed foods in preschool children. Methods: Cross-sectional study with 140 parents (father and mother) and their children (2-6 year-old). Parental feeding practices were assessed using the Comprehensive Feeding Practices Questionnaire. Children’s body weight and height were measured, and body mass index z-score per age was calculated. Parental anthropometric measurements (body weight and height) were obtained by self-report, and body mass index was calculated. The consumption of ultra-processed foods was assessed through the Child Food Frequency Questionnaire and the daily intake score was calculated. Multivariable linear regression analyses were performed to investigate the association between parental feeding practices and the consumption of ultra-processed foods. Results: Children’s ultra-processed food consumption was negatively associated with the “Monitoring” parental feeding practices. On the other hand, “Emotion Regulation” and “Health restriction” parental feeding practices were positively associated with the ultra-processed food consumption score. Conclusion: Ultra-processed food consumption was associated to the “Monitoring”, “Emotion regulation” and “Health restriction” parental feeding practices in preschool children. These results support the importance of using successful parental feeding practices to promote healthy eating in preschoolers.
{"title":"Parental feeding practices and ultra-processed food consumption in preschool children","authors":"Carolina Bottini Prates, M. Passos, D. Masquio","doi":"10.1590/1678-9865202235e210269","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210269","url":null,"abstract":"ABSTRACT: Objective: To investigate the association between parental feeding practices and the consumption of ultra-processed foods in preschool children. Methods: Cross-sectional study with 140 parents (father and mother) and their children (2-6 year-old). Parental feeding practices were assessed using the Comprehensive Feeding Practices Questionnaire. Children’s body weight and height were measured, and body mass index z-score per age was calculated. Parental anthropometric measurements (body weight and height) were obtained by self-report, and body mass index was calculated. The consumption of ultra-processed foods was assessed through the Child Food Frequency Questionnaire and the daily intake score was calculated. Multivariable linear regression analyses were performed to investigate the association between parental feeding practices and the consumption of ultra-processed foods. Results: Children’s ultra-processed food consumption was negatively associated with the “Monitoring” parental feeding practices. On the other hand, “Emotion Regulation” and “Health restriction” parental feeding practices were positively associated with the ultra-processed food consumption score. Conclusion: Ultra-processed food consumption was associated to the “Monitoring”, “Emotion regulation” and “Health restriction” parental feeding practices in preschool children. These results support the importance of using successful parental feeding practices to promote healthy eating in preschoolers.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67561368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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