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Modification of Mediterranean Diet Pyramid from an Island’s perspective 从一个岛屿的角度看地中海饮食金字塔的改造
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e220025
Taygun Dayı, Mujgan Ozturk, M. Ozgoren, A. Oniz
ABSTRACT Objective The present study aimed to determine traditional and local food consumption and adherence to the Mediterranean diet in Cyprus. And also, aimed to improve their adherence to the Mediterranean diet and traditional and local food consumption. From this point, this current study aimed to revise the Cyprus Mediterranean Diet Pyramid, based on the Current Mediterranean Diet Pyramid. Methods The sample size was calculated as a minimum of 386 according to a 95.0% confidence interval, and a 5.0% error. This study was conducted online between November 2020-April 2021 in Cyprus. All volunteers were invited to this study on the national public internet platforms. Participant´s adherence to the Mediterranean diet was determined by the Mediterranean Diet Adherence Screener. Traditional and local food consumption frequencies were determined by a Food Frequency Questionnaire. A novel Cyprus Mediterranean Diet Pyramid was developed with traditional and local food items for Cyprus. The modification was also aimed to safeguard planet health, to increase traditional food consumption and adherence to the Mediterranean diet. Results 1,007 adults (78.0% native islanders/Cypriots) participated voluntarily in the current study. The mean Mediterranean Diet Adherence Screener score was 7.55±2.30 points and only 34.4% had high adherence to the Mediterranean diet. According to their responses, there was a need to increase use of olive oil, vegetables, fruits, fish, and red wine consumption and to decrease red meat and dessert consumption. According to responses to the Mediterranean Diet Adherence Screener and their traditional/local food consumption frequencies an up-to-date Cyprus Mediterranean Diet Pyramid was done hence a national food pyramid for Cyprus. Commonly consumed traditional and local foods were added to the pyramid to facilitate increased adaptation of the Mediterranean diet in the general population. Adequately consumed foods were added to make it more region-specific and rarely consumed foods were added to help to increase consumption. Conclusion This modification is believed to be instrumental to increase Mediterranean diet adaptation, traditional/local food consumption and decrease the impact of nutrition on the planet´s health. And also, this modification can shed light on the development of the other traditional food pyramids.
【摘要】目的本研究旨在确定塞浦路斯传统和当地的食物消费和对地中海饮食的坚持。同时,旨在提高他们对地中海饮食以及传统和当地食物消费的依从性。从这一点出发,本研究旨在修订塞浦路斯地中海饮食金字塔,以当前地中海饮食金字塔为基础。方法采用最小样本量386例,置信区间为95.0%,误差为5.0%。该研究于2020年11月至2021年4月在塞浦路斯在线进行。所有志愿者都是在国家公共互联网平台上被邀请参加这项研究的。参与者对地中海饮食的依从性通过地中海饮食依从性筛查来确定。通过食物频率问卷确定传统和当地食物消费频率。一个新颖的塞浦路斯地中海饮食金字塔与塞浦路斯的传统和当地的食物项目开发。这种改变也是为了保护地球的健康,增加传统食物的消费,坚持地中海饮食。结果1007名成年人(78.0%为土著岛民/塞浦路斯人)自愿参与了本研究。地中海饮食依从性筛查的平均得分为7.55±2.30分,只有34.4%的人高度坚持地中海饮食。根据他们的回答,有必要增加橄榄油、蔬菜、水果、鱼和红酒的消费量,减少红肉和甜点的消费量。根据对地中海饮食依从性筛选者的答复及其传统/当地食物消费频率,绘制了最新的塞浦路斯地中海饮食金字塔,从而绘制了塞浦路斯的国家食物金字塔。人们通常食用的传统食物和当地食物被添加到金字塔中,以促进普通人群对地中海饮食的适应。适当消费的食物被加入,使其更具区域特异性,很少消费的食物被加入,以帮助增加消费。结论这一改变被认为有助于提高地中海饮食适应性,传统/当地食物消费,减少营养对地球健康的影响。同时,这种改变也可以为其他传统食物金字塔的发展提供启示。
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引用次数: 1
Food consumption, anthropometry and body composition of patients diagnosed with Parkinson’s disease 帕金森病患者的食物消耗、人体测量和身体组成
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e220058
Gleyce Kelly Araújo Bezerra, Marcella Campos Lima Luz, M. Burgos, M. C. C. D. Lemos, John Weyk Cosme de Souza, P. Cabral
ABSTRACT Objective The aim of the present study was to evaluate the consumption of risk and protective foods for chronic noncommunicable diseases and to investigate associations with anthropometric parameters and body composition in individuals with Parkinson’s disease. Methods A case-series study was conducted with 79 adult and elderly patients of both genders in outpatient care. Food intake was evaluated using a food frequency questionnaire for the identification of foods with greater daily consumption, stratified by gender. The consumption frequency of each food was converted into scores of two food groups characteristics: risk and protection. The conceptual model took into account sociodemographic, behavioral and anthropometric variables as well as body composition. Results A total of 72.1% of the participants in the sample had excess weight based on the body mass index and 43.5% had excess body fat. The consumption of protective foods was greater among individuals with a higher body mass index and with a greater rate of body fat. Conclusion The data indicate a situation of reverse causality and reveal the complexity of the relationship among food intake, body fat and chronic noncommunicable diseases.
目的本研究的目的是评估慢性非传染性疾病的风险和保护性食品的消费,并调查帕金森病患者的人体测量参数和身体成分的关系。方法采用病例系列研究方法,对门诊就诊的79例男女成人及老年患者进行分析。使用食物频率问卷来评估食物摄入量,以确定每日食用较多的食物,并按性别分层。每种食物的消费频率被转换成两类食物特征的分数:风险和保护。这个概念模型考虑了社会人口学、行为和人体测量变量以及身体成分。结果72.1%的调查对象体重超标,43.5%的调查对象体脂超标。身体质量指数高、体脂率高的人食用保护性食物的几率更高。结论食物摄入、体脂与慢性非传染性疾病之间存在反向因果关系,揭示了两者之间关系的复杂性。
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引用次数: 0
Rural characteristics associated with excess weight among adolescents 农村特征与青少年超重有关
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e200179
Ana Eliza Port Lourenço, Thamara Carvalho dos Santos Duarte, T. Pinto, Larissa Escarce Bento Wollz
ABSTRACT Objective This study aimed to verify the association between rural characteristics and the nutritional status of adolescents from the rural area of Macaé, a municipality in Rio de Janeiro, Southeast Brazil. Methods This is a cross-sectional study based on secondary anthropometric data, collected at the Macaé Municipal Department of Education between 2013 and 2014. The database refers to the total number of adolescents in the only high school in the rural area of the city. Poisson logistic regression was performed, having excess weight (overweight or obesity- Body Mass Index-for-age equal to or greater than one Z-score) as the dependent variable, used dichotomously. The independent variables were sex, socioeconomic status and three “yes or no” variables that express rural characteristics. Results The adolescents (total=109) were between 14 and 18 years old (mean=16.6 years), 64.2% were girls, 52.3% had vegetable gardens or orchards in their household, 19.4% had animal breeding for consumption purposes and 17.6% had parents/guardians working in the agricultural sector. The prevalence of excess weight was 18.0% in boys and 20.0% in girls. Having a garden/orchard implied a significantly higher chance of having excess weight, both in the bivariate analysis and in the sex-adjusted model (Prevalence Ratio=2.95; Confidence Interval=1.17-7.44). Conclusions Based on a significant association at the municipal level, the results highlight nutritional differences between local and large-scale studies, as well as variations within the same rural area. These findings point out the need to evaluate rural aspects in more detail in studies on underlying determinants of nutritional status.
【摘要】目的本研究旨在验证巴西东南部巴西里约热内卢市澳门农村地区青少年的农村特征与营养状况之间的关系。方法基于2013年至2014年在澳门市教育厅收集的二次人体测量数据进行横断面研究。该数据库指的是该市农村地区唯一一所高中的青少年总数。采用泊松逻辑回归,以超重(超重或肥胖-年龄体重指数等于或大于一个z分数)为因变量,采用二分类。自变量是性别、社会经济地位和三个表达农村特征的“是或否”变量。结果青少年总数为109人,年龄在14 ~ 18岁之间,平均16.6岁,其中女孩占64.2%,52.3%的家庭拥有菜园或果园,19.4%的家庭以饲养动物为消费目的,17.6%的父母/监护人从事农业工作。男孩和女孩的超重患病率分别为18.0%和20.0%。在双变量分析和性别调整模型中,拥有花园/果园意味着体重超重的几率明显更高(患病率比=2.95;置信区间= 1.17 - -7.44)。结论基于市级的显著关联,结果突出了地方和大规模研究之间的营养差异,以及同一农村地区的差异。这些发现指出,在研究营养状况的潜在决定因素时,需要更详细地评估农村方面。
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引用次数: 0
Association between bone mineral content and dietary patterns among Brazilian adults from Viçosa, Minas Gerais: a population-based study 米纳斯吉拉斯州维萨罗萨的巴西成年人的骨矿物质含量与饮食模式之间的关系:一项基于人群的研究
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e210154
K. J. Segheto, Danielle Cristina Guimarães da Silva, F. G. Ferreira, Emanuele Louise Gomes de Magalhães Jorge, Dayana Ladeira Macedo Pereira, G. Z. Longo
ABSTRACT Objective The aim of the study was to investigate if there is an association between dietary patterns and bone mineral content among Brazilian adults. Methods This is a cross-sectional, population-based study. Bone health was assessed using dual-energy x-ray absorptiometry. The dietary pattern was obtained using a food frequency questionnaire. An exploratory factor analysis obtained the dietary patterns. Linear regression was used for the multivariate analysis. The research was conducted with adult individuals (20-59 years old) of both sexes residing in the city of Viçosa, MG, Brazil (n=572). Results Two distinct dietary patterns were identified: a “meats and alcoholic drinks” pattern, composed of condiments, alcoholic drinks, dough-based foods, and savory snacks; and a “local traditional” pattern, composed of eggs, beans, trooper’s beans, margarine, butter, olive oil, coffee and tea, cereals, and tubers (factor loadings ≥0.20). Having verified the associations considering the confounding factors, we identified that the bone mineral content for males was positively associated with the “local traditional” dietary pattern (β=0.058; 95% CI: 0.003–0.112; p=0.036), and for females an inverse association with the “meats and alcoholic drinks” pattern was found (β=-0.057; 95% CI: -0.110 -0.003; p=0.037). Conclusion We identified a positive association between the local traditional dietary pattern and bone health.
【摘要】目的研究巴西成年人的饮食模式与骨矿物质含量之间是否存在关联。方法:这是一项基于人群的横断面研究。采用双能x线吸收仪评估骨健康。饮食模式是通过食物频率调查问卷获得的。探索性因子分析获得了饮食模式。多变量分析采用线性回归。研究对象为居住在巴西MG市vipersorosa的成年男性(20-59岁)(n=572)。结果确定了两种不同的饮食模式:“肉类和酒精饮料”模式,由调味品、酒精饮料、面食和咸味小吃组成;“当地传统”模式,由鸡蛋、豆类、骑兵豆、人造黄油、黄油、橄榄油、咖啡和茶、谷物和块茎组成(因子负荷≥0.20)。考虑到混杂因素,我们验证了这些关联,我们发现男性骨矿物质含量与“当地传统”饮食模式呈正相关(β=0.058;95% ci: 0.003-0.112;P =0.036),女性与“肉类和酒精饮料”模式呈负相关(β=-0.057;95% ci: -0.110 -0.003;p = 0.037)。结论发现当地传统饮食模式与骨骼健康之间存在正相关关系。
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引用次数: 0
Food environment of the economic capital of the Northeast: social and territorial disparities in the availability of food stores 东北经济之都的食物环境:食物储备的社会与地域差异
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e210060
Brena Barreto Barbosa, Emanuel Diego dos Santos Penha, A. Carioca
ABSTRACT Objective Characterize the community food environment through the different types of food outlets in the city of Fortaleza and associate their distribution according to sociodemographic indicators. Methods This is an ecological study carried out in the city of Fortaleza in which data from the Health Surveillance Service were used with the location of all licensed food stores in the city in the years 2018 and 2019. Georeferenced maps were set up to illustrate the spatial distribution of the establishments. Correlation analyses were performed to verify the association between food outlets and socioeconomic data. Values of p≤0.005 were considered significant. Results We identified a greater concentration of food stores in the neighborhoods with better socioeconomic levels. Snack bars (n=2051; 27.7%) and restaurants (n=1945; 26.3%), were in greater quantity and exhibited a positive correlation with the Human Development Index and average income. Supermarkets and hypermarkets (n=288; 3.9%) and street markets (n=81; 1.1%) were in a smaller number and had the worst spatial distribution. Conclusion We observed socioeconomic inequalities in the distribution of different types of food outlets. The little diversity and the limited number of establishments in peripheral neighborhoods, besides the centralization of outlets that sell food that is harmful to health, constitute obstacles for the population to make healthy food choices.
【摘要】目的通过福塔莱萨市不同类型的食品销售点,对社区食品环境进行表征,并根据社会人口统计指标对其分布进行关联。这是一项在福塔莱萨市进行的生态研究,其中使用了2018年和2019年该市所有持牌食品商店的位置以及卫生监测服务的数据。建立了地理参考地图来说明这些设施的空间分布。相关分析验证了食品销售点与社会经济数据之间的关联。p≤0.005为显著值。结果我们发现,社会经济水平较高的社区中食品商店的集中度更高。小吃店(n=2051;27.7%)和餐馆(n=1945;26.3%),数量较多,且与人类发展指数和平均收入呈正相关。超市和大卖场(n=288;3.9%)和街市(n=81;1.1%),数量较少,空间分布最差。结论我们观察到不同类型食品网点分布的社会经济不平等。周边社区缺乏多样性,店铺数量有限,再加上销售有害健康食品的店铺集中,这些都阻碍了人们做出健康食品的选择。
{"title":"Food environment of the economic capital of the Northeast: social and territorial disparities in the availability of food stores","authors":"Brena Barreto Barbosa, Emanuel Diego dos Santos Penha, A. Carioca","doi":"10.1590/1678-9865202235e210060","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210060","url":null,"abstract":"ABSTRACT Objective Characterize the community food environment through the different types of food outlets in the city of Fortaleza and associate their distribution according to sociodemographic indicators. Methods This is an ecological study carried out in the city of Fortaleza in which data from the Health Surveillance Service were used with the location of all licensed food stores in the city in the years 2018 and 2019. Georeferenced maps were set up to illustrate the spatial distribution of the establishments. Correlation analyses were performed to verify the association between food outlets and socioeconomic data. Values of p≤0.005 were considered significant. Results We identified a greater concentration of food stores in the neighborhoods with better socioeconomic levels. Snack bars (n=2051; 27.7%) and restaurants (n=1945; 26.3%), were in greater quantity and exhibited a positive correlation with the Human Development Index and average income. Supermarkets and hypermarkets (n=288; 3.9%) and street markets (n=81; 1.1%) were in a smaller number and had the worst spatial distribution. Conclusion We observed socioeconomic inequalities in the distribution of different types of food outlets. The little diversity and the limited number of establishments in peripheral neighborhoods, besides the centralization of outlets that sell food that is harmful to health, constitute obstacles for the population to make healthy food choices.","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":"67560726","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}
引用次数: 1
Contribution of ultra-processed food to the nutritional dietary profile of young children school feeding 超加工食品对幼儿学校供餐营养膳食的贡献
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e210106
Anabelle Retondario, Márcia Aurelina de Oliveira Alves, S. M. R. Ferreira
ABSTRACT Objective To investigate the contribution of ultra-processed food to the nutritional dietary profile of school feeding in public child day-care centers. Methods Cross-sectional study carried out from June-November/2013. Samples from six daily meals were collected in twenty non-consecutive days. A total of 117 school meals (123 food items) were offered to children from 12-36 months of age. The served portions were determined by direct weighting. Physicochemical analyses were performed to establish the nutritional composition. School meals were classified according to the processing degree: (A) unprocessed/minimally processed/culinary preparations, (B) processed food, or (C) ultra-processed food. The contribution of each group to the quantity of energy, macronutrients and sodium was calculated. Student’s t test was applied for comparison between groups. Results Ultra-processed meals contributed to 45.8% of energy, 33.9% of lipids, 42.8% of proteins, 48.9% of carbohydrates, and 20.9% of sodium. All lunches and 90% of dinners were classified as unprocessed/minimally processed/culinary preparations. 39.0% of the meals were ultra-processed (mainly breakfast and snacks). Ultra-processed meals had a greater quantity of energy (p=0.026) and carbohydrates (p<0.001) per serving, while unprocessed/minimally processed/culinary preparations offered more sodium per serving (p<0.001). Conclusion Although most meals were classified as unprocessed/minimally processed/culinary preparations, ultra-processed food, which should be avoided at this stage of life, are offered daily, contributing with higher energy and carbohydrates offer per serving. The municipality need to improve the quality of the meals offered to children in these child day-care centers, observing the new Resolution nº 6/2020 that came into effect in 2021.
摘要目的探讨超加工食品对公立日托中心学校供餐营养膳食结构的影响。方法横断面研究于2013年6月- 11月进行。在非连续的20天内收集6份日常膳食样本。总共为12-36个月大的孩子提供117份学校餐(123种食物)。所提供的份量由直接加权决定。理化分析确定其营养成分。学校膳食按照加工程度分类:(A)未加工/最低加工/烹饪准备,(B)加工食品,或(C)超加工食品。计算各组对能量、常量营养素和钠的贡献。组间比较采用学生t检验。结果超加工食品提供了45.8%的能量、33.9%的脂质、42.8%的蛋白质、48.9%的碳水化合物和20.9%的钠。所有午餐和90%的晚餐被归类为未加工/最低加工/烹饪准备。39.0%的膳食是超加工的(主要是早餐和零食)。超加工食品每份含有更多的能量(p=0.026)和碳水化合物(p<0.001),而未加工/最低加工/烹饪准备每份含有更多的钠(p<0.001)。尽管大多数膳食被归类为未加工/最低加工/烹饪准备,但在生命的这个阶段应该避免的超加工食品每天都提供,每份提供更高的能量和碳水化合物。市政当局需要根据2021年生效的第6/2020号新决议,改善向这些儿童日托中心儿童提供的膳食质量。
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引用次数: 1
Processed and ultra-processed foods consumption in adults and its relationship with quality of life and quality of sleep 成人加工和超加工食品的消费及其与生活质量和睡眠质量的关系
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e220173
A. Rodríguez, Nelly Jazmín Duarte Amarilla, Magalí María Trinidad Rodríguez, Beatriz Elizabeth Núñez Martínez, E. Meza-Miranda
ABSTRACT Objective: To evaluate the consumption of processed and ultra-processed foods in Paraguayan adults and its relationship with quality of life and sleep quality. Methods: A cross-sectional descriptive observational study was carried out on Paraguayan adults in May 2022. An online survey was applied in which sociodemographic data, frequency of food consumption using the NOVA classification and Pan American Health Organization criteria, quality of life evaluated by the European Quality of Life-5 Dimensions and report of hours of sleep were collected. Results: A total of 273 Paraguayan adults were included in the study, of which 71.1% were female, 51.6% lived in the capital, 53.1% were single, 66% had a university educational level and the average age was 36.48±13.2. Regarding the consumption of processed and ultra-processed foods, the critical nutrients most consumed daily were free sugars by 34.0%, and fats by 23.4% of the population. The global quality of life index was low (0,58±0,05) and 69.0% reported insufficient hours of sleep. Statistically significant relationships were found between the consumption of processed and ultra-processed foods with quality of life and quality of sleep (p<0.05 for both). Conclusion: The most consumed critical nutrients in the Paraguayan adult population are free sugars and fats, finding a significant relationship between the consumption of processed and ultra-processed foods with quality of life and quality of sleep.
摘要目的:评价巴拉圭成人加工食品和超加工食品的消费情况及其与生活质量和睡眠质量的关系。方法:于2022年5月对巴拉圭成年人进行横断面描述性观察研究。采用了一项在线调查,收集了社会人口统计数据、使用NOVA分类和泛美卫生组织标准的食物消费频率、根据欧洲生活质量5维度评估的生活质量和睡眠时间报告。结果:共纳入273名巴拉圭成年人,其中71.1%为女性,51.6%居住在首都,53.1%为单身,66%为大学学历,平均年龄36.48±13.2岁。在加工和超加工食品的消费方面,每日消耗最多的关键营养素是游离糖(占34.0%)和脂肪(占23.4%)。总体生活质量指数较低(0.58±0.05),69.0%报告睡眠时间不足。加工食品和超加工食品的消费与生活质量和睡眠质量之间存在统计学意义的关系(p<0.05)。结论:巴拉圭成年人口中消耗最多的关键营养素是游离糖和脂肪,发现加工和超加工食品的消费与生活质量和睡眠质量之间存在显著关系。
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引用次数: 2
School feeding in Federal Institutes: characterization and analysis of food acquisitions from family farming 联邦机构的学校供餐:从家庭农业获取食物的特征和分析
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e220066
J. Aragi, D. Bandoni
ABSTRACT Objective The Federal Institutes of Education, Science, and Technology provide Basic Education and, thus, must execute the National School Feeding Program. The study aimed to characterize school feeding in these institutes, focusing on the purchase of food from family farming. Methods Cross-sectional study with Brazilian Federal Institutes that offer Basic Education courses. The characteristics of purchases from family farming in 2019 were analyzed, as well as the type of management of the school food service, the presence of a nutritionist in the unit acting as technical manager, and the presence of a canteen. Pearson’s chi-square test was used to analyze the association between the variables, adopting a statistical significance level of 5%. Results A total of 171 campuses, distributed in the five Brazilian regions, participated in the study. Among the participants in the survey, 35.1% did not offer any type of food to their students. The percentage of Federal Institutes that carried out acquisitions from family farming was 48%. The presence of a nutritionist was verified in 33.9% of the campuses and associated with food purchases from family farming. The type of food service management was shown to be related to the diversity of the purchases and the main categories of purchased foods. Conclusion The results demonstrate the importance of monitoring the school feeding policy at the federal level, being possible to characterize the school feeding in the Federal Institutes, also showing that more than half of the sample did not make purchases from family farming.
【摘要】目的联邦教育、科学和技术研究所提供基础教育,因此必须执行国家学校供餐计划。该研究旨在描述这些研究所的学校供餐情况,重点关注从家庭农业购买食物的情况。方法与提供基础教育课程的巴西联邦机构进行横断面研究。分析了2019年家庭农业采购的特征,以及学校食品服务的管理类型,单位是否有营养师担任技术经理,以及是否有食堂。采用Pearson卡方检验分析变量间的相关性,统计学显著性水平为5%。结果分布在巴西5个地区的171所大学参与了研究。在调查的参与者中,35.1%的人没有为他们的学生提供任何类型的食物。从家庭农业中进行收购的联邦研究所的比例为48%。在33.9%的校园中确认有营养师的存在,并与从家庭农场购买食品有关。食品服务管理的类型被证明与购买的多样性和购买的食品的主要类别有关。研究结果表明,在联邦一级监测学校供餐政策的重要性,可以表征联邦研究所的学校供餐情况,同时也表明,超过一半的样本没有从家庭农业购买食品。
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引用次数: 0
Growth of infants with gastrointestinal manifestations of cow’s milk protein allergy 有牛奶蛋白过敏胃肠道表现的婴儿的生长
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e210075
P. P. D. Assis, Jéssica Sybelle da Silva Menezes, A. Diniz, M. M. Antunes, P. Cabral
ABSTRACT Objective To assess linear growth and weight gain in infants with suspected cow’s milk protein allergy with gastrointestinal manifestations, seen at a gastropediatrics clinic. Methods A retrospective cohort study conducted with demographic, clinical, anthropometric and dietary information on 84 infants first seen between 2015 and 2018 and followed-up for six months. Stature-for-age, weight-for-age, and body mass index-for-age in z-scores were evaluated according to the cut off points established by the World Health Organization in 2006. Accelerated growth or catch-up was considered a gain ?0.67 in the z-score of the referred indices, evaluated at 3 and 6 months. Results Median age at baseline was 4.0 months and 88.1% of the infants were already in diet exclusion. Regarding the anthropometric evaluation short stature frequency was 15.5% and the underweight frequency was 8.3% and 3.6% respectively based on the weight-for-age and body mass index-for-age indices. High recovery growth was observed during the follow-up period but was not considered catch up. In boys, the gains in weight-for-age and body mass index-for-age were significant (p=0.02 and p=0.01 respectively) and close to the threshold that characterizes the catch up, 0.58 and 0.59, respectively. In girls, significant gains in stature-for-age and weight-for-age (0.38 and 0.37 respectively, p=0.02 for both) were observed. Conclusion Infants with suspected cow’s milk protein allergy with gastrointestinal manifestations should have early access to specialized nutritional counseling to avoid exposure to allergenic food and control allergy symptoms, thereby avoiding malnutrition and ensuring adequate nutritional recovery.
【摘要】目的评估胃肠门诊疑似牛奶蛋白过敏患儿的线性生长和体重增加情况。方法对2015年至2018年首次发现的84例婴儿进行回顾性队列研究,包括人口统计学、临床、人体测量学和饮食信息,并随访6个月。z分数中的年龄身高、年龄体重和年龄体重指数根据2006年世界卫生组织确定的分界点进行评估。加速增长或追赶被认为在参考指数的z-score中获得0.67,在3个月和6个月进行评估。结果基线时的中位年龄为4.0个月,88.1%的婴儿已经在饮食排除中。根据年龄体重指数和年龄体重指数进行的人体测量评估中,身高不足的比例分别为15.5%和8.3%,体重不足的比例分别为3.6%。在随访期间观察到高恢复增长,但不认为是追赶。在男孩中,年龄体重和年龄体重指数的增长是显著的(分别为p=0.02和p=0.01),接近追赶的阈值,分别为0.58和0.59。在女孩中,年龄比身高和年龄比体重显著增加(分别为0.38和0.37,p=0.02)。结论有胃肠道表现的疑似牛奶蛋白过敏患儿应尽早接受专门的营养咨询,避免接触致敏食物,控制过敏症状,从而避免营养不良,保证营养恢复。
{"title":"Growth of infants with gastrointestinal manifestations of cow’s milk protein allergy","authors":"P. P. D. Assis, Jéssica Sybelle da Silva Menezes, A. Diniz, M. M. Antunes, P. Cabral","doi":"10.1590/1678-9865202235e210075","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210075","url":null,"abstract":"ABSTRACT Objective To assess linear growth and weight gain in infants with suspected cow’s milk protein allergy with gastrointestinal manifestations, seen at a gastropediatrics clinic. Methods A retrospective cohort study conducted with demographic, clinical, anthropometric and dietary information on 84 infants first seen between 2015 and 2018 and followed-up for six months. Stature-for-age, weight-for-age, and body mass index-for-age in z-scores were evaluated according to the cut off points established by the World Health Organization in 2006. Accelerated growth or catch-up was considered a gain ?0.67 in the z-score of the referred indices, evaluated at 3 and 6 months. Results Median age at baseline was 4.0 months and 88.1% of the infants were already in diet exclusion. Regarding the anthropometric evaluation short stature frequency was 15.5% and the underweight frequency was 8.3% and 3.6% respectively based on the weight-for-age and body mass index-for-age indices. High recovery growth was observed during the follow-up period but was not considered catch up. In boys, the gains in weight-for-age and body mass index-for-age were significant (p=0.02 and p=0.01 respectively) and close to the threshold that characterizes the catch up, 0.58 and 0.59, respectively. In girls, significant gains in stature-for-age and weight-for-age (0.38 and 0.37 respectively, p=0.02 for both) were observed. Conclusion Infants with suspected cow’s milk protein allergy with gastrointestinal manifestations should have early access to specialized nutritional counseling to avoid exposure to allergenic food and control allergy symptoms, thereby avoiding malnutrition and ensuring adequate nutritional recovery.","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":"67560366","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}
引用次数: 0
Consumption of ultra-processed foods and anthropometric indicators in adolescents, adults, and the elderly in a capital city in northeastern Brazil 巴西东北部某首都的青少年、成年人和老年人的超加工食品消费和人体测量指标
IF 0.8 4区 医学 Q4 NUTRITION & DIETETICS Pub Date : 2022-01-01 DOI: 10.1590/1678-9865202235e210052
Jany de Moura Crisóstomo, L. A. R. L. Rodrigues, L. M. Nascimento, P. C. A. F. Viola, Karoline de Macêdo Gonçalves Frota
ABSTRACT Objective To evaluate the consumption of ultra-processed foods and associate it with anthropometric indicators in adolescents, adults, and the elderly. Methods Cross-sectional, domiciliary, population-based study, comprising adolescents aged 10-19 years, adults aged 20-59 years, and elderly people aged 60 or older, residents of the urban area of the city of Teresina, Piauí. Demographic, socioeconomic, lifestyle, food consumption, and anthropometric data were collected. The analysis of variance test was used along with the Bonferroni post-hoc test and crude and adjusted linear regression with a 95% confidence interval (95% CI). The level of significance adopted was 5%. Results There was no significant association between the consumption of ultra-processed foods and anthropometric variables in adults and the elderly. However, among adolescents, the results showed an inverse association, thus signaling a reduction in anthropometric indicators as the consumption of ultra-processed foods increases. Conclusion There was no association between the consumption of ultra-processed foods and anthropometric indicators in adults and the elderly; however, among adolescents, the results showed an inverse association, which encourages the development of new studies, especially longitudinal ones.
【摘要】目的评价青少年、成人和老年人超加工食品的消费及其与人体测量指标的关系。方法横断面、户籍、以人口为基础的研究,包括10-19岁的青少年、20-59岁的成年人和60岁及以上的老年人,特雷西纳市城区居民,Piauí。收集了人口统计、社会经济、生活方式、食物消费和人体测量数据。方差分析检验与Bonferroni事后检验以及95%置信区间(95% CI)的粗线性和调整线性回归一起使用。采用显著性水平为5%。结果在成人和老年人中,超加工食品的摄入量与人体测量变量之间无显著相关性。然而,在青少年中,结果显示出负相关,从而表明人体测量指标随着超加工食品消费量的增加而减少。结论超加工食品的食用量与成人和老年人的人体测量指标无相关性;然而,在青少年中,结果显示出负相关,这鼓励了新研究的发展,特别是纵向研究。
{"title":"Consumption of ultra-processed foods and anthropometric indicators in adolescents, adults, and the elderly in a capital city in northeastern Brazil","authors":"Jany de Moura Crisóstomo, L. A. R. L. Rodrigues, L. M. Nascimento, P. C. A. F. Viola, Karoline de Macêdo Gonçalves Frota","doi":"10.1590/1678-9865202235e210052","DOIUrl":"https://doi.org/10.1590/1678-9865202235e210052","url":null,"abstract":"ABSTRACT Objective To evaluate the consumption of ultra-processed foods and associate it with anthropometric indicators in adolescents, adults, and the elderly. Methods Cross-sectional, domiciliary, population-based study, comprising adolescents aged 10-19 years, adults aged 20-59 years, and elderly people aged 60 or older, residents of the urban area of the city of Teresina, Piauí. Demographic, socioeconomic, lifestyle, food consumption, and anthropometric data were collected. The analysis of variance test was used along with the Bonferroni post-hoc test and crude and adjusted linear regression with a 95% confidence interval (95% CI). The level of significance adopted was 5%. Results There was no significant association between the consumption of ultra-processed foods and anthropometric variables in adults and the elderly. However, among adolescents, the results showed an inverse association, thus signaling a reduction in anthropometric indicators as the consumption of ultra-processed foods increases. Conclusion There was no association between the consumption of ultra-processed foods and anthropometric indicators in adults and the elderly; however, among adolescents, the results showed an inverse association, which encourages the development of new studies, especially longitudinal ones.","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":"67560636","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}
引用次数: 1
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Revista De Nutricao-brazilian Journal of Nutrition
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