Navegando por Autor "Pimentel, Jéssica Bastos"
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Dissertação Associação entre o consumo de alimentos ultraprocessados, indicadores antropométricos e perfil lipídico em fator de risco cardiometabólico em adolescentes com excesso de peso(Universidade Federal do Rio Grande do Norte, 2020-06-05) Pimentel, Jéssica Bastos; Lima, Severina Carla Vieira Cunha; ; ; Gorgulho, Bartira; ; Rodrigues, Karla Danielly da Silva Ribeiro;Evidências apontam para altas prevalências de obesidade e de alterações lipídicas associadas ao elevado consumo de alimentos ultraprocessados (AUP) na população infanto-juvenil. O objetivo do estudo foi quantificar o consumo de alimentos por nível de processamento e a sua influência sobre os indicadores antropométricos e do perfil lipídico em adolescentes com excesso de peso. Trata-se de um estudo transversal realizado por amostragem nãoprobabilística, com adolescentes entre 10 e 19 anos, de ambos os sexos, diagnosticados com excesso de peso, atendidos pela primeira vez no ambulatório de pediatria em Natal/RN, no período de outubro/2016 a agosto/2019. Foram avaliados dados clínicos, antropométricos, bioquímicos e de consumo alimentar e dietético. O estado nutricional antropométrico foi avaliado por meio do IMC-para-idade, PP, PC, RCQ, RCA e IC. E CT, HDL, TG, LDL e colesterol não-HDL para o perfil lipídico. O consumo alimentar e dietético foi avaliado por meio de um recordatório de 24 horas. Os alimentos foram classificados quanto ao tipo de processamento, de acordo com a “Classificação NOVA”, proposta por Monteiro et al (2010). Foram utilizados os testes de Kolmogorov-Smirnov, t de Student, teste U de Mann-Whitney, Qui-quadrado de Pearson, teste Exato de Fisher, a regressão de Poisson e o teste de Omnibus para as análises estatísticas. A amostra foi composta por 158 adolescentes, com maior percentual (50,6%) no sexo masculino. Foram verificadas diferenças estatisticamente significantes para as variáveis alteradas do PP (P=0,01), IC (P=0,04), RCA (P=0,017) e TG (P=0,047). Registramos no sexo masculino médias antropométricas acima do ponto de corte para IC (1,29±0,06) e RCA (0,59±0,05), e para as variáveis bioquímicas, TG (105±50,44), não-HDL-c (132±30,65) e as razões TG/HDL (2,76±1,54) e CT/HDL (4,32±1,04) médias acima do recomendado. Verificamos no sexo feminino médias de PP (33,00±2,22), IC (1,23±0,07) e RCA (0,57±0,06) e CT (173±30,28), TG (122±61,32), não-HDL-c (133±28,38) e as razões TG/HDL (3,22±1,96) e CT/HDL (4,44±0,95) acima do recomendado. A ingestão calórica média da amostra total foi de 1.731,3±635,4 kcal/dia. Os adolescentes do sexo masculino apresentaram uma maior ingestão calórica comparada as meninas (1.835,9±671,2 vs. 1.621,1±579,5 kcal/dia; P=0,034). Houve maior contribuição calórica relativa dos alimentos in natura e AUP em ambos os sexos. Foi verificado que os adolescentes com não HDL-c elevado apresentaram valores médios aumentados para IC (P=0,029), TG (P < 0,001), CT (P < 0,001) e não-HDL-c (P < 0,001). No modelo de regressão bruta foi identificado associação entre o não-HDL-c elevado com a RCQ (RP: 1,4; IC 95%: 1,1 a 1,9), razão TG/HDL (RP: 1,9; IC 95%: 1,2 a 3,0), e razão CT/HDL (RP: 5,3; IC 95%: 2,6 a 10,6) e após análise ajustada permaneceu significante a razão CT/HDL ao não-HDL-c elevado. Concluímos que os indicadores antropométricos de IC e RCA foram mais evidentes nos adolescentes do sexo masculino e as alterações do CT, TG, não-HDL-c e razões TG/HDL, CT/HDL no feminino. Apesar de não encontrarmos associações entre os AUPs com as alterações cardiometabólicas, o não-HDL-c configura um risco cardiometabólico nesses adolescentes.Artigo Cardiometabolic risk factors and hypovitaminosis D in adolescents with overweight from a sunny region in northeast Brazil: a cross-sectional study(Nutricion hospitalaria, 2022) Lima, Severina Carla Vieira Cunha; Souza, Angélica Luiza de Sales; Araújo, Eduarda Pontes dos Santos; Souza, Thatyane Oliveira; Pimentel, Jéssica Bastos; Ferreira, Adriana Leão de Miranda; Silva, David Franciole de Oliveira; Evangelista, Karine Cavalcanti Maurício Sena; Arrais, Ricardo Fernando; Rezende, Adriana Augusto de; https://orcid.org/0000-0001-8268-1986Background: obesity can influence vitamin D levels, which in turn might be associated with cardiometabolic risk factors. Objectives: this study assessed the association between 25-hydroxyvitamin D [25(OH)D] levels and cardiometabolic risk factors in adolescents with overweight living in a region of northeastern Brazil. Material and methods: a cross-sectional study was carried out by non-probabilistic sampling in adolescents diagnosed with overweight or obesity. The subjects were divided according to their 25(OH)D status into two groups: sufficient vitamin D and hypovitaminosis D. Biodemographic, lifestyle, cardiometabolic, and biochemical factors were evaluated. A logistic regression model was applied to determine the predictors of hypovitaminosis D. Results: we found a high frequency of hypovitaminosis D (45.6 %) in adolescents. Weekly sun exposure was negatively associated with hypovitaminosis D (OR = 0.96; 95 % CI: 0.92-0.99), while significant positive associations were observed between hypovitaminosis D and blood pressure above the 95th percentile (OR = 4.00; 95 % CI: 1.19-13.37), body weight (OR = 1.04; 95 % CI: 1.01-1.07), and fasting insulin (OR = 1.13; 95 % CI: 1.05-1.22). Conclusion: hypovitaminosis D showed a high prevalence in adolescents with overweight living in a sunny region of northeastern Brazil, and cardiometabolic risk factors such as systemic arterial hypertension, high body weight, and hyperinsulinemia are predictors of hypovitaminosis D.Artigo Cardiometabolic risk factors and hypovitaminosis D in adolescents with overweight from a sunny region in northeast Brazil: a cross-sectional study(Nutrición Hospitalaria, 2021) Evangelista, Karine Cavalcanti Maurício de Sena; Souza, Angélica Luiza de Sales; Araújo, Eduarda Pontes dos Santos; Souza, Thatyane Oliveira; Pimentel, Jéssica Bastos; Ferreira, Adriana Leão de Miranda; David, David Franciole de Oliveira Silva; Arrais, Ricardo Ferrando; Rezende, Adriana Augusto de; Lima, Severina Carla Vieira CunhaBackground: obesity can influence vitamin D levels, which in turn might be associated with cardiometabolic risk factors. Objectives: this study assessed the association between 25-hydroxyvitamin D [25(OH)D] levels and cardiometabolic risk factors in adolescents with overweight living in a region of northeastern Brazil. Material and methods: a cross-sectional study was carried out by non-probabilistic sampling in adolescents diagnosed with overweight or obesity. The subjects were divided according to their 25(OH)D status into two groups: sufficient vitamin D and hypovitaminosis D. Biodemographic, lifestyle, cardiometabolic, and biochemical factors were evaluated. A logistic regression model was applied to determine the predictors of hypovitaminosis D. Results: we found a high frequency of hypovitaminosis D (45.6 %) in adolescents. Weekly sun exposure was negatively associated with hypovitaminosis D (OR = 0.96; 95 % CI: 0.92-0.99), while significant positive associations were observed between hypovitaminosis D and blood pressure above the 95th percentile (OR = 4.00; 95 % CI: 1.19-13.37), body weight (OR = 1.04; 95 % CI: 1.01-1.07), and fasting insulin (OR = 1.13; 95 % CI: 1.05-1.22). Conclusion: hypovitaminosis D showed a high prevalence in adolescents with overweight living in a sunny region of northeastern Brazil, and cardiometabolic risk factors such as systemic arterial hypertension, high body weight, and hyperinsulinemia are predictors of hypovitaminosis DTCC Consumo de gorduras em pacientes com risco cardiovascular(Universidade Federal do Rio Grande do Norte, 2016-11-29) Pimentel, Jéssica Bastos; Lima, Severina Carla Vieira Cunha; Mychelle Kytcha Rodrigues Nunes Duarte; Lima, Severina Carla Viera Cunha; Duarte, Mychelle Kytcha Rodrigues Nunes; Evangelista, Karine Cavalcanti Maurício de SenaObjetivou-se avaliar o consumo de gorduras e a presença de fatores clínicos e metabólicos em pacientes com fatores de risco para DCV. Estudo transversal realizado com 51 pacientes de ambos os sexos, e idade entre 30 a 74 anos, submetidos à cinecoronariografia. Estudo aprovado pelo CEP/HUOL/UFRN, CAAE nº 0001.0.051.294-11, realizado entre junho a outubro/2015. Coletou-se dados biodemográficos, clínicos, antropométricos, e do consumo alimentar e dietético. A idade média foi de 56,84 (9,77) anos e predominância do sexo masculino (60,8%). Registrou-se alta frequência de hipertensão arterial sistêmica (HAS) (40%) na amostra total, além de sobrepeso (29,04kg/m²), perímetro da cintura (95,03cm) aumentado, e alterações séricas de glicemia (117,28mg/dL), lipoproteína de alta densidade (HDL-c) (37,04mg/dL) e triglicerídeos (TGL) (mg/dL). Observou-se um consumo de gordura total e Ácido Graxo Poliinsaturado (AGP) de acordo com o recomendado. Registrou-se um consumo inadequado para o Ácido Graxo Saturado (AGS), Ácido Graxo Monoinsaturado (AGM) e de alimentos fontes de ômega 3 e 6. Concluiu-se que a população em estudo apresenta fatores de risco para a DCV, registrado pelo consumo dietético inadequado de AGS, AGM e de alimentos fontes de ômega 3 e 6, além das significativas alterações clínicas, antropométricas e bioquímicas.Artigo Development and content validity of an instrument for assessing the motivation for weight loss in adolescents with overweight and obesity(Plos one, 2020) Lima, Severina Carla Vieira Cunha; Silva, David Franciole Oliveira; Souza, Angélica Luiza de Sales; Pimentel, Jéssica Bastos; Souza, Thatyane Oliveira; Araújo, Eduarda Pontes dos Santos; Evangelista, Karine Cavalcanti Maurício Sena; Arrais, Ricardo Fernando; https://orcid.org/0000-0001-8268-1986Objective: To develop and validate the content of an instrument for assessing the motivation for weight loss in adolescents with overweight and obesity. Methods: The development and validation of the instrument were conducted in five stages, for which two systematic reviews were conducted. The first one, for the identification of questionnaires assessing the motivation for weight loss, included six studies and contributed to the selection of the domains for the instrument. The second one, conducted to identify the motivations for weight loss in adolescents with overweight and/or obesity, included six studies and contributed to the selection of 17 motivations included in the initial version of the instrument. The motivations most commonly identified were: having better health, improving my appearance, improving my self-esteem and avoiding bullying. The content validity was confirmed by a committee of 12 experts from the areas of nutrition, endocrinology, psychology, and physical education. Based on these evaluations, the content validity index was calculated. Only the items with a content validity index >0.80 for practical relevance were held in the instrument. Results: Five of the 17 motivations included in the initial version of the instrument were excluded because they had content validity index <0.80 for practical relevance. Of the 12 items held in the instrument, five were revised by experts in order to standardize wording and make the language more appropriate for adolescents. Experts categorized the items into the health, personal satisfaction, appearance and social domains. Conclusions: This is the first instrument assessing the motivation for weight loss in adolescents with overweight and obesity in Brazil. The content validity evaluation by the panel of experts provided more practical relevance, as well as contributed to a better presentation of the items. Further psychometric testing is needed to determine reliability and construct validity of the instrument.Artigo Development and content validity of an instrument for assessing the motivation for weight loss in adolescents with overweight and obesity(Plos One, 2020-11) Evangelista, Karine Cavalcanti Maurício de Sena; Silva, David Franciole Oliveira; Souza, Angélica Luiza de Sales; Pimentel, Jéssica Bastos; Souza, Thatyane Oliveira; Araújo, Eduarda Pontes dos Santos; Arrais, Ricardo Fernando; Lima, Severina Carla Vieira CunhaObjective To develop and validate the content of an instrument for assessing the motivation for weight loss in adolescents with overweight and obesity. Methods The development and validation of the instrument were conducted in five stages, for which two systematic reviews were conducted. The first one, for the identification of questionnaires assessing the motivation for weight loss, included six studies and contributed to the selection of the domains for the instrument. The second one, conducted to identify the motivations for weight loss in adolescents with overweight and/or obesity, included six studies and contributed to the selection of 17 motivations included in the initial version of the instrument. The motivations most commonly identified were: having better health, improving my appearance, improving my self-esteem and avoiding bullying. The content validity was confirmed by a committee of 12 experts from the areas of nutrition, endocrinology, psychology, and physical education. Based on these evaluations, the content validity index was calculated. Only the items with a content validity index >0.80 for practical relevance were held in the instrument. Results Five of the 17 motivations included in the initial version of the instrument were excluded because they had content validity index <0.80 for practical relevance. Of the 12 items held in the instrument, five were revised by experts in order to standardize wording and make the language more appropriate for adolescents. Experts categorized the items into the health, personal satisfaction, appearance and social domains. Conclusions This is the first instrument assessing the motivation for weight loss in adolescents with overweight and obesity in Brazil. The content validity evaluation by the panel of experts provided more practical relevance, as well as contributed to a better presentation of the items. Further psychometric testing is needed to determine reliability and construct validity of the instrumentTCC Marcadores de risco cardiometabólico estão associados com a alanina aminotransferase em adolescentes com excesso de peso(Universidade Federal do Rio Grande do Norte, 2019-12-10) Silva, Maria Eduarda Bezerra da; Lima, Severina Carla Vieira Cunha; Lima, Severina Carla Vieira Cunha; Maciel, Bruna Leal Lima; Pimentel, Jéssica BastosIntrodução: A alanina aminotransferase (ALT) é uma enzima que em situações de injúria hepática tem suas concentrações séricas elevadas, como em casos de Doença Hepática Gordurosa Não Alcóolica (DHGNA). Existe uma lacuna na literatura com estudos avaliando marcadores de risco cardiovascular com as concentrações da ALT na população adolescente do nordeste do Brasil. Desse modo, o objetivo deste estudo foi avaliar a relação entre os marcadores de risco cardiometabólicos e as concentrações séricas de ALT em adolescentes com excesso de peso e sua utilização como possíveis indicadores de risco de DHGNA. Metodologia: Estudo transversal com 120 adolescentes (10-19 anos) diagnosticados com sobrepeso e obesidade. Foram coletados dados antropométricos (estatura, peso e circunferência da cintura) para cálculo de índice de massa corporal e índice de conicidade, bioquímicos (perfil lipídico, glicídico e concentrações de ALT) com realização do cálculo da razão de triglicerídeos/HDL-c e de pressão arterial. Os dados foram avaliados por testes de coeficiente de correlação de Pearson e teste Exato de Fisher. Foi considerada estatisticamente significantes aqueles resultados com p-valor < 0,05. Resultados: Dos 120 adolescentes avaliados, 63 (42,5%) eram meninos e (89%) das meninas estavam no estágio púbere. Os meninos apresentaram valores significativamente mais elevados de ALT (p<0,050), AST (p<0,010) e índice de conicidade (p<0,010) e as meninas de insulina em jejum (p<0,010). Nos meninos, ALT correlacionou-se positivamente com insulina em jejum (p<0,050), triglicerídeos (p<0,050) e pressão arterial sistólica (p<0,050) e nas meninas com circunferência da cintura (p<0,050), índice de conicidade (p<0,050), IMC (p<0,010), insulina em jejum (p<0,010), HOMA-IR (p<0,010) e HDL colesterol (p<0,010). Conclusão: Marcadores antropométricos e bioquímicos correlacionaram-se com as concentrações de ALT em meninos e meninas, sugerindo que alterações nessas variáveis são bons preditores de elevação dessa enzima.Artigo A ssystematic review on processed/ultra-processed foods and arterial hypertension in adults and older people(Nutrients, 2022-03) Lyra, Clelia de Oliveira; Barbosa, Suamy Sales; Sousa, Layanne Cristini Martin; Silva, David Franciole de Oliveira; Pimentel, Jéssica Bastos; Evangelista, Karine Cavalcanti Maurício de Sena; Lopes, Márcia Marília Gomes Dantas; Lima, Severina Carla Vieira CunhaThe increase in the availability of processed and ultra-processed foods has altered the eating patterns of populations, and these foods constitute an exposure factor for the development of arterial hypertension. This systematic review analyzed evidence of the association between consumption of processed/ultra-processed foods and arterial hypertension in adults and older people. Electronic searches for relevant articles were performed in the PUBMED, EMBASE and LILACS databases. The review was conducted following the PRISMA guidelines and the Newcastle–Ottawa Scale. The search of the databases led to the retrieval of 2323 articles, eight of which were included in the review. A positive association was found between the consumption of ultra-processed foods and blood pressure/arterial hypertension, whereas insufficient evidence was found for the association between the consumption of processed foods and arterial hypertension. The results reveal the high consumption of ultra-processed foods in developed and middle-income countries, warning of the health risks of such foods, which have a high energy density and are rich in salt, sugar and fat. The findings underscore the urgent need for the adoption of measures that exert a positive impact on the quality of life of populations, especially those at greater risk, such as adults and older peopleArtigo A systematic review on processed/ultra-processed foods and arterial hypertension in adults and older people(Nutrients, 2022) Lima, Severina Carla Vieira Cunha; Barbosa, Suamy Sales; Sousa, Layanne Cristini Martin; Silva, David Franciole de Oliveira; Pimentel, Jéssica Bastos; Evangelista, Karine Cavalcanti Maurício de Sena; Lyra, Clélia de Oliveira; Lopes, Márcia Marília Gomes Dantas; https://orcid.org/0000-0001-8268-1986The increase in the availability of processed and ultra-processed foods has altered the eating patterns of populations, and these foods constitute an exposure factor for the development of arterial hypertension. This systematic review analyzed evidence of the association between consumption of processed/ultra-processed foods and arterial hypertension in adults and older people. Electronic searches for relevant articles were performed in the PUBMED, EMBASE and LILACS databases. The review was conducted following the PRISMA guidelines and the Newcastle–Ottawa Scale. The search of the databases led to the retrieval of 2323 articles, eight of which were included in the review. A positive association was found between the consumption of ultra-processed foods and blood pressure/arterial hypertension, whereas insufficient evidence was found for the association between the consumption of processed foods and arterial hypertension. The results reveal the high consumption of ultra-processed foods in developed and middle-income countries, warning of the health risks of such foods, which have a high energy density and are rich in salt, sugar and fat. The findings underscore the urgent need for the adoption of measures that exert a positive impact on the quality of life of populations, especially those at greater risk, such as adults and older people.