Navegando por Autor "Souza, Angélica Luiza de Sales"
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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 DArtigo 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 Perfil metabólico e consumo alimentar e dietético de pacientes com doença arterial coronariana(Universidade Federal do Rio Grande do Norte, 2016-09-26) Souza, Angélica Luiza de Sales; Lima, Severina Carla Vieira Cunha; Eduarda Pontes dos Santos Araújo; Lima, Severina Carla Vieira Cunha; Araújo, Eduarda Pontes dos Santos; Evangelista, Karine Cavalcante Maurício de SenaFundamento: A Doença Arterial Coronariana tem alta prevalência na população e pode ser influenciada sobretudo por fatores modificáveis como dieta e hábitos de vida (etilismo, tabagismo e sedentarismo). Objetivo: Avaliar o perfil lipídico e o consumo dietético de pacientes com Doença Arterial Coronariana (DAC). Métodos: Estudo observacional desenvolvido com pacientes de ambos os sexos, e idade entre 30 a 74 anos, submetidos à cinecoronariografia e diagnosticados com DAC. Coletou-se dados biodemográficos, clínicos, estilo de vida, bioquímicos e dietéticos. O grau de lesão cardiovascular foi obtido pelo Escore de Friesinger, por meio de avaliação do laudo da cinecoronariografia. Resultados: A amostra final foi de 35 pacientes com idade média de 58(9,52) anos, predominando o sexo masculino (38,09%), brancos (57,14%), não-tabagistas (62,85%), não etilistas (57,14%) e sedentários (62,85%), além disso, a maior parte dos pacientes apresentavam Hipertensão Arterial Sistêmica (HAS) (82,85%). A população estudada apresentou valores médios de glicemia de jejum, triglicerídeos, HDL-c e LDL-c de 124,85 (59,24) mg/dL, 166,79 (83,95), 38,00 (12,97) mg/dL e 108,96 (44,68) mg/dL, respectivamente A partir da classificação pelo Escore de Friesinger, observou-se que 37,14% dos pacientes apresentavam lesão intermediária, com maior percentual (42,85%) no sexo feminino. Quanto ao consumo dietético, identificou-se um consumo de calorias, macronutrientes e fibra abaixo do recomendado. Conclusão: A população estudada apresentou uma alta frequência de lesão característica da DAC, principalmente no sexo feminino. Além disso, os principais fatores de risco identificados foram sedentarismo, HAS, hiperglicemia, dislipidemias e baixo consumo de macro e micronutrientes. Palavras-chave: Doença das Coronárias. Gorduras na dieta. Dieta.Dissertação Status de vitamina D e fatores de risco cardiometabólico em adolescentes com sobrepeso/obesidade(2019-04-16) Souza, Angélica Luiza de Sales; Lima, Severina Carla Vieira Cunha; ; ; Pedrosa, Lúcia de Fátima Campos; ; Damasceno, Nágila Raquel Teixeira;Evidências apontam para elevadas prevalências de hipovitaminose D associadas à obesidade e desordens cardiometabólicas na população infanto-juvenil em todo o mundo, porém poucos estudos têm sido realizados em regiões urbanas ensolaradas no nordeste brasileiro. O objetivo do estudo foi avaliar a associação entre o status de vitamina D com os fatores de risco cardiometabólico em adolescentes com sobrepeso/obesidade. Trata-se de um estudo transversal realizado por amostragem não-probabilística, com adolescentes com idades entre 10 e 19 anos, de ambos os sexos, diagnosticados com sobrepeso ou obesidade, atendidos pela primeira vez no ambulatório de pediatria do Hospital Universitário Onofre Lopes/UFRN, Natal/RN, no período de setembro de 2016 e novembro de 2018. Foram avaliados dados clínicos, bioquímicos, antropométricos, prática de atividade física, exposição solar e fototipo de pele. A 25-hidroxivitamina D (25(OH)D) foi analisada pelo método de quimioluminescência. Os adolescentes foram agrupados de acordo com as concentrações de 25(OH)D em “suficientes” (≥30ng/mL) e “hipovitaminose D” (<30ng/mL). Foram realizadas comparações das variáveis entre os grupos por meio de testes estatísticos apropriados. Correlações entre as concentrações da 25(OH)D e as variáveis contínuas foram avaliadas pelo coeficiente (r) de Spearman. A relação entre as variáveis independentes e a concentração de 25(OH)D foi estabelecida de forma ajustada utilizando-se o modelo de regressão linear generalizado. A amostra foi composta por 125 adolescentes, a maioria do sexo masculino, na faixa de idade de 10 a 11 anos, com idade mediana de 11 anos. Verificou-se uma frequência de 45,6% de hipovitaminose D. Registrou-se maior percentual de hipovitaminose D (56,1%) no sexo feminino. A concentração média da 25(OH)D foi de 32,73(10,03) ng/mL na população geral; 39,39(8,25) ng/mL no grupo com suficiência de 25(OH)D, e de 24,38(4,01) ng/mL no grupo com hipovitaminose D, independente do sexo. Encontrou-se associações significantes entre a hipovitaminose D e o aumento da idade (p=0,024), pressão arterial (p= 0,006), perímetro do pescoço (p= 0,016), índice HOMA-IR (p= 0,016) e pressão arterial_SM (p= 0,006). Após o ajuste pela maturação sexual, as concentrações séricas de 25(OH)D apresentaram correlação positiva significante com a exposição solar e a prática de atividade física; e correlação negativa significante com pressão arterial, peso corporal, perímetro do pescoço, PTH, insulina de jejum e HOMA-IR. O modelo de regressão linear generalizada identificou associação negativa significante entre a exposição solar semanal na predição da hipovitaminose D, e foram encontradas associações positivas significantes entre a pressão arterial classificada de acordo com o percentil, e a pressão arterial como critério diagnóstico da síndrome metabólica, em que adolescentes com pressão arterial elevada tiveram 4 vezes mais chance de apresentar hipovitaminose D; e associações positivas significantes entre o peso corporal, e a insulina de jejum como preditores da hipovitaminose D. Concluiu-se que a baixa exposição solar está associada com a hipovitaminose D, e que a diminuição da 25(OH)D associa-se com a elevação da pressão arterial, excesso de peso e resistência à insulina nos adolescentes com sobrepeso/obesidade de uma região ensolarada.