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Artigo A boa morte: o holos do “comer” no fim da vida(Razón y Palabra, 2017-01-20) Silva, Michelle Cristine Medeiros da; Silva, Luan Medeiros da; Evangelista, Karine Cavalcanti Maurício de Sena; Silva, Fernanda Rafaella de Melo; Silva, Bruna Farias da; https://orcid.org/0000-0002-4881-7285; https://orcid.org/0000-0001-9729-1243; https://orcid.org/0000-0002-2038-9856Cuidado paliativo corresponde a um tratamento multiprofissional que busca o alivio da dor e do sofrimento de pacientes terminais e seus familiares. O presente trabalho teve por objetivo realizar uma revisão de literatura sobre o papel da alimentação no tratamento paliativo na terminalidade. Para realização do trabalho foram consultadas as bases de dados: Lilacs, Medline e Scielo. Foram incluídos na revisão artigos publicados entre 2000 e 2014, apenas nas línguas portuguesa, inglesa ou espanhola e que estivessem disponíveis virtualmente na íntegra. A pesquisa retornou um total de sete trabalhos que foram posteriormente discutidos em duas categorias que dialogam desde questões conceituais sobre cuidados paliativos até o entendimento alimento como veiculo de prazer e bem estar em pacientes terminais. Em comum as categorias tentam responder qual o papel da alimentação para os doentes terminais em um contexto de paliação. Compreende-se que a paliação é uma abordagem sustentada por pilares filosóficos e bioéticos, que busca garantir a autonomia e a dignidade dos pacientes, e que a terapia nutricional, deve ser pensada levando em conta aspectos socioeconômicos, culturais, filosóficos, éticos e espirituaisArtigo A contação de histórias como ferramenta para ações de Educação Alimentar e Nutricional no âmbito da Educação Infantil(Nutrire, 2018-12-27) Jacob, Michelle Cristine Medeiros; Vieira, Keicy Priscila Maciel; Souza, Fernanda Pereira de; https://orcid.org/0000-0002-4881-7285O objetivo deste trabalho foi desenvolver e avaliar intervenções de Educação Alimentar e Nutricional (EAN), que utilizaram a contação de histórias como estratégia de Promoção da Alimentação Adequada e Saudável (PAAS), junto a crianças e professores da Educação Infantil no município de Cuité, Paraíba, Brasil. Tratou-se de um estudo de Pesquisa-Ação, que contemplou três fases: planejamento, execução e avaliação das ações. O planejamento e execução seguiram o modelo da pedagogia de projetos. No caso dos alunos, as avaliações foram feitas com base em escala adaptada para fins educativos, e no caso dos professores foi elaborado um instrumento com questões fechadas. Foram realizadas nove intervenções. O projeto avaliou 114 crianças e sete professores. Dentre as crianças, 95% consideraram as intervenções satisfatórias. Na opinião dos professores, a qualidade das intervenções e a contribuição dessas para a PAAS obteve 100% de avaliações positivas. O trabalho com contação de histórias mostrou-se como uma ferramenta eficaz no desenvolvimento de ações de EAN. A multiplicação de estudos sobre contação de histórias como estratégia de PAAS pode auxiliar no fortalecimento da EAN na Educação InfantilArtigo A culinária redescoberta de "Em busca do tempo perdido"(ARTEFILOSOFIA (UFOP), 2018-08-10) Jacob, Michelle; Silva, Josimey Costa da; Batista, Natália; https://orcid.org/0000-0002-4881-7285; https://orcid.org/0000-0003-2556-8180Para além da clássica imagem do chá com madeleines, na literatura proustiana pode- se falar em uma culinária que se desenha a partir de uma outra estética, que foge aos padrões de docilidade e simetria. Elucidá-la, a partir do texto de “Em busca do tempo perdido”, é o objetivo deste trabalho. O conceito de culinária é pensado aqui por uma perspectiva que o compreende como sistema cultural alimentar. Para lograr o objetivo desta investigação, foram realizadas leituras da obra e uma posterior documentação, que subsidiou a análise. Proust sugere que seu romance não representa uma sistematização em um corpo único e inteligível. Delineia-se, assim, a ideia de uma culinária indócil, que pode ser descrita por quatro características: concebe a cozinha tanto como destruição como criação; compreende a feira como espaço poético alimentar; empreende a escrita de guerra como forma de combate aos regimes de escassez; produz heterotopias pelos acessos alcoólicos. Partindo da leitura do autor, que advoga para a construção de sua obra um pathos, confirma-se que a culinária apresentada por ele não poderia ser sistematizada em um logos. Assim como na obra “Em busca...”, ela poderia ser pensada como o estudo de grandes leis e generalidades dietéticas, como uma culinária indócilArtigo À mesa com Marcel Proust(ESFERAS - Revista Interprogramas de Pós-graduação em Comunicação do Centro Oeste, 2019-11-21) Jacob, Michelle Cristine Medeiros; Silva, Josimey Costa da; https://orcid.org/0000-0002-4881-7285; https://orcid.org/0000-0003-2556-8180A literatura e a comida são produtos de significação cultural. A análise do componente alimentar de textos literários, portanto, pode se constituir em um profícuo campo de investigação nas Humanidades. Compreendendo o texto literário como o produto de inter-relações entre o sentido atribuído pelo leitor, a voz ficcional e o seu contexto de produção, o objetivo deste artigo, apresentar um recorte da alimentação na vida de Marcel Proust, autor de Em busca do tempo perdidoArtigo Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic(Nutrición Hospitalaria, 2016-11) Fayh, Ana Paula Trussardi; Galdino, Tatiana Pizzato; Lima, Vanessa Cristina Oliveira de; Souza, Iasmin Matias deBackground: Cardiovascular diseases are the leading cause of death among adults and measures to reverse this situation go through changes in lifestyle, among them adopt healthy eating through professional counseling. To do this we need to keep the patient engaged in treatment, and the abandonment of treatment is an important risk factor in this population. Objectives: To assess abandonment to dietary treatment of patients with cardiovascular risk treated on an outpatient basis, and identify the reasons for the abandonment of treatment. Methods: Participants were patients between 18 and 70 years, of both sexes, who held their fi rst nutritional consultation and had two or more cardiovascular risk factors. A telephone contact was made by applying a questionnaire on the withdrawal of reasons for treatment and encouraging them to return to the health service by checking the return after three months of telephone contact. Results: Of the 142 patients with cardiovascular risk, 61.26% did not return to the service after the fi rst visit, a percentage similar to that found in other studies, and contacted by telephone 64.37% of them. Regarding the main reasons for the withdrawal, diffi culty following the diet and individual/behavioral characteristics of the patient were the aspects that contributed to the abandonment (57.14%), corroborating the fi ndings that show the infl uence of cultural and socioeconomic factors on the therapeutic adherence. Although 92.86% of patients have been satisfi ed with the service and 75% have reported interest in resuming treatment, only 5.36% patients returned to service after the phone contact. Conclusion: There was a high drop-out from nutritional treatment, mainly because of the diffi culty of organization required to follow the diet. The motivational intervention was not enough to motivate a return to treatmentArtigo Accuracy of dietary intake assessments using food records based on photographic images captured by visually impaired people(Plos One, 2023-02-06) Borges, Thaís Lima Dias; Lima, Marcos Felipe Silva de; Lima, Severina Carla Vieira Cunha Lima,; Bagni, Ursula Viana Bagni,; https://orcid.org/0000-0002-3355-1795; https://orcid.org/0000-0001-9416-0440; https://orcid.org/0000-0002-2196-6985; https://orcid.org/0000-0001-8268-1986Traditional methods to assess dietary intake have limited and questionable application in visually impaired people since the lack of vision and low leading role in their diet make it difficult to quantify and detail the food consumed throughout the day. Thus, this study investigated whether it is possible to accurately identify foods and estimate their quantities using food records based on photographic images captured by visually impaired people. A panel of experts composed of nutritionists (n = 20) assessed these records comprising three standardized meals (breakfast; lunch/dinner; snack) from visually impaired people (n = 40) using two different protocols (frontal photo; aerial photo). Each nutritionist reported an estimated food record for each photographic image, which was compared to its respective weighed food record. For both frontal and aerial photos, experts were frequently correct for the number of food items in the meal (95.0% or over for breakfast, 100% for lunch/dinner, and 100% for snacks). All experts identified at least 11 of the 13 food items, but the majority correctly estimated the food amount only for 23% of the items. Compared to the weighed food record, the photographic records underestimated the amount of 61.5% of food items based on frontal photos, and of 76.9% of food items based on aerial photos. While most foods could be identified by photographic images captured by visually impaired people enabling a qualitative assessment of the diet, they could not be quantified accurately by nutritionistsArtigo Accuracy of isolated nutrition indicators in diagnosing malnutrition and their prognostic value to predict death in patients with gastric and colorectal cancer: a prospective study(Journal Of Parenteral And Enteral Nutrition, 2021-05) Fayh, Ana Paula Trussardi; Sousa, Iasmin Matias de; Silva, Flávia Moraes; Carvalho, Ana Lucia Miranda de; Rocha, Ilanna Marques Gomes daBackground: The study aims to evaluate the accuracy of isolated nutrition indicators in diagnosing malnutrition in patients with gastric and colorectal cancer and their association with mortality. Methods: Prospective cohort study involving patients with cancer (n = 178) attending a reference center of oncology at any point in the disease trajectory or treatment. Nutrition status was evaluated in a unique moment by body mass index (BMI), PatientGenerated Subjective Global Assessment (PG-SGA), handgrip strength (HGS), and calf circumference (CC). Kappa coefficient, accuracy, sensitivity, specificity, positive and negative predictive values, and area under the receiver operating characteristic curve (AUC) were calculated for each nutrition indicator (PG-SGA as the reference method). The Cox proportional hazards model was used to assess hazard ratio (HR) and CI of mortality. Results: From the total patients, 11% were underweight, 48% were malnourished (PGSGA B or C), 43% had low HGS, and 55% presented low CC. There were 46 deaths (25.8%). BMI, HGS, and CC showed poor and fair agreements (κ < 0.30 for all ) and poor accuracy (AUC < 0.70 for all) in identifying malnutrition by PG-SGA. After the adjustment for confounders (age, treatment performed, site, and stage of cancer), PG-SGA (HR, 2.9; 95% CI, 1.5–5.9) and low CC (HR, 2.4; 95% CI, 1.1–5.2) were independent predictors of mortality. Conclusion: The nutrition indicators are not accurate in diagnosing malnutrition, whereas PG-SGA and low CC could predict mortality in gastric and colorectal cancer patients. Thus, CC should be combined with PG-SGA in nutrition assessmentsArtigo Aceptabilidad de alimentos según sociodiversidad en comedores escolares de Brasil(Archivos Latinoamericanos de Nutrición, 2024) Seabra, Larissa Mont’Alverne Jucá; Oliveira, Luciana Dias de; Solans, Andrea Mónica; Pinheiro, Liana Galvão Bacurau; Silva, Vanuska Lima da; Hendler, Vanessa Magnus; Kopper, Agnes Gomez; Ruiz, Eliziane Nicolodi Francescato; https://orcid.org/0000-0002-1878-4283Resumen: Aceptabilidad de alimentos según sociodiversidad en comedores escolares de Brasil. Introducción. Una alimentación saludable en la escuela es fundamental para el crecimiento y desarrollo de los estudiantes, para su bienestar y su buen rendimiento escolar. El Programa Nacional de Alimentación Escolar (PNAE) de Brasil, en este sentido, pretende ofrecer una alimentación variada, segura y que respete la cultura, las tradiciones y los hábitos alimentarios saludables. Ante el escenario actual de malnutrición y de cambio climático, caracterizado por la Sindemia Global, desde diversos niveles gubernamentales se señala la importancia de incluir en los comedores escolares alimentos de la sociobiodiversidad, concepto definido en el Plan Nacional de Promoción de las Cadenas de Productos de la Sociobiodiversidad en Brasil en 2009. Objetivo. El estudio que se presenta tiene como objetivo evaluar la aceptabilidad de las preparaciones a base de productos de la sociobiodiversidad con estudiantes de escuelas públicas de Rio Grande do Sul (RS) y Rio Grande do Norte (RN), Brasil. Materiales y métodos. El trabajo forma parte de un estudio transversal y multicéntrico, con pruebas de adherencia y aceptabilidad de preparaciones a base de alimentos de la sociobiodiversidad realizado con estudiantes de escuelas públicas de RS y RN. Resultado. Se observó que las preparaciones obtuvieron excelentes porcentajes de adhesión, 100% en ambos estados, y de aceptabilidad, oscilando entre el 82 y el 97% de aceptación de las preparaciones. Conclusión. La alimentación puede ser utilizada en el ámbito escolar a partir de su potencial dialógico y socioeducativo para la transformación social y la promoción de la cohesión social en torno a dietas más sostenibles. Arch Latinoam Nutr 2023; 73(2): 102-112Artigo Aconselhamento nutricional oferecido a crianças e adolescentes com deficiência(Revista Brasileira em Promoção da Saúde, 2015-09-30) Bagni, Ursula Viana; Oliveira, Annamary do Nascimento; Pinto, Cristiane Jordânia; Santos, Letícia Sabino; Araújo, Joyce Samara Marques de Oliveira; https://orcid.org/0000-0002-3355-1795Objetivo: Avaliar o aconselhamento nutricional oferecido a crianças e adolescentes com deficiência no município de Santa Cruz-RN, Brasil. Métodos: Estudo observacional, transversal, de base populacional, desenvolvido de maio a dezembro de 2013, com 102 crianças e adolescentes atendidos em um Centro de Reabilitação Infantil. Procedeu-se avaliação socioeconômica, demográfica, de saúde e de estilo de vida, assim como da assistência nutricional recebida (se já haviam recebido orientação nutricional de algum profissional da saúde em relação à alimentação e nutrição, com que frequência ocorria e qual o profissional a havia realizado). Resultados: Somente 37% (n=37) dos responsáveis já haviam recebido alguma orientação nutricional. Com relação à frequência do aconselhamento, somente 11,8% (n=4) dos jovens as recebeu 7 ou mais vezes/ano; 23,5% (n=8) as recebeu de 2 a 6 vezes/ ano; e a maioria (64,7%; n=22) as recebeu 1 vez/ano ou menos. O tempo de duração dessas orientações foi curto: a maioria (64,7%; n=22) recebeu apenas uma orientação durante todo o período em que foi acompanhado pela instituição, e menos de 15% (n=5) obteve aconselhamento por mais de seis meses seguidos. Para a maioria dos jovens (73,5%; n=25), a quantidade de tempo recebendo orientações nutricionais não chegou à metade do período de acompanhamento. A orientação nutricional era realizada majoritariamente pelo nutricionista (89,2%; n=33). Conclusão: Houve baixa frequência de aconselhamento nutricional específico para as deficiências apresentadas pelos participantes, e quando tal atividade foi desenvolvida, deu-se de forma irregular durante o acompanhamento no serviço, por período de tempo curto, e de maneira desarticulada do acompanhamento pela equipe multiprofissionalArtigo Activity toward bruchid pest of a kunitz-type inhibitor from seeds of the algaroba tree (prosopis juliflora D.C.)(Pesticide Biochemistry and Physiology, 2002) Morais, Ana Heloneida de Araújo; Oliveira, Adeliana; Pereira, Railene; Lima, Liziane; Franco, Octávio Luiz; Bloch Júnior, Carlos; Sá, Maria Fátima Grossi de; Sales, MaurícioA proteinaceous inhibitor with high activity against papain was found in seeds of the xerophytic algaroba tree (Prosopis julifora). The proteinase inhibitor Pj was purified using Sephacryl S-200 gel filtration followed by reverse-phase high-performance liquid chromatography on a Vidac 18 TP. Inhibitor Pj showed a Mr of 20,000 on sodium dodecyl sulfate–polyacrylamide gel electrophoresis and a Mr of 19.2K by mass spectrometry. The inhibition of papain by the Pj inhibitor was the noncompetitive type, with a Ki value of 0.59 3 1029 M. The gelatinase activity of papain was strongly inhibited by Pj too. The N-terminal amino acid sequence of the Pj inhibitor showed homology with the N-terminal amino acid sequence of the Kunitzproteinase inhibitor family. Pj was strongly effective against digestive proteinases from bean weevil Acanthoscelides obtectus and cowpea weevil Callosobruchus maculatus and was moderately active toward midgut proteinases from pod weevil Mimosestes mimosae and Mexican bean weevil Zabrotes subfasciatus. The data shown here suggest that the protein present in algaroba seeds is involved with defense responses to insects and may be an important tool to be used in engineering plants resistant to bean weevilArtigo Acuracy and concordance of anthropometric indicators and body composition in heart failure(International Journal of Cardiovascular Sciences, 2018) Lyra, Clélia de Oliveira; Rocha, Daniela de Oliveira; Dantas, Raquel Costa Silva; Andrade, Fernanda Lambert de; Avelino, Regina Ranielly dos Santos; Diniz, Rosiane Viana Zuza; Lira, Niethia Regina Dantas de; Evangelista, Karine Cavalcanti Mauricio SenaBackground: Anabolic/catabolic disorder in heart failure (HF) favors cardiac cachexia, implying a reduction in HF survival. Objectives: To assess the accuracy and concordance of the diagnosis of protein malnutrition and excess fat among the anthropometric and body composition methods in individuals with HF. Method: A study of accuracy that included 60 individuals with HF. Body mass index (BMI), arm circumference (AC), triceps skinfold thickness (TST), adductor pollicis muscle thickness (APMT), arm muscle circumference (AMC) and corrected arm muscle area (cAMA). Fat free mass index (FFMI) and body fat percentage (BF%), obtained by electrical bioimpedance (EBI), were used to compare the diagnosis of protein malnutrition and excess fat. Accuracy was assessed by calculating sensitivity, specificity, positive and negative predictive value. The concordance of the EBI diagnosis and other methods was performed by the chi-square test and kappa (k) statistic, where p<0.05 was considered significant. Results: Higher frequencies of protein malnutrition were identified by cAMA and AMC, and excess fat by BF%. BMI presented low sensitivity (43%) and accuracy (38.5%), with moderate concordance (0.50). AMC sensitivity was 86%, accuracy 66.4%, and acceptable concordance (0.36) compared to FFMI. Similar percentages of moderate sensitivity and low accuracy were observed for TST and BMI. Conclusion: AMC may be useful to identify protein malnutrition and TST has not been adequate to diagnose adiposity. BMI was not sensitive to assess muscle and adipose reserve. EBI was more accurate. (Int J Cardiovasc Sci. 2019;32(2)143-151)Artigo Acute effect of high-intensity interval exercise and moderate-intensity continuous exercise on appetite in overweight/obese males: a pilot study(Sport Sciences for Health, 2017-06) Fayh, Ana Paula Trussardi; Matos, Victor Araújo Ferreira; Souza, Daniel Costa de; Browne, Rodrigo Alberto Vieira; Santos, Victor Oliveira Albuquerque dos; Costa, Eduardo CaldasPurpose: To compare the acute effects of high-intensity interval exercise (HIIE) and moderate-intensity continuous exercise (MICE) on appetite perception in overweight/obese males. Methods: Ten overweight/obese participants were submitted to two experimental sessions with 7 day intervals in a randomized order: (1) HIIE: 10 × 60 s at ~90% of maximal heart rate (HRmax) interspersed by 60 s of passive recovery; (2) MICE: 20 min at ~65% of HRmax. Standardized breakfast was offered before the exercise sessions. Hunger, satiety, fullness, and prospective food consumption perception were assessed pre-exercise, immediately post-exercise, and 40 min post-exercise. Results: No change in hunger, satiety, and prospective food consumption post-exercise was observed in both exercise sessions (p > 0.05). Fullness increased immediately post-exercise following HIIE (p = 0.022, r = −0.38), but it was not different from the MICE and was not sustained after 40 min post-exercise (p > 0.05). Conclusion: HIIE and MICE did not modify appetite (i.e., hunger, satiety, and prospective food consumption perception) until 40 min post-exercise in overweight/obese males, despite a transient increase in fullness observed immediately after the HIIEArtigo Acute effects of high-intensity interval and moderate-intensity continuous exercise on GLP-1, appetite and energy intake in obese men: a crossover trial(Nutrients, 2018-07) Fayh, Ana Paula Trussardi; Matos, Victor Araújo Ferreira; Souza, Daniel Costa de; Santos, Victor Oliveira Albuquerque dos; Medeiros, Ítalo Freire; Browne, Rodrigo Alberto Vieira; Nascimento, Paulo Ricardo Porfírio do; Marinho, Cristiane da Silva Ramos; Serquiz, Alexandre Coelho; Costa, Eduardo CaldasThis study investigated the effect of high-intensity interval (HIIE) and moderate-intensity continuous exercise (MICE) on glucagon-like peptide 1 (GLP-1), appetite and energy intake (EI) in obese men. In a randomized crossover trial, 12 participants (28.4 ± 2.6 years, 35.5 ± 4.5 kg/m2 , 39.8 ± 2.2% body fat) performed: (I) Control (CON, no exercise); (II) MICE (20 min, 70% of maximal heart rate) and (III) HIIE (10 × 1 min at 90% of maximal heart rate with 1 min recovery). GLP-1 and appetite were assessed at: (I) PRE: pre-exercise; (II) POST: immediately post-exercise; (III) POST-1 h: 1 h post-exercise. EI was assessed after an ad libitum meal offered 1 h post-exercise and over 24 h. There was a significant time × condition interaction for GLP-1 (p = 0.035). Higher GLP-1 levels in MICE vs. CON (p = 0.024) and a trend for HIIE vs. CON (p = 0.069) POST-1h was found. Hunger was reduced immediately post-HIIE compared to CON (p < 0.01), but was not sustained POST-1 h (p > 0.05). EI did not differ between the sessions 1 h post-exercise or over 24H (p > 0.05). In summary, although MICE increased GLP-1 levels POST-1h and HIIE induced a transient reduction in hunger, both exercise protocols did not impact EI in obese menArtigo Adequação de energia e proteína para pacientes críticos em terapia nutricional enteral(Braspen Journal, 2019-10-08) Lopes, Márcia Marília Gomes Dantas; Jesus, Karla Mendonça Gonçalves de; Santos, Letícia Sabino; Vermeulen, Karina Marques; Oliveira, Marcia Regina Dantas de Araújo; Leite-Lais, Lúcia; Lira, Niethia Regina Dantas de; Vale, Sancha Helena de Lima; https://orcid.org/0000-0002-0011-576X; https://orcid.org/0000-0002-8061-7048; https://orcid.org/0000-0002-0972-1678Introdução: A terapia nutricional enteral para pacientes críticos é considerada um tratamento coadjuvante, que fornece energia e nutrientes importantes para função imunológica e manutenção da massa magra, minimizando o risco de complicações metabólicas. Este estudo avaliou a adequação de energia e proteína da terapia nutricional enteral prescrita para pacientes críticos internados na unidade de terapia intensiva (UTI) de um hospital universitário. Método: Estudo prospectivo, no qual as necessidades e a oferta de energia e proteínas foram avaliadas, fornecendo informações sobre os percentuais de adequação, o tempo médio para atingir a meta nutricional e as intercorrências relacionadas à terapia. Resultados: Foram avaliados 31 pacientes, com idade média de 53,8 ± 16,0 anos, sendo 58,1% do sexo feminino. Os diagnósticos clínicos mais frequentes foram relacionados ao sistema neurológico e sistema digestório, abrangendo 45,2% da amostra. O tempo de permanência na UTI foi de 20,4 ± 16,4 dias. O tempo necessário para atingir a meta de energia e proteína foi de 6,7 dias (160,0 ± 74h) e 7,3 dias (175,2 ± 76,8h), respectivamente. Dentre as intercorrências, as complicações gastrointestinais foram os principais motivos para retardar o início da dieta ou limitar sua progressão. Conclusão: O período de 72h para a oferta de pelo menos 80% das necessidades energéticas e proteicas não foi suficiente para a adequação nutricional da população avaliada. Dentre as intercorrências observadas destacam-se as alterações das funções gastrointestinais e as situações de instabilidade hemodinâmica, denotando a necessidade de criação de protocolos para o manejo das complicações relacionadas à terapia nutricional enteralArtigo Adesão à alimentação escolar por adolescentes brasileiros: determinantes individuais e do contexto escolar(Ciência & Saúde Coletiva, 2021-02) Lyra, Clélia de Oliveira; Vale, Diôgo; Santos, Thais Teixeira dos; Souza, Camila Valdejane Silva de; Roncalli, Angelo GiuseppeObjetivou-se avaliar a adesão à alimentação escolar por adolescentes brasileiros considerando determinantes individuais e do contexto escolar. Foram avaliados 10.262 adolescentes de escolas públicas da Pesquisa Nacional de Saúde do Escolar de 2015. Regressão multinível foi utilizada para estimar o efeito de variáveis do contexto individual e do ambiente escolar na ocorrência da baixa adesão à alimentação escolar por adolescentes. A prevalência dessa baixa adesão (consumo da alimentação escolar ≤2dias/semana) foi 64,2% nesse grupo. O modelo explicativo evidenciou menor adesão a essa prática entre adolescentes do sexo feminino (RP=1,09; IC: 1,03-1,14), entre aqueles com 15 anos ou mais de idade (RP=1,08; IC: 1,02-1,14), que tinham consumo regular de refrigerantes (RP=1,09; IC: 1,03-1,15), que não realizavam regularmente almoço e jantar com pais e responsáveis (RP=1,08; IC: 1,02-1,14), e que moravam em domicílios com menos de 4 pessoas (RP=1,07; IC: 1,02-1,13). Em relação ao ambiente escolar, estudar em escolas com mais de 1.000 alunos (RP=1,22; IC: 1,12-1,33) e com presença de cantina (RP=1,15; IC: 1,08-1,22) determinaram a baixa adesão. Os resultados demonstram importante efeito do contexto escolar na determinação do consumo da alimentação escolar por adolescentesArtigo Adherence to the EAT-Lancet dietary recommendations for a healthy and sustainable diet: the case of the brazuca natal study(Sustainability, 2023-12) Lyra, Clelia de Oliveira; Oliveira Neta, Rosa Sá de; Lima, Severina Carla Vieira Cunha; Medeiros, Maria Fernanda Araújo de; Arruda Neta, Adélia da Costa Pereira de; Jacob, Michelle Cristine Medeiros; Marchioni, Dirce Maria Lobo; Oliveira, Angelo Giuseppe Roncalli da CostaBackground: The “EAT-Lancet Commission Summary Report” commission remodeled the concept of healthy and sustainable diets by proposing a “diet for the Anthropocene”, encouraging the development of indices that measure adherence to sustainable diets with a planetary scope. We aimed to report the adherence of adults and elderly people in a northeastern Brazilian capital to the EAT-Lancet recommendations. Methods: We used data from 411 participants in the populationbased study. The dietary data were collected with Globodiet, over a standardized 24 h. The diet sustainability data were verified using the Planetary Health Diet Index (PHDI). A Pearson correlation test verified the correlation between the PHDI and the independent variables. We conducted linear regression models that were adjusted for potential confounding variables to examine the correlation between the adherence to the PHDI and the independent variables. Results: The mean total score for the adherence to the PHDI was 29.4 points in a score with a possible range from 0 to 150. Regarding the component scores, the highest scores in the adequacy component were for fruits, followed by legumes and vegetables, while the lowest scores in the moderation group were for animal fat and red meat. We observed, in the final model, that the explanatory variables for the PHDI were being male and not consuming alcohol, which were directly related to the PHDI, while having 1 to 9 years of study and being food insecure were indirectly related to the score. Conclusions: Our results showed a low adherence to a sustainable eating pattern, far from the EAT-Lancet recommendationsArtigo Adipocytes and intestinal epithelium dysfunctions linking obesity to inflammation induced by high glycemic index pellet-diet in wistar rats(Bioscience Reports, 2018-06) Maciel, Bruna Leal Lima; Luz, Anna Beatriz Santana; Figueredo, Júlia Braga dos Santos; Salviano, Bianca Damásio Pereira Dantas; Aguiar, Ana Júlia Felipe Camelo; Pinheiro, Luiza Gabriella Soares Dantas; Krause, Matheus Felipe Dantas; Camillo, Christina da Silva; Ladd, Fernando Vagner Lobo; Bortolin, Raul Hernandes; Silbiger, Vivian Nogueira; Morais, Ana Heloneida de AraújoWe investigated the inflammatory effect of a pellet-diet with high glycemic index and load (HGLI) on the histological organization of adipocytes, intestinal epithelium, and fat in liver and pancreas in adult male Wistar rats. Two groups (n=10) received for 17 weeks: (1) HGLI diet or (2) Standard diet (LabinaR ). Histological analyses of adipose tissue, jejunum, liver, and pancreas were performed. Stereology analysis, visceral adiposity index, gene expression, and immunohistochemistry of tumor necrosis factor-α (TNF-α) in visceral adipose tissue and plasma TNF-α were also assessed. The HGLI diet-induced hypertrophy of adipocytes with adipocyte volume density equal to 97.0%, cross-sectional area of adipocytes equivalent to 1387 μm2 and a total volume of adipocytes of 6.97 cm3 an elevation of 8%, 25%, and 58%, respectively. Furthermore, the HGLI diet increased liver and pancreatic fat deposition, altered and inflamed the intestinal epithelia, and increased TNF-α gene expression (P=0.014) with a positive immunostaining in visceral adipose tissue and high plasma TNF-α in comparison with standard diet. The results suggest that this diet was able to generate changes commonly caused to solid diets with high fat or fructose-rich beverages. To the best of our knowledge, this is the first report in the literature concerning the properties of low-cost, sucrose-rich pellet-diet presenting high glycemic index and high glycemic load efficient on the development of obesity complications in Wistar rats that were subjected to diet-induced obesity. Therefore, the HGLI pellet-diet may be considered an effective tool to be used by the scientific community in experimental researchArtigo Advancing ethnobiology for the ecological transition and a more inclusive and just world: a comprehensive framework for the next 20 years(Journal of Ethnobiology and Ethnomedicine, 2024) Jacob, Michelle Cristine Medeiros; Albuquerque, Ulysses Paulino; Maroyi, Alfred; Ladio, Ana Haydeé; Pieroni, Andrea; Abbasi, Arshad Mehmood; Toledo, Bárbara Arias; Dahdouh-Guebas, Farid; Hallwass, Gustavo; Soldati, Gustavo Taboada; Odonne, Guillaume; Vandebroek, Ina; Vallès, Joan; Hurrell, Julio Alberto; Santayana, Manuel Pardo de; Cuadros, María de los Ángeles La Torre; Silva, María Teresa Pulido; Kruel, Viviane Stern da Fonseca; Ferreira Júnior, Washington Soares; https://orcid.org/0000-0002-4881-7285This opinion piece, written by ethnobiologists from different parts of the world, emphasizes the importance of ethnobiology research in advancing contemporary biology, natural resource management, biodiversity conservation, sustainable development, and, especially, contributing to the ecological transition and more just and inclusive world. To achieve these goals, it is essential to develop research and collaborate with social groups that live in close relationship with nature in research activities, such as Indigenous Peoples and Local Communities (IPLC), as well as Afro-descendants and other Marginalized, Minority or Minoritized Communities (AMMC). Ethnobiology can identify and provide locally appropriate solutions to local problems, enabling sustainable resource management at the landscape level. The text explores important aspects that need to be considered to guide the future of ethnobiology in the next 20 years, aiming to integrate and amplify previous discussions held in the discipline and identify points that demand ongoing attention. This paper highlights reflections from diverse researchers, emphasizing how ethnobiology can embrace different perspectives and employ rigorous analysis of complex phenomena toward effective policies and practices. This approach holds the potential to address the challenges the planet is currently facing in the coming decades.Artigo Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study(Clinical Nutrition Espen, 2022-02) Fayh, Ana Paula Trussardi; Sousa, Iasmin Matias; Gonzalez, Maria Cristina; Bielemann, Renata Moraes; Rocha, Ilanna Marques Gomes; Barbalho, Erica Roberta; Carvalho, Ana Lúcia Miranda; Medeiros, Galtieri Otávio Cunha; Silva, Flávia MoraesBackground & aims: Cancer influences body composition, including a loss of muscle mass (MM), associated with worse outcomes. The study aimed to evaluate the agreement between MM estimated by calf circumference (CC) and computed tomography (CT) image as a reference method. Methods: A cross-sectional study including patients (>20 years) diagnosed with cancer attending a reference center of oncology. Spearman's correlation was performed to verify the correlation between CC and MM by CT, including skeletal muscle area - SMA and skeletal muscle index - SMI. ROC curves, Kappa coefficient, sensitivity, specificity, positive and negative predictive values were obtained. Results: The study included 219 patients, age 62.9 ± 13.1 years (mean ± standard deviation). Low CC was observed in 43.8% of the patients, and 29.2% had low SMI. CC positively correlated with SMA (rho ¼ 0.333) and SMI (rho ¼ 0.329), and fair agreements (K ¼ 0.268) were observed between CC and SMI, with higher and significant values for males (K ¼ 0.332) and patients below 60 years (K ¼ 0.419). The area under the curve (AUC) for low CC to identifying low SMI was equal to 0.685 (CI 95% 0.606 e0.765). Low CC presented fair agreement to identify low SMI in the sample; however, the negative predictive value was almost 80% for all analyses. Conclusions: Low CC is not a surrogate for low SMI in patients with cancer, but it could be an alternative, non-invasive, easy-to-perform method to pre-screen patients with cancer with adequate SMIArtigo Agreement between software programmes of body composition analyses on abdominal computed tomography scans of obese adults(Endocrinology and Metabolism, 2020) Fayh, Ana Paula Trussardi; Barbalho, Erica Roberta; Rocha, Ilanna Marques Gomes da; Medeiros, Galtieri Otávio Cunha de; Friedman, RogerioObjective: A large number of studies have used abdominal computed tomography (CT) to quantify body composition, and different software programmes have been used to perform these analyses. Thus, this comparison is important to enable researchers to know the performance of more accessible software. Subjects and methods: Fifty-four abdominal CT scans of obese (BMI 30 to 39.9 kg/m²), sedentary adults (24-41 years) patients from a Brazilian single center were selected. Two software programs were compared: Slice-O-Matic (Tomovision, Canada) version 5.0 and OsiriX version 5.8.5. The body composition analysis were segmented using standard Hounsfield unit (HU) (adipose tissue: -190 to +30 and skeletal muscle: -29 to +150) and measured at the mid third lumbar vertebra (L3) level on a slice showing both transversal processes. Bland-Altman limits of agreement analyses were used to assess the level of agreement between Slice-O-Matic and OsiriX. Results: A total of fifty four participants were evaluated, with majority women (69%), mean of age 31.3 (SD 6.5) years and obesity grade I most prevalent (74.1%). The agreement, in Bland-Altman analysis, between Slice O-Matic and OsiriX analisys for the muscle mass tissue, visceral adipose tissue and subcutaneous adipose tissue were excellent (≥ 0.954) with P-values < 0.001. Conclusion: These findings show that Slice-O-Matic and OsiriX softwares agreement in measurements of skeletal muscle and adipose tissue and sarcopenia diagnosis in obese patients, suggesting good applicability in studies with body composition in this population and clinical practice