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RESUMO Objetivo Avaliar o consumo alimentar dos participantes da Coorte de Universidades Mineiras, de acordo com grau de processamento, e sua relação, com fatores socioeconômicos, comportamentais e individuais. Método Participaram desse estudo 4.124 indivíduos da linha de base da Coorte de Universidades Mineiras (2016 e 2018). O consumo alimentar foi autorrelatado por um questionário online de frequência de consumo alimentar. Os alimentos foram divididos em: Grupo 1: alimentos in natura, minimamente processados, ingredientes culinários e preparações culinárias; Grupo 2: alimentos processados; e Grupo 3: alimentos ultraprocessados. Foi utilizado modelo de regressão linear múltipla hierarquizada para verificar os fatores associados. Resultados O Grupo 1 se associou positivamente à prática de atividade física, sexo feminino, idade, cor da pele “não branca” e presença de diabetes Mellitus; e negativamente ao estado civil “não casado/sem união estável”, consumo abusivo de álcool, uso do tabaco, obesidade e depressão. O Grupo 2 se associou positivamente ao consumo abusivo de álcool, uso do tabaco e idade; e negativamente à prática de atividade física, sexo feminino e cor da pele “não branca”. O Grupo 3 se associou positivamente ao estado civil “não casado/sem união estável", obesidade e depressão; e negativamente à prática de atividade física, idade, cor da pele “não branca” e presença de diabetes Mellitus. Conclusão Destacam-se os fatores que estão em pelo menos um dos modelos de regressão linear hierarquizada final: estado civil, atividade física, consumo abusivo de álcool, uso do tabaco, sexo, idade, cor da pele, obesidade, diabetes mellitus e depressão. processamento relação socioeconômicos individuais 4124 4 124 4.12 2016 (201 2018. 2018 . 2018) natura processados culinárias ultraprocessados associados física idade não branca Mellitus casadosem casado sem estável, estável , estável” álcool depressão branca. estável" Destacamse Destacam final 412 12 4.1 201 (20 41 4. 20 (2 (

ABSTRACT Objective Evaluate the food consumption of the participants of the Cohort of Universities of Minas Gerais, according to the degree of processing, and its relationship with socioeconomic, behavioral, and individual factors. Methods A total of 4,124 individuals from the baseline of the Cohort of Universities of Minas Gerais (2016 and 2018) participated in this study. Food consumption was self-reported by completing an online Food Frequency Questionnaire. The foods were divided into 3 groups: Group 1, in natura, minimally processed foods, culinary ingredients and culinary preparations; Group 2, processed foods; Group 3, ultra-processed foods. A hierarchical multiple linear regression model was used to verify the associated factors. Results Regarding the factors associated with food consumption, it is noteworthy that Group 1 was positively associated with the practice of physical activity, female gender, age, “non-white” skin color, and the presence of diabetes Mellitus; and negatively with “not married/without stable union” marital status, alcohol abuse, tobacco use, obesity, and depression. Considering Group 2, it was positively associated with alcohol abuse, tobacco use, and age; and negatively with physical activity, female gender, and “non-white” skin color. As for Group 3 it was positively associated with a marital status of “not married/without stable union”, obesity, and depression; and negatively with physical activity, age, “non-white" skin color, and presence of diabetes Mellitus. Conclusion The factors that are in at least one of the final hierarchical linear regression models stand out: marital status, physical activity, alcohol abuse, tobacco use, sex, age, skin color, obesity, diabetes mellitus, and depression. processing socioeconomic behavioral 4124 4 124 4,12 2016 (201 2018 study selfreported self reported Questionnaire groups natura preparations 2 ultraprocessed ultra activity gender age nonwhite non white “non-white color Mellitus not marriedwithout married without union abuse use obesity depression union, , out sex mellitus 412 12 4,1 201 (20 41 4, 20 (2 (

https://doi.org/10.1590/1678-9865202437e220148

Adequação do Consumo de Ácidos Graxos entre Pacientes em Prevenção Cardiovascular Secundária
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Marcadenti, Aline

; Machado, Rachel H. Vieira

; Santos, Renato Hideo Nakagawa

; Kasai, Caio Cesar dos Santos

; Kovacs, Cristiane

; Bello, Annie

; de Matos, Cristina H.

; Bertacco, Renata Torres Abib

; Souza, Gabriela C.

; Schirmann, Gabriela da S.

; Nagano, Francisca Eugenia Zaina

; Poloni, Soraia

; Kik, Raquel Milani El

; Feres, Naoel Hassan

; Rodrigues, Isa G.

; Sousa, Antônio Carlos Sobral

; Pinheiro, Josilene M. F.

; Vasconcelos, Sandra Mary Lima

; Carlos, Daniele Maria de Oliveira

; Souza, Viviane Sahade

; Gomes, Adriana Barros

; Figueiredo Neto, José Albuquerque de

; Moriguchi, Emilio Hideyuki

; Izar, Maria Cristina

; Pinto, Sônia Lopes

; Bressan, Josefina

; de Souza, Simone Raimondi

; Kumbier, Magali C.

; de Araújo, Celme Barroncas Passos

; Torreglosa, Camila R.

; Weber, Bernardete

; Bersch-Ferreira, Ângela Cristine

Arquivos Brasileiros de Cardiologia

Journal Metrics
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2024, Volume 121 N. 3 elocation e20230487

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Fundamento: A adesão à uma alimentação adequada em macronutrientes é fundamental para a prevenção secundária de doenças cardiovasculares. Objetivo: Avaliar a prevalência de adesão às recomendações de consumo de ácidos graxos para prevenção e tratamento de doenças cardiovasculares, e estimar se a presença de determinados fatores de risco cardiovascular estaria associada à adesão. Métodos: Estudo transversal com os dados de linha de base de 2358 participantes do estudo "Brazilian Cardioprotective Nutritional Program Trial". Dados de consumo alimentar, e fatores de risco cardiovascular foram avaliados. Foi considerada, de acordo com a Sociedade Brasileira de Cardiologia, uma ingestão adequada de ácidos graxos poli-insaturados (AGPI) ≥10% do consumo total de energia diária, para ácidos graxos monoinsaturados (AGM), 20% e para ácidos graxos saturados (AGS), <7%. Na análise estatística foi considerando nível de significância de 5%. Resultados: Nenhum participante aderiu a todas as recomendações de forma simultânea e mais da metade (1482 [62,9%]) não aderiu a nenhuma recomendação. A adesão exclusivamente à recomendação de AGS foi a mais prevalente, sendo cumprida por 659 (28%) dos participantes, seguida da adesão exclusivamente à recomendação de AGP (178 [7,6%]) e de AGM (5 [0,2%]). Não houve associação entre o número de comorbidades e a adesão às recomendações nutricionais (p =0,269). Os participantes da região Nordeste do país apresentaram maior proporção de adesão às recomendações para consumo de AGS (38,42%), e menor para ingestão de AGPI (3,52%) (p <0,001) em comparação às demais. Conclusões: Na amostra avaliada, evidenciou-se baixa adesão às recomendações nutricionais para consumo de ácidos graxos. Fundamento cardiovasculares Objetivo Métodos 235 Brazilian Trial. Trial . Trial" alimentar avaliados considerada Cardiologia poliinsaturados poli insaturados (AGPI 10 ≥10 diária AGM, , (AGM) 20 AGS, (AGS) 7 <7% 5 5% Resultados 1482 (148 62,9% 629 62 9 [62,9%] prevalente 65 28% 28 (28% 178 (17 7,6% 76 6 [7,6%] ( 0,2%. 02 0,2% 0 2 [0,2%]) p =0,269. 0269 =0,269 269 =0,269) 38,42%, 3842 38,42% 38 42 (38,42%) 3,52% 352 3 52 (3,52% <0,001 0001 001 demais Conclusões avaliada evidenciouse evidenciou 23 1 ≥1 (AGM (AGS <7 148 (14 62,9 [62,9% (28 17 (1 7,6 [7,6% 0,2 [0,2%] 026 =0,26 26 384 38,42 4 (38,42% 3,52 35 (3,52 <0,00 000 00 ≥ < 14 62, [62,9 (2 7, [7,6 0, [0,2% =0,2 38,4 (38,42 3,5 (3,5 <0,0 [62, [7, [0,2 =0, 38, (38,4 3, (3, <0, [62 [7 [0, =0 (38, (3 <0 [6 [ [0 = (38

Background: Adhering to a diet adequate in macronutrients is crucial for the secondary prevention of cardiovascular diseases. Objective: To assess the prevalence of adherence to recommendations for the consumption of dietary fatty acids for the prevention and treatment of cardiovascular diseases and to estimate whether the presence of certain cardiovascular risk factors would be associated with adherence. Methods: Cross-sectional study using baseline data from 2,358 participants included in the "Brazilian Cardioprotective Nutritional Program Trial". Dietary intake and cardiovascular risk factors were assessed. Adequate intake of polyunsaturated fatty acids (PUFA) was considered as ≥10% of total daily energy intake; for monounsaturated fatty acids (MUFA), 20%; and for saturated fatty acids (SFA), <7% according to the Brazilian Society of Cardiology. A significance level of 5% was considered in the statistical analysis. Results: No participant adhered to all recommendations simultaneously, and more than half (1,482 [62.9%]) did not adhere to any recommendation. Adherence exclusively to the SFA recommendation was the most prevalent, fulfilled by 659 (28%) participants, followed by adherence exclusively to the PUFA (178 [7.6%]) and MUFA (5 [0.2%]) recommendations. There was no association between the number of comorbidities and adherence to nutritional recommendations (p = 0.269). Participants from the Brazilian Northeast region showed a higher proportion of adherence to SFA consumption recommendations (38.42%) and lower adherence to PUFA intake (3.52%) (p <0.001) compared to other regions. Conclusions: Among the evaluated sample, there was low adherence to nutritional recommendations for dietary fatty acid consumption. Background Objective Methods Crosssectional Cross sectional 2358 2 358 2,35 Trial. Trial . Trial" assessed (PUFA 10 ≥10 MUFA, , (MUFA) 20% 20 SFA, (SFA) 7 <7 Cardiology 5 analysis Results simultaneously 1,482 1482 1 482 (1,48 62.9% 629 62 9 [62.9%] prevalent 65 28% 28 (28% 178 (17 7.6% 76 6 [7.6%] ( 0.2% 02 0 [0.2%] p 0.269. 0269 0.269 269 0.269) 38.42% 3842 38 42 (38.42% 3.52% 352 3 52 (3.52% <0.001 0001 001 regions Conclusions sample 235 35 2,3 ≥1 (MUFA (SFA < 1,48 148 48 (1,4 62.9 [62.9% (28 17 (1 7.6 [7.6% 0.2 [0.2% 026 0.26 26 38.42 384 4 (38.42 3.52 (3.52 <0.00 000 00 23 2, ≥ 1,4 14 (1, 62. [62.9 (2 7. [7.6 0. [0.2 38.4 (38.4 3.5 (3.5 <0.0 1, [62. [7. [0. 38. (38. 3. (3. <0. [62 [7 [0 (38 (3 <0 [6 [

https://doi.org/10.36660/abc.20230487

Triglyceride-glucose index is associated with poor sleep quality in apparently healthy subjects: A cross-sectional study Triglycerideglucose Triglyceride glucose subjects crosssectional cross sectional
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Avelino, Daniela Carolina

; Silva, Alessandra da

; Chaves, Larissa Oliveira

; Carraro, Júlia Cristina Cardoso

; Vidigal, Fernanda de Carvalho

; Bressan, Josefina

Archives of Endocrinology and Metabolism

Journal Metrics
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feb 2023, Volume 67 N. 1 Pages 73 - 91

Abstract: En | Text: En | PDF: En

ABSTRACT Objectives: We aimed to evaluate the association between the triglyceride glucose index (TyG index) and sleep quality and to establish a cut-off value for the TyG index based on the prevalence of subjects with insulin resistance (IR). Materials and methods: This cross-sectional study involved Brazilian health professionals (20-59 years). A total of 138 subjects answered the Pittsburgh Sleep Quality questionnaire to evaluate sleep quality. They were categorized into two groups: good sleep quality (global score ≤ 5 points) and poor sleep quality (global score ≥ 6 points). Also, we classified the subjects as having a high (>8.08 or >4.38) or low TyG index (≤8.08 or ≤4.38). Results: The majority of the subjects (70%) with high TyG index values (>8.08 or >4.38) reported poor sleep quality (p ≤ 0.001). Those with poor sleep quality had a 1.44-fold higher prevalence of IR (TyG index >8.08 or >4.38) compared to those with good sleep quality, regardless of sex, total cholesterol, LDL/HDL ratio, insulin, complement C3, CRP, and adiponectin (p ≤ 0.001). Conclusion: Our data showed a positive and significant association between the TyG index and poor sleep quality. Thus, these findings support the association between poor sleep quality and IR. Objectives cutoff cut off . (IR) methods crosssectional cross sectional 2059 20 59 (20-5 years. years years) 13 groups global points points. Also 808 8 08 (>8.0 >4.38 438 4 38 ≤8.08 (≤8.0 ≤4.38. ≤4.38 ≤4.38) Results 70% 70 (70% p 0.001. 0001 0.001 0 001 0.001) 1.44fold 144fold fold 1.44 1 44 >8.0 sex cholesterol LDLHDL LDL HDL ratio C3 C CRP Conclusion Thus (IR 205 2 (20- 80 (>8. >4.3 43 3 ≤8.0 (≤8. ≤4.3 7 (70 000 0.00 00 44fold 144 1.4 >8. (20 (>8 >4. ≤8. (≤8 ≤4. (7 0.0 14 1. >8 (2 (> >4 ≤8 (≤ ≤4 ( 0. >

https://doi.org/10.20945/2359-3997000000517

The 30-year cardiovascular risk trajectories and their independently associated factors in participants of a Brazilian cohort (CUME Study) 30year year 30 CUME Study 3
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Passinho, Renata Soares

; Bressan, Josefina

; Hermsdorff, Helen Hermana Miranda

; Oliveira, Fernando Luiz Pereira de

; Pimenta, Adriano Marçal

Cadernos de Saúde Pública

Journal Metrics
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2023, Volume 39 N. 9 elocation e00041323

Abstract: Es Pt En | Text: Es Pt En | PDF: Es | PDF: Pt | PDF: En

Resumen: Nuestro objetivo fue analizar las diferentes trayectorias de riesgo cardiovascular (RCV) de 30 años y sus factores asociados de forma independiente en participantes del Estudio CUME, un estudio prospectivo con exalumnos de universidades federales de Minas Gerais, Brasil. Este estudio incluyó a 1.286 participantes que completaron los cuestionarios de referencia (2016) y de seguimiento (2018 y 2020). Las trayectorias de RCV, según el índice de Framingham, se identificaron mediante el modelado de crecimiento de clase latente utilizando el modelo normal censurado. El análisis de los factores asociados de forma independiente a cada una de las trayectorias se realizó mediante regresión logística multinomial. Se identificaron tres trayectorias de RCV: Bajo-Bajo (68,3%), Medio-Medio (26,2%) y Alto-Alto (5,5%). El género masculino, la unión estable y el consumo moderado y alto de alimentos ultraprocesados se asociaron positivamente con las trayectorias de RCV Medio-Medio y Alto-Alto. La formación profesional y el trabajo en áreas no relacionadas con la salud se asociaron positivamente con la trayectoria de RCV Medio-Medio, mientras que la actividad física se asoció negativamente con la trayectoria de RCV Alto-Alto. En conclusión, más de la tercera parte de los participantes presentó trayectorias de RCV en las categorías Medio-Medio y Alto-Alto. A estas trayectorias se asociaron factores modificables (consumo de alimentos y actividad física); por lo tanto, las medidas de promoción de la salud pueden prevenir el mantenimiento o el empeoramiento del RCV. Por otra parte, los factores no modificables asociados a las trayectorias Medio-Medio y Alto-Alto (características sociodemográficas y laborales) permiten delinear el perfil de las personas que deben ser monitoreadas con más atención por los servicios de salud. Resumen (RCV 3 CUME Gerais Brasil 1286 1 286 1.28 2016 (2016 2018 (201 2020. 2020 . 2020) Framingham censurado multinomial BajoBajo Bajo 68,3%, 683 68,3% , 68 (68,3%) MedioMedio Medio 26,2% 262 26 2 (26,2% AltoAlto Alto 5,5%. 55 5,5% 5 (5,5%) masculino AltoAlto. Alto. MedioMedio, Medio, conclusión física) tanto características laborales 128 28 1.2 201 (20 202 68,3 6 (68,3% 26,2 (26,2 5,5 (5,5% 12 1. 20 (2 68, (68,3 26, (26, 5, (5,5 ( (68, (26 (5, (68 (5 (6

Resumo: Nosso objetivo foi analisar as diferentes trajetórias de risco cardiovascular (RCV) de 30 anos e seus fatores independentemente associados em participantes do Estudo CUME, um estudo prospectivo com ex-alunos de universidades federais de Minas Gerais, Brasil. Este estudo incluiu 1.286 participantes que responderam aos questionários de linha de base (2016) e acompanhamento (2018 e 2020). As trajetórias de RCV, de acordo com o escore de Framingham, foram identificadas por modelagem de crescimento de classe latente com o uso do modelo normal censurado. A análise dos fatores independentemente associados a cada uma das trajetórias foi realizada por regressão logística multinomial. Foram identificadas três trajetórias de RCV: Baixo-Baixo (68,3%), Médio-Médio (26,2%) e Alto-Alto (5,5%). Sexo masculino, união estável e consumo moderado e alto de alimentos ultraprocessados foram positivamente associados às trajetórias de RCV Médio-Médio e Alto-Alto. Formação profissional e trabalhar em áreas não relacionadas à saúde foram positivamente associados à trajetória de RCV Médio-Médio, enquanto ser fisicamente ativo foi negativamente associado à trajetória de RCV Alto-Alto. Em conclusão, mais de um terço dos participantes apresentou trajetórias de RCV nas categorias Médio-Médio e Alto-Alto. Fatores modificáveis foram associados a essas trajetórias (consumo de alimentos e atividade física); assim, medidas de promoção da saúde podem evitar a manutenção ou a piora do RCV. Por outro lado, os fatores não modificáveis associados às trajetórias Médio-Médio e Alto-Alto (características sociodemográficas e laborais) permitem traçar o perfil das pessoas que devem ser monitoradas com mais cautela pelos serviços de saúde. Resumo (RCV 3 CUME exalunos ex alunos Gerais Brasil 1286 1 286 1.28 2016 (2016 2018 (201 2020. 2020 . 2020) Framingham censurado multinomial BaixoBaixo Baixo 68,3%, 683 68,3% , 68 (68,3%) MédioMédio Médio 26,2% 262 26 2 (26,2% AltoAlto Alto 5,5%. 55 5,5% 5 (5,5%) masculino AltoAlto. Alto. MédioMédio, Médio, conclusão física física) assim lado características laborais 128 28 1.2 201 (20 202 68,3 6 (68,3% 26,2 (26,2 5,5 (5,5% 12 1. 20 (2 68, (68,3 26, (26, 5, (5,5 ( (68, (26 (5, (68 (5 (6

Abstract: We aimed to analyze the different trajectories of 30-year cardiovascular risk (CVR) and its independently associated factors in participants of the CUME Study, a prospective study with alumni from federal universities of Minas Gerais State, Brazil. In this study, 1,286 participants who answered the baseline (2016) and follow-up (2018 and 2020) questionnaires were included. Trajectories of CVR, according to the Framingham score, were identified with the latent class growth modelling technique with the use of the censored normal model. Analysis of the factors independently associated with each of the trajectories was conducted with multinomial logistic regression technique. Three CVR trajectories were identified: Low-Low (68.3%), Medium-Medium (26.2%), and High-High (5.5%). Male sex, living in a stable union, and having moderate and high intakes of ultra-processed foods were positively associated with the Medium-Medium and High-High CVR trajectories. Having non-healthcare professional training and working were positively associated with the Medium-Medium CVR trajectory, whereas being physically active was negatively associated with the High-High CVR trajectory. In conclusion, more than one-third of participants had CVR trajectories in the Medium-Medium and High-High categories. Food consumption and physical activity are modifiable factors that were associated with these trajectories; thus, implementing health promotion measures could help prevent the persistence or worsen of CVR. On the other hand, sociodemographic and labor characteristics are non-modifiable factors that were associated with Medium-Medium and High-High trajectories, which could help identify people who should be monitored with more caution by health services. Abstract 30year year 30 (CVR Study State Brazil 1286 1 286 1,28 2016 (2016 followup follow up 2018 (201 2020 included score model LowLow Low 68.3%, 683 68.3% , 68 3 (68.3%) MediumMedium Medium 26.2%, 262 26.2% 26 2 (26.2%) HighHigh High 5.5%. 55 5.5% . 5 (5.5%) sex union ultraprocessed ultra processed nonhealthcare non healthcare trajectory conclusion onethird one third categories thus hand nonmodifiable services 128 28 1,2 201 (20 202 68.3 6 (68.3% 26.2 (26.2% 5.5 (5.5% 12 1, 20 (2 68. (68.3 26. (26.2 5. (5.5 ( (68. (26. (5. (68 (26 (5 (6

https://doi.org/10.1590/0102-311xen041323

30-Year High Cardiovascular Risk Incidence and its Determinants: CUME Study 30Year Year 30 Determinants 3
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Passinho, Renata Soares

; Bressan, Josefina

; Hermsdorff, Helen Hermana Miranda

; Oliveira, Fernando Luiz Pereira de

; Pimenta, Adriano Marçal

Revista Brasileira de Enfermagem

Journal Metrics
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2023, Volume 76 N. 6 elocation e20220544

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

RESUMEN Objetivo: Estimar la incidencia del alto riesgo cardiovascular de 30 años y sus determinantes en graduados de universidades federales de Minas Gerais. Métodos: Cohorte prospectiva con 2.854 adultos de 20 a 59 años. Se calculó la incidencia del desenlace usando la ecuación de Framingham y sus determinantes a través de la regresión multivariante de Cox. Resultados: Después de un promedio de 2,62 años, la incidencia del alto riesgo cardiovascular fue de 8,09 y 20,1 casos por 1.000 personas-año, respectivamente, en los géneros femenino y masculino. Ser masculino (HR: 2,34; IC95%: 1,58 - 3,46), trabajar (HR: 2,13; IC95%: 1,13 - 3,99), un alto consumo de alimentos procesados (HR: 2,44; IC95%: 1,21 - 4,90) y ser activo físicamente (HR: 0,63; IC95%: 0,41 - 0,98) se asociaron con el alto riesgo cardiovascular. Conclusiones: En adultos con alta educación, ser masculino, trabajar y el alto consumo de alimentos procesados son predictores del alto riesgo cardiovascular, mientras que ser activo físicamente es un factor de protección. Objetivo 3 Gerais Métodos 2854 2 854 2.85 5 Cox Resultados 262 62 2,6 809 8 09 8,0 201 1 20, 1000 000 1.00 personasaño, personasaño personas año, año personas-año respectivamente HR (HR 2,34 234 34 IC95% IC95 IC 158 58 1,5 3,46, 346 3,46 , 46 3,46) 2,13 213 13 113 1,1 3,99, 399 3,99 99 3,99) 2,44 244 44 121 21 1,2 4,90 490 4 90 0,63 063 0 63 041 41 0,4 0,98 098 98 Conclusiones educación protección 285 85 2.8 26 6 2, 80 8, 100 00 1.0 2,3 23 IC9 15 1, 3,4 2,1 11 39 3,9 9 2,4 24 12 4,9 49 0,6 06 04 0, 0,9 28 2. 10 1. 3, 4,

ABSTRACT Objective: Estimate the incidence of the 30-year high cardiovascular risk and its determinants among graduates of federal universities in Minas Gerais. Methods: This is a prospective cohort of 2,854 adults aged 20 to 59. The incidence of the outcome was calculated using the Framingham equation and its determinants were determined through multivariate Cox regression. Results: After an average of 2.62 years, the incidence of high cardiovascular risk was 8.09 and 20.1 cases per 1,000 person-years, for females and males respectively. Being male (HR: 2.34; 95% CI: 1.58 - 3.46), employment (HR: 2.13; 95% CI: 1.13 - 3.99), high consumption of processed foods (HR: 2.44; 95% CI: 1.21 - 4.90), and being physically active (HR: 0.63; 95% CI: 0.41 - 0.98) were associated with high cardiovascular risk. Conclusions: Among highly educated adults, being male, employment, and high consumption of processed foods are predictors of high cardiovascular risk, while being physically active acts as a protective factor. Objective 30year year 30 Gerais Methods 2854 2 854 2,85 59 regression Results 262 62 2.6 years 809 8 09 8.0 201 1 20. 1000 000 1,00 personyears, personyears person person-years respectively HR (HR 2.34 234 34 95 CI 158 58 1.5 3.46, 346 3.46 , 3 46 3.46) 2.13 213 13 113 1.1 3.99, 399 3.99 99 3.99) 2.44 244 44 121 21 1.2 4.90, 490 4.90 4 90 4.90) 0.63 063 0 63 041 41 0.4 0.98 098 98 Conclusions factor 285 85 2,8 5 26 6 2. 80 8. 100 00 1,0 2.3 23 9 15 1. 3.4 2.1 11 39 3.9 2.4 24 12 49 4.9 0.6 06 04 0. 0.9 28 2, 10 1, 3. 4.

RESUMO Objetivo: Estimar a incidência do alto risco cardiovascular de 30 anos e seus determinantes em egressos de universidades federais mineiras. Métodos: Coorte prospectiva com 2.854 adultos de 20 a 59 anos. Calculou-se a incidência do desfecho pela equação de Framingham e seus determinantes pela regressão de Cox multivariada. Resultados: Após uma média de 2,62 anos, a incidência do alto risco cardiovascular foi de 8,09 e 20,1 casos/1.000 pessoas-ano, respectivamente, nos sexos feminino e masculino. O sexo masculino (HR: 2,34; IC95%: 1,58 - 3,46), trabalhar (HR: 2,13; IC95%: 1,13 - 3,99), elevado consumo de alimentos processados (HR: 2,44; IC95%: 1,21 - 4,90) e ser ativo fisicamente (HR: 0,63; IC95%: 0,41 - 0,98) associaram-se ao alto risco cardiovascular. Conclusões: Em adultos com alta escolaridade, o sexo masculino, trabalhar e o elevado consumo de alimentos processados são preditivos do alto risco cardiovascular, enquanto ser ativo fisicamente é um fator de proteção. Objetivo 3 mineiras Métodos 2854 2 854 2.85 5 Calculouse Calculou se multivariada Resultados 262 62 2,6 809 8 09 8,0 201 1 20, casos1000 casos 000 casos/1.00 pessoasano, pessoasano pessoas ano, ano pessoas-ano respectivamente HR (HR 2,34 234 34 IC95% IC95 IC 158 58 1,5 3,46, 346 3,46 , 46 3,46) 2,13 213 13 113 1,1 3,99, 399 3,99 99 3,99) 2,44 244 44 121 21 1,2 4,90 490 4 90 0,63 063 0 63 041 41 0,4 0,98 098 98 associaramse associaram Conclusões escolaridade proteção 285 85 2.8 26 6 2, 80 8, casos100 00 casos/1.0 2,3 23 IC9 15 1, 3,4 2,1 11 39 3,9 9 2,4 24 12 4,9 49 0,6 06 04 0, 0,9 28 2. casos10 casos/1. 3, 4, casos1 casos/1 casos/

https://doi.org/10.1590/0034-7167-2022-0544

The 30-year cardiovascular risk trajectories and their independently associated factors in participants of a Brazilian cohort (CUME Study)
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Passinho, Renata Soares

; Bressan, Josefina

; Hermsdorff, Helen Hermana Miranda

; Oliveira, Fernando Luiz Pereira de

; Pimenta, Adriano Marçal

Cadernos de Saúde Pública

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2023, Volume 39 N. 9 elocation e00041323

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

https://doi.org/10.1590/0102-311xen041323

Built and social environments and overweight among Brazilian adults from medium-sized city: CUME Project
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Domingos, Ana Luiza Gomes

; Hermsdorff, Helen Hermana Miranda

; Mendes, Larissa Loures

; Oliveira, Fernando Luiz Pereira de

; Oliveira, Anderson Castro Soares de

; Pimenta, Adriano Marçal

; Bressan, Josefina

Ciência & Saúde Coletiva

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feb 2022, Volume 27 N. 2 Pages 771 - 782

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Realizou-se um estudo transversal com participantes do projeto CUME (n = 289) que moravam em Viçosa, Brasil. A unidade de vizinhança adotada foi o buffer (200 metros), considerando a residência do participante como ponto central. Foi contabilizado o número de instalações públicas e privadas dentro do buffer, bem como as ocorrências criminais. Os estabelecimentos alimentares foram categorizados em estabelecimentos com venda predominante de alimentos naturais ou minimamente processados, estabelecimentos mistos e estabelecimentos com venda predominante de alimentos ultraprocessados. Os participantes que compareceram à entrevista presencial, preencheram duas escalas de percepção do ambiente. No total, 33,6% dos participantes apresentaram excesso de peso. Foi observada uma maior concentração de indivíduos próximos à região central da cidade. O acesso a diferentes estabelecimentos, ambientes alimentares e ocorrências criminais diferiram entre indivíduos com eutrofia e com excesso de peso. Os grupos diferiram na percepção da localização de praças, espaços públicos abertos, clubes e campos de futebol. Os resultados indicam a associação entre as características ambientais e o excesso de peso em adultos brasileiros.

Abstract A cross-sectional study enrolled participants from the CUME project (n = 289) who lived in Viçosa, Brazil. The neighborhood unit adopted was the buffer (200 meters), considering the participant’s residence as central point. We measure the number of public and private facilities inside the buffer as well as violent criminal occurrences. Food establishments were categorized into establishments with predominant sale of natural or minimally processed foods, mixed establishments, and establishments with predominant sale of ultra-processed foods. Those who attended the face-to-face interview filled two scales of perception of the environment. Overall, 33.6% of participants reported overweight. We observed a higher concentration of individuals close to the central region of the city. Access to different establishments, food environments, and criminal occurrences differed between normal-weight and overweight individuals. The groups deferred in the perception of the location of squares, open public spaces, clubs, and soccer fields. The results indicate the association between environmental characteristics and overweight in Brazilian adults.

https://doi.org/10.1590/1413-81232022272.02422021

Built and social environments and overweight among Brazilian adults from medium-sized city: CUME Project
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Domingos, Ana Luiza Gomes

; Hermsdorff, Helen Hermana Miranda

; Mendes, Larissa Loures

; Oliveira, Fernando Luiz Pereira de

; Oliveira, Anderson Castro Soares de

; Pimenta, Adriano Marçal

; Bressan, Josefina

Ciência & Saúde Coletiva

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2022, Volume 27 N. 2 Pages 771 - 782

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232022272.02422021

Consumo de bebidas alcoólicas e excesso de peso em adultos brasileiros - Projeto CUME
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Souza, Luís Paulo Souza e

; Hermsdorff, Helen Hermana Miranda

; Miranda, Aline Elizabeth da Silva

; Bressan, Josefina

; Pimenta, Adriano Marçal

Ciência & Saúde Coletiva

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oct 2021, Volume 26 Suppl. 3 Pages 4835 - 4848

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Estudo transversal com 2.909 participantes (≥ 18 anos) da linha de base da Coorte de Universidades Mineiras (CUME), Brasil, que verificou a associação entre o consumo de bebidas alcoólicas e o excesso de peso. Por meio de questionário virtual, coletaram-se dados sociodemográficos, de estilo de vida, hábitos alimentares, antropométricos e condições clínicas. Considerou-se Índice de Massa Corporal ≥ 25 kg/m2 como excesso de peso. Avaliou-se o consumo diário de bebidas alcoólicas no total em gramas (álcool) e segundo tipo em mililitros (cerveja, vinhos e destiladas). As prevalências de consumo de álcool e excesso de peso foram 73,6% e 40,8%, respectivamente. Houve uma tendência significativa de aumento da prevalência de excesso de peso quanto maior o consumo de cerveja (p de tendência = 0,038), fato não observado para os demais tipos de bebidas. Após análises de sensibilidade, a ingestão de álcool associou-se ao excesso de peso, com tendência de aumento da prevalência quanto maior o consumo diário. Ressalta-se a necessidade de reduzir a visão amplamente aceita de que o consumo leve a moderado de álcool não é nocivo à saúde, adotando cautela nesta proposição. Deve-se considerar a influência da ingestão de bebidas alcoólicas no ganho de peso nas políticas públicas de saúde e de controle do consumo do álcool.

Abstract This is a cross-sectional study with 2,909 participants (aged ≥18 years) from the baseline of the Cohort of Universities of Minas Gerais [CUME - Coorte de Universidades Mineiras] which verified the association between alcohol consumption and overweight. Data on sociodemographic factors, lifestyle, eating habits, anthropometric factors and clinical conditions were collected through an online questionnaire. Body mass index ≥ 25 kg/m² was considered an indicator of overweight. The daily consumption of alcohol was evaluated in grams (alcohol) and according to type in milliliters (beer, wine, hard liquor). The prevalence of alcohol consumption and overweight was 73.6% and 40.8%, respectively. There was a significant tendency of an increase in overweight with higher beer consumption (tendency p value of 0.038), which was not observed for the other types of alcohol. After sensitivity analyses, alcohol consumption was associated to overweight, with a tendency of increase in prevalence with higher daily consumption. There is a crucial need to curb the widely accepted idea that a low or moderate alcohol consumption is not harmful to one’s health, and to be cautious of such a proposition. The influence of alcohol consumption regarding weight gain must be considered in public health policies and policies of alcohol consumption control.

https://doi.org/10.1590/1413-812320212611.3.20192019 1 downloads

10.

Consumo de bebidas alcoólicas e excesso de peso em adultos brasileiros - Projeto CUME
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Souza, Luís Paulo Souza e

; Hermsdorff, Helen Hermana Miranda

; Miranda, Aline Elizabeth da Silva

; Bressan, Josefina

; Pimenta, Adriano Marçal

Ciência & Saúde Coletiva

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oct 2021, Volume 26 Suppl. 3 Pages 4835 - 4848

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-812320212611.3.20192019

11.

Binge drinking and overweight in brazilian adults - CUME Project
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Souza e Souza, Luís Paulo

; Miranda, Aline Elizabeth da Silva

; Hermsdorff, Helen Hermana Miranda

; Silva, Carla Silvana de Oliveira e

; Barbosa, Dulce Aparecida

; Bressan, Josefina

; Pimenta, Adriano Marçal

Revista Brasileira de Enfermagem

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2020, Volume 73 elocation e20190316

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo: Verificar associação entre consumo pesado episódico de álcool [binge drinking (BD)] e excesso de peso em 2.909 adultos da linha de base da Coorte de Universidades Mineiras (CUME), Brasil. Método: Estudo transversal no qual se coletaram dados sociodemográficos, antropométricos (IMC ≥ 25 kg/m2 = excesso de peso) e alimentares. Avaliaram-se presença e frequência mensal do BD (≥4 doses em única ocasião para mulheres; ≥5 doses para homens, nos últimos 30 dias). Resultados: As prevalências do BD e excesso de peso foram 41,3% e 40,8%, respectivamente. O BD aumentou em 19% a prevalência do excesso de peso, e a exposição ao BD em ≥5 dias/mês aumentou em 31%. Conclusão: O BD em única ou em várias ocasiões no mês se associou à maior prevalência de excesso de peso. Portanto, tal hábito de vida deve ser considerado nas estratégias de prevenção do ganho de peso.

ABSTRACT Objective: To verify the association between heavy episodic alcohol consumption [binge drinking (BD)] and overweight in 2,909 adults from the Cohort of Universities of Minas Gerais (CUME Project) baseline, Brazil. Method: Cross-sectional study in which sociodemographic, anthropometric (BMI ≥ 25 kg/m2 = overweight) and dietary intake data were collected. This study evaluated the occurrence and monthly frequency of BD (≥ 4 drinks at one time for women; ≥ 5 drinks at one time for men, in the last 30 days). Results: The prevalence of BD and overweight were 41.3% and 40.8%, respectively. BD increased the prevalence of overweight by 19%, and, BD exposure by ≥ 5 days / month increased it by 31%. Conclusion: BD on a single or multiple occasion during the month was associated with a higher prevalence of overweight. Therefore, such a lifestyle should be considered in weight gain prevention strategies.

RESUMEN Objetivo: Verificar la relación entre el episodio de exceso de alcohol [binge drinking (BD)] y el sobrepeso en 2.909 adultos de la línea de base de la Coorte de Universidades Mineiras (CUME), Brasil. Método: Estudio transversal en lo cual se recogieron datos sociodemográficos, antropométricos (IMC ≥ 25 kg/m2 = sobrepeso) y alimentares. Se evaluaron presencia y frecuencia mensual del BD (≥ 4 dosis en única ocasión para mujeres; ≥ 5 dosis para hombres, en los últimos 30 días). Resultados: Las prevalencias del BD y sobrepeso han sido 41,3% y 40,8%, respectivamente. BD ha aumentado en 19% la prevalencia del sobrepeso, y la exposición al BD en ≥ 5 días/mes ha aumentado en 31%. Conclusión: El BD en única o en varias ocasiones en el mes se relacionó a la mayor prevalencia de sobrepeso. Así que, tal hábito de vida debe ser considerado en las estrategias de prevención del aumento de peso.

https://doi.org/10.1590/0034-7167-2019-0316 973 downloads

12.

Binge drinking and overweight in brazilian adults - CUME Project
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Souza e Souza, Luís Paulo

; Miranda, Aline Elizabeth da Silva

; Hermsdorff, Helen Hermana Miranda

; Silva, Carla Silvana de Oliveira e

; Barbosa, Dulce Aparecida

; Bressan, Josefina

; Pimenta, Adriano Marçal

Revista Brasileira de Enfermagem

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2020, Volume 73 Suppl. 1 elocation e20190316

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

https://doi.org/10.1590/0034-7167-2019-0316 5 downloads

13.

High-saturated fatty meals with orange juice intake have subjective appetite sensations suppressed: Acute, postprandial study
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DA SILVA, ALESSANDRA

; ROCHA, DANIELA MAYUMI U.P.

; LOPES, LÍLIAN L.

; BRESSAN, JOSEFINA

; HERMSDORFF, HELEN HERMANA M.

Anais da Academia Brasileira de Ciências

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2020, Volume 92 N. 2 elocation e20191085

Abstract: En | Text: En | PDF: En

Abstract Objective: To elucidate the acute effect of different high-fat meals accompanied by water or orange juice on subjective appetite sensations. Methods: This acute, postprandial study included 39 healthy women (aged 20 to 40 years): 22 participants received a high-monounsaturated fat meal (MUFA) (≈1000 kcal, 56.3% Energy from MUFA) and 17 participants received a high-saturated fat meal (SFA) (≈1000 kcal, 37.6% Energy from SFA). Both interventions were accompanied by 500 ml of water or orange juice. The subjective appetite sensations were evaluated before (fasting) and 1, 2, 3, 4, and 5 hours after the meal intake using the visual analog scale. Results: The subjective area under curve (AUC) appetite sensations and AUC appetite scores were equal after the consumption of high-fat meals from SFA and MUFA. Moreover, the consumption of a high-SFA meal raises the prospective desire to eat something fatty. In addition, the high-SFA meal consumption reduces subjective AUC appetite sensations and AUC appetite scores along the time, compared to a high-MUFA meal, when orange juice consumption followed those meals. Conclusion: Our results demonstrate that high-MUFA meal consumption decreased the desire to intake something fatty, and the high-SFA meal, when followed by orange juice intake, has postprandial appetite sensations suppressed.

https://doi.org/10.1590/0001-3765202020191085 597 downloads

14.

Preference mapping to assess the effect of information on the acceptability of snack bars
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PINTO, Vinícius Rodrigues Arruda

; ARAÚJO, Lucas Guimarães

; SOARES, Letícia dos Santos

; DANTAS, Maria Inês de Souza

; LUCIA, Suzana Maria Della

; SOUZA, Thiago Duarte de

; MELO, Laura Fernandes

; MINIM, Valéria Paula Rodrigues

; BRESSAN, Josefina

Food Science and Technology

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jun 2019, Volume 39 Pages 316 - 323

Abstract: En | Text: En | PDF: En

Abstract Six Brazilian commercial brands of snack bars were chosen to evaluate the importance of packaging, highlighting the potential of health claims on the acceptability of them. One hundred and two consumers evaluated bars in three sessions of acceptance test, using a nine-point hedonic scale: the first with no information about the product, the second containing the packaging of the product and the last with information on health-related claims associated with the consumption of the bar. A Randomized Complete Block Design structured the experiment. The results were analyzed using frequency distribution, internal preference mapping, ANOVA and Tukey test (p ≤ 0.05). In the blind test, the lower mean acceptance of the seed and protein bars showed the need for sensorial improvement. In the packaging test, the difference between the means show that the packaging of the bars evaluated did not differ on acceptance, differing only from the protein bar. Test with the information showed that information of health claims, for the most part, can positively influence sensory acceptance, even if in some cases there is no sensory pleasure.

https://doi.org/10.1590/fst.03418 1338 downloads

15.

Dysbiosis and metabolic endotoxemia induced by high-fat diet
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Cândido, Thalita Lin Netto

; Bressan, Josefina

; Alfenas, Rita de Cássia Gonçalves

Nutrición Hospitalaria

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dec 2018, Volume 35 N. 6 Pages 1432 - 1440

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Introduction: diet plays a decisive role in the prevention and treatment of diseases such as obesity, diabetes, allergies and inflammatory diseases. In addition to this, there are numerous investigations about the role of the microbiota in the genesis of metabolic diseases, especially obesity and its comorbidities. Objective: the aim of this review is to discuss the influence of high-fat diets on dysbiosis and metabolic endotoxemia. Results and conclusion: the intestinal microbial ecosystem has been shown to be essential in the performance of functions in the host organism, however, several factors can lead to an imbalance in the homeostasis of the microbiota, known as dysbiosis. High-fat diets are associated with a reduction in intestinal bacterial diversity, changes in membrane integrity, inducing increased permeability and increased lipopolysaccharide (LPS) translocation, changes in the immune system, and generation of low-intensity systemic inflammation. The installed endotoxemia can be considered as a causal factor of subclinical inflammation related to several chronic diseases, and as a result of this, it is essential to know the real impact of hyperlipidic diets on the intestinal microbiota. Thus, it becomes essential to identify dietary strategies that can minimize the inflammatory effects generated from changes in the intestinal microbiota.

Resumen Introducción: la dieta juega un papel determinante en la prevención y el tratamiento de enfermedades como la obesidad, la diabetes, las alergias y las enfermedades inflamatorias. Agregado a ello, son innumerables las investigaciones acerca del papel de la microbiota en la génesis de las enfermedades metabólicas, principalmente la obesidad y sus comorbilidades. Objetivo: el objetivo de esta revisión es analizar la influencia de las dietas ricas en grasas sobre la disbiosis y la endotoxemia metabólica. Resultados y conclusión: se ha demostrado que el ecosistema microbiano intestinal es esencial en el desempeño de funciones en el organismo del huésped, sin embargo, varios factores pueden conducir a un desequilibrio en la homeostasis de la microbiota, conocido como disbiosis. Las dietas ricas en grasas están asociadas a una reducción en la diversidad bacteriana intestinal, alteraciones en la integridad de la membrana que inducen un aumento de la permeabilidad y mayor translocación de lipopolisacáridos (LPS), alteraciones en el sistema inmunológico y generación de inflamación sistémica de baja intensidad. La endotoxemia instalada puede ser considerada un factor causal de la inflamación subclínica relacionada con diversas enfermedades crónicas y, en consecuencia, es imprescindible el conocimiento del impacto real de las dietas hiperlipídicas sobre la microbiota intestinal. Así, es esencial la identificación de estrategias dietéticas que puedan minimizar los efectos inflamatorios generados a partir de alteraciones en la microbiota intestinal.

https://doi.org/10.20960/nh.1792 650 downloads

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