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Between health and pleasure: perceptions of patients with cardiovascular disease following a nutritional intervention
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Pagano, Raira

; Frutuoso, Maria Fernanda Petroli

; Lara, Enilda Maria de Sousa

; Weber, Bernardete

; Juzwiak, Claudia Ridel

Interface - Comunicação, Saúde, Educação

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 28 elocation e220451

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

El Programa Alimentario Brasileño Cardioprotector (Dica Br) consiste en una estrategia de prevención de nuevos eventos cardiovasculares. Esta investigación cualitativa es un estudio de caso del Dica Br con el objetivo de comprender el proceso de elección alimentaria relacionada con la adhesión a las estrategias orientadas. Se aplicó el análisis de contenido temático para explorar las entrevistas semiestructuradas realizadas con 10 participantes. Los pacientes informaron incorporar pautas nutricionales y cómo negocian sus elecciones alimentarias para lograr una dieta saludable mientras mantienen el consumo de alimentos placenteros, algunos de los cuales se recomienda evitar. Las tensiones y conflictos continuos entre comer para la salud y comer por placer que impregnan las elecciones alimentarias deben abordarse en el asesoramiento nutricional para una mayor y duradera adherencia al Dica Br.

The Brazilian Cardioprotective Nutritional Program (Balance)(f) consists of a nutritional counseling strategy aiming to prevent new cardiovascular events. This qualitative investigation is a case study of Balance aiming to understand the process of food choices related to the adherence of participants to the nutritional counseling. Semi-structured interviews were conducted with 10 participants and analyzed according to thematic content analysis. Patients reported incorporating nutritional advice and how they negotiate food choices to achieve a healthy diet while maintaining the consumption of pleasurable foods, some of them recommended avoiding. The continuous tensions and conflicts between healthy and pleasurable eating which permeate patients’ food choices should be addressed in nutritional counseling, enabling greater and long-lasting adherence to Balance.

O Programa Alimentar Brasileiro Cardioprotetor (Dica Br) consiste em uma estratégia de aconselhamento nutricional com o objetivo de prevenção da incidência de novos eventos cardiovasculares. Esta investigação qualitativa é um estudo de caso do Dica Br e visa compreender o processo de escolhas alimentares relacionadas à adesão dos participantes às estratégias orientadas. Aplicou-se a análise de conteúdo temática para explorar as entrevistas semiestruturadas realizadas com dez participantes. Os pacientes relataram incorporar as orientações nutricionais e como negociam suas escolhas alimentares para alcançar uma alimentação saudável mantendo o consumo de alimentos prazerosos, sendo alguns recomendados a serem evitados pelo Dica Br. As contínuas tensões e conflitos entre comer por saúde e comer por prazer que permeiam as escolhas alimentares dos pacientes devem ser abordados no aconselhamento nutricional, possibilitando maior e duradoura adesão ao Dica Br.

https://doi.org/10.1590/interface.220451

Between health and pleasure: perceptions of patients with cardiovascular disease following a nutritional intervention pleasure
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Pagano, Raira

; Frutuoso, Maria Fernanda Petroli

; Lara, Enilda Maria de Sousa

; Weber, Bernardete

; Juzwiak, Claudia Ridel

Interface - Comunicação, Saúde, Educação

Journal Metrics
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2024, Volume 28 elocation e220451

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

https://doi.org/10.1590/interface.220451

Adequação Alimentar de Indivíduos com Doença Cardiovascular Conforme Diretrizes Clínicas no Programa Alimentar Brasileiro Cardioprotetor
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Brito, Luciana

; Sahade, Viviane

; Marcadenti, Aline

; Torreglosa, Camila Ragne

; Weber, Bernardete

; Bersch-Ferreira, Ângela Cristine

; Rodrigues, Isa Galvão

; Sousa, Antônio Carlos Sobral

; Gomes, Adriana Barros

; Pinheiro, Josilene Maria Ferreira

; Vasconcelos, Sandra Mary Lima

; Carlos, Daniele Maria de Oliveira

; Figueiredo Neto, José Albuquerque de

; Dantas, Clenise de Farias

; Daltro, Carla

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 7 elocation e20230705

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

Resumo Fundamento Alcançar as metas nutricionais estabelecidas pelas sociedades científicas é um desafio constante e nem sempre alcançado. Objetivo Investigar a adequação alimentar de indivíduos com doença cardiovascular (DCV), participantes do Programa Alimentar Brasileiro Cardioprotetor residentes da região Nordeste do Brasil, segundo as recomendações da Sociedade Brasileira de Cardiologia (SBC). Métodos Análise transversal com dados do estudo de implementação da Dieta Cardioprotetora Brasileira (DICA BR) que avaliou indivíduos com DCV, atendidos em centros especializados em saúde cardiovascular em oito estados do Nordeste. O consumo alimentar foi obtido por recordatório alimentar de 24 horas e a adequação da dieta seguiu as recomendações da SBC. Foram considerados significantes valores de p < 0,05. Resultados Foram estudados 647 pacientes, com média (desvio padrão) de idade de 63,1 (9,4) anos, sendo 50,2% do sexo feminino. Na avaliação da ingestão alimentar, observou-se baixa adequação de carboidratos (52,3%), proteínas (70,9%), lipídios (38,8%) e fibras (22,4%). Observou-se que a maioria das mulheres consumia dieta hipoproteica (59,2%) e idosos tinham maior inadequação no consumo de carboidratos (52,6%). Em relação a ingestão de sódio, os homens apresentaram maior ingestão (72,9%), enquanto os idosos apresentaram redução de 13%. Além disso, foi demonstrado que os homens ingeriam mais fibras (28,1%) e indivíduos com maior escolaridade tinham um consumo elevado de ácidos graxos saturados (70,5%). Conclusões A maioria dos indivíduos não alcançou as metas dietoterápicas preconizadas para prevenção cardiovascular secundária. Os achados do presente estudo reforçam a necessidade de implementação de estratégias estruturadas, a fim de estimular hábitos alimentares saudáveis nesses indivíduos. alcançado DCV , (DCV) Brasil SBC . (SBC) DICA BR 2 005 0 05 0,05 64 pacientes desvio padrão 631 63 1 63, 9,4 94 9 4 (9,4 anos 502 50 50,2 feminino observouse observou se 52,3%, 523 52,3% 52 3 (52,3%) 70,9%, 709 70,9% 70 (70,9%) 38,8% 388 38 8 (38,8% 22,4%. 224 22,4% 22 (22,4%) Observouse Observou 59,2% 592 59 (59,2% 52,6%. 526 52,6% 6 (52,6%) sódio 72,9%, 729 72,9% 72 (72,9%) 13 13% disso 28,1% 281 28 (28,1% 70,5%. 705 70,5% 5 (70,5%) secundária estruturadas (DCV (SBC 00 0,0 9, (9, 50, 52,3 (52,3% 70,9 7 (70,9% 38,8 (38,8 22,4 (22,4% 59,2 (59,2 52,6 (52,6% 72,9 (72,9% 28,1 (28,1 70,5 (70,5% 0, (9 52, (52,3 70, (70,9 38, (38, 22, (22,4 59, (59, (52,6 72, (72,9 28, (28, (70,5 ( (52, (70, (38 (22, (59 (72, (28 (52 (70 (3 (22 (5 (72 (2 (7

Abstract Background Achieving nutritional goals established by scientific societies is a constant challenge and not always achieved. Objective To investigate the dietary adequacy of individuals with cardiovascular disease (CVD), participants in the Cardioprotective Brazilian Food Program residing in the Northeast region of Brazil, according to the recommendations of the Brazilian Society of Cardiology (SBC). Methods Cross-sectional analysis with data from the study implementing the Brazilian Cardioprotective Diet (DICA BR), which evaluated individuals with CVD treated in specialized cardiovascular health centers in eight states in the Northeast region. Food consumption was obtained by 24-hour dietary records and dietary adequacy followed SBC recommendations. Values of p < 0.05 were considered significant. Results 647 patients were studied, with a mean (standard deviation) age of 63.1 (9.4) years, 50.2% of whom were female. When evaluating food intake, a low adequacy of carbohydrates (52.3%), proteins (70.9%), lipids (38.8%), and fiber (22.4%) was observed. It was observed that the majority of women consumed a low-protein diet (59.2%) and the elderly had a greater inadequacy in carbohydrate consumption (52.6%). Regarding sodium intake, men had a higher intake (72.9%), while the elderly showed a 13% reduction. Furthermore, it was shown that men ate more fiber (28.1%) and individuals with higher education had a high consumption of saturated fatty acids (70.5%). Conclusions Most individuals did not achieve the recommended dietary therapy goals for secondary cardiovascular prevention. The findings of the present study reinforce the need to implement structured strategies to encourage healthy eating habits in these individuals. achieved CVD, , (CVD) Brazil SBC. . (SBC) Crosssectional Cross sectional DICA BR, BR BR) 24hour hour 24 005 0 05 0.0 significant 64 studied standard deviation 631 63 1 63. 9.4 94 9 4 (9.4 years 502 50 2 50.2 female 52.3%, 523 52.3% 52 3 (52.3%) 70.9%, 709 70.9% 70 (70.9%) 38.8%, 388 38.8% 38 8 (38.8%) 22.4% 224 22 (22.4% lowprotein protein 59.2% 592 59 (59.2% 52.6%. 526 52.6% 6 (52.6%) 72.9%, 729 72.9% 72 (72.9%) 13 reduction Furthermore 28.1% 281 28 (28.1% 70.5%. 705 70.5% 5 (70.5%) prevention (CVD (SBC 00 0. 9. (9. 50. 52.3 (52.3% 70.9 7 (70.9% 38.8 (38.8% 22.4 (22.4 59.2 (59.2 52.6 (52.6% 72.9 (72.9% 28.1 (28.1 70.5 (70.5% (9 52. (52.3 70. (70.9 38. (38.8 22. (22. 59. (59. (52.6 72. (72.9 28. (28. (70.5 ( (52. (70. (38. (22 (59 (72. (28 (52 (70 (38 (2 (5 (72 (7 (3

https://doi.org/10.36660/abc.20230705

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

Diet Quality and Associated Factors in Atherosclerotic Cardiovascular Disease Patients with and without Diabetes at a Specialized Outpatient Clinic in the City of Pelotas, Brazil Pelotas
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Dobke, Fernanda Vighi

; Longo, Aline

; Ribas, Bruna Luiza Paulina

; Weber, Bernardete

; Bertoldi, Eduardo Gehling

; Borges, Lúcia Rota

; Bertacco, Renata Torres Abib

International Journal of Cardiovascular Sciences

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2023, Volume 36 elocation e20200323

Abstract: En | Text: En | PDF: En

Abstract Background In most cases, atherosclerotic cardiovascular disease (ACVD) is preventable through primary prevention and control of traditional risk factors, such as smoking cessation, regular physical activity, and adherence to healthy dietary patterns. The assessment of diet quality of ACVD patients would be important for a dietary intervention. Objectives This study aimed to evaluate diet quality of ACVD patients and its association with clinical conditions. Methods This cross-sectional study was nested within a randomized clinical trial entitled “Programa Alimentar Cardioprotetor Brasileiro.” Baseline data of 80 patients from Pelotas, Brazil, were obtained. Food consumption was assessed using 24-h food recall and the Revised Diet Quality Index (IQD-R). Data on smoking status and comorbidities were reported by the patients during medical history taking. To analyze the associations between IQD-R and clinical variables, unpaired Student’s t-test or the analysis of variance was performed. The significance level was 5%. Results Most of the sample consisted of men (66.5%), elderly individuals (52.50%), patients with hypertension (78.75%), dyslipidemia (58.75%), and overweight (73.75%). The average IQD-R score was 56.7 ± 12.6 points. Better quality of diet was observed for patients with diabetes compared to those without diabetes (61.1 ± 11.8 versus 54.0 ± 12.6 points; p=0.014). Conclusion There is a need to improve diet quality of ACVD patients. Patients ACVD and diabetes had better diet quality compared to those without diabetes. cases (ACVD factors cessation activity patterns intervention conditions crosssectional cross sectional Programa Brasileiro. Brasileiro 8 Pelotas Brazil obtained 24h h 24 IQDR. IQDR IQD R . (IQD-R) taking variables Students Student s ttest t test performed 5 5% 66.5%, 665 66.5% , 66 (66.5%) 52.50%, 5250 52.50% 52 50 (52.50%) 78.75%, 7875 78.75% 78 75 (78.75%) 58.75%, 5875 58.75% 58 (58.75%) 73.75%. 7375 73.75% 73 (73.75%) 567 56 7 56. 126 12 6 12. points 61.1 611 61 1 (61. 118 11 11. 540 54 0 54. p=0.014. p0014 p p=0.014 014 p=0.014) 2 (IQD-R 66.5 (66.5% 525 52.50 (52.50% 787 78.75 (78.75% 587 58.75 (58.75% 737 73.75 (73.75% 61. (61 p001 p=0.01 01 66. (66.5 52.5 (52.50 78.7 (78.75 58.7 (58.75 73.7 (73.75 (6 p00 p=0.0 (66. 52. (52.5 78. (78.7 58. (58.7 73. (73.7 ( p0 p=0. (66 (52. (78. (58. (73. p=0 (52 (78 (58 (73 p= (5 (7

https://doi.org/10.36660/ijcs.20200323

Programa Hospital Seguro para a Pessoa Idosa: estudo observacional do impacto na redução de declínio funcional
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Apolinario, Daniel

; Yamaguti, Siomara Tavares Fernandes

; Dutra, Adriana Fatina

; Lara, Enilda Maria de Sousa

; Coli, Rita de Cassia Pires

; Weber, Bernardete

Cadernos de Saúde Pública

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2022, Volume 38 N. 2 elocation e00305620

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

Ao ser hospitalizado, o idoso apresenta maior risco de complicações e declínio funcional. O presente estudo avaliou os resultados do Programa Hospital Seguro para a Pessoa Idosa. A intervenção foi realizada em um hospital filantrópico da cidade de São Paulo, Brasil, por meio de uma estratégia de implantação estruturada em 10 passos, incluindo rastreio de fragilidade, avaliação multidimensional, plano terapêutico singular, implementação de protocolos e estratégias de gestão de alta. Foram analisadas ao longo de dois anos 865 internações de idosos frágeis. Indicadores de processo e de resultado foram comparados entre o primeiro ano (período de implementação) e o segundo ano (período de consolidação). A comparação dos indicadores entre os dois períodos revelou que o programa melhorou os processos assistenciais fundamentais na qualidade do cuidado para essa população, incluindo reabilitação motora iniciada nas primeiras 72 horas (74,1 vs. 84,3%; p < 0,001), triagem de risco de broncoaspiração (38,5 vs. 82,8%; p < 0,001) e suplementação nutricional oral (55,6 vs. 76,4%; p < 0,001). A taxa de declínio funcional, que era 17,2% no ano de implantação, caiu para 11,7% no ano de consolidação, com diferença significativa após ajuste em modelo multivariável (p = 0,009). Em conclusão, desenvolvemos um programa factível para a realidade dos hospitais brasileiros e que pode ser reproduzido em outros centros usando-se uma metodologia sistematizada de implantação. Os resultados relativos aos indicadores de processos assistenciais e desfechos clínicos parecem promissores. A disseminação dessa iniciativa deve ser considerada no planejamento das políticas de saúde pública para a rede hospitalar.

Hospitalized elderly persons experience increased risk of complications and functional decline. The current study assessed the results of the Safe Hospital Program for the Elderly Person. The intervention was conducted in a charitable hospital in the city of São Paulo, Brazil, using a 10-step structured implementation strategy, including screening for frailty, multidimensional evaluation, unique treatment plan, implementation of protocols, and discharge management strategies. The study analyzed 865 hospitalizations of frail elders over the course of two years. Process and results indicators were compared between the first year (implementation) and second year (consolidation). Comparison of the indicators between the two periods showed that the program improved fundamental processes in care for this population, including motor rehabilitation initiated in the first 72 hours (74.1 vs. 84.3%; p < 0.001), screening for risk of bronchial aspiration (38.5 vs. 82.8%; p < 0.001), and oral nutritional supplementation (55.6 vs. 76.4%; p < 0.001). The functional decline rate, which was 17.2% in the implementation year, decreased to 11.7% in the consolidation year, with a significant difference after adjusting in the multivariate model (p = 0.009). In conclusion, we developed a feasible program for the reality of Brazilian hospitals and that can be reproduced in other centers through a systematized implementation methodology. The results pertaining to patient care indicators and clinical outcomes appear promising. This initiative’s dissemination should be considered in public health policy planning for the hospital network.

Al ser hospitalizado, un anciano presenta mayor riesgo de complicaciones y deterioro funcional. El presente estudio evaluó los resultados del Programa Hospital Seguro para Personas Ancianas. La intervención se realizó en un hospital filantrópico de la ciudad de São Paulo, Brasil, a través de una estrategia de implementación estructurada en 10 pasos, incluyendo rastreo de debilidad, evaluación multidimensional, plan terapéutico singular, implementación de protocolos y estrategias de gestión de alta. Se analizaron a lo largo de dos años 865 internamientos de ancianos débiles. Se compararon indicadores de proceso y resultado entre el primer año (período de implementación) y el segundo año (período de consolidación). La comparación de los indicadores entre los dos períodos reveló que el programa mejoró procesos asistenciales fundamentales en la calidad del cuidado para esa población, incluyendo rehabilitación motora iniciada en las primeras 72 horas (74,1 vs. 84,3%; p < 0,001), evaluación del riesgo de broncoaspiración (38,5 vs. 82,8%; p < 0,001) y suplementación nutricional oral (55,6 vs. 76,4%; p < 0,001). La tasa de deterioro funcional, que era 17,2% en el año de implementación, cayó a 11,7% en el año de consolidación, con una diferencia significativa tras el ajuste en el modelo multivariable (p = 0,009). En conclusión, desarrollamos un programa factible para la realidad de los hospitales brasileños, que puede ser reproducido en otros centros a través de una metodología sistematizada de implementación. Los resultados relacionados con los indicadores de procesos asistenciales y resultados clínicos parecen prometedores. La difusión de esta iniciativa debe ser considerada en la planificación de las políticas de salud pública para la red hospitalaria.

https://doi.org/10.1590/0102-311x00305620

Programa Hospital Seguro para a Pessoa Idosa: estudo observacional do impacto na redução de declínio funcional
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Apolinario, Daniel

; Yamaguti, Siomara Tavares Fernandes

; Dutra, Adriana Fatina

; Lara, Enilda Maria de Sousa

; Coli, Rita de Cassia Pires

; Weber, Bernardete

Cadernos de Saúde Pública

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2022, Volume 38 N. 2 elocation e00305620

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

https://doi.org/10.1590/0102-311x00305620

Diet Quality and Associated Factors in Atherosclerotic Cardiovascular Disease Patients with and without Diabetes at a Specialized Outpatient Clinic in the City of Pelotas, Brazil
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Dobke, Fernanda Vighi

; Longo, Aline

; Ribas, Bruna Luiza Paulina

; Weber, Bernardete

; Bertoldi, Eduardo Gehling

; Borges, Lúcia Rota

; Bertacco, Renata Torres Abib

International Journal of Cardiovascular Sciences

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2022, N. ahead

Abstract: En | Text: En | PDF: En

https://doi.org/10.36660/ijcs.20200323

Factors associated to serum paraoxonase 1 activity in patients with cardiovascular disease
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Longo, Aline

; Veiga, Gabriel Barreto

; Cousen, Maria Isabel Schiavon

; Karpinski, Caroline

; Schneider, Augusto

; Weber, Bernardete

; Bertoldi, Eduardo Gehling

; Borges, Lucia Rota

; Bertacco, Renata Torres Abib

Archives of Endocrinology and Metabolism

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dec 2021, Volume 65 N. 6 Pages 676 - 683

Abstract: En | Text: En | PDF: En

ABSTRACT Objectives: Paraoxonase 1 (PON1) is an enzyme that has antioxidant potential, which confers a protective effect against the atherosclerotic process. However, studies associating genetics, dietary patterns and PON1 activity in individuals with cardiovascular disease (CVD) are scarce. Thus, the aim of the current study was to evaluate the influence of dietary factors on serum PON1 in CVD patients. Subjects and methods: Cross-sectional, sub-study of the BALANCE Program Trial. All patients aged 45 years or older and had evidence of established atherosclerotic disease in the preceding 10 years. Body weight, height, waist circumference, blood pressure, lipid profile and fasting glucose were collected. Food intake was assessed with 24-h dietary recall. Data was analyzed using SAS University Edition and a P value ≤ 0.05 was considered statistically significant. Sample was divided into three groups, according to the PON1 T(-107)C genotype (CC, CT and TT) and serum PON1 activity (Low, Medium, High). Results: There were no genotype differences for major factors. However, the systolic blood pressure was lower for CT individuals (p<0.05). Intake of cholesterol, saturated fatty acids (SFA) and monounsaturated fatty acids (MUFAS) was higher in patients with lower PON1 activity. Lipid ingestion tended to be higher in patients with lower PON1 activity (p=0.08). In the multivariate logistic regression model, SFA intake (P=0.03), genotype (P=0.09), gender (P=0.04), age (P=0.07) and carbohydrate intake (P=0.16) contributed the most to the serum PON1 activity. Conclusion: Based on these findings, nutritional guidance for these patients becomes essential, since dietary components interact with serum PON1 activity more than genotype.

https://doi.org/10.20945/2359-3997000000354 2 downloads

10.

Consumption of foods according to their degree of processing in patients with established atherosclerosis disease
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Longo, Aline

; Ribas, Bruna

; Weber, Bernardete

; Bertoldi, Eduardo

; Borges, Lúcia

; Abib, Renata

Revista chilena de nutrición

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jun 2020, Volume 47 N. 3 Pages 351 - 358

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

ABSTRACT The aim of the present study was to analyze the consumption of foods according to their degree of processing in patients with established atherosclerosis disease. A cross-sectional study was performed with 74 patients of the BALANCE Program trial, a randomized, multicenter and national clinical trial occurring in Brazil. Body weight, height, waist circumference, blood pressure, lipid profile and fasting glucose were collected. Food intake was assessed with 24-h dietary recall. Consumption of nutrients was analyzed in quartiles of consumption of ultra-processed foods and their differences were obtained by one-way ANOVA with Tukey’s post hoc test. Half of consumed calories came from natural or minimally processed foods (50.9%), followed by ultra-processed food products (35.1%). The largest contribution in calories came from meats, cereals/roots/tubers, breads, and sweets. No significant difference was found in quartiles of consumption of ultra-processed foods. In this sample, consumption of processed/ultra-processed food was almost the same as natural/minimally processed foods. Preferential consumption of unprocessed/minimally processed foods should be more widely advocated by health professionals.

RESUMEN El objetivo del presente estudio fue analizar el consumo de alimentos, de acuerdo con su grado de procesamiento, en pacientes con enfermedad arterioesclerótica establecida. Estudio transversal, en 74 pacientes del BALANCE Program trial que es un ensayo clínico randomizado, multicéntrico y nacional que se realiza en Brasil. Se midió el peso corporal, la talla, la circunferencia de la cintura, la presión arterial, el perfil lipídico y la glucosa en ayunas. La ingesta de alimentos se evaluó con un recordatorio de 24 horas. El consumo de nutrientes se analizó en cuartiles de consumo de alimentos ultraprocesados y sus diferencias se pusieron a prueba mediante ANOVA de una vía. La mitad de las calorías consumidas provino de alimentos naturales o mínimamente procesados (50.9%), seguidos por productos alimenticios ultraprocesados (35.1%). La mayor contribución en calorías provino de carnes, cereales/raíces/tubérculos, panes y dulces. No se encontraron diferencias significativas en los cuartiles de consumo de alimentos ultraprocesados. En esta muestra, el consumo de alimentos procesados/ultraprocesados fue casi el mismo que de los alimentos naturales/mínimamente procesados. El consumo preferencial de alimentos no procesados/mínimamente procesados debería ser defendido más ampliamente por profesionales de la salud.

852 downloads

11.

Consumo de bebidas açucaradas em pacientes com doença aterosclerótica manifesta
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Ribas, Bruna Luiza Paulina

; Longo, Aline

; Dobke, Fernanda Vighi

; Weber, Bernardete

; Bertoldi, Eduardo Gehling

; Borges, Lúcia Rota

; Abib, Renata Torres

Ciência & Saúde Coletiva

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apr 2020, Volume 25 N. 4 Pages 1499 - 1506

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

Resumo O presente estudo investigou a associação entre o consumo de bebidas açucaradas e variáveis antropométricas e bioquímicas em análise transversal, realizado com dados secundários referentes à primeira consulta do ensaio clínico randomizado Dieta Cardioprotetora Brasileira (2013-2014). Foram coletados peso, altura, circunferência da cintura, perfil lipídico e glicemia de jejum e dados de um recordatório alimentar de 24 horas. Diferenças entre o consumo e não consumo de bebidas açucaradas foram avaliadas pelo teste T de student. Para analisar a associação entre o consumo de bebidas açucaradas e fatores bioquímicos e antropométricos foi utilizado o teste qui quadrado. A amostra foi de 2.172 indivíduos, sendo a maioria homens (58,5%), idosos (63,6%), do nível econômico C (57,3%), com ensino fundamental (45,8%) e com excesso de peso (62,7%). Houve associação significativa entre o consumo de bebidas açucaradas e maior valores de índice de massa corporal (p=0,029), circunferência da cintura (p=0,004) e triglicerídeos (p=0,023). Esses resultados reforçam a necessidade de intervenção nutricional quanto ao consumo de bebidas açucaradas como parte do tratamento dietético desta população.

Abstract This study investigated the association between consumption of sugar-sweetened beverages and anthropometric and biochemical variables in a cross-sectional study conducted with secondary data from the first visit of the randomized clinical trial of the Brazilian Cardioprotective Nutritional Program (BALANCE Program) (2013-2014). Weight, height, waist circumference, lipid profile and fasting glycemia and a 24-hour diet recall were collected. Differences between consumption and non-consumption of sugar-sweetened beverages were evaluated by Student’s t-test. The Chi-square test was employed to analyze the association between consumption and non-consumption of sugar-sweetened beverages and biochemical and anthropometric factors. The sample consisted of 2,172 individuals, mostly men (58.5%), elderly (63.6%), C-rated economic class (57.3%), and overweight (62.7%). A statistically significant difference was found between the consumption of sugar-sweetened beverages and higher BMI values (p=0.029), waist circumference (p=0.004) and triglycerides (p=0.023). These results emphasize the need for nutritional intervention regarding the consumption of sugar-sweetened beverages as part of the dietary treatment of this population.

https://doi.org/10.1590/1413-81232020254.12912018

12.

Consumo de bebidas açucaradas em pacientes com doença aterosclerótica manifesta
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Ribas, Bruna Luiza Paulina

; Longo, Aline

; Dobke, Fernanda Vighi

; Weber, Bernardete

; Bertoldi, Eduardo Gehling

; Borges, Lúcia Rota

; Abib, Renata Torres

Ciência & Saúde Coletiva

Journal Metrics
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apr 2020, Volume 25 N. 4 Pages 1499 - 1506

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

https://doi.org/10.1590/1413-81232020254.12912018 1225 downloads

13.

Prevalence of metabolic syndrome and its association with risk factors in patients with established atherosclerosis disease
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LONGO, ALINE

; RIBAS, BRUNA L.P.

; ORLANDI, SILVANA P.

; WEBER, BERNARDETE

; BERTOLDI, EDUARDO G.

; BORGES, LÚCIA R.

; ABIB, RENATA T.

Anais da Academia Brasileira de Ciências

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2020, Volume 92 N. 1 elocation e20180563

Abstract: En | Text: En | PDF: En

Abstract Risk factors can lead to clinical conditions, like metabolic syndrome, that predisposes the development of cardiovascular diseases. The aim of this study was to describe the prevalence and which risk factors cause more impact in metabolic syndrome in patients with established atherosclerosis disease. A cross-sectional study was performed as a subanalysis of Programa Alimentação Cardioprotetora Brasileira. Weight, height, waist circumference, blood pressure, lipid profile and fasting glucose were collected. Metabolic syndrome was defined according to the harmonized criteria. Linear regression was used to analyze the association between number of components of metabolic syndrome and risk factors. 82 patients were included and the prevalence of metabolic syndrome was 84.1%. Being overweight was associated with an increase by 0.55 point in diagnostic criteria of metabolic syndrome in crude analysis (95%CI 0.09-1.00) and 0.64 in adjusted analysis (95%CI 0.18-1.09), while former/current smoker status was responsible for raising by 0.48 the number of components of metabolic syndrome, only in adjusted analysis (95%CI 0.04-0.92). Overweight and former/current smoker status are associated with MS, increasing the probability of atherosclerotic events. A healthy lifestyle, that includes avoiding tobacco exposure and proper weight control, must be encouraged in this high-risk population.

https://doi.org/10.1590/0001-3765202020180563 842 downloads

14.

Qualidade da dieta e despesa diária com alimentação em adultos com doença cardiovascular no Brasil
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Torreglosa, Camila Ragne

; Sarti, Flávia Mori

; Bersch-Ferreira, Ângela Cristine

; Weber, Bernardete

; Santos, Renato Hideo Nakagawa

; Chiavegatto Filho, Alexandre D. P.

Cadernos de Saúde Pública

Journal Metrics
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2020, Volume 36 N. 10 elocation e00225019

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

A adesão a uma alimentação saudável depende de fatores como os preços dos alimentos, sendo que alguns estudos conduzidos em países desenvolvidos apontam para um maior custo de uma alimentação de melhor qualidade nutricional. O objetivo do presente trabalho foi avaliar o custo direto da alimentação de indivíduos adultos com doença cardiovascular no Brasil, investigando a relação entre o custo e a qualidade da dieta. Foram utilizados os dados de um ensaio clínico randomizado, o BALANCE Program. A investigação atual é uma análise transversal no momento inicial dos participantes com alta adesão ao estudo realizado em 35 centros das cinco regiões brasileiras. O consumo alimentar de amostra com 1.160 indivíduos foi coletado pelo recordatório alimentar de 24 horas (R24h), a avaliação da qualidade da dieta pelo Índice da Qualidade da Dieta Revisado (IQD-R) e os custos diretos da alimentação foram estimados por meio de preços de mercado. Não foram observadas diferenças significativas no custo direto da alimentação ou características dos indivíduos entre os tercis de adesão. Quando analisados todos os recordatórios não houve correlação entre custo e qualidade da dieta (r = 0,38; p = 0,17), já a análise por tercis mostrou fraca correlação entre o menor tercil de adesão (r = -0,112; p = 0,03). O presente estudo apontou ausência de diferenças entre os custos diretos da alimentação classificada como saudável e daquela com a pior qualidade nutricional, o que pode ser um incentivo à adesão às orientações alimentares no Brasil, minimizando barreiras à adoção de estilos de vida saudáveis.

Adherence to a healthy diet depends on factors such as food prices, while studies in developed countries have identified higher costs of more nutritional foods. The current study aimed to assess the direct food expenditures by adults with cardiovascular disease in Brazil, investigating the relationship between cost and quality of diet. The study used data from a randomized clinical trial, the BALANCE Program. The current study is a cross-sectional baseline analysis of participants with high adherence to the trial, conducted in 35 sites in all five major geographic regions of Brazil. Food consumption by 1,160 individuals was collected with a 24-hour dietary recall (24HR), quality of diet was measured with the Diet Quality Index Revised (DQI-R), and direct food costs were estimated from market prices. No significant differences were observed between tertiles of adherence in the direct costs of food or individual characteristics. When all the 24HR were analyzed, there was no correlation between cost and quality of diet (r = 0.38; p = 0.17), while analysis by tertiles showed a weak correlation in the lowest tertile of adherence (r = -0.112; p = 0.03). The study showed absence of differences between direct costs of healthy versus unhealthy foods, a finding that can serve as an incentive for adherence to food recommendations in Brazil, thereby minimizing barriers to the adoption of healthy lifestyles.

La adhesión a una alimentación saludable depende de factores como los precios de los alimentos, siendo que algunos estudios realizados en países desarrollados apuntan hacia un mayor coste de una alimentación de mejor calidad nutricional. El objetivo del presente estudio fue evaluar el coste directo de la alimentación en individuos adultos con enfermedad cardiovascular en Brasil, investigando la relación entre el coste y la calidad de la dieta. Se utilizaron los datos de un ensayo clínico aleatorio, el BALANCE Program. La investigación actual es un análisis transversal desde el principio con participantes de alta adhesión al estudio, realizado en 35 centros de las cinco regiones brasileñas. El consumo alimentario de la muestra con 1.160 individuos fue recogido mediante el recordatorio alimentario de 24 horas (R24h), la evaluación de la calidad de la dieta se evaluó mediante el Índice de Calidad de la Dieta Revisado (IQD-R por sus siglas en portugués) y los costes directos de la alimentación se estimaron mediante precios de mercado. No se observaron diferencias significativas en el coste directo de la alimentación o características de los individuos entre los terciles de adhesión. Cuando se analizaron todos los recordatorios no hubo correlación entre coste y calidad de la dieta (r = 0,38; p = 0,17), ya en el análisis por terciles hubo una débil correlación entre el menor tercil de adhesión (r = -0,112; p = 0,03). El presente estudio apuntó una ausencia de diferencias entre los costes directos de la alimentación clasificada como saludable y aquella con peor calidad nutricional, lo que puede ser un incentivo para la adhesión a las orientaciones alimentarias en Brasil, minimizando barreras para la adopción de estilos de vida saludables.

https://doi.org/10.1590/0102-311x00225019 1182 downloads

15.

Qualidade da dieta e despesa diária com alimentação em adultos com doença cardiovascular no Brasil
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Torreglosa, Camila Ragne

; Sarti, Flávia Mori

; Bersch-Ferreira, Ângela Cristine

; Weber, Bernardete

; Santos, Renato Hideo Nakagawa

; Chiavegatto Filho, Alexandre D. P.

Cadernos de Saúde Pública

Journal Metrics
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2020, Volume 36 N. 10 elocation e00225019

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

https://doi.org/10.1590/0102-311x00225019

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