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RESUMO Objetivo: Investigar os fatores sociodemográficos, maternos e gestacionais associados à capacidade antioxidante total da dieta em gestantes brasileiras. Métodos: Estudo transversal com 2.232 gestantes com 18 anos ou mais, no primeiro, segundo e terceiro trimestres de gestação de onze cidades das cinco regiões brasileiras. Foi aplicado um questionário semiestruturado para avaliação dos dados socioeconômicos, demográficos e de saúde, e o recordatório de 24h (R24h) para avaliação do consumo alimentar e análise da Capacidade Antioxidante Total da Dieta (CATd), estimada usando o método Ferric Reducing Antioxidant Power (FRAP). Resultados: A mediana de CATd foi de 5,32 mmol/dia. Aracaju (SE) apresentou a maior mediana de CATd (6,44 mmol/dia) e Palmas (TO) a menor (4,71 mmol/dia). As gestantes de 20 a 34 anos (OR 1,86; IC95% 1,26-2,76), 35 anos ou mais (OR 3,68; IC95% 2,21-6,14) e que estavam no segundo trimestre de gestação (OR 1,50; IC95%; 1,11-2,01) tiveram mais chances de estarem acima da mediana de CATd, enquanto as gestantes com maior escolaridade tinham 67% menos chance de estarem acima da mediana de CATd (OR 0,67; IC95% 0,48-0,92). Conclusão: O estudo demonstrou que há diferenças no consumo de antioxidantes em diferentes cidades do Brasil e que fatores associados, como idade, escolaridade e trimestre gestacional podem impactar na ingestão de alimentos ricos em antioxidantes. O perfil encontrado chama atenção para a importância de uma alimentação adequada e rica em antioxidantes durante o pré-natal.

ABSTRACT Objective: To investigate the sociodemographic, maternal, and gestational factors associated with the dietary total antioxidant capacity in pregnant Brazilian women. Methods: A cross-sectional study with 2,232 pregnant women aged 18 years old or older, in the first, second, and third trimesters of pregnancy, from eleven cities in the five Brazilian regions. A semi-structured questionnaire was applied to assess socioeconomic, demographic, and health data, and a 24-hour dietary recall (R24h) was used to assess food consumption and analyze the dietary total antioxidant capacity (DTAC), estimated using the ferric reducing antioxidant power (FRAP) method. Results: The median of DTAC was 5.32 mmol/day. Aracaju, Sergipe (SE) had the highest median of DTAC (6.44 mmol/day) and Palmas, Tocantins (TO) had the lowest (4.71 mmol/day). Pregnant women aged 20 to 34 years (OR 1.86; 95%CI 1.26-2.76), 35 years old or older (OR 3.68; 95%CI 2.21-6.14) and who were in the second trimester of pregnancy (OR 1.50; 95%CI 1.11-2.01) were more likely to be above the median DTAC. While pregnant women with higher education had a 67% lower chance of being above the median DTAC (OR 0.67; 95%CI 0.48-0.92). Conclusion: The study demonstrated that there are differences in antioxidant consumption in different cities in Brazil and that associated factors such as age, education, and gestational trimester can impact the intake of foods rich in antioxidants. The profile found draws attention to the importance of an adequate diet rich in antioxidants during prenatal care.

https://doi.org/10.1590/1980-549720250002

Factors associated with the dietary total antioxidant capacity of pregnant Brazilian women
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Carvalho, Roberta Rejane Santos de

; Viola, Poliana Cristina de Almeida Fonseca

; Crispim, Sandra Patrícia

; França, Ana Karina Teixeira da Cunha

; Navarro, Anderson Marliere

; Souza, Bruno Feres de

; Faria, Franciane Rocha de

; Sperandio, Naiara

; Pizato, Nathalia

; Macedo, Mariana de Souza

; Pereira, Renata Junqueira

; Franceschini, Sylvia do Carmo Castro

; Carvalho, Carolina Abreu de

; Navarro, Anderson Marliere

; Carvalho, Carolina Abreu de

; Silva, Danielle Góes da

; Faria, Franciane Rocha de

; Sperandio, Naiara

; Meléndez, Jorge Gustavo Velásquez

; Barbosa, Míriam do Carmo Rodrigues

; Pizato, Nathalia

; Macedo, Mariana de Souza

; Pereira, Renata Junqueira

; Crispim, Sandra Patrícia

; Priore, Silvia Eloiza

; Franceschini, Sylvia do Carmo Castro

Revista Brasileira de Epidemiologia

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2025, Volume 28 elocation e250002

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

https://doi.org/10.1590/1980-549720250002

Dietary inflammatory index and inflammatory markers in Brazilian adolescents
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Gomes, Renata de Sousa

; Viola, Poliana Cristina de Almeida Fonseca

; Carvalho, Roberta Rejane Santos de

; Shivappa, Nitin

; Hebert, James R.

; França, Ana Karina Teixeira da Cunha

; Carvalho, Carolina Abreu de

Revista de Saúde Pública

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2024, Volume 58 elocation 29

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE To evaluate the association between the inflammatory potential of the diet measured by the energy-adjusted diet inflammatory index (E-DII) and inflammatory markers in adolescents. METHODS This cross-sectional study was conducted among 518 adolescents aged 18 and 19 years from São Luís, Maranhão, Brazil in 2016. A semiquantitative food frequency questionnaire (FFQ) was used to assess dietary intake from which E-DII scores were calculated to determine the inflammatory potential of the diet. The associations between E-DII and inflammatory markers (hs-CRP, IL-6, IL-4, TNF-α, and IFNγ) were analyzed using multivariable linear regression. The variables included in the adjusted model were identified using the directed acyclic graph. RESULTS The diet of these adolescents was mostly pro-inflammatory; mean E-DII score was 1.71 and ranged from -2.44 to 5.58. Higher E-DII scores were positively associated with higher levels of IFNγ in the adjusted analysis (Adjusted Coef.: 1.19; 95%CI: 0.36–12.04). We observed no associations between E-DII and other inflammatory markers (hs-CRP, IL-6, IL-4, TNF-α). Study results indicate that E-DII is useful in evaluating the inflammatory potential of the diet of Brazilian adolescents. CONCLUSIONS Cross-sectionally E-DII scores were positively associated with IFNγ concentrations. Future research should examine the association between changes in E-DII scores and levels of inflammatory markers longitudinally.

https://doi.org/10.11606/s1518-8787.2024058005485

Association of nutritional status with urinary iodine deficiency in Brazilian pregant women
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Silva, Thaís Cristina Serra da

; Viola, Poliana Cristina de Almeida Fonseca

; França, Ana Karina Teixeira de Cunha

; Frota, Maria Tereza Borges Araújo

; Calado, Isabela Leal

; Padilha, Luana Lopes

; Carvalho, Wyllyane Rayana Chaves

; Viana, Kátia Danielle Araújo Lourenço

; Conceição, Sueli Ismael Oliveira da

; Cantanhede, Nayra Anielly Cabral

; Crispim, Sandra Patricia

; Macedo, Mariana de Souza

; Franceschini, Sylvia do Carmo Castro

; Carvalho, Carolina Abreu de

Revista Brasileira de Saúde Materno Infantil

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2024, Volume 24 elocation e20240080

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

Resumo Objetivos: investigar a associação do estado nutricional com deficiência de iodo urinário em gestantes atendidas em Unidades Básicas de Saúde do município de São Luís - MA. Métodos: estudo transversal, realizado com 261 gestantes. Foram coletadas amostras de urina para análise de determinação do iodo urinário, considerou-se deficiência o valor <150 µg/L e adequado, valor ≥150 µg/L. Foram aferidas as medidas de peso e altura no momento da coleta e investigação do peso pré-gestacional para cálculo do IMC. As variáveis contínuas foram expressas em média, desvio padrão, mediana, percentil 25 e 75 e as categóricas em frequência simples e relativa e em percentual. Análises multivariadas investigaram associação entre IMC pré-gestacional e atual e UIC (Concentração urinária de iodo). Resultados: a média do IMC pré-gestacional foi 24,3 ± 4,5 kg/m2 e do IMC atual 27,2 ± 6,5 kg/m2. A mediana de concentração de iodo urinário foi de 181,3 µ/L (113,2-271,7) e 40,6% da amostra possuía deficiência de iodo. O aumento no IMC pré-gestacional e atual foi associado à redução da prevalência de deficiência de iodo em gestantes (RP = 0,94; (IC95% = 0,88; 0,99) e RP = 0,95; (IC95% = 0,88 - 0,99), respectivamente). Conclusão: o IMC elevado está positivamente associado à UIC e proporciona redução na prevalência de deficiência de iodo em gestantes.

Abstract Objectives: to investigate the association of nutritional status with urinary iodine deficiency in pregnant women attending the Basic Health Units in the city of São Luís - Maranhão. Methods: cross-sectional study carried out with 261 pregnant women. Urine samples were collected for analysis of determination of urinary iodine. Iodine deficiency was considered as <150 µg/L and adequate as ≥150 µg/L. Weight and height measurements were taken at the time of collection and investigation of pre-pregnancy weight calculate BMI). Continuous variables were presented as mean, standard deviation, median, 25th and 75th percentiles, and categorical variables as simple and relative frequencies and percentages. Multivariate analyses investigate the association between pre-pregnancy and current BMI and UIC (urinary iodine concentration). Results: the mean pre-pregnancy BMI was 24.3 ± 4.5 kg/m2, and the current BMI was 27.2 ± 6.5 kg/m2. The median UIC was 181.3 µg/L (113.2-271.7), and 40.6% of the sample showed iodine deficiency. The increase in pre-pregnancy and current BMI was associated with a reduction in the prevalence of iodine deficiency in pregnant women (PR = 0.94; (CI95% = 0.88; 0.99) and PR = 0.95; (CI95% = 0.88 - 0.99), respectively). Conclusion: high BMI is positively associated with UIC and provides a reduction in iodine deficiency prevalence in pregnant women.

https://doi.org/10.1590/1806-9304202400000080-en

Dietary inflammatory index and inflammatory markers in Brazilian adolescents
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Gomes, Renata de Sousa

; Viola, Poliana Cristina de Almeida Fonseca

; Carvalho, Roberta Rejane Santos de

; Shivappa, Nitin

; Hebert, James R.

; França, Ana Karina Teixeira da Cunha

; Carvalho, Carolina Abreu de

Revista de Saúde Pública

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2024, Volume 58 elocation 29

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2024058005485

Situação socioeconômica, tempo de tela e de permanência na escola e o consumo alimentar de crianças
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Viola, Poliana Cristina de Almeida Fonseca

; Ribeiro, Sarah Aparecida Vieira

; Carvalho, Roberta Rejane Santos de

; Andreoli, Cristiana Santos

; Novaes, Juliana Farias de

; Priore, Silvia Eloiza

; Carvalho, Carolina Abreu de

; Franceschini, Sylvia do Carmo Castro

Ciência & Saúde Coletiva

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jan 2023, Volume 28 N. 1 Pages 257 - 267

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

Resumo Este estudo objetivou avaliar a associação de fatores sociodemográficos e estilo de vida com consumo de alimentos in natura ou minimamente processados (INMP), ultraprocessados (AUP) e frutas e hortaliças. Trata-se de estudo transversal com 403 crianças de 4 a 7 anos de uma coorte retrospectiva. Variáveis sociodemográficas e estilo de vida foram investigadas através do questionário sociodemográfico. O consumo alimentar foi avaliado por três registros alimentares. Empregaram-se análises de regressão linear bivariadas e multivariadas para analisar as associações. Crianças com menor renda apresentaram maior consumo de alimentos INMP e menor consumo de AUP. Menor tempo de permanência na escola associou-se ao menor consumo de alimentos INMP e maior consumo de AUP. Crianças com maior tempo de tela e com pais de menor escolaridade, consumiram menos frutas e hortaliças. Fatores sociodemográficos desfavoráveis se associaram ao melhor perfil de consumo de alimentos segundo o nível de processamento, exceto para frutas e hortaliças. O maior tempo de permanência na escola e menor tempo de tela contribuíram para uma alimentação mais saudável.

Abstract The present study aimed to evaluate the association of sociodemographic factors and lifestyle with the consumption of in natura or minimally processed (INMP) foods, ultra-processed foods (UPFs), and fruits and vegetables. This was a cross-sectional study conducted with 403 children, aged 4 to 7 years, from a retrospective cohort. Sociodemographic and lifestyle variables were investigated using a sociodemographic questionnaire. Food consumption was assessed by three food records. Bivariate and multivariate linear regression analyses were used to analyze associations. Children with lower income had a higher consumption of INMP foods and a lower consumption of UPFs. A shorter time spent at school was associated with a lower consumption of INMP foods and a higher consumption of UPFs. Children with more screen time and less educated parents consumed less fruits and vegetables. Unfavorable sociodemographic factors were associated with a better profile of food consumption according to the level of processing, except for fruits and vegetables. The longer time spent at school and a shorter screen time contributed to a healthier diet.

https://doi.org/10.1590/1413-81232023281.05772022

Situação socioeconômica, tempo de tela e de permanência na escola e o consumo alimentar de crianças
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Viola, Poliana Cristina de Almeida Fonseca

; Ribeiro, Sarah Aparecida Vieira

; Carvalho, Roberta Rejane Santos de

; Andreoli, Cristiana Santos

; Novaes, Juliana Farias de

; Priore, Silvia Eloiza

; Carvalho, Carolina Abreu de

; Franceschini, Sylvia do Carmo Castro

Ciência & Saúde Coletiva

Journal Metrics
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jan 2023, Volume 28 N. 1 Pages 257 - 267

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

https://doi.org/10.1590/1413-81232023281.05772022

Desigualdade racial e regional na tendência temporal do déficit de estatura e excesso de peso de crianças brasileiras menores de cinco anos
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Silveira, Victor Nogueira da Cruz

; Nascimento, Jéssica Bianca Machado do

; Cantanhede, Nayra Anielly Cabral

; Frota, Maria Tereza Borges Araújo

; Chagas, Deysianne Costa das

; Carvalho, Carolina Abreu de

; Viola, Poliana Cristina de Almeida Fonseca

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230004

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

RESUMO Objetivo: Analisar a ocorrência de desigualdade racial e regional na tendência temporal das prevalências de déficit de estatura e excesso de peso de crianças brasileiras menores de cinco anos ao longo dos anos de 2008–2018. Métodos: Estudo ecológico de série temporal com dados do Sistema de Vigilância Alimentar e Nutricional das prevalências de déficit de estatura e excesso de peso em crianças menores de 5 anos de acordo com raça/cor, região e ano. Para avaliar diferenças entre prevalências medianas por ano dos desfechos, realizou-se teste de Kruskal-Wallis. Análises de regressão linear foram propostas para avaliar tendências das prevalências dos desfechos ao longo dos anos. Resultados: No Brasil, as crianças pretas apresentaram tendência de crescimento do excesso de peso (β=4,611; p=0,042). Entre as crianças pretas, houve aumento ao longo dos anos do déficit de estatura no Sudeste (β=3,960; p=0,014) e queda no Sul (β=-4,654; p=0,022). No Brasil e na maioria das regiões, a prevalência mediana do déficit de estatura foi maior nas crianças pretas do que nas brancas (12,86 vs. 11,54%, p<0,001). No Sudeste e Sul, as crianças pretas também apresentaram as maiores prevalências de excesso de peso (15,48 e 15,99%, respectivamente). Conclusão: Crianças de regiões menos desenvolvidas do Brasil e pretas apresentaram maior vulnerabilidade para dupla carga de má nutrição. Objetivo 20082018 2008 2018 2008–2018 Métodos raçacor raça cor raça/cor realizouse realizou se KruskalWallis. KruskalWallis Kruskal Wallis. Wallis Kruskal-Wallis Resultados β=4,611 β4611 β 4 611 (β=4,611 p=0,042. p0042 p p=0,042 . 0 042 p=0,042) β=3,960 β3960 3 960 (β=3,960 p=0,014 p0014 014 β=4,654 β4654 β= 4,654 654 (β=-4,654 p=0,022. p0022 p=0,022 022 p=0,022) 12,86 1286 12 86 (12,8 vs 1154 11 54 11,54% p<0,001. p0001 p<0,001 001 p<0,001) 15,48 1548 15 48 (15,4 1599 99 15,99% respectivamente. respectivamente respectivamente) Conclusão nutrição 2008201 200 201 2008–201 β=4,61 β461 61 (β=4,61 p004 p=0,04 04 β=3,96 β396 96 (β=3,96 p=0,01 p001 01 β=4,65 β465 4654 4,65 65 (β=-4,65 p002 p=0,02 02 12,8 128 1 8 (12, 115 11,54 p000 p<0,00 00 15,4 154 (15, 159 9 15,99 200820 20 2008–20 β=4,6 β46 6 (β=4,6 p00 p=0,0 β=3,9 β39 (β=3,9 465 4,6 (β=-4,6 12, (12 11,5 p<0,0 15, (15 15,9 20082 2 2008–2 β=4, β4 (β=4, p0 p=0, β=3, β3 (β=3, 46 4, (β=-4, (1 11, p<0, 2008– β=4 (β=4 p=0 β=3 (β=3 (β=-4 ( p<0 (β= p= (β=- p< (β

ABSTRACT Objective: To analyze the occurrence of racial and regional inequality in the temporal trend of the prevalence of stunting and overweight in Brazilian children under five years of age over the years 2008–2018. Methods: An ecological time-series study with data from the Food and Nutrition Surveillance System on the prevalence of stunting and overweight in children under five years old according to race/skin color, region, and year. To assess differences between median prevalence per year of outcomes, the Kruskal-Wallis test was performed. Linear regression analyses were proposed to assess trends in the prevalence of outcomes over the years. Results: In Brazil, black children tended to be overweight (β=4.611; p=0.042). Among black children, there was an increase over the years in stunting in the Southeast (β=3.960; p=0.014) and a decrease in the South (β=-4.654; p=0.022). In Brazil and in most regions, the median prevalence of stunting was higher in black children than in white ones (12.86 vs. 11.54%, p<0.001). In the Southeast and South, black children also had the highest prevalence of overweight (15.48 and 15.99%, respectively). Conclusion: Children from less developed regions of Brazil and of black skin color/race were more vulnerable to a double burden of malnutrition. Objective 20082018 2008 2018 2008–2018 Methods timeseries time series raceskin race color region KruskalWallis Kruskal Wallis performed Results β=4.611 β4611 β 4 611 (β=4.611 p=0.042. p0042 p p=0.042 . 0 042 p=0.042) β=3.960 β3960 3 960 (β=3.960 p=0.014 p0014 014 β=4.654 β4654 β= 4.654 654 (β=-4.654 p=0.022. p0022 p=0.022 022 p=0.022) 12.86 1286 12 86 (12.8 vs 1154 11 54 11.54% p<0.001. p0001 p<0.001 001 p<0.001) 15.48 1548 15 48 (15.4 1599 99 15.99% respectively. respectively respectively) Conclusion colorrace malnutrition 2008201 200 201 2008–201 β=4.61 β461 61 (β=4.61 p004 p=0.04 04 β=3.96 β396 96 (β=3.96 p=0.01 p001 01 β=4.65 β465 4654 4.65 65 (β=-4.65 p002 p=0.02 02 12.8 128 1 8 (12. 115 5 11.54 p000 p<0.00 00 15.4 154 (15. 159 9 15.99 200820 20 2008–20 β=4.6 β46 6 (β=4.6 p00 p=0.0 β=3.9 β39 (β=3.9 465 4.6 (β=-4.6 12. (12 11.5 p<0.0 15. (15 15.9 20082 2 2008–2 β=4. β4 (β=4. p0 p=0. β=3. β3 (β=3. 46 4. (β=-4. (1 11. p<0. 2008– β=4 (β=4 p=0 β=3 (β=3 (β=-4 ( p<0 (β= p= (β=- p< (β

https://doi.org/10.1590/1980-549720230004

Birth weight and bone mineral density at 18–19 years: birth cohort 1997–1998 1819 18 19 18–1 years 19971998 1997 1998 1997–199 181 1 18– 1997199 199 1997–19 199719 1997–1 19971 1997–
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Araújo, Allanne Pereira

; Barbosa, Janaina Maiana Abreu

; Carvalho, Carolina Abreu de

; Viola, Poliana Cristina de Almeida Fonseca

; Ribeiro, Cecilia Claudia Costa

; Batista, Rosangela Fernandes Lucena

; Simões, Vanda Maria Ferreira

Revista de Saúde Pública

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2023, Volume 57 elocation 9

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

RESUMO OBJETIVO Analisar a associação entre o peso ao nascer e a densidade mineral óssea (DMO) na adolescência. MÉTODOS Estudo de coorte de nascimentos em São Luís, Maranhão, utilizando dados de dois momentos: ao nascimento e aos 18–19 anos. A exposição foi o peso ao nascer em gramas, analisado de forma contínua. O desfecho foi a DMO, utilizando o índice Z-escore (corpo inteiro) medido pela densitometria por dupla emissão de raios X (DEXA). Foi construído modelo teórico em gráficos acíclicos direcionados para identificar o conjunto mínimo de variáveis de ajuste – renda familiar, a mãe saber ler e escrever à época do nascimento, realização de pré-natal, tabagismo durante a gestação e paridade – para avaliar a associação entre o peso ao nascer e a densidade mineral óssea na adolescência. Utilizou-se regressão linear múltipla no software Stata 14.0. O nível de significância adotado foi de 5%. RESULTADOS Dos 2.112 adolescentes, 8,2% apresentaram baixo peso ao nascer e 2,8% apresentaram DMO considerada baixa para a idade. O Z-escore médio de corpo inteiro foi de 0,19 (± 1,00). O maior peso ao nascer foi associado de forma linear e direta aos valores de DMO na adolescência (Coef.: 0,10; IC95% 0,02–0,18), mesmo após ajuste para as variáveis renda familiar (Coef.: -0,33; IC95% -0,66–0,33) e a mãe saber ler e escrever (Coef.: 0,23; IC95% 0,03–0,43). CONCLUSÕES Apesar de a associação ter sido atenuada após ajuste das variáveis, o peso ao nascer está associado de forma positiva e linear à DMO na adolescência. (DMO Luís Maranhão momentos 1819 18 19 18–1 anos gramas contínua Zescore Z escore DEXA. DEXA . (DEXA) prénatal, prénatal pré natal, natal pré-natal Utilizouse Utilizou se 140 14 0 14.0 5 5% 2112 2 112 2.11 adolescentes 82 8 8,2 28 2,8 idade 019 0,1 ± ( 1,00. 100 1,00 1 00 1,00) Coef. Coef (Coef. 0,10 010 10 IC95 IC 0,02–0,18, 002018 0,02–0,18 , 02 0,02–0,18) 0,33 033 33 -0,33 0,66–0,33 066033 66 -0,66–0,33 0,23 023 23 0,03–0,43. 003043 0,03–0,43 03 43 0,03–0,43) 181 18– (DEXA 14. 211 11 2.1 8, 2, 01 0, 1,0 (Coef IC9 00201 0,02–0,1 0,3 3 -0,3 0,66–0,3 06603 6 -0,66–0,3 0,2 00304 0,03–0,4 4 21 2. 1, 0020 0,02–0, -0, 0,66–0, 0660 -0,66–0, 0030 0,03–0, 002 0,02–0 -0 0,66–0 066 -0,66–0 003 0,03–0 0,02– - 0,66– 06 -0,66– 0,03– 0,02 0,66 -0,66 0,03 0,0 0,6 -0,6

ABSTRACT OBJECTIVE To analyze the association between birth weight and bone mineral density (BMD) in adolescence. METHODS A birth cohort study in São Luís, Maranhão, using data from two moments: at birth and at 18–19 years. Exposure was the birth weight in grams, continuously analyzed. The outcome was BMD, using the Z-score index (whole body) measured by double X-ray densitometry (Dexa). A theoretical model was constructed in acyclic graphs to identify the minimum set of adjustment variables – household income, the mother knowing how to read and write at the time of birth, prenatal care, tobacco use during pregnancy, and parity — to evaluate the association between birth weight and bone mineral density in adolescence. Multiple linear regression was used in Stata 14.0 software. A 5% significance level was adopted. RESULTS From 2,112 adolescents, 8.2% had low birth weight and 2.8% had a low BMD for their age. The mean full-body Z-score was 0.19 (± 1.00). The highest birth weight was directly and linearly associated with BMD values in adolescence (Coef.: 0.10; 95%CI: 0.02–0.18), even after adjustment for the variables household income (Coef.: -0.33; 95%CI: -0.66–0.33) and the mother knowing how to read and write (Coef.: 0.23%; 95%CI: 0.03–0.43). CONCLUSION Although after adjusting the variables the association attenuated, birth weight positively and linearly relates to BMD in adolescence. (BMD Luís Maranhão moments 1819 18 19 18–1 years grams analyzed Zscore Z score whole body Xray X ray Dexa. Dexa . (Dexa) care pregnancy 140 14 0 14. software 5 adopted 2112 2 112 2,11 adolescents 82 8 8.2 28 2.8 age fullbody full 019 0.1 ± ( 1.00. 100 1.00 1 00 1.00) Coef. Coef (Coef. 0.10 010 10 95%CI 95CI CI 95 0.02–0.18, 002018 0.02–0.18 , 02 0.02–0.18) 0.33 033 33 -0.33 0.66–0.33 066033 66 -0.66–0.33 0.23% 023 23 0.03–0.43. 003043 0.03–0.43 03 43 0.03–0.43) attenuated 181 18– (Dexa 211 11 2,1 8. 2. 01 0. 1.0 (Coef 9 00201 0.02–0.1 0.3 3 -0.3 0.66–0.3 06603 6 -0.66–0.3 0.23 00304 0.03–0.4 4 21 2, 1. 0020 0.02–0. -0. 0.66–0. 0660 -0.66–0. 0.2 0030 0.03–0. 002 0.02–0 -0 0.66–0 066 -0.66–0 003 0.03–0 0.02– - 0.66– 06 -0.66– 0.03– 0.02 0.66 -0.66 0.03 0.0 0.6 -0.6

https://doi.org/10.11606/s1518-8787.2023057004179

10.

Birth weight and bone mineral density at 18–19 years: birth cohort 1997–1998
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Araújo, Allanne Pereira

; Barbosa, Janaina Maiana Abreu

; Carvalho, Carolina Abreu de

; Viola, Poliana Cristina de Almeida Fonseca

; Ribeiro, Cecilia Claudia Costa

; Batista, Rosangela Fernandes Lucena

; Simões, Vanda Maria Ferreira

Revista de Saúde Pública

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2023, Volume 57 elocation 9

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

https://doi.org/10.11606/s1518-8787.2023057004179

11.

Desigualdade racial e regional na tendência temporal do déficit de estatura e excesso de peso de crianças brasileiras menores de cinco anos
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Silveira, Victor Nogueira da Cruz

; Nascimento, Jéssica Bianca Machado do

; Cantanhede, Nayra Anielly Cabral

; Frota, Maria Tereza Borges Araújo

; Chagas, Deysianne Costa das

; Carvalho, Carolina Abreu de

; Viola, Poliana Cristina de Almeida Fonseca

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230004

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

https://doi.org/10.1590/1980-549720230004

12.

Association between prepregnancy and newborn body mass index
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Araújo, Allanne Pereira

; Carvalho, Carolina Abreu de

; Ribeiro, Cecilia Claudia Costa

; Barbosa, Janaina Maiana Abreu

; Viola, Poliana Cristina de Almeida Fonseca

; Simões, Vanda Maria Ferreira

Revista Brasileira de Saúde Materno Infantil

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dec 2022, Volume 22 N. 4 Pages 963 - 968

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

Resumo Objetivos: investigar a associação entre o Índice de Massa Corporal (IMC) pré-gestacional e o IMC do recém-nascido (RN). Métodos: estudo de coorte, com 1365 gestantes e seus RN, participantes da pesquisa BRISA (Brazilian Ribeirão Preto and São Luís Birth Cohort Studies) em São Luís-MA. O IMC pré-gestacional foi autorreferido e o IMC do RN foi calculado por meio do peso e comprimento aferidos na ocasião do nascimento. Foi elaborado um Gráfico Acíclico Direcionado (DAG)para identificaras variáveis de ajuste. A associação entre o IMC pré-gestacional e IMC do RN foram analisados por regressão linear múltipla e regressão de Poisson com estimativa robusta da variância. Resultados: os RN tiveram IMC ao nascer médio de 13,4 ± 1,7 kg/m2. Na análise linear, foi observada que à medida que o IMC pré-gestacional aumenta, o IMC do RN também aumenta (ß= 0,07; IC95%= 0,05 - 0,09; p<0.001). RN de mães com excesso de peso pré-gestacional tiveram risco 3,58 vezes maior de terem excesso de peso. Conclusão: o IMC pré-gestacional pode afetar precocemente o IMC do RN. Dessa forma, recomenda-se que mulheres que planejem engravidar considerem realizar um planejamento nutricional para a manutenção ou obtenção de um peso saudável, a fim de minimizar o risco de excesso de peso para o RN. Objetivos (IMC prégestacional pré gestacional recémnascido recém nascido . (RN) Métodos coorte 136 Brazilian Studies LuísMA. LuísMA MA. MA Luís-MA nascimento DAGpara DAG ajuste variância Resultados 134 13 4 13, 17 1 7 1, kgm2 kgm kg m2 m kg/m2 ß= ß (ß 0,07 007 0 07 IC95 IC IC95% 005 05 0,0 0,09 009 09 p<0.001. p0001 p p<0.001 001 p<0.001) 358 3 58 3,5 Conclusão forma recomendase recomenda se saudável (RN kg/m 00 IC9 0, p000 p<0.00 35 5 3, p00 p<0.0 p0 p<0. p<0 p<

Abstract Objectives: to investigate the association between prepregnancy body mass index (BMI) and newborns’ (NB) BMI. Methods: cohort study with 1,365 pregnant women and their newborns from the BRISA survey (Brazilian Ribeirão Preto and São Luís Birth Cohort Studies) in São Luís-MA. Prepregnancy BMI was self-reported, and newborns’ BMI was estimated using the weight and length measured at birth. A directed acyclic graph (DAG) was developed to identify the adjustment variables. The association between the prepregnancy BMI and newborns’ BMI were analyzed using multiple linear and Poisson regression with robust variance estimation. Results: NBs had 13.4±1.7kg/m2 average BMI at birth. In the linear analysis, we observed that as the prepregnancy BMI increases, the NBs BMI also increases (ß=0.07; CI95%=0.05–0.09;p<0.001). Newborns of mothers with prepregnancy overweight were 3.58 times more likely to be overweight. Conclusion: prepregnancy BMI can affect newborn’s BMI early. Thus, women planning to become pregnant should consider conducting nutritional planning to maintain or obtain a healthy weight to minimize the risk of overweight for the newborn. Objectives (BMI NB (NB Methods 1365 1 365 1,36 Brazilian Studies LuísMA. LuísMA MA. MA Luís-MA selfreported, selfreported self reported, reported self-reported birth DAG (DAG variables estimation Results 13417kgm2 kgm 13 4 7kg m2 kg m 13.4±1.7kg/m analysis ß=0.07 ß007 ß 0 07 (ß=0.07 CI95%=0.05–0.09p<0.001. CI95005009p0001 CIp CI95%=0.05–0.09 p<0.001 . CI95 05 09 p 001 CI CI95%=0.05–0.09;p<0.001) 358 3 58 3.5 Conclusion newborn s early Thus 136 36 1,3 13417kgm ß=0.0 ß00 (ß=0.0 09p CI95%=0.05–0.09p<0.001 CI95005009p000 CI95005009 CI95%=0.05–0.0 p0001 p<0.00 CI9 00 CI95%=0.05–0.09;p<0.001 35 5 3. 1, ß=0. ß0 (ß=0. CI95%=0.05–0.09p<0.00 CI95005009p00 CI9500500 CI95%=0.05–0. p000 p<0.0 CI95%=0.05–0.09;p<0.00 ß=0 (ß=0 CI95%=0.05–0.09p<0.0 CI95005009p0 CI950050 CI95%=0.05–0 p00 p<0. CI95%=0.05–0.09;p<0.0 ß= (ß= CI95%=0.05–0.09p<0. CI95005009p CI95005 CI95%=0.05– p0 p<0 CI95%=0.05–0.09;p<0. (ß CI95%=0.05–0.09p<0 CI9500 CI95%=0.05 p< CI95%=0.05–0.09;p<0 CI95%=0.05–0.09p< CI950 CI95%=0.0 CI95%=0.05–0.09;p< CI95%=0.05–0.09p CI95%=0. CI95%=0.05–0.09;p CI95%=0 CI95%= CI95%

https://doi.org/10.1590/1806-9304202200040013

13.

Relationship between lifestyle and sociodemographic determinants and eating patterns among adults and the elderly: A population-based study
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Simplício, Ana Paula de Melo

; Viola, Poliana Cristina de Almeida Fonseca

; de Carvalho-Lavôr, Layanne Cristina

; Carvalho, Carolina Abreu de

; Ribeiro de Sá-Lustosa, Larissa Carvalho

; de Lima-Sousa, Paulo Víctor

; de Moura-Crisóstomo, Jany

; Monteles-Nascimento, Larisse

; Lopes-Rodrigues, Lays Arnaud Rosal

; Mesquita de-Oliveira, Amanda Ferreira

; da Silva-Pinheiro, Michelly

; Gonçalves-Frota, Karoline de Macêdo

Revista chilena de nutrición

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oct 2022, Volume 49 N. 5 Pages 545 - 553

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

ABSTRACT Objective: To identify dietary patterns in an adult population and to verify the factors associated with them. Methods: We conducted a cross-sectional population-based household study with 1,574 individuals aged >20 years, of both sexes, living in Teresina and Picos, Piauí, Brazil. Sociodemographic, lifestyle and food consumption data were collected. Dietary patterns were obtained using principal component analysis. Results: There was a positive and significant association with the healthy eating pattern in women, elderly people, individuals with secondary and higher education and smokers. The white-meat pattern was positively associated with people without a partner and non-white skin, as well as with women, elderly people and smokers, and inversely with individuals with longer screen time and individuals with high school and college education. The unhealthy pattern was positively associated with individuals with excessive screen time and individuals with secondary and higher education, and inversely associated with individuals who were insufficiently active. Conclusion: Women, the elderly, individuals with a partner, non-smokers and active people have a healthier diet. However, men, smokers, with longer screen time and insufficiently active had a more inadequate diet, while the level of education showed contrasting results.

RESUMEN Objetivo: Identificar patrones dietéticos en una población de adultos y adultos mayoresy verificar los factores asociados a ellos. Métodos: Estudio transversal poblacional y domiciliario realizado en 1574 personas mayores de 20 años, de ambos sexos, residentes en Teresina y Picos, Piauí, Brasil. Se recogieron datos sociodemográficos, de estilo de vida y de consumo de alimentos. Los patrones dietéticos se obtuvieron mediante análisis de componentes principales. Resultados: Hubo asociación positiva y significativa con el patrón de alimentación saludable en mujeres, adultos mayores, individuos con educación secundaria y superior y fumadores. El patrón de carnes blancas se asoció positivamente con personas sin pareja y piel no blanca, así como con mujeres, personas mayores y fumadores, e inversamente con personas con mayor tiempo de pantalla y personas con educación secundaria y universitaria. El patrón insalubre se asoció positivamente con individuos con tiempo de pantalla excesivo y con individuos con educación secundaria y superior, y se asoció inversamente con individuos que eran insuficientemente activos. Conclusión: Las mujeres, los adultos mayores, las personas en pareja, los no fumadores y las personas activas tienen una dieta más saludable. Sin embargo, los hombres, fumadores, con mayor tiempo de pantalla e insuficientemente activos tenían una dieta más inadecuada, mientras que el nivel de educación mostró resultados contrastantes.

14.

Fatores associados à mortalidade perinatal em uma capital do Nordeste brasileiro
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Serra, Sara Costa

; Carvalho, Carolina Abreu de

; Batista, Rosangela Fernandes Lucena

; Thomaz, Erika Bárbara Abreu Fonseca

; Viola, Poliana Cristina de Almeida Fonseca

; Silva, Antônio Augusto Moura da

; Simões, Vanda Maria Ferreira

Ciência & Saúde Coletiva

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apr 2022, Volume 27 N. 4 Pages 1513 - 1524

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

Resumo O objetivo do estudo foi avaliar os fatores sociodemográficos, maternos e do recém-nascido associados à mortalidade perinatal em São Luís, Maranhão. Os óbitos perinatais foram identificados na coorte e pelo Sistema de Informações sobre Mortalidade. Foram incluídos 5.236 nascimentos, sendo 70 óbitos fetais e 36 neonatais precoces. Para investigar os fatores associados utilizou-se análise de regressão logística com modelo hierarquizado. O coeficiente de mortalidade perinatal foi 20,2 por mil nascimentos. A baixa escolaridade materna e a ausência de companheiro foram associadas a maior chance de óbito perinatal. A família ser chefiada por outros familiares foi fator de proteção. Tiveram maior chance de óbito perinatal filhos de mães que não realizaram pelo menos seis consultas de pré-natal (OR=4,61; IC95%:2,43-8,74) e com gravidez múltipla (OR=9,15; IC95%:4,08-20,53). Presença de malformações congênitas (OR=4,13; IC95%:1,23-13,82), nascimento pré-termo (OR= 3,36; IC95%: 1,56-7,22) e baixo peso ao nascer (BPN) (OR=11,87; IC95%:5,46-25,82) se associaram ao óbito perinatal. A mortalidade perinatal foi associada à vulnerabilidade social, não realização do número de consultas pré-natal recomendado, malformações congênitas, nascimento pré-termo e BPN.

Abstract This study investigated factors associated with perinatal mortality in São Luís, Maranhão, Northeastern Brazil. Data on perinatal mortality were obtained from the BRISA birth cohort and from the Mortality Information System, including records of 5,236 births, 70 of which referred to fetal deaths and 36 to early neonatal deaths. Factors associated with mortality were investigated using a hierarchical logistic regression model, resulting in a perinatal mortality coefficient equal to 20.2 per thousand births. Mothers with low education level and without a partner were associated with an increased risk of perinatal death. Moreover, children of mothers who did not have at least six antenatal appointments and with multiple pregnancies (OR= 9.15; 95%CI:4.08-20.53) were more likely to have perinatal death. Perinatal death was also associated with the presence of congenital malformations (OR= 4.13; 95%CI:1.23-13.82), preterm birth (OR= 3.36; 95%CI:1.56-7.22), and low birth weight (OR=11.87; 95%CI:5.46-25.82). In turn, families headed by other family members (OR= 0.29; 95%CI: 0.12 - 0.67) comprised a protective factor for such condition. Thus, the results indicate an association between perinatal mortality and social vulnerability, non-compliance with the recommended number of prenatal appointments, congenital malformations, preterm birth, and low birthweight.

https://doi.org/10.1590/1413-81232022274.07882021

15.

Fatores associados à mortalidade perinatal em uma capital do Nordeste brasileiro
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Serra, Sara Costa

; Carvalho, Carolina Abreu de

; Batista, Rosangela Fernandes Lucena

; Thomaz, Erika Bárbara Abreu Fonseca

; Viola, Poliana Cristina de Almeida Fonseca

; Silva, Antônio Augusto Moura da

; Simões, Vanda Maria Ferreira

Ciência & Saúde Coletiva

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apr 2022, Volume 27 N. 4 Pages 1513 - 1524

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

https://doi.org/10.1590/1413-81232022274.07882021

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