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Abstract Objective To assess the prevalence of GERD exclusively by means of multichannel intraluminal impedanciometry associated with pH monitoring (MIIpH) and compare it with respiratory symptoms in children with CF. To compare MIIpH with pHmetry alone to perform GERD diagnosis. Methods An analytical cross-sectional study was conducted with children diagnosed with CF who underwent MIIpH. Clinical and laboratory markers, including respiratory and digestive symptoms, were used for comparative analyses. High-resolution chest computed tomography was performed on patients with symptoms of chronic lung disease. Severity was classified according to the Bhalla score. Results A total of 29 children < 10 yo (18 girls) were evaluated; 19 of whom with physiological GER and 10 with GERD. Of the children with GERD, seven had predominantly acid GER, two acid+non-acid GER, and one non-acid GER. Three patients had GERD diagnosed only by MIIpH. Bhalla scores ranged from seven to 17.75 with no significant relationship with GERD. The number of pulmonary exacerbations was associated with a decrease in esophageal clearance regardless of the position in pHmetry and MIIpH. Conclusions The prevalence of GERD was 34% in children with CF. There was no association between respiratory disease severity and GER types. MIIpH detected 30% more patients with GERD than pHmetry.

https://doi.org/10.1016/j.jped.2022.11.007

Associação entre sintomas depressivos e inatividade física em trabalhadores técnico-administrativos de uma universidade pública do Nordeste do Brasil: estudo transversal
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Beck Filho, Jorge Augusto

; Pitta, Ana Maria Fernandes

; Bonfim, Camila Barreto

; Christovam, Barbara Pompeu

; Machado, Ana Carolina

; Guimarães, Lara Freitas

; Hora, Tatiane

; Brito, Luciara Leite

; Maia, Helena Maria Silveira Fraga

Revista Brasileira de Saúde Ocupacional

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2023, Volume 48 elocation edepi6

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

Abstract Objective: to investigate the association between depressive symptoms and physical inactivity in technical-administrative workers from a public university in the Northeast of Brazil. Methods: cross-sectional study. We assessed depressive symptoms and physical activity using, respectively, the Patient Health Questionnaire-9, and the International Physical Activity Questionnaire. We used Poisson regression analysis, and estimated the prevalence ratios (PR) and their respective 95%CI. Results: 301 workers participated, of which 71.1% were female. The prevalence of depressive symptoms was of 25.7%, and 52.0% of the workers declared being physically inactive. Depressive symptoms and physical inactivity were associated to the effect modifiers “time worked to the institution ≤ 15 years” (PR: 3.03; 95%CI: 1.05;9.16) e “work position at administrative sectors” (PR: 1.90; 95%CI: 1.14;3.18). Conclusion: the results evidence the association between depressive symptoms and physical inactivity in technical-administrative workers of a public university of the state of Bahia. The the main factor associated are time worked to the institution and work position at administrative sectors.

Resumo Objetivo: investigar a associação entre sintomas depressivos e inatividade física em trabalhadores técnico-administrativos de uma universidade pública do Nordeste do Brasil. Métodos: estudo transversal realizado no estado da Bahia. Os sintomas depressivos foram avaliados pelo Patient Health Questionnaire-9 e o nível de atividade física pelo International Physical Activity Questionnaire. Foi realizada análise de regressão de Poisson e estimadas as razões de prevalência (RP) e seus respectivos IC95%. Resultados: 301 servidores participaram do estudo, dos quais 71,1% do sexo feminino. A prevalência de sintomas depressivos foi de 25,7% e 52,0% dos servidores declararam ser fisicamente inativos. Sintomas depressivos e inatividade física se mostraram associados com os modificadores de efeito “tempo de trabalho na instituição ≤ 15 anos” (RP: 3,03; IC95%: 1,05;9,16) e “lotação em setores administrativos” (RP: 1,90; IC95%: 1,14;3,18). Conclusão: os resultados evidenciam a associação entre sintomas depressivos e inatividade física em trabalhadores técnico-administrativos de uma universidade pública do estado da Bahia, tendo como principais fatores associados o tempo de trabalho na instituição e a lotação do servidor.

https://doi.org/10.1590/2317-6369/34222pt2023v48edepi6

A brazilian nationwide multicenter study on deficiency of deaminase-2 (DADA2)
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Melo, Adriana

; Carvalho, Luciana Martins de

; Ferriani, Virginia Paes Leme

; Cavalcanti, André

; Appenzeller, Simone

; Oliveira, Valéria Rossato

; Chong Neto, Herberto

; Rosário, Nelson Augusto

; Poswar, Fabiano de Oliveira

; Guimaraes, Matheus Xavier

; Kokron, Cristina Maria

; Maia, Rayana Elias

; Silva, Guilherme Diogo

; Keller, Gabriel

; Ferreira, Mauricio Domingues

; Vasconcelos, Dewton Moraes

; Toledo-Barros, Myrthes Anna Maragna

; Barros, Samar Freschi

; Rosa Neto, Nilton Salles

; Krieger, Marta Helena

; Kalil, Jorge

; Mendonça, Leonardo Oliveira

Advances in Rheumatology

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2023, Volume 63 elocation 23

Abstract: En | Text: En | PDF: En

Abstract Introduction The deficiency of ADA2 (DADA2) is a rare autoinflammatory disease provoked by mutations in the ADA2 gene inherited in a recessive fashion. Up to this moment there is no consensus for the treatment of DADA2 and anti-TNF is the therapy of choice for chronic management whereas bone marrow transplantation is considered for refractory or severe phenotypes. Data from Brazil is scarce and this multicentric study reports 18 patients with DADA2 from Brazil. Patients and methods This is a multicentric study proposed by the Center for Rare and Immunological Disorders of the Hospital 9 de Julho - DASA, São Paulo - Brazil. Patients of any age with a confirmed diagnosis of DADA2 were eligible for this project and data on clinical, laboratory, genetics and treatment were collected. Results Eighteen patients from 10 different centers are reported here. All patients had disease onset at the pediatric age (median of 5 years) and most of them from the state of São Paulo. Vasculopathy with recurrent stroke was the most common phenotype but atypical phenotypes compatible with ALPS-like and Common Variable Immunodeficiency (CVID) was also found. All patients carried pathogenic mutations in the ADA2 gene. Acute management of vasculitis was not satisfactory with steroids in many patients and all those who used anti-TNF had favorable responses. Conclusion The low number of patients diagnosed with DADA2 in Brazil reinforces the need for disease awareness for this condition. Moreover, the absence of guidelines for diagnosis and management is also necessary (t).

https://doi.org/10.1186/s42358-023-00303-5

The SISBIOTA-Diptera Brazilian Network: A long-term survey of Diptera from unexplored Brazilian Western Arc of Amazon, Cerrado, and Pantanal
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Lamas, Carlos José Einicker

; Fachin, Diego Aguilar

; Falaschi, Rafaela Lopes

; Alcantara, Daniel Máximo Correa de

; Ale-Rocha, Rosaly

; Amorim, Dalton de Souza

; Araújo, Maíra Xavier

; Ascendino, Sharlene

; Baldassio, Letícia

; Bellodi, Carolina Ferraz

; Bravo, Freddy

; Calhau, Julia

; Capellari, Renato Soares

; Carmo-Neto, Antonio Marcelino do

; Cegolin, Bianca Melo

; Couri, Márcia Souto

; Carvalho, Claudio José Barros de

; Dios, Rodrigo de Vilhena Perez

; Falcon, Aida Vanessa Gomez

; Fusari, Livia Maria

; Garcia, Carolina de Almeida

; Gil-Azevedo, Leonardo Henrique

; Gomes, Marina Morim

; Graciolli, Gustavo

; Gudin, Filipe Macedo

; Henriques, Augusto Loureiro

; Krolow, Tiago Kütter

; Mendes, Luanna Layla

; Limeira-de-Oliveira, Francisco

; Maia, Valéria Cid

; Marinoni, Luciane

; Mello, Ramon Luciano

; Mello-Patiu, Cátia Antunes de

; Morales, Mírian Nunes

; Oliveira, Sarah Siqueira

; Patiu, Claudemir

; Proença, Barbara

; Pujol-Luz, Cristiane Vieira de Assis

; Pujol-Luz, José Roberto

; Rafael, José Albertino

; Riccardi, Paula Raile

; Rodrigues, João Paulo Vinicios

; Roque, Fabio de Oliveira

; Sallum, Maria Anice Mureb

; Santis, Marcelo Domingos de

; Santos, Charles Morphy Dias dos

; Santos, Josenilson Rodrigues dos

; Savaris, Marcoandre

; Shimabukuro, Paloma Helena Fernandes

; Silva, Vera Cristina

; Schelesky-Prado, Daniel de Castro

; Silva-Neto, Alberto Moreira da

; Camargo, Alexssandro

; Sousa, Viviane Rodrigues de

; Urso-Guimarães, Maria Virginia

; Wiedenbrug, Sofia

; Yamaguchi, Carolina

; Nihei, Silvio Shigueo

Revista Brasileira de Entomologia

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2023, Volume 67 N. 4 elocation e20230051

Abstract: En | Text: En | PDF: En

ABSTRACT The SISBIOTA-BRASIL was a three-year multimillion-dollar research program of the Brazilian government to document plants and animals in endangered/understudied areas and biomes in Brazil. Distributional patterns and the historical events that generated them are extensively unknown regarding Brazilian fauna and flora. This deficiency hinders the development of conservation policies and the understanding of evolutionary processes. Conservation decisions depend on precise knowledge of the taxonomy and geographic distribution of species. Given such a premise, we proposed to research the diversity of Diptera of the Brazilian western arc of Amazon, Cerrado, and Pantanal in the states of Mato Grosso, Mato Grosso do Sul, and Rondônia. Three important biomes of the South American continent characterize these Brazilian states: Amazon forest, Cerrado (Brazilian Savannah), and Pantanal. Besides their ecological relevance, these biomes historically lack intensive entomological surveys. Therefore, they are much underrepresented in the Brazilian natural history collections and in the scientific literature, which is further aggravated by the fact that these areas are being exponentially and rapidly converted to commercial lands. Our project involved over 90 collaborators from 24 different Brazilian institutions and one from Colombia among researchers, postdocs, graduate and undergraduate students, and technicians. We processed and analyzed nearly 300,000 specimens from ~60 families of Diptera collected with a large variety of methods in the sampled areas. Here, we provide a detailed overview of the genera and species diversity of 41 families treated. Our results point to a total of 2,130 species and 514 genera compiled and identified for the three states altogether, with an increase of 41% and 29% in the numbers of species and genera known for the three states combined, respectively. Overall, the 10 most species-rich families were Tachinidae, Cecidomyiidae, Tabanidae, Psychodidae, Sarcophagidae, Stratiomyidae, Bombyliidae, Syrphidae, Tephritidae, and Asilidae. The 10 most diverse in the number of genera were Tachinidae, Stratiomyidae, Asilidae, Mycetophilidae, Syrphidae, Tabanidae, Muscidae, Dolichopodidae, Sarcophagidae, and Chloropidae. So far, 111 scientific papers were published regarding taxonomic, phylogenetic, and biogeographical aspects of the studied families, with the description of 101 new species and three new genera. We expect that additional publications will result from this investigation because several specimens are now curated and being researched by specialists.

https://doi.org/10.1590/1806-9665-rbent-2023-0051

Tecnologias de reprodução assistida, regulação e monoparentalidade: entre a autonomia e o individualismo
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Augusto, Maria Helena Oliva

; Mendosa, Douglas

Inter disciplina

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dec 2022, Volume 10 N. 28 Pages 129 - 152

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

Abstract The increase in the number of people who fulfill the desire of having children with the support of Assisted Reproductive Technologies (ART) is a fact and has been object of uncountable researches around the world. In Brazil, this reality is set by the absence of a specific regulation. However, in its turn, the Federal Medicine Council (CFM) provides ethical guidelines (resolutions) that have been regularly modified since 1992, the year of its first resolution. The purpose of this article is to demonstrate that the process of amending such guidelines over time is related to the expansion of access to ART in Brazil. These technologies enabled in recent years the increase of single people, especially women, to accomplish the desire to have children on an independent manner. In light of the social role of any technology, it is discussed how the expansion of access to ART shapes and is shaped by the tendencies of contemporary societies such as the enhancement of female autonomy (empowerment) and individualism.

Resumo O aumento de pessoas que realizam o desejo de ter filhos com o auxílio das tecnologias de reprodução assistida é um fato que tem sido objeto de inúmeras pesquisas no mundo inteiro. No Brasil, essa realidade é marcada pela ausência de uma lei específica sobre o tema. Em seu lugar, o Conselho Federal de Medicina (CFM) publica normas de orientação ética (resoluções) que sofreram contínuas alterações desde 1992, ano da primeira resolução. O objetivo deste artigo é o de apresentar como o processo de modificações dessas normas ao longo do tempo está relacionado à ampliação do acesso às TRA no Brasil. São essas mesmas técnicas que têm permitido, nos últimos anos, o aumento de pessoas solteiras, especialmente as mulheres, a realizarem o desejo de ter filhos de modo independente. Em função do caráter social de qualquer tecnologia, discute-se como a expansão das TRAS configuram e são configuradas por tendências das sociedades contemporâneas como a valorização da autonomia feminina (empoderamento) e o individualismo.

https://doi.org/10.22201/ceiich.24485705e.2022.28.83293

Sistemas algorítmicos, lucratividade do capital e implicações nas políticas sociais
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Chaves, Helena Lúcia Augusto

; Camargo, Maria Angelina B. de Carvalho de A.

Serviço Social & Sociedade

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sep 2022, N. 144 Pages 17 - 32

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

Resumo: Os sistemas algorítmicos são instrumentos utilizados nas políticas sociais para acesso aos serviços. Essa ferramenta tecnológica invade as instituições públicas, controlando os processos de trabalho e o acesso de usuários. O pressuposto é o de que a utilização dos sistemas algorítmicos modifica não apenas a rotina institucional, como também é instrumento de poder pela quantidade gigantesca de dados armazenados, contribuindo à lucratividade do capital. O artigo reflete sobre essa dinâmica com base no estudo bibliográfico.

Abstract: Algorithmic systems are instruments used in social policies to access services. This technological tool invades public institutions controlling work processes and user access. The assumption is that algorithmic management not only modifies institutional routine but is also an instrument of power due to the gigantic amount of stored data which contributes to the profitability of capital. The article reflects on this dynamic by means of bibliographical study.

https://doi.org/10.1590/0101-6628.278

Recommendations for the diagnosis and management of Fabry disease in pediatric patients: a document from the Rare Diseases Committee of the Brazilian Society of Nephrology (Comdora-SBN)
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Vaisbich, Maria Helena

; Andrade, Luís Gustavo Modelli de

; Silva, Cassiano Augusto Braga

; Barreto, Fellype de Carvalho

Brazilian Journal of Nephrology

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jun 2022, Volume 44 N. 2 Pages 268 - 280

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

Resumo A doença de Fabry (DF) é uma doença genética, com herança ligada ao cromossomo X, devido a variantes no gene GLA que codifica a enzima α-galactosidase A (α-GAL). O propósito do presente estudo foi criar um consenso objetivando padronizar as recomendações em relação ao acometimento renal da DF com orientações sobre o diagnóstico, rastreamento, e tratamento de pacientes pediátricos. Esse consenso é uma iniciativa do Comitê de Doenças Raras (Comdora) da Sociedade Brasileira de Nefrologia (SBN). Foram considerados para esta revisão estudos clínicos controlados randomizados e estudos com dados de vida real somados à experiência dos autores. O resultado desse consenso foi auxiliar no gerenciamento das expectativas de pacientes e médicos quanto aos resultados do tratamento. Assim, este documento de consenso recomenda a investigação dos familiares pediátricos de um caso índice, assim como de casos com clínica sugestiva. A partir do diagnóstico, avaliar todos os possíveis acometimentos da DF e graduar através de escalas. A partir de uma revisão extensa da literatura incluindo protocolos pediátricos e avaliando particularmente os casos pediátricos de estudos gerais, pode-se concluir que os benefícios do tratamento precoce são grandes, principalmente quanto aos parâmetros de dor neuropática e do acometimento renal, e suplantam os possíveis adversos que foram sobretudo manifestados por reações infusionais.

Abstract Fabry disease (FD) is a genetic disease, with X-chromosome linked inheritance, due to variants in the GLA gene that encodes the α-galactosidase A (α-GAL) enzyme. The purpose of the present study was to create a consensus aiming to standardize the recommendations regarding the renal involvement of FD with guidelines on the diagnosis, screening, and treatment of pediatric patients. This consensus is an initiative of the Rare Diseases Committee (Comdora) of the Brazilian Society of Nephrology (SBN). Randomized controlled clinical studies and studies with real-life data added to the authors' experience were considered for this review. The result of this consensus was to help manage patient and physician expectations regarding treatment outcomes. Thus, this consensus document recommends the investigation of the pediatric family members of an index case, as well as cases with suggestive clinical signs. From the diagnosis, assess all possible FD impairments and grade through scales. From an extensive review of the literature including pediatric protocols and particularly evaluating pediatric cases from general studies, it can be concluded that the benefits of early treatment are great, especially in terms of neuropathic pain and renal impairment parameters and outweigh the possible adverse effects that were mainly manifested by infusion reactions.

https://doi.org/10.1590/2175-8239-jbn-2021-0216

Brazilian consensus recommendations for the diagnosis, screening, and treatment of individuals with fabry disease: Committee for Rare Diseases - Brazilian Society of Nephrology/2021
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Silva, Cassiano Augusto Braga

; Andrade, Luis Gustavo Modelli de

; Vaisbich, Maria Helena

; Barreto, Fellype de Carvalho

Brazilian Journal of Nephrology

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jun 2022, Volume 44 N. 2 Pages 249 - 267

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

Resumo A doença de Fabry (DF) é uma doença genética, com herança ligada ao cromossomo X, que ocorre devido a variantes no gene GLA que codifica a enzima α-galactosidase A (α-GAL). O propósito do presente estudo foi criar um consenso objetivando padronizar as recomendações em relação ao acometimento renal da DF com orientações sobre o diagnóstico, rastreamento e tratamento de pacientes adultos e pediátricos. Esse consenso é uma iniciativa do Comitê de Doenças Raras (Comdora) da Sociedade Brasileira de Nefrologia (SBN). Foram considerados para esta revisão estudos clínicos controlados randomizados e estudos com dados de vida real somado à experiência dos autores. O resultado desse consenso foi auxiliar no gerenciamento das expectativas de pacientes e médicos quanto aos resultados do tratamento. Nossas recomendações devem ser interpretadas no contexto das evidências e ressaltando que as decisões finais devem ser tomadas individualmente, em uma decisão conjunta com o paciente e familiares, considerando os custos envolvidos, não apenas financeiros, doenças concomitantes e preferências pessoais. O Comdora pretende atualizar essas recomendações regularmente, e assim seguir novas evidências na literatura, considerar dados de vida real e valorizar a experiência profissional dos envolvidos. Esse consenso estabelece critérios claros para o diagnóstico da DF, início e interrupção de terapia específica e de medidas adjuntas, orientando a comunidade médica e uniformizando condutas.

Abstract Fabry disease (FD) is an X-linked inherited disorder caused by mutations in the GLA gene encoding enzyme alpha-galactosidase A (α-Gal A). The purpose of this study was to produce a consensus statement to standardize the recommendations concerning kidney involvement in FD and provide advice on the diagnosis, screening, and treatment of adult and pediatric patients. This consensus document was organized from an initiative led by the Committee for Rare Diseases (Comdora) of the Brazilian Society of Nephrology (SBN). The review considered randomized clinical trials, real-world data studies, and the expertise of its authors. The purpose of this consensus statement is to help manage patient and physician expectations concerning the outcomes of treatment. Our recommendations must be interpreted within the context of available evidence. The decisions pertaining to each individual case must be made with the involvement of patients and their families and take into account not only the potential cost of treatment, but also concurrent conditions and personal preferences. The Comdora intends to update these recommendations regularly so as to reflect recent literature evidence, real-world data, and appreciate the professional experience of those involved. This consensus document establishes clear criteria for the diagnosis of FD and for when to start or stop specific therapies or adjuvant measures, to thus advise the medical community and standardize clinical practice.

https://doi.org/10.1590/2175-8239-jbn-2021-0208

[SciELO Preprints] - Food and Nutritional Surveillance System: temporal trend of coverage and nutritional status of adults registered, 2008-2019
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Silva, Ruth Pereira Costa Vergara, Clarice Maria Araújo Chagas Sampaio, Helena Alves de Carvalho Vasconcelos Filho, José Eurico Strozberg, Felipe Ferreira Neto, José Fernando Rodrigues Mafra, Matheus Leite Pirani Garcia Filho, Carlos Carioca, Antonio Augusto Ferreira

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Publication date: 2022-02-09

Abstract: En Es Pt

Objective: To analyze temporal trend of Food and Nutrition Surveillance System (SISVAN) coverage and nutritional status of adults followed up in Primary Health Care in Brazil, 2008-2019. Methods: Ecological time series study with data from Brazilian macro-regions. Annual percent change in nutritional status classification and total coverage were estimated by Prais-Winsten regression. Results: 115,034,534 records were identified in the period. The coverage was from 5.0% in 2008 to 10.6% in 2019, with an annual change of 8.4% (95% confidence interval [95%CI] 6.7;10.0). Obesity showed an increasing trend between 2008 and 2019, with an annual change of 6.4% (95%CI 5.3;7.3), as did overweight (1.8% – 95%CI 1.2;2.5). Underweight (-7.0% – 95%CI -8.0;-6.1) and eutrophy (-3.8% – 95%CI -4.1;-3.4) decreased in the period. Conclusion: An improvement in SISVAN coverage was identified, but accompanied by an increase in overweight and obesity.

Objetivo: Analizar la tendencia temporal de la cobertura del Sistema de Vigilancia Alimentaria y Nutricional (SISVAN) y del estado nutricional de los adultos acompañados en la Atención Primaria de Brasil, 2008-2019. Métodos: Estudio de series temporales ecológico con datos de macrorregiones brasileñas. La variación porcentual anual del estado nutricional y la cobertura total se estimaron mediante regresión de Prais-Winsten. Resultados: Fueran 115.034.534 registros en el periodo. La cobertura pasó del 5,0% en 2008 al 10,6% en 2019, con una variación anual del 8,4% (intervalo de confianza del 95% [IC95%]: 6,7;10,0). La obesidad mostró tendencia creciente entre 2008 y 2019, con variación anual del 6,4% (IC95% 5,3;7,3), al igual que el sobrepeso (1,8% – IC95% 1,2;2,5). El bajo peso (-7,0% – IC95% -8,0;-6,1) y la eutrofia (-3,8% – IC95% -4,1;-3,4) disminuyeron en el periodo. Conclusión: Se identificó mejora en la cobertura del SISVAN, pero acompañada de un aumento del sobrepeso y la obesidad.

Objetivo: Analisar a tendência temporal da cobertura do Sistema de Vigilância Alimentar e Nutricional (SISVAN) e do estado nutricional, entre adultos acompanhados na Atenção Primária à Saúde do Brasil, 2008-2019. Métodos: Estudo ecológico de séries temporais, sobre dados das macrorregiões brasileiras. A variação percentual anual da classificação do estado nutricional e da cobertura total foi estimada pela regressão de Prais-Winsten. Resultados: Foram identificados 115.034.534 registros no período. A cobertura passou de 5,0% em 2008 para 10,6% em 2019, com variação anual de 8,4% (intervalo de confiança de 95% [IC95%] 6,7;10,0). A obesidade apresentou tendência crescente entre 2008 e 2019, com variação anual de 6,4% (IC95% 5,3;7,3), assim como o sobrepeso (1,8%– IC95% 1,2;2,5). Já o baixo peso (-7,0% – IC95% -8,0;-6,1) e a eutrofia (-3,8% – IC95% -4,1;-3,4) decresceram no período. Conclusão: Identificou-se melhora na cobertura do SISVAN, tendo-se observado aumento de excesso de peso e obesidade na população estudada.

https://doi.org/10.1590/S1679-49742022000100019

10.

Antioxidant activity, sensory analysis and acceptability of red fruit juice supplemented with Brazilian green propolis
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LOPES, Géssica Aparecida

; FIDELIS, Priscila Cardoso

; ALMEIDA, Bruno Moura de

; ALMEIDA, Jane José

; IENTZ, Gislaine de Almeida Santana

; BINDA, Nancy Scardua

; TEIXEIRA, Arthur Ferrari

; VIEIRA-FILHO, Sidney Augusto

; CALIGIORNE, Rachel Basques

; SAÚDE-GUIMARÃES, Dênia Antunes

; BRUMANO, Maria Helena Nasser

; FIGUEIREDO, Sônia Maria de

Food Science and Technology

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2022, Volume 42 elocation e13521

Abstract: En | Text: En | PDF: En

Abstract In this work were determining the total phenolic content, total flavonoids and antioxidant capacity in formulations of red fruit juice supplemented with different concentrations of aqueous extract of Brazilian green propolis. And, also was investigate the formulation sensory acceptance by volunteers’ consumers. The addition of propolis to red fruit juice increased the content of total phenolic compounds and flavonoids, enhanced the antioxidant activity of the final product as assessed by radical scavenging DPPH and ABTS and FRAP methods, and no negative effect on consumer taste. All red fruit juice formulations containing propolis presented significant results through overall acceptability test and were approved in relation to purchase intent by the volunteer consumers. Formulation F3 (6.1 mg.mL-1) showed the best results. The antioxidant activity increment was proportional to the concentration of aqueous green propolis extracts added to the juice. The positive purchase intention reached up 64.75% of participants' acceptance. A new, sugar-free drink with pleasurable sensory and functional properties, combined with health benefits, has been obtained.

https://doi.org/10.1590/fst.13521

11.

Ultra-processed food intake and diet carbon and water footprints: a national study in Brazil
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Garzillo, Josefa Maria Fellegger

; Poli, Vanessa Fadanelli Schoenardie

; Leite, Fernanda Helena Marrocos

; Steele, Euridice Martinez

; Machado, Priscila Pereira

; Louzada, Maria Laura da Costa

; Levy, Renata Bertazzi

; Monteiro, Carlos Augusto

Revista de Saúde Pública

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2022, Volume 56 elocation 6

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE To study the association between ultra-processed food consumption and carbon and water footprints of the Brazilian diet. METHODS Cross-sectional analysis on data collected in 2008–2009 on a probabilistic sample of the Brazilian population aged ≥ 10 years (n = 32,886). Individual food intake was assessed using two 24-hour food records, on non-consecutive days. The environmental impact of individual diets was calculated by multiplying the amount of each food by coefficients that quantify the atmospheric emissions of greenhouse gases in grams of carbon dioxide equivalent (carbon footprint) and freshwater use in liters (water footprint), both per gram or milliliter of food. The two coefficients consider the food life cycle ‘from farm to fork.’ Crude and adjusted linear regression models and tests for linear trends assessed the association between the ultra-processed food contribution to total energy intake (quintiles) and the diet carbon and water footprints. Potential confounders included age, sex, education, income, and region. Total energy intake was assessed as a potential mediation variable. RESULTS In the crude models, the dietary contribution of ultra-processed foods was linearly associated with the carbon and water footprints of the Brazilian diet. After adjustment for potential confounders, the association remained significant only regarding the diet water footprint, which increased by 10.1% between the lowest and highest quintile of the contribution of ultra-processed foods. Additional adjustment for total energy intake eliminated this association indicating that the dietary contribution of ultra-processed foods increases the diet water footprint by increasing energy intake. CONCLUSIONS The negative impact of ultra-processed foods on the diet water footprint, shown for the first time in this study, adds to the negative impacts of these foods, already demonstrated regarding dietary nutrient profiles and the risk for several chronic non-communicable diseases. This reinforces the recommendation to avoid ultra-processed foods made in the official Brazilian Dietary Guidelines and increasingly in dietary guidelines of other countries.

https://doi.org/10.11606/s1518-8787.2022056004551

12.

Sistema de Vigilância Alimentar e Nutricional: tendência temporal da cobertura e estado nutricional de adultos registrados, 2008-2019
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Silva, Ruth Pereira Costa

; Vergara, Clarice Maria Araújo Chagas

; Sampaio, Helena Alves de Carvalho

; Vasconcelos Filho, José Eurico

; Strozberg, Felipe

; Ferreira Neto, José Fernando Rodrigues

; Mafra, Matheus Leite Pirani

; Garcia Filho, Carlos

; Carioca Filho, Antonio Augusto Ferreira

Epidemiologia e Serviços de Saúde

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2022, Volume 31 N. 1 elocation e2021605

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

Resumo Objetivo Analisar a tendência temporal da cobertura do Sistema de Vigilância Alimentar e Nutricional (Sisvan) e do estado nutricional, entre adultos acompanhados na Atenção Primária à Saúde do Brasil, 2008-2019. Métodos Estudo ecológico de séries temporais, sobre dados das macrorregiões brasileiras. A variação percentual anual da classificação do estado nutricional e da cobertura total foi estimada pela regressão de Prais-Winsten. Resultados Foram identificados 115.034.534 registros no período. A cobertura passou de 5,0% em 2008 para 10,6% em 2019, com variação anual de 8,4%, intervalo de confiança de 95% (IC95% 6,7;10,0) A obesidade apresentou tendência crescente entre 2008 e 2019, com variação anual de 6,4% (IC95% 5,3;7,3), assim como o sobrepeso (1,8%; IC95% 1,2;2,5). Já o baixo peso (-7,0%; IC95% -8,0;-6,1) e a eutrofia (-3,8%; IC95% -4,1;-3,4) decresceram no período. Conclusão Identificou-se melhora na cobertura do Sisvan, tendo-se observado aumento de excesso de peso e obesidade na população estudada.

Abstract Objective To analyze the temporal trend of Food and Nutrition Surveillance System (SISVAN) coverage and nutritional status of adults undergoing follow-up in the Brazilian Primary Health Care, 2008-2019. Methods This was an ecological time series study using data on Brazilian macro-regions. The annual percent change in the classification of nutritional status and total coverage was estimated using the Prais-Winsten regression model. Results A total of 115,034,534 records were identified in the period. Coverage increased from 5.0% in 2008 to 10.6% in 2019, with an annual change of 8.4%, 95% confidence interval (95%CI 6.7;10.0). Obesity and overweight showed a rising trend between 2008 and 2019, with an annual change of 6.4% (95%CI 5.3;7.3) and (1.8%; 95%CI 1.2;2.5) respectively, while underweight (-7.0%; 95%CI -8.0;-6.1) and eutrophy (-3.8%; 95%CI -4.1;-3.4) decreased in the period. Conclusion There was an improvement in SISVAN coverage, with an increase in overweight and obesity among the population studied.

Resumen Objetivo Analizar la tendencia temporal de la cobertura del Sistema de Vigilancia Alimentaria y Nutricional (Sisvan) y del estado nutricional de los adultos acompañados en la Atención Primaria de Brasil, 2008-2019. Métodos Estudio ecológico de series emporales con datos de las macrorregiones brasileñas. La variación porcentual anual del estado nutricional y la cobertura total se estimaron mediante regresión de Prais-Winsten. Resultados Fueran 115.034.534 registros en el periodo. La cobertura pasó del 5,0% en 2008 al 10,6% en 2019, con una variación anual del 8,4%, intervalo de confianza del 95% (IC95% 6,7;10,0). La obesidad mostró tendencia creciente entre 2008 y 2019, con variación anual del 6,4% (IC95% 5,3;7,3), al igual que el sobrepeso (1,8%; IC95% 1,2;2,5). El bajo peso (-7,0%; IC95% -8,0; -6,1) y la eutrofia (-3,8%; IC95% -4,1; -3,4) disminuyeron en el periodo. Conclusión Se identificó mejora en la cobertura del Sisvan, pero acompañada de un aumento del sobrepeso y de obesidad.

https://doi.org/10.1590/s1679-49742022000100019

13.

Ultra-processed food intake and diet carbon and water footprints: a national study in Brazil
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Garzillo, Josefa Maria Fellegger

; Poli, Vanessa Fadanelli Schoenardie

; Leite, Fernanda Helena Marrocos

; Steele, Euridice Martinez

; Machado, Priscila Pereira

; Louzada, Maria Laura da Costa

; Levy, Renata Bertazzi

; Monteiro, Carlos Augusto

Revista de Saúde Pública

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- Sobre o periódico
- SciELO Analytics

2022, Volume 56 elocation 6

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2022056004551

14.

Sistema de Vigilância Alimentar e Nutricional: tendência temporal da cobertura e estado nutricional de adultos registrados, 2008-2019
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Silva, Ruth Pereira Costa

; Vergara, Clarice Maria Araújo Chagas

; Sampaio, Helena Alves de Carvalho

; Vasconcelos Filho, José Eurico

; Strozberg, Felipe

; Ferreira Neto, José Fernando Rodrigues

; Mafra, Matheus Leite Pirani

; Garcia Filho, Carlos

; Carioca, Antonio Augusto Ferreira

Epidemiologia e Serviços de Saúde

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2022, Volume 31 N. 1 elocation e2021605

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

https://doi.org/10.1590/s1679-49742022000100019

15.

Food consumption in Brazil: influence of beef on environmental impact and nutritional quality of the diet
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Garzillo, Josefa Maria Fellegger

; Poli, Vanessa Fadanelli Schoenardie

; Leite, Fernanda Helena Marrocos

; Martinez-Steele, Euridice

; Machado, Priscila Pereira

; Louzada, Maria Laura da Costa

; Levy, Renata Bertazzi

; Monteiro, Carlos Augusto

Revista de Saúde Pública

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2022, Volume 56 elocation 102

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

ABSTRACT OBJECTIVE To estimate beef consumption and its influence on carbon and water footprints, as well as to improve the nutritional quality of the Brazilian diet. METHODS The amount of beef and other foods consumed was evaluated by two 24-hour food records in a representative sample of the Brazilian population ≥ 10 years of age (n = 32,853) from 2008 to 2009. The environmental impact of the diet considered the coefficients of the carbon footprint (gCO2 and/kg) and the water footprint (liters/kg) of the foods, as well as their nutritional quality considering the nutrient composition of each food associated with the prevention of nutritional deficiencies or the increase/decrease in chronic disease risk. Linear and logistic regression models, crude and adjusted for sex, age, education, income, region, and area, were used to respectively study the association of fifths of the caloric contribution of beef with the environmental impacts of the diet and inadequate nutrient intake. RESULTS Carbon and water footprints and protein, iron, zinc, vitamin B12, saturated fat, and sodium contents were higher in the fraction of the diet composed of beef, whereas fiber and added sugar contents were higher in the fraction composed by the other foods. Dietary beef contribution was directly associated with the carbon and water footprints of the diet and the risk of saturated fat and sodium excess, besides fiber insufficiency, inversely associated with the risk of protein, iron, zinc, and vitamin B12 insufficiency. CONCLUSION Reducing beef consumption in Brazil would also reduce the carbon and water footprints of the diet, as well as the risk of chronic diseases related to food. Therefore, in order not to increase the risk of nutritional deficiencies, monitoring the increased intake of other foods rich in protein, iron, zinc, and vitamin B12 is suggested.

RESUMO OBJETIVO Estimar o consumo de carne bovina e a sua influência nas pegadas de carbono e na pegada hídrica, bem como mesurar a qualidade nutricional da dieta no Brasil. MÉTODOS A quantidade consumida de carne bovina e dos demais alimentos foi avaliada por dois registros alimentares de 24 horas em amostra representativa da população brasileira ≥ 10 anos de idade (n = 32.853) entre 2008 e 2009. O impacto ambiental da dieta considerou os coeficientes da pegada de carbono (gCO2e/kg) e da pegada hídrica (litros/kg) dos alimentos, bem como sua qualidade nutricional considerando a composição de cada alimento em nutrientes associados à prevenção de deficiências nutricionais ou ao aumento/diminuição do risco de doenças crônicas. Modelos de regressão linear e logística, brutos e ajustados para sexo, idade, escolaridade, renda, região e área, foram utilizados para estudar, respectivamente, a associação de quintos da contribuição calórica de carne bovina com os impactos ambientais da dieta e com a ingestão inadequada de nutrientes. RESULTADOS As pegadas de carbono e hídrica e os teores de proteína, ferro, zinco, vitamina B12, gordura saturada e sódio foram maiores na fração da dieta composta por carnes bovinas, enquanto o teor de fibra e de açúcar de adição foram maiores na fração composta pelos demais alimentos. A contribuição dietética de carne bovina mostrou-se associada diretamente com as pegadas de carbono e hídrica da dieta e com o risco de ingestão excessiva de gordura saturada e de sódio, além de ingestão insuficiente de fibra, associando-se inversamente com o risco de ingestão insuficiente de proteína, ferro, zinco e vitamina B12. CONCLUSÃO A redução no consumo de carne bovina no Brasil diminuiria as pegadas de carbono e hídrica da dieta, assim como o risco de doenças crônicas relacionadas à alimentação. Portanto, para não aumentar o risco de deficiências nutricionais, é sugerido o acompanhamento do aumento da ingestão de outros alimentos fontes de proteína, ferro, zinco e vitamina B12.

https://doi.org/10.11606/s1518-8787.2022056004830

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