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Ruas AMDS, Oliveira AM, Cunha CDM, Damascena NF, Kinra S, Borges CA, Costa PRF, Santana MLPD. [Body image dissatisfaction and low adherence to the Western dietary standard among schoolchildren: a cross-sectional study]. CIENCIA & SAUDE COLETIVA 2024; 29:e19792022. [PMID: 38324842 DOI: 10.1590/1413-81232024292.19792022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 05/02/2023] [Indexed: 02/09/2024] Open
Abstract
This study aimed to identify dietary patterns and to evaluate the association between body image perception and these patterns among schoolchildren. A cross-sectional study was conducted on 385 schoolchildren (both sexes, 10-17 years old) from four public schools in Salvador, Brazil. Two non-consecutive 24-hour dietary recalls were applied, and the dietary pattern was determined by Exploratory Factor Analysis after adjustment of dietary data using the Multiple Source Method. To evaluate body image perception, the Brazilian body shape silhouette was used. The associations between body image perception and dietary patterns using the polytomous logistic regression model adjusted for covariables was assessed. Three dietary patterns were obtained: "Western standard," unhealthy, "healthy pattern" and "typical dishes/ junk food." After adjustment, adolescents who wished for a slimmer silhouette (2.48 [95%CI: 1.04-6.11], 3.49 [95%CI: 1.35-9.05] and 2.87 [95%CI: 1.13-7.26]) were more likely to adhere to the quintiles with the lowest consumption of the Western standard, compared to those satisfied with their body image. No associations were identified in the other two dietary patterns. Adolescents dissatisfied with their bodies tend to adhere less to unhealthy dietary patterns.
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Affiliation(s)
- Aline Monteiro Dos Santos Ruas
- Programa de Pós-Graduação em Alimentos Nutrição e Saúde, Escola de Nutrição, Universidade Federal da Bahia (UFBA). R. Basílio da Gama s/n, Campus Canela. 40110-907 Salvador BA Brasil.
| | - Ana Marlúcia Oliveira
- Programa de Pós-Graduação em Alimentos Nutrição e Saúde, Escola de Nutrição, Universidade Federal da Bahia (UFBA). R. Basílio da Gama s/n, Campus Canela. 40110-907 Salvador BA Brasil.
- Departamento de Ciência da Nutrição, Escola de Nutrição, UFBA. Salvador BA Brasil
| | - Carla de Magalhães Cunha
- Programa de Pós-Graduação em Alimentos Nutrição e Saúde, Escola de Nutrição, Universidade Federal da Bahia (UFBA). R. Basílio da Gama s/n, Campus Canela. 40110-907 Salvador BA Brasil.
- Departamento de Ciência da Nutrição, Escola de Nutrição, UFBA. Salvador BA Brasil
| | - Nadjane Ferreira Damascena
- Programa de Pós-Graduação em Alimentos Nutrição e Saúde, Escola de Nutrição, Universidade Federal da Bahia (UFBA). R. Basílio da Gama s/n, Campus Canela. 40110-907 Salvador BA Brasil.
| | - Sanjay Kinra
- London School of Hygiene and Tropical Medicine. London United Kingdom
| | - Camila Aparecida Borges
- Departamento de Nutrição, Escola de Saúde Pública, Universidade de São Paulo. São Paulo SP Brasil
| | - Priscila Ribas Farias Costa
- Programa de Pós-Graduação em Alimentos Nutrição e Saúde, Escola de Nutrição, Universidade Federal da Bahia (UFBA). R. Basílio da Gama s/n, Campus Canela. 40110-907 Salvador BA Brasil.
- Departamento de Ciência da Nutrição, Escola de Nutrição, UFBA. Salvador BA Brasil
| | - Mônica Leila Portela de Santana
- Programa de Pós-Graduação em Alimentos Nutrição e Saúde, Escola de Nutrição, Universidade Federal da Bahia (UFBA). R. Basílio da Gama s/n, Campus Canela. 40110-907 Salvador BA Brasil.
- Departamento de Ciência da Nutrição, Escola de Nutrição, UFBA. Salvador BA Brasil
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Gualdi-Russo E, Rinaldo N, Zaccagni L. Physical Activity and Body Image Perception in Adolescents: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192013190. [PMID: 36293770 PMCID: PMC9603811 DOI: 10.3390/ijerph192013190] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 10/03/2022] [Accepted: 10/11/2022] [Indexed: 06/01/2023]
Abstract
Adolescence represents a vulnerable phase of life for psychological health. The practice of physical activity (PA) appears to have a positive influence on adolescents, increasing self-esteem and producing a more positive body image. A systematic review of published articles over the past 10 years until June 2022 was conducted according to the PRISMA statement employing the electronic databases MEDLINE and Web of Science (639 records) to summarize the literature on the relationship between body image dissatisfaction (BID) and assessed by figural scales and practice of structured and unstructured PA in adolescents (10-18 years), taking into account BMI and/or weight status. All articles were independently reviewed using inclusion/exclusion criteria, retrieved data, and assessed quality with the adapted Newcastle-Ottawa Scale for observational studies. The main finding of interest that emerged from most of the 28 included studies is the negative association between BID and PA during adolescence: as PA increases, BID decreases. However, this updated systematic review also identified some flaws in the existing literature, highlighting the need for high-quality adolescent research using validated figural scales and objective PA assessments. In conclusion, the reviewed studies showed that PA involvement can be efficacious in protecting from body image perception concerns and enhancing body satisfaction. Future interventions should promote structured and unstructured PA during adolescence to improve self-esteem and body image.
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Fernandes MP, Bomfim ES, de Almeida LAB, Santos CPCD. Association of Profile of Physical Activity with Body Self-Image in Obese Individuals Post-Bariatric Surgery. Bariatr Surg Pract Patient Care 2021. [DOI: 10.1089/bari.2020.0093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Tebar WR, Gil FCS, Scarabottolo CC, Codogno JS, Fernandes RA, Christofaro DGD. Body size dissatisfaction associated with dietary pattern, overweight, and physical activity in adolescents: A cross‐sectional study. Nurs Health Sci 2020; 22:749-757. [DOI: 10.1111/nhs.12751] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 06/10/2020] [Indexed: 02/06/2023]
Affiliation(s)
- William R. Tebar
- Movement Sciences Post‐Graduation Program Sao Paulo State University Presidente Prudente Brazil
| | - Fernanda C. S. Gil
- Physiotherapy Post‐Graduation Program Sao Paulo State University Presidente Prudente Brazil
| | | | - Jamile S. Codogno
- Movement Sciences Post‐Graduation Program Sao Paulo State University Presidente Prudente Brazil
- Physiotherapy Post‐Graduation Program Sao Paulo State University Presidente Prudente Brazil
| | - Romulo A. Fernandes
- Movement Sciences Post‐Graduation Program Sao Paulo State University Presidente Prudente Brazil
- Physiotherapy Post‐Graduation Program Sao Paulo State University Presidente Prudente Brazil
| | - Diego G. D. Christofaro
- Movement Sciences Post‐Graduation Program Sao Paulo State University Presidente Prudente Brazil
- Physiotherapy Post‐Graduation Program Sao Paulo State University Presidente Prudente Brazil
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Guimarães BEDB, Aquino R, Prado NMDBL, Rodrigues PVA. [Excessive alcohol intake and dissatisfaction with body image among adolescents and young adults in a municipality in Bahia State, Brazil]. CAD SAUDE PUBLICA 2020; 36:e00044919. [PMID: 31939544 DOI: 10.1590/0102-311x044919] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Accepted: 07/04/2019] [Indexed: 11/22/2022] Open
Abstract
The study aimed to analyze the association between excessive alcohol intake and dissatisfaction with one's body image in a population of adolescents and young adults. This was a cross-sectional study with a household survey design in a sample of 1,582 individuals 15 to 24 years of age living in Camaçari, Bahia State, Brazil. Excessive alcohol intake was identified by the Alcohol Use Disorder Identification Test (AUDIT), and dissatisfaction with body image was measure with the Silhouette Figure Scale. Confounding variables were: sex, age, race, schooling, work, religion, family composition, number of close friends, marital status, and children. The association between excessive alcohol intake and body dissatisfaction was estimated by logistic regression. Prevalence of excessive alcohol intake was 21.9% (higher in males), and prevalence of body image dissatisfaction was 79.5% (higher in females). No statistically significant association was found between excessive alcohol intake and dissatisfaction with body image. After adjustment of the final model, the variables that remained associated with excessive alcohol intake were religion (OR = 2.02), schooling (OR = 1.63), family composition (OR = 1.61), age (OR = 0.55), and work (OR = 0.61). Although the analyses did not show an association between excessive alcohol intake and dissatisfaction with body image, the study's results call attention to the high prevalence rates for the two phenomena. This shows the need to develop interventions focused on practices of care for this specific population.
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Affiliation(s)
| | - Rosana Aquino
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil
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Ribeiro FE, Vanderlei LCM, Palma MR, Tebar WR, Caldeira DT, Teles Fregonesi CEP, Christofaro DGD. Body dissatisfaction and its relationship with overweight, sedentary behavior and physical activity in survivors of breast cancer. Eur J Obstet Gynecol Reprod Biol 2018; 229:153-158. [PMID: 30195967 DOI: 10.1016/j.ejogrb.2018.08.581] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Revised: 08/24/2018] [Accepted: 08/26/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVES This study aimed to verify the prevalence of body satisfaction in breast cancer survivors and the association of this variable with overweight, sedentary behavior and physical activity in this population. STUDY DESIGN This is a cross-sectional study realized in Presidente Prudente-Brazil. Breast cancer survivors participated in this study. Questionnaires were used to obtain data on socioeconomic status, body dissatisfaction, sedentary behavior and level of physical activity. The association between body dissatisfaction and the independent variables was verified through binary logistic regression in the unadjusted model and model adjusted by socioeconomic level. RESULTS A total of 102 breast cancer survivors participated in this study with a mean age of 58.2 (±10.3) years. The prevalence of body dissatisfaction was 75.7%. Body dissatisfaction was higher in women with higher BMI (pvalue = 0.003) and in woman with high sedentary behavior (p-value = 0.049). Women with overweight had 7.87 times more chance of presenting body dissatisfaction. Women who reported hormone therapy were approximately 3 times more likely to be dissatisfacted with their body. CONCLUSION Body dissatisfaction was associated with lower age, high sedentary behavior and overweight in breast cancer survivors in the unadjusted analysis. When adjusted for socioeconomic status, only the variables of overweight and hormone therapy were associated with body dissatisfaction.
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Affiliation(s)
- Fernanda E Ribeiro
- Departamento de Fisioterapia, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista UNESP, Presidente Prudente, SP, Brazil.
| | - Luiz Carlos M Vanderlei
- Departamento de Fisioterapia, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista UNESP, Presidente Prudente, SP, Brazil
| | - Mariana R Palma
- Departamento de Fisioterapia, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista UNESP, Presidente Prudente, SP, Brazil
| | - William R Tebar
- Programa de Pós-Graduação em Ciências da Motricidade, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista UNESP, Presidente Prudente, SP, Brazil
| | - Daniela T Caldeira
- Departamento de Fisioterapia, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista UNESP, Presidente Prudente, SP, Brazil
| | - Cristina E P Teles Fregonesi
- Departamento de Fisioterapia, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista UNESP, Presidente Prudente, SP, Brazil
| | - Diego G D Christofaro
- Programa de Pós-Graduação em Ciências da Motricidade, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista UNESP, Presidente Prudente, SP, Brazil; Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista UNESP, Presidente Prudente, SP, Brazil
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Lira AG, Ganen ADP, Lodi AS, Alvarenga MDS. Uso de redes sociais, influência da mídia e insatisfação com a imagem corporal de adolescentes brasileiras. JORNAL BRASILEIRO DE PSIQUIATRIA 2017. [DOI: 10.1590/0047-2085000000166] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
RESUMO Objetivo Avaliar relações entre a influência da mídia e o uso de redes sociais na imagem corporal (IC) de adolescentes do sexo feminino. Métodos Estudo transversal realizado com meninas adolescentes estudantes de escola pública e de uma organização não governamental da capital e do interior de São Paulo. Além de variáveis sociodemográficas e antropométricas, a avaliação da (IC) foi realizada pela Escala de Silhuetas Brasileiras. A influência da mídia foi avaliada pela subescala 1 de internalização geral da Escala de Atitudes Socioculturais em Relação à Aparência (SATAQ-3). Por fim, foram aplicadas perguntas sobre a frequência de acesso às mídias sociais e possível influência delas na IC. Resultados Participaram 212 meninas (14,8; DP 1,69 anos), sendo a maioria eutrófica (65,1%), pertencentes às classes sociais D e E, com escolaridade materna correspondente ao ensino médio completo; 85,8% estavam insatisfeitas com a IC; a maioria desejava uma silhueta menor. As meninas que escolheram figuras menores como desejadas apresentaram valores superiores na SATAQ-3 (p < 0,001). O acesso diário maior de 10 vezes ao dia ao Facebook e Instagram aumentou a chance de insatisfação em 6,57 e 4,47 vezes, respectivamente. Conclusão As mídias, incluindo as redes sociais, estão associadas à insatisfação da IC de meninas adolescentes.
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Overweight and Body Image Perception in Adolescents with Triage of Eating Disorders. ScientificWorldJournal 2017; 2017:8257329. [PMID: 28856236 PMCID: PMC5569629 DOI: 10.1155/2017/8257329] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Revised: 06/26/2017] [Accepted: 07/13/2017] [Indexed: 11/28/2022] Open
Abstract
Purpose To verify the influence of overweight and alteration in the perception of the corporal image during the triage of eating disorders. Method A food disorder triage was performed in adolescents with 10 to 19 years of age using the Eating Attitudes Test (EAT-26), Children's Eating Attitudes Test (ChEAT), and Bulimic Investigatory Test Edinburgh (BITE), as well as a nutritional status evaluation. The perception of body image was evaluated in a subsample of adolescents with 10 to 14 years of age, using the Brazilian Silhouette Scale. The project was approved by the Human Research Ethics Committee of the Federal University of Viçosa, Minas Gerais, Brazil. Results The prevalence of eating disorder triage was 11.4% (n = 242) for the 2,123 adolescents evaluated. Overweight was present in 21.1% (n = 447) of the students, being more prevalent in the early adolescence phase, which presented levels of distortion of 56.9% (n = 740) and dissatisfaction of 79.3% (n = 1031). Body dissatisfaction was considered as a risk factor, increasing by more than 13 times the chance of TA screening. Conclusion Overweight was correlated with the ED triage and body dissatisfaction was considered as a risk factor, increasing the chances of these disorders by more than 13 times.
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DANIEL NVS, JÜRGENSEN LP, PADOVANI RDC, JUZWIAK CR. Impact of an Interdisciplinary Food, Nutrition and Health Education Program for adolescent Brazilian volleyball players. REV NUTR 2016. [DOI: 10.1590/1678-98652016000400011] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective: To evaluate the impact of an Interdisciplinary Food, Nutrition and Health Education Program on nutrition knowledge, intention to change eating behavior, and body dissatisfaction of adolescent volleyball players. Methods: The sample consisted of 10 female volleyball players from the juvenile category of the city of Santos, São Paulo, Brazil, who participated in a program with eight monthly meetings (one discussion group followed by six educational activities and one final discussion group for evaluation). Results: Nutrition knowledge, body perception, intention to change eating behavior, eating attitudes and practices were investigated using questionnaires and discussion groups before and after the athletes' participation in ludic activities designed to address nutrition strategies for athletic performance and healthy eating, and how to deal with pressure for results and self-image. Nutrition knowledge improved from 57.0%±9.9 to 63.0%±11.8 (p=0.03) of correct answers. The mean body distortion score did not change (70.0±14.9 versus 76.5±22.4, p=0.235). Six athletes advanced in their intention to change eating behavior. Positive food practices were reported during the program and the identified discourses indicated the intention of changing the daily eating habits in the future. Conclusion: The program had a positive impact on nutrition knowledge and intention of changing eating behavior; however, for other issues, especially involving emotional aspects, further interventions should be planned.
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Laus MF, Kakeshita IS, Costa TMB, Ferreira MEC, Fortes LDS, Almeida SS. Body image in Brazil: recent advances in the state of knowledge and methodological issues. Rev Saude Publica 2015; 48:331-46. [PMID: 24897056 PMCID: PMC4206138 DOI: 10.1590/s0034-8910.2014048004950] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2013] [Accepted: 12/04/2013] [Indexed: 12/05/2022] Open
Abstract
OBJECTIVE To analyze Brazilian literature on body image and the theoretical and
methodological advances that have been made. METHODS A detailed review was undertaken of the Brazilian literature on body image,
selecting published articles, dissertations and theses from the SciELO,
SCOPUS, LILACS and PubMed databases and the CAPES thesis database. Google
Scholar was also used. There was no start date for the search, which used
the following search terms: “body image” AND “Brazil” AND “scale(s)”; “body
image” AND “Brazil” AND “questionnaire(s)”; “body image” AND “Brazil” AND
“instrument(s)”; “body image” limited to Brazil and “body image”. RESULTS The majority of measures available were intended to be used in college
students, with half of them evaluating satisfaction/dissatisfaction with the
body. Females and adolescents of both sexes were the most studied
population. There has been a significant increase in the number of available
instruments. Nevertheless, numerous published studies have used
non-validated instruments, with much confusion in the use of the appropriate
terms (e.g., perception, dissatisfaction, distortion). CONCLUSIONS Much more is needed to understand body image within the Brazilian population,
especially in terms of evaluating different age groups and diversifying the
components/dimensions assessed. However, interest in this theme is
increasing, and important steps have been taken in a short space of
time.
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Affiliation(s)
| | | | | | - Maria Elisa Caputo Ferreira
- Faculdade de Educação Física, Instituto de Ciências Humanas, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
| | - Leonardo de Sousa Fortes
- Núcleo de Educação Física e Ciências do Esporte, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco, Vitória de Santo Antão, PE, Brasil
| | - Sebastião Sousa Almeida
- Departamento de Psicologia, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
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Santos CFD, Castro IRRD, Cardoso LDO, Tavares LF. Agreement and association between different indicators of body image and body mass index in adolescents. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2014; 17:747-60. [PMID: 25272266 DOI: 10.1590/1809-4503201400030014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2013] [Accepted: 05/30/2014] [Indexed: 11/22/2022] Open
Abstract
The aim of the study was to examine the correlation among different indicators of body image; between each one of these and nutritional status; and the association of these indicators with the Body Mass Index (BMI) of adolescents. A random sample of 152 students from public and private schools in the city of Rio de Janeiro, Brazil, was studied. On four occasions, two silhouette scales and two questions regarding the opinion of the student about his/her body and weight were applied and weight and height were measured. The BMI was examined both as a continuous and as a categorical variable. The agreement between the variables was analyzed using the quadratic weighted Kappa statistics. The association between body image variables and BMI was examined by the comparison among median, mean, standard deviation and 95% confidence interval of BMI for each category of the body image variables. In general, the correlation among the body image variables ranged from reasonable to good; between these and the variable nutritional status, correlation ranged from regular to reasonable. Best results were observed among boys and students from private schools. All body image variables showed good discriminatory power for BMI, when it was analyzed as a continuous variable, even when controlling for potential confounders. The question about body seems to be better than that about weight to compose the questionnaire of a surveillance system for risk and protective factors for adolescent health.
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Affiliation(s)
| | | | - Letícia de Oliveira Cardoso
- National School of Public Health Sérgio Arouca, Fundação Oswaldo Cruz, Ministry of Health, Rio de Janeiro, RJ, Brazil
| | - Letícia Ferreira Tavares
- Institute of Nutrition Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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