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Rodrigues LS, Pizato N, Carvalho KMB, Dutra ES, Botelho PB, Andrade LS, Moraes VD, Gonçalves VSS. Validation of a dietary advice protocol for adults with obesity in primary health care according to the Brazilian Dietary Guidelines. Fam Pract 2022:cmac132. [PMID: 36416351 DOI: 10.1093/fampra/cmac132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Obesity is a non-communicable chronic disease which carries a high cost for the Brazilian Unified Health System. Standardized protocols can help primary health care (PHC) professionals manage the disease. OBJECTIVES To describe the validation process of a protocol concerning dietary guidelines for adults with obesity in PHC by non-nutrition professionals. METHODS A validation study of a dietary advice protocol consisting of 6 recommendations was conducted according to Brazilian Dietary Guidelines. The topics incorporated into the recommendations were submitted to a panel of judges for content validity and achieved a Scale Content Validity Index (S-CVI) score >0.80. Subsequently, an online workshop was held and consisted of guiding questions to adequately improve current protocols. Face validity was assessed in a mediation workshop conducted with PHC non-nutrition professionals. Following the validation process, necessary adjustments were made to the eating protocol. RESULTS The validation process was conducted by a panel of 20 judges and 10 PHC professionals. The content was validated using a 0.98 S-CVI. The online workshop expert panel agreed the instrument provides a trustworthy foundation for appropriate dietary guidelines. Moreover, the judges suggested changes to the flowchart designed to support the professionals' decisions, discussed the absence of quantitative prescription guidelines, and offered additional suggestions to strengthen equity and encourage autonomy in non-nutrition healthcare professionals in PHC. CONCLUSION This study describes the validation process of a dietary advice protocol for people with obesity, as well as the importance of its integration into PHC.
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Affiliation(s)
| | - Nathalia Pizato
- Graduate Program in Human Nutrition, University of Brasilia, Brasilia, Brazil
| | - Kenia M B Carvalho
- Graduate Program in Public Health, University of Brasilia, Brasilia, Brazil
- Graduate Program in Human Nutrition, University of Brasilia, Brasilia, Brazil
| | - Eliane S Dutra
- Graduate Program in Human Nutrition, University of Brasilia, Brasilia, Brazil
| | - Patrícia B Botelho
- Graduate Program in Human Nutrition, University of Brasilia, Brasilia, Brazil
| | - Laila S Andrade
- Nutrition and Health Research Group-PENSA/UnB, University of Brasilia, Brasilia, Brazil
| | - Verena D Moraes
- Laboratory of Regional Endemic Situations, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
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Oliveira GS, Vieira FT, Lamarca F, Lima RM, Carvalho KMB, Dutra ES. Resistance Training Improves Muscle Strength and Function, Regardless of Protein Supplementation, in the Mid- to Long-Term Period after Gastric Bypass. Nutrients 2021; 14:14. [PMID: 35010889 PMCID: PMC8746810 DOI: 10.3390/nu14010014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Revised: 12/05/2021] [Accepted: 12/08/2021] [Indexed: 11/17/2022] Open
Abstract
Inadequate protein intake and low levels of physical activity are common long-term sequelae after bariatric surgery and can negatively affect muscle strength (MS) and physical function (PF). The study investigated the effects of resistance training with or without protein supplementation on MS and PF. The study, which involved a 12-week controlled trial (n = 61) of individuals 2-7 years post-Roux-en-Y gastric bypass (RYGB), comprised four groups: whey protein supplementation (PRO; n = 18), maltodextrin placebo (control [CON]; n = 17), resistance training combined with placebo (RTP; n = 11), and resistance training combined with whey protein supplementation (RTP+PRO; n = 15). An isokinetic dynamometer was used to measure MS (peak torque at 60°/s and 180°/s). PF was measured with the 30-s sit-to-stand (30-STS), 6-min walk (6-MWT), and timed up-and-go (TUG) tests. There were improvements in the absolute and relative-to-bodyweight peak torque at 60°/s and 180°/s, TUG, 6-MWT and 30-STS in the RTP and RTP+PRO groups, but not in the CON and PRO groups. Changes in MS were significantly correlated with changes in PF between the pre- and post-intervention periods. A supervised resistance training program, regardless of protein supplementation, improved MS and PF in the mid-to-long-term period after RYGB and can lead to clinical benefits and improved quality of life.
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Affiliation(s)
- Gabriela S. Oliveira
- Graduate Program in Human Nutrition, University of Brasília, Brasília 70910-900, Brazil; (G.S.O.); (F.T.V.); (F.L.); (R.M.L.); (K.M.B.C.)
| | - Flávio T. Vieira
- Graduate Program in Human Nutrition, University of Brasília, Brasília 70910-900, Brazil; (G.S.O.); (F.T.V.); (F.L.); (R.M.L.); (K.M.B.C.)
| | - Fernando Lamarca
- Graduate Program in Human Nutrition, University of Brasília, Brasília 70910-900, Brazil; (G.S.O.); (F.T.V.); (F.L.); (R.M.L.); (K.M.B.C.)
- Department of Applied Nutrition, Federal University of the State of Rio de Janeiro, Rio de Janeiro 22290-240, Brazil
| | - Ricardo M. Lima
- Graduate Program in Human Nutrition, University of Brasília, Brasília 70910-900, Brazil; (G.S.O.); (F.T.V.); (F.L.); (R.M.L.); (K.M.B.C.)
- Graduate Program in Physical Education, University of Brasília, Brasília 70910-900, Brazil
| | - Kênia M. B. Carvalho
- Graduate Program in Human Nutrition, University of Brasília, Brasília 70910-900, Brazil; (G.S.O.); (F.T.V.); (F.L.); (R.M.L.); (K.M.B.C.)
| | - Eliane S. Dutra
- Graduate Program in Human Nutrition, University of Brasília, Brasília 70910-900, Brazil; (G.S.O.); (F.T.V.); (F.L.); (R.M.L.); (K.M.B.C.)
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Gonçalves VSS, Figueiredo ACMG, Silva SA, Silva SU, Ronca DB, Dutra ES, Carvalho KMB. The food environment in schools and their immediate vicinities associated with excess weight in adolescence: A systematic review and meta-analysis. Health Place 2021; 71:102664. [PMID: 34507035 DOI: 10.1016/j.healthplace.2021.102664] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 07/16/2021] [Accepted: 08/28/2021] [Indexed: 11/18/2022]
Abstract
AIM The present study systematically reviewed the characteristics of the food environment in schools and their immediate vicinities associated with excess weight in adolescents. METHODS We searched for relevant articles in seven databases. No restrictions were applied on language, publication date, and status of publication. The study selection process and data extraction were conducted by two authors independently. For meta-analyses, the random-effects model and the maximum-likelihood method were applied. RESULTS A total of 9327 publications were identified from the initial search. Of these, 20 studies met the inclusion criteria and were included in the systematic review. The sale of food in school or immediate vicinity was associated with high BMI [Odds ratio (OR)= 1.14, 95% confidence interval (CI) 1.01, 2.06]. The availability of healthy food provided by school significantly decreased the odds of obesity [OR= 0.89, 95%CI 0.82, 0.96]. However, the presence of nutrition policies or programs at school was not associated with obesity (OR= 0.81, 95%CI 0.57, 1.16). CONCLUSIONS This study highlights the need for improvement in school food environment, including restricting students' exposure to unhealthy foods. The quality of food (healthy vs unhealthy) provided or made available to adolescents in the school food environment influences their weight status. Therefore, promotion of healthy food programs and availability of healthy food at school would limit the prevalence of excess weight in adolescents.
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Affiliation(s)
- Vivian S S Gonçalves
- University of Brasilia, Graduate Program in Public Health, Brasilia, Federal District, Brazil.
| | - Ana C M G Figueiredo
- Federal District Government, Department of Health, Brasilia, Federal District, Brazil
| | - Sara A Silva
- University of Brasilia, Graduate Program in Human Nutrition, Brasilia, Federal District, Brazil
| | - Simoni U Silva
- University of Brasilia, Graduate Program in Public Health, Brasilia, Federal District, Brazil
| | - Debora B Ronca
- University of Brasilia, Graduate Program in Human Nutrition, Brasilia, Federal District, Brazil
| | - Eliane S Dutra
- University of Brasilia, Graduate Program in Human Nutrition, Brasilia, Federal District, Brazil
| | - Kênia M B Carvalho
- University of Brasilia, Graduate Program in Public Health, Brasilia, Federal District, Brazil; University of Brasilia, Graduate Program in Human Nutrition, Brasilia, Federal District, Brazil
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Lipinski V, Souza BA, Corrêa F, Dutra ES. Thanatosis behavior during oviposition in Tropidurus itambere Rodrigues, 1987. BRAZ J BIOL 2021; 82:e233930. [PMID: 34133548 DOI: 10.1590/1519-6984.233930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Accepted: 07/07/2020] [Indexed: 11/22/2022] Open
Affiliation(s)
- V Lipinski
- Universidade do Estado de Mato Grosso - UNEMAT, Nova Xavantina, MT, Brasil
| | - B A Souza
- Universidade do Estado de Mato Grosso - UNEMAT, Programa de Pós-graduação em Ecologia e Conservação, Nova Xavantina, MT, Brasil
| | - F Corrêa
- Universidade do Estado de Mato Grosso - UNEMAT, Nova Xavantina, MT, Brasil.,Universidade do Estado de Mato Grosso - UNEMAT, Programa de Pós-graduação em Ecologia e Conservação, Nova Xavantina, MT, Brasil
| | - E S Dutra
- Universidade do Estado de Mato Grosso - UNEMAT, Nova Xavantina, MT, Brasil.,Universidade do Estado de Mato Grosso - UNEMAT, Programa de Pós-graduação em Ecologia e Conservação, Nova Xavantina, MT, Brasil
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Lima RM, de Oliveira GS, Pardo FL, Gomes GNS, Vieira FT, de Carvalho KMB, Dutra ES. Resistance Training, Regardless Of Protein Supplementation, Improves Muscular Phenotypes In Women Long-term After Bariatric Surgery. Med Sci Sports Exerc 2020. [DOI: 10.1249/01.mss.0000681284.46878.f8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Melendez-Araújo MS, Lemos KGE, Arruda SLM, Dutra ES, de Carvalho KMB. Weight Status of Brazilian's Mother-Son Dyad after Maternal Bariatric Surgery. Obes Surg 2020; 30:3508-3513. [PMID: 32314250 DOI: 10.1007/s11695-020-04605-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE Pregnant women who have undergone bariatric surgery must be followed to ensure healthy mother-child nutritional status. This study aimed to compare weight status of mother-child dyad after maternal bariatric surgery in public and private Brazilian healthcare system units. MATERIALS AND METHODS This retrospective matched case-control included 19 women who underwent Roux-en-Y gastric bypass surgery performed by the same private clinical surgical team and 19 age- and preoperative body mass index (BMI) matched patients from a public hospital. All 38 female patients reported a postoperative spontaneous pregnancy. The T test of independent samples and Pearson chi-square test were used to investigate inter-group differences. RESULTS Patients in the private system were more frequently married (94.7% versus 68.4%, p = 0.036) and had a higher educational level (94.7% versus 36.8%, p = 0.01 for tertiary education) but lower BMI, compared with those in the public system (pre-gestational = 25.7 ± 3.2 versus 28.5 ± 5.0 kg/m2, p = 0.049; post-gestational = 24.6 ± 1.6 versus 29.0 ± 6.0 kg/m2, p = 0.040). The interval from bariatric surgery to conception was shorter among public system patients (21.1 ± 13.9 versus 43.4 ± 31.2 months, p = 0.009). In both groups, almost 90% of children were born at full term and with adequate weights. CONCLUSION Despite differences in the characteristics of public and private systems, the mother-child dyads in both groups achieved satisfactory post-bariatric surgery gestation outcomes. The type of medical system does not appear to influence pregnancy outcomes or neonatal weight status conditions.
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Affiliation(s)
- Mariana S Melendez-Araújo
- Graduate Program in Human Nutriton, Department of Nutrition, Faculty od Health Science, University of Brasília, Darcy Ribeiro University Campus, Asa Norte, Brasília, DF, 70910-900, Brazil
- Asa Norte Regional Hospital (HRAN), SMHN Qd 02, Asa Norte, Brasília, DF, 70710-100, Brazil
- Dr. Sérgio Arruda Clinic - Bariatric Surgery, SMHN Qd 02 Bloco C - Ed. Dr. Crispim, salas 1309-1313, Asa Norte, Brasília, DF, 70710-100, Brazil
| | - Kássia G E Lemos
- Graduate Program in Human Nutriton, Department of Nutrition, Faculty od Health Science, University of Brasília, Darcy Ribeiro University Campus, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Sérgio L M Arruda
- Asa Norte Regional Hospital (HRAN), SMHN Qd 02, Asa Norte, Brasília, DF, 70710-100, Brazil
- Dr. Sérgio Arruda Clinic - Bariatric Surgery, SMHN Qd 02 Bloco C - Ed. Dr. Crispim, salas 1309-1313, Asa Norte, Brasília, DF, 70710-100, Brazil
| | - Eliane S Dutra
- Graduate Program in Human Nutriton, Department of Nutrition, Faculty od Health Science, University of Brasília, Darcy Ribeiro University Campus, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Kênia Mara Baiocchi de Carvalho
- Graduate Program in Human Nutriton, Department of Nutrition, Faculty od Health Science, University of Brasília, Darcy Ribeiro University Campus, Asa Norte, Brasília, DF, 70910-900, Brazil.
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Weber B, Bersch-Ferreira ÂC, Torreglosa CR, Marcadenti A, Lara ES, da Silva JT, Costa RP, Santos RHN, Berwanger O, Bosquetti R, Pagano R, Mota LGS, de Oliveira JD, Soares RM, Galante AP, da Silva SA, Zampieri FG, Kovacs C, Amparo FC, Moreira P, da Silva RA, Dos Santos KG, Monteiro AS, Paiva CCJ, Magnoni CD, Moreira ASB, Peçanha DO, Missias KCS, de Paula LS, Marotto D, Souza P, Martins PRT, Dos Santos EM, Santos MR, Silva LP, Torres RS, Barbosa SNAA, de Pinho PM, de Araujo SHA, Veríssimo AOL, Guterres AS, Cardoso AFR, Palmeira MM, de Ataíde BRB, Costa LPS, Marinho HA, de Araújo CBP, Carvalho HMS, Maquiné RO, Caiado AC, de Matos CH, Barretta C, Specht CM, Onofrei M, Bertacco RTA, Borges LR, Bertoldi EG, Longo A, Ribas BLP, Dobke F, Pretto ADB, Bachettini NP, Gastaud A, Necchi R, Souza GC, Zuchinali P, Fracasso BM, Bobadra S, Sangali TD, Salamoni J, Garlini LM, Shirmann GS, de Los Santos MLP, Bortonili VMS, Dos Santos CP, Bragança GCM, Ambrózio CL, E Lima SB, Schiavini J, Napparo AS, Boemo JL, Nagano FEZ, Modanese PVG, Cunha NM, Frehner C, da Silva LF, Formentini FS, Ramos MEM, Ramos SS, Lucas MCS, Machado BG, Ruschel KB, Beiersdorf JR, Nunes CE, Rech RL, Damiani M, Berbigier M, Poloni S, Vian I, Russo DS, Rodrigues JA, de Moraes MAP, da Costa LM, Boklis M, El Kik RM, Adorne EF, Teixeira JM, Trescastro EP, Chiesa FL, Telles CT, Pellegrini LA, Reis LF, Cardoso RGM, Closs VE, Feres NH, da Silva NF, Silva NE, Dutra ES, Ito MK, Lima MEP, Carvalho APPF, Taboada MIS, Machado MMA, David MM, Júnior DGS, Dourado C, Fagundes VCFO, Uehara RM, Sasso S, Vieira JSO, de Oliveira BAS, Pereira JL, Rodrigues IG, Pinho CPS, Sousa ACS, Almeida AS, de Jesus MT, da Silva GB, Alves LVS, Nascimento VOG, Vieira SA, Coura AGL, Dantas CF, Leda NMFS, Medeiros AL, Andrade ACL, Pinheiro JMF, de Lima LRM, Sabino LS, de Souza CVS, Vasconcelos SML, Costa FA, Ferreira RC, Cardoso IB, Navarro LNP, Ferreira RB, Júnior AES, Silva MBG, Almeida KMM, Penafort AM, de Queirós APO, Farias GMN, Carlos DMO, Cordeiro CGNC, Vasconcelos VB, de Araújo EMVMC, Sahade V, Ribeiro CSA, Araujo GA, Gonçalves LB, Teixeira CS, Silva LMAJ, da Costa LB, Souza TS, de Jesus SO, Luna AB, da Rocha BRS, Santos MA, Neto JAF, Dias LPP, Cantanhede RCA, Morais JM, Duarte RCL, Barbosa ECB, Barbosa JMA, de Sousa RML, Dos Santos AF, Teixeira AF, Moriguchi EH, Bruscato NM, Kesties J, Vivian L, de Carli W, Shumacher M, Izar MCO, Asoo MT, Kato JT, Martins CM, Machado VA, Bittencourt CRO, de Freitas TT, Sant'Anna VAR, Lopes JD, Fischer SCPM, Pinto SL, Silva KC, Gratão LHA, Holzbach LC, Backes LM, Rodrigues MP, Deucher KLAL, Cantarelli M, Bertoni VM, Rampazzo D, Bressan J, Hermsdorff HHM, Caldas APS, Felício MB, Honório CR, da Silva A, Souza SR, Rodrigues PA, de Meneses TMX, Kumbier MCC, Barreto AL, Cavalcanti AB. Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial. Am Heart J 2019; 215:187-197. [PMID: 31349110 DOI: 10.1016/j.ahj.2019.06.010] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Accepted: 06/14/2019] [Indexed: 12/13/2022]
Abstract
BACKGROUND Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD. METHODS In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels. RESULTS From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P < .01), mainly due to a 0.5-serving/d greater intake of fruits and of vegetables in the BALANCE group. Primary end point events occurred in 236 participants (18.8%) in the BALANCE group and in 207 participants (16.4%) in the control group (hazard ratio, 1.15; 95% CI 0.95-1.38; P = .15). Secondary end points did not differ between groups after follow-up. CONCLUSIONS The BALANCE Program only slightly improved adherence to a healthy diet in patients with established CVD and had no significant effect on the incidence of cardiovascular events or death.
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Affiliation(s)
| | | | - Camila R Torreglosa
- Research Institute-HCor, São Paulo, Brazil; Research Institute-HCor, São Paulo, Brazil and to PhD studant at Graduation Program in Global Health and Sustainability, University of São Paulo, São Paulo-SP, Brazil
| | - Aline Marcadenti
- Research Institute-HCor, São Paulo, Brazil; Research Institute-HCor, São Paulo, Brazil and to Graduate Program in Health Sciences (Cardiology), Institute of Cardiology of Rio Grande do Sul/University Foundation of Cardiology (IC/FUC), Porto Alegre-RS, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Annie S B Moreira
- Hospital Universitário Pedro Ernesto, Rio de Janeiro-RJ, Brazil; Instituto Nacional de Cardiologia, Rio de Janeiro-RJ, Brazil
| | | | | | - Lais S de Paula
- Hospital Universitário Pedro Ernesto, Rio de Janeiro-RJ, Brazil
| | - Deborah Marotto
- Hospital Universitário Pedro Ernesto, Rio de Janeiro-RJ, Brazil
| | - Paula Souza
- Instituto Nacional de Cardiologia, Rio de Janeiro-RJ, Brazil
| | | | | | | | - Luisa P Silva
- Instituto Nacional de Cardiologia, Rio de Janeiro-RJ, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Aline Longo
- Universidade Federal de Pelotas, Pelotas-RS, Brazil
| | | | | | | | | | | | | | | | | | | | - Sara Bobadra
- Hospital de Clínicas de Porto Alegre, Porto Alegre-RS, Brazil
| | | | - Joyce Salamoni
- Hospital de Clínicas de Porto Alegre, Porto Alegre-RS, Brazil
| | - Luíza M Garlini
- Hospital de Clínicas de Porto Alegre, Porto Alegre-RS, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | - Paulo V G Modanese
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | - Natalia M Cunha
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | - Caroline Frehner
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | - Lannay F da Silva
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | | | - Maria E M Ramos
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Salvador S Ramos
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Marilia C S Lucas
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Bruna G Machado
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Karen B Ruschel
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | | | - Cristine E Nunes
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Rafael L Rech
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Mônica Damiani
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Marina Berbigier
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Soraia Poloni
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Izabele Vian
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Diana S Russo
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | | | | | - Laura M da Costa
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Mirena Boklis
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Raquel M El Kik
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Elaine F Adorne
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Joise M Teixeira
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Eduardo P Trescastro
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Fernanda L Chiesa
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Cristina T Telles
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Livia A Pellegrini
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Luisa F Reis
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Roberta G M Cardoso
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Vera E Closs
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Naoel H Feres
- Universidade Federal do Mato Grosso, Cuiabá-MT, Brazil
| | | | - Neyla E Silva
- Universidade Federal do Mato Grosso, Cuiabá-MT, Brazil
| | | | - Marina K Ito
- Hospital Universitário de Brasília, Brasília-DF, Brazil
| | | | | | | | | | - Marta M David
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande-MS, Brazil
| | - Délcio G S Júnior
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande-MS, Brazil
| | - Camila Dourado
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande-MS, Brazil
| | | | - Rose M Uehara
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande-MS, Brazil
| | - Sandramara Sasso
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande-MS, Brazil
| | | | | | - Juliana L Pereira
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande-MS, Brazil
| | - Isa G Rodrigues
- Pronto Socorro Cardiológico Universitário de Pernambuco, Recife-PE, Brazil
| | - Claudia P S Pinho
- Pronto Socorro Cardiológico Universitário de Pernambuco, Recife-PE, Brazil
| | | | | | | | | | | | | | | | - Amanda G L Coura
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | - Clenise F Dantas
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | - Neuma M F S Leda
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | | | - Ana C L Andrade
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Viviane Sahade
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | | | - Givaldo A Araujo
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | | | | | | | - Laís B da Costa
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | - Tainah S Souza
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | - Sende O de Jesus
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | - Adriana B Luna
- Hospital Universitário da Universidade Federal de Sergipe, Aracaju-SE, Brazil
| | | | - Maria A Santos
- Hospital Universitário da Universidade Federal de Sergipe, Aracaju-SE, Brazil
| | - José A F Neto
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | - Luciana P P Dias
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | | | - Jadson M Morais
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | - Rita C L Duarte
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | - Elza C B Barbosa
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | - Janaina M A Barbosa
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | | | | | - Adriana F Teixeira
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | | | - Neide M Bruscato
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | - Josiele Kesties
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | - Lilian Vivian
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | - Waldemar de Carli
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | - Marina Shumacher
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | | | - Marina T Asoo
- Universidade Federal de São Paulo, São Paulo-SP, Brazil
| | | | | | | | | | | | | | - Júlia D Lopes
- Universidade Federal de São Paulo, São Paulo-SP, Brazil
| | | | - Sônia L Pinto
- Universidade Federal de Tocantins, Palmas-TO, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Simone R Souza
- Instituto Estadual de Cardiologia Aloysio de Castro, Rio de Janeiro-RJ, Brazil
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Zidorio APC, Dutra ES, Castro LCG, Carvalho KMB. Effectiveness of gastrostomy for improving nutritional status and quality of life in patients with epidermolysis bullosa: a systematic review. Br J Dermatol 2018; 179:42-49. [PMID: 29168183 DOI: 10.1111/bjd.16139] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/15/2017] [Indexed: 02/01/2023]
Abstract
Individuals with epidermolysis bullosa (EB) may present with a broad spectrum of growth impairment and multiorgan disorders, with compromised nutritional status and quality of life. The provision of nutrients through a gastrostomy tube may minimize EB-related malnourishment but may also result in skin injuries and infections. In this systematic review we consider the current evidence about the effectiveness of gastrostomy in restoring nutritional status and improving quality of life in patients with EB. Seven studies (n = 146) met selection criteria and patients ranged in age from 6 weeks to 33 years of age. Although it is not a risk-free procedure, the placement of a gastrostomy tube is a feasible and safe alternative to provide nutritional support and to improve the quality of life of patients.
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Affiliation(s)
- A P C Zidorio
- Graduate Program in Human Nutrition, School of Health Science, University of Brasilia School of Medicine, University of Brasilia, Campus Darcy Ribeiro, 70910-900, Brasília DF, Brazil
| | - E S Dutra
- Graduate Program in Human Nutrition, School of Health Science, University of Brasilia School of Medicine, University of Brasilia, Campus Darcy Ribeiro, 70910-900, Brasília DF, Brazil
| | - L C G Castro
- Graduate Program in Medical Sciences, Department of Pediatrics, University of Brasilia School of Medicine, University of Brasilia, Campus Darcy Ribeiro, 70910-900, Brasília DF, Brazil
| | - K M B Carvalho
- Graduate Program in Human Nutrition, School of Health Science, University of Brasilia School of Medicine, University of Brasilia, Campus Darcy Ribeiro, 70910-900, Brasília DF, Brazil
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9
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Gonçalves VSS, Galvão TF, Silva MT, Kuschnir MC, Dutra ES, Carvalho KMB. Accuracy of self-reported hypertension in Brazilian adolescents: Analysis of the Study of Cardiovascular Risk in Adolescents. J Clin Hypertens (Greenwich) 2018; 20:739-747. [PMID: 29462497 PMCID: PMC8031084 DOI: 10.1111/jch.13238] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Revised: 12/29/2017] [Accepted: 01/12/2018] [Indexed: 11/28/2022]
Abstract
Given the high prevalence of hypertension in adolescents, it is important to investigate alternatives for estimating the magnitude of the disease. Our objective was to investigate the accuracy of self-reported hypertension. The study assessed participants of the Study of Cardiovascular Risk in Adolescents (ERICA). The following were calculated: sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). The associations between inaccurate self-reporting and socioeconomic factors were investigated. The accuracy of self-reported hypertension had a sensitivity of 7.5% (95% CI, 6.9-8.2), a specificity of 96.6% (95% CI, 96.5-96.7), a PPV of 18.9% (95% CI, 17.4-20.5), and a NPV of 90.8% (95% CI, 90.6-91.0). The prevalence of inaccurate self-reported hypertension was smaller among girls (PR 0.68; 95% CI, 0.55-0.83) and younger boys (PR 0.68; 95% CI, 0.54-0.86) who were attending private schools. The use of self-reported hypertension was not a good strategy for investigating the hypertension in adolescents.
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Pizato N, Botelho PB, Gonçalves VSS, Dutra ES, de Carvalho KMB. Effect of Grazing Behavior on Weight Regain Post-Bariatric Surgery: A Systematic Review. Nutrients 2017; 9:nu9121322. [PMID: 29206132 PMCID: PMC5748772 DOI: 10.3390/nu9121322] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 10/24/2017] [Accepted: 10/25/2017] [Indexed: 01/08/2023] Open
Abstract
Grazing, a type of maladaptive eating behavior, has been associated with poor weight outcomes in bariatric patients. The purpose of this study was to conduct a systematic review of the association between grazing behavior and weight regain post-bariatric surgery. Literature searches, study selection, design of the method, and quality appraisal were carried out by two independent authors. The search strategy was performed until October 2017 in Medline, Embase, Cochrane, Lilacs, Scopus, Web of Science, Google Scholar, ProQuest Dissertation & Theses, and Open Grey. Of a total of 3764 articles, five papers met the inclusion criteria (four original articles and one thesis), comprising 994 subjects, mostly women. The prevalence of grazing behavior ranged from 16.6 to 46.6%, and the highest prevalence of significant weight regain was 47%. The association between grazing and weight regain was observed in four of the five evaluated studies. Our findings support an association between grazing behavior and weight regain after bariatric surgery, regardless of surgery type and contextual concept of grazing. Further studies are needed to confirm the clarity of the real prevalence and interfering factors related to grazing behavior and weight outcomes.
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Affiliation(s)
- Nathalia Pizato
- Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil.
- Department of Nutrition, University of Brasilia, Brasília 70910-900, Brazil.
| | - Patrícia B Botelho
- Department of Nutrition, University of Brasilia, Brasília 70910-900, Brazil.
| | - Vivian S S Gonçalves
- Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil.
| | - Eliane S Dutra
- Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil.
- Department of Nutrition, University of Brasilia, Brasília 70910-900, Brazil.
| | - Kênia M B de Carvalho
- Graduate Program of Human Nutrition, University of Brasília, Brasília 70910-900, Brazil.
- Department of Nutrition, University of Brasilia, Brasília 70910-900, Brazil.
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11
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Weber B, Bersch-Ferreira ÂC, Torreglosa CR, Ross-Fernandes MB, da Silva JT, Galante AP, de Sousa Lara E, Costa RP, Soares RM, Cavalcanti AB, Moriguchi EH, Bruscato NM, Kesties J, Vivian L, Schumacher M, de Carli W, Backes LM, Reolão BR, Rodrigues MP, Baldissera DMB, Tres GS, Lisbôa HRK, Bem JBJ, Reolão JBC, Deucher KLAL, Cantarelli M, Lucion A, Rampazzo D, Bertoni V, Torres RS, Verríssimo AOL, Guterres AS, Cardos AFR, Coutinho DBS, Negrão MG, Alencar MFA, Pinho PM, Barbosa SNAA, Carvalho APPF, Taboada MIS, Pereira SA, Heyde RV, Nagano FEZ, Baumgartner R, Resende FP, Tabalipa R, Zanini AC, Machado MJR, Araujo H, Teixeira MLV, Souza GC, Zuchinali P, Fracasso BM, Ulliam K, Schumacher M, Pierotto M, Hilário T, Carlos DMO, Cordeiro CGNC, Carvalho DA, Gonçalves MS, Vasconcelos VB, Bosquetti R, Pagano R, Romano MLP, Jardim CA, de Abreu BNA, Marcadenti A, Schmitt AR, Tavares AMV, Faria CC, Silva FM, Fink JS, El Kik RM, Prates CF, Vieira CS, Adorne EF, Magedanz EH, Chieza FL, Silva IS, Teixeira JM, Trescastro EP, Pellegrini LA, Pinto JC, Telles CT, Sousa ACS, Almeida AS, Costa AA, Carmo JAC, Silva JT, Alves LVS, Sales SOC, Ramos MEM, Lucas MCS, Damiani M, Cardoso PC, Ramos SS, Dantas CF, Lopes AG, Cabral AMP, Lucena ACA, Medeiros AL, Terceiro BB, Leda NMFS, Baía SRD, Pinheiro JMF, Cassiano AN, Melo ANL, Cavalcanti AKO, Souza CVS, Queiroz DJM, Farias HNCF, Souza LCF, Santos LS, Lima LRM, Hoffmann MS, Ribeiro ÁSS, Vasconcelos DF, Dutra ES, Ito MK, Neto JAF, Santos AF, Sousa RML, Dias LPP, Lima MTMA, Modanesi VG, Teixeira AF, Estrada LCNCD, Modanesi PVG, Gomes ABL, Rocha BRS, Teti C, David MM, Palácio BM, Junior DGS, Faria ÉHS, Oliveira MCF, Uehara RM, Sasso S, Moreira ASB, Cadinha ACAH, Pinto CWM, Castilhos MP, Costa M, Kovacs C, Magnoni D, Silva Q, Germini MFCA, da Silva RA, Monteiro AS, Santos KGD, Moreira P, Amparo FC, Paiva CCJ, Poloni S, Russo DS, Silveira IV, Moraes MA, Boklis M, Cardoso QI, Moreira ASB, Damaceno AMS, Santos EM, Dias GM, Pinho CPS, Cavalcanti AC, Bezerra AS, Queiroga AV, Rodrigues IG, Leal TV, Sahade V, Amaral DA, Souza DS, Araújo GA, Curvello K, Heine M, Barretto MMS, Reis NA, Vasconcelos SML, Vieira DC, Costa FA, Fontes JMS, Neto JGC, Navarro LNP, Ferreira RC, Marinho PM, Abib RT, Longo A, Bertoldi EG, Ferreira LS, Borges LR, Azevedo NA, Martins CM, Kato JT, Izar MCO, Asoo MT, de Capitani MD, Machado VA, Fonzar WT, Pinto SL, Silva KC, Gratão LHA, Machado SD, de Oliveira SRU, Bressan J, Caldas APS, Lima HCFM, Hermsdorff HHM, Saldanha TM, Priore SE, Feres NH, de Queiroz Neves A, Cheim LMG, Silva NF, Reis SRL, Penafort AM, de Queirós APO, Farias GMN, de Los Santos MLP, Ambrozio CL, Camejo CN, Dos Santos CP, Schirmann GS, Boemo JL, Oliveira REC, Lima SMB, Bortolini VMS, Matos CH, Barretta C, Specht CM, de Souza SR, Arruda CS, Rodrigues PA, Berwanger O. Corrigendum to 'The Brazilian Cardioprotective Nutritional Program to reduce events and risk factors in secondary prevention for cardiovascular disease: study protocol (The BALANCE Program Trial)' [American Heart Journal 171/1 (2016) 73-81]. Am Heart J 2016; 175:202-203. [PMID: 27179741 DOI: 10.1016/j.ahj.2016.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | - Neide M Bruscato
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | - Josiele Kesties
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | - Lilian Vivian
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | - Marina Schumacher
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | - Waldemar de Carli
- Associação Veranense de Assistência em Saúde, Veranópolis-RS, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Raul V Heyde
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | | | | | - Fernanda P Resende
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | - Ranata Tabalipa
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | - Ana C Zanini
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | | | - Hevila Araujo
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | - Maria L V Teixeira
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil
| | | | | | | | - Karen Ulliam
- Hospital de Clínicas de Porto Alegre, Porto Alegre-RS, Brazil
| | | | - Moara Pierotto
- Hospital de Clínicas de Porto Alegre, Porto Alegre-RS, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Flávia M Silva
- Hospital Nossa Senhora da Conceição, Porto Alegre-RS, Brazil
| | | | - Raquel M El Kik
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Clarice F Prates
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Cristiane S Vieira
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Elaine F Adorne
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Ellen H Magedanz
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Fernanda L Chieza
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Ingrid S Silva
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Joise M Teixeira
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Eduardo P Trescastro
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Lívia A Pellegrini
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Jéssika C Pinto
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Cristina T Telles
- Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | | | | | | | | | | | | | | | - Maria E M Ramos
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Marilia C S Lucas
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Monica Damiani
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Patricia C Cardoso
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Salvador S Ramos
- Hospital Universitário Associação Educadora São Carlos, Canoas-RS, Brazil
| | - Clenise F Dantas
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | - Amanda G Lopes
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | - Ana M P Cabral
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | - Ana C A Lucena
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | | | | | - Neuma M F S Leda
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | - Sandra R D Baía
- Hospital Universitário Alcides Carneiro, Campina Grande-PB, Brazil
| | | | | | | | | | | | | | | | | | | | - Luana R M Lima
- Hospital Universitário Ana Bezerra, Santa Cruz-RN, Brazil
| | | | | | | | | | - Marina K Ito
- Hospital Universitário de Brasília, Brasília-DF, Brazil
| | - José A F Neto
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | - Alexsandro F Santos
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | - Rosângela M L Sousa
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | | | - Maria T M A Lima
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | - Victor G Modanesi
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | - Adriana F Teixeira
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | | | - Paulo V G Modanesi
- Hospital Universitário da Universidade Federal do Maranhão, São Luís-MA, Brazil
| | - Adriana B L Gomes
- Hospital Universitário da Universidade Federal de Sergipe, Aracaju-SE, Brazil
| | - Bárbara R S Rocha
- Hospital Universitário da Universidade Federal de Sergipe, Aracaju-SE, Brazil
| | - Cristina Teti
- Hospital Universitário da Universidade Federal de Sergipe, Aracaju-SE, Brazil
| | - Marta M David
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande- MS, Brazil
| | - Bruna M Palácio
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande- MS, Brazil
| | - Délcio G S Junior
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande- MS, Brazil
| | - Érica H S Faria
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande- MS, Brazil
| | | | - Rose M Uehara
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande- MS, Brazil
| | - Sandramara Sasso
- Hospital Universitário Maria Aparecida Pedrossian, Campo Grande- MS, Brazil
| | | | | | - Carla W M Pinto
- Hospital Universitário Pedro Ernesto, Rio de Janeiro-RJ, Brazil
| | | | - Mariana Costa
- Hospital Universitário Pedro Ernesto, Rio de Janeiro-RJ, Brazil
| | | | - Daniel Magnoni
- Instituto Dante Pazzanese de Cardiologia, São Paulo-SP, Brazil
| | - Quênia Silva
- Instituto Dante Pazzanese de Cardiologia, São Paulo-SP, Brazil
| | | | | | | | | | | | | | | | - Soraia Poloni
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Diana S Russo
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | | | - Maria A Moraes
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Mirena Boklis
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | - Quinto I Cardoso
- Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre-RS, Brazil
| | | | | | - Elisa M Santos
- Instituto Nacional de Cardiologia, Rio de Janeiro-RJ, Brazil
| | - Glauber M Dias
- Instituto Nacional de Cardiologia, Rio de Janeiro-RJ, Brazil
| | - Cláudia P S Pinho
- Pronto Socorro Cardiológico Universitário de Pernambuco, Recife-PE, Brazil
| | | | - Amanda S Bezerra
- Pronto Socorro Cardiológico Universitário de Pernambuco, Recife-PE, Brazil
| | - Andrey V Queiroga
- Pronto Socorro Cardiológico Universitário de Pernambuco, Recife-PE, Brazil
| | - Isa G Rodrigues
- Pronto Socorro Cardiológico Universitário de Pernambuco, Recife-PE, Brazil
| | - Tallita V Leal
- Pronto Socorro Cardiológico Universitário de Pernambuco, Recife-PE, Brazil
| | - Viviane Sahade
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | - Daniele A Amaral
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | - Diana S Souza
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | - Givaldo A Araújo
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | - Karine Curvello
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | - Manuella Heine
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | | | - Nailson A Reis
- Hospital Universitário Professor Edgard Santos, Salvador-BA, Brazil
| | | | | | | | | | | | | | | | | | | | - Aline Longo
- Universidade Federal de Pelotas, Pelotas-RS, Brazil
| | | | | | | | | | | | | | | | - Marina T Asoo
- Universidade Federal de São Paulo, São Paulo-SP, Brazil
| | | | | | | | - Sônia L Pinto
- Universidade Federal de Tocantins, Palmas-TO, Brazil
| | | | | | | | | | | | | | | | | | | | | | - Naoel H Feres
- Universidade Federal do Mato Grosso, Cuiabá-MT, Brazil
| | | | | | - Nilma F Silva
- Universidade Federal do Mato Grosso, Cuiabá-MT, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Simone R de Souza
- Instituto Estadual de Cardiologia Aloysio de Castro, Rio de Janeiro-RJ, Brazil
| | - Cristina S Arruda
- Instituto Estadual de Cardiologia Aloysio de Castro, Rio de Janeiro-RJ, Brazil
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Weber B, Bersch-Ferreira ÂC, Torreglosa CR, Ross-Fernandes MB, da Silva JT, Galante AP, de Sousa Lara E, Costa RP, Soares RM, Cavalcanti AB, Moriguchi EH, Bruscato NM, Kesties J, Vivian L, Schumacher M, de Carli W, Backes LM, Reolão BR, Rodrigues MP, Baldissera DM, Tres GS, Lisbôa HR, Bem JB, Reolão JB, Deucher KL, Cantarelli M, Lucion A, Rampazzo D, Bertoni V, Torres RS, Verríssimo AO, Guterres AS, Cardos AF, Coutinho DB, Negrão MG, Alencar MF, Pinho PM, Barbosa SN, Carvalho AP, Taboada MI, Pereira SA, Heyde RV, Nagano FE, Baumgartner R, Resende FP, Tabalipa R, Zanini AC, Machado MJ, Araujo H, Teixeira ML, Souza GC, Zuchinali P, Fracasso BM, Ulliam K, Schumacher M, Pierotto M, Hilário T, Carlos DM, Cordeiro CG, Carvalho DA, Gonçalves MS, Vasconcelos VB, Bosquetti R, Pagano R, Romano ML, Jardim CA, de Abreu BN, Marcadenti A, Schmitt AR, Tavares AM, Faria CC, Silva FM, Fink JS, El Kik RM, Prates CF, Vieira CS, Adorne EF, Magedanz EH, Chieza FL, Silva IS, Teixeira JM, Trescastro EP, Pellegrini LA, Pinto JC, Telles CT, Sousa AC, Almeida AS, Costa AA, Carmo JA, Silva JT, Alves LV, Sales SO, Ramos ME, Lucas MC, Damiani M, Cardoso PC, Ramos SS, Dantas CF, Lopes AG, Cabral AM, Lucena AC, Medeiros AL, Terceiro BB, Leda NM, Baía SR, Pinheiro JM, Cassiano AN, Melo AN, Cavalcanti AK, Souza CV, Queiroz DJ, Farias HN, Souza LC, Santos LS, Lima LR, Hoffmann MS, Ribeiro ÁSS, Vasconcelos DF, Dutra ES, Ito MK, Neto JA, Santos AF, Sousa RM, Dias LPP, Lima MT, Modanesi VG, Teixeira AF, Estrada LC, Modanesi PV, Gomes AB, Rocha BR, Teti C, David MM, Palácio BM, Junior DG, Faria ÉH, Oliveira MC, Uehara RM, Sasso S, Moreira AS, Cadinha AC, Pinto CW, Castilhos MP, Costa M, Kovacs C, Magnoni D, Silva Q, Germini MF, da Silva RA, Monteiro AS, Santos KGD, Moreira P, Amparo FC, Paiva CC, Poloni S, Russo DS, Silveira IV, Moraes MA, Boklis M, Cardoso QI, Moreira AS, Damaceno AM, Santos EM, Dias GM, Pinho CP, Cavalcanti AC, Bezerra AS, Queiroga AV, Rodrigues IG, Leal TV, Sahade V, Amaral DA, Souza DS, Araújo GA, Curvello K, Heine M, Barretto MM, Reis NA, Vasconcelos SM, Vieira DC, Costa FA, Fontes JM, Neto JG, Navarro LN, Ferreira RC, Marinho PM, Abib RT, Longo A, Bertoldi EG, Ferreira LS, Borges LR, Azevedo NA, Martins CM, Kato JT, Izar MC, Asoo MT, de Capitani MD, Machado VA, Fonzar WT, Pinto SL, Silva KC, Gratão LH, Machado SD, de Oliveira SR, Bressan J, Caldas AP, Lima HC, Hermsdorff HH, Saldanha TM, Priore SE, Feres NH, de Queiroz Neves A, Cheim LM, Silva NF, Reis SR, Penafort AM, de Queirós APO, Farias GM, de los Santos ML, Ambrozio CL, Camejo CN, dos Santos CP, Schirmann GS, Boemo JL, Oliveira RE, Lima SM, Bortolini VM, Matos CH, Barretta C, Specht CM, de Souza SR, Arruda CS, Rodrigues PA, Berwanger O. The Brazilian Cardioprotective Nutritional Program to reduce events and risk factors in secondary prevention for cardiovascular disease: study protocol (The BALANCE Program Trial). Am Heart J 2016; 171:73-81.e1-2. [PMID: 26699603 DOI: 10.1016/j.ahj.2015.08.010] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Accepted: 08/08/2015] [Indexed: 11/25/2022]
Abstract
This article reports the rationale for the Brazilian Cardioprotective Nutritional Program (BALANCE Program) Trial. This pragmatic, multicenter, nationwide, randomized, concealed, controlled trial was designed to investigate the effects of the BALANCE Program in reducing cardiovascular events. The BALANCE Program consists of a prescribed diet guided by nutritional content recommendations from Brazilian national guidelines using a unique nutritional education strategy, which includes suggestions of affordable foods. In addition, the Program focuses on intensive follow-up through one-on-one visits, group sessions, and phone calls. In this trial, participants 45 years or older with any evidence of established cardiovascular disease will be randomized to the BALANCE or control groups. Those in the BALANCE group will receive the afore mentioned program interventions, while controls will be given generic advice on how to follow a low-fat, low-energy, low-sodium, and low-cholesterol diet, with a view to achieving Brazilian nutritional guideline recommendations. The primary outcome is a composite of death (any cause), cardiac arrest, acute myocardial infarction, stroke, myocardial revascularization, amputation for peripheral arterial disease, or hospitalization for unstable angina. A total of 2468 patients will be enrolled in 34 sites and followed up for up to 48 months. If the BALANCE Program is found to decrease cardiovascular events and reduce risk factors, this may represent an advance in the care of patients with cardiovascular disease.
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Dias CD, Araújo BC, Dutra ES, Nepomuceno JC. Protective effects of beta-carotene against the genotoxicity of doxorubicin in somatic cells of Drosophila melanogaster. Genet Mol Res 2009; 8:1367-75. [PMID: 19937581 DOI: 10.4238/vol8-4gmr626] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
beta-carotene (BC), pro-vitamin A, is an efficient antioxidant, effective in the neutralization of oxygen reactive species, which cause serious damage to DNA. Various studies have been conducted on the effectiveness of BC for chemoprevention of cancer and heart disease. Doxorubicin is a chemotherapeutic agent used for cancer treatment that generates free radicals. We examined the effects of BC (1, 2 and 4 mg/mL) on the genotoxicity of doxorubicin (0.125 mg/mL), using the wing spot test in Drosophila melanogaster (somatic mutation and recombination test). The BC alone had no significant effect on the frequency of mutant spots. However, it significantly reduced the number of spots caused by doxorubicin. We concluded that BC is not genotoxic and that it exerts protective effects against the genotoxic action of the chemotherapeutic free-radical generator doxorubicin.
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Affiliation(s)
- C D Dias
- Instituto de Genética e Bioquímica, Universidade Federal de Uberlândia, Uberlândia, MG, Brasil
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