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Magro F, Fernandes S, Patita M, Arroja B, Lago P, Rosa I, de Sousa HT, Ministro P, Mocanu I, Vieira A, Castela J, Moleiro J, Roseira J, Cancela E, Sousa P, Portela F, Correia L, Moreira P, Dias S, Afonso J, Danese S, Peyrin-Biroulet L, Vucicevic KM, Santiago M. The influence of subclinical active inflammation on IFX pharmacokinetic modeling and disease progression assessment: findings from a prospective real-world study in inflammatory bowel disease patients. J Crohns Colitis 2024:jjae014. [PMID: 38243908 DOI: 10.1093/ecco-jcc/jjae014] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Indexed: 01/22/2024]
Abstract
BACKGROUND AND AIMS Effective management of inflammatory bowel disease (IBD) relies on a comprehensive understanding of infliximab (IFX) pharmacokinetics (PK). This study's primary goal was to develop a robust PK model, identifying key covariates influencing IFX clearance (CL), while concurrently evaluating the risk of disease progression during the maintenance phase of IBD treatment. METHODS The multicenter, prospective, real-world DIRECT study was conducted in several care centers, which included 369 IBD patients in the maintenance phase of IFX therapy. A two-compartment population PK model was used to determine IFX CL and covariates. Logistic and Cox regressions were applied to elucidate the associations between disease progression and covariates embedded in the PK model. RESULTS The PK model included the contributions of weight, albumin, antidrug antibody (ADA), and fecal calprotectin (FC). On average, higher ADA, FC concentration and weight, and lower albumin concentration resulted in higher IFX CL. In the multivariate regression analyses, FC levels influenced the odds of disease progression in all its different definitions, when adjusted for several confounding factors. Additionally, alongside FC, both IFX and CL demonstrated a significant impact on the temporal aspect of disease progression. CONCLUSION In this 2-year real-world study, readily available clinical covariates, notably FC, significantly impacted IFX availability in IBD patients. We demonstrated that subclinical active inflammation, as mirrored by FC or CRP, substantially influenced IFX clearance. Importantly, FC emerged as a pivotal determinant, not only of IFX pharmacokinetics but also of disease progression. These findings underscore the need to integrate FC into forthcoming IFX pharmacokinetic models, amplifying its clinical significance.
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Affiliation(s)
- Fernando Magro
- Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal
- Department of Gastroenterology, São João Hospital University Centre, Porto, Portugal
- Centre for Health Technology and Services Research, Health Research Network (CINTESIS@RISE), Faculty of Medicine of the University of Porto, Portugal
- Unidade de Farmacologia Clínica, São João Hospital University Centre, Porto, Portugal
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
| | - Samuel Fernandes
- Department of Gastroenterology, Northern Lisbon University Hospital Centre, Lisbon, Portugal
- Clinica Universitária de Gastrenterologia da Universidade de Medicina de Lisboa, Lisbon, Portugal
| | - Marta Patita
- Department of Gastroenterology, Garcia da Orta Hospital, Almada, Portugal
| | - Bruno Arroja
- Department of Gastroenterology, Braga Hospital, Braga, Portugal
| | - Paula Lago
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
- Department of Gastroenterology, Porto Hospital University Centre, Porto, Portugal
| | - Isadora Rosa
- Department of Gastroenterology, IPOLFG, EPE, Lisbon, Portugal
| | - Helena Tavares de Sousa
- Department of Gastroenterology, Algarve Hospital University Centre - Portimão Unit, Portimão, Portugal
- ABC - Algarve Biomedical Center, University of Algarve, Faro, Portugal
| | - Paula Ministro
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
- Department of Gastroenterology, Viseu-Tondela Hospital Centre, Viseu, Portugal
| | - Irina Mocanu
- Department of Gastroenterology, Garcia da Orta Hospital, Almada, Portugal
| | - Ana Vieira
- Department of Gastroenterology, Garcia da Orta Hospital, Almada, Portugal
| | - Joana Castela
- Department of Gastroenterology, IPOLFG, EPE, Lisbon, Portugal
| | - Joana Moleiro
- Department of Gastroenterology, IPOLFG, EPE, Lisbon, Portugal
| | - Joana Roseira
- Department of Gastroenterology, Algarve Hospital University Centre - Portimão Unit, Portimão, Portugal
- ABC - Algarve Biomedical Center, University of Algarve, Faro, Portugal
| | - Eugénia Cancela
- Department of Gastroenterology, Viseu-Tondela Hospital Centre, Viseu, Portugal
| | - Paula Sousa
- Department of Gastroenterology, Viseu-Tondela Hospital Centre, Viseu, Portugal
| | - Francisco Portela
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
- Department of Gastroenterology, Coimbra Hospital University Centre, Coimbra, Portugal
| | - Luís Correia
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
- Department of Gastroenterology, Northern Lisbon University Hospital Centre, Lisbon, Portugal
| | - Paula Moreira
- Unidade de Farmacologia Clínica, São João Hospital University Centre, Porto, Portugal
| | - Sandra Dias
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
| | - Joana Afonso
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
| | - Silvio Danese
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
- IBD Center, Humanitas Research Hospital, IRCCS, Milan, Italy
| | - Laurent Peyrin-Biroulet
- Department of Gastroenterology and Inserm NGERE U1256, University Hospital of Nancy, University of Lorraine, Nancy, France
| | - Katarina M Vucicevic
- Department of Pharmacokinetics and Clinical Pharmacy, University of Belgrade, Serbia
| | - Mafalda Santiago
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
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de Vries M, Wijntjes M, Sikorski J, Moreira P, van de Berg NJ, van den Dobbelsteen JJ, Misra S. MR-guided HDR prostate brachytherapy with teleoperated steerable needles. J Robot Surg 2023; 17:2461-2469. [PMID: 37480476 PMCID: PMC10492758 DOI: 10.1007/s11701-023-01676-x] [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] [Received: 05/26/2023] [Accepted: 07/08/2023] [Indexed: 07/24/2023]
Abstract
Conformity of tumour volumes and dose plans in prostate brachytherapy (BT) can be constrained by unwanted needle deflections, needle access restrictions and visualisation limitations. This work validates the feasibility of teleoperated robotic control of an active steerable needle using magnetic resonance (MR) for guidance. With this system, perturbations can be counteracted and critical structures can be circumvented to access currently inaccessible areas. The system comprises of (1) a novel steerable needle, (2) the minimally invasive robotics in an MR environment (MIRIAM) system, and (3) the daVinci Research Kit (dVRK). MR scans provide visual feedback to the operator controlling the dVRK. Needle steering is performed along curved trajectories to avoid the urethra towards targets (representing tumour tissue) in a prostate phantom with a targeting error of 1.2 ± 1.0 mm. This work shows the potential clinical applicability of active needle steering for prostate BT with a teleoperated robotic system in an MR environment.
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Affiliation(s)
- M de Vries
- Department of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands.
| | - M Wijntjes
- Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands
| | - J Sikorski
- Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands
| | - P Moreira
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, USA
| | - N J van de Berg
- Department of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands
- Department of Gynaecological Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands
| | - J J van den Dobbelsteen
- Department of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands
| | - S Misra
- Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands
- Department of Biomedical Engineering, University of Groningen and University Medical Center Groningen, Groningen, The Netherlands
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Magro F, Estevinho MM, Catalano G, Patita M, Arroja B, Lago P, Rosa I, Tavares de Sousa H, Ministro P, Mocanu I, Vieira A, Castela J, Moleiro J, Roseira J, Cancela E, Sousa P, Portela F, Correia L, Moreira P, Santiago M, Dias S, Afonso J, Danese S, Peyrin-Biroulet L, Dias CC. How many biomarker measurements are needed to predict prognosis in Crohn's disease patients under infliximab?-A prospective study. United European Gastroenterol J 2023. [PMID: 37318072 DOI: 10.1002/ueg2.12420] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [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] [Received: 01/07/2023] [Accepted: 05/07/2023] [Indexed: 06/16/2023] Open
Abstract
BACKGROUND Timely stratification of Crohn's disease (CD) is essential for patients' management. The use of noninvasive accurate biomarkers is key to monitor treatment and to pursue mucosal healing, the ultimate treatment endpoint in CD. OBJECTIVE We aimed to evaluate the performance of readily available biomarkers and develop risk matrices to predict CD progression. METHODS Data from 289 CD patients receiving infliximab (IFX) maintenance therapy for 2 years was collected; those patients were included in DIRECT, a prospective multicenter observational study. Disease progression was evaluated using two composite outcomes incorporating clinical and drug-related factors, the first including IFX dose and/or frequency adjustments. Univariate and multivariable logistic regressions were used to calculate the odds ratios (OR) and to develop risk matrices. RESULTS The isolated presence of anemia at least once during follow-up was a significant predictor of disease progression (OR 2.436 and 3.396 [p ≤ 0.001] for composite outcomes 1 and 2, respectively) regardless of confounding factors. Isolated highly elevated C-reactive protein (CRP; >10.0 mg/L) and fecal calprotectin (FC; >500.0 μg/g) in at least one visit were also significant predictors, while milder elevations (3.1-10.0 mg/L and 250.1-500.0 μg/g) were only relevant when detected in at least two visits (consecutive or not). The combination of biomarkers in risk matrices had good ability to predict progression; patients simultaneously presenting anemia, highly elevated CRP and FC at least once had 42%-63% probability of achieving the composite outcomes. CONCLUSION The combined evaluation of hemoglobin, CRP, and FC in at least one time point and their incorporation into risk matrices seems to be the optimal strategy for CD management, as data from additional visits did not meaningfully influence the predictions and may delay decision-making.
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Affiliation(s)
- Fernando Magro
- Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal
- Department of Gastroenterology, São João Hospital University Centre, Porto, Portugal
- Center for Health Technology and Services Research (CINTESIS), Porto, Portugal
- Unidade de Farmacologia Clínica, São João Hospital University Centre, Porto, Portugal
| | - Maria Manuela Estevinho
- Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal
- Department of Gastroenterology, Vila Nova de Gaia Espinho Hospital Center, Vila Nova de Gaia, Portugal
| | - Gaia Catalano
- Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Marta Patita
- Department of Gastroenterology, Garcia da Orta Hospital, Almada, Portugal
| | - Bruno Arroja
- Department of Gastroenterology, Braga Hospital, Braga, Portugal
| | - Paula Lago
- Department of Gastroenterology, Porto Hospital University Centre, Porto, Portugal
| | - Isadora Rosa
- Department of Gastroenterology, IPOLFG, EPE, Lisbon, Portugal
| | - Helena Tavares de Sousa
- Department of Gastroenterology, Algarve Hospital University Centre - Portimão Unit, Portimão, Portugal
- ABC - Algarve Biomedical Center, University of Algarve, Faro, Portugal
| | - Paula Ministro
- Department of Gastroenterology, Viseu-Tondela Hospital Centre, Viseu, Portugal
| | - Irina Mocanu
- Department of Gastroenterology, Garcia da Orta Hospital, Almada, Portugal
| | - Ana Vieira
- Department of Gastroenterology, Garcia da Orta Hospital, Almada, Portugal
| | - Joana Castela
- Department of Gastroenterology, IPOLFG, EPE, Lisbon, Portugal
| | - Joana Moleiro
- Department of Gastroenterology, IPOLFG, EPE, Lisbon, Portugal
| | - Joana Roseira
- Department of Gastroenterology, Algarve Hospital University Centre - Portimão Unit, Portimão, Portugal
| | - Eugénia Cancela
- Department of Gastroenterology, Viseu-Tondela Hospital Centre, Viseu, Portugal
| | - Paula Sousa
- Department of Gastroenterology, Viseu-Tondela Hospital Centre, Viseu, Portugal
| | - Francisco Portela
- Department of Gastroenterology, Coimbra Hospital University Centre, Coimbra, Portugal
| | - Luís Correia
- Department of Gastroenterology, Northern Lisbon University Hospital Centre, Lisbon, Portugal
| | - Paula Moreira
- Unidade de Farmacologia Clínica, São João Hospital University Centre, Porto, Portugal
| | - Mafalda Santiago
- Center for Health Technology and Services Research (CINTESIS), Porto, Portugal
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
| | - Sandra Dias
- Portuguese Group of Studies in Inflammatory Bowel Disease (Grupo de Estudos da Doença Inflamatória Intestinal - GEDII), Porto, Portugal
| | - Joana Afonso
- Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Silvio Danese
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
- IBD Center, Humanitas Research Hospital, IRCCS, Milan, Italy
| | - Laurent Peyrin-Biroulet
- Department of Gastroenterology and Inserm NGERE U1256, University Hospital of Nancy, University of Lorraine, Nancy, France
| | - Cláudia Camila Dias
- Center for Health Technology and Services Research (CINTESIS), Porto, Portugal
- Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal
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Rodrigues M, de Castro Mendes F, Paciência I, Barros R, Padrão P, Cavaleiro Rufo J, Silva D, Delgado L, Moreira A, Moreira P. Diet quality, asthma and airway inflammation in school-aged children. Eur Ann Allergy Clin Immunol 2023. [PMID: 37288989 DOI: 10.23822/eurannaci.1764-1489.301] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Summary Background. Asthma is a major public health problem, with increasing prevalence in most countries, particularly among children. Poor dietary quality is also increasing in children, and evidence of the overall quality of children's food patterns effects on asthma is scarce. Methods. This cross-sectional analysis (660 children: 49.1% females, aged 7-12years) evaluated the association between diet quality and asthma (n = 56) and airway inflammation among school-aged children according to body mass index (BMI). Diet quality was assessed through the Healthy Eating Index (HEI)-2015, and categorized by tertiles. Higher scores represent a healthier diet. A questionnaire was used to enquire about self-reported medical diagnosis of asthma and asthma under medication. Lung function and airway reversibility were measured, and airway inflammation assessed measuring exhaled fractional nitric oxide (eNO). Two categories of BMI were considered: non-overweight/obese (p less than 85th), (n = 491), and overweight/obese (p ≥ than 85th), (n = 169). The associations between diet quality and asthma and airway inflammation were estimated using logistic regression models. Results. Non-overweight/obese children in 2nd tertile of HEI-2015 score had decreased odds of having eNO ≥ 35ppb (OR 0.43, 95%CI 0.19-0.98), medical diagnosis of asthma (OR 0.18; 95%CI 0.04-0.84), and asthma treatment (OR 0.12; 95%CI 0.01-0.95), compared to children in the 1st tertile. Conclusions. Our findings suggest that a higher diet quality associates with lower levels of airway inflammation and reduced prevalence of asthma among non-overweight/obese school-aged children.
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Affiliation(s)
- M Rodrigues
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - F de Castro Mendes
- Basic and Clinical Immunology, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal
- Epidemiology Research Unit and Laboratory for Integrative and Translational Research in Population Health, Institute of Public Health, University of Porto, Porto, Portugal
| | - I Paciência
- Center for Environmental and Respiratory Health Research (CERH), Population Health, University of Oulu, Oulu, Finland
- Biocenter Oulu, University of Oulu, Oulu, Finland
| | - R Barros
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
- Epidemiology Research Unit and Laboratory for Integrative and Translational Research in Population Health, Institute of Public Health, University of Porto, Porto, Portugal
| | - P Padrão
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
- Epidemiology Research Unit and Laboratory for Integrative and Translational Research in Population Health, Institute of Public Health, University of Porto, Porto, Portugal
| | - J Cavaleiro Rufo
- Epidemiology Research Unit and Laboratory for Integrative and Translational Research in Population Health, Institute of Public Health, University of Porto, Porto, Portugal
| | - D Silva
- Basic and Clinical Immunology, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal
- Epidemiology Research Unit and Laboratory for Integrative and Translational Research in Population Health, Institute of Public Health, University of Porto, Porto, Portugal
| | - L Delgado
- Basic and Clinical Immunology, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal
- Department of Immuno-Allergology, Centro Hospitalar São João, Porto, Portugal
| | - A Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
- Basic and Clinical Immunology, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal
- Epidemiology Research Unit and Laboratory for Integrative and Translational Research in Population Health, Institute of Public Health, University of Porto, Porto, Portugal
- Department of Immuno-Allergology, Centro Hospitalar São João, Porto, Portugal
| | - P Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
- Epidemiology Research Unit and Laboratory for Integrative and Translational Research in Population Health, Institute of Public Health, University of Porto, Porto, Portugal
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Bernardes R, Ghalati M, Ferreira H, Martins J, Guimarães P, Moreira P, Ambrósio A, Castelo‐Branco M, Serranho P. Longitudinal
OCT
texture analysis to assess the retinal changes in the triple‐transgenic mouse model of Alzheimer's disease. Acta Ophthalmol 2022. [DOI: 10.1111/j.1755-3768.2022.0173] [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] [Indexed: 12/24/2022]
Affiliation(s)
- Rui Bernardes
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS) University of Coimbra Coimbra Portugal
- Clinical Academic Center of Coimbra (CACC), Faculty of Medicine (FMUC) University of Coimbra Coimbra Portugal
| | - Maryam Ghalati
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS) University of Coimbra Coimbra Portugal
| | - Hugo Ferreira
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS) University of Coimbra Coimbra Portugal
| | - João Martins
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS) University of Coimbra Coimbra Portugal
- Clinical Academic Center of Coimbra (CACC), Faculty of Medicine (FMUC) University of Coimbra Coimbra Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine (FMUC) University of Coimbra Coimbra Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB) University of Coimbra Coimbra Portugal
| | - Pedro Guimarães
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS) University of Coimbra Coimbra Portugal
| | - Paula Moreira
- Clinical Academic Center of Coimbra (CACC), Faculty of Medicine (FMUC) University of Coimbra Coimbra Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB) University of Coimbra Coimbra Portugal
- Laboratory of Physiology, Faculty of Medicine (FMUC) University of Coimbra Coimbra Portugal
- Center for Neuroscience and Cell Biology (CNC) University of Coimbra Coimbra Portugal
| | - António Ambrósio
- Clinical Academic Center of Coimbra (CACC), Faculty of Medicine (FMUC) University of Coimbra Coimbra Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine (FMUC) University of Coimbra Coimbra Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB) University of Coimbra Coimbra Portugal
| | - Miguel Castelo‐Branco
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS) University of Coimbra Coimbra Portugal
- Clinical Academic Center of Coimbra (CACC), Faculty of Medicine (FMUC) University of Coimbra Coimbra Portugal
| | - Pedro Serranho
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS) University of Coimbra Coimbra Portugal
- Universidade Aberta, Department of Sciences and Technology Lisbon Portugal
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Roseira J, Santiago M, Estevinho MM, Moreira P, Alves C, Danese S, Peyrin-Biroulet L, Dignass A, Feakins R, Magro F. Impact of Crohn's Disease Therapies on Histology in Randomized Controlled Trials: Systematic Review With Meta-analysis. Inflamm Bowel Dis 2022:6762046. [PMID: 36250778 DOI: 10.1093/ibd/izac203] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Indexed: 12/09/2022]
Abstract
BACKGROUND The effectiveness of Crohn's disease treatments for inducing histological outcomes has not been addressed systematically. We performed a systematic review and meta-analysis of randomized controlled trials in Crohn's disease to assess the impact of therapies on mucosal histopathology. METHODS Databases (MEDLINE, CENTRAL, Web of Science, EMBASE) were searched for randomized controlled trials including adult patients and evaluating histological outcomes. Risk of bias was evaluated using the Critical Appraisal Skills Programme. Histological outcomes, pooled frequencies, pooled odds ratios, and standard mean differences of the histological scores were compared between the intervention and placebo groups using a random-effects model. RESULTS Out of 2070 records, 10 studies were included. The quality of the studies ranged from moderate to high, but they were clinically and methodologically diverse. All interventions were superior to placebo. Histological response was achieved by 68% of patients, and 38% achieved remission. Pooled odds ratio for histological remission in patients receiving intervention vs placebo was 4.14 (95% CI, 2.28-7.50; I2 0%; P < .01). Heterogeneity in histological response estimates was significant, and subgroup analysis of the odds ratio results was limited by the low number of studies per group. The standard mean difference of histological scores was higher for patients receiving intervention in both induction and maintenance studies (-2.95; 95% CI, -4.17 to -1.74; I2 83% P < .00; and -2.58; 95% CI, -3.89 to -1.27; I2 56% P < .00). CONCLUSIONS Crohn's disease therapies are effective for achieving histological outcomes. Adherence to recently published consensus on histopathology harmonization assessment in Crohn's disease would facilitate adequate comparison between studies in the future.
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Affiliation(s)
- Joana Roseira
- Gastroenterology Department, Algarve University Hospital Center, Faro, Portugal.,ABC (Algarve Biomedical Center), Loulé, Portugal
| | - Mafalda Santiago
- CINTESIS (Centro de Investigação em Tecnologias e Serviços de Saúde), Porto, Portugal
| | - Maria Manuela Estevinho
- Gastroenterology Department, Gaia/Espinho Hospital Center, Gaia/Espinho, Portugal.,Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Paula Moreira
- Clinical Pharmacology Unit, São João Hospital University Center, Porto, Portugal
| | - Catarina Alves
- Faculty of Medicine, University of Porto, Porto, Portugal
| | - Silvio Danese
- Gastroenterology and Endoscopy, IRCCS Ospedale San Raffaele and University Vita-Salute San Raffaele, Milan, Italy
| | - Laurent Peyrin-Biroulet
- Department of Gastroenterology and Inserm NGERE U1256, University Hospital of Nancy, University of Lorraine, Nancy, France
| | - Axel Dignass
- Department of Medicine I, Agaplesion Markus Hospital, Goethe-University, Frankfurt am Main, Germany
| | - Roger Feakins
- Department of Cellular Pathology, Royal Free Hospital, London, and University College London, UK
| | - Fernando Magro
- Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal.,Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Gastroenterology, São João Hospital Center, Porto, Portugal.,MedInUP, Center for Drug Discovery and Innovative Medicines, Porto, Portugal
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Araújo CRB, Rocha KF, Carneiro BR, Ribeiro KDS, Morais IL, Breda J, Padrão P, Moreira P. Nutritional adequacy of commercial food products targeted at 0-36-month-old children: a study in Brazil and Portugal - ADDENDUM. Br J Nutr 2022; 129:1. [PMID: 36169055 DOI: 10.1017/s0007114522003026] [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: 11/06/2022]
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8
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Magro F, Alves C, Santiago M, Ministro P, Lago P, Correia L, Gonçalves R, Carvalho D, Portela F, Dias CC, Dignass A, Danese S, Peyrin-Biroulet L, Estevinho MM, Moreira P. Composite outcomes in observational studies of ulcerative colitis: A systematic review and meta-analysis. United European Gastroenterol J 2021; 10:54-72. [PMID: 34907660 PMCID: PMC8830283 DOI: 10.1002/ueg2.12183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Accepted: 11/18/2021] [Indexed: 12/13/2022] Open
Abstract
Background Ulcerative colitis (UC) has been the focus of numerous observational studies over the years and a common strategy employed in their design is the use of composite and aggregate outcomes. Objective This systematic review and meta‐analysis aims to identify composite and aggregate outcomes of observational studies in UC and to evaluate how the number and type of variables included and the length of follow‐up affect the frequency of patients that achieve these outcomes. Methods A systematic literature search was carried out using MEDLINE [via PubMed], Scopus, and Web of Science online databases. Observational studies that included UC patients and reported composite or aggregate outcomes were identified. A set of variables considered to be representative of progressive or disabling UC was defined, the proportion of patients attaining the outcomes was determined and a random‐effects meta‐analysis was performed by dividing the identified studies into subgroups according to different criteria of interest. Results A total of 10,264 records were identified in the systematic search, of which 33 were retained for qualitative analysis and 20 were included in the meta‐analysis. The mean frequency for composite outcomes was 0.363 [95% confidence interval (CI) 0.323‐0.403]. The frequency of composite outcome for the subgroup of studies that included the variable “Biologics” was significantly higher than for those in which this variable was not reported [0.410; 95% CI 0.364‐0.457 versus 0.298; 95% CI 0.232‐0.364; p = 0.006]. Composite outcomes were also more frequent as the follow‐up duration increased. Conclusion The frequency of composite outcomes in observational studies of UC is dependent on the specific identity of the variables being reported. Moreover, longer follow‐up periods are associated with higher frequencies of composite outcomes. The evidence provided here is useful for the design of future observational studies of UC that aim to maximize the frequency of patients that achieve composite outcomes. Summarize the established knowledge on this subject Observational studies have become a valuable source of information but also present a remarkable heterogeneity. The inconsistency on the reported outcomes between individual studies and the potential for reporting biases has led to calls for the development of core outcome sets (COS).
What are the significant and/or new findings of this study? This is the first systematic review and meta‐analysis of outcomes in observational studies of Ulcerative colitis (UC). The frequency of composite outcomes in observational studies of UC is dependent on the specific identity of the variables being reported and on the follow‐up duration. Reporting of the variable “Biologics” significantly increased the frequency of composite outcomes. These findings may be useful for the design of future observational studies of UC.
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Affiliation(s)
- Fernando Magro
- Department of Gastroenterology, São João University Hospital Center (CHUSJ), Porto, Portugal.,Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Clinical Pharmacology, São João University Hospital Center (CHUSJ), Porto, Portugal
| | - Catarina Alves
- Faculty of Medicine, University of Porto, Porto, Portugal
| | - Mafalda Santiago
- Center for Health Technology and Services Research (CINTESIS), Porto, Portugal
| | - Paula Ministro
- Department of Gastroenterology, Tondela-Viseu Hospital Centre, Viseu, Portugal
| | - Paula Lago
- Department of Gastroenterology, Santo António University Hospital Center (CHUPorto), Porto, Portugal
| | - Luís Correia
- Department of Gastroenterology, Lisbon North Hospital Centre, Santa Maria Hospital, Lisbon, Portugal
| | | | - Diana Carvalho
- Department of Gastroenterology, Santo António dos Capuchos Hospital at Centro Hospitalar Lisboa Central, Lisbon, Portugal
| | - Francisco Portela
- Department of Gastroenterology, University Hospital Centre of Coimbra, Coimbra, Portugal
| | - Cláudia Camila Dias
- Center for Health Technology and Services Research (CINTESIS), Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Axel Dignass
- Agaplesion Markus Hospital, Department of Medicine I, Frankfurt, Germany
| | - Silvio Danese
- Department of Biomedical Sciences, Humanitas University, Milan, Italy.,Inflammatory Bowel Disease (IBD) Center, Department of Gastroenterology, Humanitas Clinical and Research Center (IRCCS), Milan, Italy
| | - Laurent Peyrin-Biroulet
- Department of Gastroenterology and Inserm NGERE U1256, University Hospital of Nancy, University of Lorraine, Vandoeuvre-lès-Nancy, France
| | - Maria Manuela Estevinho
- Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Gastroenterology, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - Paula Moreira
- Department of Clinical Pharmacology, São João University Hospital Center (CHUSJ), Porto, Portugal
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9
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Goncalves C, Silva-Santos T, Padrao P, Abreu S, Graca P, Oliveira L, Esteves S, Norton P, Moreira P, Pinho O. Intervention to decrease salt intake inadequacy using a control device to monitor and control salt use when cooking at home – iMC SALT preliminary results. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Excessive salt intake is one of the greatest risks to public health, making urgent to propose measures to reduce its intake and bring great benefits to reduce cardiovascular diseases risk. In the Portuguese population, the main source of salt consumption is the salt that is added during food preparation and cooking meals.
Purpose
The main aim of this study was to assess whether an intervention using a dosing salt device (Salt Control H) in food preparation and cooking has beneficial effects in salt intake.
Methods
This was a two-arm randomized controlled trial. A total of 88 workers from a public university (50% female; mean age 47.2±11.4 years), were randomly assigned to a intervention (I; n=42) or a control group (C; n=46). The intervention was delivered by health professionals in an occupational medicine setting, asking participants to use a salt control device that delivers the maximum amount of salt to add in food preparation and cooking, according to the number and age of the persons who will consume the meal, during 8 weeks. Primary outcome was the 24-hour urinary sodium excretion (Na24), validated by creatinine coefficient, and secondary outcome was 24-h urinary sodium-to-potassium ratio (Na/K24). Parametric tests were used to assess differences between urinary data stratified by C or I group and Mann-Whitney to evaluate differences between stratified groups according to meet WHO daily recommendations of intake.
Results
At baseline, there was no significant differences in mean Na24 (C: 3145.5±1420.1 and I:3268.7±1159.8 mg/d, p=0.096) and Na/K24 (C: 2.0±0.9 and I: 2.1±0.8 mg/d, p=0.792) between the two groups. After 8 weeks intervention, a Na24 and Na/K24 non statistically significant decrease was observed in the I group (to 3094.1±1391 and 2.0±0.8 mg/d), as opposed to the C group (to 3262.5±1527.0 and 2.2±0.9 mg/d). The proportion of participants from I group that present Na<2000 mg/d increased (from 17 to 29%) as the proportion of participants that present Na/K24 <1 (from 0 to 12%) without significant differences from C group (p=0.214 for Na <2000 mg/d and p=0.383 for Na/K24 <1).
Conclusion
The Salt Control H measurement device showed promising results to increase adherence to daily salt intake recommendations. The device is a useful and practical tool for educating individuals about dietary salt doses to add to meals cooked at home.
Funding Acknowledgement
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Fundação para a Ciência e Tecnologia Figure 1
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Affiliation(s)
- C Goncalves
- Centro de Investigação em Atividade Física, Saúde e Lazer, Universidade do Porto, Porto, Portugal
| | - T Silva-Santos
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
| | - P Padrao
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
| | - S Abreu
- Faculty of Psychology, Education and Sports, Lusόfona University, Porto, Portugal
| | - P Graca
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
| | - L Oliveira
- Instituto de Engenharia Mecânica e Gestão Industrial, Porto, Portugal
| | - S Esteves
- Instituto de Engenharia Mecânica e Gestão Industrial, Porto, Portugal
| | - P Norton
- Centro Hospitalar Universitario Sao Joao, Porto, Portugal
| | - P Moreira
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
| | - O Pinho
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
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10
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Scanferla D, Sakurada J, Oliveira L, Lini R, Aguera R, Madia M, Moreira P, Romoli J, Bando É, Machinski M, Marchioni C, Mossini S. HIGHLY SELECTIVE HF-LPME-GC-MS FOR COCAINE AND BIOTRANSFORMATION PRODUCTS IN HUMAN HAIR TO MONITOR DRUG ADDICTS. QUIM NOVA 2021. [DOI: 10.21577/0100-4042.20170737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
This study aimed to investigate a miniaturized extraction methodology with analysis by GC-MS for simultaneous detection and quantification of cocaine (COC), benzoylecgonine (BZE) and cocaethylene (CE) in hair to monitor drug addicts. The process was done following the international guide of the Scientific Task Force on Forensic Toxicology. After sample extraction, derivatizing solution was added, clean-up was done by the Hollow Fiber Liquid Phase Microextraction (HF-LPME) and adapted to use the ultrasonic bath, a simple and easy-to-handle device. Isobutylchloroformate was first used as derivatization reagent to convert benzoylecgonine to isobutylbenzoylecgonine. Analytes quantification occurred within a linear range of 0.1 to 20 ng mg-1 for COC and 0.05 to 5 ng mg-1 for BZE and CE, with a correlation coefficient of r > 0.99. Limits of detection were 0.05; 0.03 and 0.03 ng mg-1, whereas limits of quantification were 0.1; 0.05 and 0.05 ng mg-1 for COC; BZE and CE, respectively. There was no matrix effect interference. Intra and inter-day precision and accuracy were acceptable according to international guidelines. The analytical method HF-LPME-GC-MS was successfully applied to 14 hair samples from patients admitted in drugs detoxification programs. All samples resulted positive for cocaine (0.80-> 20 ng mg-1) and benzoylecgonine (0.20-> 5 ng mg-1), 11 samples were positive for cocaethylene (0.10-> 0.60 ng mg-1).
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11
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Silva-Santos T, Moreira P, Padrão P, Abreu S, Pinho O, Gonçalves C. Knowledge and behaviors regarding salt intake according to urinary Na excretion and blood pressure. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Understanding salt-related knowledge, attitudes and behaviors can help the design of effective health interventions. Therefore, our objective was to describe knowledge and behaviors related to salt intake according to urinary sodium excretion and blood pressure in University workers.
Methods
We performed our study in a subsample of the participants of the iMC Salt project (n = 60 subjects, 60.5% women, mean age 48±9.5 years). Sodium excretion were measured by one 24-h urinary collection, validated by creatinine excretion and participants were grouped according to the WHO sodium recommendations (<2.0 g/day; high, ≥2.0 g/day). Subjects were classified as hypertensive if the systolic blood pressure was ≥130 mmHg and/or diastolic blood pressure was ≥80mmHg. Knowledge and behaviors regarding salt intake were assessed by the WHO Stepwise Approach to Chronic Disease Risk Factor Surveillance.
Results
About 74.6% of the participants reported that reducing salt in their diet was very important and 93.2% think that salt is harmful to health. However, 76.3% always add salt during cooking, 42.4% said that they always or often consume processed foods high in salt, 79.7% reported that they don't look at the salt on food labels, 50.8% don't buy low salt alternatives and 30.5% don't use spices as one substitute for salt when cooking. Hypertensive subjects had a higher mean sodium excretion (3710±1508mg/day vs 2478±871mg/day, p = 0.002) and reported a significant higher frequency of consumption of processed foods high in salt (53.1% vs 29.6%, p = 0.024). No significant differences were found with the other variables.
Conclusions
Most university workers were aware that high salt intake can cause health problems, but they reported low adherence to behaviors to control their salt intake. Hypertensive subjects recognized that frequently consume processed foods high in salt, so reduce salt content on those products could have important impact on their daily salt consumption.
Key messages
This study provides evidence on knowledge and behaviors regarding salt intake to guide salt reduction policies. Hypertensive participants reported a higher frequency of eating processed foods rich in salt.
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Affiliation(s)
| | - P Moreira
- Faculty of Nutrition and Food Science, Porto, Portugal
- CIAFEL - Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Porto, Portugal
- EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal
| | - P Padrão
- Faculty of Nutrition and Food Science, Porto, Portugal
- EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal
| | - S Abreu
- CIAFEL - Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Porto, Portugal
- Faculty of Psychology, Education and Sports, Lusófona University, Porto, Portugal
| | - O Pinho
- Faculty of Nutrition and Food Science, Porto, Portugal
- LAQV-REQUIMTE, Laboratory of Bromatology and Hydrology, Faculty of Pharmacy, University of Porto, Porto, Portugal
| | - C Gonçalves
- Faculty of Nutrition and Food Science, Porto, Portugal
- CIAFEL - Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Porto, Portugal
- University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
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12
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Padrão P, Moreira P, Silva-Santos T, Abreu S, Pinho O, Gonçalves C. Hydration status and hypertension in University workers. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Vascular function and blood pressure regulation may be impaired by acute hypohydration but data on the association between hypertension and hydration status is scarce. The objectives of this study were to evaluate the hydration status in a sample of university workers and to assess the association between hypertension and hydration status.
Methods
A cross-sectional evaluation of a sample of 60 university workers (32 women) was conducted in 2019/2020 in Portugal. A 24-hour urine sample was collected; urinary volume, creatinine and osmolality were quantified. Free water reserve (FWR) was used to assess hydration status and subjects were classified as hypohydrated (FWR<0) or euhydrated (FWR > =0). Arterial blood pressure was evaluated [average of 2 blood pressure (BP) measurements] by researchers using standard methodology and participants with systolic and diastolic blood pressure ≥130 mm Hg and/or ≥80 mm Hg, respectively, were classified as hypertensive. A binary logistic regression model was used to estimate the association between hypohydration and hypertension, adjusting for sex, age and use of anti-hypertensive drugs. Odds Ratios (OR) and respective 95% Confidence Intervals (95%CI) were calculated.
Results
Hypertension was observed in 40.6% of women and 67.9% of men whereas hypohydration affected 31.3% of women and 32.1% of men. After adjusting for confounders, hypertension was associated with a 7-fold increased risk of hypohydration (OR = 7.56; 95% CI: 1.81-31.59).
Conclusions
These results stress the positive association between hypohydration and hypertension and highlight the need for implementing strategies for the promotion of water intake, particularly in the hypertensive patients.
This project was granted by Fundação para a Ciência e Tecnologia - Grant POCI-01-0145-FEDER-029269.
Key messages
Hypohydration affect nearly one third of this sample of university workers. Hypertension was associated with a 7-fold increased risk of hypohydration.
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Affiliation(s)
- P Padrão
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
- EPIUnit, Universidade do Porto, Porto, Portugal
| | - P Moreira
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
- EPIUnit, Universidade do Porto, Porto, Portugal
- CIAFEL, Universidade do Porto, Porto, Portugal
| | - T Silva-Santos
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
| | - S Abreu
- CIAFEL, Universidade do Porto, Porto, Portugal
- Faculdade de Psicologia, Educação e desporto, Lusófona University, Porto, Portugal
| | - O Pinho
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
- LAQV-REQUIMTE, Universidade do Porto, Porto, Portugal
| | - C Gonçalves
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
- CIAFEL, Universidade do Porto, Porto, Portugal
- CITAB, Universidade de Trás-os-Montes e Alto Douro, Vila Real, Portugal
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13
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Gonçalves C, Pinho O, Padrão P, Silva-Santos T, Abreu S, Moreira P. Innovative equipments to monitor and control salt usage during culinary. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Issue
In Portugal, most of the salt consumed comes from the salt added during preparation/cooking. Therefore, it is urgent to introduce mechanisms to allow the quantification of the salt in foods, and the salt added during culinary.
Description of the Problem
To tackle salt reduction, we considered: having a portable and user-friendly instrument that measure salt content of foods; and controlling the amount of salt added to foods during culinary, assessing its impact on health. The first project was SALT QUANTI (co-funded by NORTE 2020), promoted by a consortium between EVOLEO Technologies and the University of Porto (finished in September 2018, duration 18 months); its major deliverable was to obtain a prototype of a portable device and the analytical procedure that enabled the analysis of salt content in foods/meals produced in catering kitchens, in less than 5 minutes. The second project was iMC SALT (supported by FCT, Grant POCI-01-0145-FEDER-029269), started in July 2018 (duration 36 months), aiming to develop prototypes for controlling the amount of salt added to foods during culinary, at home and catering, according international recommendations; one clinical intervention to assess the impact on health of the prototype at home is underway.
Results
The SALT QUANTI and iMC SALT prototypes showed good results in validation tests. The preliminary results of the health impact of the iMC SALT prototype will be presented at the conference.
Lessons
The implementation of innovative equipments to help consumers and catering industry to monitor or control the addition of salt during preparation of food or cooking are expected to be available soon and to be useful to consumers and catering industry to reduce salt intake.
Key messages
Innovative equipments may contribute to estimate salt in foods, and to reduce salt added during culinary. The implementation of an equipment to control culinary salt could be one valid approach to reduce salt consumption with impact on health.
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Affiliation(s)
- C Gonçalves
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
- Universidade de Trás-os-Montes e Alto Douro, Vila Real, Portugal
- CIAFEL, Universidade do Porto, Porto, Portugal
| | - O Pinho
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
- LAQV-REQUIMTE, Universidade do Porto, Porto, Portugal
| | - P Padrão
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
- EPIUnit, Universidade do Porto, Porto, Portugal
| | - T Silva-Santos
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
| | - S Abreu
- CIAFEL, Universidade do Porto, Porto, Portugal
- Faculty of Psychology, Education and Sports, Lusófona University, Porto, Portugal
| | - P Moreira
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Porto, Portugal
- CIAFEL, Universidade do Porto, Porto, Portugal
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14
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Singh S, Steiling K, Burks E, Moreira P, Cabral H, Buck A, Litle V, Suzuki K. REAPPRAISAL OF RISK FACTORS FOR LUNGRADS 4 IN A RACIALLY DIVERSE SCREENING COHORT. Chest 2020. [DOI: 10.1016/j.chest.2020.05.297] [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: 11/15/2022] Open
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15
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Mendes J, Afonso C, Borges N, Santos A, Moreira P, Padrão P, Negrão R, Amaral TF. Adherence to a Mediterranean Dietary Pattern and Functional Parameters: A Cross-Sectional Study in an Older Population. J Nutr Health Aging 2020; 24:138-146. [PMID: 32003402 DOI: 10.1007/s12603-019-1300-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [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: 12/01/2022]
Abstract
OBJECTIVES In older adults, diet and physical activity are among the most important behaviours that influence health. The Mediterranean Dietary Pattern has been related to longevity and can benefit physical function in older adults. The present study aims to quantify the association of adherence to a Mediterranean Dietary Pattern with physical functioning through by handgrip strength, as well as, with sedentary behaviour based on sitting time, in a sample of older adults. METHODS A cross-sectional study was conducted in 1,491 older adults ≥ 65 years old. The adherence or non-adherence to a Mediterranean Dietary Pattern was assessed using the previously validated and translated 14 item questionnaire, the PREDIMED (Prevención com Dieta Mediterránea). Handgrip strength was measured with a Jamar Dynamometer. Sitting time per day was used as an indicator of sedentary behaviour. Multinomial logistic regressions were performed to quantify the association of adherence to a Mediterranean Dietary Pattern with handgrip strength and sitting time. RESULTS Compared to participants who adhered to a Mediterranean Dietary Pattern, those who did not adhere to this diet have a significantly higher adjusted odds ratio for low handgrip strength [adjusted odds ratio: 1.50; 95% confidence interval: 1.09-2.05], as well as for longer sitting time [adjusted odds ratio: 1.43; 95% confidence interval: 1.04-1.96]. CONCLUSION In older adults, the non-adherence to a Mediterranean Dietary Pattern was associated with both lower values of handgrip strength and longer sitting time.
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Affiliation(s)
- J Mendes
- Joana Mendes, Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal, Address: Rua Dr. Roberto Frias, 4200-465 Porto, Portugal, Telephone: +351 225 074 320/ Fax: +351 225 074 329, E-mail:
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16
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Paciência I, Cavaleiro Rufo J, Silva D, Mendes F, Farraia M, Delgado L, Padrão P, Moreira P, Severo M, Moreira A. Effects of Indoor Endocrine-Disrupting Chemicals on Childhood Rhinitis. J Investig Allergol Clin Immunol 2019; 30:195-197. [PMID: 31833476 DOI: 10.18176/jiaci.0471] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- I Paciência
- Basic and Clinical Immunology Unit, Department of Pathology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal & Centro Hospitalar São João, Porto, Portugal.,Institute of Science and Innovation in Mechanical Engineering and Industrial Management (INEGI), Porto, Portugal.,EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - J Cavaleiro Rufo
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - D Silva
- Basic and Clinical Immunology Unit, Department of Pathology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal & Centro Hospitalar São João, Porto, Portugal
| | - F Mendes
- Basic and Clinical Immunology Unit, Department of Pathology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal & Centro Hospitalar São João, Porto, Portugal
| | - M Farraia
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - L Delgado
- Basic and Clinical Immunology Unit, Department of Pathology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal & Centro Hospitalar São João, Porto, Portugal
| | - P Padrão
- Basic and Clinical Immunology Unit, Department of Pathology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal & Centro Hospitalar São João, Porto, Portugal.,Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
| | - P Moreira
- Basic and Clinical Immunology Unit, Department of Pathology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal & Centro Hospitalar São João, Porto, Portugal.,Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
| | - M Severo
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.,Departamento de Epidemiologia Clínica, Medicina Preditiva e Saúde Pública da Faculdade de Medicina da Universidade do Porto, Porto, Portugal
| | - A Moreira
- Basic and Clinical Immunology Unit, Department of Pathology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal & Centro Hospitalar São João, Porto, Portugal.,EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.,Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
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17
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Abstract
BACKGROUND Dehydration appears to affect muscle strength and weakness, although its influence on exhaustion remains unclear. The present study aimed to quantify the association between hydration status and exhaustion among older adults. METHODS A cluster sampling approach was used, representing Portuguese older adults (≥65 years) according to age, sex, education level and region within the Nutrition UP65 cross-sectional study. A 24-h urine sample was collected to estimate free water reserve (FWR), which was categorised into tertiles according to sex. Subjects with incomplete 24-h urine and renal disease were excluded. From a sample size of 1500 subjects, 1143 were eligible. Exhaustion was self-reported according to the Center for Epidemiologic Studies Depression Scale. A logistic regression model was conducted to evaluate the association between FWR and exhaustion. Odds ratios and the respective 95% confidence intervals were calculated by sex and age. RESULTS Free water reserve median (interquartile range) was 0.52 (0.68) L in women and 0.36 (0.77) L in men. Hypohydration affected 11.6% of women and 25.1% of men, whereas exhaustion was reported by 39.3% of women and 25.1% of men. After adjusting for confounders, women ≥80 years classified in the highest tertile of FWR showed a decreased risk of exhaustion (third tertile: odds ratio = 0.38; 95% confidence interval = 0.15-0.96) compared to women in the lowest FWR tertile. No such significant association was observed in women with <80 years and in men. CONCLUSIONS These results show an association between worse hydration status and exhaustion in older women, highlighting the need to implement further studies clarifying this association.
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Affiliation(s)
- I Anjo
- Faculdade de Ciências da Nutrição e Alimentação da, Universidade do Porto, Porto, Portugal
| | - T F Amaral
- Faculdade de Ciências da Nutrição e Alimentação da, Universidade do Porto, Porto, Portugal.,Faculdade de Engenharia, UISPA-IDMEC, Universidade do Porto, Porto, Portugal
| | - C Afonso
- Faculdade de Ciências da Nutrição e Alimentação da, Universidade do Porto, Porto, Portugal.,EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - N Borges
- Faculdade de Ciências da Nutrição e Alimentação da, Universidade do Porto, Porto, Portugal.,CINTESIS - Centre for Health Technology and Services Research, Porto, Portugal
| | - A Santos
- Faculdade de Ciências da Nutrição e Alimentação da, Universidade do Porto, Porto, Portugal.,I3S-Instituto de Investigação e Inovação em Saúde, Porto, Portugal
| | - P Moreira
- Faculdade de Ciências da Nutrição e Alimentação da, Universidade do Porto, Porto, Portugal.,EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.,Centro de Atividade Física, Saúde e Lazer, Universidade do Porto, Porto, Portugal
| | - P Padrão
- Faculdade de Ciências da Nutrição e Alimentação da, Universidade do Porto, Porto, Portugal.,EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
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18
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Mendes F, Paciência I, Lopes C, Santos A, Barros H, Moreira A, Moreira P. OR56: Pregnancy Exposure to Maternal Smoking and High Caffeine Intake is Associated with Increased Childhood Asthma Risk: Evidence from a Birth Cohort. Clin Nutr 2019. [DOI: 10.1016/s0261-5614(19)32528-2] [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: 11/30/2022]
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19
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Maciel B, Moreira P, Carmo H, Gonçalo M, Lobo JMS, Almeida IF. Implementation of an in vitro methodology for phototoxicity evaluation in a human keratinocyte cell line. Toxicol In Vitro 2019; 61:104618. [PMID: 31381965 DOI: 10.1016/j.tiv.2019.104618] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 06/27/2019] [Accepted: 08/01/2019] [Indexed: 01/15/2023]
Abstract
To assess photoxicity, several in vitro methods using different cellular models have been developed for preclinical testing. Over prediction of the in vivo photosafety hazard has been however appointed. Herein, we describe the implementation and validation of an in vitro methodology for phototoxicity evaluation based on the 3T3 neutral red uptake phototoxicity test using the HaCaT human keratinocyte cell line, and UVA/UVB radiation. Known positive (5-methoxypsoralen, chlorpromazine, and quinine) and negative (acetyl salicylic acid, hexachlorophene, and sodium lauryl sulphate) controls were tested together with a set of chemical currently used in cosmetic/pharmaceutical formulations. Apart from the advantage of using a cell line of human origin, these cells were generally more resistant to the cytotoxic effects of the test substances relative to the 3T3 mouse fibroblasts when exposed to an UVA irradiation dose of 1.7 mW/cm2. Therefore, this HaCaT NRU assay provides a more realistic experimental model that overcomes the over/high sensitivity frequently noted with the 3T3 NRU assay and that is more consistent with the human in vivo situation. Using a more representative method can prevent time-consuming and expensive in vivo testing in both animal models and humans that can significantly delay the clinical development of new chemicals.
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Affiliation(s)
- B Maciel
- UCIBIO, REQUIMTE, Medtech Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Portugal
| | - P Moreira
- UCIBIO, REQUIMTE Laboratory of Toxicology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, Portugal
| | - H Carmo
- UCIBIO, REQUIMTE Laboratory of Toxicology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, Portugal.
| | - M Gonçalo
- Department of Dermatology, University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - J M Sousa Lobo
- UCIBIO, REQUIMTE, Medtech Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Portugal
| | - I F Almeida
- UCIBIO, REQUIMTE, Medtech Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Portugal
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20
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Rodrigues-Neves AC, Carecho R, Baptista F, Moreira P, Ambrósio A. Can the retina show similar molecular and cellular changes as the brain in an animal model of Alzheimer’s disease? Front Cell Neurosci 2019. [DOI: 10.3389/conf.fncel.2019.01.00020] [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: 11/13/2022] Open
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21
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Bravo R, Moreira P, Carvalho F, Bastos M, Carmo H, Silva DDD. The synthetic psychostimulant 4-fluoromethamphetamine induces in vitro hepatotoxic effects, via CYP2E1 metabolism. Toxicol Lett 2018. [DOI: 10.1016/j.toxlet.2018.06.866] [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: 10/28/2022]
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22
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Rosário R, Santos R, Lopes L, Agostinis-Sobrinho C, Moreira C, Mota J, Póvoas S, Oliveira A, Padrão P, Moreira P, Abreu S. Fruit, vegetable consumption and blood pressure in healthy adolescents: A longitudinal analysis from the LabMed study. Nutr Metab Cardiovasc Dis 2018; 28:1075-1080. [PMID: 30207270 DOI: 10.1016/j.numecd.2018.05.014] [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] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Revised: 05/23/2018] [Accepted: 05/24/2018] [Indexed: 02/05/2023]
Abstract
BACKGROUND AND AIMS The associations between fruit and vegetable consumption and high blood pressure among adults are well studied. Nonetheless, data on the influence of a low consumption of fruit and vegetables on cardiovascular disease risk, particularly blood pressure, among healthy adolescents are scarce. Therefore, we aim to analyse the associations between fruit and/or vegetable intake and blood pressure over a two-year period in healthy adolescents. METHODS AND RESULTS As part of a cohort, 606 adolescents from the LabMed Physical Activity study were evaluated in 2011 (baseline) and 2013 (follow-up). Blood pressure was measured according to standardized procedures and fruit and vegetable consumption was assessed with a food frequency questionnaire. Anthropometric variables, socioeconomic status, pubertal stage and lifestyle determinants were gathered and used as confounders. Prospective associations between fruit and/or vegetable intake and blood pressure were examined using generalized linear models. Girls who consumed more fruit at baseline had a significant decrease in diastolic blood pressure at follow-up [unstandardized beta: -0.005 mmHg (95%CI: -0.01; -0.0002) (p = 0.038)]. CONCLUSION In apparently healthy adolescents, fruit intake may already start to have an effect in blood pressure. Girls who consumed more fruit exhibited lower levels of diastolic blood pressure.
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Affiliation(s)
- R Rosário
- School of Nursing, University of Minho, Portugal; Health Sciences Research Unit-Nursing, Escola Superior de Enfermagem de Coimbra, Portugal.
| | - R Santos
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal; Early Start, Faculty of Social Sciences, School of Education, University of Wollongong, Australia
| | - L Lopes
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal
| | - C Agostinis-Sobrinho
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal; Faculty of health Sciences, Klaipeda University, Lithuania; Physical Education, Physiotherapy and Dance, Federal University of the South of Brazil, Porto Alegre, Rio Grande do Sul, Brazil
| | - C Moreira
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal
| | - J Mota
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal
| | - S Póvoas
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University Institute of Maia, ISMAI, Maia, Portugal
| | - A Oliveira
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal
| | - P Padrão
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal; Institute of Public Health, University of Porto, Portugal
| | - P Moreira
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal; Faculty of Nutrition and Food Sciences, University of Porto, Portugal; Institute of Public Health, University of Porto, Portugal
| | - S Abreu
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal; Universidade Lusófona do Porto, Portugal
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23
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Mendes J, Afonso C, Padrao P, Moreira P, Santos A, Borges N, Negrao R, Amaral T. Association of functional status with obesity and exhaustion in older adults: Results from the nutrition up 65 study. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.2090] [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: 10/28/2022]
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Mendes J, Santos A, Borges N, Afonso C, Moreira P, Padrão P, Negrão R, Amaral TF. Vitamin D status and functional parameters: A cross-sectional study in an older population. PLoS One 2018; 13:e0201840. [PMID: 30130370 PMCID: PMC6103509 DOI: 10.1371/journal.pone.0201840] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2018] [Accepted: 07/23/2018] [Indexed: 12/16/2022] Open
Abstract
The present study aims to clarify the association of vitamin D status with functionality, measured through gait speed and hand grip strength, in a sample of older adults, considering sex-specific characteristics and the potential confounding effect of lifestyle factors, disease, skin phenotype, season of blood collection and vitamin D supplementation. The Nutrition UP 65 cross-sectional study was conducted in a population-based sample of 1,425 older adults ≥ 65 years old. Serum levels of 25-hydroxyvitamin D were quantified through electrochemiluminescence immunoassay. Multinomial logistic regressions were carried out using quartiles of gait speed and of hand grip strength as dependent variables. Participants at risk of vitamin D inadequacy (30.0-49.9 nmol/L) and deficiency (< 30.0 nmol/L) presented higher adjusted odds ratio of the lowest values of gait speed and hand grip strength than those with adequate vitamin D levels (≥ 50.0 nmol/L). These associations were strongest among men at risk of vitamin D deficiency [adjusted odds ratio for the lowest quartile of gait speed = 3.24; 95% CI: 1.56–6.73 and for the lowest quartile of hand grip strength = 3.28; 95% CI: 1.47-7.31] than in women at risk of vitamin D deficiency [adjusted odds ratio for the lowest quartile of gait speed = 2.72; 95% CI: 1.37-5.41 and for the lowest quartile of hand grip strength = 1.56; 95% CI: 0.81–3.00]. In conclusion, in older adults, particularly in men, the risk of vitamin D deficiency was directly associated with the lowest values of gait speed and of hand grip strength. However, randomized controlled trials are needed to overcome the possibility of reverse causation and residual confounding. Present results emphasise the need for strategies to promote the reduction of the high prevalence of low vitamin D status among the Portuguese older adult population.
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Affiliation(s)
- J. Mendes
- Department of Biomedicine, Biochemistry Unit, Faculty of Medicine, University of Porto, Porto, Portugal
- I3S - Institute for Research and Innovation in Health, University of Porto, Porto, Portugal
- * E-mail:
| | - A. Santos
- I3S - Institute for Research and Innovation in Health, University of Porto, Porto, Portugal
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - N. Borges
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
- CINTESIS - Centre for Health Technology and Services Research, Porto, Portugal
| | - C. Afonso
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - P. Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
- EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal
- The Research Centre in Physical Activity, Health and Leisure, University of Porto, Porto, Portugal
| | - P. Padrão
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
- EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal
| | - R. Negrão
- Department of Biomedicine, Biochemistry Unit, Faculty of Medicine, University of Porto, Porto, Portugal
- I3S - Institute for Research and Innovation in Health, University of Porto, Porto, Portugal
| | - T. F. Amaral
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
- System Integration and Process Automation Unit (UISPA), Mechanical Engineering Institute (IDMEC), Faculty of Engineering, University of Porto, Porto, Portugal
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25
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Pinto PR, Paredes AC, Moreira P, Fernandes S, Lopes M, Carvalho M, Almeida A. Emotional distress in haemophilia: Factors associated with the presence of anxiety and depression symptoms among adults. Haemophilia 2018; 24:e344-e353. [DOI: 10.1111/hae.13548] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2018] [Indexed: 01/09/2023]
Affiliation(s)
- P. R. Pinto
- Life and Health Sciences Research Institute (ICVS); School of Medicine; University of Minho; Braga Portugal
- ICVS/3B's-PT Government Associate Laboratory; Braga/Guimarães Portugal
| | - A. C. Paredes
- Life and Health Sciences Research Institute (ICVS); School of Medicine; University of Minho; Braga Portugal
- ICVS/3B's-PT Government Associate Laboratory; Braga/Guimarães Portugal
| | - P. Moreira
- Life and Health Sciences Research Institute (ICVS); School of Medicine; University of Minho; Braga Portugal
- ICVS/3B's-PT Government Associate Laboratory; Braga/Guimarães Portugal
| | - S. Fernandes
- Centre of Hemophilia; Department of Transfusion Medicine and Blood Bank; Centro Hospitalar São João; Porto Portugal
| | - M. Lopes
- Centre of Hemophilia; Department of Transfusion Medicine and Blood Bank; Centro Hospitalar São João; Porto Portugal
| | - M. Carvalho
- Centre of Hemophilia; Department of Transfusion Medicine and Blood Bank; Centro Hospitalar São João; Porto Portugal
| | - A. Almeida
- Life and Health Sciences Research Institute (ICVS); School of Medicine; University of Minho; Braga Portugal
- ICVS/3B's-PT Government Associate Laboratory; Braga/Guimarães Portugal
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26
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Virtanen TE, Moreira P, Ulvseth H, Andersson H, Tetler S, Kuorelahti M. Analyzing Measurement Invariance of the Students’ Engagement Instrument Brief Version: The Cases of Denmark, Finland, and Portugal. Canadian Journal of School Psychology 2017. [DOI: 10.1177/0829573517699333] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The promotion of students’ engagement with school is an internationally acknowledged challenge in education. There is a need to examine the structure of the concept of student engagement and to discover the best practices for fostering it across societies. That is why the cross-cultural invariance testing of students’ engagement measures is highly needed. This study aimed, first, to find the reduced set of theoretically valid items to represent students’ affective and cognitive engagement forming the Brief-SEI (brief version of the Student Engagement Instrument; SEI). The second aim was to test the measurement invariance of the Brief-SEI across three countries (Denmark, Finland, and Portugal). A total of 4,437 seventh-grade students completed the SEI questionnaires in the three countries. The analyses revealed that of the total 33 original instrument items, 15 items indicated acceptable psychometric properties of the Brief-SEI. With these 15 items, cross-national factorial validity and invariances across genders and students with different levels of academic performance (samples from Finland and Portugal) were demonstrated. This article discusses the utility of the Brief-SEI in cross-cultural research and its applicability in different national school contexts.
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Affiliation(s)
| | - P. Moreira
- Lusíada University (Porto); CIPD; and Calouste Gulbenkian Foundation (Lisbon), Portugal
| | | | | | - S. Tetler
- Aarhus University, Copenhagen, Denmark
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Sousa-Santos AR, Afonso C, Moreira P, Padrão P, Santos A, Borges N, Amaral TF. Weakness: The most frequent criterion among pre-frail and frail older Portuguese. Arch Gerontol Geriatr 2017; 74:162-168. [PMID: 29112877 DOI: 10.1016/j.archger.2017.10.018] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Revised: 09/25/2017] [Accepted: 10/23/2017] [Indexed: 01/29/2023]
Abstract
AIM In Portugal, the burden of pre-frailty and frailty in community-dwelling older adults is still unknown. The purpose of this study is to estimate the frequency of frailty in a Portuguese sample with ≥ 65years and to evaluate its associated factors. We also intend to identify which criterion has more impact on the diagnosis of frailty. METHODS 1457 older adults with ≥ 65years from the Nutrition UP 65 study were evaluated in a cross-sectional analysis. Frailty was identified according to Fried et al. by the presence of three or more of the following factors: unintentional weight loss, self-reported exhaustion, slowness, weakness and low physical activity. Pre-frailty was defined as the presence of one or two of these criteria. The association between individuals' characteristics and frailty status was analysed through logistic regression analysis. RESULTS The frequency of pre-frailty and frailty is 54.3% and 21.5%, respectively. In older adults classified as pre-frail or frail, 76.7% presented weakness and 48.6% exhaustion. In multivariate analyses, frailty was associated with age >75, lower education level, being single, divorced or widower, being professionally inactive, poor self-perception of health status, not drinking alcohol, being obese and undernourished or at undernutrition risk. CONCLUSION This condition is very prevalent in Portuguese older adults, one fifth are frail whereas half are pre-frail. Weakness identified by low handgrip strength is the most prevalent criterion in pre-frail and frail Portuguese older adults.
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Affiliation(s)
- A R Sousa-Santos
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal.
| | - C Afonso
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
| | - P Moreira
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas, 135, 4050-600 Porto, Portugal; CIAFEL - Centro de Investigação em Atividade Física, Saúde e Lazer, Universidade do Porto, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal
| | - P Padrão
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas, 135, 4050-600 Porto, Portugal
| | - A Santos
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal; I3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Rua Alfredo Allen, 208, 4200-135 Porto, Portugal
| | - N Borges
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal; CINTESIS - Centro de Investigação em Tecnologia e Serviços de Saúde, Rua Dr. Plácido da Costa, s/n, 4200-450, Porto, Portugal
| | - T F Amaral
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal; UISPA, LAETA-INEGI - Faculdade de Engenharia, Universidade do Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal
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Neves A, Chiquita S, Carecho R, Campos E, Moreira P, Baptista F, Ambrósio F. Alzheimer's disease: can the retina be a window to the brain? Acta Ophthalmol 2017. [DOI: 10.1111/j.1755-3768.2017.01564] [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] [Indexed: 11/26/2022]
Affiliation(s)
- A.C. Neves
- Retinal Dysfuncion & Neuroinflammation Lab; Institute for Biomedical Imaging and Life Sciences; Coimbra Portugal
- CNC.IBILI Consortium; Coimbra Portugal
| | - S. Chiquita
- Retinal Dysfuncion & Neuroinflammation Lab; Institute for Biomedical Imaging and Life Sciences; Coimbra Portugal
- CNC.IBILI Consortium; Coimbra Portugal
| | - R. Carecho
- Retinal Dysfuncion & Neuroinflammation Lab; Institute for Biomedical Imaging and Life Sciences; Coimbra Portugal
- CNC.IBILI Consortium; Coimbra Portugal
| | - E. Campos
- Retinal Dysfuncion & Neuroinflammation Lab; Institute for Biomedical Imaging and Life Sciences; Coimbra Portugal
- CNC.IBILI Consortium; Coimbra Portugal
| | - P. Moreira
- CNC.IBILI Consortium; Coimbra Portugal
- Center for Neuroscience and Cell Biology; Mitochondrial metabolism and insulin signaling in neurodegenerative and metabolic disorders; Coimbra Portugal
| | - F. Baptista
- Retinal Dysfuncion & Neuroinflammation Lab; Institute for Biomedical Imaging and Life Sciences; Coimbra Portugal
- CNC.IBILI Consortium; Coimbra Portugal
| | - F. Ambrósio
- Retinal Dysfuncion & Neuroinflammation Lab; Institute for Biomedical Imaging and Life Sciences; Coimbra Portugal
- CNC.IBILI Consortium; Coimbra Portugal
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Santos K, Monteiro A, Paiva C, Amparo F, Moreira P, Alves R, Kovacs C, Magnoni D. SUN-P125: Application of the Findrisc Questionnaire to Screening the Risk of Diabetes Mellitus in Patients with Cardiovascular Disease. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30502-2] [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: 10/18/2022]
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30
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Pereira V, Arantes C, Silva A, Marques P, Moreira P, Marques J. P4517The central autonomic nervous system response to stress is altered in patients with Takotsubo cardiomyopathy: a case-control study using fMRI. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4517] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Padrao P, Moreira P, Santos A, Borges N, Afonso C, Sousa A, Guerra R, Amaral T. INADEQUATE HYDRATION STATUS AND OVERWEIGHT AMONG OLDER ADULTS: DATA FROM NUTRITION UP 65. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2491] [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] [Indexed: 11/13/2022] Open
Affiliation(s)
- P. Padrao
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal,
- EpiUnit - Institute of Public Health, University of Porto, Porto, Portugal,
| | - P. Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal,
- Research Center on Physical Activity and Leisure, University of Porto, Porto, Portugal
- EpiUnit - Institute of Public Health, University of Porto, Porto, Portugal,
| | - A. Santos
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal,
| | - N. Borges
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal,
| | - C. Afonso
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal,
| | - A. Sousa
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal,
| | - R. Guerra
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal,
| | - T. Amaral
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal,
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Moreira P, Padrao P, Santos A, Borges N, Afonso C, Sousa A, Guerra R, Amaral T. SALT CONSUMPTION AND OVERWEIGHT AMONG OLDER ADULTS: DATA FROM NUTRITION UP 65. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1941] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- P. Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal, Porto, Portugal,
- Research Center on Physical Activity and Leisure, University of Porto, Porto, Portugal,
- EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal
| | - P. Padrao
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal, Porto, Portugal,
- EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal
| | - A. Santos
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal, Porto, Portugal,
| | - N. Borges
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal, Porto, Portugal,
| | - C. Afonso
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal, Porto, Portugal,
| | - A. Sousa
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal, Porto, Portugal,
| | - R. Guerra
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal, Porto, Portugal,
| | - T. Amaral
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal, Porto, Portugal,
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Albuquerque G, Moreira P, Rosário R, Araújo A, Teixeira VH, Lopes O, Moreira A, Padrão P. Adherence to the Mediterranean diet in children: Is it associated with economic cost? Porto Biomed J 2017; 2:115-119. [PMID: 32258600 DOI: 10.1016/j.pbj.2017.01.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 01/23/2017] [Indexed: 11/29/2022] Open
Abstract
Highlights The average diet cost was 4.58€ (SD = 1.24) in 6-12 years-old children.Diet cost calculations were based on food prices information from 2011.Most children reported medium (69.1%) or high (4.6%) adherence to Mediterranean diet.Higher adherence to Mediterranean diet was associated with higher diet cost. Objective To assess how the diet cost is associated with socio-demographic factors and adherence to Mediterranean diet in children. Methods Data were obtained from a community-based survey of children selected from public elementary schools in Portugal. Of a total of 586 children attending these schools, 464 (6-12 years), were studied. Dietary intake was assessed by a 24 hour recall and the adherence to Mediterranean diet was evaluated through the KIDMED index. The cost of the diet was calculated based on the collection of food prices of a national leader supermarket, and expressed as Total Daily Cost (TDC) and Total Daily Cost-Adjusted for Energy (TDEC). Anthropometric measures were taken and socio-demographic data were gathered from a questionnaire filled by parents. Logistic regression was used to quantify the association between diet cost, socio-demographics and adherence to Mediterranean diet. Results The average TDC was 4.58€ (SD = 1.24). Most children (69.1%) reported medium adherence to Mediterranean diet, and 4.6% rated the higher score. TDC was higher for children with highest adherence to Mediterranean diet, compared to those with lowest adherence [TDC: OR = 5.70 (95% CI 1.53, 21.33), p for trend = 0.001; TDEC: OR = 2.83 (95% CI 0.89, 8.96, p for trend 0.018)]. No meaningful variation in the diet cost with age and parental education was observed. Conclusion Higher adherence to Mediterranean diet was associated with higher diet cost in children.
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Affiliation(s)
- G Albuquerque
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - P Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.,Research Centre in Physical Activity, Health and Leisure, University of Porto, Porto, Portugal.,EPI Unit - Institute of Public Health, University of Porto, Porto, Portugal
| | - R Rosário
- Education School, Child Study Centre, University of Minho, Braga, Portugal.,Nursing School, University of Minho Braga, Portugal
| | - A Araújo
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - V H Teixeira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.,Research Centre in Physical Activity, Health and Leisure, University of Porto, Porto, Portugal
| | - O Lopes
- Erdal Association, Guimarães, Portugal
| | - A Moreira
- Department of Immunology, Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Immunoallergology, Hospital of São João, Porto, Portugal
| | - P Padrão
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.,EPI Unit - Institute of Public Health, University of Porto, Porto, Portugal
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Sota JD, Avid FA, Moreira P, Chury M. Medida de la madurez del hormigón en una estructura. Revista de la Asociación Latinoamericana de Control de Calidad, Patología y Recuperación de la Construcción 2016. [DOI: 10.21041/ra.v6i3.149] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Medida de la madurez del hormigón en una estructuraRESUMENEn este trabajo realizamos la determinación del grado de madurez del hormigón in situ en una estructura. Para ello, se miden las temperaturas en las bases de hormigón de una estructura, desde las primeras horas de la hidratación, hasta los 28 días, con un equipo desarrollado en la Facultad. Simultáneamente se realizan ensayos de resistencia a la compresión estableciendo la relación con las temperaturas, con las expresiones de Nurse-Saul y Arrhenius. Los resultados permitieron determinar la curva de madurez del hormigón estudiado y establecer el grado de madurez en cada una de las partes diferenciadas de la estructura. El uso de esta metodología permite controlar la totalidad del hormigón recibido, su homogeneidad y monitorear su resistencia en tiempo real.Palabras claves: madurez; hormigón; temperatura; resistencia. Measure of maturity of the concrete structure ABSTRACTIn this paper we determine the degree of maturity in situ concrete structure. To do this, temperatures are measured in the concrete foundations of a structure, from the first hours of hydration, to 28 days, with a device developed at the Faculty. Simultaneously testing compressive strength are performed establishing the relationship with temperature, with expressions Nurse-Saul and Arrhenius. The results allowed to determine the maturity curve of the studied concrete and establish the degree of maturity in each of the different parts of the structure.n The use of this methodology allows to control the entire concrete received, its homogeneity and to monitor resistance in real time.Keywords: maturity; concrete; temperature; resistance. Medida de maturidade do concreto in situ numa estrutura RESUMONeste trabalho, determinar o grau de maturidade na estrutura de concreto situ. Para fazer isso, as temperaturas são medidas nas fundações de betão de uma estrutura, desde as primeiras horas de hidratação, a 28 dias, com um dispositivo desenvolvido na Faculdade. Simultaneamente testar resistência à compressão são realizados estabelecer a relação com a temperatura, com expressões Nurse-Saul e Arrhenius. Os resultados obtidos permitem determinar a curva do betão estudada maturidade e estabelecer o grau de maturação em cada uma das diferentes partes da estrutura. A utilização desta metodologia permite controlar todo o betão recebido, a sua homogeneidade e monitorar a resistência em tempo real.Palavras-chave: maturidade; betão; temperatura; resistência.
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Pádua I, Moreira A, Moreira P, Barros R. Food allergy: practical approach on education and accidental exposure prevention. Eur Ann Allergy Clin Immunol 2016; 48:174-181. [PMID: 27608473] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Food allergies are a growing problem and currently the primary treatment of food allergy is avoidance of culprit foods. However, given the lack of information and education and also the ubiquitous nature of allergens, accidental exposures to food allergens are not uncommon. The fear of potential fatal reactions and the need of a proper avoidance leads in most of the cases to the limitation of leisure and social activities. This review aims to be a practical approach on education and accidental exposure prevention regarding activities like shopping, eating out, and travelling. The recommendations are focused especially on proper reading of food labels and the management of the disease, namely in restaurants and airplanes, concerning cross-contact and communication with other stakeholders. The implementation of effective tools is essential to manage food allergy outside home, avoid serious allergic reactions and minimize the disease's impact on individuals' quality of life.
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Affiliation(s)
- I Pádua
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal. E-mail:
| | - A Moreira
- ISPUP-EPIUnit University of Porto, Portugal. Faculty of Medicine, University of Porto, Porto, Portugal. Centro Hospitalar de São João, Porto, Portugal
| | - P Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal. ISPUP-EPIUnit University of Porto, Portugal. Research Centre in Physical Activity, Health and Leisure, University of Porto, Portugal
| | - R Barros
- Faculty of Nutrition and Food Sciences, University of Porto, Portugal
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Moreira P, Cunha S, Dias Da Silva D, Carvalho F, Bastos M, Carmo H. Development and validation of a method for the simultaneous quantification of two piperazines used as drugs of abuse. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.06.2029] [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: 10/21/2022]
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Monteiro A, dos Santos K, Alves R, Moreira P, Paiva C, Amparo F, Magnoni C, Kovacs C. SUN-P010: Lipid Targets and Effect of Nutritional Intervation in Patients with Cardiovascular Risk. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30353-3] [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: 11/28/2022]
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Amparo F, Magnoni D, Gama K, Monteiro A, Moreira P, Paiva C, Alves R, Kovacs C. SUN-P099: Association the Chronic Kidney Disease (CKD) and Changes in Cardiovascular Risk Factors in Patients from Nutrition Service. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30442-3] [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: 11/27/2022]
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Barros R, Moreira A, Padrão P, Teixeira VH, Carvalho P, Delgado L, Lopes C, Severo M, Moreira P. Dietary patterns and asthma prevalence, incidence and control. Clin Exp Allergy 2016; 45:1673-80. [PMID: 25818037 DOI: 10.1111/cea.12544] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Revised: 02/05/2015] [Accepted: 03/11/2015] [Indexed: 12/27/2022]
Abstract
BACKGROUND The increased asthma prevalence in westernized societies has been suggested to be related to environment exposures and lifestyle changes, particularly diet. We aimed to explore the association between dietary patterns and asthma prevalence, incidence and control in a nationally representative population. METHODS Data from 32,644 adults, 53% female, from the 4th Portuguese National Health Survey were analysed. Prevalence of asthma was 5.3%; 'current asthma', defined by asthma symptoms within previous year, 3.5%; 'current medicated asthma' defined by use of asthma medication within previous year, 3.0%; 'current severe asthma' defined by emergency visit because of asthma within previous year, 1.4%; and 'incident asthma', 0.2%. Dietary patterns (DP) were identified by latent trait models based on dietary intake. Unconditional logistic regression models were performed to analyse association between DP and asthma. Age, gender, education, family income, proxy reporting information, smoking, body mass index and physical activity level were analysed as confounders. RESULTS Two of the five identified DP were associated with asthma: 'high fat, sugar and salt' DP (positively correlated with pastry, chocolate and sweet desserts, candies, salty snacks, chips, fruit juices, soft drinks and alcoholic beverages consumption at snacks) was associated with asthma prevalence (OR = 1.13, 95% CI = 1.03, 1.24) and current severe asthma (OR = 1.23, 95% CI = 1.03, 1.48), while 'fish, fruit and vegetables' DP (positively correlated with fish, vegetables and fruit intake at meals) was negatively associated with current (OR = 0.84, 95% CI = 0.73, 0.98), and current medicated asthma (OR = 0.84, 95% CI = 0.72, 0.98), after adjustment for confounders. CONCLUSION & CLINICAL RELEVANCE Our results suggest a protective association between 'fish, vegetables and fruit' DP and current asthma and current medicated asthma, and a detrimental association between 'high fat, sugar and salt' DP and severe asthma prevalence, further supporting the rational for diet and lifestyle intervention studies in asthma based on whole dietary patterns and physical activity.
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Affiliation(s)
- R Barros
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - A Moreira
- Laboratory of Immunology, Basic and Clinical Immunology Unit, Faculty of Medicine, University of Porto, Porto, Portugal.,Immunoallergology Department, Centro Hospitalar São João, Porto, Portugal
| | - P Padrão
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.,Epiunit - Public Health Institute, University of Porto, Porto, Portugal
| | - V H Teixeira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.,Research Centre on Physical Activity and Health, University of Porto, Porto, Portugal
| | - P Carvalho
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - L Delgado
- Laboratory of Immunology, Basic and Clinical Immunology Unit, Faculty of Medicine, University of Porto, Porto, Portugal.,Immunoallergology Department, Centro Hospitalar São João, Porto, Portugal
| | - C Lopes
- Epiunit - Public Health Institute, University of Porto, Porto, Portugal.,Department Clinical Epidemiology, Predictive Medicine and Public Health, Faculty of Medicine, University of Porto, Porto, Portugal
| | - M Severo
- Epiunit - Public Health Institute, University of Porto, Porto, Portugal.,Department Clinical Epidemiology, Predictive Medicine and Public Health, Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Medical Education and Simulation Clinical Epidemiology, Predictive Medicine and Public Health, Faculty of Medicine, University of Porto, Porto, Portugal
| | - P Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.,Research Centre on Physical Activity and Health, University of Porto, Porto, Portugal
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Barros R, Moreira P, Padrão P, Teixeira VH, Carvalho P, Delgado L, Moreira A. Obesity increases the prevalence and the incidence of asthma and worsens asthma severity. Clin Nutr 2016; 36:1068-1074. [PMID: 27448950 DOI: 10.1016/j.clnu.2016.06.023] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Revised: 01/20/2016] [Accepted: 06/27/2016] [Indexed: 12/21/2022]
Abstract
BACKGROUND & AIMS We aimed to explore the association between obesity and asthma prevalence, incidence and severity. METHODS The study included 32,644 adults, 52.6% female, from a representative sample of the 4th Portuguese National Health Survey. The following asthma definitions were used: ever asthma (ever medical doctor asthma diagnosis), current asthma (asthma within the last 12 months), current persistent asthma (required asthma medication within the last 12 months), current severe asthma (attending an emergency department because of asthma within the last 12 months), and incident asthma (asthma diagnosis within the last 12 months). Body mass index was calculated based on self-reported weight and height and categorised according to WHO classification. Logistic regression models adjusted for confounders were performed. RESULTS Prevalence of ever asthma was 5.3%, current asthma 3.5%, current persistent asthma 3.0%, current severe asthma 1.4%, and incident asthma 0.2%. Prevalence of obesity was 16%, overweight 37.6%, normal weight 44.6% and underweight 0.2%. Being overweight, obesity class I and II, and obesity class III were associated with an OR (95% CI) with ever asthma 1.22 (1.21-1.24), 1.39 (1.36-1.41), 3.24 (3.08-3.40) respectively; current asthma 1.16 (1.14-1.18), 1.86 (1.82-1.90), 4.73 (4.49-4.98) respectively; current persistent asthma 1.08 (1.06-1.10), 2.06 (2.01-2.10), 5.24 (4.96-5.53), and current severe asthma 1.36 (1.32-1.40), 1.50 (1.45-1.55) and 3.70 (3.46-3.95), respectively. Considering the incidence of asthma, obesity more than quadrupled the odds (OR = 4.46, 95% CI 4.30, 4.62). CONCLUSION Obesity is associated in a dose dependent way with an increase of prevalent and incident asthma, and it seems to increase the odds of a more persistent and severe asthma phenotype independently of socio-demographic determinants, physical activity, and dietary patterns. Our results provide rational for future lifestyle intervention studies for weight reduction in the obesity-asthma phenotype.
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Affiliation(s)
- R Barros
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal.
| | - P Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; Research Centre on Physical Activity and Health, University of Porto, Porto, Portugal; EPI Unit, Public Health Institute, University of Porto, Porto, Portugal
| | - P Padrão
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; EPI Unit, Public Health Institute, University of Porto, Porto, Portugal
| | - V H Teixeira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; EPI Unit, Public Health Institute, University of Porto, Porto, Portugal
| | - P Carvalho
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - L Delgado
- Laboratory of Immunology, Basic and Clinical Immunology Unit, Faculty of Medicine, University of Porto, Porto, Portugal; Immunoallergology Department, Centro Hospitalar São João, Porto, Portugal
| | - A Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; Laboratory of Immunology, Basic and Clinical Immunology Unit, Faculty of Medicine, University of Porto, Porto, Portugal; Immunoallergology Department, Centro Hospitalar São João, Porto, Portugal
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41
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Rosário R, Araújo A, Padrão P, Lopes O, Moreira A, Abreu S, Vale S, Pereira B, Moreira P. Impact of a school-based intervention to promote fruit intake: a cluster randomized controlled trial. Public Health 2016; 136:94-100. [PMID: 27101881 DOI: 10.1016/j.puhe.2016.03.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2015] [Revised: 01/23/2016] [Accepted: 03/09/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVE There is evidence that fruit consumption among school children is below the recommended levels. This study aims to examine the effects of a dietary education intervention program me, held by teachers previously trained in nutrition, on the consumption of fruit as a dessert at lunch and dinner, among children 6-12 years old. STUDY DESIGN This is a randomized trial with the schools as the unit of randomisation. METHODS A total of 464 children (239 female, 6-12years) from seven elementary schools participated in this cluster randomized controlled trial. Three schools were allocated to the intervention and four to the control group. For the intervention schools, we delivered professional development training to school teachers (12 sessions of 3 h each). The training provided information about nutrition, healthy eating, the importance of drinking water and healthy cooking activities. After each session, teachers were encouraged to develop classroom activities focused on the learned topics. Sociodemographic was assessed at baseline and anthropometric, dietary intake and physical activity assessments were performed at baseline and at the end of the intervention. Dietary intake was evaluated by a 24-h dietary recall and fruit consumption as a dessert was gathered at lunch and dinner. RESULTS Intervened children reported a significant higher intake in the consumption of fruit compared to the controlled children at lunch (P = 0.001) and at dinner (P = 0.012), after adjusting for confounders. CONCLUSIONS Our study provides further support for the success of intervention programmes aimed at improving the consumption of fruit as a dessert in children.
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Affiliation(s)
- R Rosário
- University of Minho, School of Nursing, Largo do Paço, 4704-553 Braga, Portugal; University of Minho, School of Education, Research Centre in Child Studies, Campus de Gualtar, 4710-057 Braga, Portugal.
| | - A Araújo
- University of Porto, Faculty of Nutrition and Food Sciences, Rua Roberto Frias, 4200-465 Porto, Portugal.
| | - P Padrão
- University of Porto, Faculty of Nutrition and Food Sciences, Rua Roberto Frias, 4200-465 Porto, Portugal.
| | - O Lopes
- Erdal Association, Guimarães, Portugal.
| | - A Moreira
- University of Porto, Faculty of Medicine, Al. Prof. Hernâni Monteiro, 4200 - 319 Porto, Portugal.
| | - S Abreu
- University of Porto, Research Centre in Physical Activity, Health and Leisure, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal.
| | - S Vale
- University of Porto, Research Centre in Physical Activity, Health and Leisure, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal.
| | - B Pereira
- University of Minho, School of Education, Research Centre in Child Studies, Campus de Gualtar, 4710-057 Braga, Portugal.
| | - P Moreira
- University of Porto, Faculty of Nutrition and Food Sciences, Rua Roberto Frias, 4200-465 Porto, Portugal; University of Porto, Research Centre in Physical Activity, Health and Leisure, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal.
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Gonçalves A, Silva J, Carvalho J, Moreira P, Padrão P. Hydration status and water sources in free-living physically active elderly. NUTR HOSP 2015; 32 Suppl 2:10303. [PMID: 26615273 DOI: 10.3305/nh.2015.32.sup2.10303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- A Gonçalves
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
| | - J Silva
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
| | - J Carvalho
- Research Centre in Physical Activity, Health and Leisure. Faculty of Sport. University of Porto. Porto. Portugal
| | - P Moreira
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
| | - P Padrão
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
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Neto M, Pinto M, Oliveira A, Padrão P, Moreira A, Moreira P. Hydration status and associated dietary factors in children. NUTR HOSP 2015; 32 Suppl 2:10324. [PMID: 26615294 DOI: 10.3305/nh.2015.32.sup2.10324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Affiliation(s)
- M Neto
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
| | - M Pinto
- Department of Immunology. Faculty of Medicine. University of Porto. Porto. Portugal
| | - Ac Oliveira
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
| | - P Padrão
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
| | - A Moreira
- Department of Immunology. Faculty of Medicine. University of Porto. Porto. Portugal
| | - P Moreira
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
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Gonçalves C, Padrão P, Abreu S, Pinho O, Graça P, Moreira P. Beverages intake and hydration status in adolescents. NUTR HOSP 2015; 32 Suppl 2:10302. [PMID: 26615272 DOI: 10.3305/nh.2015.32.sup2.10302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- C Gonçalves
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
| | - P Padrão
- Institute of Public Health, University of Porto (ISPUP). EPIUnit - Epidemiology Research Unit. Porto. Portugal
| | - S Abreu
- Research Centre in Physical Activity, Health and Leisure. Faculty of Sport. University of Porto. Porto. Portugal
| | - O Pinho
- LAQV, REQUIMTE, Laboratory of Bromatology and Hydrology. Department of Chemistry, Faculty of Pharmacy. University of Porto. Porto. Portugal
| | - P Graça
- Directorate General of Health. Lisbon. Portugal
| | - P Moreira
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal. Research Centre in Physical Activity, Health and Leisure. Faculty of Sport. University of Porto. Porto. Portugal
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Gonçalves C, Padrão P, Abreu S, Graça P, Santos R, Moreira P. Hydration status using free water reserve in Portuguese adolescents. NUTR HOSP 2015; 32 Suppl 2:10301. [PMID: 26615271 DOI: 10.3305/nh.2015.32.sup2.10301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- C Gonçalves
- Faculty of Nutrition and Food Sciences. University of Porto. Porto. Portugal
| | - P Padrão
- Institute of Hydration and Health. Lisboa. Portugal
| | - S Abreu
- Research Centre in Physical Activity, Health and Leisure. Faculty of Sport. University of Porto. Porto. Portugal
| | - P Graça
- Directorate General of Health. Lisbon. Portugal
| | - R Santos
- Early Start Research Institute. School of Education. Faculty of Social Sciences. University of Wollongong. Wollongong. Australia
| | - P Moreira
- Faculty of Nutrition and Food Sciences. University of Porto. Porto. Portugal
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Rodríguez L, Azevedo A, Seabra A, Padrão P, Moreira P. Hydration status and water sources in 9-10 year soccer players. NUTR HOSP 2015; 32 Suppl 2:10337. [PMID: 26615307 DOI: 10.3305/nh.2015.32.sup2.10337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- L Rodríguez
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
| | - Ar Azevedo
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
| | - A Seabra
- Research Centre in Physical Activity, Health and Leisure. Faculty of Sport. University Of Porto. Porto. Portugal
| | - P Padrão
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
| | - P Moreira
- Faculty of Nutrition and Food Sciences. University of Porto (FCNAUP). Porto. Portugal
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Rocha J, Moreira P, Pinto R, Soares-da-Silva P. A placebo-controlled trial of eslicarbazepine acetate add-on therapy for partial seizures in children. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.09.074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Durão C, Oliveira A, Moreira P, Severo M, Guerra A, Barros H, Lopes C. Preschool children's dietary patterns and later adiposity. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv173.072] [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: 11/13/2022] Open
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Tavares da Silva E, Oliveira R, Castelo D, Marques V, Sousa V, Moreira P, Simões P, Bastos CA, Figueiredo A, Mota A. Pretransplant biopsy in expanded criteria donors: do we really need it? Transplant Proc 2015; 46:3330-4. [PMID: 25498046 DOI: 10.1016/j.transproceed.2014.10.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Renal transplantation is the best treatment for end-stage renal disease, including when using expanded criteria donors (ECD) kidneys. However, these suboptimal kidneys should be evaluated rigorously to meet their usefulness. Opinions differ about the best way to evaluate them. MATERIALS AND METHODS We retrospectively reviewed kidneys from ECD harvested by a single academic institution between January 2008 and September 2013. Needle biopsies were performed at the time of the harvest when considered relevant by the transplant team. Two pathologists where responsible for their analysis; the Remuzzi classification has been used in all cases. RESULTS We evaluated 560 ECD kidneys. Biopsies were made in 197 (35.2%) organs, 20 of which were considered not usable and 36 good only for double transplantation. Sixty-three kidneys (11.3%) were discarded by the transplant team based on the biopsy result and clinical criteria. Donors who underwent a biopsy were older (P < .001) and had a worse glomerular filtration rate (GFR; P = .001). Comparing donors approved and rejected by the biopsy, the rejected donors were heavier (P = .003) and had a lower GFR (P = .002). Cold ischemia time was longer for the biopsy group (P < .001). Regarding graft function, the biopsy overall score correlated with the transplant outcome in the short and long term. Separately, glomeruli and interstitium scores were correlated with recipient's GFR in the earlier periods (3 months; P = .025 and .037), and the arteries and tubules correlated with GFR in the longer term (at 3 years P = .004 and .010). CONCLUSION The decision on the usability of ECD grafts is complex. At our center, we chose a mixed approach based on donor risk. Low-risk ECD do not require biopsy. In more complex situations, especially older donors or those with a lower GFR, prompted a pretransplant biopsy. The biopsy results proved to be useful as they relate to subsequent transplant outcomes, thereby allowing us to exclude grafts whose function would most probably be less than optimal.
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Affiliation(s)
- E Tavares da Silva
- Urology and Renal Transplantation Department, Coimbra's Hospital and University Center, Coimbra, Portugal.
| | - R Oliveira
- Pathology Department, Coimbra's Hospital and University Center, Coimbra, Portugal
| | - D Castelo
- Urology and Renal Transplantation Department, Coimbra's Hospital and University Center, Coimbra, Portugal
| | - V Marques
- Urology and Renal Transplantation Department, Coimbra's Hospital and University Center, Coimbra, Portugal
| | - V Sousa
- Pathology Department, Coimbra's Hospital and University Center, Coimbra, Portugal
| | - P Moreira
- Pathology Department, Coimbra's Hospital and University Center, Coimbra, Portugal
| | - P Simões
- Urology and Renal Transplantation Department, Coimbra's Hospital and University Center, Coimbra, Portugal
| | - C A Bastos
- Pathology Department, Coimbra's Hospital and University Center, Coimbra, Portugal
| | - A Figueiredo
- Urology and Renal Transplantation Department, Coimbra's Hospital and University Center, Coimbra, Portugal
| | - A Mota
- Urology and Renal Transplantation Department, Coimbra's Hospital and University Center, Coimbra, Portugal
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Oliveira-Santos J, Santos R, Moreira C, Abreu S, Lopes L, Gonçalves C, Fernandes A, Agostinis C, Silva P, Moreira P, Mota J. Obesity is associated with raised values of inflammation markers in Portuguese adolescents. Appetite 2015. [DOI: 10.1016/j.appet.2014.12.044] [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: 11/29/2022]
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