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Aloy Dos Santos T, Chites VS, Riboldi BP, Marcadenti A, Bersch-Ferreira ÂC, Vieira Machado RH, Marchioni DML, Carnevale de Almeida J. Could the Wheel of Cardiovascular Health Diet Be a Tool for Diet Quality in Nutritional Counseling? Comparison with Healthy Eating Index-2020. J Am Nutr Assoc 2024; 43:376-383. [PMID: 38175725 DOI: 10.1080/27697061.2023.2297888] [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] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 12/17/2023] [Indexed: 01/05/2024]
Abstract
OBJECTIVE The Wheel of Cardiovascular Health Diet was recently elaborated based on current nutritional recommendations for healthy eating and was made for person-centered nutritional counseling, thus it may be an interesting tool to improve food awareness. However, its validity is yet to be tested. We hypothesized that the self-perception of patients diagnosed with chronic diseases, evaluated by the Wheel of Cardiovascular Health Diet, is satisfactory in assessing the quality of their diets, compared with the Healthy Eating Index-2020. METHODS This is a cross-sectional analysis of adults with uncontrolled hypertension or type 2 diabetes. The patients answered the Wheel of Cardiovascular Health Diet, and then, based on the food frequency questionnaire, we analyzed the Healthy Eating Index-2020. RESULTS A total of 330 patients were included in the study: 91.5% had hypertension, 58.5% had type 2 diabetes, and the median age was 58 (50-65) years. The mean difference observed between the percentage of the graphic area assessed by the patients' self-perception from the Wheel of Cardiovascular Health Diet and Healthy Eating Index-2020 was -10.0% (95%CI -35.3 to 15.3), and a moderate correlation was observed. Linear Regression models showed that a 10-point increase in patients' self-perception in the Wheel of Cardiovascular Health Diet is associated with a 2.9% increase (95%CI 2.08 to 3.70) in the diet quality by the Healthy Eating Index-2020 and is associated with lower BMI values: β = -0.42 kg/m2 (95%CI -0.83 to -0.01). CONCLUSION The Wheel of Cardiovascular Health Diet performed satisfactorily regarding validity and reliability by BMI and was associated with higher overall dietary quality, with the Healthy Eating Index-2020 as a relative reference.
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Affiliation(s)
- Tainara Aloy Dos Santos
- Medical Sciences Graduate Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
| | - Victória Silva Chites
- Medical Sciences Graduate Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
| | - Bárbara Pelicioli Riboldi
- Medical Sciences Graduate Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
| | - Aline Marcadenti
- Hcor Research Institute, Associação Beneficente Síria (Hcor), São Paulo, Brazil
- Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul (IC/FUC), Porto Alegre, Brazil
| | | | | | - Dirce Maria Lobo Marchioni
- Department of Nutrition, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, São Paulo, Brazil São Paulo, Brazil
| | - Jussara Carnevale de Almeida
- Medical Sciences Graduate Program in Endocrinology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
- Department of Nutrition, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil Rio Grande do Sul, Brazil
- Nutrition and Dietetics Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil Rio Grande do Sul, Brazil
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Neta ADCPDA, Farias Júnior JCD, Ferreira FELDL, Aznar LAM, Marchioni DML. Association between sedentary behavior, diet and nutritional status in adolescents: baseline results from the LONCAAFS Study. Cien Saude Colet 2024; 29:e17082022. [PMID: 38655956 DOI: 10.1590/1413-81232024294.17082022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Accepted: 06/27/2023] [Indexed: 04/26/2024] Open
Abstract
The aim of the present study was to analyze the relationship between time spent engaged in sedentary behaviors, type of diet, and overweight in adolescents. A cross-sectional study using data from the Longitudinal Study on Sedentary Behavior, Physical Activity, Eating Habits, and Health of Adolescents - LONCAAFS Study. A total of 1,438 adolescents (10 to 14 years old) from public schools in the city of João Pessoa, Brazil, participated in the study. To evaluate the combined effects of excessive time in sedentary behavior and consumption from two food groups: Convenience and Prudent on overweight, we performed multiple logistic regression analyses, adjusted for energy, level of physical activity, sex, and age. Excessive time in sedentary behavior increased the chance of adolescents being overweight by 37% (OR = 1.37; 95%CI: 1.04-1.80). This chance increased to 43% when the adolescents were simultaneously engaged in excessive sedentary behavior and had high consumption of the Convenience food group (OR = 1.43; 95%CI: 1.05-1.94) and increased to 39% on those who engaged in excessive sedentary behavior and had low consumption of foods from the Prudent (OR = 1.39; 95%CI: 1.04-1.84). Excessive sedentary behavior is associated with being overweight and the chance increases with the consumption of convenient foods.
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Affiliation(s)
| | | | | | - Luis Alberto Moreno Aznar
- Center for Biomedical Research and Physiopathology in Obesity and Nutrition (CIBERObn), University of Zaragoza. Zaragoza Spain
| | - Dirce Maria Lobo Marchioni
- Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr. Arnaldo 715. 01246-904 São Paulo SP Brasil.
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Ferreira MA, Silva AM, Marchioni DML, Carli ED. Adherence to the EAT-Lancet diet and its relation with food insecurity and income in a Brazilian population-based sample. CAD SAUDE PUBLICA 2023; 39:e00247222. [PMID: 38126563 PMCID: PMC10740395 DOI: 10.1590/0102-311xpt247222] [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: 12/27/2022] [Revised: 05/27/2023] [Accepted: 08/10/2023] [Indexed: 12/23/2023] Open
Abstract
This study aimed to investigate the relation of adherence to the planetary diet with food and nutrition security status and per capita household income in a study with a representative sample of the Brazilian population. Among the data from the 2017-2018 Brazilian Household Budgets Survey (POF), the inequality indicators selected for the analysis were data on per capita household income and food and nutrition security. We also considered data on the individual food consumption of 46,164 Brazilians aged ≥ 10 years, obtained through 24-hour dietary recalls, in the National Food Survey, conducted with the POF 2017-2018. The Planetary Health Diet Index (PHDI) was used to measure adherence to the planetary diet. Sociodemographic data were expressed as frequency (%), with analysis of the mean and 95% confidence interval (95%CI) of the PHDI score. The relation of food and nutrition security and income with the PHDI score was tested in multiple linear regression models. The calculations were performed in the Stata software, adopting a 5% significance. Lower PHDI means were observed among food insecure individuals, male, < 20 years old, mixed-race and indigenous, with income < 0.5 minimum wage, residing in rural areas and in the North and Northeast regions. In the multiple linear regression, food insecurity was inversely related to PHDI score (ꞵ = -0.56; 95%CI: -1.06; -0.06), with the lowest scores associated with severe food insecurity (β = -1.31; 95%CI: -2.19; -0.55). Income categories were not independently associated to PHDI score (p-trend = 0.900). Therefore, food insecurity has been shown to negatively affect Brazilians' adherence to the planetary diet.
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Affiliation(s)
| | | | | | - Eduardo De Carli
- Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil
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Neta RSDO, Lima SCVC, do Nascimento LL, de Souza CVS, Lyra CDO, Marchioni DML, Oliveira AGRDC. Indices for measurement of sustainable diets: A scoping review. PLoS One 2023; 18:e0296026. [PMID: 38117768 PMCID: PMC10732454 DOI: 10.1371/journal.pone.0296026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 12/05/2023] [Indexed: 12/22/2023] Open
Abstract
INTRODUCTION The current food system is associated with negative impacts on health, food insecurity and environmental harm. Sustainable diets have attracted increasing interest and novel proposals with a global scope have emerged. This scoping review aims to give an overview of the analysis of all the available evidence related to the sustainable diet indices that have been developed based on the EAT-Lancet Commission. METHODS Searches were conducted in the PubMed, Embase, Web of Science, Scopus and Science Direct databases. This review was conducted following the PRISMA-ScR guidelines. The target population were studies addressed the use of an index or metric for assessing sustainable diets based on the EAT-Lancet Commission Summary Report were included. PCC acronym was used in the design of the study to describe eligibility criteria: P (Population)-Indexes; C (Concept)-Sustainable diets; C (Context)-Knowledge on the structure and applicability of measurement indices of sustainable diets based on EAT-Lancet recommendations available in the literature. Study eligibility criteria were restricted to papers published in English, from January 2019 through October 2022, with no population restriction. RESULTS A total of 1,458 papers were retrieved, 14 of which were included in the review. Seven measures of sustainable diets were identified as follow: EAT-Lancet diet score (ELD-I), New EAT-Lancet diet score (EAT), Planetary Health Diet Index (PHDI), Sustainable Diet Index (SDI), Sustainable-HEalthy-Diet (SHED), novel Nutrient-Based EAT index (NB-EAT) and World Index for Sustainability and Health (WISH). Most studies were conducted in developed countries, where greater adherence to this type of diet was found. Estimated greenhouse gas emissions was the most reported indicator of sustainability, followed by diet quality and the benefits of sustainable diets with regards to health outcomes. DISCUSSION We identified barriers that hinder progress towards sustainable diets, including the difficulty of comparing different indices and the tendency to neglect social aspects and the lack of common definitions and metrics. Despite being challenge, we highlight the importance of using indices that assess sustainable diets that harmonize various indicators, as recommended by the EAT-Lancet Commission, in order to promote positive changes towards a more sustainable future.
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Affiliation(s)
- Rosa Sá de Oliveira Neta
- Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | - Lorena Lima do Nascimento
- Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | - Clélia de Oliveira Lyra
- Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Dirce Maria Lobo Marchioni
- Department of Nutrition, Faculty of Public Health, University of São Paulo, São Paulo, São Paulo, Brazil
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De Carli E, Verly E, Palchetti CZ, Sichieri R, Yokoo EM, Pereira RA, Marchioni DML. Dietary iron intake over two post-fortification periods in Brazil: data from the National Dietary Surveys 2008-2009 and 2017-2018. Br J Nutr 2023; 130:1179-1189. [PMID: 36627814 DOI: 10.1017/s0007114523000119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
We aimed to assess the dietary Fe intake and the prevalence of inadequate Fe intake over two post-fortification periods in Brazil. The intake was analysed according to sex, life stage, geographic region and stratum of family income per capita. Excluding pregnant and lactating women, this population-based study included 32 749 and 44 744 participants aged ≥ 10 years from the National Dietary Survey-Brazilian Household Budget Surveys 2008-2009 and 2017-2018, respectively. The National Cancer Institute method was used to predict usual dietary Fe intakes. The prevalence of Fe intake inadequacy was estimated following a probabilistic approach for women of childbearing age or with the Estimated Average Requirement cut-off point method. Over an interval of 10 years, the mean Fe intake remained almost unchanged for most sex-age groups, except for women of childbearing age. In this specific group, the prevalence of Fe intake inadequacy was > 20 % in 2008-2009 and have increased to > 25 % in 2017-2018, with the highest reductions in mean Fe intake found in the highest income strata and richest Brazilian regions. Meanwhile, the highest prevalence of Fe intake inadequacy (> 40 %) occurred among the poorest women aged 31-50 years from the lowest family income stratum, irrespective of the study period. Beans were the main Fe source, while fortified breads, pastas, pizzas, cakes and cookies contributed approximately 40 % of the Fe intake. The results provide important insights into the long-standing dietary impacts of food fortification, which can guide future (re)formulation of effective public health strategies to combat Fe deficiency.
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Affiliation(s)
- Eduardo De Carli
- Department of Nutrition, School of Public Health, University of Sao Paulo (USP), Sao Paulo, Brazil
| | - Eliseu Verly
- Institute of Social Medicine, Rio de Janeiro State University (UERJ), Rio De Janeiro, Brazil
| | - Cecília Zanin Palchetti
- Department of Nutrition, School of Public Health, University of Sao Paulo (USP), Sao Paulo, Brazil
| | - Rosely Sichieri
- Institute of Social Medicine, Rio de Janeiro State University (UERJ), Rio De Janeiro, Brazil
| | - Edna Massae Yokoo
- Department of Epidemiology and Biostatistics, Universidade Federal Fluminense (UFF), Niterói, Rio De Janeiro, Brazil
| | - Rosangela Alves Pereira
- Department of Nutrition, Federal University of Rio de Janeiro (UFRJ), Rio De Janeiro, Brazil
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Bellot PENR, Braga ES, Omage FB, da Silva Nunes FL, Lima SCVC, Lyra CO, Marchioni DML, Pedrosa LFC, Barbosa F, Tasic L, Sena-Evangelista KCM. Plasma lipid metabolites as potential biomarkers for identifying individuals at risk of obesity-induced metabolic complications. Sci Rep 2023; 13:11729. [PMID: 37474543 PMCID: PMC10359283 DOI: 10.1038/s41598-023-38703-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Accepted: 07/13/2023] [Indexed: 07/22/2023] Open
Abstract
Lipidomics studies have indicated an association between obesity and lipid metabolism dysfunction. This study aimed to evaluate and compare cardiometabolic risk factors, and the lipidomic profile in adults and older people. A cross-sectional study was conducted with 72 individuals, divided into two sex and age-matched groups: obese (body mass index-BMI ≥ 30 kg/m2; n = 36) and non-obese (BMI < 30 kg/m2; n = 36). The lipidomic profiles were evaluated in plasma using 1H nuclear magnetic resonance (1H-NMR) spectroscopy. Obese individuals had higher waist circumference (p < 0.001), visceral adiposity index (p = 0.029), homeostatic model assessment insulin resistance (HOMA-IR) (p = 0.010), and triacylglycerols (TAG) levels (p = 0.018). 1H-NMR analysis identified higher amounts of saturated lipid metabolite fragments, lower levels of unsaturated lipids, and some phosphatidylcholine species in the obese group. Two powerful machine learning (ML) models-k-nearest neighbors (kNN) and XGBoost (XGB) were employed to characterize the lipidomic profile of obese individuals. The results revealed metabolic alterations associated with obesity in the NMR signals. The models achieved high accuracy of 86% and 81%, respectively. The feature importance analysis identified signal at 1.50-1.60 ppm (-CO-CH2-CH2-, Cholesterol and fatty acid in TAG, Phospholipids) to have the highest importance in the two models.
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Affiliation(s)
- Paula Emília Nunes Ribeiro Bellot
- Postgraduate Program in Nutrition, Center for Health Sciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Erik Sobrinho Braga
- Biological Chemistry Laboratory, Department of Organic Chemistry, Institute of Chemistry, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil
| | - Folorunsho Bright Omage
- Biological Chemistry Laboratory, Department of Organic Chemistry, Institute of Chemistry, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil
- Computational Biology Research Group, Embrapa Agricultural Informatics, Campinas, São Paulo, Brazil
| | - Francisca Leide da Silva Nunes
- Postgraduate Program in Nutrition, Center for Health Sciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | - Clélia Oliveira Lyra
- Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Dirce Maria Lobo Marchioni
- Department of Nutrition, School of Public Health, University of São Paulo, São Paulo Campus, São Paulo, SP, Brazil
| | | | - Fernando Barbosa
- Department of Clinical Analyses, Toxicology and Food Sciences, School of Pharmaceutical Sciences of Ribeirão Preto of the University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Ljubica Tasic
- Biological Chemistry Laboratory, Department of Organic Chemistry, Institute of Chemistry, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil
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Zanin Palchetti C, Gomes Gonçalves N, Vidal Ferreira N, Santos IS, Andrade Lotufo P, Bensenor IM, Suemoto CK, Marchioni DML. Dietary folate intake and its association with longitudinal changes in cognition function. Clin Nutr ESPEN 2023; 55:332-339. [PMID: 37202066 DOI: 10.1016/j.clnesp.2023.04.013] [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] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 04/01/2023] [Accepted: 04/16/2023] [Indexed: 05/20/2023]
Abstract
BACKGROUND & AIMS Folate (vitamin B9) is an essential co-factor for one-carbon metabolism. Controversial evidence has emerged regarding the association between folate and cognitive performance. The aim of the study was to investigate the association between baseline dietary folate intake and cognitive decline in a population exposed to mandatory fortification during a median follow-up of 8 years. METHODS Multicenter, prospective cohort study involving 15,105 public servants aged 35-74 years old, both sexes, from The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Baseline dietary intake was assessed by a Food Frequency Questionnaire (FFQ). Six cognitive tests were performed in the three waves to assess memory, executive function and global cognition. Linear mixed-effects models were used to assess the association between dietary folate intake at baseline and changes in cognition over time. RESULTS Data from 11,276 participants were analyzed. The mean (SD) age was 51.7 (9) years, 50% were women, 63% were overweight/obese, and 56% had graduated from college or more. Overall dietary folate intake was not associated with cognitive decline; neither vitamin B12 intake was a modifier of this association. General dietary supplements and specifically multivitamins use did not affect these findings. Natural food folate group was associated with a slower rate of global cognitive decline (β (95% CI): 0.001 (0.000; 0.002), P = 0.015). There was no association between fortified food group and cognition scores. CONCLUSION Overall dietary folate intake was not associated with cognitive function in this Brazilian population. However, folate naturally occurring in food sources may slow global cognitive decline.
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Affiliation(s)
- Cecília Zanin Palchetti
- Department of Nutrition, Faculty of Public Health, University of São Paulo, São Paulo, Brazil.
| | | | - Naomi Vidal Ferreira
- Division of Geriatrics, University of Sao Paulo Medical School, São Paulo, Brazil
| | - Itamar S Santos
- Center for Clinical and Epidemiological Research, University Hospital, University of Sao Paulo Medical School, São Paulo, Brazil
| | - Paulo Andrade Lotufo
- Center for Clinical and Epidemiological Research, University Hospital, University of Sao Paulo Medical School, São Paulo, Brazil
| | - Isabela M Bensenor
- Center for Clinical and Epidemiological Research, University Hospital, University of Sao Paulo Medical School, São Paulo, Brazil
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de Souza CVS, Seabra LMJ, Hatjiathanassiadou M, Vale D, de Medeiros GCBS, Marchioni DML, Lima SCVC, Lyra CDO. Environmental footprints of food consumption: Protocol for a systematic literature review. PLoS One 2022; 17:e0277227. [PMID: 36342938 PMCID: PMC9639814 DOI: 10.1371/journal.pone.0277227] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 10/22/2022] [Indexed: 11/09/2022] Open
Abstract
Environmental footprints are indicators that can be used to estimate the impacts of diet on the environment. Since contemporary dietary practices are related to negative environmental impacts, this paper aims to describe a systematic review protocol to investigate the environmental footprints of food consumption by adults and elderly individuals worldwide. This protocol was developed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Search strategies and records of evidence searched in previously defined electronic databases will be defined. Original, population-based articles investigating the environmental footprints of food consumption by adults and the elderly will be included. Two independent reviewers will conduct the study selection and data extraction steps. Critical appraisal of the included studies will be based on the Newcastle-Ottawa Scale. For data synthesis, a narrative synthesis and, if possible, also a meta-analysis will be performed. The systematic review produced from this protocol will provide evidence for data synthesis of the environmental impact through environmental footprints of food consumption of the adult and elderly population from different territories and the footprint assessment tools used around the world. Therefore, it is a gap that needs to be filled because knowing these impacts will be important to inform the development of public policies that encourage healthy and sustainable food in the face of climate and epidemiological changes. PROSPERO registration number: CRD42021281488.
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Affiliation(s)
- Camila Valdejane Silva de Souza
- Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
- * E-mail:
| | | | - Maria Hatjiathanassiadou
- Postgraduate Program in Nutrition, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Diogo Vale
- Federal Institute of Education, Science and Technology of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Gidyenne Christine Bandeira Silva de Medeiros
- Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
- Systematic Review and Meta-Analysis Laboratory (Lab-Sys), National Council for Scientific and Technological Development (CNPq), Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | | | - Clélia de Oliveira Lyra
- Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
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Saldiva SRDM, De Arruda Neta ADCP, Teixeira JA, Peres SV, Marchioni DML, Carvalho MA, Vieira SE, Francisco RPV. Dietary Pattern Influences Gestational Weight Gain: Results from the ProcriAr Cohort Study-São Paulo, Brazil. Nutrients 2022; 14:nu14204428. [PMID: 36297111 PMCID: PMC9607592 DOI: 10.3390/nu14204428] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/15/2022] [Accepted: 10/18/2022] [Indexed: 11/30/2022] Open
Abstract
The maternal pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) influence maternal and infant outcomes. This study identified patterns of habitual dietary intake in 385 pregnant women in São Paulo and explored their associations with excessive weight gain (EGWG). Weight at the first visit (<14 weeks) was used as a proxy for pre-pregnancy weight. Food consumption was assessed using the 24HR method, administered twice at each gestational trimester, and dietary patterns were identified by principal component analysis. Three dietary patterns were identified: “Vegetables and Fruits,” “Western,” and “Brazilian Traditional.” Descriptive data analysis was performed using absolute and relative frequencies for each independent variable and multilevel mixed-effects logistic regression was used to analyze excessive gestational gain weight (EGWG) and dietary patterns (DP). The Brazilian Traditional dietary pattern showed a protective effect on EGWG (p = 0.04) and age > 35 years (p = 0.03), while subjects overweight at baseline had a higher probability of EGWG (p = 0.02), suggesting that the identification of dietary and weight inadequacies should be observed from the beginning of pregnancy, accompanied by nutritional intervention and weight monitoring throughout the gestational period to reduce risks to the mother and child’s health.
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Affiliation(s)
- Silvia Regina Dias Medici Saldiva
- Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-000, Brazil
- Correspondence: ; Tel.: +55-112661-3185
| | | | - Juliana Araujo Teixeira
- Brazilian Center for Early Child Development, Insper Learning Institution, São Paulo 04546-042, Brazil
| | - Stela Verzinhasse Peres
- Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-000, Brazil
| | | | - Mariana Azevedo Carvalho
- Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-000, Brazil
| | - Sandra Elisabete Vieira
- Department of Pediatrics, Faculty of Medicine, University of São Paulo, São Paulo 05403-000, Brazil
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Oliveira PS, Levy J, Carli ED, Bensenor IJM, Lotufo PA, Pereira RA, Yokoo EM, Sichieri R, Crispim SP, Marchioni DML. Estimation of underreporting of energy intake using different methods in a subsample of the ELSA-Brasil study. CAD SAUDE PUBLICA 2022; 38:e00249821. [PMID: 35894363 DOI: 10.1590/0102-311xen249821] [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] [Received: 10/28/2021] [Accepted: 05/05/2022] [Indexed: 11/21/2022] Open
Abstract
Existing methods for assessing food consumption are subject to measurement errors, especially the underreporting of energy intake, characterized by reporting energy intake below the minimum necessary to maintain body weight. This study aimed to compare the identification of energy intake underreporters using different predictive equations and instruments to collect dietary data. The study was conducted with 101 selected participants in the third wave of the Longitudinal Study of Adult Health (ELSA-Brasil) at the University Hospital of the University of São Paulo. For the dietary assessment, we applied a food frequency questionnaire (FFQ), two 24-hour diet recall (24hR) using the GloboDiet software, and two 24hR using the Brasil-Nutri software. The energy intake underreport obtained from the FFQ was 13%, 16%, and 1% using the equations proposed by Goldberg et al. (1991), Black (2000), and McCrory et al. (2002), respectively. With these same equations, the 24hR described an underreport of 9.9%, 14.9%, and 0.9% respectively with the GloboDiet software and 14.7%, 15.8%, and 1.1% respectively with the Brasil-Nutri software. We verified a low prevalence of underreported energy intake among the three self-report-based dietary data collection methods (FFQ, 24hR with GloboDiet, and Brasil-Nutri). Though no statistically significant differences were found among three methods, the equations for each method differed among them. The agreement of energy intake between the methods was very similar, but the best was between GloboDiet and Brasil-Nutri.
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Affiliation(s)
| | - Jéssica Levy
- Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil
| | - Eduardo De Carli
- Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil
| | | | | | - Rosangela Alves Pereira
- Departamento de Nutrição Social e Aplicada, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil
| | - Edna Massae Yokoo
- Centro de Ciências Médicas, Universidade Federal Fluminense, Niterói, Brasil
| | - Rosely Sichieri
- Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
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Cabral NLDA, Pequeno NPF, Roncalli AG, Marchioni DML, Lima SCVC, Lyra CDO. A methodological proposal for assessing food insecurity from a multidimensional perspective. Cien Saude Colet 2022; 27:2855-2866. [PMID: 35730852 DOI: 10.1590/1413-81232022277.11752021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Accepted: 01/05/2022] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to develop a methodological proposal for the assessment of food and nutritional insecurity (FNiS) in adults and older adults (Vigi-FNiS). The proposal was developed using data from the BRAZUCA Natal survey, a cross-sectional study with 411 people living in Natal in the state of Rio Grande do Norte, Brazil. The association between sociodemographic, health and nutrition variables and food insecurity (FI) was tested using Poisson multiple regression. Overall prevalence of FI was 42.1% (37.4%-46.9%) and was higher in women (47.5%), adults (48.2%) and black people (52.7%). The following variables were included in the Vigi-FNiS: people aged <18 years living in the household (A) (AdjPR=1.3; 1.1-1.6); family income (B) in quintiles (Q1: AdjPR=5, 4; 2.5-11.7; Q2: AdjPR=4.8; 2.2-10.5; Q3: AdjPR=3.8; 1.8-8.5; Q4 AdjPR=2.2; 1.0-5.1); inadequate treatment of drinking water (C) (AdjPR=1.3; 1.1-1.5); presence of chronic non-communicable diseases (D) (AdjPR=1.3; 1.1-1.7); not eating fruit for breakfast (E) (AdjPR=1.7; 1.3-2.5);eating meals on the couch or in bed (F) (AdjPR=1.3; 1.1-1.6); and skipping either lunch or dinner or dinner (G) (AdjPR=1.4; 1.2-1.7). A cutoff point for FNiS of 2.3 was adopted (Kappa=0.47; sensitivity=0.82; specificity=0.67; PPV=0.64; NPV=0.83).
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Affiliation(s)
- Natália Louise de Araújo Cabral
- Programa de Pós-Graduação em Saúde Coletiva, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte (UFRN). R. General Cordeiro de Faria s/n, Petrópolis. 59012-570 Natal RN Brasil.
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Palchetti CZ, Steluti J, Sales CH, Fisberg RM, Marchioni DML. Folate and vitamin B12 status: temporal evaluation after mandatory fortification in Brazil. Eur J Clin Nutr 2022; 76:1266-1272. [PMID: 35318452 DOI: 10.1038/s41430-022-01096-4] [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] [Received: 08/18/2021] [Revised: 01/27/2022] [Accepted: 02/04/2022] [Indexed: 11/09/2022]
Abstract
OBJECTIVES To perform temporal evaluation of folate and vitamin B12 status and their associated factors in a Brazilian population exposed to mandatory fortification. METHODS Data from the cross-sectional population-based studies 2008 and 2015 Health Surveys of São Paulo, including individuals ≥ 20 years, both sexes, N = 549 in 2008 and N = 610 in 2015. Folate and vitamin B12 biomarkers status, B-complex supplements and medications use, and dietary intake were assessed. RESULTS Serum folate concentrations increased in the entire population, adults and older adults in 2015 compared to 2008, while serum vitamin B12 concentration increased only in older adults. B-complex supplement use raised in 2015, reflecting in serum vitamins status. Overall serum vitamin B12 deficiencies (<200 pg/mL) were 23.2% and 21.2%, while serum folate deficiencies (<4 ng/mL) were 4.1% and 1.5% in 2008 and 2015, respectively. The lowest quintile of serum folate (≤8.7 ng/mL) was positively associated with smoking and oral contraceptive use, while the highest quintile (≥17.8 ng/mL) was inversely associated with smoking and positively with B-complex supplement use. The odds of having vitamin B12 deficiency was inversely associated with B-complex supplement use, higher serum folate median, higher dietary vitamin B12 intake and positively associated with using oral contraceptive. CONCLUSION Overall deficiency of folate has decreased in 2015, being almost non-existent. Low vitamin B12 status presented similar proportions in the overall population comparing both periods, except for older adults. Different predictive variables were identified to better understand vitamins status outcomes in the most recent period of the study.
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Affiliation(s)
- Cecília Zanin Palchetti
- Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo, 01246-904, Brazil.
| | - Josiane Steluti
- Public Policies and Collective Health Department, Health and Society Institute, Federal University of Sao Paulo, Santos, 11015-020, Brazil
| | - Cristiane Hermes Sales
- Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo, 01246-904, Brazil
| | - Regina Mara Fisberg
- Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo, 01246-904, Brazil
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Cabral NLDA, Pequeno NPF, Roncalli AG, Marchioni DML, Lima SCVC, Lyra CDO. A methodological proposal for assessing food insecurity from a multidimensional perspective. Ciênc saúde coletiva 2022. [DOI: 10.1590/1413-81232022277.11752021en] [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: 11/22/2022] Open
Abstract
Abstract The aim of this study was to develop a methodological proposal for the assessment of food and nutritional insecurity (FNiS) in adults and older adults (Vigi-FNiS). The proposal was developed using data from the BRAZUCA Natal survey, a cross-sectional study with 411 people living in Natal in the state of Rio Grande do Norte, Brazil. The association between sociodemographic, health and nutrition variables and food insecurity (FI) was tested using Poisson multiple regression. Overall prevalence of FI was 42.1% (37.4%-46.9%) and was higher in women (47.5%), adults (48.2%) and black people (52.7%). The following variables were included in the Vigi-FNiS: people aged <18 years living in the household (A) (AdjPR=1.3; 1.1-1.6); family income (B) in quintiles (Q1: AdjPR=5, 4; 2.5-11.7; Q2: AdjPR=4.8; 2.2-10.5; Q3: AdjPR=3.8; 1.8-8.5; Q4 AdjPR=2.2; 1.0-5.1); inadequate treatment of drinking water (C) (AdjPR=1.3; 1.1-1.5); presence of chronic non-communicable diseases (D) (AdjPR=1.3; 1.1-1.7); not eating fruit for breakfast (E) (AdjPR=1.7; 1.3-2.5);eating meals on the couch or in bed (F) (AdjPR=1.3; 1.1-1.6); and skipping either lunch or dinner or dinner (G) (AdjPR=1.4; 1.2-1.7). A cutoff point for FNiS of 2.3 was adopted (Kappa=0.47; sensitivity=0.82; specificity=0.67; PPV=0.64; NPV=0.83).
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Machado AD, Marchioni DML, Carvalho AMD. [The unsustainability of current food systems must be integrated into the understanding of COVID-19 as a syndemic]. CAD SAUDE PUBLICA 2021; 37:e00253221. [PMID: 34932683 DOI: 10.1590/0102-311x00253221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 10/29/2021] [Indexed: 01/07/2023] Open
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Rodrigues RM, Carli ED, Araújo MC, Verly Junior E, Marchioni DML, Bezerra IN, Souza ADM, Yokoo EM, Pereira RA, Sichieri R. Limitations in the comparison of the Brazilian National Dietary Surveys of 2008-2009 and 2017-2018. Rev Saude Publica 2021; 55:3s. [PMID: 34910053 PMCID: PMC9586432 DOI: 10.11606/s1518-8787.2021055003365] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Accepted: 05/04/2021] [Indexed: 11/30/2022] Open
Abstract
OBJETIVE: To present particular characteristics of two Brazilian National Dietary Surveys (Inquéritos Nacionais de Alimentação - INA) and the methodology used to better compare their data. METHODS: This study details the differences between both INA conducted by the Brazilian Institute of Geography and Statistics (IBGE) in 2008–2009 and 2017–2018. We present the alterations in data collecting methods and food composition tables as well as the analysis strategies recommended to obtain such data. A validation study with 95 participants of the third wave of the Longitudinal Study of Adult Health assessed the measurement error associated with the procedures adopted in the 24-hours dietary recall of INA 2017–2018. The reference standards were urinary protein recovery, sodium, and potassium biomarkers. Different strategies were used in the analysis of INA to compare two essential dietary items that had their collection method changed: fats and sugars. RESULTS: The validation study indicated lower underreport in the most recent survey with higher means of energy intake. The correlation of means for the 24-hours recalls with their respective biomarkers was 0.58 for proteins, 0.31 for potassium, and 0.30 for sodium. Comparing the food composition tables used in both surveys with the data obtained by INA 2008-2009, the mean variation of energy, macronutrients, and minerals was lower than 15%, except for trans fats and selenium, which had means 40% and 52% lower in the Tabela Brasileira de Composição de Alimentos (TBCA - Brazilian Food Composition Table). INA 2017–2018 presents lower means for added sugar, using a generic question about the frequency of sugar consumption as a measure for sugar as an additional item. CONCLUSION: The methodological changes promoted in the most recent INA enhanced food groups and nutrients intake estimation, adding detailed and specific data in dietary habits reports.
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Affiliation(s)
- Renata Muniz Rodrigues
- Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil
| | - Eduardo De Carli
- Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Nutrição. São Paulo, SP, Brasil
| | - Marina Campos Araújo
- Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil
| | - Eliseu Verly Junior
- Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil
| | | | | | - Amanda de Moura Souza
- Universidade Federal do Rio de Janeiro. Instituto de Estudos em Saúde Coletiva. Rio de Janeiro, RJ, Brasil
| | - Edna Massae Yokoo
- Universidade Federal Fluminense. Departamento de Epidemiologia e Bioestatística. Niterói, RJ, Brasil
| | - Rosangela Alves Pereira
- Universidade Federal do Rio de Janeiro. Departamento de Nutrição Social e Aplicada. Rio de Janeiro, RJ, Brasil
| | - Rosely Sichieri
- Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil
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Neta ADCPDA, Steluti J, Ferreira FELDL, Farias Junior JCD, Marchioni DML. Dietary patterns among adolescents and associated factors: longitudinal study on sedentary behavior, physical activity, diet and adolescent health. Cien Saude Colet 2021; 26:3839-3851. [PMID: 34468677 DOI: 10.1590/1413-81232021269.2.24922019] [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] [Received: 05/09/2019] [Accepted: 02/07/2020] [Indexed: 11/22/2022] Open
Abstract
The aim of the present study was to identify dietary patterns and associations with socioeconomic characteristics, lifestyle, nutritional status, lipid profile and inflammatory profile in adolescents. A cross-sectional study was conducted with a probabilistic sample using baseline data (2014) from the Longitudinal Study on Sedentary Behavior, Physical Activity, Eating Habits and Adolescent Health. A total of 1,438 adolescents (10 to 14 years old) from public schools in the city of João Pessoa, Brazil, participated in the study. Data were collected on socioeconomic characteristics, nutritional status, lifestyle and the results of biochemical tests. Dietary data were obtained using the 24-hour recall method and dietary patterns were identified by exploratory factor analysis. Associations of interest were estimated using multiple logistic regression. Three dietary patterns were found: "Traditional", "Snacks" and "Western". These patterns were associated with age, socioeconomic status, parental education and lifestyle. The "Traditional" pattern was associated lower adiposity and a better lipid profile. However, with the increase in age, greater frequencies of the "Snacks" and "Western" patterns were found. The present findings underscore the need for strategies that encourage healthy behaviors.
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Affiliation(s)
| | - Josiane Steluti
- Departamento de Políticas Públicas e Saúde Coletiva, Instituto Saúde e Sociedade, Campus Baixada Santista da Universidade Federal de São Paulo. São Paulo SP Brasil
| | | | | | - Dirce Maria Lobo Marchioni
- Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr. Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.
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Motta VWDL, Lima SCVC, Marchioni DML, Lyra CDO. Food frequency questionnaire for adults in the Brazilian Northeast region: emphasis on the level of food processing. Rev Saude Publica 2021; 55:51. [PMID: 34406278 PMCID: PMC8352563 DOI: 10.11606/s1518-8787.2021055002473] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Accepted: 10/06/2020] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To develop a quantitative Food Frequency Questionnaire (FFQ) for adults in the Northeast region of Brazil, in order to identify the frequency of consumption of foods considered to be of protection and risk for chronic non-communicable diseases (NCDs), grouping food items by processing level. METHODS To develop the FFQ, data from 7,516 adults from Northeastern Brazil were used, extracted from the 2008-2009 Household Budget Survey. The food lists were elaborated according to the methodology of the relative contribution of each item, identifying foods with the highest relative contribution for macronutrients, fiber, saturated fat, trans fat, sodium and potassium. All foods whose contribution sum was up to 90% composed such lists. The final structure of the FFQ organized the food items in order to respect the mental image of the meals. RESULT The FFQ resulted in 83 food items, distributed in minimally processed, processed and ultra-processed. We chose the previous year as the time to estimate food consumption, and frequency options ranged from "never" to "10 times". The instrument includes guidelines for filling and collects data on serving sizes (small, medium, large and extra-large), as well as additional information on culinary preparations. There was a high percentage of people who were overweight (44.1%). CONCLUSION The study culminated in an FFQ to identify the frequency of consumption of foods considered protective and risk for NCDs. The instrument can support epidemiological studies that evaluate outcomes related to the diet of adults considering the level of food processing, in accordance with the Guia alimentar para a população brasileira .
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Affiliation(s)
- Virginia Williane de Lima Motta
- Universidade Federal do Rio Grande do NorteCentro de Ciências da SaúdePrograma de Pós-Graduação em NutriçãoNatalRNBrasil Universidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Programa de Pós-Graduação em Nutrição. Natal, RN, Brasil
| | - Severina Carla Vieira Cunha Lima
- Universidade Federal do Rio Grande do NorteCentro de Ciências da SaúdeDepartamento de NutriçãoNatalRNBrasil Universidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Departamento de Nutrição. Natal, RN, Brasil
| | - Dirce Maria Lobo Marchioni
- Universidade de São PauloFaculdade de Saúde PúblicaDepartamento de NutriçãoSão PauloSPBrasil Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Nutrição. São Paulo, SP, Brasil
| | - Clélia de Oliveira Lyra
- Universidade Federal do Rio Grande do NorteCentro de Ciências da SaúdeDepartamento de NutriçãoNatalRNBrasil Universidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Departamento de Nutrição. Natal, RN, Brasil
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da Silva IDCG, Marchioni DML, Carioca AAF, Bueno V, Colleoni GWB. May critical molecular cross-talk between indoleamine 2,3-dioxygenase (IDO) and arginase during human aging be targets for immunosenescence control? Immun Ageing 2021; 18:33. [PMID: 34389039 PMCID: PMC8361614 DOI: 10.1186/s12979-021-00244-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 08/02/2021] [Indexed: 02/04/2023]
Abstract
BACKGROUND This study aimed to identify novel plasma metabolic signatures with possible clinical relevance during the aging process. A biochemical quantitative phenotyping platform, based on targeted electrospray ionization tandem mass spectrometry technology, was used for the identification of any eventual perturbed biochemical pathway by the aging process in prospectively collected peripheral blood plasma from 166 individuals representing the population of São Paulo city, Brazil. RESULTS Indoleamine 2,3-dioxygenase (IDO) activity (Kyn/Trp) was significantly elevated with age, and among metabolites most associated with elevations in IDO, one of the strongest correlations was with arginase (Orn/Arg), which could also facilitate the senescence process of the immune system. Hyperactivity of IDO was also found to correlate with increased blood concentrations of medium-chain acylcarnitines, suggesting that deficiencies in beta-oxidation may also be involved in the immunosenescence process. Finally, our study provided evidence that the systemic methylation status was significantly increased and positively correlated to IDO activity. CONCLUSIONS In the present article, besides identifying elevated IDO activity exhibiting striking parallel association with the aging process, we additionally identified increased arginase activity as an underlying biochemical disturbance closely following elevations in IDO. Our findings support interventions to reduce IDO or arginase activities in an attempt to preserve the functionality of the immune system, including modulation of myeloid-derived suppressor cells (MDSCs), T cells, macrophages, and dendritic cells' function, in old individuals/patients.
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Affiliation(s)
| | - Dirce Maria Lobo Marchioni
- Nutrition Department, School of Public Health, University of São Paulo School of Medicine (FMUSP), São Paulo, Brazil
| | - Antonio Augusto Ferreira Carioca
- Nutrition Department, School of Public Health, University of São Paulo School of Medicine (FMUSP), São Paulo, Brazil
- Nutrition Department, Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil
| | - Valquiria Bueno
- Department of Microbiology, Immunology and Parasitology, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil
| | - Gisele Wally Braga Colleoni
- Department of Clinical and Experimental Oncology, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil.
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Verly-Jr E, de Carvalho AM, Marchioni DML, Darmon N. The cost of eating more sustainable diets: A nutritional and environmental diet optimisation study. Glob Public Health 2021; 17:1073-1086. [PMID: 33720802 DOI: 10.1080/17441692.2021.1900315] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
We aim to identify the dietary changes to improve nutrition and reduce diet-related greenhouse gas emission (GHGE) simultaneously in Brazil, taking into account the heterogeneity in food habits and prices across the country. Food consumption and prices were obtained from two nationwide surveys (n = 55,970 households and 34,003 individuals). Linear programming models were performed to design optimised diets most resembling the observed diets, and meeting different sets of constraints: (i) nutritional, for preventing chronic diseases and meeting nutrient adequacy; (ii) socio-cultural: by respecting food preferences; and (iii) environmental: by reducing GHGE by steps of 10%. Moving toward a diet that meets nutritional recommendations led to a 14% to 24% cost increase and 10% to 27% GHGE reduction, depending on the stringency of the acceptability constraints. Stronger GHGE reductions were achievable (up to about 70%), with greater departure from the current diet, but not achieving calcium and potassium goals. Diet cost increment tended to be mitigated with GHGE reduction in most models, along with reductions in red meat, chicken, eggs, rice, and high-fat sugar sodium foods.
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Affiliation(s)
- Eliseu Verly-Jr
- Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | | | | | - Nicole Darmon
- MOISA, INRAE, CIHEAM-IAMM, CIRAD, Montpellier SupAgro, Université de Montpellier, Montpellier, France
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da Silva IDCG, de Castro Levatti EV, Pedroso AP, Marchioni DML, Carioca AAF, Colleoni GWB. Biochemical phenotyping of multiple myeloma patients at diagnosis reveals a disorder of mitochondrial complexes I and II and a Hartnup-like disturbance as underlying conditions, also influencing different stages of the disease. Sci Rep 2020; 10:21836. [PMID: 33318510 PMCID: PMC7736334 DOI: 10.1038/s41598-020-75862-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Accepted: 10/20/2020] [Indexed: 02/08/2023] Open
Abstract
The aim of this study was to identify novel plasma metabolic signatures with possible relevance during multiple myeloma (MM) development and progression. A biochemical quantitative phenotyping platform based on targeted electrospray ionization tandem mass spectrometry technology was used to aid in the identification of any eventual perturbed biochemical pathway in peripheral blood plasma from 36 MM patients and 73 healthy controls. Our results showed that MM cases present an increase in short and medium/long-chain species of acylcarnitines resembling Multiple AcylCoA Dehydrogenase Deficiency (MADD), particularly, associated with MM advanced International Staging System (ISS). Lipids profile showed lower concentrations of phosphatidylcholine (PC), lysophosphatidylcholine (LPC) and sphingomyelins (SM) in the MM patients and its respective ISS groups. MM cases were accompanied by a drop in the concentration of essential amino acids, especially tryptophan, with a significant inverse correlation between the progressive drop in tryptophan with the elevation of β2-microglobulin, with the increase in systemic methylation levels (Symmetric Arginine Dimethylation, SDMA) and with the accumulation of esterified carnitines in relation to free carnitine (AcylC/C0). Serotonin was significantly elevated in cases of MM, without a clear association with ISS. Kynurenine/tryptophan ratio demonstrates that the activity of dioxigenases is even higher in the cases classified as ISS 3. In conclusion, our study showed that MM patients at diagnosis showed metabolic disorders resembling both mitochondrial complexes I and II and Hartnup-like disturbances as underlying conditions, also influencing different stages of the disease.
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Affiliation(s)
| | | | - Amanda Paula Pedroso
- Departament of Physiology, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil
| | | | - Antonio Augusto Ferreira Carioca
- Nutrition Department, School of Public Health, University of São Paulo (MUSP), São Paulo, Brazil.,Nutrition Department, University of Fortaleza (UNIFOR), Fortaleza, Brazil
| | - Gisele Wally Braga Colleoni
- Department of Clinical and Experimental Oncology, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
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Levy J, Miranda AAM, Teixeira JA, Carli ED, Benseñor IJM, Lotufo PA, Marchioni DML. Magnesium intake in a Longitudinal Study of Adult Health: associated factors and the main food sources. Cien Saude Colet 2020; 25:2541-2550. [PMID: 32667538 DOI: 10.1590/1413-81232020257.26532018] [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] [Received: 03/08/2018] [Accepted: 11/12/2018] [Indexed: 11/22/2022] Open
Abstract
This study aimed to identify the sociodemographic and lifestyle factors associated with magnesium intake and describe the main food sources in the Brazilian Longitudinal Study of Adult Health (ELSA-Brazil). This observational, cross-sectional study was conducted using the baseline data from the ELSA-Brazil (2008-2010). Associations between usual magnesium intake and sociodemographic and lifestyle factors were analyzed using multiple linear regression. Food sources were identified by calculating the percentage contribution of each FFQ item to the amount of magnesium provided by all foods. The analysis was performed using Stata® software (version 12), assuming a statistical significance level of 5%. The top food sources to magnesium intake were as follows: beans, oats, nuts, white rice, orange, French bread, cooked fish, boneless meat, whole milk, and whole wheat bread. There were positive associations between magnesium intake and female sex; age ≥60 years; self-reported black, indigenous, or brown skin colors; per capita income ≥3 minimum wages, and moderate or vigorous physical activity levels. Sociodemographic and lifestyle factors were associated with magnesium intake among the evaluated individuals.
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Affiliation(s)
- Jéssica Levy
- Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.
| | | | - Juliana Araujo Teixeira
- Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.
| | - Eduardo De Carli
- Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.
| | | | - Paulo Andrade Lotufo
- Hospital Universitário, Faculdade de Medicina, Universidade de São Paulo. São Paulo SP Brasil
| | - Dirce Maria Lobo Marchioni
- Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.
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Steluti J, Miranda AM, De Carli E, Palchetti CZ, Fisberg RM, Marchioni DML. Unmetabolized folic acid is associated with TNF-α, IL-1β and IL-12 concentrations in a population exposed to mandatory food fortification with folic acid: a cross-sectional population-based study in Sao Paulo, Brazil. Eur J Nutr 2020; 60:1071-1079. [PMID: 32588217 DOI: 10.1007/s00394-020-02307-z] [Citation(s) in RCA: 4] [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: 10/15/2019] [Accepted: 06/15/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE The study assessed associations between inflammatory markers, as cytokines, adhesion molecules and unmetabolized folic acid (UMFA) among a population exposed to mandatory fortification. METHODS Data were collected from a cross-sectional population-based survey (n = 302) conducted in São Paulo City, Brazil. UMFA was assayed by a modified affinity-HPLC method with electrochemical detection to measure the different forms of the folate in plasma. We used a commercial test kit to analyze cytokines and adhesion molecules. Multiple logistic regressions were applied to investigate the association between inflammatory markers and UMFA. Multiple models were adjusted for sex, age, self-reported skin color, BMI and smoking status. RESULTS The prevalence of detectable UMFA in this population was high (81.2%), with median concentration of 1.67 nmol/L. The odds ratios (95% CIs) for having higher immunological markers levels among individuals in the highest tertile of UMFA were 0.44 (0.24; 0.81) for TNF-α, 0.92 (0.49; 1.75) for CRP, 1.32 (0.70; 2.48) for ICAM, 0.99 (0.54; 1.81) for VCAM, 0.45 (0.25; 0.83) for IL-1β, 0.74 (0.40; 1.38) for IL-6, 1.34 (0.73; 2.44) for IL-8, 0.65 (0.36; 1.18) for IL-10 and 0.49 (0.27; 0.89) for IL-12. CONCLUSION UMFA concentrations were inversely associated with elevated proinflammatory markers (TNF-α, IL-1β and IL-12). These results signalize a link between folate metabolism and the inflammatory status of adults in an apparently folate-replete population.
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Affiliation(s)
- Josiane Steluti
- Department of Nutrition, School of Public Health, University of Sao Paulo, São Paulo, 01246-904, Brazil. .,Public Policies and Collective Health Department, Health and Society Institute, Federal University of Sao Paulo, Santos, 11015-020, Brazil.
| | - Andreia Machado Miranda
- Department of Nutrition, School of Public Health, University of Sao Paulo, São Paulo, 01246-904, Brazil
| | - Eduardo De Carli
- Department of Nutrition, School of Public Health, University of Sao Paulo, São Paulo, 01246-904, Brazil
| | - Cecília Zanin Palchetti
- Department of Nutrition, School of Public Health, University of Sao Paulo, São Paulo, 01246-904, Brazil
| | - Regina Mara Fisberg
- Department of Nutrition, School of Public Health, University of Sao Paulo, São Paulo, 01246-904, Brazil
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Palchetti CZ, Lobo Marchioni DM. Letter to the Editor: Comment on "Folate and vitamin B12 status is associated with insulin resistance and metabolic syndrome in morbid obesity". Clin Nutr 2020; 39:2635. [PMID: 32546391 DOI: 10.1016/j.clnu.2020.05.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Accepted: 05/21/2020] [Indexed: 10/24/2022]
Affiliation(s)
- Cecilia Zanin Palchetti
- Department of Nutrition, School of Public Health, University of Sao Paulo (USP), Av. Dr. Arnaldo, 715, Sao Paulo, SP, 01246-904, Brazil
| | - Dirce Maria Lobo Marchioni
- Department of Nutrition, School of Public Health, University of Sao Paulo (USP), Av. Dr. Arnaldo, 715, Sao Paulo, SP, 01246-904, Brazil.
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Fujii TMDM, Norde MM, Fisberg RM, Marchioni DML, Ordovás JM, Rogero MM. FADS1 and ELOVL2 polymorphisms reveal associations for differences in lipid metabolism in a cross-sectional population-based survey of Brazilian men and women. Nutr Res 2020; 78:42-49. [DOI: 10.1016/j.nutres.2020.04.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 04/03/2020] [Accepted: 04/17/2020] [Indexed: 12/14/2022]
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Palchetti CZ, Steluti J, Verly E, Pereira RA, Sichieri R, Marchioni DML. Prevalence of inadequate intake of folate after mandatory fortification: results from the first National Dietary Survey in Brazil. Eur J Nutr 2019; 59:2793-2803. [PMID: 31673771 DOI: 10.1007/s00394-019-02127-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [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: 04/17/2019] [Accepted: 10/21/2019] [Indexed: 01/16/2023]
Abstract
PURPOSE Our aim was to estimate the prevalence of folate inadequacy (POFI) according to life stage, socio-economic status, and geographical regions after the mandatory fortification of wheat and maize flour in Brazil. METHODS This was a population-based study. Data from two non-consecutive food records from the National Dietary Survey/Household Budget Survey 2008-2009 were used to estimate the usual dietary folate intake in µg dietary folate equivalents (DFEs). The National Cancer Institute method was used to account for within-person variance and the Estimated Average Requirement (EAR) cut-point method was used to calculate the POFI. The survey included 32,749 individuals, 15,700 males and 17,049 females, over 10 years old. Pregnant women, lactating women, and individuals with unreliable energy intake data were excluded. RESULTS Overall POFI was 31.5% and mean dietary folate intake was 411.1 µg DFE. The lowest POFI occurred in the youngest age group of 10-13 years in both sexes, while the highest POFI was observed in the group ≥ 71 years. In women of childbearing age, POFI was around 32%. The lowest income strata had the highest POFI. The most developed regions (South and Southeast) had the lowest POFI compared to less developed regions. CONCLUSIONS Our data show that folate inadequacy is still prevalent in Brazil mainly in low-income groups and less developed regions. Actions need to be taken to ensure that women of childbearing age, who presented a high prevalence of inadequate folate intake, achieve the recommended daily intake of 400 µg DFEs.
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Affiliation(s)
- Cecília Zanin Palchetti
- Department of Nutrition, School of Public Health, University of Sao Paulo (USP), Av. Dr. Arnaldo, 715, Sao Paulo, SP, 01246-904, Brazil
| | - Josiane Steluti
- Department of Nutrition, School of Public Health, University of Sao Paulo (USP), Av. Dr. Arnaldo, 715, Sao Paulo, SP, 01246-904, Brazil
| | - Eliseu Verly
- Institute of Social Medicine, Rio de Janeiro State University (UERJ), São Francisco Xavier 524, Rio De Janeiro, RJ, 20550-013, Brazil
| | - Rosangela A Pereira
- Department of Nutrition, Federal University of Rio de Janeiro (UFRJ), Av. Carlos Chagas Filho, 373, Rio De Janeiro, RJ, 21941-590, Brazil
| | - Rosely Sichieri
- Institute of Social Medicine, Rio de Janeiro State University (UERJ), São Francisco Xavier 524, Rio De Janeiro, RJ, 20550-013, Brazil
| | - Dirce Maria Lobo Marchioni
- Department of Nutrition, School of Public Health, University of Sao Paulo (USP), Av. Dr. Arnaldo, 715, Sao Paulo, SP, 01246-904, Brazil.
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Collese TS, De Moraes ACF, Rendo-Urteaga T, Luzia LA, Rondó PHDC, Marchioni DML, Carvalho HB. The Validity of Children's Fruit and Vegetable Intake Using Plasma Vitamins A, C, and E: The SAYCARE Study. Nutrients 2019; 11:E1815. [PMID: 31390803 PMCID: PMC6722842 DOI: 10.3390/nu11081815] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 07/30/2019] [Accepted: 08/02/2019] [Indexed: 01/29/2023] Open
Abstract
Despite that fruits and vegetables are key elements for health promotion, there are limited studies validating their intake in children. We aimed to validate the SAYCARE (South American Youth/Child Cardiovascular and Environmental) Study Food Frequency Questionnaire (FFQ) and the combination of the FFQ frequency of intake with the 24 h-dietary-recall (24 h-DR) (mean of 3 days), for children's fruit and vegetable intake. The reference methods were plasma dosages of β-carotene, retinol, ascorbic acid, and α-tocopherol, which were collected in the school environment. It is a validity study in a subsample of 45 children aged 6-10 years participating in the SAYCARE Study, from São Paulo (Brazil). The FFQ was answered by the parents/guardians over the previous 3 months; the 24 h-DR was answered three times (two weekdays by nutritionists, one weekend day by parents/guardians). The mean fruit and vegetable intake (combined with frequency of intake) was calculated using the multiple source method (MSM). Multiple linear regression showed pooled correlation coefficients of 0.29 to 0.35 for the reported fruit and vegetable intake estimated by the FFQ and the MSM, respectively. The SAYCARE FFQ is an accurate and useful tool for ranking fruit and vegetable intake in children between 6-10 years from the SAYCARE Study.
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Affiliation(s)
- Tatiana Sadalla Collese
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 01246-903, Brazil.
| | - Augusto César Ferreira De Moraes
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 01246-903, Brazil
- Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil
| | - Tara Rendo-Urteaga
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 01246-903, Brazil
- Facultad de Ciencias de la Salud, Universidad Isabel I, 09001 Burgos, Spain
| | - Liania Alves Luzia
- Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo 1246-904, Brazil
| | | | | | - Heráclito Barbosa Carvalho
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 01246-903, Brazil
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Fujii TMDM, Norde MM, Fisberg RM, Marchioni DML, Rogero MM. Lipid metabolism genetic risk score interacts with the Brazilian Healthy Eating Index Revised and its components to influence the odds for dyslipidemia in a cross-sectional population-based survey in Brazil. Nutr Health 2019; 25:119-126. [PMID: 30834809 DOI: 10.1177/0260106019830844] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND Dyslipidemia can be influenced by genetic and dietary risk factors. AIM This study set out to investigate diet and genetic variations in Brazilian people in a cross-sectional population-based survey and to analyze the relationship between single nucleotide polymorphisms (SNPs) of genes involved in lipid metabolism and cardiometabolic-related phenotypes using a genetic risk score (GRS). METHODS We recruited 228 adults (mean age 36.5 years) who participated in the Health Survey of São Paulo (HS-SP), Brazil. Clinical and anthropometric parameters, as well as the interaction between the GRS and the Brazilian Healthy Eating Index Revised (BHEI-R) were evaluated. We analyzed the relationship between SNPs in APOA5 (rs662799), APOB (rs693, rs1367117), LDLR (rs688, rs5925) and LIPC (rs2070895, rs1800588) and cardiometabolic-related phenotypes using a GRS. RESULTS High-density lipoprotein cholesterol (HDLC) levels were associated with the BHEI-R ( p=0.026; β= -0.183) and with its SoFAAS component (solid fats, alcoholic beverages and added sugars) ( p=0.007; β=0.279). Non-HDL cholesterol levels were associated with the BHEI-R vegetable component ( p=0.015; β=0.002) and the meat, eggs and beans component ( p=0.003; β=0.007). Triacylglycerol levels were associated with the BHEI-R vegetable component ( p=0.027; β=0.003); the meat, eggs and beans component ( p=0.041; β=0.001); and the total protein component ( p=0.013; β=0.032). Significant effects were observed for the interactions between the GRS and both the BHEI-R oils component ( p=0.019) and the SoFAAS component ( p<0.001) on the dyslipidemia risk. CONCLUSIONS The evaluation of dietary quality, especially fat quality, together with the lipid metabolism GRS could be a useful tool to manage cardiometabolic risk.
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Affiliation(s)
| | | | | | | | - Marcelo Macedo Rogero
- 1 Department of Nutrition, University of Sao Paulo, Brazil.,2 Food Research Center (FoRC), Research Innovation and Dissemination Centers São Paulo Research Foundation, Brazil
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De Carli E, Dias GC, Morimoto JM, Marchioni DML, Colli C. Dietary Iron Bioavailability: Agreement between Estimation Methods and Association with Serum Ferritin Concentrations in Women of Childbearing Age. Nutrients 2018; 10:nu10050650. [PMID: 29883384 PMCID: PMC5986529 DOI: 10.3390/nu10050650] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2018] [Revised: 05/02/2018] [Accepted: 05/04/2018] [Indexed: 01/04/2023] Open
Abstract
Predictive iron bioavailability (FeBio) methods aimed at evaluating the association between diet and body iron have been proposed, but few studies explored their validity and practical usefulness in epidemiological studies. In this cross-sectional study involving 127 women (18–42 years) with presumably steady-state body iron balance, correlations were checked among various FeBio estimates (probabilistic approach and meal-based and diet-based algorithms) and serum ferritin (SF) concentrations. Iron deficiency was defined as SF < 15 µg/L. Pearson correlation, Friedman test, and linear regression were employed. Iron intake and prevalence of iron deficiency were 10.9 mg/day and 12.6%. Algorithm estimates were strongly correlated (0.69≤ r ≥0.85; p < 0.001), although diet-based models (8.5–8.9%) diverged from meal-based models (11.6–12.8%; p < 0.001). Still, all algorithms underestimated the probabilistic approach (17.2%). No significant association was found between SF and FeBio from Monsen (1978), Reddy (2000), and Armah (2013) algorithms. Nevertheless, there was a 30–37% difference in SF concentrations between women stratified at extreme tertiles of FeBio from Hallberg and Hulthén (2000) and Collings’ (2013) models. The results demonstrate discordance of FeBio from probabilistic approach and algorithm methods while suggesting two models with best performances to rank individuals according to their bioavailable iron intakes.
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Affiliation(s)
- Eduardo De Carli
- Department of Food and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil.
| | - Gisele Cristina Dias
- Department of Food and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil.
| | - Juliana Massami Morimoto
- Center for Biological and Health Sciences, Mackenzie Presbyterian University, Sao Paulo 01302-907, Brazil.
| | - Dirce Maria Lobo Marchioni
- Department of Nutrition, Faculty of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil.
| | - Célia Colli
- Department of Food and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil.
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Machado AD, dos Anjos FSN, Domingos MAM, Molina MDCB, Marchioni DML, Benseñor IJM, Titan SMDO. Dietary intake of non-dialysis chronic kidney disease patients: the PROGREDIR study. A cross-sectional study. SAO PAULO MED J 2018; 136:208-215. [PMID: 29924288 PMCID: PMC9907748 DOI: 10.1590/1516-3180.2017.0177141217] [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: 11/21/2017] [Accepted: 12/14/2017] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Despite evidence that diet is very important in relation to chronic kidney disease (CKD) progression, studies in this field are scarce and have focused only on some specific nutrients. We evaluated the energy, macronutrient and micronutrient intakes and dietary patterns of non-dialysis CKD participants in the PROGREDIR study. DESIGN AND SETTING Cross-sectional study; CKD cohort, São Paulo, Brazil. METHODS Baseline data on 454 participants in the PROGREDIR study were analyzed. Dietary intake was evaluated through a food frequency questionnaire. Dietary patterns were derived through principal component analysis. Energy and protein intakes were compared with National Kidney Foundation recommendations. Linear regression analysis was performed between energy and nutrient intakes and estimated glomerular filtration rate (eGFR), and between sociodemographic and clinical variables and dietary patterns. RESULTS Median energy and protein intakes were 25.0 kcal/kg and 1.1 g/kg, respectively. In linear regression, protein intake (β = -3.67; P = 0.07) was related to eGFR. Three dietary patterns (snack, mixed and traditional) were retained. The snack pattern was directly associated with male gender (β = 0.27; P = 0.006) and inversely with diabetes (β = -0.23; P = 0.02). The traditional pattern was directly associated with male gender (β = 0.27; P = 0.007) and schooling (β = 0.40; P < 0.001) and inversely with age (β = -0.01; P = 0.001) and hypertension (β = -0.34; P = 0.05). CONCLUSIONS We identified low energy and high protein intake in this population. Protein intake was inversely related to eGFR. Dietary patterns were associated with age, gender, schooling level, hypertension and diabetes.
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Affiliation(s)
- Alisson Diego Machado
- MSc. Dietitian, Department of Nephrology, Hospital das Clínicas (HC), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.
| | - Fernanda Silva Nogueira dos Anjos
- Dietitian, Department of Nephrology, Hospital das Clínicas (HC), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.
| | - Maria Alice Muniz Domingos
- MD. Nephrologist, Department of Nephrology, Hospital das Clínicas (HC), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.
| | - Maria del Carmen Bisi Molina
- PhD. Dietitian and Associate Professor, Health Sciences Center, Universidade Federal do Espírito Santo (UFES), Vitória (ES), Brazil.
| | - Dirce Maria Lobo Marchioni
- PhD. Dietitian and Associate Professor, Department of Nutrition, Faculdade de Saúde Pública (FSP), Universidade de São Paulo (USP), São Paulo (SP), Brazil.
| | - Isabela Judith Martins Benseñor
- MD. Associate Professor, General Medicine Unit, Hospital Universitário (HU), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.
| | - Silvia Maria de Oliveira Titan
- MD. Research Investigator, Department of Nephrology, Hospital das Clínicas (HC), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.
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Borges CA, Marchioni DML, Levy RB, Slater B. Dietary patterns associated with overweight among Brazilian adolescents. Appetite 2018; 123:402-409. [DOI: 10.1016/j.appet.2018.01.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Revised: 11/22/2017] [Accepted: 01/02/2018] [Indexed: 10/18/2022]
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Maintinguer Norde M, Oki E, Ferreira Carioca AA, Teixeira Damasceno NR, Fisberg RM, Lobo Marchioni DM, Rogero MM. Influence of IL1B , IL6 and IL10 gene variants and plasma fatty acid interaction on metabolic syndrome risk in a cross-sectional population-based study. Clin Nutr 2018; 37:659-666. [DOI: 10.1016/j.clnu.2017.02.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2016] [Revised: 02/08/2017] [Accepted: 02/09/2017] [Indexed: 11/26/2022]
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Giudici KV, Fisberg RM, Marchioni DML, Peters BSE, Martini LA. Crosstalk Between Bone and Fat Tissue: Associations Between Vitamin D, Osteocalcin, Adipokines, and Markers of Glucose Metabolism Among Adolescents. J Am Coll Nutr 2017; 36:273-280. [DOI: 10.1080/07315724.2016.1274923] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
| | - Regina Mara Fisberg
- Nutrition Department, School of Public Health, University of São Paulo, São Paulo, BRAZIL
| | | | | | - Lígia Araújo Martini
- Nutrition Department, School of Public Health, University of São Paulo, São Paulo, BRAZIL
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Monteiro LS, Rodrigues PRM, Veiga GVD, Marchioni DML, Pereira RA. Diet quality among adolescents has deteriorated: a panel study in Niterói, Rio de Janeiro State, Brazil, 2003-2008. CAD SAUDE PUBLICA 2016; 32:e00124715. [PMID: 28001207 DOI: 10.1590/0102-311x00124715] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Accepted: 03/02/2016] [Indexed: 11/22/2022] Open
Abstract
This study aimed to analyze changes in the diet quality of adolescents from public schools in Niterói, Rio de Janeiro State, Brazil, over a five-year period. Data on the food consumption of adolescents (12-19 years) were obtained by means of two sets of 3-day food records in two school-based, cross-sectional studies conducted in 2003 and 2008. The Brazilian Revised Healthy Eating Index (BHEI-R) was used to estimate dietary quality. From 2003 to 2008 there was an overall decrease in the scores attributed to "total vegetables", "dark green and orange vegetables", and "meat, eggs, and legumes", but there was an increase in the score for "milk and dairy" (4.0 vs. 5.2; p < 0.01). Among female adolescents, the BHEI-R decreased (64.1 vs. 62.4; p = 0.04), as did the scores attributed to "total vegetables", "dark green and orange vegetables", "meat, eggs, and legumes", and "solid fat, alcohol, and added sugar". In contrast, among males, only the "whole grains" score decreased (0.2 vs. 0.1; p = 0.04). From 2003 to 2008, the diet quality of female public school students declined in Niterói.
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Carvalho AMD, Piovezan LG, Selem SSADC, Fisberg RM, Marchioni DML. Validation and calibration of self-reported weight and height from individuals in the city of São Paulo. Rev Bras Epidemiol 2016; 17:735-46. [PMID: 25272265 DOI: 10.1590/1809-4503201400030013] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2013] [Accepted: 05/09/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate the validity of self-reported weight and height measurements among residents of São Paulo, as well as the accuracy of these measurements for determining nutritional status, and to present calibration coefficients. METHODS A cross-sectional, population-based study was performed with a sample of 299 adolescents, adults and elderly of both genders, in São Paulo in 2008. Bland-Altman difference plot and intraclass correlation were used to determine agreement between measured and self-reported parameters. Sensitivity and specificity were assessed for overweight, and calibration coefficients were estimated for correction of weight, height and body mass index data. RESULTS The intraclass correlation was high between self-reported and measured parameters for weight (r > 0,94) and body mass index (BMI) (r > 0,85). The agreement between measured and self-reported weight, height and BMI was good. Sensibility was > 91% and specificity was > 83%. CONCLUSION Self-reported weight measurements can substitute measured parameters in this population, in both genders and in the age groups studied. Self-reported height measurements should be used with caution. Calibration coefficients can be used to adjust self-reported measurements.
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Affiliation(s)
| | - Lívia Gonçalves Piovezan
- Department of Nutrition, School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Regina Mara Fisberg
- Department of Nutrition, School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil
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Andrade SCD, Previdelli ÁN, Cesar CLG, Marchioni DML, Fisberg RM. Trends in diet quality among adolescents, adults and older adults: A population-based study. Prev Med Rep 2016; 4:391-6. [PMID: 27547722 PMCID: PMC4990660 DOI: 10.1016/j.pmedr.2016.07.010] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2015] [Revised: 07/25/2016] [Accepted: 07/29/2016] [Indexed: 01/08/2023] Open
Abstract
This study aimed to monitor diet quality and associated factors in adolescents, adults and older adults from the city of São Paulo, Brazil. We conducted a cross-sectional population-based study involving 2376 individuals surveyed in 2003, and 1662 individuals in 2008 (Health Survey of São Paulo, ISA-Capital). Participants were of both sexes and aged 12 to 19 years old (adolescents), 20 to 59 years old (adults) and 60 years old or over (older adults). Food intake was assessed using the 24-h dietary recall method while diet quality was determined by the Brazilian Healthy Eating Index (BHEI-R). The prevalence of descriptive variables for 2003 and 2008 was compared adopting a confidence interval of 95%. The means of total BHEI-R score and its components for 2003 and 2008 were compared for each age group. Associations between the BHEI-R and independent variables were evaluated for each survey year using multiple linear regression analysis. Results showed that the mean BHEI-R increased (54.9 vs. 56.4 points) over the five-year period. However, the age group evaluation showed a deterioration in diet quality of adolescents, influenced by a decrease in scores for dark-green and orange vegetables and legumes, total grains, oils and SoFAAS (solid fat, alcohol and added sugar) components. In the 2008 survey, adults had a higher BHEI-R score, by 6.1 points on average, compared to adolescents. Compared to older adults, this difference was 10.7 points. The diet quality remains a concern, especially among adolescents, that had the worst results compared to the other age groups.
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Affiliation(s)
| | | | | | | | - Regina Mara Fisberg
- Departament of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil
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Freitas CFCD, Peralta AM, Carvalho AM, Carioca AAF, Fisberg RM, Marchioni DML. Qualidade da dieta entre consumidores e não consumidores de carnes vermelhas e processadas: estudo ISA-Capital. REV NUTR 2015. [DOI: 10.1590/1415-52732015000600010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJETIVO: Avaliar a qualidade da dieta entre consumidores e não consumidores de carnes vermelhas e processadas em residentes do município de São Paulo. MÉTODOS: Foram utilizados dados do estudo transversal do Inquérito de Saúde de São Paulo - 2008, com informações de 726 indivíduos que possuíam todas as informações dos inquéritos dietéticos, sendo 195 adolescentes, 272 adultos e 259 idosos. Os dados de consumo alimentar foram obtidos por dois recordatórios alimentares de 24 horas, aplicados em dias não consecutivos, incluindo final de semana e todas as estações do ano, e um questionário de frequência alimentar para estimar a frequência do consumo de carnes vermelhas e processadas. A ingestão alimentar habitual foi estimada pelo Multiple Source Method. O Índice de Qualidade da Dieta - Revisado foi calculado a partir da ingestão habitual dos participantes. As recomendações da Organização Mundial de Saúde foram utilizadas para estimar a participação percentual dos macronutrientes no valor energético total. RESULTADOS: O grupo de não consumidores apresentou maior pontuação média do índice (p=0,006), do grupo das frutas integrais (p=0,022), dos leites e derivados (p<0,001) e menor pontuação média de gordura sólida, álcool e açúcar de adição (p=0,039) e carnes, ovos e leguminosas (p<0,001). Também se mostrou maior percentual de adequação de gordura no grupo de não consumidores de carnes vermelhas e processadas. CONCLUSÃO: Sugere-se que não consumidores de carne vermelha e processada tenha melhor qualidade da dieta e maior adequação da contribuição energética dos lipídeos em comparação com consumidores desse alimento.
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Mendes A, Pereira JL, Fisberg RM, Marchioni DML. Dietary energy density was associated with diet quality in Brazilian adults and older adults. Appetite 2015; 97:120-6. [PMID: 26626824 DOI: 10.1016/j.appet.2015.11.025] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [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: 07/01/2015] [Revised: 11/20/2015] [Accepted: 11/21/2015] [Indexed: 12/29/2022]
Abstract
Cross-sectional and longitudinal studies present association of low dietary energy density with higher intake of vitamins, minerals and dietary fiber, lower intake of fat, and better balance of macronutrients. The objective of this study was to verify the relationship between dietary energy density and diet quality measured by an index of diet quality. This study used data from 496 adults and 445 older adults of cross-sectional population-based survey from São Paulo conducted in 2008-2009, Brazil. Dietary intake data was assessed by two 24-h dietary recalls. Dietary energy density values were calculated based on foods only method. Dietary energy density and revised Brazilian Health Eating Index and its components, were estimated by usual intake using Multiple Source Method. The relationship between dietary energy density and the total revised Brazilian Health Eating Index and its components were assessed by Gaussian family log-link model for each age group. The analyses showed an inverse association between dietary energy density and total revised Brazilian Health Eating Index in adults (T2:β = 0.96, p < 0.001; T2:β = 0.86, p < 0.001) and older adults (T2:β = 0.96, p < 0.001; T2:β = 0.90, p < 0.001), and an inverse association between dietary energy density and nine of twelve revised Brazilian Health Eating Index components in adult and/or older adults groups. Dietary energy density was associated with diet quality in Brazilian adults and older adults regardless of sex, per capita household income, body mass index, physical activity level, current smoking habits status, alcohol beverage drinking status and usual energy intake (kilocalories) from beverages.
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Affiliation(s)
- Aline Mendes
- University of São Paulo, Public Health School, Post-Graduation Program in Public Health Nutrition, Dr. Arnaldo Avenue, 715, São Paulo, SP, Brazil
| | - Jaqueline Lopes Pereira
- University of São Paulo, Public Health School, Post-Graduation Program in Public Health Nutrition, Dr. Arnaldo Avenue, 715, São Paulo, SP, Brazil
| | - Regina Mara Fisberg
- University of São Paulo, Public Health School, Department of Nutrition, Dr. Arnaldo Avenue, 715, São Paulo, SP, Brazil
| | - Dirce Maria Lobo Marchioni
- University of São Paulo, Public Health School, Department of Nutrition, Dr. Arnaldo Avenue, 715, São Paulo, SP, Brazil.
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Maintinguer Norde M, Oki É, de Castro IA, Pacheco Souza JM, Teixeira Damasceno NR, Mara Fisberg R, Lobo Marchioni DM, Macedo Rogero M. Influence of adiponectin
gene variants and plasma fatty acids on systemic inflammation state association-A cross-sectional population-based study, São Paulo, Brazil. Mol Nutr Food Res 2015; 60:278-86. [DOI: 10.1002/mnfr.201500527] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2015] [Revised: 08/19/2015] [Accepted: 09/16/2015] [Indexed: 11/11/2022]
Affiliation(s)
| | - Érica Oki
- Nutrition Department; School of Public Health of University of São Paulo; Brazil
| | - Inar Alves de Castro
- Department of Food and Experimental Nutrition; Faculty of Pharmaceutical Science; University of São Paulo; Brazil
| | | | | | - Regina Mara Fisberg
- Nutrition Department; School of Public Health of University of São Paulo; Brazil
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Possa G, de Castro MA, Marchioni DML, Fisberg RM, Fisberg M. Probability and amounts of yogurt intake are differently affected by sociodemographic, economic, and lifestyle factors in adults and the elderly—results from a population-based study. Nutr Res 2015; 35:700-6. [DOI: 10.1016/j.nutres.2015.05.020] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Revised: 05/18/2015] [Accepted: 05/28/2015] [Indexed: 11/30/2022]
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Ferrari A, de Carvalho AM, Steluti J, Teixeira J, Marchioni DML, Aguiar S. Folate and nutrients involved in the 1-carbon cycle in the pretreatment of patients for colorectal cancer. Nutrients 2015; 7:4318-35. [PMID: 26043032 PMCID: PMC4488786 DOI: 10.3390/nu7064318] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2014] [Accepted: 05/08/2015] [Indexed: 12/31/2022] Open
Abstract
To assess the ingestion of folate and nutrients involved in the 1-carbon cycle in non-treated patients with colorectal adenocarcinoma in a reference center for oncology in southeastern Brazil. In total, 195 new cases with colorectal adenocarcinoma completed a clinical evaluation questionnaire and a Food Frequency Questionnaire (FFQ). Blood samples from 161 patients were drawn for the assessment of serum folate. A moderate correlation was found between serum concentrations of folate, folate intake and the dietary folate equivalent (DFE) of synthetic supplements. Mulatto or black male patients with a primary educational level had a higher intake of dietary folate. Of patients obtaining folate from the diet alone or from dietary supplements, 11.00% and 0.10%, respectively, had intake below the recommended level. Of the patients using dietary supplements, 35% to 50% showed high levels of folic acid intake. There was a prevalence of inadequacy for vitamins B2, B6 and B12, ranging from 12.10% to 20.18%, while 13.76% to 22.55% of patients were likely to have adequate choline intake. The considerable percentage of patients with folate intake above the recommended levels deserves attention because of the harmful effects that this nutrient may have in the presence of established neoplastic lesions.
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Affiliation(s)
- Ariana Ferrari
- Department of Pelvic Surgery, A.C. Camargo Cancer Center, Rua Professor Antônio Prudente, 211, Liberdade, São Paulo (SP) CEP 01509-010, Brazil.
| | - Aline Martins de Carvalho
- Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo 715, Consolação, São Paulo (SP) CEP 01246-904, Brazil.
| | - Josiane Steluti
- Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo 715, Consolação, São Paulo (SP) CEP 01246-904, Brazil.
| | - Juliana Teixeira
- Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo 715, Consolação, São Paulo (SP) CEP 01246-904, Brazil.
| | - Dirce Maria Lobo Marchioni
- Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo 715, Consolação, São Paulo (SP) CEP 01246-904, Brazil.
| | - Samuel Aguiar
- Department of Pelvic Surgery, A.C. Camargo Cancer Center, Rua Professor Antônio Prudente, 211, Liberdade, São Paulo (SP) CEP 01509-010, Brazil.
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de Castro MA, Baltar VT, Marchioni DML, Fisberg RM. Sex differences in serum leptin and its relation to markers of cardiometabolic risk in middle-aged adults: Evidence from a population-based study. Nutrition 2015; 31:491-7. [DOI: 10.1016/j.nut.2014.09.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2014] [Revised: 08/16/2014] [Accepted: 09/07/2014] [Indexed: 01/28/2023]
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Rodrigues-Motta M, Galvis Soto DM, Lachos VH, Vilca F, Baltar VT, Junior EV, Fisberg RM, Lobo Marchioni DM. A mixed-effect model for positive responses augmented by zeros. Stat Med 2015; 34:1761-78. [DOI: 10.1002/sim.6450] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2013] [Revised: 12/16/2014] [Accepted: 01/16/2015] [Indexed: 12/30/2022]
Affiliation(s)
| | | | - Victor H. Lachos
- Department of Statistics; State University of Campinas; São Paulo Brazil
| | - Filidor Vilca
- Department of Statistics; State University of Campinas; São Paulo Brazil
| | - Valéria Troncoso Baltar
- Department of Epidemiology and Biostatistics, Institute of Community Health; Fluminense Federal University; Niterói, Rio de Janeiro Brazil
| | - Eliseu Verly Junior
- Department of Epidemiology, Institute of Social Medicine; Rio de Janeiro State University; Rio de Janeiro Brazil
| | - Regina Mara Fisberg
- Department of Nutrition, School of Public Health; University of São Paulo; São Paulo Brazil
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Castro MAD, Baltar VT, Selem SSDC, Marchioni DML, Fisberg RM. Empirically derived dietary patterns: interpretability and construct validity according to different factor rotation methods. CAD SAUDE PUBLICA 2015; 31:298-310. [DOI: 10.1590/0102-311x00070814] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2014] [Accepted: 09/12/2014] [Indexed: 12/19/2022] Open
Abstract
This study aimed to investigate the effects of factor rotation methods on interpretability and construct validity of dietary patterns derived in a representative sample of 1,102 Brazilian adults. Dietary patterns were derived from exploratory factor analysis. Orthogonal (varimax) and oblique rotations (promax, direct oblimin) were applied. Confirmatory factor analysis assessed construct validity of the dietary patterns derived according to two factor loading cut-offs (≥ |0.20| and ≥ |0.25|). Goodness-of-fit indexes assessed the model fit. Differences in composition and in interpretability of the first pattern were observed between varimax and promax/oblimin at cut-off ≥ |0.20|. At cut-off ≥ |0.25|, these differences were no longer observed. None of the patterns derived at cut-off ≥ |0.20| showed acceptable model fit. At cut-off ≥ |0.25|, the promax rotation produced the best model fit. The effects of factor rotation on dietary patterns differed according to the factor loading cut-off used in exploratory factor analysis.
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Lopes RDVC, Castro MAD, Baltar VT, Marchioni DML, Fisberg RM. Betaine and Choline Intakes are Related to Total Plasma Homocysteine: Health Survey of São Paulo, Brazil. International Journal of Cardiovascular Sciences 2015. [DOI: 10.5935/2359-4802.20150009] [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: 11/20/2022] Open
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Marchioni DML, Gorgulho BM, Teixeira JA, Verly E, Fisberg RM. Prevalência de omissão do café da manhã e seus fatores associados em adolescentes de São Paulo: estudo ISA-Capital. ACTA ACUST UNITED AC 2015. [DOI: 10.4322/2316-7874.032414] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Gorgulho B, Marchioni DML, Conceição ABD, Steluti J, Mussi MH, Nagai-Manelli R, Teixeira LR, Luz AAD, Fischer FM. Quality of diet of working college students. ACTA ACUST UNITED AC 2014; 41 Suppl 1:5806-9. [PMID: 22317694 DOI: 10.3233/wor-2012-0958-5806] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Considering the scarcity of studies with young workers and the role of diet in the prevention of chronic diseases, the objective of the study was to assess the quality of diet of working college students. The present study investigated 43 university students, aged between 18 and 25 years old who had systematically being involved in a working activity in the past 6 months, paid or unpaid, at least 6 hours daily, five days a week. Dietary intake measured by seven dietary records covering every day of the week was used to calculate the Brazilian Healthy Eating Index Revised (B-HEIR). It was observed a low B-HEIR score (53.43,±7.81) indicating a risk of a poor quality of diet, with high intake of sodium and sugar and low consumption of fruits and whole grains. This poor quality of diet can result in an inadequate nutritional status that may increase the risk of obesity and chronic diseases.
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Affiliation(s)
- Bartira Gorgulho
- Department of Nutrition, University of Sao Paulo, School of Public Health, Avenue Dr Arnaldo 715, São Paulo, SP, Brazil
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Garcez MR, Pereira JL, Fontanelli MDM, Marchioni DML, Fisberg RM. Prevalence of dyslipidemia according to the nutritional status in a representative sample of São Paulo. Arq Bras Cardiol 2014; 103:476-84. [PMID: 25590927 PMCID: PMC4290738 DOI: 10.5935/abc.20140156] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Revised: 07/03/2014] [Accepted: 07/24/2014] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Overweight is one of the major public health problems in Brazil; it is associated with dyslipidemia, which is an important risk factor for cardiovascular diseases. OBJECTIVE To evaluate the lipid profile of residents of the municipality of São Paulo, state of São Paulo, according to the nutritional status. METHODS Data from the population-based cross-sectional study ISA-Capital 2008 on a sample of residents of São Paulo were used. Participants were categorized into groups according to body mass index and age range. The levels of total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides, and non-HDL cholesterol were measured. The association between lipid profile, nutricional status, and waist circumference was investigated. The data were processed using the survey mode of the Stata 11.0 software. RESULTS The prevalence of any type of dyslipidemia in the population was 59.74%, with low HDL-cholesterol dyslipidemia being the most common type. Not overweight individuals had higher mean levels of HDL-cholesterol and lower levels of LDL-cholesterol, total cholesterol, triglycerides, and non-HDL cholesterol when compared with the overweight group. The rate of inadequacy of these variables was higher in the overweight individuals, regardless of the age group, to the exception of LDL-cholesterol in the adults and elderly. A higher prevalence of isolated hypertriglyceridemia was observed in individuals with higher waist circumference among the adults and the total population. CONCLUSION The results indicate an association between dyslipidemia and overweight in the population of the city of São Paulo. The most prevalent dyslipidemia in this population was low HDL-cholesterol.
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Affiliation(s)
| | | | | | | | - Regina Mara Fisberg
- Faculdade de Saúde Pública, Universidade de São
Paulo, São Paulo, SP - Brazil
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Abstract
Objective: This study aimed to characterize away-from-home meals.Methods: This population-based, cross-sectional study measured dietary intake by administering 24-hour recalls by telephone. Away-from-home breakfast, lunch, and dinner were described and characterized according to the foods that contribute most to the intake of energy, fat, sodium, and added sugar permeal.Results: f the 834 respondents, 24% had had at least one meal away from home. The average energy intake per away-from-home meal was 628 kcal (±101 kcal), about 35% of the average daily intake for this population. Meals contained both healthy foods, such as rice, beans, and fish, and unhealthy foods, such as soft drinks, snacks, sandwiches, and pizza.Conclusion: Individuals who ate away from home had worse diets. However, the presence of healthy foods indicates a possibility of improvement if purposeful programmatic actions are taken.
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Selem SSDC, Carvalho AMD, Verly-Junior E, Carlos JV, Teixeira JA, Marchioni DML, Fisberg RM. Validity and reproducibility of a food frequency questionnaire for adults of São Paulo, Brazil. Rev bras epidemiol 2014; 17:852-9. [DOI: 10.1590/1809-4503201400040005] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2014] [Accepted: 04/29/2014] [Indexed: 05/28/2023] Open
Abstract
OBJECTIVES: To assess the validity and reproducibility of a food frequency questionnaire developed for estimating the food consumption of adults in São Paulo, Brazil, based population study. METHODS: A sample of individuals aged above 20 years, of both genders, living in São Paulo, was used for the validation study (n = 77) and reproducibility study (n = 74) of the food frequency questionnaire. To verify the validity and reproducibility of energy and 19 nutrients were applied two food frequency questionnaires (60 items) and three 24-hour dietary recalls (24HR - reference method). The validity was verified by Spearman correlation coefficient (crude and de-attenuated) and weighted Kappa, and reproducibility by intraclass correlation coefficients and weighted kappa. RESULTS: In analyzes of validity de-attenuated correlation coefficients ranged from 0.21 (carbohydrate) to 0.74 (energy), and weighted kappa exceeded 0.40 for 30% of the nutrients. Polyunsaturated fat and folate did not show significant correlation and weighted kappa. In reproducibility correlation coefficients ranged from 0.36 (polyunsaturated fat) to 0.69 (calcium), and weighted kappa exceeded 0.40 for 80% of the nutrients. CONCLUSION: The food frequency questionnaire analyzed has good validity and reproducibility for estimating the food consumption of adults in São Paulo compared to the reference method, so it is an appropriate instrument to be used in epidemiological studies on similar populations. Estimates of polyunsaturated fat and folate should be interpreted with caution.
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Verly-Jr E, Steluti J, Fisberg RM, Marchioni DML. A quantile regression approach can reveal the effect of fruit and vegetable consumption on plasma homocysteine levels. PLoS One 2014; 9:e111619. [PMID: 25365261 PMCID: PMC4218785 DOI: 10.1371/journal.pone.0111619] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2014] [Accepted: 10/06/2014] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION A reduction in homocysteine concentration due to the use of supplemental folic acid is well recognized, although evidence of the same effect for natural folate sources, such as fruits and vegetables (FV), is lacking. The traditional statistical analysis approaches do not provide further information. As an alternative, quantile regression allows for the exploration of the effects of covariates through percentiles of the conditional distribution of the dependent variable. OBJECTIVE To investigate how the associations of FV intake with plasma total homocysteine (tHcy) differ through percentiles in the distribution using quantile regression. MATERIALS AND METHODS A cross-sectional population-based survey was conducted among 499 residents of Sao Paulo City, Brazil. The participants provided food intake and fasting blood samples. Fruit and vegetable intake was predicted by adjusting for day-to-day variation using a proper measurement error model. We performed a quantile regression to verify the association between tHcy and the predicted FV intake. The predicted values of tHcy for each percentile model were calculated considering an increase of 200 g in the FV intake for each percentile. RESULTS The results showed that tHcy was inversely associated with FV intake when assessed by linear regression whereas, the association was different when using quantile regression. The relationship with FV consumption was inverse and significant for almost all percentiles of tHcy. The coefficients increased as the percentile of tHcy increased. A simulated increase of 200 g in the FV intake could decrease the tHcy levels in the overall percentiles, but the higher percentiles of tHcy benefited more. CONCLUSIONS This study confirms that the effect of FV intake on lowering the tHcy levels is dependent on the level of tHcy using an innovative statistical approach. From a public health point of view, encouraging people to increase FV intake would benefit people with high levels of tHcy.
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Affiliation(s)
- Eliseu Verly-Jr
- Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | - Josiane Steluti
- Department of Nutrition, School of Public Health, Sao Paulo University, São Paulo, Brazil
| | - Regina Mara Fisberg
- Department of Nutrition, School of Public Health, Sao Paulo University, São Paulo, Brazil
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