Trends in ultra-processed food availability and its association with diet-related non-communicable disease health indicators in the Portuguese population.

Broad variations in dietary and physical activity patterns are part of nutritional transition concept. An additional nutritional transition has as main characteristic the change of consumption of processed foods for ultra-processed foods (UPF). This study aims to evaluate trends of UPF availability in Portuguese population and its association with diet-related non-communicable diseases (NCD) health indicators. This ecological study used data from the Household Budget Surveys conducted by the National Statistics Institute each 5 years within a national representative sample of households. The percentage of UPF was calculated based on the total daily amount of food and beverages available per capita (in grams). Data from the years 1990, 1995, 2000 and 2005 were used, which were retrieved from DAFNE-Anemos Software. NCD age-standardised mortality, prevalence and incidence were obtained from the Global Burden of Disease database, for the years 2000, 2005, 2010 and 2015. Between 1990 and 2005, the UPF availability increased from 3·9 % to 13·8 %. Over the years, almost all food and beverages categories increased the UPF availability contribution, mainly noticeable for milk, sugar, cereal and meat products. Positive correlations were observed between UPF availability and digestive diseases both in prevalence (r = 0·062; P = 0·037) and incidence (r = 0·005; P = 0·010) measures. Neoplasms incidence also showed positive correlation with UPF availability (r = 0·002; P = 0·012). Trends in UPF availability in Portugal increased exponentially. At the same time, there is a trend towards a decrease in unprocessed and processed food availability. The Portuguese population should be made aware of the health risks resulting from excessive consumption of UPF.

Nutritional Status among Portuguese and Turkish Older Adults Living in the Community: Relationships with Sociodemographic, Health and Anthropometric Characteristics.

Malnutrition is widespread among older adults, and its determinants may differ between countries. We compared Portuguese and Turkish non-institutionalized older adults regarding nutritional status, sociodemographic, health and anthropometric characteristics and studied the relationships between nutritional status and those characteristics. This cross-sectional study analyzed data from 430 Portuguese and 162 Turkish non-institutionalized older adults regarding sociodemographics, health conditions, the Mini-Nutritional Assessment (MNA-FF) and anthropometry. Turkish older adults were more likely to be malnourished or at risk of malnutrition and had lower average BMI but a higher calf circumference. A higher proportion of the Portuguese sample had tooth loss, diabetes, hypertension, oncologic diseases, kidney diseases, osteoarticular problems or eye problems, while less had anemia. A better nutritional status (higher MNA-FF score) was found among the Portuguese, males, people using dentures, those without tooth loss, hypertension, cardiovascular diseases, anemia or oncological diseases and was related to younger age, higher BMI and a higher calf circumference. Malnutrition and its risk were higher among older adults from Turkey, despite Portuguese older adults presenting a higher prevalence of chronic diseases. Being female, older age, tooth loss, hypertension, anemia, CVD or oncological disorders and having a lower BMI or CC were associated with higher rates of malnutrition among older adults from Portugal and Turkey.

Cysteine-Assisted Click-Chemistry for Proximity-Driven, Site-Specific Acetylation of Histones.

Post-translational modifications of histones are essential in the regulation of chromatin structure and function. Among these modifications, lysine acetylation is one of the most established. Earlier studies relied on the use of chromatin containing heterogeneous mixtures of histones acetylated at multiple sites. Differentiating the individual contribution of single acetylation events towards chromatin regulation is thus of great relevance. However, it is difficult to access homogeneous samples of histones, with a single acetylation, in sufficient quantities for such studies. By engineering histone H3 with a cysteine in proximity of the lysine of interest, we demonstrate that conjugation with maleimide-DBCO followed by a strain-promoted alkyne-azide cycloaddition reaction results in the acetylation of a single lysine in a controlled, site-specific manner. The chemical precision offered by our click-to-acetylate approach will facilitate access to and the study of acetylated histones.

Antioxidant and Anti-inflammatory Extracts From Sea Cucumbers and Tunicates Induce a Pro-osteogenic Effect in Zebrafish Larvae.

Bone metabolic disorders such as osteoporosis are characterized by the loss of mineral from the bone tissue leading to its structural weakening and increased susceptibility to fractures. A growing body of evidence suggests that inflammation and oxidative stress play an important role in the pathophysiological processes involved in the rise of these conditions. As the currently available therapeutic strategies are often characterized by toxic effects associated with their long-term use, natural antioxidants and anti-inflammatory compounds such as polyphenols promise to be a valuable alternative for the prevention and treatment of these disorders. In this scope, the marine environment is becoming an important source of bioactive compounds with potential pharmacological applications. Here, we explored the bioactive potential of three species of holothurians (Echinodermata) and four species of tunicates (Chordata) as sources of antioxidant and anti-inflammatory compounds with a particular focus on polyphenolic substances. Hydroethanolic and aqueous extracts were obtained from animals' biomass and screened for their content of polyphenols and their antioxidant and anti-inflammatory properties. Hydroethanolic fractions of three species of tunicates displayed high polyphenolic content associated with strong antioxidant potential and anti-inflammatory activity. Extracts were thereafter tested for their capacity to promote bone formation and mineralization by applying an assay that uses the developing operculum of zebrafish (Danio rerio) to assess the osteogenic activity of compounds. The same three hydroethanolic fractions from tunicates were characterized by a strong in vivo osteogenic activity, which positively correlated with their anti-inflammatory potential as measured by COX-2 inhibition. This study highlights the therapeutic potential of polyphenol-rich hydroethanolic extracts obtained from three species of tunicates as a substrate for the development of novel drugs for the treatment of bone disorders correlated to oxidative stress and inflammatory processes.

Food Processing: Comparison of Different Food Classification Systems.

The substitution of minimally processed food and culinary home preparations for ready-to-eat products is increasing worldwide, which is overlooked as a cause of concern. The technological developments and the rise in highly processed food availability have introduced the concept of ultra-processed food (UPF). Food classification systems based on processing are now a new basis for epidemiological research. Different results from these classifications might influence conclusions on the population's consumption of UPF or its association with health outcomes. The aim of this study was to compare classification systems and to find out if their results are comparable when evaluating the extent of high/UPF on the overall diet. Portuguese data from the year 2000 was extracted from the DAFNE-AnemosSoft, and 556 food/beverages items were classified according to five systems. The contribution of UPF was calculated as a percentage of total available amount and discrepancy ranges used for comparisons. Results of UPF availability contributions were: NOVA 10.2%; UNC 15.2%; IFPRI 16.7%; IFIC 17.7%; IARC 47.4%. The highest discrepancy ranges were from alcoholic beverages (97.4%), milk/milk products (94.2%), sugar/sugar products (90.1%), added lipids (74.9%), and cereals/cereal products (71.3%). Inconsistencies among classifications were huge and the contribution from highly/UPF presented high discrepancies. Caution must be taken when comparing and interpreting such data.

Dichloro Butenediamides as Irreversible Site-Selective Protein Conjugation Reagent.

We describe maleic-acid derivatives as robust cysteine-selective reagents for protein labelling with comparable kinetics and superior stability relative to maleimides. Diamide and amido-ester derivatives proved to be efficient protein-labelling species with a common mechanism in which a spontaneous cyclization occurs upon addition to cysteine. Introduction of chlorine atoms in their structures triggers ring hydrolysis or further conjugation with adjacent residues, which results in conjugates that are completely resistant to retro-Michael reactions in the presence of biological thiols and human plasma. By controlling the microenvironment of the reactive site, we can control selectivity towards the hydrolytic pathway, forming homogeneous conjugates. The method is applicable to several scaffolds and enables conjugation of different payloads. The synthetic accessibility of these reagents and the mild conditions required for fast and complete conjugation together with the superior stability of the conjugates make this strategy an important alternative to maleimides in bioconjugation.

Bioaccessibility of Antioxidants and Fatty Acids from Fucus Spiralis.

Fucus spiralis is an edible brown seaweed (SW) found in the Portuguese Coast. It has been reported to have high antioxidant activity, which may elicit a potential use for the food industry. However, little information is available on how the SW behaves during the digestive process and how the freeze-drying process might affect the bioaccessibility of the different compounds. Therefore, antioxidant activity, total polyphenols, lipid, and fatty acid contents were measured before and after in vitro simulation of the human digestive process, both in fresh and freeze-dry SW. F. spiralis had a lipid content of 3.49 ± 0.3% of dry weight (DW), which is a usual amount described for this SW genus. The total lipid bioaccessibility was 12.1 ± 0.1%. The major omega-3 fatty acid detected was eicosapentaenoic acid, 7.5 ± 0.1%, with a bioaccessibility percentage of 13.0 ± 1.0%. Four different methods-total phenolic content (TPC), ferric reducing antioxidant power (FRAP), oxygen radical absorbance capacity (ORAC), and 1,1-diphenyl-2-picryl-hydrazyl (DPPH)-were used to assess the antioxidant activity of F. spiralis. The bioaccessibility of the antioxidants studied, ranged between 42.7% and 59.5%, except the bioaccessibility of polyphenols in freeze-dried SW (23.0% ± 1.0%), suggesting that the freeze-drying process reduces the bioaccessibility of these compounds.

Comparison of fish and oil supplements for a better understanding of the role of fat level and other food constituents in determining bioaccessibility.

In order to investigate the effects of fat level and protein and other components on lipid bioaccessibility, the bioaccessibility of total lipids and particular fatty acids (FAs) of fish samples with different fat levels (5.4% w/w, 10.2% w/w, and 16.6% w/w) and cod liver oil supplement in different quantities (82, 154, 313, 604, and 1,027 mg) was determined by an in vitro digestion model. Digestion of the fish and oil (up to 154 mg) samples as measured by TAG disappearance was complete. Lipolysis was impaired by high amounts of oil (313 mg and higher). Bioaccessible FA profiles had similarities with the initial (before digestion) FA profiles. However, total MUFA and oleic acid contents were higher in the bioaccessible fraction. The bioaccessibility of EPA and DHA was generally lower than that of oleic acid and total MUFA. Fat level did not affect FAs' bioaccessibility. On the other hand, protein and other components may have interfered in lipid bioaccessibility and it was found that the reduction of bioaccessibility was stronger when the ratio of the lipid fraction to the nonlipid fraction (mainly protein) was smaller.

Stearidonic acid combined with alpha-linolenic acid improves lipemic and neurological markers in a rat model subject to a hypercaloric diet.

In this study, we hypothesized that terrestrial plant oils, rich in alpha linolenic acid (ALA) and stearidonic acid (SDA) relative to fish oil, rich in eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), prevent negative effects on cardiovascular and neurological function using a rat model fed a hypercaloric diet. Results showed effects on the FA profile, namely, eicosapentaenoic, EPA, and docosahexaenoic, DHA, levels. There were also effects on neural aspects (cAMP response element-binding protein, CREB, gene expression, at least, doubled) and the pro-inflammatory/anti-inflammatory balance (TNF-α, tumor necrosis factor alpha reduced by 30-50%). The most positive impact of ALA and SDA was the beneficial reduction of total lipids (from 395 ±â€¯3 to 352-361 mg/dL), VLDL-cholesterol (from 21.8 ±â€¯0.2 to 14.1-17.8 mg/dL), and triacylglycerols (from 109 ±â€¯1 to 71-89 mg/dL) in both LIN (diet enriched in linseed oil) and BUG (diet enriched in Buglossoides oil) groups. Overall, data indicate that ALA- and SDA-rich lipid sources may counteract the undesirable cardiovascular effects of a hypercaloric diet based on milk fat.

Markers of neuroprotection of combined EPA and DHA provided by fish oil are higher than those of EPA (Nannochloropsis) and DHA (Schizochytrium) from microalgae oils in Wistar rats.

BACKGROUND: To overcome the current overexploitation of fish rich in n-3 long chain polyunsaturated fatty acids (LCPUFA), microalgae have become a promising marine lipid source. The purpose of this study was to assess eicosapentaenoic acid (EPA, 20:5n-3) and docosahexaenoic acid (DHA, 22:6n-3), isolated or combined from distinct marine origins, on the promotion of neuroprotective effects. METHODS: The experiment lasted for 10 weeks and involved 32 Wistar rats, divided into 4 diets (n = 8): a diet rich in milk fat was taken as control (Milk Fat) and compared to n-3 LCPUFA enriched diets, either in EPA + DHA form through fish oil (Fish Oil), or EPA through Nannochloropsis oil (Nanno), or DHA through Schizochytrium oil (Schyzo), while maintaining Milk Fat incorporation. RESULTS: Plasma lipid profile and dopamine levels were more beneficial in Fish Oil diet. In addition, n-3 LCPUFA incorporation was found increased in liver and erythrocytes from Fish Oil fed rats, suggesting that fish oil is a better dietary source for fatty acids deposition in the organism than microalgae. The Forced Swimming Test revealed a positive behavioural action of EPA + DHA, in opposition to Milk Fat and Nanno diets, which had higher immobile times. mRNA levels of serotonin receptors, HT1A and HT2A along with CREB, the transmission factor for learning and memory, were higher in the hippocampus of rats fed n-3 LCPUFA diets comparative to Milk Fat. CONCLUSION: Taken together, the combination of EPA and DHA from fish oil can counteract the undesirable health effects of saturated fat based diets and benefit, in the long run, neurological function.

Seafood lipids and cardiovascular health

Seafood lipids encompass important healthy nutrients, such as n-3 polyunsaturated fatty acids (n-3 PUFAs), whichmay have a significant effect on human cardiovascular health and needs to be supplied by the human diet. Particularly, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) are the most abundant n-3 PUFA present in seafood and have an impact on the cardiovascular health. DHA and EPA are deemed to display anti-inflammatory, cell membrane modulation, and biophysical properties, thereby offsetting the pro-inflammatory effects of n-6 PUFA, and to reduce the risk of cardiovascular disease. Consumption of large amounts of n-3 PUFA exerts a positive effect on a wide array of cardiovascular health concerns ranging from hypertension and atherosclerosis to myocardial infarction and stroke. Infact, animal studies indicate that n-3 PUFAs play a bioactive cardiovascular protective role. Therefore, it is recommended up to two servings of fatty fish per week or up to 500 mg/day of EPA and DHA (World Health Organization).

Composição química e percentual de adequação da dieta dos servidores do instituto nacional de pesquisas da Amazônia, Manaus, AM, Brasil

The chemical composition of the duplicate food collections obtained from 36 servers of the National Institute of Researches of Amazônia (INPA) was evaluated and as percentage of recommended intake. The most frequently food consumed they were: sugar (91.7%), rice (80.6%), coffee (77.8%), milk (72.3%), bovine meat and bread (63.9%), cassava flour (58.4%), potato (55.6%), bean (50.0%), birds (38.9%), banana, carrot and sausages (33.4%), egg, sodas and tomato (30.6%). The results obtained showed the caloric deficiency of 40% and 52,7% respectively for adult men and adult women (25 to 50 years), protein of 76,4% (men) and 96,3% (women). The minerals Ca, Mg and Zn (men) were deficient whit an adequacy of about 50%. When compared with the recommended intakes, Fe was deficient for the adult women (59.4%). The minerals Na, Cu, Cl, Cr and I values were very high. Although of the great variety of foods ingested by this population, it was verified values are near the lowest limited set by RDA for most of the nutrients. Same belonging at a more privileged socio-economic living conditions, it is patent the importance of the alimentary orientation to that population group, because it is one of the main points in what it concerns the conditions of health and nutrition of the population.

Foi avaliada a composição química e percentual de adequação das dietas coletadas por meio da porção em duplicata de 36 servidores do Instituto Nacional de Pesquisas da Amazônia (INPA). De acordo com os resultados obtidos, verificou-se uma diversificação de alimentos frequentemente consumidos, dentre eles: açúcar (91,7%), arroz (80,6%), café (77,8%), leite (72,3%), carne bovina e pão (63,9%), farinha de mandioca (58,4%), batata inglesa (55,6%), feijão (50,04%), aves (38,9%), banana, cenoura e embutidos (33,4%), ovo, refrigerantes e tomate (30,6%). Considerando as recomendações nutricionais para a faixa etária de 25 a 50 anos, as adequações calóricas foram 40% e 52,7% para homens e mulheres respectivamente, protéica 76,4% (homens) e 96,3% (mulheres). Os minerais Ca, Mg e Zn (homens) apresentaram adequação inferior a 50%, enquanto que o Fe apresentou adequação de 89,1% (homens) e 59.4% (mulheres). Os minerais Na, Cu, Cl, Cr e I apresentaram valores acima do recomendado em ambos os sexos. Apesar da grande variedade de alimentos ingeridos por esta população, verificou-se valores limitantes para a maioria dos nutrientes, independentemente do sexo. Mesmo pertencendo a um nível sócio-cultural mais privilegiado, fica patente a importância da orientação alimentar a esse grupo populacional, pois é um dos pontos principais no que concerne as condições de saúde e nutrição da população.

Avaliaçäo da alimentaçäo de pré-escolares de Barcelos e Ajuricaba, Estado do Amazonas / Feeding evaluation of pre-school children from Barcelos and Ajuricaba, Amazon State

Considerando a escassez de informaçöes em relaçäo às condiçöes de saúde e nutriçäo dos pré-escolares da Calha do Rio Negro, avaliou-se 109 dietas pré-escolares de Barcelos e 06 da área índigena de Ajuricaba-AM, por meio da análise química e percentual de adequaçäo em relaçäo aos valores recomendados pelo National Academy of Sciences/National Research Council (NAS/NRC). Verificou-se que os alimentos frequentemente consumidos foram: farinha de mandioca, päo, peixe, arroz, bolacha doce, feijäo, café, banana e outros, com uma frequência inferior a 10(por cento). As dietas analisadas apresentaram uma adequaçäo energética de 21,5(por cento) e 10(por cento), proteína de 57,9(por cento) e 76(por cento) para as dietas dos pré-escolares de Barcelos e Ajuricaba respectivamente. Os elementos minerais Ca, Zn e K apresentaram um adequaçäo inferior a 40(por cento); ferro próximo a 40(por cento) e valores superiores a 100(por cento) para Na e Mo na dieta de Barcelos. De acordo com os resultados obtidos, conclui-se que o consumo de frutas e verduras näo faz parte do hábito alimentar dos pré-escolares ribeirinhos, o aporte energético é limitante, seguido de cálcio, zinco e ferro e a dieta näo atende às recomendaçöes preconizadas para a maioria dos nutrientes estudados. (AU)

Considering the scanty information about health and nutrition conditions of the pre-schoolin Calha do Rio Negro, 109 diets from the Barcelos region and 06 diets from the indigenous area ofAjuricaba­AM, were evaluated by means of chemical analysis and adequacy percentage related to therecommended intakes set by National Academy of Sciences/National Research Council (NAS/NRC)for children (4-6 years old). The duplicate portion technique was used for sampling the diets. It wasverified that the foods more frequently consumed were: cassava flour, bread, fish, rice, crackers, beans,coffee, banana. Others had a frequency below 10%. The diets analyzed showed an energy deficit of21,5% and 10% and a proteic deficit of 57,9% and 76%, for Barcelos and Ajuricaba regions, respectively.According to the results obtained, it can be concluded that the consumption of greens is not part of thefeeding habits of rural Amazon population, and the caloric contribution content of the available food isvery low. Considering the mineral elements Ca, Fe, Mg, Se, and Zn, we were able to verify that bothdiets analyzed in the present work have not reached the values recommended by NAS/NRC. With regardto Na and Mo, the diet in Barcelos exceeded the values recommended. (AU)

Determinação dos teores de elementos minerais em alimentos convencionais e não convencionais da região amazônica pela técnica de análise por ativação com nêutrons instrumental / Determination of Concentration of the Mineral Elements in Conventional and Non Conventional Foodstuffs from Amazon Region by Instrumental Neutron Activation Analysis

No presente trabalho são apresentados valores de concentração para os elementos minerais Ca, Fe, K, Mn, Na, Se e Zn em alimentos convencionais e não convencionais da região Amazônica, obtidos por análise por ativação neutrônica instrumental. As concentrações dos elementos minerais nos alimentos analisados, variaram, sendo que o potássio se sobressaiu com teores expressivos na jaca (caroço e polpa) e graviola. Dentre os minerais, o selênio foi o que apresentou menor concentração nos alimentos analisados. Entretanto, notadamente importantes foram as concentrações verificadas na graviola, pupunha fruto e palmito. De acordo com os resultados obtidos sugere-se a indicação dos mesmos na alimentação diária dos amazonenses e espera-se contribuir na elaboração de tabelas de composição de alimentos regional e nacional

Determinação dos teores de elementos minerais em alimentos convencionais e não convencionais da região amazônica pela técnica de análise por ativação com nêutrons instrumental

In the present work the concentration values of the mineral elements Ca, Fe, K, Mn, Na, Se and Zn in conventional and non-conventional foodstuffs from Amazon Region by instrumental neutron activation analysis are presented. The concentrations to minerals varied according to the foodstuffs analysed. The highest concentrations of potassium were detected in jaca fruit (kernel and pulp) and graviola fruit. Although selenium was among the least abundant minerals, it was found in higher concentrations in graviola fruit, pupunha fruit and palm. Based on the concentration data of mineral elements it can be recommended the consumption of these foodstuffs in the daily meals of Amazonian people and we hope to contribute towards elaboration of regional and national food composition tables.

No presente trabalho são apresentados valores de concentração para os elementos minerais Ca, Fe, , Mn, Na, Se e Zn em alimentos convencionais e não convencionais da região Amazônica, obtidos por análise por ativação neutrônica instrumental. As concentrações dos elementos minerais nos alimentos analisados, variaram, sendo que o potássio se sobressaiu com teores expressivos na jaca (caroço e polpa) e graviola. Dentre os minerais, o selênio foi o que apresentou menor concentração nos alimentos analisados. Entretanto, notadamente importantes foram as concentrações verificadas na graviola, pupunha fruto e palmito. De acordo com os resultados obtidos sugere-se a indicação dos mesmos na alimentação diária dos amazonenses e espera-se contribuir na elaboração de tabelas de composição de alimentos regional e nacional.

Orientaçäo planejada de enfermagem na alta hospitalar / Orientation planning of nursing in the discharge

As autoras apresentam uma proposta para orientar, planejadamente, o paciente para a alta hospitalar, com a utilizaçäo de um impresso em que säo descritos os cuidados de enfermagem destinados a recuperaçäo e/ou manutençäo de sua saúde