Intuitive eating in youth: Its relationship with nutritional status / Alimentação intuitiva na juventude: sua relação com o estado nutricional

ABSTRACT Objective To determine intuitive eating in young adults and the effects of factors such as gender, Body Mass Index and dietary intake, and dietary adequacy on intuitive eating. Methods This cross-sectional study was conducted with students at Gazi University in Ankara (N=665; 17.6% men; 82.4% women). The questionnaire, including the general characteristics, anthropometric measurements, Intuitive Eating Scale-2, and 24-H Dietary Recall sections, were applied to all participants. For the evaluation of the diet, Nutrient Adequacy Ratio and Mean Adequacy Ratio were used. Results The mean Intuitive Eating Scale-2 score was 3.2±0.33; men's and women's scores were 3.3±0.37 and 3.2±0.32, respectively (p<0.05). According to linear regression analysis, gender, age and mean adequacy ratio had an effect on the model for the score (p<0.05). In addition, there was a negative correlation between Intuitive Eating Scale-2 scores and Body Mass Index values in women (rp=-0.095, p=0.026). Conclusion The intuitive eating scores varied according to gender, dietary adequacy and age. Intuitive eating may be effective in the formation of long-term behavioral changes, which is beneficial for the treatment of obesity. The result of this study may encourage the development of this behavior in groups (may vary according to gender), that is thought to be effective by considering the changes of intuitive eating behavior.

RESUMO Objetivo Determinar a alimentação intuitiva em adultos jovens e os efeitos de fatores como sexo, índice de massa corporal, ingestão alimentar e adequação da dieta na alimentação intuitiva. Métodos Este estudo transversal foi realizado em estudantes da Universidade de Gazi, em Ancara (N=665; 17,6% homens; 82,4% mulheres). O questionário, incluindo as características gerais, medidas antropométricas, Escala de Alimentação Intuitiva 2 e recordatório alimentar de 24 horas foi aplicado aos participantes. Para a avaliação da dieta, foram utilizados o Índice de Adequação de Nutrientes e a Razão de Adequação Média. Resultados A Escala Média de Escala de Comportamento Intuitivo-2 foi de 3,2±0,33, dos homens e das mulheres, foi de 3,3±0,37 e 3,2±0,32, respectivamente (p<0,05). De acordo com a análise de regressão linear, sexo, idade a Razão de Adequação Média tiveram efeito no modelo formado pelo escore (p<0,05). Além disso, houve uma correlação negativa entre os escores da Escala de Alimentação Intuitiva-2 e os valores do índice de massa corporal nas mulheres (rp=-0,095, p=0,026). Conclusão Os escores alimentares intuitivos variaram de acordo com o gênero, com adequação da dieta e com a idade. A alimentação intuitiva pode ser eficaz na formação de mudanças a longo prazo no comportamento, o que é benéfico para o tratamento da obesidade. O resultado deste estudo pode encorajar o desenvolvimento deste comportamento em grupos (talvez variar de acordo com o gênero) que é considerado efetivo considerando-se as mudanças do comportamento alimentar intuitivo.

Synergistic effects of sulbactam in multi-drug-resistant Acinetobacter baumannii

Abstract Acinetobacter baumannii is a frequently isolated etiologic agent of nosocomial infections, especially in intensive care units. With the increase in multi-drug resistance of A. baumannii isolates, finding appropriate treatment alternatives for infections caused by these bacteria has become more difficult, and available alternate treatments include the use of older antibiotics such as colistin or a combination of antibiotics. The current study aimed to evaluate the in vitro efficacy of various antibiotic combinations against multi-drug resistant A. baumannii strains. Thirty multi-drug and carbapenem resistant A. baumannii strains isolated at the Ankara Training and Research Hospital between June 2011 and June 2012 were used in the study. Antibiotic susceptibility tests and species-level identification were performed using conventional methods and the VITEK 2 system. The effects of meropenem, ciprofloxacin, amikacin, tigecycline, and colistin alone and in combination with sulbactam against the isolates were studied using Etest (bioMérieux) in Mueller-Hinton agar medium. Fractional inhibitory concentration index (FIC) was used to determine the efficacy of the various combinations. While all combinations showed a predominant indifferent effect, a synergistic effect was also observed in 4 of the 5 combinations. Synergy was demonstrated in 43% of the isolates with the meropenem-sulbactam combination, in 27% of the isolates with tigecycline-sulbactam, and in 17% of the isolates with colistin-sulbactam and amikacin-sulbactam. No synergy was detected with the sulbactam-ciprofloxacin combination and antagonism was detected only in the sulbactam-colistin combination (6.66% of the isolates). Antibiotic combinations can be used as an alternative treatment approach in multi-drug resistant A. baumannii infections.