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BACKGROUND: Many factors can influence chewing, including age. The ageing process causes morphophysiological changes in the body, including in the performance of the stomatognathic system, which directly affect chewing and swallowing. OBJECTIVE: To determine the prevalence of chewing difficulty in older people in long-term care. METHODS: We searched six electronic databases and the grey literature. Qualitative and quantitative analyses, including risk of bias, were performed on studies that met the inclusion criteria. The meta-analysis of proportions with a random effects model was performed, and heterogeneity was explored by meta-regression. Risk of bias was determined using the Joanna Briggs Institute's Critical Appraisal Checklist. The certainty of evidence was verified using the GRADE tool. RESULTS: Twelve articles were included in the meta-analysis. The pooled prevalence estimate was 35% (95% confidence interval, 0.19-0.54). As heterogeneity still persisted even after sensitivity analysis, the predictors of mean sample age and sample size were meta-regressed to assess whether these covariates explained the variance between effect sizes. The covariable sample size of the study included in the analysis explained 84.3% of the heterogeneity existing in the analysis (R2 = 84.3%; P = .0008). The risk of bias was low in three studies, eight studies had a moderate risk of bias and one study had a high risk of bias. As for the prevalence of chewing difficulty, the GRADE criteria were considered very low. CONCLUSION: About one in three older people in long-term care have difficulty in chewing.
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Assistência de Longa Duração , Mastigação , Humanos , Idoso , PrevalênciaRESUMO
Short-term effects of pCO2 (700-380 ppm; High carbon (HC) and Low carbon (LC), respectively) and nitrate content (50-5 µM; High nitrogen (HN) and Low nitrogen (LN), respectively on photosynthesis were investigated in Ulva rigida (Chlorophyta) under solar radiation (in-situ) and in the laboratory under artificial light (ex-situ). After six days of incubation at ambient temperature (AT), algae were subjected to a 4 °C temperature increase (AT+4 °C) for 3 d. Both in-situ and ex-situ maximal electron transport rate (ETRmax) and in situ gross photosynthesis (GP), measured by O2 evolution, presented highest values under HCHN, and lowest under HCLN, across all measuring systems. Maximal quantum yield (Fv/Fm), and ETRmax of photosystem (PS) II [ETR(II)max] and PSI [ETR(I)max], decreased under HCLN at AT+4 °C. Ex situ ETR was higher than in situ ETR. At noon, Fv/Fm decreased (indicating photoinhibition), whereas ETR(II)max and maximal non-photochemical quenching (NPQmax) increased. ETR(II)max decreased under AT+ 4 °C in contrast to Fv/Fm, photosynthetic efficiency (αâETR) and saturated irradiance (EK). Thus, U. rigida exhibited a decrease in photosynthesis under acidification, changing LN, and AT+4 °C. These results emphasize the importance of studying the interaction between environmental parameters using in-situ versus ex-situ conditions, when aiming to evaluate the impact of global change on marine macroalgae.
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Clorófitas , Ulva , Dióxido de Carbono , Clorofila , Nitratos , Oxigênio , Fotossíntese , TemperaturaRESUMO
Latitudinal diversity gradients have provided many insights into species differentiation and community processes. In the well-studied intertidal zone, however, little is known about latitudinal diversity in microbiomes associated with habitat-forming hosts. We investigated microbiomes of Fucus vesiculosus because of deep understanding of this model system and its latitudinally large, cross-Atlantic range. Given multiple effects of photoperiod, we predicted that cross-Atlantic microbiomes of the Fucus microbiome would be similar at similar latitudes and correlate with environmental factors. We found that community structure and individual amplicon sequencing variants (ASVs) showed distinctive latitudinal distributions, but alpha diversity did not. Latitudinal differentiation was mostly driven by ASVs that were more abundant in cold temperate to subarctic (e.g., Granulosicoccus_t3260, Burkholderia/Caballeronia/Paraburkholderia_t8371) or warm temperate (Pleurocapsa_t10392) latitudes. Their latitudinal distributions correlated with different humidity, tidal heights, and air/sea temperatures, but rarely with irradiance or photoperiod. Many ASVs in potentially symbiotic genera displayed novel phylogenetic biodiversity with differential distributions among tissues and regions, including closely related ASVs with differing north-south distributions that correlated with Fucus phylogeography. An apparent southern range contraction of F. vesiculosus in the NW Atlantic on the North Carolina coast mimics that recently observed in the NE Atlantic. We suggest cross-Atlantic microbial structure of F. vesiculosus is related to a combination of past (glacial-cycle) and contemporary environmental drivers.
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Fucus , Microbiota , North Carolina , Filogenia , FilogeografiaRESUMO
The present study aimed to contrast the fatty acid (FA) profile of ascidians (Ascidiacea) and seaweeds (sea lettuce, Ulva spp. and bladderwrack, Fucus sp.) occurring in a coastal lagoon with versus without the influence of organic-rich effluents from fish farming activities. Our results revealed that ascidians and seaweeds from these contrasting environments displayed significant differences in their FA profiles. The n-3/n-6 ratio of Ascidiacea was lower under the influence of fish farming conditions, likely a consequence of the growing level of terrestrial-based ingredients rich on n-6 FA used in the formulation of aquafeeds. Unsurprisingly, these specimens also displayed significantly higher levels of 18:1(n-7+n-9) and 18:2n-6, as these combined accounted for more than 50% of the total pool of FAs present in formulated aquafeeds. The dissimilarities recorded in the FAs of seaweeds from these different environments were less marked (≈5%), with these being more pronounced in the FA classes of the brown seaweed Fucus sp. (namely PUFA). Overall, even under the influence of organic-rich effluents from fish farming activities, ascidians and seaweeds are a valuable source of health-promoting FAs, which confirms their potential for sustainable farming practices, such as integrated multi-trophic aquaculture.
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Ácidos Graxos/metabolismo , Peixes , Alga Marinha , Urocordados , Animais , Aquicultura , Organismos Aquáticos , PesqueirosRESUMO
Grateloupia turuturu Yamada, 1941, is a red seaweed widely used for food in Japan and Korea which was recorded on the Atlantic Coast of Europe about twenty years ago. This seaweed presents eicosapentaenoic acid (EPA) and other polyunsaturated fatty acids (PUFAs) in its lipid fraction, a feature that sparked the interest on its potential applications. In seaweeds, PUFAs are mostly esterified to polar lipids, emerging as healthy phytochemicals. However, to date, these biomolecules are still unknown for G. turuturu. The present work aimed to identify the polar lipid profile of G. turuturu, using modern lipidomics approaches based on high performance liquid chromatography coupled to high resolution mass spectrometry (LC-MS) and gas chromatography coupled to mass spectrometry (GC-MS). The health benefits of polar lipids were identified by health lipid indices and the assessment of antioxidant and anti-inflammatory activities. The polar lipids profile identified from G. turuturu included 205 lipid species distributed over glycolipids, phospholipids, betaine lipids and phosphosphingolipids, which featured a high number of lipid species with EPA and PUFAs. The nutritional value of G. turuturu has been shown by its protein content, fatty acyl composition and health lipid indices, thus confirming G. turuturu as an alternative source of protein and lipids. Some of the lipid species assigned were associated to biological activity, as polar lipid extracts showed antioxidant activity evidenced by free radical scavenging potential for the 2,2'-azino-bis-3-ethyl benzothiazoline-6-sulfonic acid (ABTSâ+) radical (IC50 ca. 130.4 µg mL-1) and for the 2,2-diphenyl-1-picrylhydrazyl (DPPHâ) radical (IC25 ca. 129.1 µg mL-1) and anti-inflammatory activity by inhibition of the COX-2 enzyme (IC50 ca. 33 µg mL-1). Both antioxidant and anti-inflammatory activities were detected using a low concentration of extracts. This integrative approach contributes to increase the knowledge of G. turuturu as a species capable of providing nutrients and bioactive molecules with potential applications in the nutraceutical, pharmaceutical and cosmeceutical industries.
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Antioxidantes/farmacologia , Extratos Vegetais/farmacologia , Alga Marinha , Compostos de Bifenilo , Cromatografia Líquida de Alta Pressão , Cromatografia Líquida , Ácidos Graxos Insaturados/farmacologia , Humanos , Lipidômica , Espectrometria de Massas , Fosfolipídeos/farmacologia , Picratos , Relação Estrutura-AtividadeRESUMO
Seaweeds are considered healthy and sustainable food. Although their consumption is modest in Western countries, the demand for seaweed in food markets is increasing in Europe. Each seaweed species has unique nutritional and functional features. The preparation of blends, obtained by mixing several seaweeds species, allows the obtaining of maximum benefits and ingredients with single characteristics. In this work, five seaweed blends, commercially available and produced under organic conditions in Europe, were characterized. The proximal composition included contents of ash (20.28-28.68% DW), proteins (17.79-26.61% DW), lipids (0.55-1.50% DW), and total carbohydrates (39.47-47.37% DW). Fatty acid profiles were determined by gas chromatography-mass spectrometry (GC-MS), allowing quantification of healthy fatty acids, namely n-3 and n-6 polyunsaturated fatty acids (PUFA), and calculation of lipid quality indices. Each blend showed a characteristic PUFA content in the lipid pool (35.77-49.43% of total fatty acids) and the content in essential and healthy n-3 PUFA is highlighted. The atherogenicity (0.54-0.72) and thrombogenicity (0.23-0.45) indices evidenced a good nutritional value of lipid fractions. As nutritional and environmentally attractive products, the consumption of the studied seaweed blends can contribute to a healthy lifestyle.
Assuntos
Ácidos Graxos Insaturados/análise , Alga Marinha , Animais , Organismos Aquáticos , Europa (Continente) , Alimento Funcional , Valor NutritivoRESUMO
Marine edible macroalgae have functional proprieties that might improve human health and wellbeing. Lipids represent a minor fraction of macroalgae, yet with major interest as main carriers of omega 3 polyunsaturated fatty acids and intrinsic bioactive properties. In this study, we used lipid extracts from the green macroalgae Ulva rigida and Codium tomentosum; the red Gracilaria gracilis,Palmaria palmata and Porphyra dioica; and the brown Fucus vesiculosus, produced in a land-based integrated multitrophic aquaculture (IMTA) system. We determined the lipid quality indices based on their fatty acid profiles and their bioactivities as putative antioxidant, anti-inflammatory and antiproliferative agents. The results reveal to be species-specific, namely U. rigida displayed the lowest atherogenicity and thrombogenicity indices. Palmaria palmata and F. vesiculosus lipid extracts displayed the lowest inhibitory concentration in the free radical scavenging antioxidant assays. Ulva rigida, C. tomentosum, P. palmata and P. dioica inhibited COX-2 activity by up to 80%, while P. dioica and P. palmata extracts showed the highest cytotoxic potential in the MDA-MB-231 breast cancer cells. This work enhances the valorization of macroalgae as functional foods and promising ingredients for sustainable and healthy diets and fosters new applications of high-valued algal biomass, in a species-specific context.
Assuntos
Neoplasias da Mama/tratamento farmacológico , Citotoxinas , Fucus/química , Gracilaria/química , Lipídeos , Porphyra/química , Ulva/química , Neoplasias da Mama/metabolismo , Linhagem Celular Tumoral , Citotoxinas/química , Citotoxinas/farmacologia , Feminino , Sequestradores de Radicais Livres/química , Sequestradores de Radicais Livres/farmacologia , Humanos , Lipídeos/química , Lipídeos/farmacologiaRESUMO
Macroalgae (seaweeds) are the subject of increasing interest for their potential as a source of valuable, sustainable biomass in the food, feed, chemical and pharmaceutical industries. Compared with microalgae, the pace of knowledge acquisition in seaweeds is slower despite the availability of whole-genome sequences and model organisms for the major seaweed groups. This is partly a consequence of specific hurdles related to the large size of these organisms and their slow growth. As a result, this basic scientific field is falling behind, despite the societal and economic importance of these organisms. Here, we argue that sustainable management of seaweed aquaculture requires fundamental understanding of the underlying biological mechanisms controlling macroalgal life cycles - from the production of germ cells to the growth and fertility of the adult organisms - using diverse approaches requiring a broad range of technological tools. This Viewpoint highlights several examples of basic research on macroalgal developmental biology that could enable the step-changes which are required to adequately meet the demands of the aquaculture sector.
Assuntos
Aquicultura , Alga Marinha/crescimento & desenvolvimento , Biomassa , Conservação dos Recursos Naturais , Estágios do Ciclo de VidaRESUMO
In recent years, noteworthy research has been performed around lipids from microalgae. Among lipids, glycolipids (GLs) are quite abundant in microalgae and are considered an important source of fatty acids (FAs). GLs are rich in 16- and 18-carbon saturated and unsaturated fatty acids and often contain polyunsaturated fatty acids (PUFAs) like n-3 α-linolenic (ALA 18:3), eicosapentaenoic (EPA, 20:5) and docosahexaenoic (DHA, 22:6). GLs comprise three major classes: monogalactosyldiacyl glycerolipids (MGDGs), digalactosyl diacylglycerolipids (DGDGs) and sulfoquinovosyl diacylglycerolipids (SQDGs), whose composition in FA directly depends on the growth conditions. Some of these lipids are high value-added compounds with antitumoral, antimicrobial and anti-inflammatory activities and also with important nutritional significance. To fully explore GLs' bioactive properties it is necessary to fully characterize their structure and to understand the relation between the structure and their biological properties, which can be addressed using modern mass spectrometry (MS)-based lipidomic approaches. This review will focus on the up-to-date FA composition of GLs identified by MS-based lipidomics and their potential as phytochemicals.
Assuntos
Glicolipídeos/metabolismo , Microalgas/metabolismo , Animais , Metabolismo dos Lipídeos , Oceanos e MaresRESUMO
Macro- and microalgae are currently recognized sources of lipids with great nutritional quality and attractive bioactivities for human health promotion and disease prevention. Due to the lipidomic diversity observed among algae species, giving rise to different nutritional and functional characteristics, the mixture of macro- and microalgae has the potential to present important synergistic effects resulting from the complementarity among algae. The aim of this work was to characterize for the first time the lipidome of a blend of macro- and microalgae and evaluate the antioxidant capacity of its lipid fraction. Fatty acids were profiled by GC-MS, the polar lipidome was identified by high resolution LC-MS, and ABTS+⢠and DPPH⢠assays were used to assess the antioxidant potential. The most abundant fatty acids were oleic (18:1 n-9), α-linolenic (18:3 n-3), and linoleic (18:2 n-6) acids. The lipid extract presented a beneficial n-6/n-3 ratio (0.98) and low values of atherogenic (0.41) and thrombogenic indices (0.27). The polar lipidome revealed 462 lipid species distributed by glycolipids, phospholipids, and betaine lipids, including some species bearing PUFA and a few with reported bioactivities. The lipid extract also showed antioxidant activity. Overall, the results are promising for the valorization of this blend for food, nutraceutical, and biotechnological applications.
RESUMO
Algae have been consumed for millennia in several parts of the world as food, food supplements, and additives, due to their unique organoleptic properties and nutritional and health benefits. Algae are sustainable sources of proteins, minerals, and fiber, with well-balanced essential amino acids, pigments, and fatty acids, among other relevant metabolites for human nutrition. This review covers the historical consumption of algae in Europe, developments in the current European market, challenges when introducing new species to the market, bottlenecks in production technology, consumer acceptance, and legislation. The current algae species that are consumed and commercialized in Europe were investigated, according to their status under the European Union (EU) Novel Food legislation, along with the market perspectives in terms of the current research and development initiatives, while evaluating the interest and potential in the European market. The regular consumption of more than 150 algae species was identified, of which only 20% are approved under the EU Novel Food legislation, which demonstrates that the current legislation is not broad enough and requires an urgent update. Finally, the potential of the European algae market growth was indicated by the analysis of the trends in research, technological advances, and market initiatives to promote algae commercialization and consumption.
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An epidemiological survey was carried out by technicians of the State Health Secretary and the Municipal Health Secretary of Bauru, São Paulo, Brazil, due to excessive atmospheric lead emissions caused by a battery manufacturer. This survey included 853 children from 0 to 12 years old, in a 1,000-meter area from the polluting source, in Bauru (2002). The blood lead levels of children in the exposed group were higher than those in the control group (p < 0.05). 314 children were found to have dosages equal or superior to 10 microg/dl, the limit stipulated by Centers for Disease Control and Prevention. Public services, universities, and volunteers developed some activities aiming at child diagnosis and treatment. The Municipal Health Secretary coordinated remediation initiatives such as: scraping the superficial surface of streets, internal aspiration of houses with professional equipment, and washing and sealing tanks. Through this work, the Lead Poisoning Study and Research Group (GEPICCB) shares an integrated, interdisciplinary, and interinstitutional action proposal.
Assuntos
Proteção da Criança , Exposição Ambiental/efeitos adversos , Monitoramento Ambiental/métodos , Intoxicação por Chumbo/diagnóstico , Vigilância da População/métodos , Brasil/epidemiologia , Estudos de Casos e Controles , Criança , Pré-Escolar , Monitoramento Epidemiológico , Humanos , Lactente , Recém-Nascido , Relações Interinstitucionais , Intoxicação por Chumbo/epidemiologia , Intoxicação por Chumbo/prevenção & controle , Valores de ReferênciaRESUMO
The European, Canadian, and Latin American seaweed industries rely on the sustainable harvesting of natural resources. As several countries wish to increase their activity, the harvest should be managed according to integrated and participatory governance regimes to ensure production within a long-term perspective. Development of regulations and directives enabling the sustainable exploitation of natural resources must therefore be brought to the national and international political agenda in order to ensure environmental, social, and economic values in the coastal areas around the world. In Europe, Portugal requires an appraisal of seaweed management plans while Norway and Canada have developed and implemented coastal management plans including well-established and sustainable exploitation of their natural seaweed resources. Whereas, in Latin America, different scenarios of seaweed exploitation can be observed; each country is however in need of long-term and ecosystem-based management plans to ensure that exploitation is sustainable. These plans are required particularly in Peru and Brazil, while Chile has succeeded in establishing a sustainable seaweed-harvesting plan for most of the economically important seaweeds. Furthermore, in both Europe and Latin America, seaweed aquaculture is at its infancy and development will have to overcome numerous challenges at different levels (i.e., technology, biology, policy). Thus, there is a need for regulations and establishment of "best practices" for seaweed harvesting, management, and cultivation. Trained human resources will also be required to provide information and education to the communities involved, to enable seaweed utilization to become a profitable business and provide better income opportunities to coastal communities.
RESUMO
INTRODUCTION: A battery recycling plant located in an urbanized area contaminated the environment with lead oxides. The Secretary of Environment of the State of São Paulo demanded an evaluation of lead exposure among the population in the vicinity of the plant. OBJECTIVES: To assess the lead exposure of children, to propose control measures and evaluate the impact of these measures. METHODS: Cross-sectional study of all children<13 years old in a radius of 1km from the plant responsible for the contamination. Blood lead levels (BLL) were determined for each child and questionnaires were applied to their parents. Mean BLL were compared before and after control measures were implemented. Logistic regression identified risk factors of lead exposure. RESULTS: Of the 850 investigated children, 311 presented BLL above the action limit established by the World Health Organization. Overall, the median BLL was 7.3 micro g/dL and it varied according to age of children (higher among 1-5 years old) and distance of the residence from the plant. Risk factors identified for BLL>10 micro g/dL were: to live in unpaved areas, parent working in the plant, distance from the plant, to play on the ground, pica, and to drink locally produced milk. After control measures were implemented (closing the plant, soil removal, dust vacuum-cleaning in the households, etc.), a reduction of 46% in BLL was observed considering the 241 re-evaluated children with levels >10 micro g/dL. CONCLUSIONS: This study showed that combined abatement measures were effective in reducing BLL in children living close to a contaminating source. These results informed the decision-making process regarding management of contaminated areas in Brazil.
Assuntos
Poluentes Atmosféricos/sangue , Exposição Ambiental/análise , Exposição Ambiental/estatística & dados numéricos , Chumbo/sangue , Criança , Pré-Escolar , Estudos Transversais , Feminino , Análise de Alimentos/estatística & dados numéricos , Água Doce/análise , Humanos , Lactente , Modelos Logísticos , Masculino , Razão de Chances , Solo/análise , Espectrofotometria AtômicaRESUMO
Inquérito epidemiológico realizado pela Secretaria de Estado da Saúde de São Paulo e Secretaria Municipal de Saúde de Bauru visou à realizacão de exames de plumbemia em 853 criancas de 0 a 12 anos, em Bauru, São Paulo, Brasil (2002), a partir de indícios de chumbo oriundo de resíduos industriais nas proximidades de uma fábrica de baterias. Os níveis sangüíneos de chumbo no grupo controle foram inferiores aos apresentados pelo grupo exposto (p < 0,05). Mediante a existência de 314 criancas com taxas de plumbemia superiores àquelas aceitáveis pelo Centers for Disease Control and Prevention (10ægPb/dl sangue), foi desencadeado um conjunto de acões com participacão dos servicos públicos, universidades e voluntariado, para promover o diagnóstico e a assistência à saúde da populacão atingida. Acões emergenciais, visando a reduzir riscos de recontaminacão, incluíram a raspagem de camada superficial das vias públicas, resultando em 1.392m de terra contendo material tóxico, que permanece depositada nas dependências da fábrica. Foi promovida a aspiracão de poeira do interior das residências e a lavagem e vedamento das caixas d'água. O Grupo de Estudo e Pesquisa da Intoxicacão por Chumbo em Criancas de Bauru, por meio deste trabalho, faz o compartilhamento de uma experiência intersetorial, multidisciplinar e interinstitucional.
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Criança , Colaboração Intersetorial , Proteção da Criança , Chumbo/sangue , Exposição Ambiental , Intoxicação por Chumbo , Resíduos Industriais/efeitos adversosRESUMO
Foram estudados, retrospectivamente, 771 casos de 1.006 diagnosticados e residentes em Uberlândia. A incidência variou de 31 a 53 por 100.000 habitantes, e a prevalênbcia de 300 a 470 por cem mil. Verificou-se que 7,1% se encontravam em idade até 14 anos na época do diagnóstico e 75,1% entre 15 e 54 anos. A doença prevaleceu em pessoas jovens, com ocupaçöes que sugerem nível sócio-econômico baixo e em idades eminentemente produtivas. A maioria dos pacientes säo procedentes de Uberlândia e residem dez ou mais anos nessa cidade. As freqüências mais altas de casos ocorreram no centro da cidade e em seus bairros limítrofes. A descoberta dos casos dependeu em 50,8% do atendimento de demanda e apenas em 14,7% da vigilância dos contatos. Em 40,5% dos casos a provável fonte de infecçäo foi o grupo familiar. Houve em média seis comunicantes por paciente. De 1.101 contatos examinados, a situaçäo clínica era conhecida em 38,3%, sendo que 21% dos contatos já apresentavam alguma forma clínica da doença. Nos pacientes estudados verificaram-se 61,4% de formas polarizadas e 37,5% de näo polarizadas. Conclue-se que a situaçäo endêmica da hanseníase em Uberlândia, com altos índices de incidência e prevalência, requer, além de diagnóstico precoce e tratamento dos casos, efetiva vigilância dos contatos e da atençäo integral à saúde das pessoas. O acesso aos serviços de saúde poderia ser facilitado com a descentralizaçäo do controle da hanseníase para os Centros de Saúde dos respectivos bairros, com melhoria da qualidade da atençäo à saúde. Também reconhecem a necessidade de melhoria das condiçöes de vida da populaçäo em geral, para um efetivo controle da doença
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Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Hanseníase/epidemiologia , BrasilRESUMO
Descreve-se um caso de nefropatia luética em recém-nascido, ocorrencia relativamente rara nesta faixa etária. Comentários sobre o quadro clínico, patogenia e evoluçäo