Qualidade de vida e imagem corporal após cirurgia bariátrica e de contorno corporal / Quality of life and body image after bariatric and body contouring surgery

Introdução: A procura pela cirurgia de contorno corporal após a cirurgia bariátrica se deve em grande parte a uma insatisfação com a imagem corporal prejudicada pela flacidez e excesso de pele decorrente da grande perda ponderal. O objetivo deste estudo foi avaliar a qualidade de vida e a imagem corporal de pacientes submetidos a cirurgia bariátrica e posteriormente a cirurgia de contorno corporal em uma clínica privada. Método: Este estudo transversal comparou 4 grupos distintos de 21 pacientes cada, pareados por índice de massa corporal e idade antes de realizarem a cirurgia bariátrica. Foram divididos nos tempos antes/depois da cirurgia bariátrica e antes/depois da cirurgia de contorno corporal, formando assim os grupos A, B, C e D, respectivamente. Foi utilizado o questionário SF-36 para avaliação da qualidade de vida e a Escala de Silhuetas proposta por Kakeshita para avaliação da imagem corporal. Para o nível de significância, foi escolhido p<0,05. Resultados: Houve melhora em todos os domínios do SF-36 após a cirurgia bariátrica. Os pacientes que procuraram a cirurgia de contorno corporal apresentaram o menor valor do componente de saúde mental, com pouca alteração após a cirurgia de contorno corporal. Quase todos os grupos superestimaram a sua silhueta, exceto para o grupo de 6 meses após a cirurgia bariátrica, que se viu menor. Conclusão: Pacientes bariátricos que procuram a cirurgia de contorno corporal apresentam escores inferiores de qualidade de vida relacionada à saúde mental e que permanecem menores após a cirurgia de contorno corporal. A distorção da imagem corporal e expectativas irreais podem justificar esse achado.

Introduction: The demand for body contouring surgery after bariatric surgery is largely due to dissatisfaction with body image impaired by sagging and excess skin resulting from massive weight loss. This study aimed to evaluate the quality of life and body image of patients undergoing bariatric surgery and body contouring surgery in a private clinic. Method: This cross-sectional study compared 4 groups of 21 patients, matched by body mass index and age before undergoing bariatric surgery. They were divided into times before/after bariatric surgery and before/after body contouring surgery, thus forming groups A, B, C, and D, respectively. The SF-36 questionnaire assessed the quality of life, and the Silhouette Scale proposed by Kakeshita to assess body image. For the significance level, p<0.05 was chosen. Results: There was an improvement in all SF-36 domains after bariatric surgery. Patients who sought body contouring surgery had the lowest mental health component value, with little change after body contouring surgery. Almost all groups overestimated their silhouette, except for the group of 6 months after bariatric surgery, which saw itself as smaller. Conclusion: Bariatric patients seeking body contouring surgery have lower mental health-related quality of life scores that remain lower after body contouring surgery.

Analysis of hepatic markers and lipid profile of patients submitted to gastric by-pass after 2 years - Cohort retrospective.

Objetive: To assess the impact of %PEP on liver indicators and lipid profile two years after BS. Background: The prevalence of weight gain in the adult population continues to increase, 57.8% of the world's adult population will be overweight or obese by 2030. Methods: This is a retrospective cohort and descriptive study, performed by consulting the database of an Obesity and Digestive Surgery Clinic in the city of Santa Maria - (Rio Grande do Sul, Brazil). The study included 351 patients (284 women, 67 men), aged at least 18 years, who underwent bariatric surgery from March 2014 to March 2016. The following data were obtained from the patients' medical records: Weight, height, age, sex, associated morbidities, biochemical parameters. The data were described by mean and standard deviation, median and interquartile range, count, and percentages. Results: The results showed a significant reduction in excess loss, triglycerides (TG) and low-density lipoprotein (LDLc) cholesterol variables in the prospective period, while high-density lipoprotein (HDLc) cholesterol levels increased, thus minimizing the hepatic changes. There was a reduction in LDLc and an increase in HDLc at 24 months in both groups 1 and 2. Between 6 and 12 months, total cholesterol (TC) increased in group 2, however, in the period between 12 and 18 months, only G1 had triglycerides reduced. In the period of 18 and 24 months, there was a significant reduction in blood glucose in group 1. The variables AST and ALT were within the normal range, without significance. However, 84.3% of patients had grade I hepatic steatosis. Conclusion: Bariatric surgery is effective in reducing the %EWL, modifying the lipid profile and liver markers up to 24 months after the bypass, reducing associated comorbidities. More research is needed to clarify the impact of %PEP on liver indicators and lipid profile two years after SB.

Oral health-related quality of life in breast cancer survivors.

OBJECTIVE: The aim of the present study was to evaluate oral health-related quality of life (OHRQoL) among breast cancer survivors and identify possible factors associated with the outcome. METHODS: A cross-sectional study was conducted with 151 women in follow-up at a hospital after treatment for breast cancer. Data were collected on socio-demographic characteristics, general health, and breast cancer. Clinical examinations were performed to determine caries experience using the decayed, missing, and filled teeth (DMFT) index. The Oral Health Impact Profile (OHIP-14) questionnaire was administered for the assessment of OHRQoL. Logistic regression analysis was performed to identify associated factors after adjustments for confounding variables. RESULTS: The mean OHIP-14 score was 12.8 (SD 10.92). The prevalence of negative impact was 58.9%. A negative impact was associated with depression, the diagnosis of breast cancer, chemotherapy, number of restored teeth, and xerostomia (p < 0.05). In the adjusted analysis, only the oral variables remained significantly associated with the outcome. CONCLUSION: A greater number of restored teeth and xerostomia exert a negative impact on the OHRQoL of women who have survived breast cancer, which suggests the need for special attention to the oral health of this population.

Oral lesions and associated factors in breast cancer survivors.

AIM: To evaluate the prevalence of oral lesions (OL) and associated factors among survivors of breast cancer (BC). METHODS: A cross-sectional study involving 150 BC survivors was conducted at a public hospital in southern Brazil. Data were collected on socioeconomic aspects, treatment characteristics and oral problems. The decayed, missing and filled teeth index and the occurrence of OL were evaluated. Logistic regression was performed to determine independent variables associated with the outcome. RESULTS: 24% of the women had at least 1 OL and 33.3% of these had more than one lesion. Melanotic macule was the most prevalent lesion. Duration of tamoxifen use, radiotherapy, missing teeth and xerostomia were associated with the occurrence of OL (P < .05). In the adjusted analysis, women with more than 13 missing teeth and xerostomia had 2.39-fold (95% confidence interval [CI], 1.06-5.40) and 2.71-fold (95% CI, 1.14-6.42), respectively, greater odds of exhibiting OL. CONCLUSION: Approximately 1/4 of the BC survivors exhibited OL, which were associated with tooth loss and xerostomia. These findings could assist in the establishment of oral health strategies for women with BC.

Association between crack cocaine use and reduced salivary flow.

Crack cocaine use appears to have an impact on oral conditions. However, changes in the salivary flow among crack users have not been fully clarified. The aim of this study was to compare stimulated salivary flow and the occurrence of hyposalivation between crack users and non-users. A cross-sectional study was conducted involving 40 crack users and 40 controls matched for sex, age, and smoking habits. Interviews were conducted to acquire data on the perception of dry mouth (xerostomia) and drug use. Stimulated salivary flow was determined using the spitting method. A significant reduction in stimulated salivary flow was found among crack users in comparison to non-users (1.02 vs. 1.59 ml/min). A total of 42.5% and 15% of crack users had very low and low stimulated salivary flow, respectively. Moreover, 65% of users reported xerostomia in comparison to 37.5% non-users (p < 0.012). No significant association was found between xerostomia and hyposalivation (p = 0.384). A multivariate analysis revealed that individuals older than 26 years of age, those with a low household income, and crack users (prevalence ratio: 2.59) had a significant association with the occurrence of hyposalivation. A significant association was found between the use of crack and reduced salivary flow. The use of crack was associated with the occurrence of hyposalivation in the multivariate analysis.

Association between crack cocaine use and reduced salivary flow

Abstract Crack cocaine use appears to have an impact on oral conditions. However, changes in the salivary flow among crack users have not been fully clarified. The aim of this study was to compare stimulated salivary flow and the occurrence of hyposalivation between crack users and non-users. A cross-sectional study was conducted involving 40 crack users and 40 controls matched for sex, age, and smoking habits. Interviews were conducted to acquire data on the perception of dry mouth (xerostomia) and drug use. Stimulated salivary flow was determined using the spitting method. A significant reduction in stimulated salivary flow was found among crack users in comparison to non-users (1.02 vs. 1.59 ml/min). A total of 42.5% and 15% of crack users had very low and low stimulated salivary flow, respectively. Moreover, 65% of users reported xerostomia in comparison to 37.5% non-users (p < 0.012). No significant association was found between xerostomia and hyposalivation (p = 0.384). A multivariate analysis revealed that individuals older than 26 years of age, those with a low household income, and crack users (prevalence ratio: 2.59) had a significant association with the occurrence of hyposalivation. A significant association was found between the use of crack and reduced salivary flow. The use of crack was associated with the occurrence of hyposalivation in the multivariate analysis.

PROFILE OF PATIENTS WHO SEEK THE BARIATRIC SURGERY / PERFIL DE PACIENTES QUE BUSCAM A CIRURGIA BARIÁTRICA

Background : Nowadays obesity is a chronic disease considered one of the greatest problems in public healthy. Showing to be effective in a short and long term, the bariatric surgery has emerged as an optional treatment for morbid obesity. Aim: Identify the profile of patients seeking bariatric surgery. Methods: Were interviewed 100 patients in preoperative nutritional monitoring of bariatric surgery. The study was conducted by applying a questionnaire prepared according to the research objectives. Results: From the individuals that were seeking bariatric surgery, 78% were female, 62% were married and 69% reported physical activity. The average age of those surveyed was 37±10.83 years and mean body mass index (BMI) was 43.51± 6.25 kg/m². The comorbidity more prevalent in this group was high blood pressure (51%). In previous treatments for weight reduction, 92% have already done hypocaloric diet followed by anorectic drug (83%). The success of these treatments was reported by 92% of patients; however, the weight lost was recovered in less than one year of 75%. Patients with diabetes mellitus and dyslipidemia had higher BMI values. The patients with comorbidities showed lower levels of BMI. Conclusion: The profile of patients who sought surgical treatment for their obesity were predominantly women with a family background of obesity and obesity-related comorbidities, especially hypertension and diabetes mellitus.

Racional : A obesidade é doença crônica considerada atualmente um dos maiores problemas de saúde pública. Mostrando-se eficaz em curto e longo prazo a cirurgia bariátrica surgiu como opção de tratamento para a obesidade grau III. Objetivo : Identificar o perfil dos pacientes que procuram a cirurgia bariátrica. Métodos : Foram entrevistados 100 pacientes em acompanhamento nutricional pré-operatório de cirurgia bariátrica. O estudo foi realizado através da aplicação de um questionário elaborado de acordo com os objetivos da pesquisa. Resultados : Dos indivíduos que buscaram a cirurgia bariátrica, 78% eram do sexo feminino, 62% casados e 69% dos entrevistados afirmaram praticar atividade física. A média de idade dos indivíduos pesquisados foi de 37±10,83 anos e a média de IMC foi de 43,51±6,25 kg/m². A comorbidade que mais prevaleceu no grupo pesquisado foi a hipertensão arterial (51%). Dos tratamentos prévios para redução de peso, 92% já realizou dieta hipocalórica seguido de medicamento anorexígeno (83%). O sucesso destes tratamentos foi relatado por 92% dos pacientes; porém, o peso perdido foi recuperado em menos de um ano por 75%. Ao associarem-se as comorbidades com o IMC, encontrou-se diferença significativa entre os pacientes com e sem diabete melito, assim como os com e sem dislipidemia. Os pacientes que apresentavam comorbidades mostraram menores níveis de IMC. Conclusão : O perfil dos pacientes que buscaram correção cirúrgica para sua obesidade eram predominantemente mulheres, com histórico familiar de obesidade, com média de idade de 37 anos e com comorbidades relacionadas à obesidade, com destaque para hipertensão arterial e diabete melito.

PROFILE OF PATIENTS WHO SEEK THE BARIATRIC SURGERY.

BACKGROUND: Nowadays obesity is a chronic disease considered one of the greatest problems in public healthy. Showing to be effective in a short and long term, the bariatric surgery has emerged as an optional treatment for morbid obesity. AIM: Identify the profile of patients seeking bariatric surgery. METHODS: Were interviewed 100 patients in preoperative nutritional monitoring of bariatric surgery. The study was conducted by applying a questionnaire prepared according to the research objectives. RESULTS: From the individuals that were seeking bariatric surgery, 78% were female, 62% were married and 69% reported physical activity. The average age of those surveyed was 37±10.83 years and mean body mass index (BMI) was 43.51± 6.25 kg/m². The comorbidity more prevalent in this group was high blood pressure (51%). In previous treatments for weight reduction, 92% have already done hypocaloric diet followed by anorectic drug (83%). The success of these treatments was reported by 92% of patients; however, the weight lost was recovered in less than one year of 75%. Patients with diabetes mellitus and dyslipidemia had higher BMI values. The patients with comorbidities showed lower levels of BMI. CONCLUSION: The profile of patients who sought surgical treatment for their obesity were predominantly women with a family background of obesity and obesity-related comorbidities, especially hypertension and diabetes mellitus.

N-acetilcisteína e frutose-1, 6-bisfosfato: efeito imunomodulador em cultura de células mononucleares / N-acetilcisteína e frutose-1,6-bisfosfato: efeito imunomodulador em cultura de células mononucleares

INTRODUCTION: Sepsis is a complex syndrome caused by an uncontrolled systemic inflammatory response. Inflammatory cytokines play a pivotal role in septic shock pathogenesis. Therapeutic strategies have been tested in order to modulate the excessive generation or function of sepsis mediators. OBJECTIVE: The objective of the present study was to investigate the therapeutic effect of N-acetylcysteine (NAC) and its association with fructose-1,6-bisphosphate (FBP) on T-lymphocytes proliferation, interleukin-1β (IL-1β) and monocyte chemotactic protein-1 (MCP-1) levels. MATERIAL AND METHODS: Peripheral blood mononuclear cell samples were isolated from healthy individuals. T-lymphocytes were stimulated with phytohemagglutinin for 96 hours and submitted to different concentrations of NAC or NAC associated with FBP. RESULTS: NAC (10 and 15 mM) and NAC (15 mM) associated with FBP reduced T-lymphocytes proliferation. IL-1β levels rose in the presence of both NAC (15 mM) and NAC with FBP (1.25 mM). MCP-1 levels were reduced only by NAC (15 mM) associated with FBP (1.25 mM). CONCLUSION: The results suggest that both NAC itself and NAC associated with FBP inhibit cellular proliferation, acting as potent immunomodulatory agents, which corroborates its use in the treatment of inflammatory diseases.

INTRODUÇÃO: A sepse é uma síndrome complexa causada pela resposta inflamatória sistêmica descontrolada. As citocinas inflamatórias representam papel central na patogênese do choque séptico. Têm sido testadas estratégias terapêuticas a fim de modular a geração ou a função excessiva de mediadores na sepse. OBJETIVO: O objetivo deste estudo foi investigar o efeito terapêutico da N-acetilcisteína (NAC) e sua associação com a frutose-1,6-bisfosfato (FBP) sobre a proliferação de linfócitos T e a geração de interleucina-1β (IL-1β) e proteína quimiotática de monócitos 1 (MCP-1) em cultura celular. MATERIAL E MÉTODOS: Foram isoladas células mononucleares de sangue periférico de indivíduos saudáveis. Os linfócitos T foram estimulados por 96 horas com fitohemaglutinina e submetidos a diferentes concentrações de NAC ou NAC associada à FBP (1,25 mM). RESULTADOS: O tratamento com NAC (10 e 15 mM) ou NAC (15 mM) associado à FBP reduziu a proliferação celular. Os níveis de IL-1β aumentaram com a presença de NAC (15 mM) e NAC + FBP. A concentração de MCP-1 mostrou-se reduzida apenas no grupo tratado com NAC associada à FBP. CONCLUSÃO: Os resultados sugerem que tanto a NAC quanto a NAC associada à FBP são capazes de inibir a proliferação celular, atuando como potentes agentes imunomoduladores, sugerindo seu uso em doenças inflamatórias.

Effect of N-acetylcysteine and fructose-1,6-bisphosphate in the treatment of experimental sepsis.

Sepsis is a syndrome caused by uncontrolled systemic inflammatory response of the individual, which represents a serious epidemiological problem worldwide. The aim of this study was to investigate the effect of N-acetylcysteine (NAC) and fructose-1,6-bisphosphate (FBP) in the treatment of experimental sepsis. We used rats that were divided into five experimental groups: normal control (not induced), septic control (induced using a capsule with non sterile fecal content and Escherichia coli), treated with FBP (500 mg/kg i.p.), treated with NAC (150 mg/kg i.p.), and treated with the combination of FBP with NAC. In the group treated with NAC, 16.68% of the mice survived, the FBP reduced the mortality of mice during the acute stage of the disease and increased the animals' survival time in 33.34%, and the combination of drugs had no effect. Our results show that NAC prevented the mortality of animals after septic induction. These data confirm the validity of the use of NAC in the treatment of sepsis. Our data also show that the synergistic action with FBP does not improve the picture.

Dismorfia muscular e o uso de suplementos ergogênicos em desportistas / Muscle dysmorphia and the use of ergogenic supplements in athletes

A dismorfia muscular (DM) é um transtorno da imagem corporal que acomete principalmente homens que, apesar da grande hipertrofia muscular, consideram-se pequenos e fracos. Tendo em vista o crescente uso de substâncias ergogênicas para o aumento de massa muscular e o elevado número de indivíduos com transtornos corporais, o objetivo deste trabalho foi avaliar a presença de DM e o uso de suplementos ergogênicos em desportistas frequentadores de academia. Foram avaliados 23 indivíduos do sexo masculino com média de idade de 24 ± 3,8 anos, praticantes de treinamento de força, com idades entre 18 e 35 anos. Para a avaliação corporal foi realizado o teste de bioimpedância, com o qual se obteve os dados de massa magra e gorda, respectivamente, de 66,5 ± 10,1kg e 10,5 ± 3,1kg. Para detectar o risco de DM, foi usada uma escala (MASS - Muscle Appearance Satisfaction Scale); se o resultado desta fosse acima de 52 pontos, estes apresentavam o risco de DM. Juntamente, foi respondido outro questionário para o conhecimento do uso de suplementos. A análise dos resultados identificou que, dos avaliados, 17,4 por cento (n = 4) apresentaram risco positivo para o desenvolvimento deste transtorno corporal; porém, destes, apenas 25 por cento declararam fazer uso de suplementos alimentares. Conclui-se que não houve relação entre o uso de suplementos e a presença de dismorfia muscular.

Muscle Dysmorphia (MD) is a body image disorder that affects especially men, who despite the large muscular hypertrophy, consider themselves tiny and weak. Considering the increasing use of ergogenic substances to increase muscular mass and the large number of individuals with body disorders, this research aim was to evaluate the presence of MD and the use of ergogenic supplements by athletes who go to health clubs. The study sample was formed by 23 male individuals with mean age of 24±3.8 years, who practice strength exercises and and aged between 18 and 35 years. Body was assessed through a bioimpedance test from which it was possible to get the data of lean and fat mass, which were 66.5±10.1Kg and 10.5±3.1Kg, respectively. DM risk was detected with a scale (MASS- Muscle appearance satisfaction scale). If the result was above 52 points, it presented DM risk. Additionally, a questionnaire was answered to provide information about the use of supplements. The results analysis showed that among the evaluated sample, 17.4 percent (n=4) demonstrated positive risk to the development of body disorders, but only 25 percent of them declared the use of food supplements. It was concluded that there was not correlation between use of supplements and presence of muscle dysmorphia.

Hábitos alimentares de crianças em uso de ferro para prevenção ou tratamento da anemia ferropriva em hospital público de Santa Maria, RS / Children alimentary habits using iron to prevention or treatment of the iron deficiency anemia in public hospital at Santa Maria, RS

Introdução: A anemia ferropriva é a carência nutricional de maior prevalência em todo mundo, com maior incidência nos países em desenvolvimento. Objetivo: Verificar o consumo alimentar de crianças que recebem doses profiláticas ou terapêuticas de ferro na prevenção ou tratamento da anemia ferropriva. Metodologia: O estudo do tipo transversal com amostra de conveniência com crianças, entre 0 a 2 anos de idade, atendidas no Hospital Universitário de Santa Maria. As crianças foram avaliadas por meio de questionário contendo questões referentes às condições socioeconômicas e hábitos alimentares. Foram mensurados peso e estatura e realizados hemograma e dosagem da ferritina. Os resultados foram expressos em média ± desvio-padrão. Na comparação das variáveis foi utilizado teste da ANOVA e foram considerados significativos os valores de p<0,05. Resultados: Os níveis de ferritina bem como as hemácias apresentaram-se mais baixos nas crianças em tratamento em relação às crianças em profilaxia. Em relação às condições socioeconômicas, a escolaridade dos pais foi significativamente maior nas crianças sem anemia ferropriva (p=0,014). Foi constatado que as crianças em profilaxia estavam com um peso significativamente maior (p=0,0015) que as crianças em tratamento. Em relação ao consumo de micronutrientes, o cálcio e taninos foram mais consumidos pelas crianças em tratamento junto com o ferro e o oxalato foi mais consumido pelas crianças em profilaxia quando associados com o ferro, representando uma biodisponibilidade negativa dessa interação. Conclusão: As condições socioeconômicas podem influenciar diretamente na alimentação dessas crianças, comprometendo os hábitos alimentares diários e determinar o aparecimento da anemia ferropriva (AU)

Introduction: Iron deficiency anemia is the nutritional deficiency of highest prevalence all over the world, with a higher incidence in developing countries. Aim: To determine the food intake of children receiving iron for prevention or treatment of iron deficiency. Methods: This is a transversal study with a convenience sample of children between 0 and 2 years of age cared for at the Hospital Universitário de Santa Maria. The children were assessed through a questionnaire about their socioeconomic status and eating habits. Their weight and height were measured and their blood was sampled for ferritin level determination and blood count. The results were expressed as mean ± standard deviation. Variables were compared using ANOVA, and a p<0.05 was considered as significant. Results: The levels of ferritin and erythrocytes were lower in children on treatment as compared to those on prophylaxis. As regards socioeconomic conditions, parents' schooling was significantly higher among children without iron deficiency anemia (p=0.014). Children on prophylaxis were found to be significantly heavier (p=0.0015) than those on treatment. Regarding micronutrient intake, calcium and tannin were more consumed by children on treatment together with the iron, and oxalate was more consumed by children on prophylaxis when associated with iron, representing a negative bioavailability of this interaction. Conclusion: Socioeconomic conditions can directly affect the nutritional status of these children by compromising their eating habits and determine the onset of iron deficiency anemia (AU)

O uso do destilado da desodorização do óleo de soja como fonte alternativa de vitamina E reduziu a evolução ponderal em ratos / The use of soy oil deodorization distillate as an alternative source of vitamin E reduced the weight gain of rats

OBJETIVO: Verificar se a utilização do destilado da desodorização do óleo de soja in natura e neutralizado como fonte alternativa de vitamina E afetava o crescimento de ratos Wistar, assim como, o quociente de conversão alimentar e o quociente de eficiência líquida da caseína. MÉTODOS: Ratos "Specific Pathogen Free", machos, recém-desmamados, receberam dieta segundo a formulação AIN-93G e foram divididos em cinco grupos experimentais, com dez animais cada um, e respectivamente suplementados por gavagem: os grupos-controle e aprotéico foram suplementados com óleo de oliva (placebo); o grupo B, suplementado com destilado da desodorização do óleo de soja bruto; o grupo N, suplementado com destilado da desodorização do óleo de soja neutralizado e o grupo E, suplementado com Ephinalâ. Os grupos B, N e E receberam mistura vitamínica depletada em vitamina E. RESULTADOS: A evolução ponderal dos ratos e os quocientes calculados para os grupos-controles e E apresentaram valores superiores (p<0,05) aos demais grupos; com relação ao ganho de peso, os grupos B e N não apresentaram diferença significativa (p>0,05), e os valores foram 32 por cento inferiores aos grupos-controle e E. Os grupos-controle e E apresentaram maiores valores de quociente de eficiência protéica líquida, 3,9 e 4,0, e quociente de conversão alimentar, 0,38 e 0,41, respectivamente, não diferindo entre si. O grupo B apresentou menores valores de quociente de eficiência protéica líquida e quociente de conversão alimentar (3,0 e 0,26) em relação ao grupo N (3,5 e 0,32), o que demonstrou que a neutralização do destilado da desodorização do óleo de soja reduziu possíveis efeitos antinutricionais ou tóxicos desse resíduo. CONCLUSAO: Verificou-se, assim, que o destilado da desodorização do óleo de soja influenciou negativamente a evolução ponderal dos ratos e os índices de qualidade dietética e protéica da caseína.