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1.
Rev. urug. enferm ; 17(2): 1-12, dic. 2022.
Artigo em Espanhol | LILACS, BDENF - Enfermagem, BNUY, BNUY-Enf | ID: biblio-1391808

RESUMO

La alimentación adecuada es un derecho humano que contribuye a una buena calidad de vida de las personas y uno de sus componentes básicos es la accesibilidad. En el Plan de cuidados de Enfermería, se valora el proceso de envejecimiento y las modifi caciones que éste genera pudiendo contribuir a situaciones de vulnerabilidad desde el punto de vista nutricional. La accesibilidad a la alimentación se puede ver afectada por diferentes factores, como es el acceso físico, alimentos sufi cientes y adecuados, y las dificultades económicas. El objetivo fue conocer la accesibilidad en la alimentación de personas mayores (65 años y más) que residen en complejos habitacionales para jubilados y pensionistas. Se realizó un estudio de tipo cuantitativo de corte transversal. La recolección de los datos se llevó a cabo en tres complejos habitacionales para jubilados y pensionistas, seleccionados dos de ellos en la ciudad de Montevideo y uno en la ciudad de Rivera. La muestra estuvo conformada por 68 personas (69% de los residentes) que residen en los complejos.Los resultados demuestran que un 18% de esta población tiene dificultades en la accesibilidad en la alimentación, las causas fueron la falta de dinero en un 70% y un 30% por problema en la movilidad. Es reconocido en Uruguay el derecho a la alimentación y en generar políticas públicas y programas que contribuyan a satisfacer esta necesidad vital y garantizar el acceso a la misma, en grupos de población vulnerables como puede ser en las personas mayores.


Adequate food is a human right that contributes to a good quality of life for people and one of its basic components is accessibility. In the Nursing Care Plan, the aging process and the changes it generates are valued and may contribute to situations of vulnerability from the nutritional point of view. Accessibility to food can be affected by different factors, such as physical access, sufficient and adequate food, and economic difficulties. The objective was to know the accessibility in food of older people (65 years and over) who reside in housing complexes for retirees and pensioners. A quantitative cross-sectional study was carried out. Data collection was carried out in three housing complexes for retirees and pensioners, two of them selected in the city of Montevideo and one in the city of Rivera. The sample consisted of 68 people (69% of the residents) who reside in the complexes. The results show that 18% of this population has difficulties in food accessibility, the causes were lack of money in 70% and 30% due to mobility problems. The right to food is recognized in Uruguay and to generate public policies and programs that contribute to satisfying this vital need and guaranteeing access to it, in vulnerable population groups such as the elderly.


A alimentação adequada é um direito humano que contribui para uma boa qualidade de vida das pessoas e um de seus componentes básicos é a acessibilidade. No Plano de Assistência de Enfermagem, o processo de envelhecimento e as mudanças que ele gera são valorizados e podem contribuir para situações de vulnerabilidade do ponto de vista nutricional. A acessibilidade aos alimentos pode ser afetada por diversos fatores, como acesso físico, alimentação suficiente e adequada e dificuldades econômicas. O objetivo foi conhecer a acessibilidade na alimentação de pessoas idosas (65 anos ou mais) que residem em conjuntos habitacionais para aposentados e pensionistas. Foi realizado um estudo quantitativo transversal. A coleta de dados foi realizada em três conjuntos habitacionais para aposentados e pensionistas, dois deles selecionados na cidade de Montevidéu e um nacidade de Rivera. A amostra foi composta por 68 pessoas (69% dos moradores) que residem nos complexos. Os resultados mostram que 18% dessa população tem dificuldades na acessibilidade alimentar, as causas foram falta de dinheiro em 70% e 30% por problemas de locomoção. O direito à alimentação é reconhecido no Uruguai e para gerar políticas e programas públicos que contribuam para satisfazer esta necessidade vital e garantir o acesso a ela, em grupos populacionais vulneráveis como os idosos.


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Saúde do Idoso Institucionalizado , Nutrição do Idoso , Acesso a Alimentos Saudáveis , Fatores Socioeconômicos , Uruguai , Envelhecimento , Promoção da Saúde Alimentar e Nutricional , Estado Nutricional , Estudos Transversais , Cognição , Vulnerabilidade em Saúde , Limitação da Mobilidade
2.
Wei Sheng Yan Jiu ; 51(4): 556-560, 2022 Jul.
Artigo em Chinês | MEDLINE | ID: mdl-36047258

RESUMO

OBJECTIVE: To evaluate residents in North China cognition level of iodine nutrition and their intention to evaluate individual iodine status. METHODS: From February 2019 to June 2020, randomly selected six provinces and cities in north China and more than three cities or areas, then randomly selected local investigators and distributed questionnaires to urban and rural residents. The questionnaire was divided into three parts: basic information, iodine nutrition knowledge, iodine status evaluation demand and approaches. RESULTS: Finally, there are 740 questionnaires were included. The scores of iodine knowledge of the subjects were generally low, about 71.22% of the subjects with less than 6 points(full score of 12 points). Residents who did not know how to choose the type of salt accounted for 25.14%. Provinces and cities with low utilization rate of iodized salt(Tianjin, Shandong) had higher requirements for salt use guidance and iodine status evaluation. The awareness rate of the subjects to the harm of iodine deficiency was low(34.46%), especially the hazard to pregnant women and infants(7.57%, 4.59%). Subjects had a high demand for using wechat mini-program or kit to evaluate individual iodine nutrition(87.45%, 89.39%). CONCLUSION: At present, residents in North China have a low cognitive level of iodine nutrition, which lead to them the doubts when choosing salt types. The selection of iodized salt can be effectively guided by propagating iodine nutrition knowledge and promoting accurate iodine nutrition evaluation.


Assuntos
Iodo , China , Cognição , Feminino , Humanos , Lactente , Iodetos , Iodo/análise , Estado Nutricional , Gravidez , Cloreto de Sódio na Dieta/análise
3.
BMC Biol ; 20(1): 196, 2022 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-36050730

RESUMO

BACKGROUND: Little is known about how normal variation in dietary patterns in humans affects the ageing process. To date, most analyses of the problem have used a unidimensional paradigm, being concerned with the effects of a single nutrient on a single outcome. Perhaps then, our ability to understand the problem has been complicated by the fact that both nutrition and the physiology of ageing are highly complex and multidimensional, involving a high number of functional interactions. Here we apply the multidimensional geometric framework for nutrition to data on biological ageing from 1560 older adults followed over four years to assess on a large-scale how nutrient intake associates with the ageing process. RESULTS: Ageing and age-related loss of homeostasis (physiological dysregulation) were quantified via the integration of blood biomarkers. The effects of diet were modelled using the geometric framework for nutrition, applied to macronutrients and 19 micronutrients/nutrient subclasses. We observed four broad patterns: (1) The optimal level of nutrient intake was dependent on the ageing metric used. Elevated protein intake improved/depressed some ageing parameters, whereas elevated carbohydrate levels improved/depressed others; (2) There were non-linearities where intermediate levels of nutrients performed well for many outcomes (i.e. arguing against a simple more/less is better perspective); (3) There is broad tolerance for nutrient intake patterns that don't deviate too much from norms ('homeostatic plateaus'). (4) Optimal levels of one nutrient often depend on levels of another (e.g. vitamin E and vitamin C). Simpler linear/univariate analytical approaches are insufficient to capture such associations. We present an interactive tool to explore the results in the high-dimensional nutritional space. CONCLUSION: Using multidimensional modelling techniques to test the effects of nutrient intake on physiological dysregulation in an aged population, we identified key patterns of specific nutrients associated with minimal biological ageing. Our approach presents a roadmap for future studies to explore the full complexity of the nutrition-ageing landscape.


Assuntos
Envelhecimento Saudável , Idoso , Dieta , Ingestão de Alimentos , Humanos , Micronutrientes , Estado Nutricional
4.
Br J Community Nurs ; 27(9): 444-448, 2022 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-36070324

RESUMO

This summative article has been written using literature based on the impact that diet can have on the management of stomas in the community. With more focus on ileostomy care, this article aims to provide information on the types of stomas and surgeries to create an overview of intestinal anatomy, how stoma formation may affect nutrient absorption and guidance on the management of stoma output, hydration and nutritional status based on current evidence. The strength of the evidence base behind the literature will be critically analysed and recommendations for future research made.


Assuntos
Estomas Cirúrgicos , Dieta , Humanos , Ileostomia , Estado Nutricional
5.
Med Sci Monit ; 28: e936857, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-36045563

RESUMO

BACKGROUND Head and neck cancers (HNC) are the 7th most prevalent neoplasms in the world. In 50% of these patients, body weight loss and malnutrition are observed before the beginning of therapy. It is known that an important role in the pathomechanism of malnutrition and cachexia is played by the development of inflammation, degradation of muscle fibers, and browning of white adipose tissue (WAT). It was demonstrated that even a slight increase in irisin concentration leads to browning of WAT. MATERIAL AND METHODS The study group consisted of 50 patients with HNC. The nutritional status of the patients was assessed by the Nutritional Risk Score 2002 (NRS 2002) and Subjective Global Assessment (SGA) scales. Using bioelectrical impedance analysis (BIA), the parameters fat mass (FM) and fat-free mass (FFM) were obtained. RESULTS Higher irisin values (1.57 vs 1.18 [ng/ml], P=0.0004) were observed in patients with higher nutritional risk (≥3) evaluated according to the NRS scale. In patients assessed as B or C on the SGA scale, higher values of irisin concentration (1.38 vs 1.07 [ng/ml], P=0.0139) were noted. It was also observed that the level of irisin before treatment was negatively correlated (rho=-0.30, p=0.0350) with FM% and was positively correlated (rho=0.30, p=0.0340) with FFM% in BIA measurements performed after the 7th cycle of RTH. CONCLUSIONS Based on these results, we conclude that patients with malnutrition tend to have higher irisin values compared to normally nourished patients. A high level of irisin may be a useful marker of malnutrition in patients with HNC.


Assuntos
Neoplasias de Cabeça e Pescoço , Desnutrição , Biomarcadores , Impedância Elétrica , Fibronectinas , Neoplasias de Cabeça e Pescoço/complicações , Neoplasias de Cabeça e Pescoço/radioterapia , Humanos , Desnutrição/diagnóstico , Desnutrição/etiologia , Avaliação Nutricional , Estado Nutricional
6.
Wei Sheng Yan Jiu ; 51(4): 544-549, 2022 Jul.
Artigo em Chinês | MEDLINE | ID: mdl-36047256

RESUMO

OBJECTIVE: To analyze the status of dietary micronutrient in takes among the children of 12-17 years old in China from 2016 to 2017. METHODS: Multistage stratified random sampling method was used to collect data in 275 monitoring sites of the China National Nutrition and Health Survey of Chinese children and lactating mothers in 31 provinces of China from 2016 to 2017. Three consecutive 24-hour recalls method wasused to collect the information of food intake, and household or school canteen edible oil and condiments weighing were adopted. The dietary micronutrient were analyzed based on theChina Food Composition table. RESULTS: The average daily intakes of vitamin A(retinol activity equivalents), vitamin B_1(thiamine), vitamin B_2(riboflavin), vitamin C(ascorbic acid), calcium, iron, zinc and sodium were 356.8 µ g, 0.8 mg, 0.8 mg, 60.5 mg, 342.8 mg, 19.2 mg, 9.8 mg and 5 230.4 mg, respectively. The proportion ofdaily average intakes of vitamin A, vitamin B_1, vitamin B_2, vitamin C and calcium lower than 60% of the recommended value were 74.3%, 59.4%, 57.7%, 62.6% and 93.0%, respectively. The proportion of daily intake of iron and zinc reaching 80% of the recommended value were 73.8% and 64.8%, respectively. The proportion of daily average intake of sodium exceeded the appropriate intake by 94.4%. The average daily intakes of micronutrients increased with age among the children of 12-17 years old. There were differences of daily intake of vitamin A in gender, urban and rural areas(P<0.05), there was difference of vitamin C in urban and rural areas(P<0.01), there were differences of daily intake of vitamin B_1, vitamin B_2, calcium, iron and zinc in age, gender, urban and rural areas(P<0.01), there were differences in the average daily intake of sodium in age, gender(P<0.01). CONCLUSION: The average daily dietary of iron and zinc intakes in the diet were basically enough in most children of 12-17 years old in China, that of sodium was too much, and that of some micronutrients was insufficient.


Assuntos
Micronutrientes , Oligoelementos , Adolescente , Ácido Ascórbico , Cálcio , Cálcio na Dieta , Criança , China , Dieta , Ingestão de Alimentos , Ingestão de Energia , Feminino , Humanos , Ferro , Lactação , Estado Nutricional , Sódio , Vitamina A , Vitaminas , Zinco
7.
Ann Nutr Metab ; 78 Suppl 3: 1-63, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36049454

RESUMO

It is a plaesaure to announce the celebration of the XXXI Congress of the Spanish Nutrition Society that will be held in Cartagena (Murcia, Spain), from September 15th to 17th, 2022. As is already a tradition in our society, the day before, on September 14th, the IX Meeting of young researchers will take place, aimed at promoting interaction and knowledge exchange among young people working in the field of nutrition and food in Spain. In addition, young reserachers will receive a workshop about how to produce videos of research with high impact in the social media. The congress will offer a scientific and multidisciplinary journey through all aspects related to a personalized diet from children to adults, healthy, safe and sustainable. The connections between lifestyles and chronic non-communicable diseases and especially obesity, will be updated, as well as precision nutrition, incorporating the outstanding advances in nutrigenomics, epigenetics and metabolomic markers. New evidence of healthy effects of bioactive, prebiotic and probiotic components is also contemplated, without forgetting the issue of food allergies and intolerances, which are increasingly prevalent in our society. The circular economy and the new preferences for sustainable and local food pose challenges that will also be addressed at the congress and in the sessions for young researchers. In addition, the problem generated by the dissemination of nutritional information poorly contrasted in the media and social networks will be considered. We encourage you to schedule these dates in your 2022 agenda to attend and participate in our congress, whose program we have designed with great enthusiasm. We would also like to extend the invitation to participate to companies and institutions related to food, which will help us reflect that optimal food is only achieved with the involvement of EVERYONE. We hope that the proposal of this congress will be attractive to you and that we can share enriching experiences in Cartagena, Spain. The program of the congress is available in the URL https://www.xxxicongresosen2022.com/index.asp Yours sincerely, Elvira Larqué Daza, Organizer of the Spanish Nutrition Society (SEÑ) Congress 2022, Cartagena, Spain. Salvador Zamora Navarro, Honour member from the Spanish Nutrition Society (SEÑ). María Puy Portillo Baquedano, President of the Spanish Nutrition Society (SEÑ).


Assuntos
Dieta , Estado Nutricional , Adolescente , Criança , Humanos , Estilo de Vida , Espanha
8.
Crit Care ; 26(1): 270, 2022 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-36076215

RESUMO

Many survivors of critical illness face significant physical and psychological disability following discharge from the intensive care unit (ICU). They are often malnourished, a condition associated with poor outcomes, and nutrition remains problematic particularly in the early phases of ICU recovery. Yet nutrition rehabilitation, the process of restoring or optimizing nutritional status following illness, is seldom prioritized, possibly because it is an underrecognized and underappreciated area in critical care rehabilitation and research. To date, 16 original studies have been published where one of the objectives includes measurement of indices relating to nutritional status (e.g., nutrition intake or factors impacting nutrition intake) in ICU survivors. The primary aim of this narrative review is to provide a comprehensive summary of key themes arising from these studies which form the basis of our current understanding of nutritional recovery and rehabilitation in ICU survivors. ICU survivors face a multitude of barriers in achieving optimal nutrition that are of physiological (e.g., poor appetite and early satiety), functional (e.g., dysphagia, reduced ability to feed independently), and psychological (e.g., low mood, body dysmorphia) origins. Organizational-related barriers such as inappropriate feeding times and meal interruptions frequently impact an ICU survivor's ability to eat. Healthcare providers working on wards frequently lack knowledge of the specific needs of recovering critically ill patients which can negatively impact post-ICU nutrition care. Unsurprisingly, nutrition intake is largely inadequate following ICU discharge, with the largest deficits occurring in those who have had enteral nutrition prematurely discontinued and rely on an oral diet as their only source of nutrition. With consideration to themes arising from this review, pragmatic strategies to improve nutrition rehabilitation are explored and directions for future research in the field of post-ICU nutrition recovery and rehabilitation are discussed. Given the interplay between nutrition and physical and psychological health, it is imperative that enhancing the nutritional status of an ICU survivor is considered when developing multidisciplinary rehabilitation strategies. It must also be recognized that dietitians are experts in the field of nutrition and should be included in stakeholder meetings that aim to enhance ICU rehabilitation strategies and improve outcomes for survivors of critical illness.


Assuntos
Estado Terminal , Estado Nutricional , Cuidados Críticos , Estado Terminal/reabilitação , Humanos , Unidades de Terapia Intensiva , Sobreviventes
9.
Int J Mol Sci ; 23(17)2022 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-36076980

RESUMO

Food components in our diet provide not only necessary nutrients to our body but also substrates for the mutualistic microbial flora in our gastrointestinal tract, termed the gut microbiome. Undigested food components are metabolized to a diverse array of metabolites. Thus, what we eat shapes the structure, composition, and function of the gut microbiome, which interacts with the gut epithelium and mucosal immune system and maintains intestinal homeostasis in a healthy state. Alterations of the gut microbiome are implicated in many diseases, such as inflammatory bowel disease (IBD). There is growing interest in nutritional therapy to target the gut microbiome in IBD. Investigations into dietary effects on the composition changes in the gut microbiome flourished in recent years, but few focused on gut physiology. This review summarizes the current knowledge regarding the impacts of major food components and their metabolites on the gut and health consequences, specifically within the GI tract. Additionally, the influence of the diet on the gut microbiome-host immune system interaction in IBD is also discussed. Understanding the influence of the diet on the interaction of the gut microbiome and the host immune system will be useful in developing nutritional strategies to maintain gut health and restore a healthy microbiome in IBD.


Assuntos
Microbioma Gastrointestinal , Doenças Inflamatórias Intestinais , Dieta , Humanos , Doenças Inflamatórias Intestinais/metabolismo , Estado Nutricional
10.
Int J Public Health ; 67: 1604616, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36090836

RESUMO

Objective: Cervical cancer is a serious potential risk to women's health, and is closely related to persistent HPV infection. Vitamin K mainly existed in green vegetables, fruit, and dairy products. This research aims to observe the association between vitamin K and HPV-infection. Methods: 13,447 participants from the NHANES were selected. Dietary vitamin K intake was used as the objective independent variable and continuous variable, HPV-infection status was used as the outcome variable, and characteristics of selected participants were used as the covariates. Results: There was a nonlinearity between vitamin K intake and HPV-infection, and the inflection point is 3.81 of log2 vitamin K intake. In a range of 0-3.81, Each one-unit increase in log2 vitamin K intake was associated with a 43% reduction in the risk of HPV infection. When log2 vitamin K intake excess of 3.81, the risk of HPV infection did not continue to decline. The HPV-subtype was not associated with vitamin K intake. Conclusion: There is a nonlinearity between vitamin K intake and HPV-infection status. But HPV-subtype was not associated with vitamin K intake.


Assuntos
Infecções por Papillomavirus , Dieta , Feminino , Humanos , Inquéritos Nutricionais , Estado Nutricional , Infecções por Papillomavirus/epidemiologia , Vitamina K
11.
Cas Lek Cesk ; 161(3-4): 114-117, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36100448

RESUMO

The dietitian is an integral part of the multidisciplinary team of bariatric and metabolic surgery. The nutritional intervention is started already in the period of preparation for the bariatric procedure and focuses on the modification of the patient's current eating habits, weight reduction and understanding of the principles of the postoperative diet. After the bariatric procedure, the nutritional intervention ensures optimal nutrition of the patient within a specific diet regime implemented in the first weeks after the operation. However, nutritional care should continue at regular intervals for a long time after the procedure. It includes, for example, control of the appropriate diet composition, adherence to portion sizes and adequate drinking regime, as well as supplementation recommendations, all in relation to weight development, body composition and laboratory results.


Assuntos
Cirurgia Bariátrica , Humanos , Estado Nutricional , Redução de Peso
12.
Sportis (A Coruña) ; 8(3): 329-347, Sept. 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-207906

RESUMO

Las capacidades psicomotrices son inherentes en el desarrollo del ser humano. Un estado nutricional inadecuado conlleva a que las niñas y niños presenten dificultad en los movimientos motores. El objetivo fue determinar el perfil del de las capacidades psicomotor y su la correlación con el índice de masa corporal (IMC) en niños de 6 a 10 años de primaria del municipio de Sabanalarga, Atlántico, Colombia. Fue un estudio de corte transversal y correlacional, la población se conformó por un total de 416 niños matriculados en la jornada vespertina, tomando como muestra 210 niños de primero a quinto grado; de los cuales, 108 son del sexo masculino y 102 del sexo femenino, siendo establecidos por conveniencia. La evaluación de las (CPS) se hizo con la batería del test perceptivo motriz de Jack Capón (adaptado por Sergio Carrasco, 1989) y para establecer los niveles del IMC se empleó los protocolos para niños definidos por la OMS (2007). Los datos se organizaron en el programa Excel 2016 y analizados en el software estadístico PSPP versión gratuita 1.2. Los resultados muestran que los niños de 10 años presentaron deficiencia en las (CPS) con el 66,9% seguido de los niños de 8 a 9 años con el 62,9%; un mínimo de niños de 6 años con el 33.8%, con diferencia significativa (p<0,05); se encontró prevalencia de niños con normopeso. Sin embargo, el 25.9% de niños presenta sobrepeso/obesidad más que las niñas con el 17,6% (p<0,05), llama la atención que 2,9% de niñas y el 4,6% de niños tiene delgadez. Al analizar las (CPS) con el (IMC) se encontró que los niños con sobrepeso/obesidad y riego de delgadez tiene bajo rendimiento en las pruebas (1, 2, 3 y 4), no se halló diferencia estadística significativas (P >0,05), excepto la prueba 5 recorrido de obstáculo (p <0,05). (AU)


Psychomotor abilities are inherent in the development of the human being. An inadequate nutritional status leads to girls and boys having difficulty in motor movements. The objective was to determine the profile of psychomotor abilities and its correlation with the body mass index (BMI) in children aged 6 to 10 years of primary school in the municipality of Sabanalarga, Atlántico, Colombia. It was a cross-sectional and correlational study, the population was made up of a total of 416 children enrolled in the evening shift, taking as a sample 210 children from first to fifth grade; of which, 108 are male and 102 female, being established for convenience. The evaluation of the (CPS) was done with the Jack Capón perceptual motor test battery (adapted by Sergio Carrasco, 1989) and to establish the BMI levels, the protocols for children defined by the WHO (2007) were used. The data was organized in the Excel 2016 program and analyzed in the statistical software PSPP free version 1.2. The results show that children aged 10 years presented deficiency in the (CPS) with 66.9% followed by children aged 8 to 9 years with 62.9%; a minimum of 6-year-old children with 33.8%, with significant differences (p<0.05); prevalence of children with normal weight was found. However, 25.9% of boys are overweight/obese more than girls with 17.6% (p<0.05), it is noteworthy that 2.9% of girls and 4.6% of boys are thin . When analyzing the (CPS) with the (BMI) it was found that children with overweight/obesity and risk of thinness have low performance in the tests (1, 2, 3 and 4), no significant statistical difference was found (P > 0 .05), except the obstacle course test 5 (p <0.05). (AU)


Assuntos
Humanos , Criança , Índice de Massa Corporal , Desempenho Psicomotor , Estado Nutricional , Ensino Fundamental e Médio , Estudos Transversais
13.
Aten. prim. (Barc., Ed. impr.) ; 54(9): 102395, Sep. 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-VR-399

RESUMO

El envejecimiento poblacional se asocia a un mayor uso de recursos sociales sanitarios, asociados a la mayor morbimortalidad y discapacidad de este grupo etario. La fragilidad es un síndrome geriátrico previo a la aparición de la dependencia funcional, que permite la identificación de individuos de mayor riesgo de dependencia, institucionalización, efectos adversos de fármacos, mortalidad y otros eventos negativos de salud. Este síndrome es potencialmente reversible con una intervención multicomponente. La atención primaria de salud es el lugar preferente para el diagnóstico y seguimiento de la fragilidad, a través de escalas como la FRAIL scale, el fenotipo de Fried o modelos de acumulación de déficits. Para el seguimiento se precisa la intervención multidimensional y coordinada de diferentes profesionales sanitarios y sociales, con la implicación del paciente y su familia. Se debe fomentar la investigación para determinar las intervenciones más eficaces y los cursos clínicos más frecuentes.(AU)


Population aging is associated with a greater use of social and health resources, associated with greater morbidity, mortality and disability in the elderly. Frailty is a geriatric syndrome prior to the onset of functional decline, which allows the identification of individuals at higher risk of dependency, institutionalization, adverse effects of drugs, mortality and other negative health events. This syndrome is potentially reversible with a multicomponent intervention. Primary health care is the preferred place for the diagnosis and follow-up of frailty, through scales such as the FRAIL scale, the Fried phenotype or deficit accumulation models. Follow-up requires the multidimensional and coordinated intervention of different health and social professionals, with the involvement of the patient and their family. Research should be encouraged to determine the most effective interventions and the most common clinical courses.(AU)


Assuntos
Humanos , Masculino , Feminino , Idoso , Fragilidade/diagnóstico , Atenção Primária à Saúde , Envelhecimento , Saúde do Idoso , Disfunção Cognitiva , Estado Nutricional , Polimedicação
14.
PLoS One ; 17(9): e0272618, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36103509

RESUMO

BACKGROUND: Child undernutrition is a challenge in Ethiopia, where morbidity and mortality among children are attributed to it. This study aimed to describe the dietary practices, household food insecurity, and nutritional status of young children in Dale district, Sidama region, southern Ethiopia. We discuss our findings in light of research from the same area 3 to 5 decades ago, and we analyze factors associated with linear growth of young children. METHOD: A community-based cross-sectional study design was employed. Children less than two years old and their primary caretakers (n = 903) were included in this study. Among whom 791 children were aged above six months and 742 children out of 791 provided a 24-hour dietary recall. Interviews capturing other dietary practices, food insecurity, socio-demographic characteristics, anthropometric measurements, and haemoglobin assessments were performed for all. The WHO Child Growth Standards were used to calculate anthropometric indices and to describe stunting (length-for-age z-score <-2). Haemoglobin measures below 11g/dl were defined as low haemoglobin levels (anaemia). Multilevel linear regression was used to identify factors associated with length-for-age z-scores. RESULT: The prevalence of stunting, wasting, and anaemia was 39.5%, 3.9%, and 61.7%, respectively. The majority of children (97%) ate cereals (maize) during the past 24 hours, and 79.6% of households use maize as the main food. Three fourth (75%) of the total households were food insecure ranging from mild to severe food insecurity. Boys were at higher risk of having lower length-for-age z-score than girls (ß -0.53; 95% Confidence Interval (CI): -0.78, -0.27). For each month the children grew older, length-for-age z-score decreased slightly (ß -0.06; -0.07, -0.04). Household food insecurity scores (ß -0.05; -0.08, -0.01) and children haemoglobin levels, (ß 0.21; 0.06, 0.35) were also associated with length-for-age z-score among young children. CONCLUSION: Linear growth failure (stunting) was prevalent among young children in the rural Sidama region and the majority of them were also anaemic. Older age, male sex, a lower haemoglobin level in children, and household food insecurity were risk factors of linear growth failure in young children. Maize seems to be the dominant food in this previously ensete dominated area; however, there have been minimal improvements in length-for-age z-score over decades. Strategies to ensure household's food access and improve the quality of child diets need to be implemented.


Assuntos
Anemia , Musaceae , Idoso , Anemia/complicações , Anemia/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Etiópia/epidemiologia , Feminino , Abastecimento de Alimentos , Transtornos do Crescimento/epidemiologia , Transtornos do Crescimento/etiologia , Humanos , Masculino , Estado Nutricional
15.
Glob Health Action ; 15(1): 2107203, 2022 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-36106597

RESUMO

The Tigray crisis in Ethiopia is a grave humanitarian catastrophe with causes and consequences that resemble the Nigerian Civil War that ended with the defeat of secessionist Biafra five decades ago. As in the Biafra example, an ethnically distinct and embattled enclave is surrounded by hostile forces and cut off from commerce of any kind, producing starvation, forced migrant encampments, and pervasive dependence on externally provided food relief. Relief action strategies developed during the Nigerian Civil War were comprised of operational components that were often insufficiently integrated into a unified system for nutritional screening, referral, acute care, nutritional rehabilitation, and team deployment. This lack of strategic integration for post-conflict relief actions merits review for possible lessons that could avert its recurrence in Tigray. If evidence-based systems for relief organization had been comprehensively applied in Biafra, the pace of post-conflict nutritional recovery could have been accelerated. Although component strategies of the Biafra-Nigeria Relief Action are being replicated by various agencies that are providing humanitarian assistance in Tigray, their collective impact could be enhanced if these strategies were integrated into a unified, evidence-driven systems response to the emergency. The elements of such a systems approach for assisting Tigray are reviewed.


Assuntos
Fome Epidêmica , Guerra , Altruísmo , Etiópia , Humanos , Nigéria , Avaliação Nutricional , Estado Nutricional
16.
BMC Public Health ; 22(1): 1668, 2022 09 02.
Artigo em Inglês | MEDLINE | ID: mdl-36056304

RESUMO

INTRODUCTION: Nutritional problems in children cause major morbidity and mortality in the world. This study aimed to assess the nutritional status of under six years old children in Kalar city, Kurdistan Region, Iraq. METHODS: In this longitudinal study, data from 403 Iraqi Kurdish children aged 0-72 months and their mothers were extracted from Health Centre in Kalar city undertaken between 2013 and 2019. The children`s growth data were obtained at birth time, 6, 12, 24, and 72 months. Epi Info was used to classify the children of nutritional status by converting the anthropometric measurements into Z-scores. Data were analyzed using SPSS 25 software. RESULTS: The prevalence of overweight and obesity rose from birth to age 6 years old, from 19.6% and 7.4% to 52.2% and 30.5%, respectively. At 24 month, children had the highest rates of being overweight (56.1%) and obesity (34%). At 6 month, the highest prevalence of wasting exists (9.5%). At 6 month boys and girls had the highest frequency of stunting, 17.2% and 7.2% respectively. Considering the association of all characteristic variables and growth data at birth time, only mothers with academic education had children with significantly higher BMI for age compared to illiterate mothers after adjusting for all potential confounders (ß: 0.573, 95% CI: 0.105, 1.04, P: 0.017). CONCLUSION: The study suggests that some analysed factors that accounted for malnutrition in Kalar city's children are preventable. Therefore, to reduce the burden of malnutrition, community-based education and targeted nutritional interventions are required.


Assuntos
Desnutrição , Estado Nutricional , Criança , Feminino , Transtornos do Crescimento/epidemiologia , Humanos , Lactente , Recém-Nascido , Iraque/epidemiologia , Estudos Longitudinais , Masculino , Desnutrição/epidemiologia , Obesidade/complicações , Sobrepeso/complicações , Sobrepeso/epidemiologia , Prevalência
17.
BMC Pediatr ; 22(1): 525, 2022 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-36057585

RESUMO

INTRODUCTION: Food adequacy and dietary quality in the lactation period are fundamental for maternal and child health. Lactating mothers are vulnerable to malnutrition because of increased physiological demand, monotonous diet, lactogenesis process, and increased nutrient requirements. The micronutrient adequacy especially among women is not ensured in Indian diet. The dual course of gender bias and poverty, along with lack of knowledge about diet quality are significant impediments in maintaining minimum dietary diversity among Indian women. The study aimed to assess the prevalence of minimum dietary diversity and associated factors among lactating women. METHODOLOGY: A community-based cross-sectional study was conducted among 1236 lactating women through a multistage sampling procedure in Haryana state, India. Data were collected in Computer-assisted personal interviewing (CAPI) using a pretested structured interview schedule. Minimum Dietary Diversity for Women by Food and Agriculture Organization (FAO) was used to calculate the minimum dietary diversity. RESULTS: The mean dietary diversity score among lactating women from the ten food groups was 6.35 ± 2.57 and the prevalence of minimum dietary diversity was 77.1%. The complete model revealed that both individual and household factors can explain the variation in dietary diversity intake. Furthermore, the result of model 2 explained that women aged 31 to 35 years (AOR 5.92,95% (1.87-18.77), graduation and above qualified women (AOR 1.98, 95% (0.96-4.09) and lactating women with high knowledge on nutrition (AOR 2.00, 95% (1.34-4.57) were the significant factors promoting minimum dietary diversity. CONCLUSION: Three-fourths of the lactating women reached adequate minimum dietary diversity. Younger age, low educational level, and poor nutritional knowledge were significant constraints to achieving minimum dietary diversity. Further improvement in the minimum dietary diversity among lactating women is very much required. It is also advised that exiting platforms dispersing awareness on nutrition should be supported and strengthened.


Assuntos
Lactação , Sexismo , Criança , Estudos Transversais , Dieta , Feminino , Humanos , Lactação/fisiologia , Masculino , Micronutrientes , Mães , Estado Nutricional
18.
BMC Oral Health ; 22(1): 390, 2022 09 08.
Artigo em Inglês | MEDLINE | ID: mdl-36076176

RESUMO

BACKGROUND: The purpose of this study was to investigate whether periodontitis is associated with dietary vitamin C intake, using data from The National Health and Nutrition Examination Survey (NHANES) 2009-2014. METHODS: The study included 5145 adults (age ≥ 30 years) with periodontitis as a dichotomous variable and daily intake of vitamin C as a continuous variable. Multiple sets of covariates, such as age, sex, number of flossing, etc., were selected. Using EmpowerStats version 3.0, multivariate logistic regression analysis and hierarchical analysis were performed on the data, and curve fitting graphs were made. RESULTS: There were no statistically significant differences (P > 0.05) between the four dietary vitamin C intake groups (quartiles, Q1-Q4) and covariates (drinking alcohol and hypertension). The low VC intake group (Q1) was more prone to periodontitis than Q2, Q3, and Q4 (all OR < 1.00). A threshold nonlinear association was found between vitamin C (mg) log10 transformation and periodontitis in a generalized additive model (GAM) (P = 0.01). CONCLUSION: The relationship between dietary vitamin C intake and the likelihood of periodontitis was non-linear. The smallest periodontitis index occurred when dietary vitamin C intake was 158.49 mg. Too little or too much vitamin C intake increases periodontitis.


Assuntos
Dieta , Periodontite , Adulto , Ácido Ascórbico/uso terapêutico , Humanos , Inquéritos Nutricionais , Estado Nutricional , Periodontite/epidemiologia
19.
Food Res Int ; 160: 111616, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36076371

RESUMO

Unappetizing food is referred to food that has poor characteristic such as texture, nutrition and appearance, causing poor oral intake in hospitalized patients. Poor oral intake is a cause and/or consequence of malnutrition. This symptom can result in worse clinical outcomes when happens in immunocompromised patients which refers to those who have a weakened immune system and currently being at a higher risk of severe COVID-19 outcomes, consequently increasing susceptibility to infectious pathogens, leading to a higher risk of mortality. According to these concerns, the purpose of this review is to highlight the potential of 3D food printing (3DFP) technology to improve oral intake and nutritional needs in patients, as its ability to create personalized food that matches the need of consumers. Three aspects of 3DP potential were introduced as a key potential to enhance oral intake in the patients, including the potential to create foods with a variety of textures, the potential to produce a variety of food materials, and the potential to design food appearance. In addition, challenges and specific concerns about using 3DFP in patients were also introduced.


Assuntos
COVID-19 , Alimentos , Humanos , Hospedeiro Imunocomprometido , Estado Nutricional , Impressão Tridimensional
20.
Food Res Int ; 160: 111703, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36076454

RESUMO

The unusual intrinsic properties of nanomaterials, such as small size and high surface-to-volume ratio, have invited their applications in various sectors of animal and human nutrition. Since the recent past, there has been tremendous surge in demand for animal-derived foods due to the concomitant increase in human population. The quantity and quality of animal-derived foods are mainly dependent on the health and wellness of the livestock. Dietary mineral elements are well known to play essential roles in maintaining the livestock's nutrition. However, poor bioavailability of administered mineral elements leads to malnutrition and associated health issues in animals. Feeding nanoparticles to livestock has shown promising results including increased growth performance, immunity, reproduction ability, and quality of animal products. This review provides a comprehensive discussion on the need for animal nutrition, major bottlenecks of the field, and use of nanotechnologies as an alternative to the traditional pattern of mineral element supplementation. A significant emphasis has also been given to the possible approaches for developing nanominerals suitable for livestock nutrition. Availability of consumer market for nanotechnology-based food may drive this field to develop different strategies for food sensing, packaging, and nutrition.


Assuntos
Desnutrição , Estado Nutricional , Ração Animal , Animais , Dieta , Humanos , Nanotecnologia
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