Eduila Maria Couto Santos

Satisfação com o peso corporal e fatores associados em estudantes do ensino médio

Objective: To analyze body satisfaction among students and its possible associations with nutritional status, sociodemographic factors, life style and health perception. Methods: This cross-sectional study enrolled students aged 15 to 20 years of public schools from the city of Caruaru, Northeast Brazil. Anthropometric, socio-demographic, life style and health perception, sleep, stress and body image variables were evaluated. The body mass index for gender and age was used to diagnose underweight, and overweight according to Conde and Monteiro (2006). Binary logistic regression was applied with the occurrence of “dissatisfaction with thinness” and “dissatisfaction with excess weight” as outcomes. Results: 594 students (62% females) aged 17.5±1.6 years old were studied. A proportion of 38.7% (95%CI 34.8-42.7) were satisfied with their body weight, while 31.3% (95%CI 27.6-35.2) would like to increase it and 30.0% (95%CI 26.333.8) would like to reduce it. The students who were satisfied with their weight ate at least five servings of vegetables/day, three or more meals/day, and they had a positive perception Endereco para correspondencia: Eduila Maria C. Santos Rua Jose Braz Moscow, 2.075, apto. 401 – Candeias CEP 54410-390 – Jaboatao dos Guararapes/PE E-mail: eduila@hotmail.com Conflito de interesse: nada a declarar Recebido em: 7/4/2010 Aprovado em: 13/10/2010

Complicações gastrointestinais e adequação calórico-protéica de pacientes em uso de nutrição enteral em uma unidade de terapia intensiva

OBJETIVO: Avaliar a prevalencia de complicacoes gastrointestinais e a adequacao calorico-proteica de pacientes criticos em uso de terapia de nutricao enteral. METODOS: Estudo retrospectivo realizado na unidade de terapia intensiva do Hospital das Clinicas da Universidade Federal de Pernambuco, onde foram coletados, mediante analise das fichas de acompanhamento nutricional, as complicacoes gastrointestinais mais frequentes durante o periodo de internamento do paciente, bem como a necessidade e a oferta calorico-proteica. Considerou-se como ofertado, o volume e o tipo de formula efetivamente recebido pelo paciente no ultimo dia de internamento hospitalar. Foi utilizado o programa SPSS, versao 13 para analise estatistica. RESULTADOS: A amostra foi composta de 77 pacientes com idade 54,7 ± 18,1 anos e predominância do sexo feminino (54,5%). A dieta ofertada foi adequada e todos os pacientes apresentaram algum tipo de complicacao gastrointestinal, sendo o retorno gastrico o mais prevalente (39%), seguido da constipacao com 36,4%. CONCLUSAO: Apesar da elevada prevalencia de complicacoes gastrointestinais, nao foi observada uma inadequacao na oferta calorica-proteica. As condutas multidisciplinares frente a resolucao dessas complicacoes necessitam ser padronizadas para que solucoes precoces possam ser tomadas.

Fatores associados ao sobrepeso e à obesidade em estudantes do ensino médio da rede pública estadual do município de Caruaru (PE)

Objetivo: Investigar a prevalencia e os fatores associados ao sobrepeso e obesidade em estudantes do ensino medio da rede publica estadual do municipio de Caruaru (PE). Metodos: Estudo transversal, com amostra representativa. Foram avaliadas variaveis antropometricas (peso e estatura), sociodemograficas e economicas (sexo, idade, estado civil, local de residencia, renda familiar e serie escolar) e relacionadas ao estilo de vida (atividade fisica, comportamento sedentario, consumo alimentar, nivel de estresse, tabagismo, etilismo e qualidade de sono). Realizou-se regressao logistica binaria, adotando-se a ocorrencia do sobrepeso e obesidade como desfechos. Para as analises inferenciais, considerou-se significante p<0,05. Resultados: A amostra final foi composta de 600 estudan tes (62,5% do sexo feminino), com idade media de 17,5±1,6 anos. A prevalencia de sobrepeso e obesidade foi de 19,0% (IC95% 15,9-22,4) e 5,5% (IC95% 3,8-7,7), respectivamente, sem diferenca entre os sexos. A proporcao de sobrepeso foi maior entre aqueles que relataram uma percepcao negativa de estresse, os insuficientemente ativos e os que relataram consumir alcool. Verificou-se maior proporcao de obesos entre os estudantes com percepcao negativa do sono, os insuficien temente ativos, os que relataram assistir TV por mais de tres horas por dia e com consumo de doces igual ou superior a quatro vezes por semana. Conclusoes: Observou-se elevada prevalencia de sobrepeso e obesidade associada a fatores de risco modificaveis, como inatividade fisica, consumo de alcool, percepcao negativa de sono, tempo de TV superior a tres horas por dia e consumo de doces igual ou superior a quatro vezes por semana.OBJECTIVE: To investigate the prevalence and factors associated with overweight and obesity among public high school students of Caruaru, Northeast Brazil. METHODS: Cross-sectional study, with a representative sample. The study evaluated anthropometric (weight and height), socio-demographic and economic variables (gender, age, marital status, place of residence, family income and school grade) and those related with lifestyle (physical activity, sedentary behavior, dietary intake, stress levels, smoking, alcohol consumption and quality of sleep). Binary logistic regression was conducted, considering overweight and obesity as the main outcomes, being significant p<0.05. RESULTS: The final sample consisted of 600 students (62.5% females), with a mean age of 17.5±1.6 years. The prevalence of overweight and obesity was 19.0% (95%CI 15.9-22.4) and 5.5% (95%CI 3.8-7.7), respectively, without differences between genders. The proportion of overweight was higher among those who reported a negative perception of stress, those with insufficient physical activities, and the individuals who reported alcohol consumption. There was a higher proportion of obesity among the students with a negative perception of sleep, those with insufficient physical activities, and those who reported watching TV more than three hours per day and having candies four times or more per week. CONCLUSIONS: This study showed a high prevalence of overweight and obesity associated with modifiable risk factors such as physical inactivity, alcohol consumption, negative perception of sleep, time in front of TV greater than three hours per day and consumption of candies four times or more per week.

Body satisfaction and associated factors among high school students

Objective: To analyze body satisfaction among students and its possible associations with nutritional status, sociodemographic factors, life style and health perception. Methods: This cross-sectional study enrolled students aged 15 to 20 years of public schools from the city of Caruaru, Northeast Brazil. Anthropometric, socio-demographic, life style and health perception, sleep, stress and body image variables were evaluated. The body mass index for gender and age was used to diagnose underweight, and overweight according to Conde and Monteiro (2006). Binary logistic regression was applied with the occurrence of “dissatisfaction with thinness” and “dissatisfaction with excess weight” as outcomes. Results: 594 students (62% females) aged 17.5±1.6 years old were studied. A proportion of 38.7% (95%CI 34.8-42.7) were satisfied with their body weight, while 31.3% (95%CI 27.6-35.2) would like to increase it and 30.0% (95%CI 26.333.8) would like to reduce it. The students who were satisfied with their weight ate at least five servings of vegetables/day, three or more meals/day, and they had a positive perception Endereco para correspondencia: Eduila Maria C. Santos Rua Jose Braz Moscow, 2.075, apto. 401 – Candeias CEP 54410-390 – Jaboatao dos Guararapes/PE E-mail: eduila@hotmail.com Conflito de interesse: nada a declarar Recebido em: 7/4/2010 Aprovado em: 13/10/2010

Efeito benéfico da correção da acidose metabólica no estado nutricional de pacientes em hemodiálise

OBJECTIVE: To assess the nutritional effect of correcting metabolic acidosis in hemodialysis patients. METHODS: Twenty patients with metabolic acidosis, defined as mean serum bicarbonate < 22 mEq/L before dialysis, were studied for six months. They had been on dialysis for at least six months, with 35 mEq/L of bicarbonate in the dialysate. Metabolic acidosis was corrected through elevation in dialysate bicarbonate to values not exceeding 40 mEq/L, aiming at bicarbonate serum levels between 22 and 26 mEq/L. Biochemical, anthropometric, and dietary assessments were performed at the beginning and end of the study, as was Global Subjective Assessment (GSA). RESULTS: The nutritional assessment in the initial phase of the study showed normal body mass index (24.23 ± 3.83 kg/m2). However, according to arm muscle circumference, triceps skinfold, and GSA, men and women were classified as undernourished. Calorie and protein intakes were 29.7 ± 10.1 kcal/kg/day and 1.31 ± 0.35 g/kg/day, respectively. The biochemical evaluation showed normal serum albumin and low cholesterol. After correction, serum bicarbonate and pH increased from 18.2 ± 1.64 to 22 ± 1.70 (p < 0.001) and from 7.32 ± 0.45 to 7.37 ± 0.41 (p < 0.001), respectively. GSA improved (21.7 ± 6.4 versus 16.8 ± 6.6, p < 0.001) and calorie intake increased (1892 ± 454.30 versus 2110.30 ± 869.24, p < 0.05). CONCLUSIONS: Bicarbonate supplementation in hemodialysis solution was effective for correcting metabolic acidosis, determining an increase in calorie intake and improvement in GSA scores.

Factores asociados al sobrepeso y la obesidad en estudiantes de la secundaria de la red pública provincial del municipio de Caruaru (Pernambuco, Brasil)

Objetivo: Investigar a prevalencia e os fatores associados ao sobrepeso e obesidade em estudantes do ensino medio da rede publica estadual do municipio de Caruaru (PE). Metodos: Estudo transversal, com amostra representativa. Foram avaliadas variaveis antropometricas (peso e estatura), sociodemograficas e economicas (sexo, idade, estado civil, local de residencia, renda familiar e serie escolar) e relacionadas ao estilo de vida (atividade fisica, comportamento sedentario, consumo alimentar, nivel de estresse, tabagismo, etilismo e qualidade de sono). Realizou-se regressao logistica binaria, adotando-se a ocorrencia do sobrepeso e obesidade como desfechos. Para as analises inferenciais, considerou-se significante p<0,05. Resultados: A amostra final foi composta de 600 estudan tes (62,5% do sexo feminino), com idade media de 17,5±1,6 anos. A prevalencia de sobrepeso e obesidade foi de 19,0% (IC95% 15,9-22,4) e 5,5% (IC95% 3,8-7,7), respectivamente, sem diferenca entre os sexos. A proporcao de sobrepeso foi maior entre aqueles que relataram uma percepcao negativa de estresse, os insuficientemente ativos e os que relataram consumir alcool. Verificou-se maior proporcao de obesos entre os estudantes com percepcao negativa do sono, os insuficien temente ativos, os que relataram assistir TV por mais de tres horas por dia e com consumo de doces igual ou superior a quatro vezes por semana. Conclusoes: Observou-se elevada prevalencia de sobrepeso e obesidade associada a fatores de risco modificaveis, como inatividade fisica, consumo de alcool, percepcao negativa de sono, tempo de TV superior a tres horas por dia e consumo de doces igual ou superior a quatro vezes por semana.OBJECTIVE: To investigate the prevalence and factors associated with overweight and obesity among public high school students of Caruaru, Northeast Brazil. METHODS: Cross-sectional study, with a representative sample. The study evaluated anthropometric (weight and height), socio-demographic and economic variables (gender, age, marital status, place of residence, family income and school grade) and those related with lifestyle (physical activity, sedentary behavior, dietary intake, stress levels, smoking, alcohol consumption and quality of sleep). Binary logistic regression was conducted, considering overweight and obesity as the main outcomes, being significant p<0.05. RESULTS: The final sample consisted of 600 students (62.5% females), with a mean age of 17.5±1.6 years. The prevalence of overweight and obesity was 19.0% (95%CI 15.9-22.4) and 5.5% (95%CI 3.8-7.7), respectively, without differences between genders. The proportion of overweight was higher among those who reported a negative perception of stress, those with insufficient physical activities, and the individuals who reported alcohol consumption. There was a higher proportion of obesity among the students with a negative perception of sleep, those with insufficient physical activities, and those who reported watching TV more than three hours per day and having candies four times or more per week. CONCLUSIONS: This study showed a high prevalence of overweight and obesity associated with modifiable risk factors such as physical inactivity, alcohol consumption, negative perception of sleep, time in front of TV greater than three hours per day and consumption of candies four times or more per week.

Factors associated with overweight and obesity among public high school students of the city of Caruaru, Northeast Brazil

Objetivo: Investigar a prevalencia e os fatores associados ao sobrepeso e obesidade em estudantes do ensino medio da rede publica estadual do municipio de Caruaru (PE). Metodos: Estudo transversal, com amostra representativa. Foram avaliadas variaveis antropometricas (peso e estatura), sociodemograficas e economicas (sexo, idade, estado civil, local de residencia, renda familiar e serie escolar) e relacionadas ao estilo de vida (atividade fisica, comportamento sedentario, consumo alimentar, nivel de estresse, tabagismo, etilismo e qualidade de sono). Realizou-se regressao logistica binaria, adotando-se a ocorrencia do sobrepeso e obesidade como desfechos. Para as analises inferenciais, considerou-se significante p<0,05. Resultados: A amostra final foi composta de 600 estudan tes (62,5% do sexo feminino), com idade media de 17,5±1,6 anos. A prevalencia de sobrepeso e obesidade foi de 19,0% (IC95% 15,9-22,4) e 5,5% (IC95% 3,8-7,7), respectivamente, sem diferenca entre os sexos. A proporcao de sobrepeso foi maior entre aqueles que relataram uma percepcao negativa de estresse, os insuficientemente ativos e os que relataram consumir alcool. Verificou-se maior proporcao de obesos entre os estudantes com percepcao negativa do sono, os insuficien temente ativos, os que relataram assistir TV por mais de tres horas por dia e com consumo de doces igual ou superior a quatro vezes por semana. Conclusoes: Observou-se elevada prevalencia de sobrepeso e obesidade associada a fatores de risco modificaveis, como inatividade fisica, consumo de alcool, percepcao negativa de sono, tempo de TV superior a tres horas por dia e consumo de doces igual ou superior a quatro vezes por semana.OBJECTIVE: To investigate the prevalence and factors associated with overweight and obesity among public high school students of Caruaru, Northeast Brazil. METHODS: Cross-sectional study, with a representative sample. The study evaluated anthropometric (weight and height), socio-demographic and economic variables (gender, age, marital status, place of residence, family income and school grade) and those related with lifestyle (physical activity, sedentary behavior, dietary intake, stress levels, smoking, alcohol consumption and quality of sleep). Binary logistic regression was conducted, considering overweight and obesity as the main outcomes, being significant p<0.05. RESULTS: The final sample consisted of 600 students (62.5% females), with a mean age of 17.5±1.6 years. The prevalence of overweight and obesity was 19.0% (95%CI 15.9-22.4) and 5.5% (95%CI 3.8-7.7), respectively, without differences between genders. The proportion of overweight was higher among those who reported a negative perception of stress, those with insufficient physical activities, and the individuals who reported alcohol consumption. There was a higher proportion of obesity among the students with a negative perception of sleep, those with insufficient physical activities, and those who reported watching TV more than three hours per day and having candies four times or more per week. CONCLUSIONS: This study showed a high prevalence of overweight and obesity associated with modifiable risk factors such as physical inactivity, alcohol consumption, negative perception of sleep, time in front of TV greater than three hours per day and consumption of candies four times or more per week.

Satisfacción con el peso corporal y factores asociados en estudiantes de secundaria

Objective: To analyze body satisfaction among students and its possible associations with nutritional status, sociodemographic factors, life style and health perception. Methods: This cross-sectional study enrolled students aged 15 to 20 years of public schools from the city of Caruaru, Northeast Brazil. Anthropometric, socio-demographic, life style and health perception, sleep, stress and body image variables were evaluated. The body mass index for gender and age was used to diagnose underweight, and overweight according to Conde and Monteiro (2006). Binary logistic regression was applied with the occurrence of “dissatisfaction with thinness” and “dissatisfaction with excess weight” as outcomes. Results: 594 students (62% females) aged 17.5±1.6 years old were studied. A proportion of 38.7% (95%CI 34.8-42.7) were satisfied with their body weight, while 31.3% (95%CI 27.6-35.2) would like to increase it and 30.0% (95%CI 26.333.8) would like to reduce it. The students who were satisfied with their weight ate at least five servings of vegetables/day, three or more meals/day, and they had a positive perception Endereco para correspondencia: Eduila Maria C. Santos Rua Jose Braz Moscow, 2.075, apto. 401 – Candeias CEP 54410-390 – Jaboatao dos Guararapes/PE E-mail: eduila@hotmail.com Conflito de interesse: nada a declarar Recebido em: 7/4/2010 Aprovado em: 13/10/2010