Otília Pereira Lopes

Adherence to the Mediterranean diet in children: Is it associated with economic cost?

HighlightsThe average diet cost was 4.58&U20AC; (SD = 1.24) in 6–12 years‐old children.Diet cost calculations were based on food prices information from 2011.Most children reported medium (69.1%) or high (4.6%) adherence to Mediterranean diet.Higher adherence to Mediterranean diet was associated with higher diet cost. Objective: To assess how the diet cost is associated with socio‐demographic factors and adherence to Mediterranean diet in children. Methods: Data were obtained from a community‐based survey of children selected from public elementary schools in Portugal. Of a total of 586 children attending these schools, 464 (6–12 years), were studied. Dietary intake was assessed by a 24 hour recall and the adherence to Mediterranean diet was evaluated through the KIDMED index. The cost of the diet was calculated based on the collection of food prices of a national leader supermarket, and expressed as Total Daily Cost (TDC) and Total Daily Cost‐Adjusted for Energy (TDEC). Anthropometric measures were taken and socio‐demographic data were gathered from a questionnaire filled by parents. Logistic regression was used to quantify the association between diet cost, socio‐demographics and adherence to Mediterranean diet. Results: The average TDC was 4.58&U20AC; (SD = 1.24). Most children (69.1%) reported medium adherence to Mediterranean diet, and 4.6% rated the higher score. TDC was higher for children with highest adherence to Mediterranean diet, compared to those with lowest adherence [TDC: OR = 5.70 (95% CI 1.53, 21.33), p for trend = 0.001; TDEC: OR = 2.83 (95% CI 0.89, 8.96, p for trend 0.018)]. No meaningful variation in the diet cost with age and parental education was observed. Conclusion: Higher adherence to Mediterranean diet was associated with higher diet cost in children.

Solitary Myofibroma in the Oral Vestibule. A Case Report

Resumo Foi detectada uma tumefaccao sessil, com 1cm de diâmetro, na mandibula junto a zona vestibular do dente 46. A doente era uma mulher caucasiana com 35 anos. O crescimento do tumor foi lento durante os ultimos tres meses. A exerese e o exame histologico revelaram tratar-se de um tumor benigno, nao capsulado, bem circunscrito, formado por celulas esguias alinhadas em bandas paralelas a superficie do tumor, ou ocupando uma area central em que as celulas eram mais poliedricas ao longo dos espacos vasculares. Este padrao, «zonacao» e o facto das celulas serem imunorreactivas para actina do musculo liso e negativas para desmina permitiu chegar ao diagnostico de miofibroma solitario. A raridade desta neoplasia torna o caso interessante para publicacao.

Carcinoma do bordo da língua em fase inicial. Apresentação de dois casos clínicos

Resumo O carcinoma do bordo da lingua e um dos carcinomas mais frequentes da cavidade oral, manifestando-se em 37 % dos casos. 90 % destes correspondem a carcinoma de celulas escamosas (CCE). A sobrevida e estimada em 5 anos, sendo inversamente proporcional a sua deteccao. Dai a importância de detectar as lesoes em fase inicial. O Objectivo deste trabalho e discutir qual o tipo de tratamento mais eficaz para os estadios iniciais do carcinoma da lingua que permita uma sobrevida prolongada com o minimo de sequelas.