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Item Perfil do risco sanitário de alimentos comercializados em feiras especiais de Goiânia - GO(Universidade Federal de Goiás, 2013-04-11) Agostinho, Tânia Maria de souza; Melo, Camila Silveira de; Campos, Maria Raquel Hidalgo; http://lattes.cnpq.br/9910969694141110; Campos, Maria Raquel Hidalgo; Rezende, Cíntia Silva Minafra e; Carvalho, Ana Clara Martins e SilvaThe itinerant sale of food ensures the access to food for the low income urban population. This informal activity, despite its contribution to food access due to the low cost and the convenience of its offer, is an alternative source of food which can pose health risks to the population. Therefore, it is positive due to its socio-economic and cultural importance and satiety of hunger but negative with regard to hygienic and sanitary issues. This study aims to establish the risk profile of ready-to-eat foods sold at street markets in the central region of Brazil. On the preparation of the risk profile, the information gathered must objectively and concisely describe the most relevant knowledge about the problem identified which can propose future actions. The study was a cross-sectional and descriptive with a quantitative approach at 22 street markets registered with the Municipal Economic Development Secretariat of Goiânia, Goiás, Brazil. The data collection occurred in two phases (phase 1 and 2) interspersed by a training course. The data collection procedure involved the application of a checklist based on health legislation at the selected street markets stalls and sample collection of eight food groups for microbiological analysis. Participated in this study 229 points of sale of ready-to-eat food products and/or foods prepared at the place of consumption, in the period from July 2008 to May 2010. Traditional teaching and learning methodology was used to train the food handlers. Considering the results obtained in phases 1 and 2, from both the checklist and the microbiological analysis, it was possible to establish the risk profile of food products sold at these street markets. This profile could contribute to the future intervention actions with the targeted audience. The ready-to-eat foods sold at street markets showed relevant frequency of microbiological non-compliance with the current health legislation. This situation indicates the possibility of the presence of pathogenic bacteria in foods, and therefore, represents a risk to consumers. When establishing the risk profile for the consumption of foods sold by street vendors it is evident the need to develop intervention models with actions directed toward to the improvement of conditions of this activity, known as informal.Item Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia(Universidade Federal de Goiás, 2012-05-10) ALBUQUERQUE, Izabela Zibetti de; STRINGHINI, Maria Luiza Ferreira; http://lattes.cnpq.br/3705544548242014; CAMPOS, Maria Raquel Hidalgo; http://lattes.cnpq.br/9910969694141110Objective: The aim of the study was evaluated the effect of carbohydrate counting, for four months, on anthropometric parameters, body composition, biochemical and food intake in adolescents with type 1 diabetes mellitus. Methods: Clinical trial, controlled and randomized study at the Clinic of Endocrinology, Hospital das Clinicas, Federal University of Goiás, with 28 patients divided into intervention group (IG - carbohydrate counting) and control (CG - no counting carbs) and monitored fortnightly. At the beginning and end of the study data were collected on: anthropometric (weight, height and waist circumference), body composition (skinfold thickness and subscapular), biochemical (fasting glucose - FPG, postprandial glucose - GPP, glycated hemoglobin - A1C, total cholesterol - TC, triglycerides - TG, high density lipoprotein - HDL-c and low density lipoprotein - LDL-c) and, fortnightly, 24-hour recalls. Statistical analysis was performed using the statistical package SPSS version 18.0. For categorical variables used the chi-square and Fisher exact test. Shapiro-Wilk test to assess the normality of continuous variables, paired t test or Wilcoxon test for intragroup analysis, and Student's t test or Mann-Whitney test for intergroup analysis. The significance level was 5%. Results: The CG increased A1C (p=0.024) and both groups decreased energy intake (CG: p=0.005; IG: p=0.002). IG decreased A1C (p=0.002), but increased the CT (p=0.009) and LDL-c (p=0.012). This group also increased the caloric intake of carbohydrates (p=0.005) and decreased caloric intake of fat (p=0.002). There were a decreased in FPG and A1C (p=0.033 and p<0.001, respectively) in IG and increased CT and LDL-c (p=0.004 and p=0.019, respectively). The mean capillary glucose pre-and post-prandial were not affected between groups (p>0.005), although the oscillation glucose was lower in IG. Conclusion: Carbohydrate counting resulted in improved glycemic control and glucose concentrations more constant. However, this practice was associated with increased CT and LDL-c. Patients who have applied this strategy increased the caloric intake of carbohydrates and decreased consumption of fat.Item Eficácia da implantação das boas práticas de preparação na qualidade microbiológica de dietas enterais de um hospital público(Universidade Federal de Goiás, 2011-03-25) ALBUQUERQUE, Marinez Ferreira Barbosa; CAMPOS, Maria Raquel Hidalgo; http://lattes.cnpq.br/9910969694141110Poor hygienic sanitary conditions in the processing of enteral diets constitutes in risks of microbial contamination, and may involve complications in patients with enteral nutrition, ranging from infections digestive up to systemic infections. For this reason is important its microbiological control, whereas individuals to whom they are intended, are more susceptible to infections. Thus, this study aimed to compare the hygienic conditions of enteral diets before and after the implementation of Good Manufacturing Practices in a public hospital in Brazil. The study was developed in the Enteral Diet Unit of the Goiânia Emergency Hospital in three stages. In stage 1 before the implantation of good practices, carried out between November and December of 2008, was diagnosed the preparation conditions of the enteral diets by systematic observation of the conduct adopted by food handlers. Was applied the check list proposed by Resolution RDC nº 63 of Agência Nacional de Vigilância Sanitária/Brazil and realized microbiological analyzes of 40 samples of each element investigated: filtered water, powdered diet, reconstituted enteral diet and food handler s hand and nasal cavity culture. The good practices were implemented in phase 2, between January and June 2009, by educational training through the Maguerez Arch technical, development of Good Manufacturing Practices Handbook and by structural changes in the Enteral Diet Unit. In stage 3, between September and November 2009, was applied again the check list and repeated all microbiological analyzes carried out in the first phase, in addition the reconstituted enteral diets were analyzed at ambient temperature at Time 0 (preparation) and 1, 2, 3, and 4 hours after preparation. Both in stage 1 and 3, viable aerobic mesophilic microorganisms, total coliforms, Escherichia coli, coagulase-positive staphylococci, Staphylococcus aureus, Salmonella sp., and Pseudomonas aeruginosa were investigated. The results were compared with standards established by the Brazilian Sanitary Surveillance Legislation. Were used the software SPSS version 17.0 and STATA version 8.0 for statistical analysis and applied the McNemar test and Fisher exact test. The implementation of good practices significantly increased conformity to checklist items from 50.8% to 78.8% (p<0.001) and reduced the prevalence of contamination in the reconstituted enteral diet from 40.0% to 15.0% (p=0.031). The enteral diet could be considered safe after up to four hours at room temperature because asceptic preparation techniques were strictly followed. A significant reduction in the presence of Escherichia coli in the food handler s nasal cavity was detected (p=0.021). Conclusion: The implementation of good manufacturing practices contributed to the improvement of the enteral diet s hygienic sanitary conditions. Continued training is recommended to improve the food handlers competenciesItem Ações de educação alimentar e nutricional no Programa Nacional de Alimentação Escolar(Universidade Federal de Goiás, 2014-12-18) Almeida, Géssica Mercia de; Sousa, Lucilene Maria de; Monego, Estelamaris Tronco; http://lattes.cnpq.br/0917323812776538; Schmitz, Bethsáida de Abreu; Costa, Nilce Maria da Silva Campos; Monego, Estelamaris TroncoThis study aimed to analyze the actions of food and nutrition education at the National School Feeding Programme in Brazilian towns. It is a cross-sectional descriptive and analytical study, conducted through telephone interviews during the period from April 2012 to November 2013. The survey was developed with school feeding’s nutritionists from 388 towns distributed proportionally between the North, Northeast, Southeast, South and Midwest regions. The studied variables included: actions of food and nutrition education and their frequency, social actors involved, form of guidance for achieving food and nutrition education, inclusion of food and nutrition theme in Political Pedagogical Project and the difficulties in achieving food and nutrition education. Statistical analyses were performed using the χ2 Fisher’s test or Pearson’s exact test, beyond the multivariate logistic regression, with a significance level of 5% model. Out of the 388 interviewed nutritionists, 85.1% perform actions of food and nutrition education in schools and day care centers, with the highest frequency in the South region (94.6%) and lowest in the Northeast (79.2%) (p = 0.04). The actions of food and nutrition education are predominantly developed through lectures, with biannual frequency, with the participation of the pedagogical coordinator and teacher in the planning and execution of these practical activities. In less than half of the towns, the food and nutrition issues are worked into the school curriculum, with emphasis on the discipline of Sciences. When nutritionists orient the social actors in schools and day care centers through training activities on healthy eating, reduce the chances by 61% of inclusion of food and nutrition education in the Pedagogical Political Project. It is possible to suggest that these formations present weaknesses and limitations and is not a satisfactory strategy for entering these educational practices at school. The actions of food and nutrition education are focused on a traditional model of education, punctually and with little articulation with the school curriculum. It is hoped that the information presented can support nutritionists, school community and trainers and regulatory agencies of the profession, in the search for new approaches in order to encourage and qualify the actions of food and nutrition education in schools.Item Condições físico-funcionais e higienicossanitárias das unidades de alimentação e nutrição de escolas da região Centro-Oeste, Brasil(Universidade Federal de Goiás, 2013-07-01) Almeida, Kênia Machado de; Campos, Maria Raquel Hidalgo; André, Maria Cláudia Dantas Porfirio Borges; http://lattes.cnpq.br/1475834090578722; Borges, Liana Jayme; Carvalho, Ana Clara Martins e Silva Carvalho; André, Marai Cláudia Dantas Porfírio Borges; Sousa, Lucilene Maria de; Correia, Márcia Helena SacchiIn Brazil, the human right to food is a constitutional rule and it should be guaranteed, without interruption, by the state, to all citizens. So as the effectiveness of a food and nutrition security, which is the right of everyone to access quality food in sufficient quantity, without compromising other essential needs. The Brazilian School Nutrition Program (PNAE) and the Health and Education Ministries Resolution 1.010/2010 are strategies to ensure these rights. In addition in determining the supply of nutritionally healthy school meals, they also determine the adoption of quality control in the acquisition of raw materials and the obligation to ensure food safety, according to the standards of the Food and Nutrition Security. The Resolution 1.010/2010 determines suitability for Good Handling Practices, meeting the demands of the Brazilian Health Surveillance Agency - ANVISA Resolution nº 216/2004. However, in a large extent, Brazilian Food and Nutrition School Units present non-compliance in their hygienic and sanitary conditions, which contributes in increasing the risk of foodborne illness in the school environment. Thus, this research sought to check the hygienic, sanitary and physical-functional conditions of these Units at public schools. It is a cross-sectional study, conducted between February and June of 2012 in 296 public schools located in the Midwest of Brazil. A semi-structured check list was applied at these Units, with questions related to structural conditions, availability of equipment, performance of food handlers, processes and procedures, and environmental hygiene. Considering the provisions of Brazilian current health law, the compliance of these variables was assessed. In all Units participating of the study were identified inadequacies, especially in the aspects of the conditions of the buildings and facilities in the area where the food is prepared, where it had the highest frequency of non-compliances, like: inadequate food storage conditions; walls, floor, ceiling and lining precariousness; doors and windows without protection against insects entrance; and others. Among the processes and procedures, the main inadequacy was the lack of temperature control of the food ready for consumption. Thus, the Units surveyed presented unsatisfactory conditions for the production of safe food from the hygienic and sanitary point of view, which can compromise the quality of the meals and the effectiveness of the Brazilian School Nutrition Program, the Food and Nutrition Safety, and the human right to adequate food.Item Polimorfismos nos genes do PPAR-gama e da apolipoproteína e: relações com o perfil lipídico de adolescentes com fatores de risco cardiovascular(Universidade Federal de Goiás, 2015-03-20) Alves, Maira Chiquito; Horst, Maria Aderuza; Cominetti, Cristiane; http://lattes.cnpq.br/3143023553465749; Silva, Daniela de Melo e; Botelho, Patrícia Borges; Cominetti, CristianeTo verify the relationship between the polymorphisms rs18011282 in PPAR-gamma gene and rs429358 + rs7412 in apolipoprotein E gene and lipid profile of adolescents under cardiovascular risk factors. Material and methods: The study sample was composed of 115 adolescents aged 10-19 years, which presented cardiovascular risk factors. The students were evaluated regarding socioeconomic, anthropometric, biochemical, genetic and dietetic variables. ANOVA or Kruskal-Wallis tests were used in the analysis of ungrouped genotypes, while Student’s t-test or Mann-Whitney test were applied to the analysis of the grouped genotypes. Results: The overweight adolescents presented lower HDL-c concentrations (p=0.0016). Those carrying PPAR-gamma Ala allele showed higher serum TAG (p=0.0423) and VLDL-c (p=0.0410) levels when compared to those carrying the Pro allele. For the apolipoprotein E gene polymorphism, it was observed a tendency of higher TAG (p=0.0712) and VLDL-c (p=0.0758) levels in the adolescents carrying the E4 allele when compared to those who did not carry this allele. Conclusion: The polymorphisms PPAR-gama rs18011282 and apolipoprotein E rs429358 + rs7412 seem to be related to the development of lipid profile alterations in adolescents.Item Indicadores antropométricos e marcadores de função renal em adultos e idosos(Universidade Federal de Goiás, 2014-03-31) Amador, Victoria Araujo Ganzaroli; Freitas, Ana Tereza Vaz de Souza; http://lattes.cnpq.br/5288011784889591; Peixoto, Maria do Rosário Gondim; http://lattes.cnpq.br/6813295858384008; Botelho, Patricia Borges; Pereira, Edna Regina Silva; Peixoto, Maria do Rosário Gondim; Naghettini, Alessandra Vittorino; stringhini, Maria Luiza FerreiraWeight excess is one of the risk factors of chronic kidney disease, so it is important to evaluate the nutritional status of population with renal function markers to monitor and prevent the increase of renal failure. The aims of this study was to evaluate the association of nutritional status indicators and renal function markers in adults and seniors. It is a cross-sectional study with 279 adults and seniors assisted by eight primary healthcare units from east Goiânia. Data were collected utilizing a standard questionnaire which included sociodemographic, life style and clinical information. Body mass index and waist circumference were taken for nutritional status evaluation; chronic kidney disease was defined as an glomerular filtration rate of less than 60 mL/min/1,73m²; microalbuminury were considerated with albumin/creatinine ratio righer than 30mg/g.Chronic kidney disease was prevalent in 8.9% and microalbuminuria in 34.8%. The prevalence of overweight was 57%. Waist circumference and body mass index had a positive association with the glomerular filtration rate, characterized as glomerular hyperfiltration. Microalbuminuria had a positive association with body mass index in women. There were a high prevalence of chronic kidney disease and overweight in the studied population. The overweight had a positive association with the glomerular filtration rate. Body mass index should be often used as it is a cheap and efficient anthropometric measurement method and is an early detection indicator of renal function in populationItem Influência dos níveis pressóricos, estado nutricional e atividade física sobre a qualidade de vida de hipertensos muito idosos(Universidade Federal de Goiás, 2015-02-23) Araújo, Samantha Pereira; Jardim, Paulo César Brandão Veiga; http://lattes.cnpq.br/2292209583823133; Jardim, Thiago de Souza Veiga; Sousa, Ana Luiza Lima; Jardim, Paulo César Brandão VeigaThe aim of this study was to analise the influence of blood pressure control, nutritional status and level of physical activity in the quality of life of very elderly hypertensive patients. Cross-sectional study with forty-one oldest old patients (over 80 years), both males and females, followed at a reference center for hypertension treatment in a midwest brazilian City. A survey questionnaire about sociodemographic and lifestyle variables was applied. The International Physical Activity Questionnaire (IPAQ) and the Medical Outcomes Study SF-36 item Short Form Health Survey (SF 36) were also used to evaluate the Quality of Life. Blood pressure and anthropometric variables were measured. Fisher test, t test, chi-square and Mann-Whitney-U test were performed. The significance level was 5% and confidence interval was 95% for all tests. The study was approved by the Ethics Committee of the institution. Low educational levels and low income were found in the sample. Only 7.3% of the patients referred alcohol consumption and no one was a smoker. Smoking and alcohol intake showed differences between gender and was higher among men (p=0.002, p<0.001). Almost half of participants (46.3%) were overweight according to body mass index and 80,5% had increased waist circumference. Controled blood pressure were verified in 73.2% of the sample. Moderate and intense physical activity levels were observed on 46.3% of the participants. Nutritional status and physical activity level did not influence blood pressure control. The quality of life associated with the physical aspects was better in men (p=0,044). Physically active oldest old had better score for functional capacity in the SF 36 (p=0.007). Social, emotional and mental health domains obtained the highest scores for quality of life. Blood pressure control and nutritional status did not affect quality of life. These findings may contribute to health planning, with promotion of public policies for seniors. More studies should be conducted in the future in order to clarify the main factors for promoting longevity with quality of life.Item Efeito da banana da Terra verde e do albedo do maracujá sobre o perfil lipídico de ratos(Universidade Federal de Goiás, 2011-04-07) BARBOSA, Eloiza Helena Carrijo; NAVES, Maria Margareth Veloso; http://lattes.cnpq.br/6563181057140270; ASQUIERI, Eduardo Ramirez; http://lattes.cnpq.br/0488056148950480Were prepared meal green plantain and albedo of passion for the development of this work. After determining the chemical composition of the meal there was a biological test aimed to evaluate the effects of soluble fiber present in the flour of passion fruit albedo and resistant starch of the flour of green plantain, and the mixture of the meal on the levels lipid levels of hypercholesterolemic rats. For testing we used 40 male Wistar rats were divided into five groups of eight rats each. Four supplemented diets were prepared with high concentration of soluble fiber and resistant starch from the flour of passion fruit peel and green plantain respectively and a standard diet. The experimental groups were divided into Banana - 10% of resistant starch and 5% cellulose, Passion Fruit - 10% soluble fiber and 5% cellulose, Mix - 5% resistant starch, 5% cellulose and 5% soluble fiber , Cellulose - 15% cellulose and Standard. The Banana group had a lower intake of diet if differing from other groups. The fecal weight was higher in groups Passion Fruit, pulp and mix. The results show the potential beneficial effect of soluble fiber intake in the control of hypercholesterolemia and soluble and insoluble fiber on intestinal transit. Resistant starch from the green plantain results were not significant on the serum lipid profile of rats. It follows therefore that the albedo of the flour mixture of flour and passion of passion with the albedo of green plantain modulated so as to reduce the serum lipid profile in rats fed a hypercholesterolemic diet, this was probably due to the presence Soluble fiber in both diets since the isolation of the diet that contained only resistant starch from the flour of green plantain not influence significantly the lipid profile of rats.Item Composição Mineral e Capacidade Antioxidante de Citros Cultivados em Goiás(Universidade Federal de Goiás, 2011-04-04) BARROS, Helena Rudge de Moraes; FERREIRA, Tânia Aparecida Pinto de Castro; http://lattes.cnpq.br/0312123979235562Fruits provide not only essential nutrients for the functioning of human life systems; but also bioactive compounds that reduce the risk of developing chronic diseases. This protective effect has been attributed to antioxidant properties performed by bioactive compounds, which citrus fruits are important sources, such as ascorbic acid, phenolic compounds and also of some minerals. Brazil is one of the major citrus producers, and about 90% of this production is destined for the juice production, with a large production of waste that could be reused. Thus, aim of this study was to evaluate and compare the mineral composition, content of total phenolics, ascorbic acid content and antioxidant capacity of skin and pulp of five citrus varieties cultivated in Goiás. The results were subjected to analysis of variance and Tukey test (p <0.05) for comparison of means. In general, the peels showed higher levels of all compounds tested, with the exception of ascorbic acid in the orange pera pulp had the highest content of acid lime peel and Tahiti had the lowest content. Citrus showed high levels of potassium, calcium and magnesium, and the peels considered "sources" of these minerals. Concentrations of trace elements also were found, cofactors of antioxidant enzymes. The phenolic compounds of peels were from 2.5 to 4 times higher than the pulps, especially the orange peel lime. As for antioxidant capacity, tangerine peel Ponkã showed the best results. Citrus fruits are from a variety of bioactive compounds and the shells can be exploited to produce functional foods or replacing the use of synthetic antioxidants.Item Efeito do consumo da amêndoa de baru sobre o perfil lipídico e o estado oxidativo de indivíduos moderadamente hipercolesterolêmicos(Universidade Federal de Goiás, 2014-03-21) Bento, Ana Paula Nunes; Silva, Mara Reis; Cominetti, Cristiane; Naves, Maria Margareth Veloso; http://lattes.cnpq.br/6563181057140270; Rogero, Marcelo Macedo; Horst, Maria Aderuza; Naves, Maria Margareth VelosoObjective: To evaluate the effect of baru almonds supplementation on lipid profile and oxidation state of mildly hypercholesterolemic subjects. Material and Methods: A randomized, controlled and crossover trial was performed with 20 mildly hypercholesterolemic subjects (total cholesterol mean (± SEM) = 5.8 ± 0.2 mmol/L, aged 21–57, and mean body mass index = 23.0 ± 0.5 kg/m2). The assay had 2 periods of 6 wks each and a 4-wk washout period between the treatments. Subjects were randomly allocated in alternated periods receiving the following treatments per period: supplementation with 20 g/d of baru almonds or placebo (1 corn starch capsule/d). Results: Participants maintained their dietary intake throughout the study, except for vitamin E intake that increased after supplementation with baru almonds (P = 0.013). The daily addition of 20 g of baru almonds to the usual diet did not change the volunteers’ body composition neither the oxidation status (P < 0.05). Compared to placebo, supplementation of baru almonds reduced serum total cholesterol (-8.1 ± 2.4%, p = 0.007), LDL-c (-9.4 ± 2.4%, p = 0.006) and non-HDL-c (- 8.1 ± 3.0%, p = 0.013. Conclusions: Diet supplementation of mildly hypercholesterolemic subjects with baru almonds improved serum lipid parameters, so that this food might be included in diets for reducing the cardiovascular disease risk.Item Staphylococcus aureus isolados de linguiças suínas e de frango do tipo frescal: perfil de suscetibilidade e caracterização molecular(Universidade Federal de Goiás, 2015-03-30) Bernardo, Larissa Gomes; André, Maria Cláudia Dantas Porfirio Borges; http://lattes.cnpq.br/1475834090578722; Campos, Maria Raquel Hidalgo; Souza, Keili Maria Cardoso de; André, Maria Cláudia Dantas Porfirio Borges; Cardoso, Juliana Lamaro; Vasconcelos, Lara Stefania Netto de Oliveira LeãoThis study aimed to isolate and identify Staphylococcus aureus in fresh sausages that were handmade or industrially produced, and characterize isolates for susceptibility to antimicrobial agents and the presence of virulence genes. We collected 86 samples of fresh sausages, pork and chicken, in butchers of the city of Aparecida de Goiânia, Goiás. The temperature of the sausages was also measured at the time of collection. After microbiological analysis, the isolates were submitted to the antibiogram by disk diffusion technique, to typing by Pulsed Field Gel Electrophoresis and to detection of virulence genes by Polymerase Chain Reaction. Most sausages collected (68.6%) showed temperature above 4 ° C, ranging from 4.98 °C to 9.89 °C. Six samples were contaminated with Staphylococcus sp., with seven isolates, but with scores within the standard set by the Brazilian law (5.0 x 103 colony forming units per gram). Of the seven isolates obtained from different brands, collected in different butchers, three were identified as Staphylococcus aureus by detection of the femA gene, were sensitive to all antibiotics tested and showed 100% similarity by Pulsed Field. The genes encoding the hemolysins A and B, and enterotoxin H were detected in three of S. aureus strains and in one of them were already detected the genes encoding enterotoxins G and I. The survey allowed to detect S. aureus in fresh sausages, and the possibility of expression of enterotoxins genes., The presence of isolates genetically identical identified in samples obtained of distinct brands and from different butchers indicate common source of contamination or spread of particular strains in this type of food. It should be noted therefore the need to observe the product's storage conditions such as temperature when that significant amounts of toxins are not produced and become risk for the occurrence of outbreaks.Item Eficácia alimentar e qualidade proteica de misturas de caseína com gelatina em dietas com baixos teores de proteína(Universidade Federal de Goiás, 2012-02-03) BORDIN, Cláudia Cantelli Daud; NAVES, Maria Margareth Veloso; http://lattes.cnpq.br/6563181057140270Gelatin is widely used in human feed, but has limited protein value. The composition in essential amino acids is quite atypical, since the levels of all the amino acids are below the benchmark of Food and Nutrition Board of the Institute of Medicine of the National Academy of Sciences of USA (FNB/IOM), with the aggravating not contain tryptophan in its composition. This study evaluated the effectiveness of food and the quality of protein mixtures of casein with gelatin (4:1 protein-based), in diets with low protein levels. An experimental study on animal model using 36 wealing male Wistar rats (21 to 23 days of age), divided into six groups of six animals each. The following were fed with diets: C10: 10% protein (casein); C8G2: 10% protein (8% casein; 2% gelatin); C12.5: 12.5% protein (casein); C10G2.5: 12.5% protein (10% casein; 2.5% gelatin); G10: 10% protein (gelatin); AP: protein-free. The duration of the experiment was 28 days for groups C10; C8G2; C12.5 e C10G2.5 and 14 days for groups G10 e AP. The effectiveness of food diets containing mixing casein:gelatin was influenced by the gelatin, according to the Food Conversion Ratio to protein level of 10% (C10 = 3.35 ± 0.19 versus C8G2 = 3.91 ± 0.34) and in supplementation with gelatin (C10 = 3.35 ± 0.19 versus C10G2.5 = 3.86 ± 0.32). The protein effectiveness was reduced in the protein level of 10% (C10 = 2.90 ± 0.17 versus C8G2 = 2.41 ± 0.22), in protein level of 12.5% (C12.5 = 2.32 ± 0.19 versus C10G2.5 = 2.03 ± 0.16) and supplementation with gelatin (C10 = 2.90 ± 0.17 versus C10G2.5 = 2.03 ± 0.16) according PER (Protein Efficiency Ratio). The animals that consumed gelatin (G10) had similar weight loss to the protein-free group. Gelatin in mixtures of casein with gelatin (4:1 protein-based), in diets with low protein content, reduces the effectiveness of food protein of casein.Item Avaliação da implantação do currículo de Nutrição da Universidade Federal de Goiás na visão docente(Universidade Federal de Goiás, 2011-04-01) BUENO, Caroline Damásio; COSTA, Nilce Maria da Silva Campos; http://lattes.cnpq.br/6977373149115047The Federal University of Goiás estabilished in 2009 a new curriculum for nutrition graduation, supporte by the National Curriculum Guidelines for undergraduate courses in Nutrition and the Reorientation National Program in Health Professional Formation. Study conducted to objective was to identify the perceptions of nutritions professors of implantation the new curriculum, by means on qualitative approach. Data were collected from the interview semi-estructured with 12 professors and were analyzed from the thematic content analysis. The study revealed most professors did not clear knowledge of curriculum. The potentialities were: early insertion of students into scenarios for practical since their first year of graduation, active teaching-learning methodologies and insertion of contents on the work world. The limits were: change of students admitted in undergraduate course, inadequate infrastructure of institution education and health services, overload activities, commitment teaching and insecurity with curriculum reformation. Among the strategies of teaching and learning were cited the expository class and the dialogue-based lecture, the seminar, the text study and the problem-solving. The curriculum reform generated a change in strategy with the introduction of active teaching-learning methodologies and case study in a discipline to integrate the basic cycle-professional. Were considered fragilities, the lack pedagogical training of teachers and resistance from students and teachers of active teaching-learning methodologies. The study revealed that that curriculum reformulation has advanced attending to the curricular guidelines and principles for reorientation in health professional formation. Involves administrative, physical and human being factors. More discussion and reflection were indicates that become reality. The study reveal to the requirement for institutional development of teachers in teaching to improve teaching quality. Support to base, enhance and socialize experiences and stimulate news curriculum research.Item Alimentação Saudável na Escola: Uma Construção Coletiva?(Universidade Federal de Goiás, 2011-03-25) CAMOZZI, Aída Bruna Quilici; MENEZES, Ida Helena Carvalho Francescantonio; http://lattes.cnpq.br/8722459243487573; MONEGO, Estelamaris Tronco; http://lattes.cnpq.br/0917323812776538Changes in the contemporary eating pattern are closely related with the increase in the prevalence of chronic diseases, reason why national and international policies focus on this problem. School is taken as a priviledged space for health and healthy eating promotion, since as it should contribute to the development of a critical thinking, autonomous citizen, it should also favour the adoption of healthy lifestyles. However, there are little known initiatives with such purpose, so that lapses between legal dispositions and observed experience are identified. The objective of this study was to analyze healthy eating perception as well as healthy eating promotional acts carried in the school community, to describe facilitating and hindering factors in their implementation, and to comprehend how healthy eating promotion policies are executed in such social space. It is a descriptive-exploratory study with qualitative approach using focal groups, which interpretation was done according to the thematic content analysis. Research was carried in six elementary grade schools appointed by Goiânia's municipal education bureau, of which principals and coordinators comprised the management group, and pofessors, food manipulators and school council representatives comprised the doers group. Data analysis has evidenced a biologist view of healthy eating, as well as a welfare comprehension of the role of eating at school. Healthy eating promotion activities were limited to classroom approach by teachers and to dispersed activities aimed at increasing meals' acceptability. Were cited as healthy eating promotion facilitating factors the teachers' compromise and coordinators' involvement with the subject, the variety of food genres and hygienic preparation of school meals, the interface between health and education, and the role of students in retransmitting the knowledge to the family. Hindering factors were the limited availability of educational material, teachers' inadequate training for approaching the subject, lack of food manipulators' training, menu and infrastructure inadequacy, lousy parental interaction in the process and the conflict between healthy food and tasty food. Conclusion is that healthy eating promotion policies were not adequately inserted in the school environment, which imply the need of involving the whole school community in a collective pedagogical project that allows the transverse inclusion of the subject in the school curriculum. As such, it is suggested that teachers and food manipulators' training should contemplate active methodologies and their participation in the process, and that meals offered should be compatible with eating habits and with the sociocultural background of those involved. Finally, are accounted as pertinent the revaluation of proposed practices related to health pomotion projects,a greater intersectorial integration and the increasing of awareness of all involved, so to secure adequate and healthy eating at school.Item Força de aperto de mão e estado nutricional de pacientes em hemodiálise(Universidade Federal de Goiás, 2012-03-02) CAMPOS, Marta Isabel Valente Augusto Moraes; PEREIRA, Edna Regina Silva; http://lattes.cnpq.br/4503589425013098; PEIXOTO, Maria do Rosário Gondim; http://lattes.cnpq.br/6813295858384008BACKGROUND: Protein energy wasting commonly occur in patients with chronic kidney disease. Changes in muscle function arise even before changes in anthropometric and biochemical parameters.Thus, a method for evaluating muscle function and strength becomes essential for these patients. OBJECTIVES: To evaluate the handgrip strength (HGS) and its association with nutritional status of patients with chronic kidney disease on hemodialysis. METHODS: A cross-sectional study conducted between May and July/2011. The sample included 90 patients, 48.8% male and 51.2% female. The HGS was performed three times with a hydraulic hand dynamometer (Takei) in the arm without fistula. For each patient were considered the best strength measure. Values lower than percentile 10 were considered as low HGS. The nutritional status diagnosis was given by Subjective Global Assessment (SGA). RESULTS: The average age was 52 ± 14.7 years. The hypertensive nephrosclerosis was the most frequent cause of chronic kidney disease (31.1%). The average HGS was among 32.0 ± 8.7kgf in men and 20.7 ± 6.1kgf in women (p<0.001). 11.3% of men and 21.7% of woman were classified as moderatey malnourished by SGA, 31.8% and 34.8% of men and women, respectively, were classified with low muscle function. Low HGS was associated with time on hemodialysis for men and showed good sensitivity (73.3%) and specificity (74.7%) for malnutrition diagnosis. In multiple logistic regression analysis, low-power handgrip strength prevalence was two times higher (PR =2.00, 95% CI: 1.19 to 3.34) for patients classified as moderate malnourished by SGA. CONCLUSION: This study showed high prevalence of low muscle function and good association between HGS and SGA in patients with chronic kidney disease on hemodialysis classified by dynamometry. It is suggested that HGS, an inexpensive and noninvasive measurement, can be used in clinical practice as a screening tool of nutritional status. It is sensitive for malnutrition diagnosis.Item Estado nutricional de ferro de lactentes atendidos em unidades básicas de saúde(Universidade Federal de Goiás, 2015-02-09) Carvalho, Beatriz Assis; Hadler, Maria Claret Costa Monteiro; Peixoto, Maria do Rosário Gondim; http://lattes.cnpq.br/6813295858384008; Cardoso, Marly Augusto; Martins, Karine Anusca; Hadler, Maria Claret Costa MonteiroTo evaluate the nutritional status of iron and its related factors in children 12 to 15 months assisted in Health Units in Goiânia, Goiás. METHODS: This is a cross-sectional study nested in research "Effectiveness of home fortification with vitamins and minerals in the prevention of iron deficiency and anemia in children under one year of age: a multicenter study in Brazilian cities ". The study was conducted with 230 children, aged between 12 and 15 months, assisted in Health Units in Goiânia, from June 2012 to February 2013. The prevalence of iron deficiency, iron deficiency anemia and anemia were assessed by the plasma means concentration of ferritin and transferrin receptor, hemoglobin and C-reactive protein. Multiple linear regression was used to estimate the effect of independent variables on the log plasma concentrations of ferritin. These variables were socioeconomic, demographic, maternal, pregnancy, anthropometric, breastfeeding, use of supplement, and biochemical parameters. RESULTS: Regarding the iron status, iron deficiency and iron deficiency anemia prevalence was 14.1% and 1.5%, respectively. Also, anemia prevalence was 5.6% of the infants studied. The predictors of ferritin were folate, vitamin B12 and the use of iron supplement at the time of collection, which each unit raised the log plasma concentration of ferritin in 0.009 mg/L, 0.001 mg/L and 0.315 mg/L, respectively. CONCLUSION: The results of this study showed low prevalence of iron deficiency and anemia in children studied. The use of iron supplements and serum concentrations of vitamin B12 and folate correlated ferritin concentrations and consequently the iron status in this population. Keywords: Iron Deficiency; Ferritins; Receptors, transferrin; Folic Acid; Vitamin B 12; Infant.Item Fatores associados à não adesão e à não aceitação da alimentação escolar por alunos de escolas públicas de tempo integral(Universidade Federal de Goiás, 2015-12-07) Carvalho, Nágila Araújo de; Sousa, Lucilene Maria de; http://lattes.cnpq.br/3991646903823700; Díaz, Mário Ernesto Piscoya; http://lattes.cnpq.br/8921949936090276; Martins, Karine Anusca; http://lattes.cnpq.br/8697079749159115; Martins, Karine Anusca; Peixoto, Maria do Rosário Gondim; Correia, Márcia Helena SacchiThe basic education has advanced towards full-time education, the student staying longer in school, increasing the number of meals served and the need to adapt the institutions to the new reality of school meals. The aim of the study was to identify adherence and acceptance to food and analyze the factors associated with non-adherence and non-acceptance of students from public schools full-time Goiânia. Cross-sectional study with students from six to 14 years in public school full-time. The consumption of meals on issues were investigated, served preparations, food distribution, food external to school and socioeconomic data, including nutritional assessment of students. Adherence to meals (snacks in the morning and afternoon and lunch) was defined as the effective consumption of four to five times / week and acceptance, this is the approval meals, by means of hedonic face five-point scale with cutoff 85.0%, being lower in mid-morning snack. Poisson regression performed to identify factors associated with non-adherence and non-acceptance of meals. Attended by 359 students, most were eutrophic, had six to 10 years old, belonging to the class C and mothers had nine years or more of study. Adherence was high for lunch and afternoon snack and low for a snack in the morning and for three meals together. The acceptance did not reach 85.0% in any of the meals. Factors associated with nonadherence were number of persons above four at home, consumer place the refectory, and the same uncomfortable and the negative evaluation of utensils. Factors associated with non-acceptance were age >10 years, female gender, the negative evaluation of utensils and inadequate food temperature. Most students adhered for lunch and afternoon snack, but not at the morning snack. Non-adherence and rejection were associated to demographic, social and related to food in schools. A monitoring of the program is essential if public resources invested appropriately, directed to public needs to which they relate. Acceptability tests are needed periodically including the assessment of adherence.Item Excesso de peso e fatores associados em crianças de 12 a 59 meses(Universidade Federal de Goiás, 2014-02-10) Castro, Hérica Letícia Oliveira; Peixoto, Maria do Rosário Gondim; http://lattes.cnpq.br/6813295858384008; Jaime, Patrícia Constante; Monego, Estelamaris Tronco; Peixoto, Maria do Rosário GondimChildhood obesity is one of the most serious issues concerning the early 21st century public health. Recent studies carried out with children under five years old in some Brazilian capitals have revealed excess weight prevalence higher than 10%. Factor associated with excess weight for children at such ages have not been clearly established yet. The objective of this study was to assess the prevalence and factors associated to overweight children through a demographic, house-hold survey, cross-sectional study carried out with 12 to 59-month-old 624 children resident in the urban area of Goiânia, GO. The excess weight was established through Body Mass Index for age higher than two z-scores above the average anthropometric standard by World Health Organization. The independent variables studied were: economy class, maternal education level, maternal obesity, birth weight, time spent watching television, habit of eating in front of the television, breast feeding and number of meals The analysis regarding the association of independent variables with excess weight was conducted through raw data logistic regression and multiple logistic regression according to hierarchical model. The measure for association was the Odds Ratio, 95% confidence interval. Variables presenting 5% significance level remained in the final model. Percentages were 10.7% for the prevalence of excess weight and 20.9% for the risk of overweight. Factors associated with excess weight were economy class A/B (OR = 1.73; IC 95% 1.09; 2.74) and time spent in front of the television greater than or equal to three hours (OR = 1.85; IC95% 1.00; 3.41). The prevalence of excess weight was high, children from economy classes A/B as well as children who spend greater time in front of the television presented the highest percentages. Strategies to reverse this scenario should involve improved nutritional care in order to promote healthy eating habits and encourage a less sedentary lifestyle.Item Efeito de um extrato de ervas sobre a ingestão alimentar e concentrações de grelina acilada e peptídeo semelhante ao glucagon 1 em mulheres com excesso de peso(Universidade Federal de Goiás, 2016-02-05) Celestino, Marina Monteiro; Botelho, Patrícia Borges; http://lattes.cnpq.br/1410018547168121; Mota, João Felipe; http://lattes.cnpq.br/7179509845172692; Mota, João Felipe; Pimentel, Gustavo Duarte; Bressan, Josefina; Cunha, Juliana da; Peixoto, Maria do Rosário GondimOverweight and obesity are associated with excessive food intake, due to changes in the productions of gastrointestinal hormones productions. Objectives: To evaluated the effect of a herbal extract derived from native species of South America on food intake, acylated ghrelin concentrations and peptide similar to glucagon 1. Material and methods: A randomized, blind, placebo-controlled, crossover design methodology, with intervention in two days with an interval (washout) seven days, consisted of 20 overweight women. Three capsules a mix of herbal medicines were administered, containing 112 mg of yerba mate, guarana 95 mg and 36 mg of damiana, or three placebo capsules containing 100 mg of lactose. The herbal extract was administered 15 minutes before a standardized breakfast (494.50 kcal, carbohydrates 52.67%, 12.91% protein and 34.5% lipid) and a standard lunch (632.05 kcal, 61, 67% carbohydrates, 16.97% protein and 21.44% lipid) for all patients. Food not eaten by the participants was weighed to evaluated food intake. Blood samples were collected at baseline and on days 45, 60, 90, 150, 210 minutes after breakfast in the morning and lunch for determination of plasma glucose concentrations, acylated ghrelin and peptide similar to glucagon 1. To compare the differences of the mean energy food intake and macronutrient was performed paired t-test, for the behavior of hormones was performed ANOVA and was calculated area under the curve and to determine the differences between the areas was performed Student's t test. Results: In the supplemented group, there was significant reduction in energy intake at lunch and macronutrients in both meals (p <0.05). The acylated ghrelin concentrations were lower after breakfast (p <0.05) and glucagon-like peptide 1 were higher (p <0.05) after breakfast in the supplemented group. Conclusion: Supplementation with herbal mix reduced energy intake and macronutrients by the modulating hormones glucagon-like 1 and acylated ghrelin in overweight and obesity women.