Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-02-25T16:09:05Z No. of bitstreams: 1 TES_MILENE_AMARANTE_PUFAL_COMPLETO.pdf: 3351652 bytes, checksum: 18719dbe6ab9f8b91edc3ed601c97c67 (MD5) / Made available in DSpace on 2016-02-25T16:09:05Z (GMT). No. of bitstreams: 1 TES_MILENE_AMARANTE_PUFAL_COMPLETO.pdf: 3351652 bytes, checksum: 18719dbe6ab9f8b91edc3ed601c97c67 (MD5) Previous issue date: 2015-12-10 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Background: Bariatric surgery patients are counseled to change their lifestyle behaviors. It is reasonable to presume that, by sharing the same environment, the child will be exposed to a healthier environment. Objective: To compare phenotypic and behavioral characteristics between children born to obese mothers before (BMS) or after (AMS) bariatric surgery. Methods: This retrospective cohort study made comparisons between these two groups regarding phenotyping and behavioral data. Results: The sample consisted of 101 participants aged 0 - 12 years, 67 BMS and 34 AMS. All were predominantly sedentary and reported eating an excess of total energy above estimated needs, with no difference between groups (BMS median = 569 kcal, IQR = 1,185; AMS median = 245 kcal, IQR = 1,055; P =.18). Consequently, there was a high prevalence of overweight (Percentile ? 85) in both groups (BMS N = 40, 59.7%; AMS N = 18, 52.9%, P = .52), as well as elevated abdominal and arm circumferences. Additionally, children in both groups reported a deficit in daily calcium intake. Conclusions: Despite mothers? guidance for lifestyle changes after bariatric surgery, the children in our sample reported multiple obesogenic environmental conditions, such as poor behavioral characteristics and, high prevalence of overweight. / Introdu??o: Os pacientes submetidos ? cirurgia bari?trica s?o aconselhados e recebem orienta??es para mudar seus comportamentos de estilo de vida. ? razo?vel presumir que, dividindo o mesmo ambiente, a crian?a vai estar exposta a um ambiente familiar mais saud?vel. Objetivo: Comparar comportamentos das crian?as em rela??o a sua dieta e atividade f?sica para avaliar desfechos fenot?picos entre crian?as que nasceram antes da cirurgia materna (ACM) e depois da cirurgia materna (DCM) e verificar se o procedimento de perda de peso da m?e mudou comportamento da crian?a. Metodologia: Este estudo de coorte retrospectiva realizou compara??es entre os grupos ACM e DCM a respeito de dados antropom?tricos, alimentares e de atividade f?sica. Resultados: A amostra consistiu em 101 participantes com idades entre 0 e 12 anos, N = 67 ACM e N = 34 DCM. Todos eram predominantemente sedent?rios e reportaram ingerir um excesso de energia total acima das necessidades nutricionais recomendadas para a idade e g?nero baseadas nas refer?ncias de ingest?o diet?ticas (Dietary Reference Intakes, DRIs), sem diferen?a entre os grupos (ACM mediana = 569 kcal, AIQ = 1.185; DCM mediana = 245 kcal, AIQ = 1.055, P = 0,18). Consequentemente, observou-se uma alta preval?ncia de excesso de peso (Percentil ? 85) em ambos os grupos (ACM N = 40, 59,7%; DCM N = 18, 52,9%, P = 0,52), bem como elevadas circunfer?ncias abdominal e do bra?o. Conclus?o: Apesar das orienta??es ? m?e quanto as mudan?as necess?rias de estilo de vida ap?s a cirurgia bari?trica, os dados de nossa amostra relataram m?ltiplas condi??es obesog?nicas no ambiente familiar das crian?as, como pobres caracter?sticas comportamentais e, consequentemente, alta preval?ncia de excesso de peso.

Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2017-03-10T17:36:34Z No. of bitstreams: 1 DIS_LUIZA_TWEEDIE_PRETO_PARCIAL.pdf: 645308 bytes, checksum: 59b117ab09fe659d0d1117f64ec1aca3 (MD5) / Made available in DSpace on 2017-03-10T17:36:34Z (GMT). No. of bitstreams: 1 DIS_LUIZA_TWEEDIE_PRETO_PARCIAL.pdf: 645308 bytes, checksum: 59b117ab09fe659d0d1117f64ec1aca3 (MD5) Previous issue date: 2016-08-31 / Introduction: During the fetal period and early infancy, the person is more influenced by environmental factors that may have permanent health consequences, such as obesity. Most of the available evidences evaluate the association of environmental factors with body mass index, despite the known limitations of this evaluation. Objective: this paper objective is to analyze the associations between fat percentage and the risk factors from the prenatal period. Methods: It was studied 225 students aged 5-18 years from Porto Alegre and Canela using verbal communication. The participants and their officials answered questionnaires about demography, socioeconomic data, related to stress factors and the measurement of the percentage of fat through bioimpedance analysis. The associations between fat percentage and stress factors (inadequate gestational weight gain, maternal smoking, low birth weight, cesarean section, gestational birth age, duration of breastfeeding, sleep time in the first year of life, diagnosis of chronic diseases and use of corticoids in the first year of life and in the last 12 months) were evaluated using the unique variation and multivariable linear Generalized model. Results: Of the 225 subjects enrolled, 94 (42%) were male and the average age was 9 ? 3 years. The use of corticosteroids during the first year of life and in the last twelve months were the only factors that had a significant association with the fat percentage in the unique variation regression model (OR 1.29, 95% CI 1.01 to 1.49; P = 0.003; OR 1.30, 95% CI 1.09 -1.54; P = 0.002), respectively. In the multivariate model, only the use of corticosteroids in the last year remained significant (OR 2.98; 27.01 -7.00; P = 0.012). Conclusion: The use of corticosteroids is associated with excess fat percentage in children and adolescents. / Introdu??o: Durante o per?odo fetal e a primeira inf?ncia, o indiv?duo ? mais sucess?vel ? influ?ncia dos fatores ambientais que podem ter consequ?ncias permanentes para a sa?de, como a obesidade. A maioria das evid?ncias dispon?veis avaliou a associa??o dos fatores ambientais com o ?ndice de massa corporal, apesar das limita??es conhecidas desta avalia??o. Objetivo: analisar as poss?veis associa??es entre percentual de gordura e os fatores de risco desde o per?odo pr?-natal. M?todos: Foram inclu?dos 225 estudantes, com idades de 5 a 18 anos, de Porto Alegre e Canela, mediante a comunica??o verbal. Os participantes e os respons?veis responderam question?rios sobre dados demogr?ficos, socioecon?micos e relacionados aos fatores estressores e ? aferi??o do percentual de gordura atrav?s da an?lise da bioimped?ncia. As associa??es entre o percentual de gordura e os fatores estressores (ganho de peso gestacional inadequado, tabagismo materno, baixo peso ao nascer, ces?rea, idade gestacional do nascimento, tempo de amamenta??o, tempo de sono no primeiro ano de vida, diagn?stico de doen?as cr?nicas e uso de corticoide no primeiro ano de vida e nos ?ltimos 12 meses) foram avaliadas por meio do modelo de regress?o linear (Generalized linear model) univariado e multivari?vel. Resultados: Dos 225 participantes inclu?dos, 94 (42%) eram do sexo masculino, e a m?dia da idade foi de 9 ? 3 anos. A utiliza??o de corticoides durante o primeiro ano de vida e nos ?ltimos doze meses foram os ?nicos fatores que apresentaram uma associa??o significativa com o percentual gordura no modelo de regress?o univariada (OR 1,29; IC95% 1,01 ? 1,49; P=0,003; OR 1,30; IC95% 1,09 ?1,54; P=0,002), respectivamente. J? no modelo multivari?vel, apenas o uso de corticoides no ?ltimo ano permaneceu significativo (OR 2,98; 1.27 -7,00; P=0,012). Conclus?o: O uso de corticoides est? associado ao excesso de percentual de gordura nas crian?as e adolescentes.