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Prevalência da contaminação e avaliação dos fatores de risco para enteroparasitos em hortaliças de Fortaleza-Ceará / Prevalence of contamination and assessment of risk factors for intestinal parasites in vegetables in Fortaleza-CearáLeite, Alexandro Iris January 2000 (has links)
LEITE, Alexandro Iris. Prevalência da contaminação e avaliação dos fatores de risco para enteroparasitos em hortaliças de Fortaleza-Ceará. 2000. 110 f. Dissertação (Mestrado em Saúde Pública) - Universidade Federal do Ceará. Faculdade de Medicina, Fortaleza, 2000. / Submitted by denise santos (denise.santos@ufc.br) on 2013-11-07T13:11:48Z
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Previous issue date: 2000 / The present study has the goal to determine the prevalence of enteric parasites on vegetables, more specifically the lettuce (Lacuta sativa) from commercial or collective vegetable gardens of the city of Fortaleza, located in Northeastern Brazil, and to associate the findings with the environmental factors, the hygienic-sanitation conditions and the socio-economic situations locally. Initially, 165 vegetable gardens were identified spread over the city, of which, 57 were randomly chosen to have 5 unit samples examined, reaching a total of 285 vegetable units analyzed from each vegetable garden from July/99 to May/00. A unit sample was considered the whole plant independent of the size or weight. The parasite search was done through the spontaneous sedimentation in water and the centrifugal-flotation on zinc sulfate used to wash the units. A questioner was used to obtain the epidemiological data. In 100% of the vegetable gardens, at least one unit was contaminated. The following parasites were found on 73.3% of lettuces: Strongyloides sp (66,7%), ancylostomideous (17.5%), Ascaris lumbricoides (3.2%), Entamoeba sp, Trichuris sp, Isospora sp, Iodameba butschi (1.1%); Taenia sp, Toxocara sp (0.7%) and Shistosoma mansoni (0.4%). Among the positive samples, 54.4% had one single species and 18.9% had 2 or 3 different parasites identified. The Strongyloides prevalence presented statistical significance (p<0.05) for the absence of vegetables cleaning before exit and for worker’s age, and income. The other risk factors such as untreated irrigation water, proximity to pools and pollutes, accentuated ground sloping, the usage of untreated organic fertilizer, the presence of flying vectors and domestic animals, and the inexistence of inappropriate place for fecal evacuation by the workers, reached no statistic significance, despite the possible contribution to the elevated numbers that were found; that was probably related to the homogeneous ecologic conditions observed in the majority of the kitchen gardens studied. / O presente trabalho teve como objetivo determinar a prevalência de enteroparasitos em hortaliças, mais especificamente a alface (Lactuca sativa) de hortas comerciais e de uso coletivo no município de Fortaleza-CE e associá-la aos fatores ambientais, higiênico-sanitários e sócio-econômicos locais. Inicialmente foram cadastradas, através de um censo, 165 hortas em Fortaleza, dentre as quais 57 foram escolhidas aleatoriamente para o estudo. Cinco unidades de alface (Lacuta sativa) foram obtidas por horta, totalizando uma amostra de 285 hortaliças. Considerou-se como unidade amostral, 01 pé ou touceira, independente do peso ou tamanho, colhidas ao acaso. O exame parasitológico das unidades foi realizado através do método de sedimentação espontânea em água e o de centrífugo-flutuação em sulfato de zinco empregados ao lavado das hortaliças e um questionário foi utilizado para obtenção dos dados epidemiológicos. Em 100% das hortas estudadas, uma ou mais amostras estavam contaminadas com enteroparasitos. Foi encontrada uma positividade em 73,3% das amostras de alface examinadas, sendo diagnosticados ovos e larvas de helmintos e cistos de protozoários, dentre estes: Strongyloides sp (66,7%), Ancilostomídeos (17,5%), Ascaris lumbricoides (3,2%), Entamoeba sp, Trichuris sp, Isospora sp, e Iodameba butschilii (1,1%); Taenia sp e Toxocara sp (0,7%); e Shistosoma mansoni (0,4%). Dentre as amostras parasitadas, 54,4% apresentaram uma espécie de parasito, enquanto que 18,9% apresentaram duas ou três. A prevalência de Strongyloides sp apresentou significância estatística (p<0,05) apenas para idade e renda dos trabalhadores das hortas. Os demais fatores como uso de água não tratada na irrigação, proximidades com coleções hídricas e poluentes, solos com declives acentuados, uso de adubo orgânico sem nenhum tipo de tratamento, presença de vetores e animais domésticos e inexistência de local adequado para os trabalhadores das hortas evacuarem, apesar de poderem ter contribuído para a elevada prevalência observada, não atingiram significância estatística. Tal fato pode ser explicado pela homogeneidade das condições ecológicas que foram precárias na maioria das hortas.
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Factores asociados al consumo de frutas y verduras en Perú: Sub-análisis de la ENDESMuedas, José 10 April 2020 (has links)
Objetivo: Evaluar el consumo de frutas y verduras en una población peruana mayor de 15 años en adelante.
Diseño: Se realizará un estudio exploratorio, que consiste en realizar un análisis secundario de la base de datos del estudio poblacional tipo transversal que proviene de la Encuesta Demográfica y de Salud Familiar (ENDES), realizada en los últimos años.
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Percepções sobre o consumo de frutas e hortaliças entre usuários do Programa Academia da Saúde em Belo Horizonte – MGFigueira, Taís Rocha January 2015 (has links)
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Previous issue date: 2015 / Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Belo Horizonte, MG, Brasil / O consumo adequado de frutas e hortaliças (FH) tem sido apontado como um dos fatores de proteção de doenças crônicas não transmissíveis, como enfermidades cardiovasculares, diabetes e obesidade. Apesar das evidências e orientações para a ingestão deste grupo de alimentos, o seu consumo é ainda bastante limitado. Esta situação expõe a necessidade de investigar os determinantes do consumo de FH visando o melhor delineamento das práticas educativas e de promoção da saúde. Para cumprir este objetivo, realizou-se uma pesquisa qualitativa em seis polos do Programa Academia da Saúde em Belo Horizonte, Minas Gerais.
Participaram da pesquisa 62 usuários maiores de 20 anos e responsáveis pela aquisição e/ou preparo dos gêneros alimentícios no domicílio. Os dados foram coletados por entrevista semiestruturada, incluindo questões relativas às práticas alimentares na família, consumo e aquisição de FH. As entrevistas foram gravadas, transcritas na íntegra e tiveram duração média de 30 minutos. A análise de conteúdo foi desenvolvida com auxílio do software NVivo10. O consumo de FH era estimulado
principalmente pelo seu efeito benéfico sobre a saúde, capacidade em prevenir/controlar doenças e paladar. Já os facilitadores para o consumo de hortaliça
relatados foram: ser considerada como parte da refeição, criação e origem familiar,
melhoria da situação financeira, comércio próximo e desenvolvimento de estratégias
de compra. Com relação aos fatores dificultadores do consumo, destacaram-se:
comércio inadequado, baixo poder aquisitivo, preço, carência de iniciativas públicas,
falta de tempo, preguiça, fruta ser considerada apenas como uma alternativa
alimentar e não realizar o jantar. As FH eram adquiridas em comércios de bairros,
havendo necessidade de melhoria desses estabelecimentos em relação à distribuição geográfica, qualidade dos produtos, preço e higiene. Verificou-se que, quando os aspectos nutricionais das FH eram valorizados pelos entrevistados, o
conhecimento básico que possuíam sobre alimentação e saúde era considerado
insuficiente, surgindo a demanda pelo aprofundamento dos saberes. A dificuldade
em lidar com a multiplicidade de informações sobre o tema gerava sentimentos de
desconfiança, incompetência para selecionar os alimentos e desejo por orientação
especializada individual. Estes resultados apontam para a necessidade de estimular
a construção de sentidos para o consumo de FH que não se restrinjam ao discurso
saúde-doença; problematizar questões sobre o consumo de FH que geram inquietações, desconfianças e insegurança; estabelecer canais de comunicação confiáveis; ampliar habilidades culinárias para o preparo de receitas baratas, práticas e palatáveis; qualificar o comércio local; e ampliar o acesso às FH pelo desenvolvimento ou fortalecimento de políticas públicas e tecnologias que promovam conveniência. / Consumption of adequate amounts of fruits and vegetables (FV) has been considered as one of the protective factors of chronic diseases such as cardiovascular diseases, diabetes and obesity. However, despite the evidence and guidelines to encourage the intake of this food group, its consumption has been very limited. This exposes the need to investigate the determinants of FV consumption for a better design of educational and health promotion practices. To fulfill this goal, a qualitative study was made in six groups of the Health Academy Program in Belo Horizonte, Minas Gerais. There were 62 participants. Data was collected through semi-structured interview, whose script included questions relating to eating habits in the family, consumption and acquisition of FV. The interviews were recorded, transcribed and had an average duration of 30 minutes. The content analysis was developed with the use of NVivo10 software. The consumption of fruits and
vegetables was mainly stimulated by the beneficial health effects, ability to prevent / control diseases, taste, vegetable be considered as part of the meal, creation and family background, improving the financial situation, next trade and development purchasing strategies. Regarding the barriers, the highlights were: inadequate trade, low purchasing power, price, lack of public enterprises, lack of time, laziness, fruit be considered only as a food alternative and not do dinner. Fruits and vegetables were acquired in trades neighborhoods, and it is necessary improvement of these establishments in the geographical distribution, product quality, price and hygiene. It was found that as the nutritional aspects of FV gain value among respondents, existing knowledge about the relationship between health and FV consumption is seen as insufficient, resulting in the demand for the deepening of knowledge. The difficulty in dealing with this information generates feelings of distrust, inability to select foods and desire for individual expert guidance. Considering the results, there was the need to stimulate the construction of meaning for consume FV that are not limited to discourse of health and disease; discuss issues on the FV consumption that generate uneasiness, mistrust and insecurity; establish channels of reliable sources; enlarge culinary skills to prepare cheap, practical and palatable recipes; qualifying local businesses; expand access to FH through the development or strengthening of public policies and investment in technologies that ensure
convenience.
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Etapas del cambio, motivaciones y barreras relacionadas con el consumo de frutas y verduras y la actividad física en madres de preescolares atendidas en centros de atención primaria de saludMeléndez I., Lorena 04 1900 (has links)
Proyecto de tesis para optar al grado de magíster en ciencias de la nutrición y alimentos, mención promoción de salud y prevención de enfermedades crónicas no transmisibles / Para diseñar intervenciones efectivas que contribuyan a la prevención de la obesidad
infantil, se determinaron las etapas del cambio de conducta y la percepción de motivaciones
y barreras para consumir 5 porciones diarias de frutas y verduras y realizar actividad física
en 323 madres de preescolares atendidas en Centros de Atención Primaria de Salud,
mediante la aplicación de una encuesta validada en estudios previos. Sólo el 5% de ellas
consumía 5 o más porciones diarias, la mayoría (61,3%) consumía 1 a 2 porciones.
Principales motivaciones para comer 5 porciones fueron: “me gustan”, “para perder peso”.
Principal barrera “se me olvida comerlas”. En actividad física, el 33,1% señaló encontrarse
en la etapa de mantenimiento y el 18,9% en acción. Principales motivaciones: “me hace
sentir bien”, “para perder peso”. Principal barrera: “no tengo tiempo”. Se sugiere que las
intervenciones educativas consideren las actitudes y creencias de las madres, para ser más efectivas / In order to design effective interventions for childhood obesity prevention, the stages of
change, motivations and barriers related to the consumption of five daily portions of fruit
and vegetables and physical activity were determined in 323 preschool mothers attending
Primary Health Centers, through the application of a previously validated survey. Only 5%
of them consumed 5 or more portions, the majority (61.3%) consumed 1 to 2 portions. The
main motivations to eat 5 portions were: “I like them” and “To lose weight”. The main
barrier was “I forget to eat them”. With respect to physical activity, 33.1% considered
themselves on the maintenance stage and 18.9% on the action stage. Main motivations
were: “Makes me feel good”, “To lose weight”. Main barrier: “I don’t have time”. It is
suggested that educational interventions consider the mother attitudes and beliefs, to be
more effective.
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Ingesta de frutas, verduras y sus motivaciones, barreras para consumir 5 porciones al día en los estudiantes de Nutrición de la Universidad Nacional Mayor de San MarcosUrbe Marquez, Robert Edinson January 2015 (has links)
Introducción: El bajo consumo de verduras y frutas se encuentra dentro de los 10 principales factores de riesgo de mortalidad en el ámbito mundial. La FAO y la OMS recomiendan consumir 5 porciones entre frutas y verduras al día para la prevención de enfermedades. El consumo promedio de frutas por día a nivel nacional en personas mayores de 15 años es de 1.9 porciones al día, mientras que el de verduras es 1.1. La reducción observada en el consumo de frutas y verduras en Latino América es parte de la llamada «modernización» de los patrones de alimentación. Objetivo: Determinar la ingesta habitual diaria de frutas y verduras, y las Motivaciones y Barreras para consumir “5 al día” en estudiantes de Nutrición de la Universidad Nacional Mayor de San Marcos 2014. Diseño: Estudio descriptivo, observacional, transversal. Participantes: 280 estudiantes universitarios de 1ro a 5to año matriculados en el periodo 2014 de la Escuela académico Profesional de Nutrición. Según la fórmula para proporciones se obtuvo una muestra de 162 estudiantes, los cuales fueron elegidos según muestreo aleatorio simple. Intervención: Se aplicó el cuestionario de consumo de frutas y verduras para clasificarlos según nivel de consumo y se aplicó el cuestionario de motivaciones y barreras para consumir 5 porciones de frutas y verduras al día para conocer su nivel de motivación y barrera. Principales medidas de resultados: consumo habitual de frutas y verduras, nivel Motivación y Barrera. Resultados: Se encontró un consumo habitual promedio de frutas y verduras de 3 porciones al día. Siendo catalogado como un nivel regular. El nivel de motivación para el consumo es alta y el nivel de barreas es medio. La principal motivación es “porque me brindan vitaminas y minerales” y la principal barrera es “poca publicidad a estos alimentos”. Conclusiones: El consumo de frutas y verduras es de 3 porciones al día, mientras que el nivel de motivación que presentan para consumir 5 porciones de frutas y verduras al día es alto. / Introduction: Low consumption of fruits and vegetables is within the 10 leading risk factors for mortality at the global level, FAO and who recommend eating 5 portions between fruits and vegetables a day for the prevention of diseases. The average consumption of fruit per day nationwide in people older than 15 years is 1.9 parts per day, while that of vegetables is 1.1. The reduction observed in the consumption of fruits and vegetables in Latin America is part of the so-called "modernization" of feeding patterns. Objective: To determine the usual daily intake of fruits and vegetables, and the motivations and barriers to consume "5 a day" in students of nutrition of the University national greater San Marcos 2014 design: descriptive, observational, cross-sectional study. Participants: 280 college students from 1st to 5th year enrolled in the period to 2014 school nutrition professional academic. According to the formula for ratios was obtained a sample of 162 students, which were chosen according to simple random sampling. Intervention: The questionnaire of consumption of fruits and vegetables was applied to classify them according to level of consumption and applied the questionnaire of motivations and barriers to consume five servings of fruits and vegetables a day to learn their level of motivation and barrier. Main outcome measures: regular consumption of fruits and vegetables, motivation and barrier level. Results: Found an average regular consumption of 3 servings a day of fruits and vegetables. Being listed as a regular level. The level of motivation for consumption is high and the level of barriers is average. The main motivation is "because they give me vitamins and minerals" and the main barrier is "little publicity to these foods" conclusions: The consumption of fruits and vegetables is 3 servings a day, while the motivation to consume five servings of fruits and vegetables per day is high.
Keywords: body mass index, physical activity level, sports infrastructure, teenagers.
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Factores asociados al consumo de frutas y verduras en Argentina: un estudio multinivel^ies / Factors associated with the consumption of fruits and vegetables in Argentina: a multilevel studySilva, Heloisa Helena da Cruz Ferreira January 2015 (has links)
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Previous issue date: 2015 / Objetivo: Describir el consumo de frutas y verduras y su asociación con los factores socioeconómicos, demográficos y de actividad física, buscando explorar cuáles serían los factores que mejor explican el consumo de alimentos saludables individuales y sus diferencias entre las distintas poblaciones de las provincias y regiones argentinas.Metodología: Se analizó la información de 32.915 individuos entrevistados por la Encuesta Nacional de Factores de Riesgo (ENFR), 2013. El análisis del efecto de las variables individuales y contextuales fue medido a partir de la utilización de un modelo multinivel, construido en tres niveles de análisis: para la conformación del primer nivel se consideró la información relacionada a las características socioeconómicas y demográficas de los individuos seleccionados por la ENFR, como segundo nivel las variables provinciales provenientes de los censos nacionales y de la ENFR y en el tercer nivel las variables agrupadas a nivel de región, disponibles en la ENFR. (...) Conclusión: En este análisis fue posible observar un efecto, aunque pequeño, de la variabilidad explicada a nivel provincial y regional en el consumo de frutas y verduras, a pesar de que las variables socioeconómicas y demográficas provinciales elegidas no tuvieron gran poder explicativo sobre el resultado encontrado. El ejercicio aquí planteado abre una futura línea de investigación que ahondará en los determinantes de esa variabilidad, siendo necesario explorar que variables de nivel 2 y 3, o incluso variables con menor nivel de desagregación (departamental, municipal o barrial), pueden ayudar a recoger características de estos contextos y cuya presencia pueden contribuir a la reducción de la variabilidad de consumo de frutas y verduras no explicada hasta el momento. (AU)^ies / Objective: To describe the consumption of fruits and vegetables and its relation to socioeconomics, demographics and physical activity, aiming at exploring be the factors that better explain the individual healthy food consumption and its differences among the distinct populations in Argentina s provinces and regions.Methodology: Data from 32.915 persons interviewed by the National Poll on Risk Factor (ENFR) 2013 have been analyzed. The analysis of the effect of both individual and contextual variables was measured by using a multilevel model, built on three analysis levels: for the conformation of the first level, it has been considered the information related to the socio-economic and demographic characteristics from the individuals selected by the ENFR; for the second level, the provincial variables from the national census and the ENFR; and for the third level, the variables gathered at regional level from the ENFR. (...) Conclusion: From this analysis, it could be observed the effect, even though low, of the variability observed at provincial and regional level on fruits and vegetables consumption, despite the fact that the selected socioeconomic and demographic provincial variables did not have a great explanatory power on the results. The hereby proposed exercise opens a future research line that can deepen those variables determinants, making it necessary to explore which variables at levels 2 and 3, or also variables with a lower disaggregation level (at departmental, municipal or neighborhood level) can help to gather those context features and whose presence can contribute to the reduction of the variability of fruits and vegetables consumption not explained until the moment. (AU)^ien
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Composição e bioacessibilidade in vitro dos carotenóides em alimentos / Composition and in vitro bioacessibility of carotenoids in foodsOliveira, Giovanna Pisanelli Rodrigues de 17 August 2018 (has links)
Orientador: Delia B. Rodriguez-Amaya / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Engenharia de Alimentos / Made available in DSpace on 2018-08-17T10:56:11Z (GMT). No. of bitstreams: 1
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Previous issue date: 2011 / Abstract: Carotenoids are among the phytochemicals of greater interest in terms of human health benefits. Brazil has the largest database on carotenoid concentrations, but studies on bioavailability are lacking. Chapter 1 is a review of the literature describing the mechanism of digestion, transport and absorption of carotenoids, the factors that can affect bioavailability and the in vivo and in vitro methods used for determining bioavailability. In vitro methods have been developed to determine bioaccessibility of carotenoids rapidly and inexpensively, but comparative evaluation of the different methods has not been carried out. Chapter 2 presents a comparison of the results obtained by a methodology for the determination of bioaccessibility in vitro and with modifications suggested to simulate human physiology better. The bioaccessibility of the carotenoids of carrot, tomato, and raw and cooked New Zealand spinach was, in general, significantly greater when the method of Reboul et al. (2006) was used. The oral phase proposed to integrate the digestion in vitro before the gastric phase did not alter the bioaccessibility of the carotenoids of the samples studied, but the addition of lipase and carboxyl ester lipase increased the bioaccessibility. The homogeneization time also affects significantly the percent micelarization of the carotenoids. Chapter 3 presents the bioaccessibility of commercial and native leafy vegetables, aside from the evaluation of the effect of cooking on bioaccessibility. Among the raw samples analyzed, New Zealand spinach had the highest bioaccessibility for ß-carotene (14%) and lutein (46%), correlating with its low fiber content (2.1 g/100g). The native leaf ¿caruru¿, richer in fiber (4.5 g/100g) had the lowest bioaccessibility for ß-caroteno (2.3%) and for lutein (6.9%). Cooking increased the bioaccessibility for ß-carotene (3.3 to 16% and 14 to 15%, respectively) and lutein (18 to 38% and 46 to 59%, respectively) in kale and New Zealand spinach. The bioaccessibility of carotenoids in fruits and their processed derivatives was studied in Chapter 4. Among the raw fruits, the papaya 'Solo¿ had the highest bioaccessibility for ß-carotene (36%) and ß-cryptoxanthin (39%) and pitanga had the lowest bioaccessibility for these carotenoids (6.3% e 10%, respectively). The percent micelarization of carotenoids was higher in the processed products. In mango, the bioaccessibility for ß-carotene increased from 19% in the raw fruit to 57% in the juice, and in guava , the bioaccessibility of lycopene increased from 1.4% to 27% in ¿goiabada¿. Chapter 5 deals with the bioaccessibility of the Amazonian fruits ¿buriti¿, ¿tucuma¿ and pupunha (raw and cooked). Aside from being excellent sources of provitamin A carotenoids (150, 142, 48 µg/g of ß-carotene for ¿tucuma¿, ¿buriti¿ and ¿pupunha¿, respectively), all three fruits presented greater bioaccessibility of ß-carotene than those of the fruits analyzed in the previous chapter, the cooked¿pupunha¿ having the highest percentage (40%). Chapter 6 provides inforrmation about the bioaccessibility of pitanga pulp and pitanga microencapsulated with different wall materials to protect the carotenoids from oxidative degradation. Lycopene had low bioaccessibility (1%) in all samples analyzed. Lutein was the most bioaccessible carotenoid in all samples (6 a 21%). Micelarization with maltodextrin substantially decreased the bioaccessibilitiy of all the carotenoids, while there was practically no loss of bioaccessibility with gum Arabic. The modified starch had an intermediate effect / Doutorado / Doutor em Ciência de Alimentos
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Estudio Cualitativo: Prácticas de consumo de frutas y verduras durante la nueva normalidad por el COVID-19 en los estudiantes de la facultad de ingeniería de una universidad privada de Lima, Perú 2020Aquipucho, Gabriela, Barrenechea, Cristina, Gonzales Muñoz, Luis, Medrano, César, Perez, Melanie, Kristina, Irene, romaña, renzo 23 October 2020 (has links)
Objetivo: Explorar las prácticas de consumo de frutas y verduras durante la nueva normalidad por el COVID-19 en los estudiantes de la facultad de ingeniería de una universidad privada de Lima.
Diseño: Es de tipo cualitativo y el diseño de estudio es fenomenológico. Que su propósito principal es explorar, describir y comprender las experiencias de las personas con respecto a un fenómeno y descubrir los elementos en común de tales vivencias.
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Asociación entre el consumo de frutas y verduras y la calidad del sueño en estudiantes de ingeniería de una universidad privada de Lima-Perú, 2020Aguirre, Sarai, Zuñiga Salas, Daniela 25 May 2020 (has links)
Objetivo: Determinar si existe asociación entre el consumo de frutas y verduras y la calidad del sueño de los estudiantes de ingeniería civil de una universidad privada de Lima. Metodología: Estudio transversal, observacional y exploratorio a realizarse entre estudiantes de la carrera de ingeniería civil de la UPC.
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Consumo de frutas, legumes e verduras: relação com os níveis sanguíneos de homocisteína entre adolescentes / Intake of fruits and vegetables: relationship with blood levels of homocysteine among adolescentsBigio, Roberta Schein 29 August 2011 (has links)
Introdução: Frutas, legumes e verduras (FLV) contêm vários nutrientes com efeitos favoráveis para a saúde humana. Dentre estes, o folato é um dos nutrientes chaves envolvido na manutenção da saúde, com um potencial papel na redução das concentrações plasmáticas de homocisteína (hcy), reconhecido marcador de doença cardiovascular. Objetivos: Investigar o consumo de FLV, segundo características sóciodemográficas, antropométricas e de estilo de vida e relacionar o consumo de FLV e de folato com os níveis sanguíneos de hcy em adolescentes. Métodos: Este estudo utilizou dados de adolescentes de ambos os sexos, faixa etária de 12 a 19 anos, obtidos no Inquérito de Saúde ISA - Capital, realizado periodicamente no Município de São Paulo. O consumo de FLV foi estimado no estudo realizado em 2003, cuja amostra foi de 812 participantes. Para avaliação das relações entre FLV, folato e hcy, foram utilizados dados coletados no segundo ISA-Capital, entre os anos de 2008-2010 com amostra de 183 adolescentes. O consumo de FLV e de equivalentes de folato dietético (DFE), bem como o consumo de folato natural e ácido fólico, foram estimados por um recordatório de 24h. A análise bioquímica das concentrações plasmáticas de hcy foi realizada pelo método de cromatografia líquida. O ponto de corte de hcy plasmática utilizado foi de <8 mol/L para indivíduos com menos de 15 anos e <12 mol/L para indivíduos entre 15 e 19 anos. A concentração média de hcy plasmática foi descrita de acordo com os tercis de consumo de FLV, segundo as características sócio-demográficas, antropométricas e de estilo de vida. Todas as análises estatísticas foram realizadas no STATA® versão 10.0 considerando o nível de significância 5 por cento . Resultados: No primeiro estudo (2003) 20 por cento dos adolescentes não consumiram FLV no dia relatado e 6,5 por cento apresentaram consumo adequado. Renda, escolaridade do chefe da família e tabagismo influenciaram este consumo. Já no segundo estudo (2008-2010), 56 por cento não consumiram FLV e somente 4,9 por cento atingiram as recomendações. A prevalência de hiperhomocisteinemia na população estudada foi de 9,2 por cento . Adolescentes de 12 a 15 anos apresentaram menores valores de hcy (6,9mol/L) em comparação com os de 16 a 19 anos (8,4mol/L). Não foram encontradas diferenças significativas nos níveis plasmáticos de hcy analisados por tercis de consumo de FLV segundo características sócio-demográficas, de estilo de vida e antropométricas. Os alimentos que mais contribuíram com o consumo de DFE foram: pães (38,4 por cento ), seguidos pelo feijão (11,7 por cento ) e massas (10,1 por cento ). Para folato natural os alimentos de maior contribuição foram: feijão (30,3 por cento ), FLV (14,9 por cento ) e pães (14,6 por cento ); e, para o ácido fólico, se destacaram pães (53,3 por cento ), massas (14,6) e biscoitos (9,8 por cento ). Conclusão: O consumo de FLV por adolescentes está muito abaixo das recomendações nas duas amostras estudadas e não influenciou as concentrações plasmáticas de hcy / Background: Fruits and vegetables (FV) contains multiple nutrients with beneficial effects for human health. Among these, folate is one of the key nutrients involved in maintaining health, with a potential role in reducing plasma concentrations of homocysteine (hcy), recognized marker of cardiovascular disease. Objectives: To investigate the FV intake, according to socio-demographic, anthropometric and lifestyle characteristics and to relate the FV and folate intake with blood levels of hcy in adolescents. Methods: This study used data from adolescents of both sexes, aged 12 to 19, enrolled in the Health Survey ISA - Capital, periodically held in São Paulo. The FV intake was estimated in the study conducted in 2003, comprising 812 participants. To assess the relationship between FV, folate and hcy, we used data collected in the ISA Capital, conducted between the years 2008-2010 with a sample of 183 adolescents. The FV intake and dietary folate equivalents (DFE), as well as natural folate and folic acid intake, were estimated by a 24-hour recall. Biochemical analysis of plasma hcy was performed by liquid chromatography. The cutoff point for plasma hcy was <8 mmol/L for individuals younger than 15 years and <12 mmol/L for individuals aged between 15 and 19 years. The average concentration of plasma hcy was described into tertiles of FV intake, according to the socio-demographic, anthropometric and lifestyle characteristics. All statistical analyzes were performed in STATA ® version 10.0 with 5 per cent of significance level. Results: In the first study (2003) 20 per cent of adolescents not consumed FV on day evaluated and only 6.5 per cent had adequate intake. Per capita household income, head of familys level and smoking habit influenced this consumption. In the second study (2008-2010), 56 per cent not consumed FV and only 4.9 per cent met the recommendations. The prevalence of hyperhomocysteinemia was 9.2 per cent . Adolescents aged 12 to 15 years had lower levels of hcy (6.9 mmol/L) compared with 16 to 19 years (8.4 mmol/L). No significant differences were found in plasma levels of hcy into tertiles of FV intake according to socio-demographic, lifestyle and anthropometric characteristics. Foods that most contributed to DFE intake were bread (38.4 per cent ), followed by beans (11.7 per cent ) and pasta (10.1 per cent ). For natural folate, the foods that most contributed were: beans (30.3 per cent ), FV (14.9 per cent ) and breads (14.6 per cent ), and for folic acid, breads (53.3 per cent ), pasta (14.6) and biscuits (9.8 per cent ). Conclusion: FV intake by adolescents is below the recommendations and not influenced plasma concentrations of hcy
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