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- Factors influencing healthy food choices of university studentsPublication . Sousa, Bruno; Pacheco, Catarina Alves; Pereira, Carolina; Batalha, Mariana; Santos, Tânia; Carvalho, Rita Vitorino deHealthy foods should be available to anyone, especially young adults at educational institutions. University students can suffer a lack of preoccupation with their health and consequently also present unhealthy food choices, due to the adaptation of a new environment, study stress, lack of proper time management, and busy class schedules. This study consisted of two cross-sectional observational analyzes, in which students were randomly recruited from the university, and data was obtained through the Computer-aided web interviewing survey method, through a web-based questionnaire. The sample included 584 participants, 297 from 2018 and 287 from 2019. The preference and choice for a healthy snack bar in university facilities seem to be conditioned mainly by the price of meals, as most students mentioned this as the main condition of their choice, both in 2018 and 2019. In this sense, most respondents report that only "sometimes" would they be willing to pay more than usual or travel a longer distance, to dine in a healthier snack bar. We conclude that the factor that most influences the choice of healthy food is the price, but there is a higher demand and consumption trend for healthy food in young college students.
- Pregnancy-induced hypertension (Clinical case)Publication . Sousa, Bruno; Tavares, NelsonA pregnant 27-year old woman, a human resources technician, with recently diagnosed high blood pres sure. She was followed by the family doctor and ob stetrician. She was sent to the Nutrition Consultation for overweight and pregnancy-induced hypertension. Blood pressure was monitored at home.
- Development of cereal bars with adequate nutritional profile for each trimester of pregnancy– An exploratory studyPublication . Montenegro, Sara Sofia; Raposo, António; Sousa, Bruno; Tavares, NelsonNutrition plays a crucial role in pregnancy as it may help to prevent pregnancy complications and fetal pathologies. It is beneficial for pregnant women to have a fractionated alimentation, as it minimizes symptoms of hyperemesis gravidarum and reduces the increased risk of hypoglycemia. The objective of this study was the preparation of three cereal bars, each one suitable for a trimester of pregnancy for pregnant women without known nutritional deficiency or pathology. Three cereal bars with a common base were obtained, to which were added nutritionally adequate ingredients for the nutritional needs of each respective trimester. The bars respected the increase of the caloric intake during the pregnancy, but, in terms of micronutrients, it was verified that no micronutrient has reached the total Dietary Reference Intake (DRI) through the consumption of two cereal bars. Still, these bars may become important tools for adherence and maintenance of healthy alimentation by the pregnant woman.
- Local products and gastronomy valuation for tourism and food sustainability in the Autonomous Region of MadeiraPublication . Sousa, Bruno; Mota, LuísIn small islands, trade-off faces continuous challenges due to insularity and reduced land availability for local crop production. Having climate change as a global issue impacting also on the Autonomous Region of Madeira, there is a need for adaptation regarding the management of coastal areas and land surface for food production, likewise housing and policy making. The assessment of the relation between tourism and food sustainability in Madeira is important for understanding sustainable levels of production and needs for a wide-ranging nutrition. Natural resources such as the Laurisilva of Madeira and the Atlantic Ocean are vital for biodiversity, granting local livelihood and motivation for visiting the Madeira islands. Food and Agriculture Organization of the United Nations presented as its main axes to invest for food sustainability: improving resource efficiency; take direct action to conserve, protect and improve natural resources; protect rural livelihoods and improve equity and social welfare; improve the resilience of people, communities and ecosystems, especially climate change and market volatility; and promote good governance for better sustainability of natural and human systems. To attenuate impacts, the use of local and seasonal foods should therefore be encouraged, thereby reducing the energy, time, packaging and transport costs of food imports. Foods with the lowest environmental impact correspond to foods for which is recommended a higher consumption, namely vegetables, fruit, whole grains and their derivatives and tubers. Thus, in the Autonomous Region of Madeira, we have many of these typical local products, such as bananas, passion fruit, wheat, corn, beans, potatoes, sweet potatoes, yams, among many other foods. In this way we value the cultural roots, the environment and we can contribute to the tourism, as these are increasingly determining factors for those visiting this region.
- Chronic gastritis (Clinical case)Publication . Sousa, Bruno; Tavares, NelsonA 42-year-old heavy-duty driver (from 9 am to 5 pm) with a part-time as a cook (7 pm to 11:30 pm), who has complaints of dyspepsia. He was sent to the Nutrition Consultation by his General Practitioner with Sucral fate, Diazepan and Esomeprazole and diagnosed with chronic gastritis.
- The anthropometry in nutritional and growth assessment of children and adolescentsPublication . Sousa, BrunoFor nutritional and growth assessment, anthropometry plays an important role. Specific care for children and adolescents, described within this work, is needed in order to allow a correct evaluation of the situation. Due to the stage of growth and development of the child and adolescent population, an adequate choice of anthropometric variables, accuracy in measurement, and comparison with appropriate references that reflect the population or individuals to be evaluated are required. Anthropometry thus plays an important role in the daily clinical practice of the various professionals who evaluate the growth and nutritional status of children and adolescents, but it needs to be correctly used and interpreted.
- Lynfocytic colitis (Clinical case)Publication . Sousa, Bruno; Tavares, NelsonA 67-year-old woman, retired, with several associated pathologies, presented at a Nutrition Consultation with complaints of diarrhea and abdominal cramps for ap proximately five months, medicated during this time by her General Practitioner with Racecadotril and Aty flor®. Awaits consultation of gastroenterology.
- Waist circumference percentile in children from municipalities of developed and developing countriesPublication . Andaki, Alynne Christian Ribeiro; Mendes, Edmar Lacerda; Tinoco, Adelson Luiz Araújo; Santos, Amanda; Sousa, Bruno; Vale, Susana; Mota, JorgeAims: to design reference percentile curves of waist circumference (WC) in children aged 6–10 from municipalities of developed (Portugal) and developing (Brazil) countries and to compare these results with other international references. Methods: this cross-sectional study enrolled a 6–10-year-old probability sampling. Univariate analysis of covariance adjusted by height was carried out to test the main effects of age, sex, countries, and interactions. WC percentile curves were performed with the LMS Chart Maker. Results: The sample comprised 6,475 children. Portuguese children presented a curvilinear increase in WC curves and Brazilian WC curves have shown a linear increase with age both for boys and girls. Overweight and obesity prevalence was 15.9 % and 4.7 % for Portuguese children and 12.9 % 4.5% for Brazilian children, respectively. There was a main effect (p<0.0001) for age and countries, and an interaction effect for sex*age (p=0.001) and countries*age (p<0.0001). Portuguese boys and girls have shown higher values for the 50th, 75th, and 95th percentiles than Brazilian boys and girls. Conclusions: WC reference percentile curves were drawn for 6–10-year-old Portuguese and Brazilian children. Portuguese children have higher WC values than Brazilian children and other children from developed countries.
- Os estilos e práticas parentais, a alimentação, e o estado ponderal dos seus filhosPublication . Rochinha, J.; Sousa, B.Os estilos parentais permitem perceber a influência dos pais no desenvolvimento da criança. Inicialmente foram descritos 3 estilos parentais, o autoritário, o autoritativo e o permissivo. Posteriormente, o estilo per missivo deu origem a outros dois estilos, o indulgente e o negligente. Dos quatro estilos descritos na literatu ra, o autoritativo ou democrático é referido como o aconselhado. Contudo, o mais comum é o autoritário que está associado a práticas parentais de controlo alimentar, como a restrição de alimentos e pressão para comer e que produzem efeitos indesejados, evidenciando-se uma redução da capacidade de autorregulação da ingestão energética que se reflete no aumento de peso da criança. Conhecer os estilos e práticas parentais nomeadamente no que se refere à alimentação e obesidade infantil pode tornar-se preponderante para o desenvolvimento de programas de ação que pretendam reverter a tendência crescente de obesidade na infância.
- Anthropometric assessment of children aged between 6 and 14 years from a school in LisbonPublication . Costa, Adriana; Ferreira-Pêgo, Cíntia; Sousa, BrunoAs a global epidemic, obesity is currently a significant public health challenge, especially in children. Childhood obesity is related to short term consequences, but also with an increased risk to develop many comorbidities in adult life, such as cardiovascular diseases, type 2 diabetes, strokes, and others. A cross-sectional study to assess the prevalence of normal weight, pre-obesity and obesity in school-aged children was designed. The final sample size analyzed included 81 participants (47 boys and 34 girls) aged between 6 and 14 years old. Pre-obesity and obesity were determined according to the BMI cut-off points adopted by the IOTF. Although no significant differences were found, the prevalence of pre-obesity and obesity for the total population studied was 16.00% and 6.20%, respectively, with 14.60%, and 4.30% for boys and 17.60% and 8.80% for girls. More girls were pre-obese and obese than boys except at ages 9 and 12. The same age that boys presented cardiometabolic risk associated with a WHtR>0.50. These results emphasize the importance of nutritional status assessment to develop appropriate actions to prevent childhood obesity.