Objetivo: Discutir com base na literatura, os fatores associados a adesão de crianças e adolescentes com doença celíaca à terapia nutricional. Métodos: Trata-se de uma revisão da literatura, cuja busca dos artigos científicos foi realizada nas bases de dados PubMed, Scielo e Lilacs. Foram selecionados 8 artigos originais, entre os anos de 2013 a 2018, realizados em crianças e adolescentes, com diagnóstico de doença celíaca, com idades entre 02 e 20 anos, nos quais os autores abordaram sobre os diferentes fatores que influenciam a adesão à dieta livre de glúten. Resultados: A adesão estrita é fundamental para evitar o surgimento de sintomas clínicos, e obter-se sucesso no tratamento, sendo um fator variável que envolve diversos aspectos, como a idade, acompanhamento familiar e a própria escolha do paciente. A complacência alimentar a uma dieta sem glúten é mais prevalente em crianças do que em adolescentes. As transgressões de adesão envolvem o alto custo para o seguimento da dieta, principalmente em crianças, a baixa aceitação aos alimentos, falta de escolha e influência dos amigos. Considerações finais: Diante do exposto, entende-se que a adesão à dieta isenta de glúten, exige algumas mudanças alimentares, logo, enfrenta inúmeros obstáculos que devem ser vencidos.
Objective: This paper aims to evaluate birth weight and maternal nutritional status in children’s body composition aging from 7 to 9 years old. Methods: Transversal study composed of collecting interviewee’s socio economic and anthropometrical variables in which 41 children and their mothers were evaluated in the city of Picos in Piaui state. The following mother’s anthropometrical parameters were investigated: weight, height, and waist circumference. In addition, the following student’s anthropometrical variables were collected: born and current weight, height, waist circumference (WC), arm circumference (AC), subscapular skinfold (SS), and triceps skinfold (TS). Results: Birth weight relates positively and significantly with some anthropometrical variables of children, such as: waist circumference (WC; p=0.02), arm circumference (AC; p=0.03), subscapular skinfold (SS; p=0.02), and percentage of body fat (%BF; p=0.05). A statistically positive correlation between children’s current weight and mother’s current weight (p=0,04) was observed. Besides, a lower, but more significant inverse correlation between mother’s height and variables referring to children’s body composition was found. Conclusion: The following paper suggests that born weight correlates with children’s current bodily composition and that, no matter what the born weight is, mother’s weight is relevant to the children’s current weight, demonstrating the importance of continuous screening of nutritional status between mother and children.
The objective was to investigate the Community Health Agents (CHA) knowledge in breastfeeding. An analytical cross-sectional study with ACS of both genders that work in the Family Health Strategy. The data were obtained through a questionnaire, including open and closed questions regarding their socioeconomic, professional and breastfeeding knowledge. A total of 116 ACS patients with an average age of 44.2 ± 8.8 years and 14.7 ± 5.2 years of service time participated. Of these, 69.6% reported having performed some training, and only 24.8% and 6.2% obtained a satisfactory knowledge classification, related to important aspects about the technique and management of intercurrences in breastfeeding, respectively. Regarding the answers of the closed questions, which were about general knowledge about breastfeeding, the average number of correct answers was 15.2 ± 3.2 questions, which was significantly higher (p = 0.019) among professionals working in the urban area in Rural areas. In view of the results, there is a need for greater investments in the training of the ACS in breastfeeding, so that they can acquire the necessary knowledge to effectively work with pregnant women and nursing mothers, especially with regard to adequate breastfeeding techniques and treatment of breast complications.
Avaliação do desperdício de alimentos servidos no horário do almoço em Restaurante Universitário no estado do Piauí, Brasil
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