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Associação entre medidas antropométricas e de composição corporal com os componentes da síndrome metabólica e índice de qualidade da dieta em adultos com excesso de peso Association between anthropometric measurements and body composition with components of the metabolic syndrome and quality index diet in overweight adult individuals AbstractIntroduction: The adiposity excess, especially in the abdominal region, is associated with cardiovascular risk factors, such as dyslipidemia, diabetes mellitus type 2 and systemic arterial hypertension, among other clinical complications that affect quality of life. Aim: To evaluate the association between anthropometric measurements and body composition with components of metabolic syndrome (MS) and diet quality index (DQI) in subjects with overweight. Methods: Cross-sectional study conducted with patients treated at the UFOP Health Center. After the initial interview and anthropometric assessment, biochemical exams were requested. Dietary intake was assessed by dietary instruments used to calculate DQI. Statistical analysis were performed in SPSS 18.0 program. The Kolmogorov-Smirnov test (to evaluate the normality of the data) and the Pearson correlation were used. Results: The prevalence of MS was 15.7%. There was association between the DQI score with serum total cholesterol (r=0.320; p=0.041), and an inverse association between serum levels of HDL-c with body mass index (r=-0.434; p=0.002). The average consumption of the components of the DQI was within the recommendations of the Dietary Reference Intakes, except for sodium, which was above, and calcium, which was below of recommended values. There was no difference in the DQI items between individuals with and without MS (p> 0.05). Conclusion:The results shows accumulation of body fat, changes in anthropometric and biochemical parameters, inadequate intake of calcium and sodium, demonstrating the importance of nutritional counseling, preventing the occurrence of new morbidities.

The objective of this study was to assess dried fruit mix and nuts and their effect on craving associated with the serum leptin of tobacco smokers. Materials and Methods:This is a clinical intervention study with a nonprobabilistic sample (n = 23). The intervention group (IG) received 30 g of dried fruit and mix, and the control group (CG) received standard interventions. Test craving was analyzed using the Questionnaire of Smoking Urges (QSU-Brief). Serum leptin was assessed at the beginning and after 3 weeks. The data was tested using the SPSS program through the Shapiro-Wilk, unpaired Student t, or Mann-Whitney tests and multivariate linear regression. Results:The study showed significant difference between initial and final weights and body mass indices. The IG showed a high degree of smoking dependence. The IG showed reduced craving. In the CG, median serum leptin levels showed increased craving in the second and third weeks. Conclusions:Our results establish that craving decreased among smokers only in the IG. In the CG, above-median serum leptin levels reported a greater sense of pleasure in the second week. And in the third week, they experienced difficulties maintaining abstinence.

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Objetivo: Avaliar a associação entre medidas antropométricas, de composição corporal, bioquímicas e de consumo alimentar em indivíduos com excesso de peso. Métodos: Estudo do tipo transversal, com amostra de conveniência composta por 31 indivíduos, com idade entre 19 e 59 anos. Foram realizadas avaliações antropométricas, bioquímicas e análise da composição da dieta. Após, foi calculado o índice de qualidade da dieta (IQD). Na análise estatística, o teste de Shapiro-Wilk verificou a distribuição das variáveis, Wilcoxon-Mann- Whitney-U as diferenças entre as variáveis e correlação de Spearman/Pearson rastreou a associação entre os valores. Foi adotado um p com 5% de probabilidade. Resultados: A análise da composição da dieta permitiu observar uma média de consumo acima das Dietary Reference Intakes para carboidrato (323,31±33,11g), proteína (80,15±29,84g), lipídeo (77,42±31,87g) e sódio (2896,99±1119,05mg). Os valores para o IQD variaram entre 2 e 12 pontos, apresentando valor médio de 6,5±2,2. Foram encontradas correlações entre IQD e prega cutânea suprailíaca, colesterol total, e LDL-c (mg/dL), dentre outras. Conclusão: A amostra estudada apresentou um perfil de ingestão alimentar composto por alimentos ricos em carboidratos, lipídeos e sódio. A elevada média da pontuação do IQD (dieta pobre) reflete a importância de medidas de intervenção visando à melhoria do padrão alimentar desses indivíduos

Purpose: Evaluate the impacts of the nutritional education intervention for patients with multiples chronic conditions during smoking cessation. Methods: The non-probabilistic sample consisted of adult and elderly 18 individuals of both sexes, participants in a group for smoking cessation treatment. At the beginning of treatment, smoking history, degree of dependence and stage of motivation were evaluated. Craving degree was evaluated weekly during the first month. Anthropometric and biochemical evaluations were conducted at baseline, after 1 month and 3 months. Dietary intake was assessed by the "How is your diet?" questionnaire. There were three moments of nutritional intervention. The themes covered were "Energy balance and physical activity", "Healthy eating" and the importance of fruits and vegetables in the diet, respectively. Statistical analysis with Shapiro Wilk normality test, paired T-Test or Wilcoxon and U-Mann Whitney (Significance ≤0.05). Results: In the intervention group, most people had a high degree of smoking dependence (55.6%), while in the control group the frequency were 22.2%. Craving degree decreased significantly after 1 month of treatment (p= 0.017). After 3 months, the groups presented mean body weight positive variation, however below 3%. In both groups the average percentage of weight gain was below 3%, reinforcing that the holding of the nutrition session and performance of the nutritionist within the protocol proposed by the INCA helped in the control of weight gain.. Blood glucose and HOMA-IR in the intervention group showed a significant increase (p= 0.15 and p= 0.50, respectively). Conclusion: Greater proximity and more frequent action taken by the nutritionist assists and encourages healthy eating practices during smoking cessation process, which can benefit individuals control of chronic diseases in the long term

Objectives: To inform the profile of smokers with multiple chronic conditions (MCC) inserted in a unit aimed at smoking cessation, as well as the routine of a team of health professionals in assisting this population. Methods: Monocentric cohort study, retrospective longitudinal evaluation data from users of a therapeutic group for smoke cessation, with 51 consecutive groups of smokers with MCC assisted by a multidisciplinary team in Juiz de Fora, Brazil. Treatment consisted of pharmacotherapy and cognitive behavioural sessions followed by periodic evaluations up to 6 months. Results: Of the 348 smokers, 61.8% were female the average age was 56.2±9.1 years-old and 75.4% had low education. Physical inactivity 61.7%; alcohol abuse 18.6%; obesity 40.5%; hypertension, 89%; diabetes mellitus type 2, 47.5%; depression 49.7% and cognitive decline of 85.8%, among other diseases. Comparing who remained abstinent for 24 weeks or more with those who could not stop smoking, the abstainers had cessation rates of 18.7%. Brief cessation represented 57.7% and late cessation 58.3%. Those who stopped at the 4th and 12th week of follow-up were those who maintained abstinence (p<0.001). Conclusion: There was a considerable smoking rate, even among a population with multimorbidities and high cardiovascular risk. Strengthening, broadening and spreading tobacco control efforts is critical. Thus, health professionals must be motivated and able to conduct smoking cessation interventions.