Objective: To evaluate the nutritional status and gastrointestinal changes in children with autism spectrum disorder (ASD). Methods: Cross-sectional, descriptive analysis of 39 children with ASD aged between three and ten years old, registered in the participating association. Nutritional status was evaluated by body mass index/age and weight/age, according to the guidelines from the World Health Organization. In order to investigate whether gastrointestinal alterations occurred, the interviewees answered a questionnaire about the presence of these symptoms within the last 30 days. In order to evaluate food consumption, a 24-hour recall questionnaire was applied and the food reported were grouped as: gluten sources, casein and ultra-processed sources. For the statistical analysis, Epi-Info software version 7.2 was used. Multivariate logistic regression analysis was performed to evaluate the variables associated with gastrointestinal alterations. Results: There was a high prevalence of overweight children with autism spectrum disorder (64.1%). No child was underweight. Thirty-four children (84.2%) had gastrointestinal symptoms. Consumption of gluten was associated with gastrointestinal symptoms (β=0.38; 95%CI 0.07-0.75; p=0.02). Conclusions: The high prevalence of being overweight should be considered during the follow-up visits of children with ASD. The influence of gluten consumption on the presence of gastrointestinal symptoms was observed in this study, and the causes involved in these alterations need to be further investigated.
The observed short stature prevalence rates are significant, being characterized as a public health problem. Among the associated factors, the following are noteworthy: unfavorable conditions of maternal literacy, family income and low birth weight. The planning of strategies to reverse the situation must take such factors into consideration.
Objective:To describe the prevalence of short stature among children of Karapotó ethnic background.Methods:Cross-sectional, population-based study that included children between 6 and 59 months of age from the Plak-Ô native village and the Terra Nova settlement, São Sebastião, Alagoas, carried out between 2008 and 2009. Short stature was evaluated by the Height/Ageindex, using as cutoff z score≤−2. The prevalence of short stature was determined by compa-ring simple and relative frequencies. The population growth curves were compared to the WHO reference curves. Data analysis included the outcome variable: Height/Age and the predictor variables: place of residence, gender, age, anemia, birth weight, family income, maternal literacy. The chi-square test was used to compare the categorical variables, where as the chi-square test with Yates correction was used for dichotomous variables, considering as statistically significant p-values≤0.05.Results:The prevalence of short stature was 15.6% for children from the Terra Nova settlement and 9.1% for those from Plak-Ô native village. The prevalence of short stature among the Karapotó ethnicity was 13.4%. The variables: maternal literacy, family income and low birth weight were statistically associated with short stature.Conclusions:The observed short stature prevalence rates are significant, being characterized as a public health problem. Among the associated factors, the following are noteworthy: unfavorable conditions of maternal literacy, family income and low birth weight. The planning of strategies to reverse the situation must take such factors into consideration.
Consumo alimentar, segundo o grau de processamento, de crianças e adolescentes com transtorno do espectro autistaFood consumption by the processing level of children and adolescents with autistic spectrum disorders
Objetivo: avaliar a força de Preensão Palmar (FPP) e fatores associados a sua depleção em indivíduos com doença renal crônica (DRC) submetidos a hemodiálise. Métodos: Estudo transversal descritivo, observacional e quantitativo, realizado entre fevereiro e março de 2020 em um centro de referência em hemodiálise do estado de Alagoas. A coleta de dados foi dividida nas seguintes etapas: aplicação de um questionário de caracterização, obtenção de medidas antropométricas através de prontuários eletrônicos e aferição da FPP realizada através do uso um dinamômetro de preensão manual digital. Os resultados foram tabulados no Excel e as análises estatísticas realizadas no software SPSS. Analisou-se a distribuição da média segundo categorias selecionadas. Admitiu-se como valor de significância estatística, valores de p menores que 5%. Resultados: pode-se observar que a FPP foi estatisticamente menor (p <0,05) no sexo feminino, em indivíduos que não ingeriam álcool, em diabéticos e naqueles com índice da massa corporal (IMC) correspondente a baixo peso. Conclusão: Condições biológicas, clínicas e do estilo de vida influenciam negativamente na FPP e consequentemente, contribuem para depleção da capacidade funcional destes indivíduos.
Objetivo: Constatar de que maneira a vitamina D pode influenciar na fertilidade feminina. Métodos: Para tanto, foi realizado uma revisão sistemática. As buscas foram feitas nas bases de dados da National Library of medicine (PubMed), Literatura Latino-Americana e do Caribe em ciências da saúde (LILACS) e Scientific Electronic Library (SCIELO) com as palavras chave Vitamin D AND Fertility. Resultados: Ao analisar os 11 artigos selecionados, constatou-se que a insuficiência e a deficiência de vitamina D são condições frequentes na população feminina. Não foram encontradas de fato uma evidência direta de que o status de vitamina D possa estar associada a fertilidade, mas foi visto que indiretamente os baixos níveis podem estar relacionados a várias patologias do sistema reprodutor feminino, como endometriose e baixa reserva ovariana, corroborando assim para uma possível infertilidade. Considerações Finais: Ressalta-se a importância de novas pesquisas para esclarecer as lacunas referente ao papel da vitamina D e a fertilidade em mulheres.
Objetivo: Avaliar a eficácia de programas de emagrecimento com monitoramento remoto no tratamento de mulheres com sobrepeso e obesidade. Métodos: Trata-se de uma revisão integrativa. A busca dos artigos foi realizada nas bases de dados PubMed, LILACS e SciELO, por meio das seguintes palavras-chaves: "Educação Alimentar e Nutricional/Food and Nutrition Education” AND “Obesidade/Obesity” AND “Perda de Peso/Weight Loss” AND “Mulheres/Women”. Foram incluídos artigos originais disponíveis, publicados no período de 2015 a 2020, nos idiomas inglês e português e que atendessem ao objetivo do estudo. Resultados: Ao analisar os 09 artigos selecionados, percebe-se que programas utilizando internet móvel tendem a apresentar superioridade na promoção da perda de peso. Isso é justificado pelo fato da presença do feedback dos participantes serem consistentemente pontuados em comparação com programas que utilizam métodos apenas presenciais e que demandam um maior espaçamento temporal entre os encontros. Esse padrão parece favorecer o poder de resolução no processo de intervenção. Considerações Finais: Programas de emagrecimento com monitoramento remoto no tratamento de mulheres com sobrepeso e obesidade corroboram para aumentar a adesão e consequentemente pode ser elencada como uma conduta benéfica ao processo de emagrecimento.
Introduction: Body's response to the COVID-19 virus leads to systemic inflammation, in which there is an increase in inflammatory markers and myocardial injury and/or cardiac dysfunction, predisposing the individual to acute heart failure, myocarditis, thrombosis and arrhythmias. Aim: to describe the main clinical outcomes of individuals with COVID-19 who reported cardiovascular problems. Outlining: this is a documentary study with quantitative approach. The research is based on the hospital censuses issued to the municipal health department of Arapiraca. The research has included the individuals infected with COVID-19 who self-reported preexistent cardiovascular diseases upon hospital admission, excluding the ones who developed cardiovascular diseases during hospitalization. Thus, the data analyzed were comprehended in the July to December 2020 period. The study was carried out between August and September 2021. After collecting the information, basic descriptive statistics were performed to systematize the data. Results: among the 260 self-reported cases of cardiovascular disorders, systemic arterial hypertension stands out for registering 85.38% of the cases. Next, cardiopathies exhibit 24.62% of occurrences. That said, it was possible to observe that the highest death rate was presented by heart diseases with 31.58% of the cases. On the other hand, it is noted that the highest rate of discharge occurrences was in patients with systemic arterial hypertension, with 55.40% of the target audience. Implications: the investigation made it possible to verify that discharge due to cure and death were the main clinical outcomes, respectively.
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