A B S T R A C T ObjectiveTo investigate the association between various chronic diseases, multimorbidity, and handgrip strength in community dwelling older adults in Southern Brazil. MethodsA cross-sectional study carried out with 477 older adults (60 years and older) who resided in Antônio Carlos, Santa Catarina state. Subjects aged 60-79 years were selected by probability sampling (n=343) and all subjects aged 80 years or older (n=134) were evaluated. Chronic diseases were identified by self-report. A mechanical dynamometer verified handgrip strength (i.e., the outcome). Adjustments variables were age, literacy, living arrangement, smoking, body mass index, cognitive function, and comorbid chronic diseases. Sex-stratified analyses were conducted with simple and multiple linear regression. ResultsA total of 270 women (73.2±8.8 years) and 207 men (73.3±9.0 years) were assessed. In the adjustment analysis, cancer (β=-3.69; 95%CI=-6.97 to -0.41) and depression (β=-1.65; 95%CI=-3.20 to -0.10) were associated with lower handgrip strength in women. For men, diabetes (β=-5.30; 95%CI=-9.64 to -0.95), chronic lung disease (β=-4.74; 95%CI=-7.98 to -1.50), and coronary heart disease (β=-3.07; 95%CI=-5.98 to -0.16) were

Oral nutritional supplements are widely recommended to head and neck cancer patients undergoing anticancer treatment, however, their effect on outcomes of most importance to patients is unclear. This study aimed to systematically review the evidence of the effect of oral nutritional supplements on mortality, treatment tolerance, quality of life, functional status, body weight, and adverse effects. We searched PubMed, Embase, CENTRAL, LILACS, Web of Science, CINAHL, two trials registry platforms, three sources of grey literature, and reference lists of included studies. We assessed risk of bias using the revised Cochrane risk of bias tool (RoB 2) and certainty of evidence using the GRADE approach. We used random-effects models with Hartung-Knapp correction for the meta-analyses. We included 15 trials, of which 5 were ongoing or unpublished, providing evidence in four comparisons. We found very low to low certainty evidence for the effect of oral nutritional supplements on mortality, treatment tolerance, quality of life, functional status, and adverse effects. When compared to nutritional counselling alone, nutritional counselling plus oral nutritional supplements probably increases body weight slightly. We also found adverse events related to the supplements such as nausea and vomiting, and feeling of fullness. Possible increases in mortality, in treatment tolerance, and in quality of life, besides a possible decrease in functional status, are worth of further investigation. Future research could attempt to address the clinical importance of the probable increase in body weight. Possible adverse effects of the use of oral nutritional supplements should not be overlooked.

Resumo Introdução Problemas de ordem social, prejuízo na capacidade funcional e isolamento são características afetadas pelas condições do local onde o idoso reside. Assim, o objetivo do artigo é verificar as diferenças sociodemográficas e de saúde em idosos residentes em áreas predominantemente rural e urbana da Grande Florianópolis, no Estado de Santa Catarina. Métodos Foram analisados estudos de base populacional: Saúde-AC em Antônio Carlos (477 idosos) e EpiFloripa Idoso em Florianópolis (1.705 idosos). As variáveis foram comparadas por intervalo de confiança. Resultados Em Antônio Carlos, as maiores prevalências e diferenças foram para: baixa escolaridade (97%), casados, viúvos, trabalham atualmente, percepção de saúde igual ou pior quando comparada a idosos da mesma idade e risco cardiovascular substancialmente aumentado (64%). Enquanto as menores prevalências foram para: fumantes, dependência em uma a três atividades (6%) e déficit cognitivo (10%). Em Florianópolis, houve maior prevalência de renda alta e de possuir plano de saúde (66%). Conclusão Os dados possibilitaram identificar as diferentes condições socioeconômicas e demandas de saúde. As informações podem colaborar para implementar ações específicas para os idosos considerando as características socioeconômicas do local onde vivem.

A B S T R A C T ObjectiveTo assess the cross-cultural equivalence and psychometric proprieties of the Brazilian version of the Eating Habits Social Support Scale. MethodsThe scale was administered to 381 subjects aged 24 to 86 years from Recife and Belo Horizonte, Brazil. Cross-cultural equivalence was evaluated by expert agreement. The psychometric proprieties were assessed byRev. Nutr., Campinas, 29(6):797-807, nov./dez., 2016 Revista de Nutrição http://dx.doi. org/10.1590/1678-98652016000600005 factor validity (factor analysis), internal consistency (Cronbach's alpha), and reproducibility (intraclass correlation coefficient), using a test-retest with an interval of seven days. ResultsFactor analysis identified two factors for each social support group (friends and family). The questions were clustered by type of social support (positive or negative comments). The eigenvalues for family social support were 3.22 and 3.00, corresponding to 62.2% of the total variance. For friend social support, the eigenvalues were 3.02 and 2.95, explaining 59.7% of the total variance. In the internal consistency analysis, the alpha values ranged from 0.83 to 0.75. The reproducibility intraclass correlation coefficient ranged from 0.676 to 0.873. All these values were acceptable, indicating the validity and reliability of the scale. ConclusionThe Brazilian version of the Eating Habits Social Support Scale presented cross-cultural equivalence and psychometric characteristics that were appropriate for Brazilian adults and older adults. This scale is easy to use and obtained high scores for question clarity and answer options.Keywords: Food habits. Social support. Validity of tests. R E S U M O Objetivo Avaliar a equivalência transcultural e as propriedades psicométricas da versão brasileira da Escala de Apoio Social para Hábitos Alimentares Saudáveis. Métodos A escala foi aplicada em 381 indivíduos com idade entre 24 e 86 anos, residentes em Recife e Belo Horizonte, Brasil. A equivalência transcultural foi avaliada por consenso de especialistas. As propriedades psicométricas foram analisadas pela validade fatorial (análise fatorial exploratória), consistência interna (alfa de Cronbach) e reprodutibilidade (Coeficiente de Correlação Intraclasse). Para análise de reprodutibilidade, foi utilizado o teste-reteste com intervalo de até sete dias entre as aplicações. Resultados A análise fatorial identificou dois fatores para cada fonte de apoio social (amigos e família). O agrupamento das questões ocorreu de acordo com o tipo de apoio recebido (comentários positivos ou negativos

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