Background/objectives The dietary inflammatory index (DII) is a tool to measure the diet's inflammatory potential and has been used with adults to predict low-grade inflammation. The present study aims to assess whether this dietary score predicts low-grade inflammation in adolescents.Subjects/methods The sample comprises 329 adolescents (55.9% girls), aged 12-18 years, from LabMed Physical Activity Study. DII score was calculated based on a food-frequency questionnaire and categorized into tertiles. We collected blood samples to determine the follow inflammatory biomarkers: C-reactive protein (CRP), interleukin-6 (IL-6), complement component 3 (C3), and 4 (C4). In addition we calculated an overall inflammatory biomarker score. Odds ratios (OR) and 95% confidence intervals (95%CI) were computed from binary logistic regression models.Results DII score, comparing first with third tertile, was positively associated with IL-6 in crude model (OR = 1.88, 95% CI:1.09-3.24, p trend = 0.011) and in fully adjusted (for biological and lifestyle variables) (OR = 3.38, 95%CI:1.24-9.20, p trend = 0.023). Also, DII score was positively associated with C4, when fully adjusted (OR = 3.12, 95%CI:1.21-8.10, p trend = 0.016). DII score was negatively associated with C3 in crude model, comparing first with second but not with third tertile, and no significant associations in fully adjusted model were observed, although a trend was found (OR = 1.71, 95% CI:0.63-4.66, p trend = 0.044). No significant associations were observed between DII score and CRP. However, DII score was positively associated with the overall inflammatory biomarker score, when fully adjusted (OR = 5.61, 95% CI:2.00-15.78, p trend = 0.002).Conclusions DII score can be useful to assess the diet's inflammatory potential and its association with low-grade inflammation in adolescents.

The consumption of a variety of vegetables is inversely associated with lower CRP. This finding supports the current dietary guidelines regarding the consumption of a variety of vegetables. The role of fruit variety in low-grade inflammation should be further studied.

(1) Background: Metabolic syndrome is associated with cardiovascular complications. Therefore, this study aims to establish cut points for the conicity index based on the components of metabolic syndrome and to associate it with characteristic sociodemographic, food consumption and occupational factors in Brazilian rural workers; (2) Methods: A cross-sectional study carried out with farmers. The receiver operating characteristic curve was calculated and the cut-off points for the conicity index were identified by the area under the curve, sensitivity and specificity. The variables included in the binary logistic regression analysis were selected by considering p < 0.20 in the bivariate test; (3) Results: The cut points were similar in females according to both criteria, resulting in a single cut-off of 1.269. In males, the cut points showed differences, resulting in 1.272 according to the NCEP-ATP III and 1.252 according to the IDF. We have shown that younger people, those who work more than 40 h a week and the lowest contribution of culinary ingredients are associated with increased odds of abdominal obesity, while the consumption of the products they sell or produce decreases these chances; (4) Conclusions: The conicity index showed high discriminatory power for the identification of abdominal obesity in rural workers. Therefore, there is a need to improve eating habits and promote healthier eating environments for individuals, respecting traditional food culture, mainly to contain the advance of MS in rural areas.

This study investigates the effect of olive leaf tea (OLT) on postprandial glycemia in healthy volunteers when ingested with a high-carbohydrate meal, compared with a placebo tea (CON). Healthy adults participated in a double-blind, randomized, placebo-controlled, and cross-over design trial receiving a high-rich carbohydrate meal with either 250 mL of OLT or CON at two different times after a washout period. The sequence order was randomized at a ratio of 1:1. Capillary blood glucose was measured in a 2 h period after ingestion. Eighteen participants were initially randomized. Of these, thirteen completed the trial and were analyzed. The consumption of OLT resulted in a delay in peak time (48.5 ± 4.2 min vs. 35.7 ± 4.0 min, p = 0.03) and a significant increase in glucose area under the curve compared to placebo (14,502.7 ± 640.8 vs. 13,633.3 ± 869.4 mg/dL.min, p = 0.03). Results are depicted as mean ± SEM. The OLT and CON palatability were generally well accepted. No adverse effects were reported. OLT did not ameliorate a glycemic curve induced by carbohydrate-rich meal ingestion, suggesting that at least when ingested acutely in a single meal, OLT does not have antihyperglycemic effects. Future studies should account for chronic consumption providing a better understanding of glycemic regulation over time.

On the wings of New Public Management (NPM) and the Bologna Process, Higher Education Institutions (HEI) needed to innovate towards market orientation, both students demanding and social relevance. One way to achieve these objectives is through co-creation processes, involving students and partners outside as companies and public institutions. The purpose of this paper is to assess the satisfaction of Instituto Politécnico de Bragança (IPB) students who actively participated in a co-creation process called Demola, which aims the pedagogical innovation and strengthening the link with and the community. Quantitative data was collected through an online survey that included questions about students' perception on the impact of the co-creation process Demola. The population is 250 students who participated in eight batches in the last four years, working in 44 co-creation cases or challenges. 87 students answered the questionnaire, corresponding to 34,8% of the sample. Main results and conclusions suggested high levels of satisfaction among IPB students’ and are perceived as having very positive impact in skills’ development.

This chapter explores how higher education institutions (HEIs) that use active learning methodologies and promote co-creative and innovative environments can contribute significantly to regional development. The authors carried out a bibliometric analysis, considering the works published in journals indexed in the Scopus database for this purpose. The study aims to measure the scientific production of active teaching and learning methodologies, such as co-creation and innovation, and their contribution to regional development. The main results denounce that there is still a long way to go in exploring and emphasizing the links between HEIs, active learning, co-creation, innovation, and regional development. This path needs the involvement of the surrounding society, and private and public organizations, to be meaningful. HEIs urgently need to promote a shift in thinking about their educational practices. In today's world, complex challenges pose a real challenge to the future of higher education, and graduates who can meet these challenges represent added value to the higher education system.

A obstipação intestinal é um problema de saúde que pode ser definido como dificuldade em defecar. e que pode ser tratado com recurso à alimentação. Por isso, o objetivo do estudo é verificar a associação entre o consumo alimentar e a obstipação intestinal. Para tal, foi feita uma pesquisa nas bases de dados PubMed e Web of Science com as palavras-chave diet e constipation. Dos 3857 artigos encontrados, foram selecionados 20 artigos publicados no período de 2007-2017 que respeitavam os critérios de inclusão. Os resultados revelaram que a alimentação está associada à obstipação intestinal. A fibra tem um papel muito importante para a diminuição da obstipação intestinal. Nutrientes como o magnésio e zinco também demonstraram diminuir a obstipação. Alimentos como hortícolas, fruta, batata, ovos, soja, grãos integrais, probióticos, kefir e ingestão de líquidos ajudam a combater a obstipação. Pelo contrário, leite de vaca, iogurte, pão, massa, arroz, bolachas e o padrão alimentar fast-food tendem a aumentar a obstipação intestinal, podendo ser o motivo do aparecimento desta patologia. Conclui-se que os hábitos alimentares estão associados à presença/ausência de obstipação intestinal, sendo importante adotar medidas corretivas para minimizar ou eliminar esta patologia, tendo em atenção os alimentos que se devem ingerir.

RESUMOObjetivo: compreender a associação entre a saúde materna e a saúde do recém-nascido. Método: realizou-se um estudo longitudinal e restrospetivo em um serviço de obstetrícia, durante o período de fevereiro a junho de 2017, junto a 295 parturientes que tivessem tido gravidezes de um feto. Os dados foram obtidos através de registros no boletim de saúde da grávida e no processo clínico do registro do parto. Resultados: alguns dos resultados obtidos foram que as mulheres com excesso de peso e obesidade pré-gestacional ou ganho de peso gestacional excessivo tiveram recém-nascidos maiores na maioria dos parâmetros avaliados, nomeadamente no peso, percentil do peso, z-score do peso, estatura, percentil da estatura e z-score da estatura. Já as mulheres com diabetes mellitus gestacional ou hipertensão arterial na gravidez tiveram recém-nascidos menores, considerando, nomeadamente, o z-score do peso e o z-score do índice de massa corporal. Conclusão: confirmou-se que as mulheres com excesso de peso e obesidade pré-gestacional ou ganho de peso gestacional excessivo tiveram recémnascidos maiores e que as mulheres com Diabetes Mellitus Gestacional ou Hipertensão Arterial na gravidez tiveram recém-nascidos menores. ABSTRACT Objective: understand the association between maternal health and the newborn's health. Method: a retrospective longitudinal study was carried out in a service ofEste artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente cita Sousa CNT, Fernandes AJG, Almeida-de-Souza J. Associação entre a saúde materna... Journal Health NPEPS. 2018 jul-dez; 3(2):308-326. 309 obstetrics during the period of February 27 to June 12, 2017, to 295 singleton pregnancies. Data was obtained through records in the pregnancy health bulletin and in the clinical process of birth registration. Results: women with overweight and pregestational obesity or excessive gestational weight gain had newborns with higher values in most of the parameters evaluated, namely weight, weight percentile, weight z -score, height, height percentile and height z-score. On the other hand, women with gestational diabetes mellitus or arterial hypertension during pregnancy had smaller newborns, considering, namely, the z-score of the weight and the z-score of the body mass index. Conclusion: it was confirmed that women with overweight and pregestational obesity or excessive gestational weight gain had larger newborns, and women with Gestational diabetes mellitus or pregnancy hypertension had smaller newborns. RESUMEN Objetivo: percibir la relación entre la salud materna y la salud del recién nacido. Método: se realizó un estudio longitudinal restrospectivo en un servicio de obstetricia, durante el período del 27 de febrero al 12 de junio de 2017, a 295 parturientes uni fetales. Los datos fueron obtenidos a través de registros en el boletín de salud de la embarazada y en el proceso clínico del r...