RESUMOObjetivos: Caracterizar pacientes hipertensos e conhecer suas principais dificuldades para aderir ao tratamento proposto pela equipe de saúde. Métodos: Os dados foram coletados em prontuários e por meio de entrevistas com 54 pacientes hipertensos. Resultados: Dentre os 54 pacientes hipertensos 66,7% eram do sexo feminino, adultos com idade entre 30 e 90 anos. As médias da pressão arterial (mmHg) sistólica e diastólica foram 138 e 83, respectivamente, mas apenas metade dos pacientes apresentava pressão arterial controlada. Observou-se associação entre o conhecimento sobre a doença e o seguimento das orientações para o tratamento da hipertensão. A principal dificuldade relatada foi seguir dieta hipossódica. Comparando-se as orientações prescritas com aquelas que os pacientes referiram ter recebido, houve concordância em 37 casos. Conclusão: A comunicação entre os membros da equipe de saúde e os pacientes deve ser melhorada, e as pessoas envolvidas no tratamento da hipertensão precisam discutir as dificuldades encontradas e buscar formas de resolvê-las. Descritores: Hipertensão; Cooperação do paciente; Terapêutica; Estilo de vida; Educação em saúde ABSTRACT Objectives: To characterize hypertensive patients and to recognize the difficulties to comply with the proposed treatment by the health team. Methods: The data were collected from medical records and through interviews with 54 hypertensive patients. Results: Among the 54 hypertensive patients, 66.7% were adults female aged between 30 and 90 years. The mean blood pressures (mmHg), systolic and diastolic pressures, were 138 and 83, respectively, but only half of the patients had the blood pressure controlled. There was an association between the disease knowledge and the complying with guidelines for hypertension treatment. The main reported difficulty was following a low sodium diet. Comparing the guidelines prescribed to the patients with those actually followed there was agreement in 37 cases. Conclusion:The communication between members of the healthcare team and patients should be improved, and the people involved in the treatment of hypertension need to discuss the difficulties and find ways to resolve them. Keywords: Hypertension; Patient compliance; Therapeutics; Life style; Health education RESUMEN Objetivos: Caracterizar pacientes hipertensos y conocer sus principales dificultades para adherir al tratamiento propuesto por el equipo de salud. Métodos: Los datos fueron recolectados en fichas y por medio de entrevistas con 54 pacientes hipertensos. Resultados: Entre los 54 pacientes hipertensos, 66,7% eran del sexo femenino, adultos con edad entre 30 y 90 anos. Los promedios de la presión arterial (mmHg) sistólica y diastólica fueron 138 y 83, respectivamente, pero apenas la mitad de los pacientes presentaba presión arterial controlada. Se observó una asociación entre el conocimiento sobre la enfermedad y el seguimiento de las orientaciones para el tratamiento de la hipertensión. La principal dificultad relatada fue seguir una dieta con poca sal. Comp...

MCT prevents the risk of pancreatitis due to postprandial hypertriglyceridemia but has the inconvenience of raising total cholesterol concentrations in primary hypertriglyceridemic subjects.

OBJECTIVE: Identifying at what age infants enrolled in public day care centers are introduced to soft drinks and industrialized juice, as well as comparing the nutritional composition of these goods with natural fruit juice. METHODS: A cross-sectional study with the mothers of 636 children (aged 0 to 36 months) from nurseries of day care centers, who were asked questions about the age of feeding introduction. This study evaluated the proximate composition of soft drinks and artificial juice, comparing them with those of natural fruit juice regarding energy, sugar, fiber, vitamin C, and sodium values. The chemical composition of fruit juice was obtained by consulting the Table of Food Composition and, for industrialized drinks, the average nutritional information on the labels of the five most consumed product brands. RESULTS: The artificial drinks were consumed before the first year of life by more than half of the children studied, however, approximately 10% consumed them before the age of 6 months. With regard to the comparison among the drinks, artificial fruit juice beverages and soft drinks proved to contain from nine to 13 times higher amounts of sodium, and 15 times less vitamin C than natural juices. CONCLUSIONS: The introduction of soft drinks and industrialized juice in the diet of infants was inopportune and premature.. When compared to natural fruit juice, these have inferior nutritional composition, which suggests the urgent need for measures based on strategies for food and nutrition education in order to promote awareness and the maintenance of healthy eating habits.

Objective: To identify the age at which ultra-processed foods are introduced in the diet of infants enrolled in public daycare centers and analyze these foods' nutritional composition according to the Traffic Light Labelling system adapted to the Brazilian norms and recommendations.Methods: Cross-sectional study including 636 nursery age children attending day care centers. Their mothers were interviewed about the age of introduction of instant noodles, snack chips, encased meat, chocolate, ice cream, and stuffed cookies. The proximate composition of these foods was evaluated according to the Traffic Light Labelling adapted to the Brazilian norms and recommendations, which classifies total fat, saturated fat, trans fat, fiber, and sodium amounts as green, yellow, or red indicators.Results: It was found that before 12 months of age 70.6% of children had consumed instant noodles, 65.9% snack chips, 54.7% encased meat, 67.1% chocolate, 36.9% ice cream, and 68.7% stuffed cookies. In addition, all foods were classified as red for saturated fat and sodium and 50.0% were classified as red for total fat.Conclusion: The introduction of ultra-processed foods in the children's diets occurred early, but it is worth mentioning that such foods have an inadequate nutritional composition, contributing to the excess consumption of total fat, saturated fat, and sodium, as well as low fiber.

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Objective:To evaluate the nutritional status of schoolchildren, resident in a semiarid region in the Northeastern Brazil.Methods:This is a cross-sectional study, involving 860 children and adolescents aged from 5-19 years-old, enrolled in three public schools in the county. The selection of schools was non-probabilistic type and unintentional. The initial population, which integrated the database, was composed by 1,035 children and teenagers, and 175 students (16.9%) were excluded because of inconsistency in the anthropometric data, resulting in a sample of 860 students. The following outcomes were considered: stunting (malnutrition), overweight and obesity (overweight), being the height/age and body mass index/age (BMI/Age), indices respectively used. Children and adolescents with height <-2 standard deviations and overweight and obese weight z score ≥1 were considered stunted. The statistical analysis was descriptive.Results:The prevalence of stunting and overweight/obesity was 9.1% and 24.0%, respectively. Overweight and stunting were higher in adolescents aged 15 and over, compared to other age groups analyzed. In relation to gender, malnutrition presented itself in a similar way, but overweight was more frequent among females. Conclusions:The results revealed that excess weight, here represented by the sum of overweight and obesity, was more prevalent than stunting (malnutrition), highlighting the urgent need for attention to this problem in order to design interventions capable of contributing to the improvement of schoolchildren nutritional status.

OBJECTIVE:To assess calcium, protein and sodium intake, of children that attend public day-care centers and to compare it with the recommended one. METHODS:Cross-sectional descriptive study in seven public day care centers of São Paulo city, Southeast Brazil, which enrolled 366 children between 12 and 36 months of age. The data collection occurred between September and December 2010. Each day care center was evaluated for three non-consecutive days, totaling 42 days and 210 meals. Dietary intake was assessed by a direct food weighing method. For the nutritional calculation, DietWin(r) Profissional 2.0 was used, and the adequacy was calculated according to the recommendations of the National School Feeding Program for energy, protein, calcium and sodium. The calcium/protein relation was also calculated, as well as calcium density (mg/1,000kcal). RESULTS: The energy (406.4kcal), protein (18.2g) and calcium (207.6mg) consumption did not reach the recommended values ​​in all the evaluated day care centers. Sodium intake exceeded up to three times the recommendation. The calcium/protein ratio of 11.7mg/g was less than the adequate one (20mg/g). CONCLUSIONS: There was inadequacy of calcium, protein and sodium dietary intake, in children attending public day-care centers.

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