Introduction: Phase angle (PhA) is a Bioelectrical impedance analysis (BIA) parameter representing an indicator of cellular health and has been suggested as a biomarker of nutritional status. Objective: To evaluate the association between PhA and nutritional parameters in older adults. Methods: A cross-sectional study was conducted with community-dwelling older adults. Body mass index (BMI), arm muscle circumference (AMC), calf circumference (CC), body fat percentage (BF%), appendicular skeletal muscle mass (ASMM), serum albumin, mini-nutritional assessment (MNA), and PhA were assessed. Kolmogorov–Smirnov test, Spearman's correlation coefficient, chi-square test, and Poisson regression models were performed. Results: 144 participants were included in the study, and most of them were female, aged ≥80 years, and underweight. Most older adults with lower PhA were women, aged range 80–89 years, and with reduced ASMM (p<0.05). PhA presented a significant correlation with age (r=–0.417; p<0.001), ASMM (r=0.427; p<0.001), AMC (r=0.195; p=0.019) and BF% (r=–0.223; p=0.007). Older adults with lower PhA present reduced ASMM (PR: 1.25; 95%CI: 1.04–1.50), and hypoalbuminemia (PR: 1.50; 95%CI: 1.11–2.03). Conclusion: PhA is related to commonly nutritional indicators used in clinical practice and could be an important biomarker of muscle mass reserves in community-living older adults of both sexes.
Objetivo: Identificar na literatura as evidências disponíveis quanto aos benefícios do perdão em indivíduos com pressão arterial elevada. Método: Revisão integrativa da literatura realizada nas bases de dados PubMed, CINHAL, LILACS, BDENF e SCIELO nos meses de fevereiro e março de 2020. Para guiar o estudo definiu-se a questão norteadora: “Quais as evidências disponíveis na literatura sobre os benefícios do perdão em indivíduos com a pressão arterial elevada?”. Para sua elaboração, utilizou-se a estratégia PICO. Foram incluídos artigos originais em português, inglês e espanhol. Resultados: Identificaram-se 242 publicações das quais seis compuseram a amostra. Verificaram-se cinco diferentes benefícios a indivíduos com pressão arterial elevada após treinamento do perdão. Este estudo identificou 5 benefícios do perdão a indivíduos com pressão arterial elevada, cuja a frequência de citação nos estudos incluídos nessa revisão foi a seguinte: redução da pressão arterial cinco vezes; diminuição da frequência cardíaca três vezes. Conclusão: Considera-se como limitação da pesquisa a carência de estudos que abordem o objetivo proposto, não sendo possível avaliar de forma significativa os benefícios do perdão na saúde dos indivíduos hipertensos.
Objetivo: avaliar o efeito do incremento da pressão positiva expiratória final (PEEP) sobre a hemodinâmica e balanço autonômico cardíaco de pacientes em uso de ventilação mecânica invasiva (VMI). Metodologia: Este é um estudo não probabilístico, onde os pacientes são controles deles próprios, em doentes críticos internados após 24 horas, submetidos a níveis crescentes de PEEP (8, 12 e 15 cmH2O) 15 mim por incremento. Resultados: Trinta pacientes foram incluídos no estudo. Nenhuma alteração foi encontrada nas variáveis hemodinâmicas e de balanço autonômico cardíaco entre os pacientes que foram submetidos a níveis crescentes de PEEP (8, 12 e 15 cmH2O). Conclusão: No presente estudo, os níveis de PEEP 8, 12 e 15 cmH2O, não promoveu alterações nas respostas hemodinâmicas e balanço autonômico cardíaco em pacientes sobre uso de ventilação mecânica invasiva.
Introduction: Currently, there is a greater concern of individuals with vision and imposition of
perfect body. The change in the perception of the body image is motivated by social, environmental
and, strongly, by the media, which imposes a beauty pattern associated with thinness or muscular
bodies. A distorted view of the actual body image has repercussions on the levels of well-being
and self-esteem, as well as in the decision-making related to nutrition and health in general.
The objective of this study is to verify the anthropometric nutritional status and perception of the
body image of users of primary care. Methods: A cross-sectional study conducted with users of
primary care in the city of Fátima-Bahia. Socio-demographic information, anthropometric evaluation (weight, height and waist circumference) and perception of ideal and real body image were
collected. Results: 89 users participating in the HiperDia program participated in the study, the
most were women (87.6%) and adults (67.4%). Regarding nutritional status, 61.8% were overweight
and 79.8% had abdominal fat accumulation. Most of the individuals showed dissatisfaction due
to overweight (78.7%) and 6.7% of dissatisfaction for thinness. Of the individuals with adequate
nutritional status, 73.5% also had some type of body dissatisfaction (both for thinness or excess).
Conclusion: The majority of subjects presented with overweight and body image dissatisfaction.
It is essential to evaluate the body image of the individuals on the part of the health professionals,
assisting the clinical practice and guaranteeing an integral attention to the individual.
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