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Item Absence of religious beliefs, unhealthy eating habits, illicit drug abuse, and self-rated health is associated with alcohol and tobacco use among college students — PADu study.(2022) Guimarães, Nathalia Sernizon; Paula, Waléria de; Aguiar, Aline Silva de; Meireles, Adriana LúciaAim Describing the factors associated with the alcohol consumption, tobacco use, binge drinking, and “binge drinking and tobacco use” by college students. Subject and methods Cross-sectional study carried out with 356 first-semester college students of a public educational institution at Minas Gerais, Brazil. Sociodemographic characteristics, lifestyle habits (alcohol consumption, tobacco and illicit drugs use, exposure time on screens, and eating habits), and health conditions (weight, height, self-rated health, symptoms of anxiety, and depression) were collected. Statistical analysis was performed using Stata® software version 13.0. Results The prevalence of alcohol consumption, tobacco use, binge drinking, and “binge drinking and tobacco use” were 73.9%, 17.4%, 43.5%, and 13.4%, respectively. Had no religious beliefs was associated with alcohol consumption (OR: 1.86 95% CI 1.06– 3.27), tobacco use (OR: 2.00 95% CI 1.06–3.78), and “binge drinking and tobacco use” (OR: 2.33 95% CI 1.09–4.96). Unhealthy eating habits was associated with alcohol consumption (OR: 2.06 95% CI 1.06–3.97) and tobacco use (OR: 2.74 95% CI 1.33–5.68; OR: 0.75 95% CI 0.31–1.80). Illicit drugs was associated with alcohol consumption (OR: 8.55 95% CI 1.12–65.42) and tobacco use (OR: 3.19 95% CI 1.20–8.51). Self-rated health was associated with tobacco use, combined (OR: 2.93 95% CI 1.37–6.28) or not (OR: 2.46 95% CI 1.32–4.61) with binge drinking. Additionally, tobacco use was associated with white skin color (OR: 2.62 95% CI 1.35– 5.07) and being homosexual (OR: 0.37 95% CI 0.18–0.75). Moreover, “binge drinking” was associated with being overweight (OR: 1.72 95% CI 1.03–2.84). Associations remained in the age and sex adjustment. Conclusion It was observed that some factors associated with alcohol consumption and tobacco use are modifiable risk factors. Therefore, we suggest strategic actions focusing on raising the population’s awareness to change these factors. Longitudinal studies are necessary to understand the causal relationship between studied variables and, thus, develop strategic actions to improve the life quality of this population group.Item Adequação da alimentação oferecida para alcoolistas em tratamento e seu impacto nutricional.(2013) Toffolo, Mayla Cardoso Fernandes; Marliére, Cláudia Aparecida; Aguiar, Aline Silva deObjetivo: Avaliar a oferta de energia, macro e micronutrientes para alcoolistas em tratamento e seu impacto no estado nutricional. Metodos: Trata-se de um estudo longitudinal, com 21 pacientes alcoolistas em tratamento no Centro psicosocial de Usuarios de Alcool e Drogas (CAPSad). Foi realizado avaliacao antropometrica dois momentos T=0 (momento inicial do tratamento) e T=3 (apos 3 meses de tratamento). Foram coletadas neste periodo todas as refeicoes ofertadas aos usuarios, uma vez por semana, em dias distintos que contemplou os cinco dias da semana. Todos os alimentos foram pesados separadamente e analisados pelo software Virtual Nutri Plus 2.0R. A adequacao da ingestao de nutrientes foi calculada com base nas DRIs (Dietary Reference Intakes). Resultados: De acordo com a avaliação do peso corporal realizada em dois momentos diferentes, as mulheres apresentaram ganho de peso e os homens, perda de peso corporal (Mulheres: 1, 98 } 1, 86 kg/ Homens: -0, 13 } 2, 09; (p = 0, 04). Os valores de fibra total, vitamina C, vitamina D, folato, acido pantotenico, vitamina E, iodo, calcio, magnesio e potassio não atingiram os valores recomendados pela DRI para homens e mulheres. Conclusao: A alimentacao oferecida aos usuários em tratamento do CAPSad nao atende a demanda calórica de acordo com o sexo alem de ser excessiva na oferta de sodio e deficiente em algumas vitaminas e minerais. As mulheres frequentadoras do CAPSad apresentaram ganho de peso e IMC com classificação de sobrepeso.Item Escolha de alimentos durante a abstinência alcoólica : influência na fissura e no peso corporal.(2011) Toffolo, Mayla Cardoso Fernandes; Pereira, Izabelle de Sousa; Silva, Karine Aparecida Louvera; Marliére, Cláudia Aparecida; Aguiar, Aline Silva deObjetivo: Avaliar a influência da fissura na escolha de alimentos doces e alteração do peso corporal em pacientes alcoolistas. Métodos: Vinte e um pacientes alcoolistas em tratamento no Centro de Atenção Psicossocial de álcool e drogas (CAPSad), Ouro Preto/MG, foram selecionados para participar deste estudo (14 homens e 7 mulheres, com idade entre 25 e 64 anos). Foi aplicado questionário para avaliar a fissura (craving) e o consumo alimentar. A alteração do peso corporal e do índice de massa corporal (IMC) foi estimada por métodos antropométricos para avaliar o estado nutricional. As avaliações foram realizadas no momento inicial e final, contemplando até três meses de tratamento. Resultados: As mulheres apresentaram ganho de peso (1,9 ± 1,86 kg) e os homens, perda de peso corporal (-0,13 ± 2,09 kg) (p = 0,04). Não houve diferença estatística quando essa variação de peso foi comparada entre os abstinentes (AB) e não abstinentes (NA) (Homens: AB = 0,39 ± 2,19 kg; NA: -1,06 ± 1,75 kg/ Mulheres: AB: 2,73 ± 1,95 kg; NA: 1,42 ± 1,85 kg). A presença de fissura inicial e final foi semelhante entre os que recaíram e os abstinentes. Os abstinentes mantiveram menor fissura e maior sensação de bem-estar com o consumo de alimentos fontes de carboidratos simples ou complexos. Conclusão: Os alcoolistas que conseguiram se abster tiveram menor grau de fissura com maior bem-estar com o consumo de alimentos fontes de carboidratos. Houve mudanças do peso corporal ao longo do tempo de acompanhamento dos alcoolistas em tratamento para a abstinência.Item Fatores de risco cardiovascular em alcoolistas em tratamento.(2013) Toffolo, Mayla Cardoso Fernandes; Marliére, Cláudia Aparecida; Aguiar, Aline Silva deObjetivo: Avaliar a presença de fatores de risco cardiovascular, com ênfase na hipertensão e na adiposidade corporal, em alcoolistas abstinentes ou não abstinentes em tratamento. Método: Trata-se de um estudo transversal com 65 pacientes alcoolistas em tratamento no CAPSad. O grau de dependência do álcool foi avaliado pelo SADD (Short Alcohol Dependence Data) e o uso de outras drogas, pelo ASSIST (Alcohol Smoking and Substance Involvement Screening Test). Foram avaliados o perfil bioquímico e o antropométrico dos usuários. Resultados: Participaram do estudo 42 homens e 23 mulheres. A maioria dos participantes (67,74%) apresentou dependência alcoólica grave, com uso de álcool associado principalmente a cigarro (66,15%). A média da circunferência da cintura (CC) foi significativamente maior entre os abstinentes, em comparação aos não abstinentes (AB: 88,15 ± 15,95 x NA: 81,04 ± 9,86; p = 0,03). Pacientes abstinentes há mais tempo tiveram maior sobrepeso/obesidade e adiposidade abdominal (CC) do que os não abstinentes e abstinentes recentes, com razão de chances de 5,25. Os abstinentes apresentaram razão de chances de 3,38 para %GC acima da média, independente do tempo de abstinência. Conclusão: Pacientes alcoolistas abstinentes apresentam mais sobrepeso/ obesidade, adiposidade corporal (%GC) e abdominal (CC) do que os não abstinentes. É importante o acompanhamento multiprofissional no tratamento de alcoolistas com abordagem para fatores de risco cardiovasculares, principalmente evitando o ganho de peso.Item Increasing leptin level in abstaining alcohol-dependent women.(2012) Toffolo, Mayla Cardoso Fernandes; Marliére, Cláudia Aparecida; Freitas, Silvia Nascimento de; Aguiar, Aline Silva deIntroduction: Leptin, hormone secreted by the fat tissue, changes the signaling of dopamine in the nucleus accumbens, which directly affects the sensitivity of reward and modulation of abstinence. Aims: To evaluate the level of serum leptin and its relation to nutritional status among alcoholic abstainers and non-abstinent. Methods: Patients of both sexes, over 18 years old and who used alcohol as their primary drug were included in the study. Abstaining patients were separated according to the time without the use of the drug as A2 (1-3 monthabstainers) and A3 (4 month and over-abstainers). Waist circumference (WC), body fat percentage (%BF) and weight and height were measured to calculate Body Mass Index (BMI). Blood samples were collected for leptin measurement. Results: Mean levels of leptin, leptin/BMI, leptin/%BF were higher in all women categories. Abstaining women (A2) also showed higher leptin, leptin/BMI and leptin/ %BF than non-abstinent (p = 0.039; p = 0.023; p = 0.023). Statistical differences were also shown among abstaining women A2 and A3 as well a significant positive association between leptin levels and BMI and leptin and WC in active female drinkers (leptin BMI: r = 0.91; p < 0.01; leptin WC: r = 0.87; p = 0.001). However, a significant association was not shown among these results in abstaining women (leptin BMI: r = 0.28; p = 0.37/ leptin X WC: r = -0.32, p = 0.92). Conclusion: Our results suggest that leptin levels seem to increase only in abstaining women. This result can be related to the length of abstinence.Item Influence of dietary total antioxidant capacity on the association between smoking and hypertension in Brazilian graduates.(2021) Sabião, Thaís da Silva; Bressan, Josefina; Pimenta, Adriano Marçal; Hermsdorff, Helen Hermana Miranda; Oliveira, Fernando Luiz Pereira de; Mendonça, Raquel de Deus; Carraro, Júlia Cristina Cardoso; Aguiar, Aline Silva deBackground and aims: Hypertension (HTN) is a chronic non-communicable disease influenced by non-modifiable risk factors, such as sex and age, as well as modifiable risk factors such as lifestyle, including diet and smoking. Moreover, diet quality among smokers is worse than that of non-smokers, mainly in terms of antioxidant content. Thus, the current study aimed to investigate whether dietary total antioxidant capacity (dTAC) influences the association be- tween smoking and HTN. Methods and results: This cross-sectional study included 4303 graduates (69.35% women) from the Cohort of Minas Gerais Universities (CUME) project. An online food frequency questionnaire was administered to participants, and dTAC was estimated using the ferric reducing antioxidant power method. In the questionnaires, individuals reported smoking status, systolic and diastolic blood pressure values, previous HTN diagnosis, and use of antihypertensive drugs. Logistic regression models were used to estimate the odds ratio and 95% confidence interval between smoking and HTN, stratified by the median dTAC. Current and former smokers had higher dTAC values despite their lower fruit intake. Moreover, coffee was the main contributor to dTAC among them. Smoking was associated with a higher likelihood of HTN, mainly among individuals with a higher dTAC. However, after exclusion of coffee antioxidant capacity, there was an association be- tween only smoking and HTN in individuals with lower dTAC. Conclusions: The controversial association between higher dTAC and HTN can result from high coffee intake. Higher dTAC without coffee intake may mitigate the association between smoking and HTN in this population.Item Macronutrients and energy content of oral hospital diet prescribed to chronic kidney disease patients on conservative treatment.(2015) Silva, Janiara David; Silva, Karine Aparecida Louvera; Baggio, Sueli Regina; Aguiar, Aline Silva de; Quintaes, Késia DiegoIntroduction: The contribution of diet and treatment planning in the treatment of Chronic Kidney Disease (CKD) has been recognized as having a significant clinical impact if introduced early. Objective: determine the levels of carbohydrates, proteins, lipids, energy and energy density (ED) in an oral hospital diet prescribed to CKD patients, and to evaluate the adequacy of this diet with respect to dietary recommendations. Methods: Diets were collected in a Brazilian public hospital on two non-consecutive days of six different weeks. The carbohydrate, protein, and lipid (total, saturated, monounsaturated, polyunsaturated, linoleic, linolenic and trans fatty acids) contents were determined in a laboratory. The amount of energy and the ED of the diets were calculated using the correction factor Atware and by dividing the total energy of the diet by weight, respectively. Results and Discussion: About 14.3% of the diets produced for patients with CKD were analyzed. The average density of the diets was low (0.7 kcal/g). In terms of nutritional adequacy, the average lipid content (15%) and linolenic fatty acid content (0.4%) were below the recommendation, as was energy (23.4 kcal / kg / day). The average carbohydrate content (63.5%) and protein content (1.0 g/kg/day) exceeded the recommendations levels. Conclusion: The oral hospital diet prepared for patients with CKD were considered unbalanced, and an unfavorable clinical treatment for these patients.Item Mineral content and adequacy of oral hospital diets offered to chronic kidney disease pre-dialysis patients.(2014) Silva, Janiara David; Moreira, Daniele Caroline Faria; Sá, Júlia Sommerlatte Manzoli de; Aguiar, Aline Silva de; Morgano, Marcelo AntonioBackground & aims: The diet for patients with Chronic Kidney Disease (CKD) has important clinical impact on the disease progression. This study determined the contents of Ca, P, K, Na, Mg, Fe, Mn, Cu, Zn and Se in an oral hospital diet and a Oral Food Complement (OFC), prepared for CKD patients, with the adequacy quantified with respect to nutritional recommendations. Methods: Samples of the diet were collected in a Brazilian public hospital, with mineral determination by ICP-OES. The Dietary Reference Intake and specific nutritional recommendations for CKD patients were used to assess the nutritional adequacy. Results: About 14.3% of the diets produced for CKD patients were analyzed. The levels of P, K, Mn and Na were over the recommendation, with Na exceeding the Upper Level. Inadequacy of Ca and Se were observed for all groups and ages. Inadequate values of iron were found for adult women. The combination of OFC with the diet was sufficient to provide adequate values of Fe, however, did not increase Ca and Se contents to adequate levels, and added unnecessary quantities of P, K and Na. Conclusion: With the exception of K and P the diets exhibited insufficient mineral contents and toxic levels of Na. Diet menus and OFC compositions need to be changed to meet the nutritional recommendations and support the clinical assistance of CKD patients and also contribute to the nutritional education of this group.Item Pattern of alcoholic beverage consumption and academic performance among college students.(2013) Aguiar, Aline Silva de; Fausto, Maria Arlene; Fonseca, Vilma Aparecida da Silva; Ciomei, Monique Haddad; Quintaes, Késia DiegoContexto: Bebidas alcoolicas estao amplamente disponiveis no ambiente universitario, principalmente nas festas. Ha poucos estudos abordando a relacao entre o consumo de bebidas alcoolicas e o desempenho academico entre estudantes universitarios. Objetivo: Este trabalho avaliou o comportamento de estudantes universitarios quanto ao padrao de consumo de bebidas alcoolicas e sua consequencia academica. Métodos: Os voluntarios (343 estudantes) responderam a um questionario sobre o padrao de consumo de alcool e possivel comportamento relacionado a esse consumo, especialmente sobre o desempenho academico. Os participantes foram classificados como nao bebedores (ND), bebedores nao em binge (nBD), bebedores em binge (BD) e bebedores pesados (HD). Resultados: 88,1% dos estudantes relataram ingerir bebidas alcoolicas, sendo 44% bebedores em binge. A maioria dos bebedores (75,5% – nBD, BD ou HD) ficou embriagada pelo menos uma vez por mes. O padrao predominante de consumo foi em binge (66,2% dos que relataram beber). Estudantes HD apresentaram risco 9,2 vezes maior de nao estarem no periodo ideal do curso. Conclusão: Os universitarios avaliados apresentaram maiores taxas de abuso de alcool. O beber em binge pode ter interferido no seu desempenho academico. Consequencias organicas, sociais e comportamentais foram tambem relatadas.Item Relação entre consumo de bebidas alcoólicas por universitárias e adiposidade corporal.(2011) Silva, Amanda Bertolini de Jesus; Oliveira, Aihancreson Vaz Kirchoff de; Silva, Janiara David; Quintaes, Késia Diego; Fonseca, Vilma Aparecida da Silva; Aguiar, Aline Silva deObjetivo: Identificar a influência do consumo de bebidas alcoólicas na adiposidade corporal de universitárias. Métodos: Realizou-se um estudo transversal com universitárias do curso de Nutrição da Universidade Federal de Ouro Preto (MG). O perfil de uso do álcool foi avaliado pelo AUDIT e a adiposidade foi avaliada pelo índice de massa corporal, percentual de gordura corporal, circunferência da cintura, circunferência do braço, dobra cutânea triciptal e razão cintura-quadril. Resultados: O consumo de bebidas foi relatado por 141 alunas, sendo que 56% (n = 79) fazem uso nocivo de álcool (AUDIT ≥ 8). Os valores médios do percentual de gordura corporal, da circunferência da cintura e da dobra cutânea triciptal foram maiores entre as alunas que relataram consumir bebidas alcoólicas (p < 0,05). Valores médios de circunferência do braço e dobra cutânea triciptal foram maiores entre as alunas que relataram uso nocivo de álcool. Houve associação positiva entre a pontuação do AUDIT e os parâmetros de adiposidade corporal (para percentual de gordura corporal, r = 0,20; p = 0,03); abdominal (para circunferência da cintura, r = 0,29; p = 0,01) e periférica (para circunferência do braço, r = 0,28; p = 0,02, e para dobra cutânea triciptal, r = 0,23; p = 0,007). Conclusão: O consumo de álcool pode ter influenciado na maior adiposidade entre as universitárias que relataram consumir bebidas alcoólicas. A adiposidade periférica foi maior entre as universitárias que relataram uso nocivo de alcool.Item The action of phytochemicals present in cocoa in the prevention of vascular dysfunction and atherosclerosis.(2022) Silva, Thayzis de Paula; Silva, Aline Andressa; Toffolo, Mayla Cardoso Fernandes; Aguiar, Aline Silva deBackground: Chronic non-communicable diseases, including cardiovascular diseases (CVDs), have caused many deaths worldwide. Atherosclerotic plaque formation is common in individuals with CVDs. Thus, antioxidant and anti-inflammatory nutritional strategies can be used to prevent or inhibit this process. Due to its higher concentrations of cocoa, dark chocolate is considered a functional food due to the presence and action of phytochemical compounds, with anti-inflammatory and antioxidant actions. However, the recommended amounts of these compounds to prevent atherosclerosis have not yet been fully elucidated. Aim: The aim of the studywas to review the effects of cocoa and dark chocolate intake on the prevention of cardiovascular dysfunction and atherosclerosis. Methods: This narrative review was based on a search of PubMed and Lilacs. The search was conducted from September 2021 to February 2022 using the following keywords: flavonoids, cocoa, atherosclerosis, oxidative stress, and inflammation. The inclusion criteria were original articles, meta- analyses, and experimental and clinical studies published between 2002 and 2022 in English, focusing on the subject addressed. The exclusion criteria were the title and abstract reading and duplication of articles in the databases. Results: The antioxidant and anti-inflammatory functions of phytochemicals in cocoa and dark chocolate are related to the modulation of nitric oxide through activation/phosphorylation and acting as a vasodilator. Furthermore, these phytochemicals reduce the formation of reactive oxygen species and activate antioxidant enzymes. The anti-inflammatory activities are related to the modulation of nuclear factor kappa B in the reduction of inflammatory markers, such as tumor necrosis factor-alpha, C-reactive protein, and pro-inflammatory cytokines, as well as in the reduction of adhesion molecules in the wall of the vases. Conclusion: The main phytochemicals present in cocoa and dark chocolates are catechins and their epicatechin isomers, which are responsible for improving inflammatory, metabolic, and antioxidant profiles. Its consumption can be encouraged, but with caution, owing to the caloric supply and forms of chocolate production, as these factors can reduce the presence of flavonoids in its composition. Relevance for Patients: The antioxidant and anti-inflammatory functions of the phytochemicals in cocoa and dark chocolate are responsible for modulating nitric oxide via activation/phosphorylation and acting as a vasodilator. Reducing the formation of reactive oxygen species, as well as activating antioxidant enzymes. As for the anti-inflammatory activities, they modulate the nuclear factor kappa B, reducing inflammatory markers, thus improving the antioxidant and inflammatory profile of these patients.