Browsing by Author "Bernardo, Alexandra"
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- 2-Phenoxyethanol derivatization in ink dating determinationPublication . Leal, Teresa Argente; Ferreira, Carla; Quintas, Alexandre; Bernardo, Alexandra
- An anti-inflammatory and low fermentable oligo, di, and monosaccharides and polyols diet improved patient reported outcomes in fibromyalgia : a randomized controlled trialPublication . Silva, Ana Rita; Bernardo, Alexandra; Mesquita, Maria Fernanda de; Vaz-Patto, José; Moreira, Pedro; Silva, Maria Leonor; Patrícia, PadrãoBackground: Fibromyalgia (FM) has been associated with dysbiosis and low-grade inflammation. Studies have reported that diet influences clinical features in FM. Objective: To evaluate the effect of an anti-inflammatory and low fermentable oligo, di, and monosaccharides and polyols (FODMAP) diet on clinical outcomes of patients with FM. Methods: This two arms Randomized Controlled Trial (NCT04007705) included 46 female patients with FM. The intervention group (n = 22) adopted an anti-inflammatory diet for 3 months, excluding gluten, dairy, added sugar, and ultra-processed foods, along with a low FODMAPs diet in the first month. The control group (n = 24) followed general healthy eating recommendations. Both diets were applied by a certified dietitian. Before and after the intervention, participants were assessed regarding pain, fatigue, gastrointestinal symptoms, quality of sleep, and quality of life, through the Revised Fibromyalgia Impact Questionnaire (FIQR), Visual Analogue Pain Scale (VAS), Visual Analog Scale from gastrointestinal symptoms (VAS GI), Brief Pain Inventory (BPI), Pittsburg Sleep Quality Index (PSQI), Fatigue Severity Survey (FSS), and The Short Form Health Survey (SF-36). A blood sample was collected and high-sensitive C-Reactive Protein and Erythrocyte Sedimentation Rate were quantified. Paired Samples t-test/Wilcoxon and independent samples t-test/Mann−Whitney were used to compare variables between groups. Results: After intervention, there was an improvement in intervention group scores of FIQR (p = 0.001), VAS (p = 0.002), BPI (p = 0.011), FSS (p = 0.042), VAS_GI (p = 0.002), PSQI (p = 0.048), and SF36 (p = 0.045) compared to control group. Inflammatory biomarkers (hs-CRP, ESR) did not change in both groups. The intervention was beneficial in the intervention group, regardless of age, disease duration, body mass index variation, and body fat change between baseline and post-intervention. Conclusion: An anti-inflammatory and low-FODMAP diet improved clinical features in patients with FM and may be useful as a complement to pharmacological therapy.
- Desmistificando a gravidez.Publication . Bernardo, Alexandra; Cardoso, Miriam; Cardoso, Nélia; Henriques, Inês; Santos, Joana; Marques, Fernanda Maria Gomes da Costa Teixeira
- Effect of a tomato juice intake on resting heart rate, resting blood pressure, and perception level of recovery in elite swimmersPublication . Marques, Filipa Baptista; Godinho, Catarina; Bernardo, Alexandra; Brito, José
- Mediadores inflamatórios na saliva: associação entre obesidade e doença periodontalPublication . Cachinho, Ricardo; Manso, Ana Cristina; Bernardo, Alexandra; Moncada, Margarida; Mendes, José João; Mesquita, Maria Fernanda de
- Papel da televisão no crescer da criança.Publication . Bernardo, Alexandra; Henriques, Inês; Santos, Joana; Santos, Mariana; Cardoso, Miriam
- Segurança rodoviária: momento de agir.Publication . Bernardo, Alexandra; Cardoso, Miriam; Cardoso, Nélia; Henriques, Inês; Santos, Joana; RAMOS, Ana Lúcia
- A study protocol for a randomized controlled trial of an anti-inflammatory nutritional intervention in patients with fibromyalgiaPublication . Silva, Ana Rita; Bernardo, Alexandra; Mesquita, Maria Fernanda de; Patto, José Vaz; Moreira, Pedro; Silva, Maria Leonor; Padrão, PatríciaBackground: This study aims to analyze the effects of a potentially anti-inflammatory nutritional intervention in disease assessment parameters, inflammatory markers, and quality of life of fibromyalgia (FM) patients. Methods: A sample of 100 female patients diagnosed with FM, followed up at Portuguese Institute of Rheumatology (IPR) in Lisbon, is being randomly allocated in two groups. Patients in the intervention group are adopting an anti-inflammatory diet, characterized by the exemption of the intake of foods containing gluten, dairy, sugar, and ultra-processed foods, during 3 months. During the first month, a low fermentable oligo-, di-, and monosaccharides and polyols (FODMAPs) diet is implemented, along with the anti-inflammatory diet, followed by the reintroduction of all fruits and vegetables over a consecutive period of 2 months. Patients in the control group are adopting a diet based on general recommendations for healthy eating. The outcomes are pain, fatigue, quality of sleep, quality of life, gastrointestinal symptoms, and inflammation. Before and after the 3 months intervention, and also 1 month after beginning the intervention, the following questionnaires are applied: Revised Fibromyalgia Impact Questionnaire, visual analog pain scale, Brief Pain Inventory,visual analog scale from a list of common gastrointestinal and extraintestinal symptoms in FM, Short Form 36, Fatigue Severity Survey, and Pittsburg Sleep Quality Index. Ultra-sensitive serum C-reactive protein, eritrocyte sedimentation rate, and interleukin-8 are determined. Age, physical activity, anthropometric parameters, and body composition are being collected. Student’s t test will assess the association between the disease evaluation parameters, the inflammatory markers, and the dietary interventions. Discussion: The results of this study are expected to determine whether a change in patient nutrition helps to alleviate symptoms, which would optimize medical intervention.
- The influence of intraoral devices in competitive anxiety levels of golf athletes : a pilot studyPublication . Cebola, Pedro; Almeida, André; Bernardo, Alexandra; Família, Carlos; Félix, Sérgio; Santos, José Martins dos; Godinho, Catarina
- The influence of intraoral devices in salivary cortisol levels of golf athletes : a pilot studyPublication . Cebola, Pedro; Chéroux, Vera; Santos, Luís Xavier; Bernardo, Alexandra; Família, Carlos; Almeida, André; Félix, Sérgio; Santos, José Martins dos; Godinho, Catarina