Browsing by Author "Faria, Ana"
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- Alimentação vegetariana na criança e no adolescentePublication . Silva Martins, Daniela; Faria, Ana; Loureiro, HelenaOs comportamentos alimentares têm vindo a alterar-se ao longo dos anos, tendo-se verificado um maior interesse pelo padrão alimentar vegetariano, por parte de adultos mas também de crianças e adolescentes. O objetivo deste artigo é identificar os motivos que provocam uma adesão ao padrão alimentar vegetariano e identificar os efeitos sobre a saúde deste padrão alimentar nas crianças e adolescentes. Alguns dos motivos que podem levar as crianças e adolescentes a adotarem por um padrão alimentar vegetariano podem ser por questões de saúde, ambientais, religiosas ou éticas. O padrão alimentar em questão apresenta alguns benefícios para a saúde, nomeadamente na prevenção de doenças como a obesidade, doenças cardiovasculares, diabetes tipo 2 e cancro. Por fim, o padrão alimentar vegetariano, se for corretamente planeado, pode fornecer as necessidades nutricionais de crianças e adolescentes. Contudo, se não for bem planeado pode originar défices nutricionais, comprometendo o crescimento e desenvolvimento adequados nestas faixas etárias.
- Ambientes da prática profissional na pandemia pela Covid-19: perceção dos enfermeiros de hospitais portuguesesPublication . Ribeiro, Olga; Pereira, Soraia; Pires, Regina; Trindade, Lectícia; Faria, Ana; Ventura-Silva, João
- Body composition, energy and protein intake in institutionalized portuguese older adultsPublication . Marques, M.A.; Faria, Ana; Cebola, M.
- Body mass index and body composition in institutionalized older adults with malnutrition sarcopenia and frailtyPublication . Marques, Maria Armanda; Faria, Ana; Cebola, MarisaIntroduction: Malnutrition, sarcopenia and frailty are multifactorial and highly prevalent conditions among institutionalized older adults Objectives: The aim of this study was to asses body mass index and body composition in older adults, according to the diagnosis of malnutrition, sarcopenia and frailty. Methods: Institutionalized older adults with 60 or more years old were included. Nutritional status (Mini Nutritional Assessment), sarcopenia (European Working Group Sarcopenia in Older People criteria) and frailty (Fried Phenotype) were assessed. Body composition was assessed through bioelectrical impedance Results: One-hundred and forty-six individuals, with a mean age of 83 years old and mainly females (63.3%) were included. Malnutrition was diagnosed in 26.2%, sarcopenia in 25.0% and frailty in 61.0%. Mean Body Mass Index (BMI) was 20.7, 25.8 and 26.6kg/m2 in malnourished, at risk and well- nourished individuals, respectively(p = 0.000); 21.6 and 26.8 kg/m2 in sarcopenic and non-sarcopenic individuals(p = 0.000); and 24.3 and 27.7 kg/m2 in fragile and robust individuals(p=0.000). Mean Fat Mass Index was 9.6 and 13.3 kg/m2 in sarcopenic and non-sarcopenic individuals (p=0.007); and 10.3 and 16.0kg/m2 in fragile and robust individuals (p=0.000). Mean Free Fat Mass Index was 12.5, 14.9 and 17.0kg/m2 in malnourished, at risk and well- nourished individuals; 12.0 and 17.0 kg/m2 in sarcopenic and non-sarcopenic individuals(p=0.000); and 14.7 and 17.1kg/ m2 in fragile and robust individuals(p = 0.002) Conclusions: BMI, free fat mass and fat mass were significantly lower in older adults with malnutrition, sarcopenia and frailty. BMI is a practical nutritional status marker, however it needs to be interpreted cautiously in older adults, as it seems that a lower value is associated with a worse prognosis and existing cutoffs may not apply. Nutritional screening and assessment of older adults is essential for a prompt intervention, in order to prevent and reverse these conditions
- Bone mineral density in children submitted to dairy restrictionPublication . Lopes, T.; Loureiro, H.; Monteiro, M.; Pocinho, M.; Faria, Ana
- Care causing diagnosis, comorbidities and nutritional status of patients in continuous long term care unitPublication . Marques, M; Gonçalves, V; Vieira, A; Magalhães, F; Godinho, J; Lemos, A; Costa, V; Faria, AnaIntroduction: Poor nutritional status has negative implications on prognosis, cost of care, morbidity and mortality. However, when nutritional assessment is not implemented, malnutrition can go untreated. Objectives: The aim of this study was to establish a relationship between care causing diagnosis, existing comorbidities and nutritional status of patients admitted to a long-term care unit. Methods: In the context of Nutrition Day audit, from 2016 to 2018, nutritional status was assessed using Mini Nutritional Assessment. Sociodemographic and anthropometric data, as well as medical history were collected. Results: Sixty-two individuals were included (51.6% male), with a mean age of 7711 years. Mean BMI was 22.94.3kg/m2. Most of the patients were bedridden or in wheelchair (51.6%). A great part of the sample was at risk of malnutrition (40.3%) and 27.4% was malnourished. The majority of the sample showed dementia (75.8%) and 66.2% had depression. A correlation was found between nutritional status and cognitive status(r = 0.445; p = 0.000); and between nutritional status and functional capacity(r = 0.284; p = 0.025). Care causing diagnosis for most of the patients was central nervous system disease (66.1%), followed by heart disease (59.7%), skeletal muscle disease (30.6%) and cancer (17.7%). An association was found between heart disease and malnutrition (p = 0.023). Almost all of the sample was polymedicated (91.9%) and most was taking antypsychotics and/or neuroleptics (71.0%). Conclusions: In this long-term care unit, malnutrition presented a significant prevalence. Cognitive status decline and low functional capacity seem to be correlated with a worse nutritional status. Also, heart disease was associated with malnutrition, meaning that these are significant risk factors for the development of malnutrition. Nutrition Day audit brings awareness to the importance of nutritional care, as well as the need for development of nutritional screening and assessment protocols.
- O consumo de hidratos de carbono em futebolistas masculinos: revisão sistemática e meta-análisePublication . Martinho, Diogo V.; Fernandes, Marlene; Loureiro, Helena S.; Fernandes, Joana; Lemos, João; Faria, AnaINTRODUÇÃO: As diretrizes relativas ao consumo de hidratos de carbono têm sido extensivamente discutidas. Apesar deste macronutriente ser reconhecidamente determinante no rendimento desportivo, escassas revisões sistemáticas e meta-análises foram conduzidas para avaliar a ingestão de hidratos de carbono em futebolistas masculinos. OBJETIVOS: O objetivo desta revisão sistemática, com meta-análise, foi avaliar a ingestão de hidratos de carbono em diferentes períodos da época competitiva. Adicionalmente, foi examinado o consumo de hidratos de carbono por grupo posicional. METODOLOGIA: As bases de dados utilizadas foram PubMed, SPORTDiscus e Web of Science Core Collection. Os estudos incluídos consideraram os seguintes critérios de elegibilidade: jogadores de futebol masculino, idade superior a 18 anos e consumo de hidratos de carbono expresso em g.kg-1.dia-1. RESULTADOS: Inicialmente, foram identificados 1992 artigos. Destes, 11 foram considerados elegíveis para a revisão sistemática e 10 foram incluídos na meta-análise. Os resultados demonstraram que os futebolistas masculinos, consomem em média, 4,3 g.kg-1.dia-1 e 5,0 g.kg-1.dia-1 nos períodos competitivos e preparatórios (pré-época), respetivamente. Não foi encontrado qualquer estudo que reportasse o consumo de hidratos de carbono durante a off-season. Apenas três estudos examinaram a variação do consumo de hidratos de carbono por grupo posicional. Embora as amostras sejam limitadas, os guarda-redes parecem ingerir uma menor quantidade de hidratos de carbono comparativamente a atletas de outras posições em campo. CONCLUSÕES: Considerando as limitações associadas às metodologias utilizadas para aferir o consumo de hidratos de carbono em atletas, a presente revisão sistemática realça a necessidade de desenvolver estratégias nutricionais para o cumprimento das diretrizes deste macronutriente.
- Dietary practices in methylmalonic acidaemia: a European surveyPublication . Pinto, Alex; Evans, Sharon; Daly, Anne; Almeida, Manuela Ferreira; Assoun, Murielle; Bélanger-Quintana, Amaya; Bernabei, Silvia Maria; Bollhalder, Sandra; Cassiman, David; Champion, Helena; Chan, Heidi; Corthouts, Karen; Dalmau, Jaime; Boer, Foekje de; Laet, Corinne De; Meyer, An de; Desloovere, An; Dianin, Alice; Dixon, Marjorie; Dokoupil, Katharina; Dubois, Sandrine; Eyskens, Francois; Faria, Ana; Fasan, Ilaria; Favre, Elisabeth; Feillet, François; Fekete, Anna; Gallo, Giorgia; Gingell, Cerys; Gribben, Joanna; Hansen, Kit Kaalund; Horst, Nienke Ter; Jankowski, Camille; Janssen-Regelink, Renske; Jones, Ilana; Jouault, Catherine; Kahrs, Gudrun Elise; Kok, Irene; Kowalik, Agnieszka; Laguerre, Catherine; Verge, Sandrine Le; Liguori, Alessandra; Lilje, Rina; Maddalon, Cornelia; Mayr, Doris; Meyer, Uta; Micciche, Avril; Och, Ulrike; Robert, Martine; Rocha, Júlio César; Rogozinski, Hazel; Rohde, Carmen; Ross, Kathleen; Saruggia, Isabelle; Schlune, Andrea; Singleton, Kath; Sjoqvist, Elisabeth; Skeath, Rachel; Stolen, Linn Helene; Terry, Allyson; Timmer, Corrie; Tomlinson, Lyndsey; Tooke, Alison; Kerckhove, Kristel Vande; van Dam, Esther; Hurk, Dorine van den; Ploeg, Liesbeth van der; Van Driessche, Marleen; van Rijn, Margreet; Wegberg, Annemiek van; Vasconcelos, Carla; Vestergaard, Helle; Vitoria, Isidro; Webster, Diana; White, Fiona; White, Lucy; Zweers, Heidi; MacDonald, AnitaBackground -The dietary management of methylmalonic acidaemia (MMA) is a low-protein diet providing sufficient energy to avoid catabolism and to limit production of methylmalonic acid. The goal is to achieve normal growth, good nutritional status and the maintenance of metabolic stability. Aim -To describe the dietary management of patients with MMA across Europe. Methods - A cross-sectional questionnaire was sent to European colleagues managing inherited metabolic disorders (IMDs) (n=53) with 27 questions about the nutritional management of organic acidaemias. Data were analysed by different age ranges (0-6 months; 7-12 months; 1-10 years; 11-16 years; >16 years). Results - Questionnaires were returned from 53 centres. Twenty-five centres cared for 80 patients with MMA vitamin B12 responsive (MMAB12r) and 43 centres managed 215 patients with MMA vitamin B12 non-responsive (MMAB12nr). For MMAB12r patients, 44% of centres (n=11/25) prescribed natural protein below the World Health Organization/Food and Agriculture Organization/United Nations University (WHO/FAO/UNU) 2007 safe levels of protein intake in at least one age range. Precursor-free amino acids (PFAA) were prescribed by 40% of centres (10/25) caring for 36% (29/80) of all the patients. For MMAB12nr patients, 72% of centres (n=31/43) prescribed natural protein below the safe levels of protein intake (WHO/FAO/UNU 2007) in at least one age range. PFAA were prescribed by 77% of centres (n=33/43) managing 81% (n=174/215) of patients. In MMAB12nr patients, 90 (42%) required tube feeding: 25 via a nasogastric tube and 65 via a gastrostomy. Conclusions - A high percentage of centres used PFAA in MMA patients together with a protein prescription that provided less than the safe levels of natural protein intake. However, there was inconsistent practices across Europe. Long-term efficacy studies are needed to study patient outcome when using PFAA with different severities of natural protein restrictions in patients with MMA to guide future practice.
- Fatores relacionados à fragilidade multidimensional em pessoas idosasPublication . Faria, Ana; Martins, MM; Laredo Aguilera, José Alberto; Ribeiro, Olga; Almeida Ventura Silva, João Miguel; Faria Fonseca, Esmeralda; Moreira Ferreira, Luciano JoséObjective: to analyze the sociodemographic and health factors related to multidimensional frailty in elderly people living at home. Method: descriptive, exploratory and cross-sectional study, which evaluated 300 elderly enrolled in a Health Unit in the Northern Region of Portugal. The sociodemographic and health conditions of the old people were analyzed, with application of the Tilburg Frailty Index, Falls Efficacy Scale International – 7 items, Barthel Index and Lawton and Brody Scale. Results: in the elderly in the study, with a mean age of 81.34±6.75 years, frailty was identified in 60.33%. The related factors were: gender, marital status, self-perceived health, pathological history, severe disease in the last year, polymedication, falls, fear of falling and higher level of dependence. Conclusion: multidimensional frailty of the elderly living at home is a prevalent condition. When predictor factors in primary health care are analyzed early, it is possible to intervene in order to delay this syndrome.
- Fragilidade em pessoas idosas residentes no domicílio inscritas numa unidade de saúde do norte de PortugalPublication . Faria, Ana; Martins, MM; Laredo-Aguilera, José Alberto; Ribeiro, Olga; Faria Fonseca, Esmeralda; Martins Flores, JoanaIntrodução: Com o aumento da longevidade e declínio da função física, psicológica e social dos idosos é essencial perceber as condições sociodemográficas e de saúde que concorrem para a fragilidade. Objetivos: Analisar o perfil de fragilidade dos idosos de uma unidade de saúde do norte de Portugal. Metodologia: Estudo descritivo, transversal com 173 idosos a residir no domicílio e inscritos numa Unidade de Saúde. Como instrumento de recolha de dados usou-se um inquérito, realizado por telefone, contendo dados sociodemográficos, de saúde e o Índice de fragilidade de Tilburg (TFI). Resultados: Amostra predominantemente feminina com idade média de 81,11 anos, maioritariamente casados, com diversas comorbilidades e polimedicados. A representação da fragilidade foi de 60,7%, estando essa condição significativamente associada ao género, estado civil, número de doenças crónicas, polimedicação e autoperceção da saúde. Para a maioria dos idosos (83,8%), a condição de fragilidade é influenciada cumulativamente pelas dimensões físicas, psicológicas e sociais. Conclusão: A fragilidade é uma condição prevalente e o perfil está associado a um conjunto de caraterísticas nas quais é possível intervir retardando a progressão da fragilidade que ocorre com o envelhecimento.