Nutrição e Saúde

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http://repositorio.ufes.br/handle/10/17582

Programa de Pós-Graduação em Nutrição e Saúde

Centro: CCS
Telefone: (27) 3335 7017
URL do programa: http://www.nutricaoesaude.ufes.br/pt-br/apresenta%C3%A7%C3%A3o

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A qualidade da alimentação e fatores antropométricos, socioeconômicos e de saúde em crianças de 7 a 9 anos de idade
(Universidade Federal do Espírito Santo, 2023-11-20) Paixao, Fernando Barbosa de Souza; Barbosa, Miriam Carmo Rodrigues; https://orcid.org/000000027868572X; http://lattes.cnpq.br/7938843376850281; https://orcid.org/0000-0001-9130-3354; http://lattes.cnpq.br/5633128660004637; Abreu, Luiz Carlos de; https://orcid.org/0000000276182109; http://lattes.cnpq.br/6796970691432850; López, Pilar Montero
A dietary pattern characterized by high consumption of ultra-processed foods, sugary beverages, and low intake of natural foods has been observed among children. These changes in dietary quality and a sedentary lifestyle are proposed as key etiological factors contributing to childhood obesity and weight-related chronic diseases. A diverse and high-quality diet is considered effective in reducing the risk of childhood overweight. Therefore, it is crucial to apply methods to assess diet quality and identify other factors that may influence weight gain in children. Understanding how these variables affect children's health and food choices can guide the development of future interventions for this population, ultimately improving their quality of life and contributing to the cultivation of healthy adults. Objective: To evaluate the relationship between diet quality and anthropometric, socioeconomic, and health factors in children aged 7 to 9 years. Method: This was a cross-sectional study conducted among children aged 7 to 9 years. Data on socioeconomic status, anthropometric measurements, sleep habits, screen time, and dietary habits were collected. Descriptive data analysis was performed, followed by inferential analyses using the Chi-squared test and multinomial logistic regression. Results: A total of 336 children aged 7 to 9 years were evaluated, comprising 157 (46.7%) boys and 179 (53.3%) girls. Regarding diet quality, 109 (32.4%) children had a low-quality diet, 135 (40.2%) had a moderate-quality diet, and 92 (27.4%) had a high-quality diet. A statistically significant difference was found between screen time and diet quality for both boys and girls (pvalue 0.010 and 0.025, respectively). Multinomial logistic regression revealed that boys with appropriate screen time had a 7.54 times higher chance of having a high-quality diet, while girls had a 3.26 times higher chance. Conclusion: Children's diet quality may be influenced by screen time. However, diet quality was not associated with BMI and other variables. Further studies are needed to better investigate how prolonged exposure to electronic devices may affect the food choices of these children and promote weight gain.
Ácido úrico e fatores de risco cardiovasculares no final da infância e início da adolescência
(Universidade Federal do Espírito Santo, 2018-10-01) Peçanha, Marcos Alves de Souza; Barbosa, Miriam Carmo Rodrigues; Faria, Eliane Rodrigues de; Pereira, Taísa Sabrina Silva; Leopoldo, Ana Paula Lima; Oliveira, Elizabete Regina Araújo de; Leopoldo, André Soares
The aim of this study was to investigate the relationship between uric acid and cardiovascular risk factors at the end of childhood (8-9 years) and early adolescence (10-14 years), of schoolchildren in the region of Maruípe in the municipality of Vitória-ES. This is a cross-sectional, observational, convenience study with 296 children and adolescents, of both sexes, from 9 public schools in the city of Vitória-ES. Anthropometric, hemodynamic and biochemical assessments were performed (Fasting of 12 h), blood collection was used to determine fasting glycemia, plasma insulin, total cholesterol and fractions (HDL and LDL), triglyceride plasmatic (TGC), uric acid (UA), plasma insulin, C-reactive protein and total leukocytes. Insulin resistance was evaluated by calculating the HOMA-IR index. Measurements of weight, height, waist circumference (WC), hip perimeter (HP) and body fat percentage (%BF) were obtained. In the evaluation for uric acid, the values above the 90 percentile were considered high according to each phase and sex. Statistical analyses were performed using the Kolmogorov-Smirnov test, chi-square test or Fischer exact test, Mann Whitney test, Pearson or Spearman correlation, and simple and multiple logistic regression models. The significance level adopted was p < 0.05. The project was approved by the Ethics Committee on Research with human beings of the Federal University of Espírito Santo (Opinion n° 1.565.490) and the term of free and informed consent was signed by the participants and their guardians. It was observed that the sample consisted of 54,4% (n = 161) Females, with mean age 10,7 ± 2,0 years and 54,0% (n = 159) were adolescents. When assessing the prevalences of anthropometric inadequacies and body composition according to the uric acid classification according to the phases, both in childhood and adolescence, overweight, WC, HP, waist-to-height ratio (WHR) and excess body fat showed higher prevalence in relation to elevated uric acid, and in biochemical and clinical alterations. In childhood, significance was manifested in HDL, insulin and insulin resistance, and in adolescence with blood pressure, LDL, insulin and insulin resistance. The correlation between uric acid levels and body composition, biochemical and clinical, were moderate in childhood with weight, WHR, HP, %BF, and negatively with HDL. Simple regression in childhood indicated that BMI, WC, HP, WHR, %BF, elevated Homa-IR index and low HDL, and in adolescence BMI, HP, WHR, %BF, blood pressure (BP), LDL and Homa-IR index showed a higher chance of presenting elevated uric acid. In the multiple logistic regression model for removal of the effect, it was observed that no variable remained associated. It was concluded that children and adolescents with elevated uric acid did not present association for cardiovascular risk factors. However, higher uric acid values were noted in the individuals evaluated with inadequate anthropometric and body composition parameters.
Ângulo de fase e marcadores de dano oxidativo em pacientes submetidos à gastrectomia vertical
(Universidade Federal do Espírito Santo, 2019-08-19) Venancio, Fernanda Amorim; Haraguchi, Fabiano Kenji; https://orcid.org/0000000210198888; http://lattes.cnpq.br/7280084109670510; https://orcid.org/0000-0003-1300-9736; http://lattes.cnpq.br/5454457570198651; Barbosa, Miriam Carmo Rodrigues; https://orcid.org/000000027868572X; http://lattes.cnpq.br/7938843376850281; Barauna, Valerio Garrone; https://orcid.org/0000000328320922; http://lattes.cnpq.br/1583882564447423
The phase angle is used to evaluate cellular integrity and as a health indicator in several clinical conditions, such as in patients undergoing bariatric surgery. Sleeve gastrectomy, a bariatric surgery technique, promotes weight loss, which may contribute to reduction of inflammation and oxidative damage. Thus, the hypothesis of this study is that weight loss after bariatric surgery promotes the reduction of oxidative damage markers concentrations and that these are inversely associated with phase angle. The aim of this study was to evaluate the phase angle, oxidative damage and its associations in patients undergoing to sleeve gastrectomy, between the preoperative period and the rapid weight loss phase. Data were collected approximately one month before surgery (M0), two (M1) and six months after surgery (M2). Body weight, height, lean mass, fat mass and phase angle were obtained. The bioelectrical impedance was used to estimate lean mass, fat mass and determine the phase angle. Blood samples were obtained to analyze serum concentrations of malondialdehyde (MDA) and advanced oxidation protein products (AOPP). The ANOVA for repeated measures test were used or Friedman test, according to the normality of the data, followed by the Bonferroni test and Pearson (parametric data) or Spearman correlations (non-parametric data). The level of significance was set at p 0,05). A weak positive correlation was found between phase angle and serum AOPP concentration, considering the data of the three moments (n=42; r=0,354; p=0,021). When we evaluated the correlations at each moment, we found a moderate positive correlation between phase angle and serum AOPP concentration in M0 (r=0,613, p=0,020) and M1 (r=0,554, p=0,040). The correlation between phase angle and AOPP/ALB ratio was positive moderate in M0 (r=0,615; p=0,019). There was no significant correlation between the phase angle and the other variables (p>0,05). Thus, it is concluded that during the rapid phase of weight loss there was a reduction in phase angle as well as oxidative damage to proteins. Reducted protein oxidation indicates clinical 9 improvement of health status and this reduction is positively associated with the phase angle
Associação entre composição corporal, estágio puberal, hábitos de vida e dislipidemia em crianças e adolescentes
(Universidade Federal do Espírito Santo, 2017-07-25) Oliosa, Polyana Romano; Barbosa, Miriam Carmo Rodrigues; Mill, José Geraldo; Faria, Carolina Perim de; Kuschnir, Maria Cristina Caetano
Objective: To analyze the lipid profile of children and adolescents in the age group of 6 to 18 years incomplete and its relation with nutritional status, body composition, life habits, puberty and to verify the impact of body fat accumulation on plasma lipids in boys and girls. Methods: We studied 854 schoolchildren of both sexes. The anthropometric variables analyzed were waist circumference (WC), height, weight, percentage of body fat (% G), body mass index (BMI) and waist circumference by height (RCE). Total cholesterol (TC), high density lipoprotein (HDLc), low density lipoprotein (LDLc) and non-HDL cholesterol (Non-HDLc) were measured in blood. Age was stratified in 6┣ 9 years, 9┣ 15 years and 15┣ 19 years, and the pubertal stages classified according to the Tanner scale in 1 (pre-pubertal), 2 to 4 (puberal) and 5 (post-puberal). Descriptive data were analyzed using the chi-square test, continuous variables presented by mean ± standard deviation and percentages. The analyzes were done by T-Student, ANOVA (followed by Tukey's test) and linear regression. The significance was set at p <0.05. Results: The sample consisted of 56% (n = 478) of boys. The prevailing age was 9 to 15 years (n = 584, 68.4%) with a mean of 11.87 ± 2.8 years. When analyzed the variables of life habits, the male practiced more physical activity, both inside and outside the "Estação Conhecimento" (p = 0.000) and had the habit of feeding with parents and / or guardians, more frequent (p = 0.002 ). There was no difference between the sexes for screen time (p = 0.270), leisure (p = 0.887) and breakfast (p = 0.286). When checking the influence of these variables on the lipid fractions, we did not obtain association (p> 0.05). Overweight was observed in 28.2% of the girls and in 20.3% of the boys (p <0.05). The boys classified in the pubertal and post-pubertal stages had lower (p <0.01) CT, LDLc and non-HDLc concentrations than pre-pubertals. Adolescents aged 15 to 19 years incomplete had lower concentrations of lipid fractions than those aged 6 to 9 years, 9 to 15 years (p <0.01). The mean levels of TC, LDLc and HDLc were higher in girls, however, with no difference between sexes when stratified by pubertal stages (p = 0.093) and age (p = 0.797). Plasma lipid levels change markedly during the pubertal stages. Obese boys had higher CT, non-HDLc and LDLc than eutrophic, whereas in non-HDLc only girls had significance (p <0.05). Boys and girls with inadequate% G and RCE had a higher concentration of LDLc and non-HDLc (p <0.001) when compared to children who had% G and an appropriate RCE. The% G and RCE were positively associated with lipid fractions (CT and non-HDLc) in both genders (p <0.001). The percentage of high body fat contributed with 21% of children or adolescents having high cholesterol (≥170 mg / dL). Conclusion: The nutritional status and excess body fat, are positively associated with the atherogenic lipid profile, impacting with more evidence in the male sex. There was no increase in cholesterol with age, but decreases as age advances as well as with pubertal stages, lipid fractions also decrease. As for the association between life habits and lipid fractions, no feasible associations were found. Thus, the data emphasize the need to control body weight, especially a monitoring of the body composition of children and adolescents aiming at the prevention of cardiovascular diseases in adult life.
Comparação entre os fatores associados à resistência à insulina no final da infância e início da adolescência
(Universidade Federal do Espírito Santo, 2017-07-28) Pani, Virgilia Oliveira; Barbosa, Miriam Carmo Rodrigues; Faria, Eliane Rodrigues de; Mill, José Geraldo; Alvim, Rafael de Oliveira
The objective of this study was to compare the risk factors associated with the development of insulin resistance (IR) at the end of childhood (8-9 years) and beginning of adolescence (10-14 years) in children and adolescents in the city of Vitória-ES. It is a cross-sectional study with 296 children and adolescents aged 8 to 14 years of public schools in Vitória / ES. Fasting plasma glucose, plasma insulin, total cholesterol and fractions (HDL and LDL), plasma triglycerides (TG), uric acid (AU), C-reactive protein and total leukocytes were determined. IR was assessed by calculating the HOMA-IR index. Measurements of weight, height, waist circumference (WC), perimeter of the neck (PN), perimeter of the hip (PH) and percentage of body fat (%BF) were obtained. Socioeconomic conditions, physical activity practice, eating habits, smoking and alcohol consumption were evaluated. We used the Shapiro Willk normality test, non-parametric tests and simple and multiple logistic regression models. The project was approved by the Human Research Ethics Committee of the Federal University of Espírito Santo (opinion n°. 1.565.490). Of the participants, 54.4% were female and 53.7% were adolescents. The female sex and the adolescence presented greater chances of inadequacy of insulin and IR. Adolescence presented a greater chance of inadequate number of meals, tablet or cellular use, screen time and alcohol consumption. All the anthropometric variables, time on the tablet or cell, time watching television (TV) and total screen time correlated positively with insulin and HOMA-IR. The IR group presented higher values of all the anthropometric variables and most of the biochemical and lifestyle variables, as well as the higher HOMA-IR quartile. Individuals who presented overweight, inadequate WC, PH, PN, Waist / Stature Relationship, excess body fat, inadequate glucose, HDL, TG, TG/HDL ratio, uric acid, insulin, metabolic syndrome, TV, longer screen time, greater family availability of sugar and individuals whose father does not work out were more likely to have IR. In the final model, the excess body fat, the TV watching time above 2h/day and the father did not work out were related to IR in the total sample. In childhood, the TG/HDL ratio ≥p90, AU ≥p90 and the TV watching time was higher than 2h/day and in adolescence the excess body fat, the TV watching time was higher than 2h/day and the family received a government appeal. It was concluded that the risk factors related to IR after 12 adjustments demonstrated different behaviors in the phases evaluated. In this way, it is extremely important to consider the phases separately when evaluating them.
Consumo de alimentos minimamente processados e ultraprocessados e fatores associados em gestantes da Região Metropolitana da Grande Vitória, Espírito Santo - Brasil
(Universidade Federal do Espírito Santo, 2019-03-22) Pereira, Monique Tavares; Salaroli, Luciane Bresciani; Santos Neto, Edson Theodoro dos; Barbosa, Miriam Carmo Rodrigues; Guandalini, Valdete Regina; Saunders, Cláudia
Gestation causes significant impact on the health of the mother and the development of the fetus. Understanding the dietary habits of women during pregnancy is relevant for the application of nutritional interventions in favor of the infant's and mother's health. This study sought to analyze the consumption of minimally processed and ultraprocessed foods and associated factors of 1035 pregnant women, to evaluate the relationship between the consumption of these foods with sociodemographic variables, maternal habits, educational training received during prenatal care and clinical history. Foods were grouped according to the criteria established in the NOVA classification considering the characteristics of the purpose and extent of the industrial processing to which foods were submitted. Results identified that pregnant women <19 years of age were 2.9 times more likely to have a consuming ultraprocessed foods (OR 2.950; CI95% 1.683-5.168). Women over 35 years of age showed to be a protective factor for the consumption of ultraprocessed foods (OR 0.265; CI95% 0.105-0.666). Maternal smoking increased the chances of having of ultraprocessed foods consumption in 2.2 times (OR 2.247; CI95% 1.202-4.199), and pregnant women who did not obtain information about healthy food during prenatal care were 54.1% less likely to have of consuming minimally processed foods (OR 0.459; CI95% 0.307-0.677). Therefore, sociodemographic and maternal factors may lead to important implications for the consumption of ultraprocessed and minimally processed foods by pregnant women.
Fatores associados à insatisfação corporal no final da infância e início da adolescência
(Universidade Federal do Espírito Santo, 2018-02-27) Martins, Caroline Resende; Barbosa, Miriam Carmo Rodrigues; Faria, Eliane Rodrigues de; Alvim, Rafael de Oliveira; Mill, Jose Geraldo; Soares, Fabíola Lacerda Pires; Leopoldo, Ana Paula Lima
The objective of this study was to identify factors associated with body dissatisfaction at the end of childhood (8-9 years) and beginning of adolescence (10-14 years) in children and adolescents in the Maruípe region of the city of Vitória-ES. It is an observational, cross-sectional study with 296 children and adolescents aged 8 to 14 years of public schools in Vitória / ES. To evaluate the biochemical profile, after a 12- hour fast, 10 mL of blood was collected for the determination of fasting glycemia, plasma insulin, total cholesterol and fractions (HDL and LDL), plasma triglycerides (TGC), acid uric acid (AU), plasma insulin, C-reactive protein and total leukocytes. Insulin resistance was assessed by calculating the HOMA-IR index. Measurements of weight, height, waist circumference (WC), neck circumference (NC), hip circumference (HC) and body fat percentage (% BF) were obtained. Body dissatisfaction was assessed through the Kakeshita silhouettes scale, as well as questions from the Body Shape Questionnaire (BSQ) were used to evaluate eating behaviors. Socioeconomic conditions, physical activity, eating habits, race / color, smoking and alcohol consumption were also evaluated. Sexual maturation was assessed through the selfassessment proposed by Tanner. A subsample for the screening of eating disorders was carried out using the Edinburgh Bulimia Research Test (BITE) and Food Attitude Test (EAT) tests. We used the Shapiro Willk Normality Test, non-parametric tests and simple and multiple logistic regression models. The project was approved by the Human Research Ethics Committee of the Federal University of Espírito Santo (opinion No. 1,565,490) and the Informed Consent Form and Assent was signed by the participants and their officials. It was observed that 88.8% (n = 263) of the sample was dissatisfied with body image, with the desire to lose weight in girls (68.5%) (p <0.0001) and to gain weight in the boys (35.1%) (p <0.0001). In girls, the prevalence of high triglycerides, high fasting insulin and insulin resistance were significantly higher than in boys. No group of dissatisfied ones such as prevalence of overweight, excess body fat, high WC, elevated CRF, high fasting insulin and high waist height ratio (WHR) were greater than satisfied. In the sub-sample, it was possible to observe that the prevalence of individuals who presented positive screening for anorexia nervosa was higher than that of the unsatisfied group (p <0.05). In the simple regression it was observed that overweight, WHR, inadequate% BF, high plasma insulin and cigarette use were associated with body dissatisfaction, presenting different behaviors according to stage and sexual maturation. However, only overweight remained in the final model, in early adolescence and in the final stages of sexual maturation. It is concluded that overweight was the main factor associated with body dissatisfaction in the children and adolescents of this study, being essential the evaluation of the life stage and the degree of maturation that these are.
Fatores de risco cardiovascular : um estudo em agricultores do Espírito Santo
(Universidade Federal do Espírito Santo, 2018-04-05) Luz, Tamires Conceição da; Bezerra, Olívia Maria de Paula Alves; Salaroli, Luciane Bresciani; Pedrosa, Rogério Graça; Barbosa, Miriam Carmo Rodrigues; Zandonade, Eliana; Mill, José Geraldo
Rural populations have changed their eating and living habits over the years, leading to an increase in the occurrence of cardiovascular diseases. There are still few studies that describe how these risk factors are distributed in these populations. Therefore, this study aims to estimate the prevalence of cardiovascular risk factors in the Santa Maria de Jetibá farmers' population and the association with sociodemographic, occupational, lifestyle and anthropometric indicators. This is a cross-sectional population epidemiological study, developed in family farmers in the rural area of Santa Maria de Jetibá / ES. A questionnaire was applied and hemodynamic and anthropometric evaluations were carried out, as well as biochemical tests. Among the data collected, four cardiovascular risk factors defined in the Framingham studies (arterial hypertension, dyslipidemia, smoking, and fasting glycemia) were chosen as outcomes. Of the 790 study participants, 52,3% (n = 413) were males, 88,9% were white (n = 702), 31% were between 30 and 40 years old (n = 444) and 67,5% had between zero and four years of study. Regarding cardiovascular risk factors, hypertension was more prevalent in men (p <0.001), and dyslipidemia was more prevalent in women (p = 0,036). The number of cardiovascular risk factors was associated with age (p <0,001), schooling (p <0,001), landowner (p = 0,003), total weekly working hours (p = 0,004), working time as family farmer (p <0,000), body mass index (p <0,001), waist circumference (p = 0,005) and triceps skin fold (p = 0,001). Having more than 30 years of work as a farmer increased the chance of having two or more cardiovascular risk factors by 10,72 times (OR 2,92; CI 1,365 – 84,301); High waist circumference increased the chance in 2,43 times of having two or more cardiovascular risk factors (OR: 2,431, CI 1,526-3,874); Tricipital cut fold increased the chance of having two or more cardiovascular risk factors by 1.54 times (OR: 1,539; CI: 1,013-2,339). The results prove that family farmers are exposed to risk factors for the development of cardiovascular diseases. It is important to create public policies in SUS that meet the specific demands of this population.
Preditores do baixo peso ao nascer dos filhos de gestantes de alto risco em um serviço de referência do Sudeste brasileiro
(Universidade Federal do Espírito Santo, 2020-03-13) Conceição, Ana Keles Dias da; Barbosa, Miriam Carmo Rodrigues; https://orcid.org/000000027868572X; http://lattes.cnpq.br/7938843376850281; https://orcid.org/0000-0001-5630-671X; http://lattes.cnpq.br/6647694067000119; Molina, Maria Del Carmen Bisi; https://orcid.org/0000-0002-8614-988X; http://lattes.cnpq.br/9238370951122705; Saunders, Claudia; https://orcid.org/0000-0001-8815-6736; http://lattes.cnpq.br/6995217299157396
Objective: This study aims to investigate whether life conditions, gynecological obstetric history and characteristics of current pregnancy are capable of predicting birth weight of the children of high-risk pregnant women in the city of Vitória - ES. Methods: This is a prospective analytical cohort with 140 GAR attended at a municipal referral service in the city of Vitória-ES. Adult pregnant women and adolescents with admission to high-risk care were included, from the first to the third trimester and who consented to participate in the research. The variables were obtained through an interview using a semi-structured questionnaire or by consulting the medical records, the pregnant woman's card and the SINASC bank. Analysis: Frequency, chi-square and logistic regression and hierarchical multivariate regression analyzes were performed. Maternal variables were analyzed at levels hierarchized to the outcome consisting of three blocks. Results: Of 140 pregnant women, 136 were analyzed. There was a incidence of 16.2% of LBW. The variables PGBMI of low weight, Route amniotic sac or induction of premature labor, pica and Diabetes diagnosis, lost strength, not remaining in the final model. The determinants of the LBW of the children of GAR were: having 1 to 3 prenatal visits (RR = 45.74 CI95% 3.32 - 629.72), presenting 2 or more than 5 years of interpartum interval (RR = 9.24 CI95 % 1.44 - 59.02), primariparity or multiparity (RR = 7.91 95% CI 1.30 - 48.05). Being single, divorced or widowed, remained a factor in reducing the chances in this study group (RR = 0.76 95% CI 0.00 - 0.8). Conclusion: The low number of prenatal consultations, the interpartal interval less than two or greater than five, being nulliparous or multiparous and the presence of the partner are the determinants of LBW.
Relação entre sobrepeso e obesidade de crianças e de seus responsáveis: um estudo na região metropolitana de Vitória/ES
(Universidade Federal do Espírito Santo, 2023-12-07) Moura, Kéllyda Cinnara da Silva; Molina, Maria Del Carmen Bisi; http://lattes.cnpq.br/9238370951122705; https://orcid.org/0000-0002-8956-2557; http://lattes.cnpq.br/3953135489989363; Barbosa, Miriam Carmo Rodrigues; https://orcid.org/000000027868572X; http://lattes.cnpq.br/7938843376850281; Pereira, Marlus Henrique Queiroz
Obesity is a major challenge for public health, as it is a multifactorial problem that is difficult to resolve and must be faced by several countries. In Brazil, data from the Food and Nutrition Surveillance System (SISVAN), from 2021, showed that approximately 18% of children under 10 years of age are overweight, while 19% were classified as obese. The etiology of obesity is complex, influenced, among several factors, by genetics, quantity and quality of food and lifestyle. There is evidence that parents can have an important influence on their children's health habits and weight. And in some cases, caregivers may inadvertently promote behaviors that contribute to childhood overweight and obesity. This work investigated the correspondence between the nutritional status of children and their guardians in four municipalities in the Metropolitan Region of Vitória-ES, as well as the factors associated with overweight and obesity of those responsible for participating children. This is a cross-sectional study with baseline data from an intervention study. The collection period took place from July to December 2021. Families with children between 7 and 10 years of age enrolled in 26 Family Health Units (USF) in the municipalities of Cariacica, Serra, Vila Velha and Vitória were included in the study. Clinical examinations were performed using standardized protocols by a certified team. A face-to-face interview was conducted to obtain sociodemographic data, lifestyle and health habits. Nutritional status was classified using the Body Mass Index (BMI) (children and guardians). The chi-square test was used to identify differences in proportions of sociodemographic variables, life habits and health between nutritional status (children and guardians). The kappa (k) test was used to verify the agreement between the nutritional status of children and guardians. Multinomial logistic regression models were established to identify factors associated with overweight and obesity of caregivers. Analyzes were conducted using SPSS software version 21.0, adopting p<0.05. 455 children (52.3% girls) and their parents/guardians (93.6% mothers) were evaluated. Most children actively went to school and did not have the habit of taking lunch. Greater agreement was found in the obesity condition (k=0.124, p<0.001), with 56.5% of children classified as obese having obese parents/guardians. Guardians over 30 years of age and self-perceived health as fair/poor/very poor were more likely to be overweight/obese. The nutritional status of children is related to that of their parents/guardians, especially when they are obese. Higher age range and worse self-perception were associated with overweight/obesity in parents or guardians.
Vitamina D e suas novas associações com dados bioquímicos em crianças e adolescentes
(Universidade Federal do Espírito Santo, 2023-03-10) Almeida, Pedro Antonio Souza de; Barbosa, Miriam Carmo Rodrigues; https://orcid.org/000000027868572X; http://lattes.cnpq.br/7938843376850281; https://orcid.org/0000-0001-9754-7827; http://lattes.cnpq.br/1461377237255188; Mill, José Geraldo; https://orcid.org/000000020987368X; http://lattes.cnpq.br/2497419234600362; Alvim, Rafael de Oliveira; https://orcid.org/0000-0003-3150-4239; http://lattes.cnpq.br/3204117077254917
Introduction: Vitamin D deficiency is a problem that affects various social classes, ages, and genders, and at present, the consequences that inadequate levels of vitamin D can bring to the human body are still unknown. New discoveries about this vitamin further instigate the scientific community to unravel unknown roles of it. Objective: To identify new associations of vitamin D with biochemical markers of health in children and adolescents. Methodology: It is a cross-sectional study developed by data collection and analysis of biochemical and sociodemographic data in children and adolescents enrolled in the institution called Estação do Conhecimento, located in the neighborhood of Cidade Continental, Serra, Espírito Santo. Data analysis was performed with the help of SPSS software version 21.0, and a Pearson correlation test was performed with the collected data to verify if there was an association between the variables, and subsequently, a linear regression test was performed to find out if the relationship was maintained after adjustment for variables that could confound the analysis. Results: A positive correlation was found between vitamin D levels and platelets, where this correlation was maintained after linear regression testing. An association was also found between vitamin D levels and serum transferrin, but there was no association between vitamin D and other markers of iron status. Conclusion: There is a relationship between vitamin D levels and the variables studied here, but further studies are needed to prove if they are indeed interlinked, and new perspectives on the functions of vitamin D in the body are presented here.

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