Página 1 dos resultados de 1204 itens digitais encontrados em 0.009 segundos

Long-term nutritional assessment of patients with severe short bowel syndrome managed with home enteral nutrition and oral intake

BORGES, V. Chaer; SILVA, Ma de L. Teixeira da; DIAS, Ma C. Goncalves; GONZALEZ, Ma C.; WAITZBERG, D. Linetzky
Fonte: AULA MEDICA EDICIONES Publicador: AULA MEDICA EDICIONES
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
36.3%
Background: Parenteral nutrition (PN) is used to control the nutritional state after severe intestinal resections. Whenever possible, enteral nutrition (EN) is used to promote intestinal rehabilitation and reduce PN dependency. Our aim is to verify whether EN + oral intake (01) in severe short bowel syndrome (SBS) surgical adult patients can maintain adequate nutritional status in the long term. Methods: This longitudinal retrospective study included 10 patients followed for 7 post-operative years. Body mass index (BMI), percentage of involuntary loss of usual body weight (UWL), free fat mass (FFM), and fat mass (FM) composition assessed by bioelectric impedance, and laboratory tests were evaluated at 6, 12, 24, 36, 48, 60, 72, and 84 months after surgery. Energy and protein offered in HPN and at long term by HEN+ oral intake (01), was evaluated at the same periods. The statistical model of generalized estimating equations with p <0,05 was used. Results: With long term EN + 01 there was a progressive increase in the UWL, a decrease in BMI, FFM, and FM (p < 0,05). PN weaning was possible in eight patients. Infection due to central venous catheter (CVC) contamination was the most common complication (1.2 episodes CVC/patient/year). There was an increase in energy and protein intake supply provided by HEN+OI (p <0.05). All patients survived for at least 2 years...

A construção de políticas públicas promotoras de saúde: um estudo de caso sobre a Política de Segurança Alimentar e Nutricional do Paraná; The construction of public policies that promote Health: a case study on the policy Food and Nutrition Security of Paraná

Rigon, Silvia do Amaral
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 24/04/2012 Português
Relevância na Pesquisa
36.34%
A construção de políticas de promoção da saúde constitui um tema desafiador. A principal dificuldade para os avanços necessários reside na compreensão da determinação social do processo saúde-adoecimento e no seu devido enfrentamento, mediante um conjunto de estratégias que transcendem o setor saúde. Nesse contexto, destaca-se o problema da insegurança alimentar e nutricional, identificado em países como o Brasil, pelo convívio do sobrepeso e da obesidade com a desnutrição e as doenças carenciais, retrato da desigualdade social, das condições precárias de vida e de um sistema agroalimentar que valoriza a agroindústria e que promove o abandono das práticas alimentares tradicionais e a mercadorização dos alimentos. Tal conjunto de questões demanda a efetivação de políticas públicas de Segurança Alimentar e Nutricional (SAN), com caráter intersetorial, comprometidas com a efetivação do direito humano à alimentação adequada e saudável. Em função da sanção da Lei n. o 11.346 em 2006, que instituiu o Sistema Nacional de Segurança Alimentar e Nutricional no Brasil, os estados da federação iniciam o processo de construção de suas respectivas políticas. O objetivo deste estudo de caso foi o de analisar o processo de construção da Política de Segurança Alimentar e Nutricional do Paraná...

Minerals in the nutrition of extremely low birth weight infants

Trindade, Cleide Enoir Petean
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
46.2%
Objective: To review the literature on the role of calcium, phosphorus and trace elements in the nutrition of extremely low birth weight infants, considering their importance for metabolism, bone mineralization and as dietary components. Sources of data: MEDLINE, the Cochrane Database of Systematic Reviews and books on nutrition were searched between 1994 and 2004. Original research studies and reviews were selected. Summary of the findings: Extremely preterm infants are frequently growth-restricted at hospital discharge as a consequence of difficulties in the provision of adequate nutrition. The long-term effects of this growth restriction need to be determined. There is a paucity of studies about the role of minerals, especially micronutrients, in the nutrition of extremely preterm infants. The principal focus of this review was on calcium and phosphorus metabolism, bone mineralization and parenteral and enteral supplementation. A critical evaluation of post-discharge nutrition and its influence upon growth and bone mineralization was presented. Selenium and zinc requirements and the role of selenium as an antioxidant with possible effects on free radical diseases of the preterm infant were discussed. Conclusions: Extremely preterm infants have low mineral reserves and...

Iodine nutrition in elementary state schools of Queretaro, Mexico: correlations between urinary iodine concentration with global nutrition status and social gap index

García-Solís,Pablo; Solís-S,Juan Carlos; García-Gaytán,Ana Cristina; Reyes-Mendoza,Vanessa A.; Robles-Osorio,Ludivina; Villarreal-Ríos,Enrique; Leal-García,Luisa; Hernández-Montiel,Hebert Luis
Fonte: Sociedade Brasileira de Endocrinologia e Metabologia Publicador: Sociedade Brasileira de Endocrinologia e Metabologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2013 Português
Relevância na Pesquisa
36.3%
OBJECTIVE AND METHODS: To estimate median urinary iodine concentration (UIC), and to correlate it with global nutrition indicators and social gap index (SGI) in 50 elementary state schools from 10 municipalities in the State of Queretaro, Mexico. RESULTS: 1,544 students were enrolled and an above of requirements of iodine intake was found (median UIC of 297 µg/L). Iodine status was found as deficient, adequate, more than adequate and excessive in 2, 4, 19 and 25 schools, respectively. Seventy seven percent of table salt samples showed adequate iodine content (20-40 ppm), while 9.6% of the samples had low iodine content (< 15 ppm). Medians of UIC per school were positively correlated with medians of body mass index (BMI) by using the standard deviation score (SDS) (r = 0.47; p < 0.005), height SDS (r = 0.41; p < 0.05), and overweight and obesity prevalence (r = 0.41; p < 0.05). Medians of UIC per school were negatively correlated with stunting prevalence (r = -0.39; p = 005) and social gap index (r = -0.36; p < 0.05). Best multiple regression models showed that BMI SDS and height were significantly related with UIC (p < 0.05). CONCLUSIONS: There is coexistence between the two extremes of iodine intake (insufficient and excessive). To our knowledge...

Ethical and legal points of view in parenteral nutrition – Guidelines on Parenteral Nutrition, Chapter 12

Rothaermel, S.; Bischoff, S. C.; Bockenheimer-Lucius, G.; Frewer, A.; Wehkamp, K. H.; Zuercher, G.;
Fonte: German Medical Science GMS Publishing House Publicador: German Medical Science GMS Publishing House
Tipo: Artigo de Revista Científica
Publicado em 18/11/2009 Português
Relevância na Pesquisa
36.3%
Adequate nutrition is a part of medical treatment and is influenced by ethical and legal considerations. Patients, who cannot be sufficiently fed via the gastrointestinal tract, have the fundamental right to receive PN (parenteral nutrition) even so patients who are unable to give their consent. General objectives in nutrition support are to supply adequate nutrition with regards to the prevention of malnutrition and its consequences (increased morbidity and mortality), and thereby promoting improved outcome and/or quality of life for the patient considering always the patient’s needs and wishes. The requests of the patient to renounce PN should be respected where a signed living will is helpful. During the course of a terminal illness the nutrition has to be adapted individually according to the needs and wishes of a patient in the corresponding phase. Capability of consent should be checked in each individual case and for each measure on an individual basis. Consent should only be accepted if the patient is capable of recognizing the nature, meaning and importance of the intervention as well as the consequences of relinquishment of such an intervention, and is capable to make a self-determined decision. If the patient is not capable of consenting...

Maintaining adequate nutrition, not probiotic administration, prevents growth stunting and maintains skeletal muscle protein synthesis rates in a piglet model of colitis

Harding, Scott V.; Adegoke, Olasunkanmi A. J.; Fraser, Keely G.; Marliss, Errol B.; Chevalier, Stéphanie; Kimball, Scot R.; Jefferson, Leonard S.; Wykes, Linda J.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /03/2010 Português
Relevância na Pesquisa
46.25%
Malnutrition and cytokine-induced catabolism are pervasive in children with inflammatory bowel diseases (IBD), yet the benefits of aggressive nutrition support or of probiotics on nutrient and functional deficiencies and growth remain unclear. Piglets with dextran sulfate (DS)-induced colitis consuming a 50% macronutrient restricted diet (C-MR) were compared with those receiving probiotics (C-MRP) or adequate nutrition (C-WN) and with healthy well-nourished controls (REF). C-WN vs. REF had reduced growth (−34% chest circumference and −22% snout-to-rump length) and a tendency toward lesser weight gain, but showed no effects on skeletal muscle protein muscle fractional synthesis rate (FSR) or initiation of translation via the mTOR pathway. Compared to C-WN, the C-MR and C-MRP piglets had lower weight gain, growth and skeletal muscle FSR, and lower phosphorylated p70S6K1 with higher eIF4E*4E-BP1, indicative of reduced initiation of protein translation. Finally, plasma leucine concentrations were positively correlated with weight and phosphorylated p70S6K1 while negatively correlated with eIF4E*4E-BP1. In conclusion, reductions in weight gain, growth, protein turnover, skeletal muscle FSR, and initiation of protein translation with moderate macronutrient restriction in colitis are not ameliorated by probiotic supplementation. However...

Important Aspects of Nutrition in Children with Cancer1

Bauer, Jacqueline; Jürgens, Heribert; Frühwald, Michael C.
Fonte: American Society for Nutrition Publicador: American Society for Nutrition
Tipo: Artigo de Revista Científica
Publicado em 10/03/2011 Português
Relevância na Pesquisa
46.08%
Adequate nutrition during cancer plays a decisive role in several clinical outcome measures, such as treatment response, quality of life, and cost of care. However, the importance of nutrition in children and young adults with malignancies is still an underestimated topic within pediatric oncology. The importance of our work is to reinforce and indicate that malnutrition in children with cancer should not be accepted at any stage of the disease or tolerated as an inevitable process. Unique to our manuscript is the close collaboration, the exchange of knowledge and expertise between pediatric oncologists and a nutritional specialist, as well as the comprehension of the mechanisms during cancer cachexia and malnutrition. We provide a critical review of the current state of research and new knowledge related to nutritional management in childhood cancer.

Nutrition and disease progression pre–highly active antiretroviral therapy (HAART) and post-HAART: can good nutrition delay time to HAART and affect response to HAART?1234

Chandrasekhar, Aditya; Gupta, Amita
Fonte: American Society for Nutrition Publicador: American Society for Nutrition
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
46.11%
Several studies have investigated a variety of nutritional supplementation interventions in adults with HIV. In this narrative review, we summarize the evidence from 31 clinical trials that explore clinical benefits of macronutrient and micronutrient supplementation in this population while attempting to answer the question of whether good nutrition can delay the time to highly active antiretroviral therapy (HAART) initiation and response. We focused on trials published in English between 1990 and 2010 that reported on CD4 count, viral load, and disease progression or survival. Among 9 macronutrient and 22 micronutrient trials, we found that evidence for improved CD4 count and HIV viral load with nutritional supplementation was limited; only 11.1% and 36.8% of macronutrient and micronutrient supplementation trials, respectively, reported improved CD4 count; and 33.3% and 12.5% of macronutrient and micronutrient trials, respectively, reported decreased viral load. Given their utility as surrogate markers of HIV disease progression, this suggests limited evidence for nutritional interventions having an impact on delaying HAART initiation or on improving HAART response. However, there are challenges in evaluating the effects of nutritional supplementation on clinical disease in that comparisons are difficult due to heterogeneity in study design...

Reduced bone mineral density is not associated with significantly reduced bone quality in men and women practicing long-term calorie restriction with adequate nutrition

Villareal, Dennis T.; Kotyk, John J.; Armamento-Villareal, Reina C.; Kenguva, Venkata; Seaman, Pamela; Shahar, Allon; Wald, Michael J.; Kleerekoper, Michael; Fontana, Luigi
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
46.17%
Calorie restriction (CR) reduces bone quantity but not bone quality in rodents. Nothing is known regarding the long-term effects of CR with adequate intake of vitamin and minerals on bone quantity and quality in middle-aged lean individuals. In this study, we evaluated body composition, bone mineral density (BMD), and serum markers of bone turnover and inflammation in 32 volunteers who had been eating a CR diet (~35% less calories than controls) for an average of 6.8±5.2 years (mean age 52.7±10.3 years) and 32 age- and sex-matched sedentary controls eating Western diets (WD). In a subgroup of 10 CR and 10 WD volunteers, we also measured trabecular bone (TB) microarchitecture of the distal radius using high-resolution magnetic resonance imaging. We found that the CR volunteers had significantly lower body mass index than the WD volunteers (18.9±1.2 vs. 26.5±2.2 kg/m2; P=0.0001). BMD of the lumbar spine (0.870±0.11 vs. 1.138±0.12 g/cm2, P=0.0001) and hip (0.806±0.12 vs. 1.047±0.12 g/cm2, P=0.0001) was also lower in the CR than in the WD group. Serum C-terminal telopeptide and bone-specific alkaline phosphatase concentration were similar between groups, while serum C-reactive protein (0.19±0.26 vs. 1.46±1.56 mg/L, P=0.0001) was lower in the CR group. TB microarchitecture parameters such as the erosion index (0.916±0.087 vs. 0.877±0.088; P=0.739) and surface-to-curve ratio (10.3±1.4 vs. 12.1±2.1...

The FINUT Healthy Lifestyles Guide: Beyond the Food Pyramid123

Gil, Angel; Ruiz-Lopez, Maria Dolores; Fernandez-Gonzalez, Miguel; Martinez de Victoria, Emilio
Fonte: American Society for Nutrition Publicador: American Society for Nutrition
Tipo: Artigo de Revista Científica
Publicado em 06/05/2014 Português
Relevância na Pesquisa
46.11%
The WHO has proposed that health be promoted and protected through the development of an environment that enables sustainable actions at individual, community, national, and global levels. Indeed, food-based dietary guidelines, i.e., food pyramids, have been developed in numerous countries to disseminate nutritional information to the general population. However, wider recommendations are needed, with information on an active healthy lifestyle, not just healthy eating. The objective of the present work is to propose a three-dimensional pyramid as a new strategy for promoting adequate nutrition and active healthy lifestyles in a sustainable way. Indeed, the Iberoamerican Nutrition Foundation (FINUT) pyramid of healthy lifestyles has been designed as a tetrahedron, with its 3 lateral faces corresponding to the facets of food and nutrition, physical activity and rest, and education and hygiene. Each lateral face is divided into 2 triangles. These faces show the following: 1) food-based guidelines and healthy eating habits as related to a sustainable environment; 2) recommendations for rest and physical activity and educational, social, and cultural issues; and 3) selected hygiene and educational guidelines that, in conjunction with the other 2 faces...

Community-based Maternal and Child Nutrition and Health Interventions in Nigeria : A Comparative Case Study Analysis on Best Practices

World Bank
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Português
Relevância na Pesquisa
46.19%
This study discusses how to effectively engage in community-based nutrition and health programs aimed to improve maternal, newborn, and child nutrition and health outcomes, particularly in Northern Nigeria. It provides the comparative synthesis of four case studies, each of which included a community action component for improving nutrition and health outcomes. It provides a normative base for designing and planning government programs that support reforms in outcome-based programming for maternal, newborn, and child nutrition and health through program support and investment lending. Central to the report is the discussion on the roles played by various stakeholders - state and local government, NGOs, traditional and religious leaders, and communities themselves - in creating and sustaining community mobilization. The factors considered essential or useful contributors to community mobilization are analyzed. The history of government s role in Nigerian health care is discussed, as well as the current situation and future possibilities...

Gender-inclusive Nutrition Activities in South Asia : Volume 2. Lessons from Global Experiences

Lesser Blumberg, Rae; Dewhurst, Kara; Sen, Soham G.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Português
Relevância na Pesquisa
46.24%
This paper examines promising approaches from a wide array of literatures to improve gender-inclusive nutrition interventions in South Asia. It is the second of a series on gender and nutrition in South Asia. The first paper explored why gender matters for undernutrition in the region and conducted a mapping of regional nutrition initiatives to find that gender is too narrowly addressed in most programs if at all. Adequately addressing gender2 requires nutrition programs to focus not only on health services and information for the mother and her children, but also on her autonomy and the support she receives from her partner, other household members, and the broader community. This focus is especially important for adolescent mothers in the region, who have very low status. The present study drew from the conceptual framework of the previous paper and investigated four types of innovations in nutrition initiatives that address gender. These entail promoting: (1) women s household autonomy; (2) household support for the woman and her own and her children s nutrition; (3) community support for the woman and her own and her children s nutrition; and (4) help for adolescent girls. Though the ideal "gender-inclusive nutrition interventions" package (GINI for short) was never found...

Do African Children Have an Equal Chance? : A Human Opportunity Report for Sub-Saharan Africa

Dabalen, Andrew; Narayan, Ambar; Saavedra-Chanduvi, Jaime; Suarez, Alejandro Hoyos; Abras, Ana; Tiwari, Sailesh
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Português
Relevância na Pesquisa
46.3%
This study explores the changing opportunities for children in Africa. While the definition of opportunities can be subjective and depend on the societal context, this report focuses on efforts to build future human capital, directly (through education and health investments) and indirectly (through complementary infrastructure such as safe water, adequate sanitation, electricity, and so on). It follows the practice of earlier studies conducted for the Latin America and the Caribbean (LAC) region (Barros et al. 2009, 2012) where opportunities are basic goods and services that constitute investments in children. Although several opportunities are relevant at different stages of an individual s life, our focus on children s access to education, health services, safe water, and adequate nutrition is due to the well-known fact that an individual s chance of success in life is deeply influenced by access to these goods and services early in life. Children s access to these basic services improves the likelihood of a child being able to maximize his/her human potential and pursue a life of dignity.

Adequate zinc nutrition alleviates the adverse effects of heat stress in bread wheat

Peck, A.; McDonald, G.
Fonte: Kluwer Academic Publ Publicador: Kluwer Academic Publ
Tipo: Artigo de Revista Científica
Publicado em //2010 Português
Relevância na Pesquisa
36.26%
Zinc (Zn) deficiency and heat stress affect the productivity of cereal crops in many semi arid regions of the world. Zinc nutrition affects membrane integrity and activity of superoxide dismutase (SOD) enzymes which are also important to a plant’s ability to cope with high temperatures. Two experiments were conducted to examine the interaction between Zn nutrition and heat stress at two growth stages. Wheat was grown at deficient and adequate levels of Zn at 22/16°C before being exposed to a short period of high temperature (40/20°C). One experiment examined the response to a 3 day heat stress treatment at 10 days after anthesis and the second experiment examined the response to 6 days of heat stress in 30-day old seedlings. Varieties differing in thermotolerance and sensitivity to Zn deficiency were compared. Zinc deficiency and heat stress reduced kernel growth rates, kernel weight and grain yield and the greatest reductions were measured in Zn-deficient, heat stressed plants. The greater reduction in kernel growth rates from heat stress in Zn deficient plants occurred in both thermotolerant and sensitive varieties and was negatively associated with grain Zn concentration. Genetic differences in tolerance to Zn deficiency did not have consistent effects on the response to heat stress. Chlorophyll fluorescence and chlorophyll content were reduced and chloroplast ultrastructure was disrupted by heat stress and the effect was exacerbated by low supplies of Zn. While the responses to heat stress and low Zn were largely additive effects...

Enteric nutrition and esophageal impactation: what relationship.; Alimentação entérica e impactação alimentar esofágica: que relação?

Caldeira, Ana; Serviço de Gastrenterologia, Hospital Amato Lusitano, Castelo Branco.; Casanova, Paula; Sousa, Rui; Martins, Paulo; Banhudo, António; Pimentel, Jorge
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 14/04/2010 Português
Relevância na Pesquisa
36.3%
In the intensive care unit (ICU), enteral feeding is the method of choice for providing adequate nutrition in intubated patients. The oesophageal impactation (EI) by enteric nutrition (EN) results from solidification of the solution in esophagus lumen with formation of bezoar and although rare, is gradually becoming more common in clinical practice. In recent years some have been diagnosed cases of enteric nutrition impact, in an ICU. The authors seek to better understand their risk factors in order to prevent its occurrence.Retrospective study of patients with endoscopic diagnosis of EI, in ICU, over a period of 3 years.There were 1367 patients in the ICU, 1003 did EN and 9 had a EI diagnosis. Mean age - 66 years, 7 males, all of them with invasive ventilation support. Mean ICU stay - 32 days, and EI at 20th day, 12 days after started EN. In all the cases, EN is due to the solidification of the EN solution in esophagus. 7 patients had esophageal reflux risk factors: 4 previously known and 3 identified after EI diagnosis. The endoscopic treatment was successful in 7 patients.The EI frequency is low. The ICU average delay (32 days) in this series is twice the total of patients admitted during this period (14,27 days), reflecting the greater severity of the patients studied. Several cases could be implicated in the etiology of that clinical entity. Whenever risk factors are present it should be considered both the endoscopic introduction of nasojejunal tube and specific positioning strategies...

Nutrition Knowledge of Amateur Bicyclists in South Florida, USA

Vaccaro, Joan A.; Frederick, Frank; Davis, Kristin; Huffman, Fatma G.
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
Português
Relevância na Pesquisa
46.18%
Nutrition is an important component in chronic disease prevention. Diet plays an important role in the athletic performance and the overall health of the amateur bicyclists; yet information concerning diet and amateur bicyclists is lacking. This was a cross-sectional, convenience sample of 125 amateur bicyclists ages 18-65 years from South Florida who consented to SurveyMonkey, web-designed survey on nutrition knowledge. The survey was validated for endurance runners. Less than one-quarter of the participants had adequate nutrition knowledge (score of 75% or higher). Female bicyclists scored higher on nutrition knowledge as compared to males. There were no differences in nutrition knowledge by race, marital status, education or income. Accessibility to nutrition information is abundant, yet the validity of this information is questionable. Amateur bicyclist may not have access to the health professionals available to professional athletes. There is a need for nutrition counseling targeting amateur athletes.

Nutrition Knowledge of Amateur Bicyclists in South Florida, USA

Vaccaro, Joan A.; Frederick, Frank; Davis, Kristin; Huffman, Fatma G.
Fonte: SelectedWorks Publicador: SelectedWorks
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
46.18%
Nutrition is an important component in chronic disease prevention. Diet plays an important role in the athletic performance and the overall health of the amateur bicyclists; yet information concerning diet and amateur bicyclists is lacking. This was a cross-sectional, convenience sample of 125 amateur bicyclists ages 18-65 years from South Florida who consented to SurveyMonkey, web-designed survey on nutrition knowledge. The survey was validated for endurance runners. Less than one-quarter of the participants had adequate nutrition knowledge (score of 75% or higher). Female bicyclists scored higher on nutrition knowledge as compared to males. There were no differences in nutrition knowledge by race, marital status, education or income. Accessibility to nutrition information is abundant, yet the validity of this information is questionable. Amateur bicyclist may not have access to the health professionals available to professional athletes. There is a need for nutrition counseling targeting amateur athletes.

Gender-Inclusive Nutrition Activities in South Asia : Mapping Report

Sen, Soham; Hook, Mikael
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Economic & Sector Work :: Social Analysis; Economic & Sector Work
Português
Relevância na Pesquisa
46.23%
This report is the first of a series that will explore how gender can be more comprehensively incorporated into nutrition interventions in the South Asia Region in order to improve the effectiveness these programs. The first section presents the rationale for considering gender in nutrition programs in the first place, moving beyond traditional services for mothers and children. It draws from the literature to describe why gender is an important factor for the high under-nutrition rates in South Asia and how a broad range of gender issues, rooted in a mother's capacity to care for herself and her child, affect nutritional outcomes of children. The second section presents the results of a mapping of nutrition programs in the South Asia Region. The mapping primarily finds that, despite its importance, gender is too narrowly addressed in most interventions. Existing programs typically focus on the first two approaches mentioned above: imparting nutritional knowledge and skills to the caregiver and improving physical health through food or micronutrient supplements and health services. The third section identifies several nutrition and health projects that have adopted promising approaches to include gender more comprehensively. To improve household support for the mother in providing child care...

Avaliação dos conhecimentos em nutrição clínica na residência médica; Appraisement of clinical nutrition knowledge in medical residency

Adelaide Maria Bernardes Gomes
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 29/07/2011 Português
Relevância na Pesquisa
46.2%
Introdução: A desnutrição está associada com diminuição das funções: muscular, respiratória e imunológica, afetando a qualidade de vida e causando dificuldade de cicatrização de feridas. Sendo assim, o conhecimento médico destes tópicos é de suma importância. Objetivo: Verificar o nível de conhecimentos sobre terapia nutricional de médicos residentes de um hospital universitário. Método: Trata-se de um ensaio clínico prospectivo, quantitativo e descritivo realizado por meio de questões fechadas em um hospital universitário. A amostra de sujeitos foi composta por residentes das especialidades clínicas e cirúrgicas, entre 24 a 35 anos de idade. A amostra foi de 100 residentes e apenas 67 participaram da pesquisa. Na coleta de dados utilizaram-se dois questionários, um de investigação da área profissional referente à terapia nutricional (TN) e outro de conhecimentos básicos em TN, aplicada entre 2009 e 2010 Este questionário já foi validado na Dinamarca. Resultados: Dos 67 sujeitos observou-se que 41,8% fazem avaliação nutricional admissional; 43,3% não procedem à avaliação nutricional durante a hospitalização; somente 43,3% registram a ingestão alimentar dos doentes e 31,3% registram o peso na admissão e alta do doente. A TN adequada foi insuficiente para 46...

Novas perspectivas em educação alimentar e nutricional; Nuevas Perspectivas en Educación Alimentaria y Nutricional; New Perspectives on Food and Nutrition Education; Nouvelles perspectives em Éducation Alimentaire et Nutricionnelle

Oliveira, Sabrina Ionata de; Oliveira, Kathleen Sousa
Fonte: Universidade de São Paulo. Instituto de Psicologia Publicador: Universidade de São Paulo. Instituto de Psicologia
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/12/2008 Português
Relevância na Pesquisa
36.34%
A crescente ênfase na temática de educação alimentar e nutricional, decorrida da estratégia Fome Zero e da Política Nacional de Alimentação e Nutrição, bem como da mudança no perfil de morbi-mortalidade da população, tornou fundamental a reflexão sobre sua configuração enquanto ação governamental. Na estratégia Fome Zero, a educação alimentar e nutricional é prevista como ação estruturante, de tal sorte que a mesma configurou-se institucionalmente no Ministério do Desenvolvimento Social e Combate à Fome (MDS) tendo como perspectiva a promoção da segurança alimentar e nutricional. Dessa forma, a Coordenação responsável pelo desenvolvimento de ações educativas nesse Ministério promoveu duas oportunidades de reflexão: uma interna, que visava estabelecer o marco institucional da educação alimentar e nutricional no MDS, e a outra no Conselho Nacional de Segurança Alimentar, com o objetivo de subsidiar o grupo de trabalho de alimentação adequada e saudável. Dessas discussões surgiram importantes recomendações e estratégias como base para o desenvolvimento de ações educativas em alimentação e nutrição tanto para o governo como para a sociedade civil. Dentre essas recomendações, destacamos a importância de que as ações educativas sejam desenvolvidas no sentido de promover a autonomia dos indivíduos...