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- Adequação nutricional em grávidas toxicodependentes assistidas na Maternidade Dr. Alfredo da CostaPublication . Pinto, Elisabete; Moreira, Catarina; Lavinha, IsabelApesar de ser a mais frequente, o tabaco não é a única dependência durante a gravidez. O abuso do álcool e o uso de drogas ilícitas também são dependências com efeitos adversos durante a gravidez, sendo fre-quente a coexistência de várias dependências na mesma grávida. Além disso, estas mulheres são mais susceptíveis a outras exposições fetais adversas, nomeadamente a prática de uma alimentação inadequada. Pretendeu avaliar-se a adequação nutricional nas utentes seguidas na consulta de Nutrição e Dietética, na Maternidade Dr. Alfredo da Costa, durante o ano de 2009. Foram estudadas retrospectivamente 14 grávidas toxicodependentes com acompanhamento nutricional, através da consulta dos processos clínicos. A transformação da informação alimentar em informação nutricional foi efectuada com base na Tabela de Composição de Alimentos Portuguesa. A adequação nutricional foi estimada utilizando como referência as recomendações norte-ameri-canas Dietary Reference Intakes para grávidas. A ingestão energética foi superior às suas necessidades. Verificaram-se elevadas prevalências de inadequação para os macronutrientes: 64% para os lípidos, 71% para os hidratos de carbono totais e 100% para os açúcares simples. Relativamente aos micronutrientes, salientam-se as elevadas prevalên-cias de inadequação em folato (86%) e ferro (79%). Mais de metade da amostra ingeriu quantidades de cálcio inferiores ao recomendado. A ingestão hídrica mediana foi de 300 ml (0; 1000) e a ingestão mediana de bebidas açucaradas foi de 450 ml (0, 600). As grávidas toxicodepen-dentes apresentam uma alimentação desequilibrada, justificando-se o seu acompanhamento pelo nutricionista.
- Impact of pulse consumption on metabolism and health: a systematic reviewPublication . Ferreira, Helena; Vasconcelos, Marta; Gil, Ana; Pinto, Elisabete
- A suplementação com ácido fólico na gravidez: perceções e práticas clínicas na Área Metropolitana do PortoPublication . Silva, Carla; Pinto, Elisabete; Keating, Elisa
- Possibilidade de opção da ementa hospitalar - uma mais-valia?Publication . Carvalho, Cátia; Alves, Joana; Pinto, Elisabete; Matos, Clara
- Low adherence to mediterranean diet in Portugal: pregnant women nutrition in Portugal and its repercussionsPublication . Pereira-da-Silva, Luís; Pinto, ElisabeteIntroduction: Portuguese population is drifting away from the Mediterranean diet-like pattern. In this context, the current nutritional status of women of childbearing age and of pregnant Portuguese women and their growing fetuses is critically reviewed. Material and Methods: A narrative critical review was performed on recent published high quality studies assessing diet and nutritional status of women of childbearing age and pregnant women and its influence on the nutritional status of their offspring. Results: Data from five multinational ecological studies that included Portugal, two national official surveys on food availability, seven national studies on the diet and nutritional status of women of childbearing age and pregnant women, and five national studies on the effect of nutritional maternal factors on their growing fetuses were selected and analyzed. The prevalence of overweight/obesity has dramatically increased in Portuguese women of childbearing age and pregnant women, associated with the described trend of low adherence to Mediterranean diet. Variations in energy and macronutrients intakes during pregnancy seem to have no significantly impact on the nutritional status of growing fetuses. On contrary, pre-pregnancy overweight/obesity has been associated with increased offspring adiposity at birth, and an excessive gestational weight gain may be associated with offspring’s overweight status in childhood. Factors potentially contributing to low adherence to the Mediterranean diet, deserving further investigation, include European Union agriculture policies that have implemented the production of non-Mediterranean food groups at low cost, and insufficient financial capacity to afford foods of quality reported by Portuguese population. Conclusion: Retrieving traditional Mediterranean dietary habits should be incorporated into strategies for prevention and treatment of overweight/obesity in Portugal, especially in women of childbearing age.
- Alimentos geneticamente modificados: construção e validação de um questionário para averiguar o conhecimento, a opinião e a formação de médicos e nutricionistasPublication . Vieira, Isabella Ribeiro de Figueiredo; Brandão, Teresa; Pinto, Elisabete; Silva, MargaridaIntrodução: Alimentos geneticamente modificados (AGM) entraram recentemente no mercado europeu. Essa decisão política gerou polêmica social devido ao debate sobre os riscos reais à saúde e ao meio ambiente. Diante dessa realidade, profissionais da saúde, como médicos e nutricionistas, desempenham papel fundamental na decodificação dessa nova tecnologia de alimentos. Portanto, é relevante um diagnóstico da realidade pessoal, profissional e das necessidades de treinamento desses especialistas em relação ao AGM. Objetivos: Construir e validar um questionário para caracterizar as necessidades de conhecimento, opinião e treinamento de nutricionistas e médicos sobre alimentos geneticamente modificados. Método: o questionário foi implementado on-line em 2016, com um total de 526 respondentes. Foram aplicadas estratégias de validação por meio de análise semântica, análise de consistência interna e análise fatorial exploratória. Resultados e Discussão: O questionário foi validado, apresentando confiabilidade baseada no coeficiente alfa de Cronbach de 0,76. Foram extraídos 17 fatores, organizados em quatro temas: opinião, formação, conhecimento e realidade pessoal / profissional. Este artigo destaca a importância dos procedimentos estatísticos na validação de questionários. Conclusão: O questionário pode ser implementado como uma ferramenta de diagnóstico para verificar a realidade dos profissionais de saúde (médicos e nutricionistas, em particular) que lidam com os desafios da introdução de alimentos transgênicos na dieta alimentar humana.
- Evolução nutricional em doentes oncológicos submetidos a colocação de prótese esofágica: estudo retrospectivoPublication . Torres, Cláudia; Alves, Paula; Pinto, ElisabeteIntroduction: The esophageal stent placement is an effective procedure to restore the intake “per os” in patients with esophageal obstruction. Objectives: To describe, retrospectively, the evolution of nutritional intake, symptoms associated with food intake and anthropometry of all the patients submitted to an esophageal stent placement in IPOFG, EPE, between January 2009 and December 2010, for which the main diagnosis was esophageal or gastric cancer. Methodology: Observational descriptive study of 98 patients. We assessed the nutritional and dietary records in medical files of cancer patients with esophageal stent placement in the study period. Data were collected with a standardized protocol. Results: The most (75,5%) of participants were men and 57,1% were older than 60 years, with women being significantly older. The main diagnosis for 76,5% of patients was esophageal cancer. Regarding the symptoms prior to placement of the stent, almost all patients (n = 90) had dysphagia, and for 49,5% was dysphagia to solids. Regarding the type of the stent, 63,3% of patients received a non-covered self-expanding metal stent. The median time between diagnosis and death was 354,0 days and between the placement of the first stent and the death was 124,5 days. Comparing the usual weight with the weight near the stent placement, patients lost a median of 16kg (P25;P75: 12,5;24,0). Conclusions: These cancers are associated with significant weight losses, partly due to dysphagia. As a retrospective study, being in account the number of nutrition assessments available after stent placement, it was not possible to objectively measure the benefit of the stent placement regarding the nutritional status. However, the purpose of allowing oral feeding was certainly achieved, indeed highly valued by patients.
- Growing health and quality of life: benefits of urban organic community gardensPublication . Nova, Paulo; Pinto, Elisabete; Chaves, Benedita; Silva, MargaridaObjectives: To characterize the horticulturists of an urban garden in terms of their current state of health and health behaviors (at gardening beginning) and to evaluate the effect of horticulture practice on health behaviors and quality of life (after a six month gardening stretch). Introduction: The way in which cities have grown, with heavy air and noise pollution, reduced green spaces, a long distance and out of season food based system and limited sunshine access has led to multiple public health challenges. This in turn has prompted the emergence of various local and state policies aimed at improving the health and quality of life of urbanites. Method: Interviews using structured questionnaires were conducted twice with 115 city dwellers: when they got started in a vegetable garden and about 6 months later. Results:Participants were mainly female (57.8%), professionally active (48.0%) and with a mean age of 53 years. This research showed significant behavioral changes among its users, including positive outcomes in anthropometric parameters, physical activity, smoking habits, eating habits, health status and overall quality of life.Conclusion: Despite a short follow-up period, it could be shown that gardening did influence health and quality of life behaviors.
- Impact of elevated CO2 and restricted iron supply on soybean (Glycine max) and common bean (Phaseolus vulgaris) growth and nutritionPublication . Deuchande, Teresa; Soares, Jose; Nunes, Fabio; Pinto, Elisabete; Vasconcelos, Marta
- Perceção do estado de saúde e da qualidade de vida numa amostra de celíacos portuguesesPublication . Pimenta-Martins, Ana; Pinto, Elisabete; Gomes, Ana M. P.The treatment of celiac disease is a gluten-free diet (GFD). The compliance witha GFD is dependent on multiple factors, which include, possibly, the quality of life (QoL).Objective: To evaluate the perception of health status and QoL in a sample of Portuguese celiacpatients, relating it to the compliance of the GFD.Material and methods: Transversal study which data collection was based on a structured ques-tionnaire prepared to be self-applied and filled in online. The QoL was evaluated throughShort-Form health survey 36 (SF-36). Categorical variables were described through proporti-ons and continuous variables were described through mean and standard deviation or medianand interquartile range.Results: The study included 195 Portuguese individuals, with a median age of 32 years. About67% of respondents believed to enjoy very good or good health. The highest mean scores wereobtained for the domains ‘‘physical functioning’’ and ‘‘role-physical’’ and the lowest scoresfor the domains ‘‘vitality’’ and ‘‘general health’’. Women had significantly lower scores forthe domains ‘‘bodily pain’’, vitality’’ and ‘‘mental health’’. There was no association foundbetween the perception of QoL and compliance with the GFD. Participants with more recentdiagnosis had lower scores in all domains of the SF-36.Conclusions: The celiac respondents rated their general health status and QoL in better levelsthan the Portuguese population in general. The QoL was not associated with compliance of theGFD.