Navegando por Autor "Assunção, Débora Gabriela Fernandes"
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Artigo Como promover alimentação saudável para crianças em tempos de COVID-19? um relato de experiência do grupo de assistência nutricional materno infantil (Aminutri)(Revista Extensão e Sociedade, 2020-09-04) Ribeiro, Karla Danielly da Silva; Assunção, Débora Gabriela Fernandes; Oliveira, Amanda Freitas de; Fully, Thalita Mclaine Costa Saraiva; https://orcid.org/0000-0002-2251-5967O distanciamento social provocado pela pandemia da COVID-19 trouxe mu-danças na rotina, sendo essencial manter e promover práticas alimentares saudáveis nesse período. Assim, o projeto “Promoção da Assistência Nutricional Materno-Infantil: grupo AMInutri (PJ227-2020)” desenvolveu remotamente uma cartilha composta por receitas práticas, baseadas nas diretrizes nacionais, para estimular o ato de cozinhar com crianças, como uma ferramenta para promoção da alimentação saudável. A cartilha foi divulgada em diversas páginas eletrônicas e redes sociais, sendo obtidos relatos com fotos e vídeos de sua execução. Também foi traduzida para a língua inglesa para compor e-book e aumentar sua dissemina-ção. Esse produto cumpriu o papel da extensão universitária, articulando saberes e competências do ensino, pesquisa e extensão em prol do bem estar da sociedade durante a pandemiaArtigo COVID-19 and nutrition: the need for initiatives to promote healthy eating and prevent obesity in childhood(Childhood Obesity, 2020-06) Maciel, Bruna Leal Lima; Ribeiro, Karla Danielly da Silva; Garcia, Lígia Rejane Siqueira; Dametto, Juliana Fernandes dos Santos; Assunção, Débora Gabriela FernandesThe COVID-19 pandemic caused by the SARS-CoV-2 virus has brought several individual and collective protection measures to contain the spread of its transmission, such as social distancing and lockdown. Although extremely necessary, these measures can affect the activities in businesses, restaurants, street markets, and even the closing of borders. Therefore, for many individuals, usual shopping and eating routines have been completely changed. In addition to providing a scenario of economic and social instability, lockdown can affect the food supply chain and generate a situation of food and nutrition insecurity in different regions of the world. Thus, undernutrition and obesity can increase, due to limited access to food, concern about the lack of basic items, limited cooking capacity, a more sedentary lifestyle, and changes in food purchasing, eating behaviors, and perceptions about food safety. The increased consumption of processed foods with high caloric content, rich in saturated fats, sugars, and refined carbohydrates, longer shelf life, easier access, and use, especially in children, may contribute to increasing the prevalence of obesity in times of COVID-19Artigo Estado nutricional em Vitamina A de puérperas adolescentes e adultas assistidas em maternidade pública(Revista de Nutrição, 2016-08) Dametto, Juliana Fernandes dos Santos; Gurgel, Cristiane Santos Sânzio; Oliveira, Priscila Gomes de; Assunção, Débora Gabriela Fernandes; Dimenstein, RobertoObjetivo: Avaliar o estado nutricional em vitamina A de puérperas adolescentes e adultas em relação à ingestão alimentar, retinol no soro e colostro e o suprimento desta vitamina para o recém-nascido. Métodos: Estudo transversal, incluindo 136 puérperas, sendo 68 adolescentes e 68 adultas, atendidas em uma maternidade pública. A ingestão dietética de vitamina A foi estimada por um questionário de frequência do consumo alimentar. Foram coletados sangue e colostro em condição de jejum para análise dos níveis de retinol. As amostras foram analisadas por cromatografia líquida de alta eficiência. A estimativa da ingestão de vitamina A pelo recém- -nascido foi calculada pelo volume ingerido de leite e a média da concentração de retinol no colostro materno. Resultados A estimativa de consumo foi 681,2±535 µgRAE/dia, para as adolescentes, e 891,8±831,5 µgRAE/dia, para as adultas (p>0,05). As médias de retinol sérico foram 40,6±9,7 µg/dL, no grupo das adolescentes, e 44,9±10,9 µg/dL, no das adultas (p<0,05). No colostro, as adolescentes apresentaram concentração de retinol de 83,1±26,5 µg/dL e as adultas de 81,8±29,8 µg/dL (p>0,05). O volume médio ingerido pelos lactentes provenientes de puérperas adolescentes foi de 435,1+140,7 µgRAE/dia e de 409,7+150,8 µgRAE/dia pelos recém-nascidos das adultas. Na análise individual, 42,6% (n=29) das adolescentes e 52,9% (n=36) das mães adultas não supriram adequadamente a recomendação diária do lactente. Conclusão: As adolescentes apresentaram ingestão inadequada de vitamina A. Ambos os grupos apresentaram percentuais de inadequação no soro e colostro e, consequentemente, no fornecimento da vitamina A aos recém-nascidosArtigo Impacts of consumption of ultra-processed foods on the maternal-child health: a systematic review(Frontiers in Nutrition, 2022-05) Ribeiro, Karla Danielly da Silva; Oliveira, Priscila Gomes de; Souza, Juliana Morais de; Assunção, Débora Gabriela Fernandes; Araujo, Elias Kelvin Severiano de; Bezerra, Danielle Soares; Dametto, Juliana Fernandes dos Santos; https://orcid.org/0000-0002-2251-5967Background and Aims: Changes in eating patterns have been leading to an increase in the consumption of ultra-processed foods (UPF), negatively impacting the quality of the diet and generating risk of harm to the health of the adult population, however, there is no systematized evidence of the impact of UPF in maternal-child health. Thus, in this study we aimed to evaluated the association between UPF consumption and health outcomes in the maternal-child population. Methods: Systematic review registered on the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42021236633), conducted according to the PRISMA diagram in the following databases: PubMed, Medline, Scopus, Web of Science, Scielo, and CAPES thesis and dissertation directory. We included original cross-sectional, case-control and cohort studies in any language. Eligibility criteria were (a) food consumption assessment by the NOVA classification, (b) health outcome (nutritional or diseases), and (c) maternal-child population (pregnant, lactating women and infants/children). All data were analyzed and extracted to a spreadsheet structured by two independent reviewers. We evaluated the methodological quality of the studies included using the Newcastle-Otawa Scale and RoB 2. Results: Searches retrieved 7,801 studies and 15 contemplated the eligibility criteria. Most studies included were cohort studies (n = 8, 53%), had children as their population (n = 9, 60%) and only one study evaluated UPF consumption in infants and lactating women. Panoramically, we observed that a higher participation of UPF in children’s diet has been associated with different maternal-child outcomes, such as increase of weight gain, adiposity measures, overweight, early weaning, lower diet quality, metabolic alterations, diseases, and consumption of plastic originated from packaging. Only one of the studies included did not present high methodological quality. Conclusion: Despite the limited literature on UPF consumption and health outcomes in the maternal-child population, the highest UPF consumption negatively impacted nutrition and disease development indicators in pregnant, lactating women and children.Considering the expressive participation of these foods in the diet, other studies should be conducted to further investigate the impact of UPF consumption on different health indicators, especially in the lactation phase for this was the one to present the most important knowledge gap.Artigo Impacts of consumption of ultra-processed foods on the maternal-child health: a systematic review(Frontiers In Nutrition, 2022-05) Dametto, Juliana Fernandes dos Santos; Oliveira, Priscila Gomes de; Sousa, Juliana Morais de; Assunção, Débora Gabriela Fernandes; Araujo, Elias Kelvin Severiano de; Bezerra, Danielle Soares; Ribeiro, Karla Danielly da SilvaBackground and Aims: Changes in eating patterns have been leading to an increase in the consumption of ultra-processed foods (UPF), negatively impacting the quality of the diet and generating risk of harm to the health of the adult population, however, there is no systematized evidence of the impact of UPF in maternal-child health. Thus, in this study we aimed to evaluated the association between UPF consumption and health outcomes in the maternal-child population. Methods: Systematic review registered on the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42021236633), conducted according to the PRISMA diagram in the following databases: PubMed, Medline, Scopus, Web of Science, Scielo, and CAPES thesis and dissertation directory. We included original cross-sectional, case-control and cohort studies in any language. Eligibility criteria were (a) food consumption assessment by the NOVA classification, (b) health outcome (nutritional or diseases), and (c) maternal-child population (pregnant, lactating women and infants/children). All data were analyzed and extracted to a spreadsheet structured by two independent reviewers. We evaluated the methodological quality of the studies included using the Newcastle-Otawa Scale and RoB 2. Results: Searches retrieved 7,801 studies and 15 contemplated the eligibility criteria. Most studies included were cohort studies (n = 8, 53%), had children as their population (n = 9, 60%) and only one study evaluated UPF consumption in infants and lactating women. Panoramically, we observed that a higher participation of UPF in children’s diet has been associated with different maternal-child outcomes, such as increase of weight gain, adiposity measures, overweight, early weaning, lower diet quality, metabolic alterations, diseases, and consumption of plastic originated from packaging. Only one of the studies included did not present high methodological quality. Conclusion: Despite the limited literature on UPF consumption and health outcomes in the maternal-child population, the highest UPF consumption negatively impacted nutrition and disease development indicators in pregnant, lactating women and children. Considering the expressive participation of these foods in the diet, other studies should be conducted to further investigate the impact of UPF consumption on different health indicators, especially in the lactation phase for this was the one to present the most important knowledge gapArtigo Vitamin E levels in preterm and full-term nfants: a systematic review(Nutrients, 2022) Ribeiro, Karla Danielly da Silva; Assunção, Débora Gabriela Fernandes; Silva, Lorena Thalia Pereira da; Camargo, Juliana Dantas de Araújo Santos; Cobucci, Ricardo Ney; Ribeiro, Karla Danielly da Silva; https://orcid.org/0000-0002-2251-5967Vitamin E deficiency (VED) is associated with clinical repercussions in preterm newborns (PTN), but low levels are also found in full-term newborns (TN). As this inadequacy can compromise neurogenesis in childhood, studies are needed to assess whether there is a difference in vitamin E status among newborns according to gestational age to provide support for neonatal monitoring protocols. This systematic review presents a synthesis of the available information on the vitamin E status among PTN and TN. The review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Observational studies that evaluated alpha- tocopherol levels were searched in the databases reported in the protocol registered in PROSPERO (CRD42021165152). The Newcastle–Ottawa Scale was used to assess the methodological quality. Overall, 1809 articles were retrieved; 10 were included in the systematic review. In the PTN, the alpha-tocopherol levels ranged from 3.9 to 8.5 mmol/L, while in TN, they were 4.9 to 14.9 mmol/L, and VED ranged from 19% to 100% in newborns. Despite substantial heterogeneity in research methodology and VED classification, the results suggest that the alpha-tocopherol levels among preterm and full-term newborns is below the recommended levels. Our findings demonstrate that further investigations are needed to standardize this classification and to monitor vitamin E status in birth and postnatal with adequate bias control.