Navegando por Autor "Cabral, Natália Louise de Araújo"

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Agreement between two meal quality Indexes adapted to evaluate food consumption of institutionalized elderly
(Revista de Nutrição, 2019) Lima, Severina Carla Vieira Cunha; Germoglio, Rebecca Garcia; Liberalino, Laura Camila Pereira; Cabral, Natália Louise de Araújo; Lima, Kenio Costa de; Lyra, Clélia de Oliveira; https://orcid.org/0000-0001-8268-1986
Methods: Agreement study with 322 institutionalized elderly individuals. Food consumption data were collected by the method of weighted food record, in two nonconsecutive days. The Meal Quality Index and the Main Meal Quality Index of each older adult were calculated for the lunch meal. Agreement between methods was tested by cross-classification in quartiles and weighted kappa (Kw), and the difference between medians by the Wilcoxon test. Results: The Meal Quality Index median was 54.67 points and the Main Meal Quality Index 53.51 points (p=0.723). When the components of each index were assessed, those associated to the consumption of carbohydrates, total fat and saturated fat were similar. The consumption of fruits separated from vegetables in the Main Meal Quality Index evidenced low consumption of vegetables by the elderly. Cross-classification by quartiles showed good agreement; the exact one being 48.8% and the disagreement 3.4% (K w =0,447). The proportion of elderly individuals in the same exact or adjacent quartile was greater than 85.0%. Agreement was higher in males (89.4%, Kw =0.475); in the age range of 70 to 79 years (91.1%; Kw =0.562) and in non-profit nursing homes (96.7%; Kw =0.622). Conclusion: The two indexes reviewed show a good agreement between them and common characteristics. The number of components is higher in the MMQI and may represent a more detailed assessment of meal quality.
Agreement between two meal quality indexes adapted to evaluate food consumption of institutionalized elderly
(Revista de Nutrição, 2019) Lyra, Clélia de Oliveira; Germoglio, Rebecca Garcia; Lima, Severina Carla Vieira Cunha; Liberalino, Laura Camila Pereira; Cabral, Natália Louise de Araújo; Lima, Kenio Costa de
To assess agreement between two meal quality indexes adapted for elderly people, evidencing their similarities and differences. Methods: Agreement study with 322 institutionalized elderly individuals. Food consumption data were collected by the method of weighted food record, in two nonconsecutive days. The Meal Quality Index and the Main Meal Quality Index of each older adult were calculated for the lunch meal. Agreement between methods was tested by cross-classification in quartiles and weighted kappa (Kw), and the difference between medians by the Wilcoxon test. Results: The Meal Quality Index median was 54.67 points and the Main Meal Quality Index 53.51 points (p=0.723). When the components of each index were assessed, those associated to the consumption of carbohydrates, total fat and saturated fat were similar. The consumption of fruits separated from vegetables in the Main Meal Quality Index evidenced low consumption of vegetables by the elderly. Cross-classification by quartiles showed good agreement; the exact one being 48.8% and the disagreement 3.4% (Kw=0,447). The proportion of elderly individuals in the same exact or adjacent quartile was greater than 85.0%. Agreement was higher in males (89.4%, Kw=0.475); in the age range of 70 to 79 years (91.1%; Kw=0.562) and in non-profit nursing homes (96.7%; Kw=0.622). Conclusion: The two indexes reviewed show a good agreement between them and common characteristics. The number of components is higher in the MMQI and may represent a more detailed assessment of meal quality
Anthropometric and dietary indicators applied in population-based surveys: a systematic review
(Research, Society and Development, 2022) Pequeno, Nila Patrícia Freire; Cabral, Natália Louise de Araújo; Silva, David Franciole de Oliveira; Crispim, Sandra Patrícia; Marchioni, Dirce Maria Lobo; Lima, Severina Carla Vieira Cunha; Lyra, Clélia de Oliveira; https://orcid.org/0000-0003-1279-2554
Aim: To identify population-based health and nutrition surveys, conducted with adults and the elderly, and performed in the Americas, Europe, and Oceania, to investigate the more common anthropometric and food consumption methods used, their applicability,and their limitations.Methods: Electronic databases (LILACS, PubMed, and SCOPUS) were systematically searched for studies published between 1997 and 2017 in Portuguese, English,or Spanish. 48 studies (45.8% carried out in the Americas) met the eligibility criteria and were included in the review. The data were analyzedin 2018. Results: The methodological quality of most of the studies (64.4%) was classified as moderate, according to the Agency for Healthcare Research and Quality checklist for cross-sectional studies and theNewcastle-Ottawa scale for cohort studies. 35.4% of the articles evaluated only food consumption, 29.2% just anthropometry, while 35.4% evaluated food consumption and anthropometric measurements. The most used food survey methods werefood record (31% of studies) and the 24-hour dietary recall (22% of studies). Body mass index (BMI) was the most used indicator for anthropometric nutritional status assessment. Although most of the studies used the World Health Organization classification criteria, these studiesdid not adopt the different cut-off points for BMI classification for adults and the elderly. Conclusion: BMI and methods that record current consumption, such as the food record and the 24-hour dietary recall, were the main methods of assessing nutritional status, taking into consideration the easy application, low cost, and good reproducibility.Systematic Review Registration: PROSPEROCRD42017071392.
Anthropometric and dietary indicators applied in population-based surveys: a systematic review
(Research, Society and Development, 2022-01) Lyra, Clelia de Oliveira; Cabral, Natália Louise de Araújo; Pequeno, Nila Patrícia Freire; Silva, David Franciole de Oliveira; Crispim, Sandra Patrícia; Marchioni, Dirce Maria Lobo; Lima, Severina Carla Vieira Cunha
Aim: To identify population-based health and nutrition surveys, conducted with adults and the elderly, and performed in the Americas, Europe, and Oceania, to investigate the more common anthropometric and food consumption methods used, their applicability, and their limitations. Methods: Electronic databases (LILACS, PubMed, and SCOPUS) were systematically searched for studies published between 1997 and 2017 in Portuguese, English, or Spanish. 48 studies (45.8% carried out in the Americas) met the eligibility criteria and were included in the review. The data were analyzed in 2018. Results: The methodological quality of most of the studies (64.4%) was classified as moderate, according to the Agency for Healthcare Research and Quality checklist for cross-sectional studies and the Newcastle-Ottawa scale for cohort studies. 35.4% of the articles evaluated only food consumption, 29.2% just anthropometry, while 35.4% evaluated food consumption and anthropometric measurements. The most used food survey methods were food record (31% of studies) and the 24-hour dietary recall (22% of studies). Body mass index (BMI) was the most used indicator for anthropometric nutritional status assessment. Although most of the studies used the World Health Organization classification criteria, these studies did not adopt the different cut-off points for BMI classification for adults and the elderly. Conclusion: BMI and methods that record current consumption, such as the food record and the 24-hour dietary recall, were the main methods of assessing nutritional status, taking into consideration the easy application, low cost, and good reproducibility
Chronic diseases and emotional disorders are associated with low perception of quality of life in food insecurity/security
(Frontiers in Public Health, 2022-07) Lyra, Clelia de Oliveira; Pequeno, Nila Patrícia Freire; Cabral, Natália Louise de Araújo; Oliveira, Ângelo Giuseppe Roncalli Costa; Crispim, Sandra Patrícia; Rocha, Cecília; Marchioni, Dirce Maria; Lima, Severina Carla Vieira Cunha
Understanding individual perception of Quality of Life (QoL) can help combat social and health inequalities. We aimed to identify factors associated with Low Perceived Quality of Life (LPQoL) in 295 adults and older adults with food security and food insecurity, in the city of Natal, Brazil. A cross-sectional study was conducted from June to December 2019, with collection of data on socioeconomic demographic status, lifestyle information, non-communicable diseases (NCDs) and risk factors, emotional disorders, food (in) security and quality of life. To assess food insecurity, the Brazilian Scale of Food Insecurity—EBIA was used, and the WHOQOL-Bref questionnaire was used to assess quality of life. Poisson's Regression was used to verify associations between variables and LPQoL, stratifying the sample into food secure (FS) and food insecure (FI) groups. In the FI group, being overweight, older adult, having no partner, drinking alcoholic beverages twice a week or more, and not having daily availability of water were associated with LPQoL, and in the FS group, having diabetes, monthly family income in the 1st and 2nd tertiles, and never having studied was associated with LPQoL. Reporting emotional disorders and sleeping < 7 h/day were associated with LPQoL in both FI and FS groups. LPQoL was associated with the occurrence of NCDs and risk factors, and emotional disorders, regardless of the food security measure. However, the lack of adequate access to water highlights the social vulnerability of the FI group
Desenvolvimento de um software para avaliação nutricional antropométrica utilizando Visual Basic For Applications
(Universidade Federal do Rio Grande do Norte, 2016-04-29) Alves, Matheus Mendes; Cabral, Natália Louise de Araújo; Clélia de Oliveira Lyra; Cabral, Natália Louise de Araújo; Lyra, Clélia de Oliveira; Coutinho, Demétrios Araújo Magalhães
A utilização de tecnologia é um recurso com potencial para permitir melhor desempenho do profissional nutricionista na avaliação nutricional. No mercado atual há uma lacuna no que tange sua utilização na atenção primária à saúde. O objetivo deste trabalho foi desenvolver um software de avaliação do estado nutricional para aplicação na Atenção Básica à Saúde. Foi desenvolvido o programa denominado DietEasy, utilizando a linguagem de programação Visual Basic for Applications com os seguintes recursos: avaliação de consumo alimentar, anamnese clínico-nutricional, registro de exames laboratoriais, avaliação antropométrica e de composição corporal e estilo de vida. Os resultados obtidos demonstraram que o programa desenvolvido DietEasy alcançou os objetivos propostos, apresentando avaliação nutricional completa com enfoque na antropometria, além de possibilitar a obtenção de informações agregadas, para avaliação de grupos populacionais. Conclui-se que o software desenvolvido apresentou características que permitem a sua possível utilização na Atenção Básica a Saúde, proporcionando um atendimento nutricional mais ágil e de maior qualidade, além de permitir o acompanhamento do perfil nutricional de indivíduos e grupos atendidos em Unidades Básicas de Saúde.
Determinantes sociais em saúde associados à vivência da fome entre adolescentes do Brasil
(Ciência & Saúde Coletiva, 2022-07) Lyra, Clelia de Oliveira; Vale, Diôgo; Santos, Thais Teixeira dos; Dantas, Rebekka Fernandes; Cabral, Natália Louise de Araújo; Oliveira, Angelo Giuseppe Roncalli da Costa
Objetivou-se identificar determinantes sociais em saúde associados à vivência da fome entre adolescentes escolares brasileiros. Foi realizado um estudo transversal com microdados de 16.526 adolescentes da Pesquisa Nacional de Saúde do Escolar 2015. A vivência da fome foi estimada considerando a frequência com que o adolescente havia ficado com fome por não ter comida suficiente em casa no mês anterior à pesquisa. Para a análise dos determinantes sociais em saúde foi realizada Regressão de Poisson com variância robusta. Verificou-se, no Brasil, que a vivência da fome foi de 22,8% (IC95%: 21,9-23,7) entre adolescentes. Essa associou-se diretamente ao sexo masculino (RP=1,12; IC95%: 1,07-1,16), a não ter excesso de peso (RP=1,08; IC95%: 1,04-1,13), ao consumo irregular de feijão (RP=1,20; IC95%: 1,13- 1,26), de legumes e verduras (RP=1,16; IC95%: 1,09-1,22) e de frutas (RP=1,19; IC95%: 1,13- 1,24), à insatisfação corporal (RP=1,26; IC95%: 1,18-1,35) e ao consumo irregular de almoço ou jantar com os responsáveis (RP=1,41; IC95%: 1,32-1,52); e inversamente ao gradiente de escolaridade materna, e às macrorregiões do complexo Centro-Sul. Os resultados indicam a coexistência da fome, comportamentos alimentares de risco nutricional, insatisfação corporal e condições de iniquidade social entre adolescentes brasileiros
Development and validation of predictive workable weight equations for Brazilian older adult residents in long-term care institutions
(Plos one, 2023) Lima, Severina Carla Vieira Cunha; Lima, Marcos Felipe Silva de; Cabral, Natália Louise de Araújo; Oliveira, Larissa Praça de; Liberalino, Laura Camila Pereira; Pedrosa, Lucia de Fátima Campos; Lima, Kenio Costa de; Lyra, Clélia de Oliveira; https://orcid.org/0000-0001-8268-1986
Background: Weight measurement is important in the nutritional anthropometric monitoring of older adults. When this measurement is not possible, estimates may be used. Aim. Developing and validating weight predictive equations for older adult residents in long-term care institutions in Brazil. Subjects and methods: The sample comprised 393 older adult residents in long-term care institutions. Data were collected in two stages, with 315 older adults in the first and 78 in the second. We have measured the arm, calf, and waist circumferences, as well as the triceps and subscapular skinfold and knee height. Multiple linear regression was used to develop the equations, which were evaluated through the coefficient of determination, standard error of estimation, Akaike information criterion, intraclass correlation coefficient (ICC), and Bland-Altmann plot. Results: Five models with different anthropometric measurements were developed, (1) arm circumference as a discriminant variable (ICC: 0.842); (2) best statistical fit for men and women (ICC: 0.874) and its stratification by sex (3) (ICC: 0.876); (4) easy-to-perform measurement for men and women (ICC: 0.842) and its stratification by sex (5) (ICC: 0.828). Conclusion: Five models for estimating the weight of older adult residents in long-term care institutions were developed and validated. The choice to use the models should be based on the physical capacity of the older adults to be evaluated.
Development and validation of predictive workable weight equations for Brazilian older adult residents in long-term care institutions
(Plos One, 2023-01) Lyra, Clelia de Oliveira; Lima, Marcos Felipe Silva de; Cabral, Natália Louise de Araújo; Oliveira, Larissa Praça de; Liberalino, Laura Camila Pereira; Lima, Severina Carla Vieira Cunha; Pedrosa, Lucia de Fátima Campos; Lima, Kenio Costa de
Background: Weight measurement is important in the nutritional anthropometric monitoring of older adults. When this measurement is not possible, estimates may be used. Aim: Developing and validating weight predictive equations for older adult residents in long-term care institutions in Brazil. Subjects and methods: The sample comprised 393 older adult residents in long-term care institutions. Data were collected in two stages, with 315 older adults in the first and 78 in the second. We have measured the arm, calf, and waist circumferences, as well as the triceps and subscapular skinfold and knee height. Multiple linear regression was used to develop the equations, which were evaluated through the coefficient of determination, standard error of estimation, Akaike information criterion, intraclass correlation coefficient (ICC), and Bland-Altmann plot. Results: Five models with different anthropometric measurements were developed, (1) arm circumference as a discriminant variable (ICC: 0.842); (2) best statistical fit for men and women (ICC: 0.874) and its stratification by sex (3) (ICC: 0.876); (4) easy-to-perform measurement for men and women (ICC: 0.842) and its stratification by sex (5) (ICC: 0.828). Conclusion: Five models for estimating the weight of older adult residents in long-term care institutions were developed and validated. The choice to use the models should be based on the physical capacity of the older adults to be evaluated
Development and validation of predictive workable weight equations for Brazilian older adult residents in long-term care institutions
(Plos one, 2023) Lima, Severina Carla Vieira Cunha; Lima, Marcos Felipe Silva de; Cabral, Natália Louise de Araújo; Oliveira, Larissa Praça de; Liberalino, Laura Camila Pereira; Pedrosa, Lucia de Fátima Campos; Lima, Kenio Costa de; Lyra, Clélia de Oliveira; https://orcid.org/0000-0001-8268-1986
Background: Weight measurement is important in the nutritional anthropometric monitoring of older adults. When this measurement is not possible, estimates may be used. Aim Developing and validating weight predictive equations for older adult residents in long-term care institutions in Brazil. Subjects and methods: The sample comprised 393 older adult residents in long-term care institutions. Data were collected in two stages, with 315 older adults in the first and 78 in the second. We have measured the arm, calf, and waist circumferences, as well as the triceps and subscapular skinfold and knee height. Multiple linear regression was used to develop the equations, which were evaluated through the coefficient of determination, standard error of estimation, Akaike information criterion, intraclass correlation coefficient (ICC), and Bland-Altmann plot. Results: Five models with different anthropometric measurements were developed, (1) arm circumference as a discriminant variable (ICC: 0.842); (2) best statistical fit for men and women (ICC: 0.874) and its stratification by sex (3) (ICC: 0.876); (4) easy-to-perform measurement for men and women (ICC: 0.842) and its stratification by sex (5) (ICC: 0.828). Conclusion: Five models for estimating the weight of older adult residents in long-term care institutions were developed and validated. The choice to use the models should be based on the physical capacity of the older adults to be evaluated.
Estimating the height of elderly nursing home residents: which equation to use?
(PLoS One, 2018-10) Lyra, Clélia de Oliveira; Lima, Marcos Felipe Silva de; Oliveira, Larissa Praça de; Cabral, Natália Louise de Araújo; Liberalino, Laura Camila Pereira; Bagni, Ursula Viana; Lima, Kenio Costa de
Estimating equations can be used when measuring the height of elderly persons is not possible. However, such methods are not always applicable; therefore, it is necessary to consider several aspects, such as sex, age, and ethnicity of the studied population to generate these equations. This study aimed to compare and validate methods of estimating the height of the Brazilian elderly nursing home residents. An accuracy study was conducted with 168 elderly persons. A total of 23 equations were quantitatively evaluated by plotting the differences in means, the Student’s t-test for paired samples, the coefficient of determination (R2 ), the root-mean-square error (RMSE), the interclass correlation coefficient (ICC), and by graphic analysis of the residuals. A significance value of p <0.05 was adopted. An equation was considered applicable when it had R2 >0.7, the lowest RMSE among the equations evaluated, ICC >0.7, and a confidence interval of 95%, with the smallest difference between the upper and lower limits. A greater mean height was noted among younger elderly persons and elderly men compared to up to 80 years and women elderly. Quantitative analysis revealed that equation for Puerto Ricans, using knee height and age, was the most applicable for the overall population (ICC = 0.802). The same equation was applicable for the elderly Brazilian male participants (ICC = 0.838) and for those aged 60–69 years (ICC = 0.895). None of the equations used were applicable for the height estimation of elderly women or individuals aged 70 years or more
Estimativa de peso em idosos institucionalizados: qual equação utilizar?
(2016) Lima, Marcos Felipe Silva de; Cabral, Natália Louise de Araújo; Oliveira, Larissa Praça de; LiberalinoI, Laura Camila Pereira; Spyrides, Maria Helena Constantino; Lima, Kenio Costa de; Lyra, Clélia de Oliveira
Introdução: Na impossibilidade de mensuração do peso em idosos, métodos de estimativa podem ser empregados. Entretanto, tais métodos nem sempre são aplicáveis, podendo levar a erros de estimativa que comprometem tanto a prática clínica quanto resultados em estudos epidemiológicos. Objetivo: Comparar e validar métodos de estimativa de peso em idosos residentes em instituições de longa permanência de Natal, Rio Grande do Norte. Métodos: Avaliaram-se as equações qualitativamente pela reprodutibilidade das medidas que as compunham e, quantitativamente, pela diferença média entre o peso mensurado e os estimados, e utilizado o teste t de Student para amostras pareadas ou ANOVA, coeficiente de determinação (R²), raiz do erro quadrático médio (REQM), coeficiente de correlação intraclasse (CCI) e análise gráfica de resíduos. Adotou-se como valor de significância p < 0,05. Considerou-se aplicável quando a equação apresentava R² > 0,7; menor REQM dentre as equações avaliadas; CCI > 0,7; e respectivo intervalo de confiança 95% com menor distância entre os limites inferior e superior. Resultados: Avaliaram-se 315 idosos de 10 instituições de longa permanência de Natal. O peso corporal médio foi maior nos idosos mais jovens e sem restrição de mobilidade. A análise qualitativa mostrou a equação 5 como a de melhor reprodutilidade, uma vez que não utiliza medidas de dobras cutâneas. A análise quantitativa revelou a equação 5 como a de melhor aplicabilidade em toda a população avaliada e nos diferentes sexos, faixas etárias (60 a 69 anos, 70 a 79 anos e 80 anos ou mais) e condição de restrição de mobilidade. Conclusão: A equação 5 foi aplicável para a estimativa de peso na população avaliada e nos diferentes estratos analisados.
Evolução temporal do estado nutricional antropométrico de idosos institucionalizados - 2013 e 2019
(Universidade Federal do Rio Grande do Norte, 2019-12-05) Lima Filho, Marcos de Paiva; Lyra, Clélia de Oliveira; Marcos Felipe Silva de Lima; Lima, Marcos Felipe Silva de; Cabral, Natália Louise de Araújo
A partir do crescimento acelerado da população idosa, as instituições de longa permanência para idosos (ILPI) surgiram para atender a demanda dessa população e garantir a manutenção da saúde, funcionalidade, bem-estar e estado nutricional dos indivíduos. A antropometria se destaca dentre as outras formas de avaliações por apresentar baixo custo e ser não invasivo. O objetivo deste trabalho foi analisar a evolução do estado nutricional antropométrico em idosos institucionalizados; descrever a população em relação às características demográficas e socioeconômicas; analisar o estado nutricional antropométrico segundo faixa etária e sexo; verificar a evolução do IMC nos anos de 2013 e 2019 segundo tipo de instituição e sexo; avaliar a evolução do IMC nos anos de 2013 e 2019 segundo o estado nutricional antropométrico basal. Esse estudo observacional é um coorte aninhado a dois estudos transversais, tem como os idosos residentes de ILPI do município de Natal/RN como unidade de observação e análise. Para esse estudo foram consideradas quatro ILPI (duas sem fins lucrativos e duas com fins lucrativos), com participantes de ambos os sexos e com idade igual ou superior a 60 anos, na primeira coleta resultou num total de 146 indivíduos e na segunda coleta um total de 159. 63 indivíduos estavam presentes nas duas coletas. A coleta dos dados antropométricos têm como base a metodologia aplicada por Lima et al. (2016). O estudo possui como variável dependente do tipo quantitativa contínua o IMC, utilizando os pontos de cortes preconizados por Lipschitz (1994) e como variáveis independentes o sexo, idade e tipo de ILPI. Os dados foram analisados por meio do software IBM® SPSS® versão 23 para Microsoft Windows®. A caracterização da população estudada foi realizada através da média e desvio padrão das variáveis quantitativas e da análise de frequência para classificação do estado nutricional. Os dados foram estratificados quanto sexo e tipo de ILPI, o teste t-Student foi realizado para as amostras em pares para identificar se houve diferença significativa entre essas variáveis. O efeito do tempo foi testado pela análise de variância Split-Plot com IMC como variável quantitativa contínua para os dois momentos sendo os fatores o sexo, tipo de ILPI e estado nutricional basal, para essa análise é necessário avaliar a homogeneidade das matrizes de covariância, a partir do teste de Box. O efeito de interação foi avaliado pelo Lambda de Wilks, que avalia se a evolução ao longo do tempo entre os fatores é significativa. Por fim foi realizado plotagem das médias do IMC. Foi adotado valor de significância 5% para todas as análises. Dos 63 indivíduos que estavam presentes na segunda etapa, 49 são do sexo feminino, 51 estão em ILPI sem fins lucrativos e 30 estão com 80 anos ou mais. Diante da perda amostral entre os dois momentos os indivíduos que sobreviveram são indivíduos que conseguiram manter seu estado nutricional antropométrico, quanto ao tipo de ILPI e sexo esses não tiveram impacto sobre os valores de IMC.
Factors associated with the quality of life of Brazilian adults and the elderly: a cross-sectional study
(Research, Society and Development, 2022-03) Lyra, Clelia de Oliveira; Pequeno, Nila Patrícia Freire; Cabral, Natália Louise de Araújo; Oliveira, Ângelo Giuseppe Roncalli Costa; Crispim, Sandra Patrícia; Rocha, Cecília; Marchioni, Dirce Maria Lobo; Lima, Severina Carla Vieira Cunha
The objective of this study was to analyze the association between socioeconomic, demographic, lifestyle, health, nutrition and food insecurity factors and quality of life (QoL) in 295 Brazilian adults and the elderly residents in Natal-RN, using data from the Brazilian Usual Consumption Assessment – BRAZUCA survey. Multivariate analysis using Poisson Regression was using, to verify the association between the Qol, assessed by the WHOQOL-bref instrument, with the independent variables. Having age 40-59 years (PR=1.70; 95%CI 1.10-2.62) or age ≥ 60 years (PR=1.55; 95%CI 1.00-2.40); having non-white skin (PR=1.56; 95%CI 1.10-2.19); and being in mild food insecurity (PR=2.70; 95%CI 1.75-4.19) moderate (PR=3.19; 95%CI 2.03-5.00) or severe (PR=3.12; 95%CI 1.80-5.42) were associated with a higher probability of Perceived QoL regular, poor, or very poor. Satisfaction with regular, unsatisfactory, or very unsatisfactory health was associated with mild food insecurity (PR= 1.73; 95%CI 1.26-2.37), emotional disturbances (depression or anxiety) (PR=1.88; 95%CI 1.43-2.49) and being hypertensive (PR=1.39; 95%CI 1.05-1.84). The results suggest the need for public policies that fight inequality, hunger, and promote healthy lifestyles
Proposta metodológica para avaliação da insegurança alimentar sob a ótica de suas múltiplas dimensões
(Ciência & Saúde Coletiva, 2022) Lyra, Clelia de Oliveira; Cabral, Natália Louise de Araújo; Pequeno, Nila Patrícia Freire; Roncalli, Angelo Giuseppe; Marchioni, Dirce Maria Lobo; Lima, Severina Carla Vieira Cunha
O objetivo deste artigo é desenvolver uma proposta metodológica para avaliar a insegurança alimentar e nutricional (INSAN) em adultos e idosos. A proposta metodológica Vigi-INSAN foi elaborada com dados do Brazuca Natal, um estudo transversal com 411 residentes de Natal-RN. O modelo preditivo foi desenvolvido por regressão múltipla de Poisson, analisando-se as variáveis sociodemográficas, de saúde e nutrição, e a insegurança alimentar (IA). A prevalência de IA foi 42,1% (37,4%-46,9%), sendo maior em mulheres (47,5%), adultos (48,2%) e pessoas de cor/raça preta (52,7%). O Vigi-INSAN foi composto por: presença de <18 anos no domicílio (A) (RPaj=1,3; 1,1-1,6), renda familiar (B) (em quintis) (Q1: RPaj=5,4; 2,5-11,7; Q2: RPaj=4,8; 2,2-10,5; Q3: RPaj=3,8; 1,8-8,5; Q4 RPaj=2,2; 1,0- 5,1), tratamento inadequado da água de beber (C) (RPaj=1,3; 1,1-1,5), presença de DCNT (D) (RPaj=1,3; 1,1-1,7), não comer frutas no café da manhã (E) (RPaj=1,7; 1,3-2,5), realizar refeições no sofá da sala ou na cama (F) (RPaj=1,3; 1,1- 1,6) e pular pelo menos o almoço ou o jantar (G) (RPaj=1,4; 1,2-1,7). Foi adotado o ponto de corte 2,3 (Kappa=0,47; Sensibilidade=0,82; Especificidade=0,67; VPP=0,64; VPN=0,83)
Quality of life assessment instruments for adults: a systematic review of population-based studies
(Health and Quality of Life Outcomes, 2020-06) Lyra, Clélia de Oliveira; Pequeno, Nila Patrícia Freire; Cabral, Natália Louise de Araújo; Marchioni, Dirce Maria; Lima, Severina Carla Vieira Cunha
Background: Against a backdrop of population aging and improving survival rates for chronic noncommunicable diseases (CNCD), researchers are placing growing emphasis on health-related quality of life (HRQoL). The aim of this study was to identify the QoL assessment instruments used in population-based studies with adults conducted around the world. Methods: A systematic review of original research published in all languages between 2008 and 2018 was conducted. Systematic reviews and meta-analyses were excluded. Results: Sixty-three articles (38.1% conducted in the Americas) fitted the eligibility criteria. Based on the AHRQ checklist for cross-sectional studies and the Newcastle-Ottawa scale for cohort studies, methodological quality was shown to be fair in the majority of studies (55.6%) and good in 44.4%. The country with the highest number of publications was Brazil (20.6%). Twelve types of generic instruments and 11 specific instruments were identified. The generic instrument SF-36 was the most frequently used measure (33.3% of studies). In-home interviewing was exclusively used by 47.6% of the studies, while 39 studies (61.9%) reported the use of self-administered questionnaires. Over two-thirds of the studies (34.9%) used questionnaires to investigate the association between chronic diseases and/or associated factors. Conclusions: It was concluded that the wide range of instruments and modes of questionnaire administration used by the studies may hinder comparisons between population groups with the same characteristics or needs. There is a lack of research on QoL and the factors affecting productive capacity. Studies of QoL in older persons should focus not only on the effects of disease and treatment, but also on the determinants of active aging and actions designed to promote it. Further research is recommended to determine which QoL instruments are best suited for population-based studies.
Quality of life assessment instruments for adults: a systematic review of population-based studies
(Health and Quality of Life Outcomes, 2020) Lima, Severina Carla Vieira Cunha; Pequeno, Nila Patrícia Freire; Cabral, Natália Louise de Araújo; Marchioni, Dirce Maria; Lyra, Clélia de Oliveira; https://orcid.org/0000-0001-8268-1986
Background: Against a backdrop of population aging and improving survival rates for chronic noncommunicable diseases (CNCD), researchers are placing growing emphasis on health-related quality of life (HRQoL). The aim of this study was to identify the QoL assessment instruments used in population-based studies with adults conducted around the world. Methods: A systematic review of original research published in all languages between 2008 and 2018 was conducted. Systematic reviews and meta-analyses were excluded. Results: Sixty-three articles (38.1% conducted in the Americas) fitted the eligibility criteria. Based on the AHRQ checklist for cross-sectional studies and the Newcastle-Ottawa scale for cohort studies, methodological quality was shown to be fair in the majority of studies (55.6%) and good in 44.4%. The country with the highest number of publications was Brazil (20.6%). Twelve types of generic instruments and 11 specific instruments were identified. The generic instrument SF-36 was the most frequently used measure (33.3% of studies). In-home interviewing was exclusively used by 47.6% of the studies, while 39 studies (61.9%) reported the use of self-administered questionnaires. Over two-thirds of the studies (34.9%) used questionnaires to investigate the association between chronic diseases and/or associated factors. Conclusions: It was concluded that the wide range of instruments and modes of questionnaire administration used by the studies may hinder comparisons between population groups with the same characteristics or needs. There is a lack of research on QoL and the factors affecting productive capacity. Studies of QoL in older persons should focus not only on the effects of disease and treatment, but also on the determinants of active aging and actions designed to promote it. Further research is recommended to determine which QoL instruments are best suited for population-based studies.

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