Navegando por Autor "Marchioni, Dirce Maria"

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Assessment of biodiversity in food consumption studies: a systematic review
(Frontiers in nutrition, 2022) Lima, Severina Carla Vieira Cunha; Medeiros, Maria Fernanda Araújo de; Silva, Stephanie Gomes Bezerra; Teixeira, Carla Djaine; Marchioni, Dirce Maria; Jacob, Michelle Cristine Medeiros; https://orcid.org/0000-0001-8268-1986
The assessment of food biodiversity has gained importance in nutrition due to the positive association between the diversity of foods consumed and the quality of diets. To date, however, we do not know systematically how food consumption studies address food biodiversity. Our objective with this paper was to characterize how food consumption studies address biodiverse foods, both in terms of (i) new methods capable of overcoming the limitations of existing methods, and (ii) indicators capable of measuring the contribution of biodiversity to nutrition. We conducted a systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), using four databases: Web of Science, Medline/PubMed (via National Library of Medicine), Scopus, and Google Scholar. We selected papers focused on the consumption of biodiverse foods without time constraints. In addition, we assessed the methodological quality of the studies we selected. We reviewed a total of 22 studies, and summarized the methods and indicators most used. We found that some researchers used biodiversity mapping strategies based on ethnographic approaches before the dietary assessment. Regarding dietary assessment tools, retrospective direct methods were the most used by researchers. We list 23 indicators used by the authors, among them the Dietary Species Richness (DSR), used in 18% of the studies. Studies that used biodiversity mapping strategies based on ethnographic approaches before the dietary assessment portrayed the local availability of biodiverse foods more consistently, i.e., presented lists with local edible species satisfactorily identified. We believe researchers in the future can avoid many of the limitations of current methods by ensuring that teams are interprofessional. We emphasize that most of the indicators we summarized are not sensitive enough to biodiversity since they do not measure edible resources at the species level. In this sense, the DSR is promising, because it fills information gaps, especially in the case of wild or neglected species.
Assessment of biodiversity in food consumption studies: a systematic review
(Frontiers in Nutrition, 2022) Jacob, Michelle Cristine Medeiros; Marchioni, Dirce Maria; Lima, Severina Carla Vieira Cunha; Teixeira, Carla Djaine; Silva, Stephanie Gomes Bezerra; Medeiros, Maria Fernanda Araújo de; https://orcid.org/0000-0002-4881-7285
The assessment of food biodiversity has gained importance in nutrition due to the positive association between the diversity of foods consumed and the quality of diets. To date, however, we do not know systematically how food consumption studies address food biodiversity. Our objective with this paper was to characterize how food consumption studies address biodiverse foods, both in terms of (i) new methods capable of overcoming the limitations of existing methods, and (ii) indicators capable of measuring the contribution of biodiversity to nutrition. We conducted a systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), using four databases: Web of Science, Medline/PubMed (via National Library of Medicine), Scopus, and Google Scholar. We selected papers focused on the consumption of biodiverse foods without time constraints. In addition, we assessed the methodological quality of the studies we selected. We reviewed a total of 22 studies, and summarized the methods and indicators most used. We found that some researchers used biodiversity mapping strategies based on ethnographic approaches before the dietary assessment. Regarding dietary assessment tools, retrospective direct methods were the most used by researchers. We list 23 indicators used by the authors, among them the Dietary Species Richness (DSR), used in 18% of the studies. Studies that used biodiversity mapping strategies based on ethnographic approaches before the dietary assessment portrayed the local availability of biodiverse foods more consistently, i.e., presented lists with local edible species satisfactorily identified. We believe researchers in the future can avoid many of the limitations of current methods by ensuring that teams are interprofessional. We emphasize that most of the indicators we summarized are not sensitive enough to biodiversity since they do not measure edible resources at the species level. In this sense, the DSR is promising, because it fills information gaps, especially in the case of wild or neglected species.
Avaliação da biodiversidade em estudos de consumo alimentar: uma revisão sistemática
(Universidade Federal do Rio Grande do Norte, 2022-01-21) Medeiros, Maria Fernanda Araújo de; Jacob, Michelle Cristine Medeiros; 0000-0002-4881-7285; http://lattes.cnpq.br/1788932483645882; 0000-0001-7674-9307; http://lattes.cnpq.br/4848052104321130; Jacob, Michelle Cristine Medeiros; 0000-0002-4881-7285; Lima, Severina Carla Vieira Cunha; 0000-0001-8268-1986; Marchioni, Dirce Maria; 0000-0002-6810-5779
A avaliação da biodiversidade alimentar vem ganhando importância na nutrição devido à associação positiva entre a diversidade de alimentos consumidos e a qualidade das dietas. Até o momento, no entanto, não sabemos sistematicamente como os estudos de consumo de alimentos abordam a biodiversidade alimentar. Objetivamos com esta revisão sistemática caracterizar como os estudos de consumo alimentar abordam os alimentos biodiversos, tanto em termos de (i) novos métodos capazes de superar as limitações dos métodos existentes, quanto (ii) indicadores capazes de medir a contribuição da biodiversidade para a nutrição. Selecionamos estudos das seguintes bases de dados: Web of Science, Medline/PubMed, Scopus e Google Scholar. Selecionamos artigos focados no consumo de alimentos biodiversos sem restrições de tempo. Além disso, avaliamos a qualidade metodológica dos estudos selecionados. Revisamos um total de 22 estudos e resumimos os métodos e indicadores mais utilizados. Descobrimos que alguns pesquisadores usaram estratégias de mapeamento da biodiversidade baseadas em abordagens etnográficas antes da avaliação dietética. Em relação aos instrumentos de avaliação dietética, os métodos diretos retrospectivos foram os mais utilizados pelos pesquisadores. Listamos 23 indicadores utilizados pelos autores, entre eles o Dietary Species Richness (DSR), utilizado em 18% dos estudos. Observamos que estudos que utilizaram estratégias de mapeamento com abordagens etnográficas antes da avaliação dietética retrataram a disponibilidade local de alimentos biodiversos de forma mais acurada. Acreditamos que os pesquisadores no futuro podem diminuir as limitações dos métodos atuais, garantindo que as equipes sejam multiprofissionais. Ressaltamos que a maioria dos indicadores que resumimos não são sensíveis o suficiente à biodiversidade, pois não medem recursos comestíveis em nível de espécie. Nesse sentido, o DSR é promissor, pois preenche lacunas de informação, principalmente no caso de espécies silvestres ou negligenciadas.
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
Diet quality and associated factors in brazilian undergraduates during the COVID-19 pandemic
(Frontiers in Nutrition, 2023-05) Maciel, Bruna Leal Lima; Galvão, Liana Letícia Paulino; Santos, Thanise; Slater, Betzabeth; Lyra, Clelia de Oliveira; Rolim, Priscilla Moura; Ramalho, Alanderson; Dalamaria, Tatiane; Martins, Fernanda Andrade; Höfelmann, Doroteia Aparecida; Crispim, Sandra; Gorgulho, Bartira; Rodrigues, Paulo; Marchioni, Dirce Maria
Background: Diet quality is associated with psychobiological, psychological, biological, and physiological factors of individuals, and in the context of prolonged stress, such as the COVID-19 pandemic, it can lead to a worsening of the quality of food for undergraduates. This study aimed to analyze diet quality and associated factors in Brazilian undergraduates. Methods: Data were collected from 4,799 undergraduate students from all Brazilian regions, from August 2020 to February 2021. The online questionnaire contained socioeconomic variables, the ESQUADA scale to assess diet quality, self-referred changes in weight, the Brazilian food insecurity scale (EBIA), sleep assessment and the perceived stress scale. Unconditional multiple logistic regression analysis was performed to study variables associated with poor and very poor diet quality. Results: Most of participants presented a good diet quality (51.7%), while 9.8% had a poor or very poor diet quality and only 1.1% had an excellent diet quality. 58.2% of undergraduates reported to have an increase in weight during the pandemic and 74.3% of the students presented elevated stress during the pandemic. Logistic regressions showed students who gained weight during the pandemic presented the highest AOR = 1.56 (95% CI = 1.12–2.20) for poor or very poor diet quality. The elevated perceived stress was also associated with a higher AOR = 2.85 (95% CI = 1.71–4.74) for poor or very poor diet quality. Conclusion: Most of the studied undergraduates presented a good diet quality. Nevertheless, poor/very poor diet quality was associated with higher perceived stress and weight gain. Our study indicated that policies should beaimed at the socioeconomically most vulnerable undergraduates, those in a situation of food and nutritional insecurity, high perceived stress, and who gained weight during the pandemic
Food acquisition, hygiene, and generation of domestic waste in an academic community during the COVID-19 pandemic
(Foods, 2022-12) Maciel, Bruna Leal Lima; Costa, Aldiane de Assis; Marchioni, Dirce Maria; Rolim, Priscilla Moura
In 2020, the World Health Organization (WHO) declared COVID-19 a pandemic, and the closure of universities as a measure to prevent contamination directly affected academic communities. Access to food, though a basic need and a human right, was seriously affected. This study evaluated the locations and frequency of food acquisition; hand, food, and packaging hygiene habits; and household waste generation in an academic community during the COVID-19 pandemic. The research was cross-sectional and performed through an online questionnaire. Data (n = 1472) were analyzed using descriptive statistics; statistical tests were also applied, and p values < 0.01 were considered significant. Most of the population continued to purchase food in supermarkets (89.5%). The frequency of product orders from markets by delivery placed by professors and graduate students was also verified (31.7% and 24.2%). There was an increase in packaging hygiene in the studied population, as well as in fruit and vegetable hygiene; however, use of inappropriate methods was noted. This paper highlights important data on the behavior of an academic community dealing with the problem of solid waste generation during the pandemic. Moreover, there were no changes in waste generation during the pandemic, although there was an increase in packaging consumption (44%). Identifying the behavior of the university community regarding hygiene and food acquisition can help societies from the perspective of transforming habits related to food. Therefore, this research provides support for future investigations and interventions in the field of foods and post-pandemic sustainability
Food insecurity and associated factors in brazilian undergraduates during the COVID-19 pandemic
(Nutrients, 2022) Maciel, Bruna Leal Lima; Lyra, Clélia de Oliveira; Gomes, Jéssica Raissa Carlos; Rolim, Priscilla Moura; Gorgulho, Bartira Mendes; Nogueira, Patrícia Simone; Rodrigues, Paulo Rogério Melo; Silva, Tiago Feitosa da; Martins, Fernanda Andrade; Dalamaria, Tatiane; Santos, Thanise Sabrina Souza; Höfelmann, Doroteia Aparecida; Crispim, Sandra Patrícia; Slater, Betzabeth; Ramalho, Alanderson Alves; Marchioni, Dirce Maria
Undergraduates may face challenges to assure food security, related to economic and mental distress, especially during the COVID-19 pandemic. This study aimed to assess food insecurity and its associated factors in undergraduates during the COVID-19 pandemic. An online cross-sectional study was conducted from August 2020 to February 2021 with 4775 undergraduates from all Brazilian regions. The questionnaire contained socio-economic variables, the validated Brazilian food insecurity scale, and the ESQUADA scale to assess diet quality. The median age of the students was 22.0 years, and 48.0% reported income decreasing with the pandemic. Food insecurity was present in 38.6% of the students, 4.5% with severe food insecurity and 7.7% moderate. Logistic regressions showed students with brown and black skin color/race presented the highest OR for food insecurity; both income and weight increase or reduction during the pandemic was also associated with a higher OR for food insecurity, and better diet quality was associated with decreased OR for food insecurity. Our study showed a considerable presence of food insecurity in undergraduates. Policy for this population must be directed to the most vulnerable: those with brown and black skin color/race, who changed income during the pandemic, and those presented with difficulties maintaining weight and with poor diet quality
Nutritional risk screening tools for older adults with COVID-19: a systematic review
(Nutrients, 2020-09) Evangelista, Karine Cavalcanti Maurício de Sena; Silva, David Franciole Oliveira; Lima, Severina Carla Vieira Cunha; Marchioni, Dirce Maria; Cobucci, Ricardo Ney; Andrade, Fábia Barbosa de
Abstract: Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in older people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature was searched in the MEDLINE, Embase, and LILACS databases. Four studies conducted in China met the eligibility criteria. Sample sizes ranged from six to 182, and participants’ ages from 65 to 87 years. Seven nutritional screening and assessment tools were used: the Nutritional Risk Screening 2002 (NRS-2002), the Mini Nutritional Assessment (MNA), the MNA-short form (MNA-sf), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Index (NRI), the Geriatric NRI (GNRI), and modified Nutrition Risk in the Critically ill (mNUTRIC) score. Nutritional risk was identified in 27.5% to 100% of participants. The NRS-2002, MNA, MNA-sf, NRI, and MUST demonstrated high sensitivity; the MUST had better specificity. The MNA and MUST demonstrated better criterion validity. The MNA-sf demonstrated better predictive validity for poor appetite and weight loss; the NRS-2002 demonstrated better predictive validity for prolonged hospitalization. mNUTRIC score demonstrated good predictive validity for hospital mortality. Most instruments demonstrate high sensitivity for identifying nutritional risk, but none are acknowledged as the best for nutritional screening in older adults with COVID-19
Nutritional risk screening tools for older adults with COVID-19: a systematic review
(Nutrients, 2020) Lima, Severina Carla Vieira Cunha Lima; Silva, David Franciole Oliveira Silva; Evangelista, Karine Cavalcanti Mauricio Sena; Marchioni, Dirce Maria; Cobucci, Ricardo Ney; Andrade, Fábia Barbosa de; https://orcid.org/0000-0001-8268-1986
Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in older people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature was searched in the MEDLINE, Embase, and LILACS databases. Four studies conducted in China met the eligibility criteria. Sample sizes ranged from six to 182, and participants’ ages from 65 to 87 years. Seven nutritional screening and assessment tools were used: the Nutritional Risk Screening 2002 (NRS-2002), the Mini Nutritional Assessment (MNA), the MNA-short form (MNA-sf), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Index (NRI), the Geriatric NRI (GNRI), and modified Nutrition Risk in the Critically ill (mNUTRIC) score. Nutritional risk was identified in 27.5% to 100% of participants. The NRS-2002, MNA, MNA-sf, NRI, and MUST demonstrated high sensitivity; the MUST had better specificity. The MNA and MUST demonstrated better criterion validity. The MNA-sf demonstrated better predictive validity for poor appetite and weight loss; the NRS-2002 demonstrated better predictive validity for prolonged hospitalization. mNUTRIC score demonstrated good predictive validity for hospital mortality. Most instruments demonstrate high sensitivity for identifying nutritional risk, but none are acknowledged as the best for nutritional screening in older adults with COVID-19.
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.
The impact of essential and toxic elements on cardiometabolic risk factors in adults and older people
(Journal of trace elements in medicine and biology, 2022) Lima, Severina Carla Vieira Cunha; Nunes, Francisca Leide da Silva; Lyra, Clélia de Oliveira; Marchioni, Dirce Maria; Pedrosa, Lucia Fatima Campos; Barbosa Júnior, Fernando Barbosa; Evangelista, Karine Cavalcanti Maurício Sena; https://orcid.org/0000-0001-8268-1986
Background and aim Evidence suggests an association between essential and toxic elements and the worsening of cardiometabolic risk factors. This study aimed to investigate the concentrations of zinc, copper, selenium, arsenic, cadmium, and mercury and their relationship with cardiometabolic risk factors in adults and older people. Methods: This cross-sectional study was carried out with 112 adults with a mean age of 59 (sd 14) years old and a BMI of 29.30 (sd 5.11) Kg/m2. The subject’s weight and height were measured for body mass index (BMI) calculation, classified according to the cut-off points recommended by the World Health Organization (WHO). We evaluated sociodemographic, clinical, lifestyle, waist circumference – WC, visceral adiposity index - VAI, glycemic lipid profile, blood pressure, and high-sensitive C-reactive protein (hs-CRP). Cardiovascular risk was defined by The Global Risk Score (GRS) score. Plasma zinc, selenium, copper levels, urinary arsenic, cadmium, and mercury levels were measured using the inductively coupled plasma mass spectrometry technique (ICP-MS). Results: There was a negative association between urinary arsenic and VAI (β − 0.03, p < 0.01), triglycerides (β − 1.10, p < 0.01), and VLDL cholesterol (β − 0.14, p = 0.02). Plasma copper and copper/zinc ratio were positively associated with fasting glucose and hs-CRP (β 0.38, p < 0.01; β 36.02, p = 0.01, β 0.004, p < 0.01, β 0.68, p < 0.001, respectively). Urinary arsenic (β − 0.14, p = 0.04) and cadmium (β − 36.42, p = 0.04) were negatively associated with systolic blood pressure. Also, urinary cadmium was negatively associated with diastolic blood pressure (β − 21.55, p = 0.03), and urinary mercury showed an opposite behavior (β 1.45, p = 0.03). Conclusion: Essential and toxic elements in urine and plasma could be potential biomarkers for cardiovascular risk factors. A healthy lifestyle should be adopted; in addition, government policies should be developed to guarantee sustainable production and a safe environment.
The impact of essential and toxic elements on cardiometabolic risk factors in adults and older people
(Journal of Trace Elements In Medicine and Biology, 2022-06) Lyra, Clelia de Oliveira; Nunes, Francisca Leide da Silva; Lima, Severina Carla Vieira Cunha; Marchioni, Dirce Maria; Pedrosa, Lucia Fatima Campos; Barbosa Júnior, Fernando; Evangelista, Karine Cavalcanti Maurício Sena
Background and aim: Evidence suggests an association between essential and toxic elements and the worsening of cardiometabolic risk factors. This study aimed to investigate the concentrations of zinc, copper, selenium, arsenic, cadmium, and mercury and their relationship with cardiometabolic risk factors in adults and older people. Methods: This cross-sectional study was carried out with 112 adults with a mean age of 59 (sd 14) years old and a BMI of 29.30 (sd 5.11) Kg/m2 . The subject’s weight and height were measured for body mass index (BMI) calculation, classified according to the cut-off points recommended by the World Health Organization (WHO). We evaluated sociodemographic, clinical, lifestyle, waist circumference – WC, visceral adiposity index - VAI, glycemic lipid profile, blood pressure, and high-sensitive C-reactive protein (hs-CRP). Cardiovascular risk was defined by The Global Risk Score (GRS) score. Plasma zinc, selenium, copper levels, urinary arsenic, cadmium, and mercury levels were measured using the inductively coupled plasma mass spectrometry technique (ICP-MS). Results: There was a negative association between urinary arsenic and VAI (β − 0.03, p < 0.01), triglycerides (β − 1.10, p < 0.01), and VLDL cholesterol (β − 0.14, p = 0.02). Plasma copper and copper/zinc ratio were positively associated with fasting glucose and hs-CRP (β 0.38, p < 0.01; β 36.02, p = 0.01, β 0.004, p < 0.01, β 0.68, p < 0.001, respectively). Urinary arsenic (β − 0.14, p = 0.04) and cadmium (β − 36.42, p = 0.04) were negatively associated with systolic blood pressure. Also, urinary cadmium was negatively associated with diastolic blood pressure (β − 21.55, p = 0.03), and urinary mercury showed an opposite behavior (β 1.45, p = 0.03). Conclusion: Essential and toxic elements in urine and plasma could be potential biomarkers for cardiovascular risk factors. A healthy lifestyle should be adopted; in addition, government policies should be developed to guarantee sustainable production and a safe environment

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Navegando por Autor "Marchioni, Dirce Maria"