cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.20018377
title: Nutrional status and dietary factors in cystic fibrosis patients with delta F508 mutation

description: Objective To examine the association between nutritional status and dietary factors in children and adolescents with cystic fibrosis that are carriers of delta F508 mutation. Methods Cross-sectional study of cystic fibrosis children and adolescents. Nutritional status (body mass index percentile) and dietary intake (3-day diet records presented as a percentage of estimated energy requirement) were assessed. Results Thirty six patients (median of 8.6; interquartile range 6.8-12.5 years; 50% male). The Poisson regression analysis showed that the carriers for delta F508 mutation had 60% lower prevalence ratio of body mass index ≥25° (PR=0.4; 95%IC=0.2-0.8) and 90% lower prevalence ratio (PR=0.1; confidence interval 95%IC=0.02-0.3) of ≥150% of estimated energy requirement when compared with non-delta F508 mutation carriers. The model was adjusted for lung function, estimated energy requirement, and body mass index. Conclusion Carriers for delta F508 mutation showed lower body mass index percentile and lower daily caloric consumption when compared with patients without this mutation.
DOI: 10.6084/m9.figshare.20018382
title: Household food insecurity in Brazilian adolescents: a validation study

description: Objective The objective of this study was to evaluate the internal and predictive validity of a six-item household food insecurity scale to measure food insecurity in Brazilian adolescents. Methods A cross-sectional study with a representative sample of Brazilian adolescents (N=14,690) was conducted in public and private schools in 26 state capitals and in the Federal District of Brazil using an online questionnaire. Results Most respondents were female (53.2%) with mean age of 14.4 years, and 72.7% of them attended public schools. The psychometric properties of the scale, assessed using the Rasch model, showed better response rates without the item five, exhibiting optimal Infit statistics and an increasing level of severity among the items. Cronbach's á was 0.767. Differential item functioning analyses showed similar behavior between the items in the subgroups evaluated. Factor analysis confirmed the unidimensionality of the scale. Conclusion This study proposes the removal of the item five and the inclusion of new cut-off points for this short form of the scale. The Household Food Security Scale (short form) is valid and reliable to measure household food insecurity in Brazilian adolescents.
DOI: 10.6084/m9.figshare.20018382.v1
title: Household food insecurity in Brazilian adolescents: a validation study

description: Objective The objective of this study was to evaluate the internal and predictive validity of a six-item household food insecurity scale to measure food insecurity in Brazilian adolescents. Methods A cross-sectional study with a representative sample of Brazilian adolescents (N=14,690) was conducted in public and private schools in 26 state capitals and in the Federal District of Brazil using an online questionnaire. Results Most respondents were female (53.2%) with mean age of 14.4 years, and 72.7% of them attended public schools. The psychometric properties of the scale, assessed using the Rasch model, showed better response rates without the item five, exhibiting optimal Infit statistics and an increasing level of severity among the items. Cronbach's á was 0.767. Differential item functioning analyses showed similar behavior between the items in the subgroups evaluated. Factor analysis confirmed the unidimensionality of the scale. Conclusion This study proposes the removal of the item five and the inclusion of new cut-off points for this short form of the scale. The Household Food Security Scale (short form) is valid and reliable to measure household food insecurity in Brazilian adolescents.
DOI: 10.6084/m9.figshare.20018380
title: Factors associated with maternal underestimation of child's weight: a population-based study

description: Objective To investigate the factors associated with maternal underestimation of weight status of children under five years in Goiânia, Goiás, Brazil. Methods A population-based cross-sectional study involving 673 children under five years of age was carried out. Maternal perception of child's weight was assessed by the question: "What do you think about your child's current weight?". The child's nutritional status was determined in terms of body mass index-for age. Poisson regression was used at 5% significance level. Concordance analysis was performed using the Kappa test. Results Among the children studied, 1.6 % were lean, 87.7% eutrophic, and 10.7% overweight. Most mothers (66.0%) correctly classified the weight of their children, 5.2% overestimated it, and 28.8% underestimated it. Mothers of overweight children and those whose children were older than 24 months had a higher prevalence of underestimation of weight, whereas the overweight mothers and those with higher education level had a lower prevalence of underestimation of weight of their children. The correlation between maternal perception of the chil's weight and the actual child's nutritional status was 0.12 (p&lt;0.001). Conclusion Maternal misperception of weight of children under five years was observed. Maternal underestimation of their child's weight was directly associated with age and nutritional status of the child, and it was inversely associated with maternal education level and nutritional status. More attention should be paid to these mothers in order to prevent excessive weight gain at this age and further harm to children's health.
DOI: 10.6084/m9.figshare.20018380.v1
title: Factors associated with maternal underestimation of child's weight: a population-based study

description: Objective To investigate the factors associated with maternal underestimation of weight status of children under five years in Goiânia, Goiás, Brazil. Methods A population-based cross-sectional study involving 673 children under five years of age was carried out. Maternal perception of child's weight was assessed by the question: "What do you think about your child's current weight?". The child's nutritional status was determined in terms of body mass index-for age. Poisson regression was used at 5% significance level. Concordance analysis was performed using the Kappa test. Results Among the children studied, 1.6 % were lean, 87.7% eutrophic, and 10.7% overweight. Most mothers (66.0%) correctly classified the weight of their children, 5.2% overestimated it, and 28.8% underestimated it. Mothers of overweight children and those whose children were older than 24 months had a higher prevalence of underestimation of weight, whereas the overweight mothers and those with higher education level had a lower prevalence of underestimation of weight of their children. The correlation between maternal perception of the chil's weight and the actual child's nutritional status was 0.12 (p&lt;0.001). Conclusion Maternal misperception of weight of children under five years was observed. Maternal underestimation of their child's weight was directly associated with age and nutritional status of the child, and it was inversely associated with maternal education level and nutritional status. More attention should be paid to these mothers in order to prevent excessive weight gain at this age and further harm to children's health.
DOI: 10.6084/m9.figshare.20018385
title: Hydrolyzed collagen (gelatin) decreases food efficiency and the bioavailability of high-quality protein in rats

description: Objective Although deficient in all indispensable amino acids, gelatin is used in protein-restricted diets. Food efficiency and protein quality of casein and gelatin mixtures in low protein diets in Wistar rats were investigated. Methods The rats were treated with protein-restricted diets (10.0 and 12.5%) containing casein (control diets), casein with gelatin mixtures (4:1 of protein content), and gelatin as sources of protein. The food conversion ratio, protein efficiency ratio, relative and corrected protein efficiency ratio, true protein digestibility, and hepatic parameters were estimated. Results After 28 days of the experiment, food efficiency of 10.0% casein/gelatin diet decreased when compared to that of 10.0% casein diet, and the protein efficiency ratio of the casein/gelatin mixtures (10.0%=2.41 and 12.5%=2.03) were lower than those of the casein (10.0%=2.90 and 12.5%=2.32). After 42 days of the experiment, the weight of the liver of the animals treated with 10.0 and 12.5% casein/gelatin diets, and the liver protein retention of the 12.5% casein/gelatin diet group of animals were lower than those of the control group. Conclusion Gelatin decreases food efficiency and high-quality protein bioavailability in protein-restricted diets.
DOI: 10.6084/m9.figshare.20018385.v1
title: Hydrolyzed collagen (gelatin) decreases food efficiency and the bioavailability of high-quality protein in rats

description: Objective Although deficient in all indispensable amino acids, gelatin is used in protein-restricted diets. Food efficiency and protein quality of casein and gelatin mixtures in low protein diets in Wistar rats were investigated. Methods The rats were treated with protein-restricted diets (10.0 and 12.5%) containing casein (control diets), casein with gelatin mixtures (4:1 of protein content), and gelatin as sources of protein. The food conversion ratio, protein efficiency ratio, relative and corrected protein efficiency ratio, true protein digestibility, and hepatic parameters were estimated. Results After 28 days of the experiment, food efficiency of 10.0% casein/gelatin diet decreased when compared to that of 10.0% casein diet, and the protein efficiency ratio of the casein/gelatin mixtures (10.0%=2.41 and 12.5%=2.03) were lower than those of the casein (10.0%=2.90 and 12.5%=2.32). After 42 days of the experiment, the weight of the liver of the animals treated with 10.0 and 12.5% casein/gelatin diets, and the liver protein retention of the 12.5% casein/gelatin diet group of animals were lower than those of the control group. Conclusion Gelatin decreases food efficiency and high-quality protein bioavailability in protein-restricted diets.
DOI: 10.6084/m9.figshare.20018386
title: Increase in the number of nutritionists in the Primary Health Care in Brazil: Contributions of the Support Centers for Family Health and Family Health Strategy from 2007 to 2013

description: Objective Identify the increase in the number of nutritionists in the Primary Health Care in Brazilian municipalities focusing on Family Health Teams and Support Centers for Family Health. Methods A cross-sectional descriptive study was conducted using secondary data for the number of nutritionists, their length of employment, type of teams established, their workplace, and the profile of Brazilian municipalities. The data were provided upon request by the Ministry of Health, based on the National Cadastre of Health Establishments in the period of 2007-2013. Descriptive statistics was used. Results The number of nutritionists increased over the years since more Brazilian municipalities hired these professionals. This increase was greater (around 700% between 2008 and 2013) in the Support Centers for Family Health, in which nutritionists are the third most common professionals, after psychologists and physiotherapists. A small proportion of nutritionists (6-15%) remained on their job for more than five years; this number varied according to the year and the type of team. The small-sized cities, located in the Northeastern region, with intermediate levels of Municipal Human Development Index, were the ones that hired more nutritionists. On the other hand, there was a smaller rate increase (75%) in the number of nutritionists hired to work in Basic Health Care Units/Health Centers (excluding those professionals for Family Health Strategy and Centers). Conclusion It was observed an increase in the number of nutritionists in the Primary Health Care and in the number of municipalities that hired these professionals, especially in the case of the Support Centers for Family Health. Maintaining this growth rate may change the proportion of nutritionists in Primary Health Care in relation to those working in other health care levels, such as secondary and tertiary health care.
DOI: 10.6084/m9.figshare.20018386.v1
title: Increase in the number of nutritionists in the Primary Health Care in Brazil: Contributions of the Support Centers for Family Health and Family Health Strategy from 2007 to 2013

description: Objective Identify the increase in the number of nutritionists in the Primary Health Care in Brazilian municipalities focusing on Family Health Teams and Support Centers for Family Health. Methods A cross-sectional descriptive study was conducted using secondary data for the number of nutritionists, their length of employment, type of teams established, their workplace, and the profile of Brazilian municipalities. The data were provided upon request by the Ministry of Health, based on the National Cadastre of Health Establishments in the period of 2007-2013. Descriptive statistics was used. Results The number of nutritionists increased over the years since more Brazilian municipalities hired these professionals. This increase was greater (around 700% between 2008 and 2013) in the Support Centers for Family Health, in which nutritionists are the third most common professionals, after psychologists and physiotherapists. A small proportion of nutritionists (6-15%) remained on their job for more than five years; this number varied according to the year and the type of team. The small-sized cities, located in the Northeastern region, with intermediate levels of Municipal Human Development Index, were the ones that hired more nutritionists. On the other hand, there was a smaller rate increase (75%) in the number of nutritionists hired to work in Basic Health Care Units/Health Centers (excluding those professionals for Family Health Strategy and Centers). Conclusion It was observed an increase in the number of nutritionists in the Primary Health Care and in the number of municipalities that hired these professionals, especially in the case of the Support Centers for Family Health. Maintaining this growth rate may change the proportion of nutritionists in Primary Health Care in relation to those working in other health care levels, such as secondary and tertiary health care.
DOI: 10.13020/m1r9-f829
title: Fall 2021 University of Minnesota College of Liberal Arts First-Year Student Surveys
DOI: 10.6084/m9.figshare.20018400.v1
title: Municipal management of the National School Meal Program in the capitals of Southern Brazil

description: OBJECTIVE: To evaluate the municipal management of the Brazilian School Food Program in the three capitals of Southern Brazil. METHODS: This is an evaluative multiple-case study. The model addresses two dimensions of municipal management: the political-organizational dimension (inter-sector action) and the operational-technical dimension (responsibilities of management specific to the school environment). A total of 22 indicators were collected through interviews with program dietitians. RESULTS: Two cases were considered regular and one, bad. Florianópolis, Santa Catarina stands out in financial management and stimulus to regional development. Curitiba, Paraná stands out in the professional qualification, observance of specific nutritional needs, and availability of anthropometric data. Porto Alegre, Rio Grande do Sul stands out in the appropriateness of the food production team and good execution of the menus. CONCLUSION: Although the results were less satisfactory than expected, they may encourage improvements in program management, emphasizing the importance of evaluation as a legitimate tool for service qualification.
DOI: 10.6084/m9.figshare.20018400
title: Municipal management of the National School Meal Program in the capitals of Southern Brazil

description: OBJECTIVE: To evaluate the municipal management of the Brazilian School Food Program in the three capitals of Southern Brazil. METHODS: This is an evaluative multiple-case study. The model addresses two dimensions of municipal management: the political-organizational dimension (inter-sector action) and the operational-technical dimension (responsibilities of management specific to the school environment). A total of 22 indicators were collected through interviews with program dietitians. RESULTS: Two cases were considered regular and one, bad. Florianópolis, Santa Catarina stands out in financial management and stimulus to regional development. Curitiba, Paraná stands out in the professional qualification, observance of specific nutritional needs, and availability of anthropometric data. Porto Alegre, Rio Grande do Sul stands out in the appropriateness of the food production team and good execution of the menus. CONCLUSION: Although the results were less satisfactory than expected, they may encourage improvements in program management, emphasizing the importance of evaluation as a legitimate tool for service qualification.
DOI: 10.6084/m9.figshare.20018401
title: Prevention of Alzheimer's disease: The role of the Mediterranean diet

description: A doença de Alzheimer tem vindo a aumentar exponencialmente, sendo atualmente considerada uma das epidemias do século XXI e contribuindo significativamente para a morbilidade e mortalidade observadas na população idosa. Assim, é um importante problema de saúde pública, com um impacto socioeconômico crescente. Os fármacos usados atualmente apenas contribuem para o alívio sintomático e não atuam no nível do processo neurodegenerativo nem curam a doença. Desse modo, desenvolver medidas preventivas e terapêuticas que sejam eficazes em atrasar ou em reverter o curso da doença é de extrema importância. Vários estudos têm demonstrado que fatores relacionados com o estilo de vida desempenham um papel central em reduzir o risco de desenvolver doença de Alzheimer ou, pelo menos, em atrasar o aparecimento dos sintomas. Um desses fatores é a nutrição, que influencia significativamente o risco de declínio cognitivo, demência e doença de Alzheimer. Um desses padrões dietéticos é a dieta Mediterrânica, que desempenha papel protetor nas alterações da função cognitiva, síndromes pré-demenciais e demência, e, portanto, poderá representar uma estratégia preventiva eficaz para a doença de Alzheimer, com baixos custos e escassos efeitos colaterais. Essas medidas preventivas promissoras poderão resultar em dados epidemiológicos importantes, o que poderá traduzir-se num progresso significativo na saúde pública. Foi efetuada uma pesquisa na PubMed de artigos acerca da associação entre alimentação e demência e, especificamente, acerca da associação entre uma maior adesão à dieta Mediterrânica e o menor risco de desenvolver doença de Alzheimer assim como a verificação de quais os potenciais mecanismos que explicam essa associação.
DOI: 10.6084/m9.figshare.20018401.v1
title: Prevention of Alzheimer's disease: The role of the Mediterranean diet

description: A doença de Alzheimer tem vindo a aumentar exponencialmente, sendo atualmente considerada uma das epidemias do século XXI e contribuindo significativamente para a morbilidade e mortalidade observadas na população idosa. Assim, é um importante problema de saúde pública, com um impacto socioeconômico crescente. Os fármacos usados atualmente apenas contribuem para o alívio sintomático e não atuam no nível do processo neurodegenerativo nem curam a doença. Desse modo, desenvolver medidas preventivas e terapêuticas que sejam eficazes em atrasar ou em reverter o curso da doença é de extrema importância. Vários estudos têm demonstrado que fatores relacionados com o estilo de vida desempenham um papel central em reduzir o risco de desenvolver doença de Alzheimer ou, pelo menos, em atrasar o aparecimento dos sintomas. Um desses fatores é a nutrição, que influencia significativamente o risco de declínio cognitivo, demência e doença de Alzheimer. Um desses padrões dietéticos é a dieta Mediterrânica, que desempenha papel protetor nas alterações da função cognitiva, síndromes pré-demenciais e demência, e, portanto, poderá representar uma estratégia preventiva eficaz para a doença de Alzheimer, com baixos custos e escassos efeitos colaterais. Essas medidas preventivas promissoras poderão resultar em dados epidemiológicos importantes, o que poderá traduzir-se num progresso significativo na saúde pública. Foi efetuada uma pesquisa na PubMed de artigos acerca da associação entre alimentação e demência e, especificamente, acerca da associação entre uma maior adesão à dieta Mediterrânica e o menor risco de desenvolver doença de Alzheimer assim como a verificação de quais os potenciais mecanismos que explicam essa associação.
DOI: 10.6084/m9.figshare.20018412
title: Evaluation of school menus : Comparing public, private and charter schools

description: ABSTRACT Objective: To evaluate menus offered in public, private and charter schools in the city of Seville (Spain) for different groups of school children. Methods: A total of 86 schools were evaluated, including public, private and charter schools, which represented every district of the city. Four schools possessed their own kitchen, while the others had hired a catering service. The menus were aimed at school children aged between 3 and 16 years. The adequacy of menus regarding the monthly frequency of the different food groups, recipe repetition, variability of cooking techniques and nutritional balance were evaluated according to the recommendations. Statistica 7 software was used for statistical analysis. Results: In most school cafeterias fruits, vegetables and legumes supply was defincient compared to dairy desserts, meats and potatoes. Significant differences regarding the monthly food frequency were observed between the three types of school, being the public schools the ones the most followed the recommendations. Most school cafeterias evaluated did not provide sufficiently detailed menus and a lack of variety of culinary techniques was observed.The calories offered did not meet the needs of all age groups and macronutrient distribution was only adequate in 50% of the evaluated menus. Conclusion: Although there has been a favourable evolution of menus from previous studies, further work is needed to increase the offer of fruits and vegetables, to reduce the intake from lipids and protein, as well as to adapt the calories of the menus to the different age groups.