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Article ; Online: Accuracy of dietary intake assessments using food records based on photographic images captured by visually impaired people.

Borges, Thaís Lima Dias / de Lima, Marcos Felipe Silva / Lima, Severina Carla Vieira Cunha / Bagni, Ursula Viana

2023 Volume 18, Issue 2, Page(s) e0280725

Abstract: Traditional methods to assess dietary intake have limited and questionable application in visually impaired people since the lack of vision and low leading role in their diet make it difficult to quantify and detail the food consumed throughout the day. ... ...

Abstract	Traditional methods to assess dietary intake have limited and questionable application in visually impaired people since the lack of vision and low leading role in their diet make it difficult to quantify and detail the food consumed throughout the day. Thus, this study investigated whether it is possible to accurately identify foods and estimate their quantities using food records based on photographic images captured by visually impaired people. A panel of experts composed of nutritionists (n = 20) assessed these records comprising three standardized meals (breakfast; lunch/dinner; snack) from visually impaired people (n = 40) using two different protocols (frontal photo; aerial photo). Each nutritionist reported an estimated food record for each photographic image, which was compared to its respective weighed food record. For both frontal and aerial photos, experts were frequently correct for the number of food items in the meal (95.0% or over for breakfast, 100% for lunch/dinner, and 100% for snacks). All experts identified at least 11 of the 13 food items, but the majority correctly estimated the food amount only for 23% of the items. Compared to the weighed food record, the photographic records underestimated the amount of 61.5% of food items based on frontal photos, and of 76.9% of food items based on aerial photos. While most foods could be identified by photographic images captured by visually impaired people enabling a qualitative assessment of the diet, they could not be quantified accurately by nutritionists.
MeSH term(s)	Humans ; Energy Intake ; Diet ; Meals ; Snacks ; Eating ; Feeding Behavior
Language	English
Publishing date	2023-02-06
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0280725
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Associations between Components of Metabolic Syndrome and Demographic, Nutritional, and Lifestyle Factors.

Lima, Layne Christina Benedito de Assis / Aquino, Séphora Louyse Silva / da Cunha, Aline Tuane Oliveira / Peixoto, Talita do Nascimento / Lima, Severina Carla Vieira Cunha / Sena-Evangelista, Karine Cavalcanti Maurício / Lima, Josivan Gomes / Pedrosa, Lucia Fátima Campos

Journal of nutrition and metabolism

2024 Volume 2024, Page(s) 8821212

Abstract: Objectives: To evaluate the associations between individuals with and without changes in components of metabolic syndrome (MetS) and demographic, nutritional, and lifestyle factors.: Methods: A cross-sectional study was conducted with 224 individuals ...

Abstract	Objectives: To evaluate the associations between individuals with and without changes in components of metabolic syndrome (MetS) and demographic, nutritional, and lifestyle factors. Methods: A cross-sectional study was conducted with 224 individuals followed-up at a public hospital in Northeast Brazil. We used National Cholesterol Education Program-Adult Treatment Panel III (NCEP) criteria to diagnose MetS. We assessed components of MetS as dependent variables, while sex, age, food consumption, smoking, alcohol intake, physical activity, anthropometric parameters, and sleep hours were independent variables. Results: Comparing individuals with and without changes in components of MetS, the logistic regression models revealed that female sex was predictive of increased waist circumference and low HDL-c levels while advanced age was predictive of increased blood pressure and blood glucose levels. BMI emerged as a predictor for waist circumference and a protective factor for triglyceride levels. In addition, potassium intake, physical activity, and sleep duration were protective against decreased HDL-c, elevated triglyceride, and elevated blood pressure levels, respectively. Conclusion: This study demonstrated that sex, age, BMI, dietary potassium intake, physical activity, and hours of sleep are factors to be targeted in public health actions for prevention and treatment of MetS.
Language	English
Publishing date	2024-01-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	2573563-9
ISSN	2090-0732 ; 2090-0724
ISSN (online)	2090-0732
ISSN	2090-0724
DOI	10.1155/2024/8821212
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Article ; Online: Plasma Levels of Magnesium, Calcium, Calcium to Magnesium Ratio, and Associations with Metabolic Syndrome and Cardiometabolic Risk Factors.

Moia, Melissa Nunes / Lima, Severina Carla Vieira Cunha / da Silva Nunes, Francisca Leide / Queiroz, Salomão Israel Monteiro Lourenço / Marchioni, Dirce Maria Lobo / Pedrosa, Lucia Fátima Campos / Barbosa, Fernando / de Oliveira Lyra, Clélia / Sena-Evangelista, Karine Cavalcanti Maurício

Biological trace element research

2024

Abstract: Magnesium and calcium are elements that have been associated with cardiometabolic risk factors related to metabolic syndrome (MetS). However, there are gaps in the knowledge regarding the impact of the calcium to magnesium (Ca/Mg) ratio in plasma. Thus, ... ...

Abstract	Magnesium and calcium are elements that have been associated with cardiometabolic risk factors related to metabolic syndrome (MetS). However, there are gaps in the knowledge regarding the impact of the calcium to magnesium (Ca/Mg) ratio in plasma. Thus, we aim to evaluate the associations between magnesium and calcium levels in plasma, and the Ca/Mg ratio in plasma with MetS components and other cardiometabolic risk factors. This cross-sectional study was carried out with 112 adults and older people, distributed into groups with (n = 60) and without MetS (n = 52). We evaluated sociodemographic, anthropometric, and biochemical data. Magnesium and calcium levels in plasma were measured by inductively coupled plasma mass spectrometry technique (ICP-MS). There was a high frequency of MetS, with no significant differences in magnesium and calcium levels and Ca/Mg ratio in plasma observed between groups. There were no associations between magnesium and MetS components or other cardiometabolic risk factors (all p > 0.05). Calcium levels were associated with total cholesterol (β = - 0.020; p = 0.000) and high-density lipoprotein cholesterol (HDL-c) (β = - 0.046; p = 0.005). The total cholesterol (β = - 0.025; p = 0.000) and low-density lipoprotein cholesterol (LDL-c) (β = 0.017; p = 0.020) were preditors of the Ca/Mg ratio. These results indicate important associations of calcium and the Ca/Mg ratio in plasma with cardiometabolic risk factors related to MetS.
Language	English
Publishing date	2024-02-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	445336-0
ISSN	1559-0720 ; 0163-4984
ISSN (online)	1559-0720
ISSN	0163-4984
DOI	10.1007/s12011-024-04088-6
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Article ; Online: Prevalence of anxiety, depression, and stress among teachers during the COVID-19 pandemic: A PRISMA-compliant systematic review.

Silva, David Franciole Oliveira / Cobucci, Ricardo Ney / Lima, Severina Carla Vieira Cunha / de Andrade, Fábia Barbosa

Medicine

2021 Volume 100, Issue 44, Page(s) e27684

Abstract: Background: Identifying the prevalence of anxiety, depression, and stress among teachers during the COVID-19 pandemic.: Methods: Systematic review of original studies published in any language. Protocol published in PROSPERO under number ... ...

Abstract	Background: Identifying the prevalence of anxiety, depression, and stress among teachers during the COVID-19 pandemic. Methods: Systematic review of original studies published in any language. Protocol published in PROSPERO under number CRD42021240543. The search was carried out in the Web of Science, PsycINFO, Pubmed, Embase, LILACS, and SciELO databases, using the descriptors: anxiety, depression, stress, teacher, faculty, COVID-19, and their synonyms. Narrative synthesis was carried out in line with the synthesis without meta-analysis in systematic reviews. Results: Of the 1372 records identified, 6 studies, all cross-sectional, were included in the review. The studies were carried out in China, Brazil, the United States of America, India, and Spain. Five studies included more women than men. The participants were aged from 24 to 60 years. Three studies included only school teachers, 2 included schools and universities teachers, and 1 only university teachers. Of the 5 studies, all dealt with remote activities and only 1 included teachers who returned to face-to-face classes 1 to 2 weeks ago. The prevalence of anxiety ranged from 10% to 49.4%, and depression from 15.9% to 28.9%, being considerably higher in studies with teachers who worked in schools. The prevalence of stress ranged from 12.6% to 50.6%. Conclusion: The prevalence of anxiety, depression, and stress was high among teachers during the pandemic, with great variation between studies. Anxiety and stress were more prevalent in the Spanish study. The results show the need for measures for the care of teachers' mental health, especially when returning to face-to-face classes.
MeSH term(s)	Adult ; Anxiety/epidemiology ; COVID-19/psychology ; Cross-Sectional Studies ; Depression/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Occupational Stress/epidemiology ; Pandemics ; Prevalence ; School Teachers/psychology
Language	English
Publishing date	2021-12-03
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	80184-7
ISSN	1536-5964 ; 0025-7974
ISSN (online)	1536-5964
ISSN	0025-7974
DOI	10.1097/MD.0000000000027684
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Article ; Online: Food frequency questionnaire for adults in the Brazilian Northeast region: emphasis on the level of food processing.

Motta, Virginia Williane de Lima / Lima, Severina Carla Vieira Cunha / Marchioni, Dirce Maria Lobo / Lyra, Clélia de Oliveira

Revista de saude publica

2021 Volume 55, Page(s) 51

Abstract: Objective: To develop a quantitative Food Frequency Questionnaire (FFQ) for adults in the Northeast region of Brazil, in order to identify the frequency of consumption of foods considered to be of protection and risk for chronic non-communicable ... ...

Abstract	Objective: To develop a quantitative Food Frequency Questionnaire (FFQ) for adults in the Northeast region of Brazil, in order to identify the frequency of consumption of foods considered to be of protection and risk for chronic non-communicable diseases (NCDs), grouping food items by processing level. Methods: To develop the FFQ, data from 7,516 adults from Northeastern Brazil were used, extracted from the 2008-2009 Household Budget Survey. The food lists were elaborated according to the methodology of the relative contribution of each item, identifying foods with the highest relative contribution for macronutrients, fiber, saturated fat, trans fat, sodium and potassium. All foods whose contribution sum was up to 90% composed such lists. The final structure of the FFQ organized the food items in order to respect the mental image of the meals. Result: The FFQ resulted in 83 food items, distributed in minimally processed, processed and ultra-processed. We chose the previous year as the time to estimate food consumption, and frequency options ranged from "never" to "10 times". The instrument includes guidelines for filling and collects data on serving sizes (small, medium, large and extra-large), as well as additional information on culinary preparations. There was a high percentage of people who were overweight (44.1%). Conclusion: The study culminated in an FFQ to identify the frequency of consumption of foods considered protective and risk for NCDs. The instrument can support epidemiological studies that evaluate outcomes related to the diet of adults considering the level of food processing, in accordance with the Guia alimentar para a população brasileira .
MeSH term(s)	Adult ; Brazil ; Diet ; Diet Surveys ; Energy Intake ; Fast Foods ; Food Handling ; Humans
Language	Portuguese
Publishing date	2021-08-16
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	732179-x
ISSN	1518-8787 ; 0034-8910
ISSN (online)	1518-8787
ISSN	0034-8910
DOI	10.11606/s1518-8787.2021055002473
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Article ; Online: Development and validation of protocols for photographed food record by visually impaired people.

Borges, Thaís Lima Dias / de Lima, Marcos Felipe Silva / Lima, Severina Carla Vieira Cunha / Bagni, Ursula Viana

Public health nutrition

2021 Volume 24, Issue 5, Page(s) 903–913

Abstract: Objective: To develop and validate protocols for photographed food record directed to visually impaired people.: Design: Photographic techniques were established for capturing food images using a smartphone, and written protocols were defined. ... ...

Abstract	Objective: To develop and validate protocols for photographed food record directed to visually impaired people. Design: Photographic techniques were established for capturing food images using a smartphone, and written protocols were defined. Thereafter, visually impaired people made photographic records of three standardised meals (breakfast, lunch/dinner, and snack) following the previously developed protocols. These photographs were then evaluated by a panel of experts (nutritionists and photographer) to indicate whether the framing, focus and angle were suitable to identify the food type, food amount and portion size. Agreement between the experts was assessed using Fleiss' Kappa. Setting: Natal, the capital of Rio Grande do Norte, Brazil. Participants: Visually impaired people (n 40); nutritionists (n 2); professional photographer (n 1). Results: Both protocols obtained a high proportion of satisfactory photos for all the items in the three dimensions investigated. When overall quality was assessed, the experts' agreement was a substantial that through the images it would be possible to identify the food type and portion size, both for Frontal Photos (k = 0·70 and k = 0·62, respectively) and Aerial Photos (k = 0·68 and k = 0·70, respectively). The degree of agreement that the photos presented a satisfactory global quality was moderate for the Frontal Photo (k = 0·43) and substantial for the Aerial Photo (k = 0·64). Participants who frequently used smartphone-type cell phones obtained better quality images for all these attributes for both protocols. Conclusions: The protocols for photographed food record developed for visually impaired people in this study are feasible and present themselves as an alternative strategy to qualitatively assess their dietary intake.
MeSH term(s)	Eating ; Energy Intake ; Humans ; Lunch ; Meals ; Portion Size
Language	English
Publishing date	2021-01-07
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1436024-x
ISSN	1475-2727 ; 1368-9800
ISSN (online)	1475-2727
ISSN	1368-9800
DOI	10.1017/S136898002000511X
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Article: Development and validation of protocols for photographed food record by visually impaired people

Borges, Thaís Lima Dias / de Lima, Marcos Felipe Silva / Lima, Severina Carla Vieira Cunha / Bagni, Ursula Viana

Public health nutrition. 2021 Apr., v. 24, no. 5

2021

Abstract: To develop and validate protocols for photographed food record directed to visually impaired people. Photographic techniques were established for capturing food images using a smartphone, and written protocols were defined. Thereafter, visually impaired ... ...

Abstract	To develop and validate protocols for photographed food record directed to visually impaired people. Photographic techniques were established for capturing food images using a smartphone, and written protocols were defined. Thereafter, visually impaired people made photographic records of three standardised meals (breakfast, lunch/dinner, and snack) following the previously developed protocols. These photographs were then evaluated by a panel of experts (nutritionists and photographer) to indicate whether the framing, focus and angle were suitable to identify the food type, food amount and portion size. Agreement between the experts was assessed using Fleiss’ Kappa. Natal, the capital of Rio Grande do Norte, Brazil. Visually impaired people (n 40); nutritionists (n 2); professional photographer (n 1). Both protocols obtained a high proportion of satisfactory photos for all the items in the three dimensions investigated. When overall quality was assessed, the experts’ agreement was a substantial that through the images it would be possible to identify the food type and portion size, both for Frontal Photos (k = 0·70 and k = 0·62, respectively) and Aerial Photos (k = 0·68 and k = 0·70, respectively). The degree of agreement that the photos presented a satisfactory global quality was moderate for the Frontal Photo (k = 0·43) and substantial for the Aerial Photo (k = 0·64). Participants who frequently used smartphone-type cell phones obtained better quality images for all these attributes for both protocols. The protocols for photographed food record developed for visually impaired people in this study are feasible and present themselves as an alternative strategy to qualitatively assess their dietary intake.
Keywords	aerial photography ; breakfast ; dinner ; food records ; lunch ; mobile telephones ; portion size ; public health ; vision disorders ; Brazil
Language	English
Dates of publication	2021-04
Size	p. 903-913.
Publishing place	Cambridge University Press
Document type	Article
ZDB-ID	1436024-x
ISSN	1475-2727 ; 1368-9800
ISSN (online)	1475-2727
ISSN	1368-9800
DOI	10.1017/S136898002000511X
Database	NAL-Catalogue (AGRICOLA)

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Article: Assessment of Biodiversity in Food Consumption Studies: A Systematic Review.

de Medeiros, Maria Fernanda Araújo / Silva, Stephanie Gomes Bezerra / Teixeira, Carla Djaine / Lima, Severina Carla Vieira Cunha / Marchioni, Dirce Maria / Jacob, Michelle Cristine Medeiros

Frontiers in nutrition

2022 Volume 9, Page(s) 832288

Abstract: 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 ... ...

Abstract	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 (
Language	English
Publishing date	2022-06-14
Publishing country	Switzerland
Document type	Systematic Review
ZDB-ID	2776676-7
ISSN	2296-861X
ISSN	2296-861X
DOI	10.3389/fnut.2022.832288
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Article ; Online: A methodological proposal for assessing food insecurity from a multidimensional perspective.

Cabral, Natália Louise de Araújo / Pequeno, Nila Patrícia Freire / Roncalli, Angelo Giuseppe / Marchioni, Dirce Maria Lobo / Lima, Severina Carla Vieira Cunha / Lyra, Clélia de Oliveira

Ciencia & saude coletiva

2022 Volume 27, Issue 7, Page(s) 2855–2866

Abstract: The aim of this study was to develop a methodological proposal for the assessment of food and nutritional insecurity (FNiS) in adults and older adults (Vigi-FNiS). The proposal was developed using data from the BRAZUCA Natal survey, a cross-sectional ... ...

Title translation	Proposta metodológica para avaliação da insegurança alimentar sob a ótica de suas múltiplas dimensões.
Abstract	The aim of this study was to develop a methodological proposal for the assessment of food and nutritional insecurity (FNiS) in adults and older adults (Vigi-FNiS). The proposal was developed using data from the BRAZUCA Natal survey, a cross-sectional study with 411 people living in Natal in the state of Rio Grande do Norte, Brazil. The association between sociodemographic, health and nutrition variables and food insecurity (FI) was tested using Poisson multiple regression. Overall prevalence of FI was 42.1% (37.4%-46.9%) and was higher in women (47.5%), adults (48.2%) and black people (52.7%). The following variables were included in the Vigi-FNiS: people aged <18 years living in the household (A) (AdjPR=1.3; 1.1-1.6); family income (B) in quintiles (Q1: AdjPR=5, 4; 2.5-11.7; Q2: AdjPR=4.8; 2.2-10.5; Q3: AdjPR=3.8; 1.8-8.5; Q4 AdjPR=2.2; 1.0-5.1); inadequate treatment of drinking water (C) (AdjPR=1.3; 1.1-1.5); presence of chronic non-communicable diseases (D) (AdjPR=1.3; 1.1-1.7); not eating fruit for breakfast (E) (AdjPR=1.7; 1.3-2.5);eating meals on the couch or in bed (F) (AdjPR=1.3; 1.1-1.6); and skipping either lunch or dinner or dinner (G) (AdjPR=1.4; 1.2-1.7). A cutoff point for FNiS of 2.3 was adopted (Kappa=0.47; sensitivity=0.82; specificity=0.67; PPV=0.64; NPV=0.83).
MeSH term(s)	Aged ; Breakfast ; Cross-Sectional Studies ; Female ; Food Insecurity ; Food Supply ; Humans ; Meals ; Nutritional Status
Language	English
Publishing date	2022-01-07
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2078799-6
ISSN	1678-4561 ; 1678-4561
ISSN (online)	1678-4561
ISSN	1678-4561
DOI	10.1590/1413-81232022277.11752021
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Article ; Online: Intestinal Barrier Permeability in Obese Individuals with or without Metabolic Syndrome: A Systematic Review.

Bona, Mariana Duarte / Torres, Carlos Henrique de Medeiros / Lima, Severina Carla Vieira Cunha / Morais, Ana Heloneida de Araújo / Lima, Aldo Ângelo Moreira / Maciel, Bruna Leal Lima

Nutrients

2022 Volume 14, Issue 17

Abstract: Altered intestinal barrier permeability has been associated with obesity and its metabolic and inflammatory complications in animal models. The purpose of this systematic review is to assess the evidence regarding the association between obesity with or ... ...

Abstract	Altered intestinal barrier permeability has been associated with obesity and its metabolic and inflammatory complications in animal models. The purpose of this systematic review is to assess the evidence regarding the association between obesity with or without Metabolic Syndrome (MetS) and alteration of the intestinal barrier permeability in humans. A systematic search of the studies published up until April 2022 in Latin America & Caribbean Health Sciences Literature (LILACS), PubMed, Scopus, Embase, and ScienceDirect databases was conducted. The methodological quality of the studies was assessed using the Newcastle-Ottawa scale (NOS) and the Agency for Healthcare Research and Quality (AHRQ) checklist. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework was used to assess the quality of the evidence. Eight studies were included and classified as moderate to high quality. Alteration of intestinal barrier permeability was evaluated by zonulin, lactulose/mannitol, sucralose, sucrose, lactulose/L-rhamnose, and sucralose/erythritol. Impaired intestinal barrier permeability measured by serum and plasma zonulin concentration was positively associated with obesity with MetS. Nonetheless, the GRADE assessment indicated a very low to low level of evidence for the outcomes. Thus, clear evidence about the relationship between alteration of human intestinal barrier permeability, obesity, and MetS was not found.
MeSH term(s)	Humans ; Intestinal Mucosa/metabolism ; Intestines ; Lactulose/metabolism ; Metabolic Syndrome/metabolism ; Obesity/complications ; Obesity/metabolism ; Permeability
Chemical Substances	Lactulose (4618-18-2)
Language	English
Publishing date	2022-09-03
Publishing country	Switzerland
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu14173649
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