Weight status and weight satisfaction in relation to energy intake underreporting in older adults: 2015 Health Survey of São Paulo

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Lais Duarte Batista ◽  
Natasha Aparecida Grande de França ◽  
Ana Carolina Barco Leme ◽  
Regina Mara Fisberg
Keyword(s):  
Older Adults ◽  
Energy Intake ◽  
Health Survey ◽  
Weight Status ◽  
Sao Paulo ◽  
Overweight And Obesity ◽  
São Paulo ◽  
Doubly Labelled Water ◽  
Weight Satisfaction ◽  
Significant Difference

AbstractBody Mass Index (BMI) and weight satisfaction are important factors related to energy intake underreporting in younger adults. However, few studies have explored that relation in older adults. Therefore, this study aimed to explore these factors in a sample of older adults who tend to underestimate their energy consumption. Sample included 40 older adults (57.5% male), with mean age of 68.8 ± 5.94 years old, who participated in the Health Survey of São Paulo, Brazil. Their total energy expenditure (TEE) was measured by doubly labelled water technique. BMI was classified according to Pan-American Health Organization and individuals categorized as being or not being overweight/obese. Energy intake (EI) was assessed with two 24-hours dietary recall. Ratio of EI:TEE was used to identify misreporting considering 95% confidence intervals. Chi-Square and t test were used considering 5% of significance level. Sixty percent were classified as under-reporters, 30% as plausible reporters, and 10% as over-reporter. Over-reports were excluded from analysis. Overweight and obesity were higher in under-reporters compared to plausible reporters (75% and 25%). Fifty-eight percent of under-reporters were dissatisfied with their weight. Although weight status was associated with weight satisfaction (p < 0.01), no significant difference was found for BMI (p = 0.76) comparing to plausible and under-reporters. Weight satisfaction was not associated with energy misreporting (p = 0.64). Even though these factors may be related to underreporting in adults, this association was not found among older adults. Results showed the importance of further studies to explore factors that might interfere in underreporting in this population.

scholarly journals Comparison between self-reported and measured anthropometric data of energy intake under-reporters: 2015 Healthy Survey of São Paulo

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Lais Duarte Batista ◽  
Natasha Aparecida Grande de França ◽  
Ana Carolina Barco Leme ◽  
Marcela Riccioppo Garcez Molina ◽  
Lígia Araújo Martini ◽  
...  
Keyword(s):  
Energy Intake ◽  
Weight Status ◽  
Pearson Correlation ◽  
Sao Paulo ◽  
Overweight And Obesity ◽  
World Health ◽  
São Paulo ◽  
Anthropometric Data ◽  
Doubly Labelled Water ◽  
Health Organization

AbstractIntroductionMisreporting in adults has been associated with socioeconomic and anthropometric characteristics, such as sex, age and weight status. Body Mass Index (BMI) is an important factor that has been associated with underreporting of energy intake. Many epidemiological studies often use self-reported values of height and weight, in order to reduce the cost and viability of population-base studies. Therefore, it is important to test the reliability of self-reported against measured values of height, weight and BMI in individuals who tend to underestimate their energy consumption.ObjectiveTo compare self-reported and measured anthropometric data of individuals who are underreporting their energy intake.Materials and MethodsThe sample included forty-six men and women who participated on the Health Survey of São Paulo, Brazil and had their total energy expenditure (TEE) measured by the doubly labelled water technique. Self-reported data were obtained from questionnaires and trained professional conducted the measurements of height and weight. BMI was classified based on the World Health Organization cutoff points for adults and the Pan-American Health Organization for elderlies. Correlation analysis and paired t test was used to test the differences between both values. Energy intake (EI) was assessed using two 24-hours dietary recall. The ratio of EI:TEE was used to identify misreporting considering the 95% confidence intervals. Respondents were classified in under-reporters, plausible reporters and over-reporters.ResultsTwenty-six (57.8%) were classified as under-reporters, thirteen (28.9%) as plausible reporters, and six (13.3%) as over-reporters. Significant differences were found comparing measured vs. self-reported anthropometric values of under-reporters with height (1.60 m vs. 1.62 m, p < 0.00) and BMI (29.1kg/m2 vs. 27.9kg/m2, p < 0.02), but no significant differences for weight (74.6 kg vs. 75.7 kg, p = 0.28). Overweight and obesity were higher in under-reporters comparing self-reported (11.5% and 30.8%) and measured (15.4% and 46.2%) anthropometric values. Pearson correlation coefficient between measured and self-reported values was 0.95 (p < 0.00) for weight, 0.96 (p < 0.00) for height and 0.92 (p < 0.00) for BMI.DiscussionAlthough results showed a strong and significant correlation between self-reported and measured anthropometric values in under-reporters, it is important to consider BMI and obesity are important factors related to underreporting. Therefore, it recommends to measure anthropometric data in studies that aim to characterize misreporting based on nutritional status, since the classification and prevalence of BMI and obesity can be affected by the chosen approach.

scholarly journals Is the local food environment associated with excess body weight in adolescents in São Paulo, Brazil?

2020 ◽  
Vol 36 (2) ◽  
Author(s):  
Luana Romão Nogueira ◽  
Mariane de Mello Fontanelli ◽  
Breno Souza de Aguiar ◽  
Marcelo Antunes Failla ◽  
Alex Antonio Florindo ◽  
...  
Keyword(s):  
Food Environment ◽  
Fast Food ◽  
Weight Status ◽  
Local Food ◽  
Sao Paulo ◽  
Overweight And Obesity ◽  
Excess Body Weight ◽  
Sample Population ◽  
São Paulo ◽  
Cross Sectional

The obesogenic environment stimulates an inadequate diet by hampering healthy choices. This cross-sectional study evaluated the association between the local food environment and the prevalence of overweight and obesity in a representative sample population of adolescents living in the city of São Paulo, Brazil, using multilevel logistic regression models. Among the adolescents, 29.6% were overweight/obese. There were no significant differences between food environment and adolescents’ weight status. However, the presence of fast food restaurants near their home increased the chances of being overweight or obese (OR = 2.53; 95%CI: 1.02-6.27). Results suggest the need to intensify food and nutrition policies, development of culinary skills, and the reduction in prices of healthy foods to facilitate access to these foods, so that adolescents have options in locations to socialize with friends and family.

scholarly journals Relationship Among the Presence of Metabolic Syndrome, Weight Status and Plasma miRNA Expression in Older Adults From the Healthy Survey of São Paulo: A Population-Based Study

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 5-5
Author(s):  
Gabrielli Carvalho ◽  
Tanyara Payolla ◽  
Paula Brandão-Lima ◽  
Flavia Sarti ◽  
Regina Fisberg ◽  
...  
Keyword(s):  
Older Adults ◽  
Metabolic Syndrome ◽  
Mirna Expression ◽  
Weight Status ◽  
Fasting Blood Glucose ◽  
Sao Paulo ◽  
National Council ◽  
São Paulo ◽  
Positive Correlations ◽  
Metabolic Biomarkers

Abstract Objectives To evaluate the plasma expression of miR-30a, miR-130b, miR-376a and miR-let7c according to the presence of metabolic syndrome (MetS) and body mass index (BMI) in older adults and assess their association with metabolic biomarkers. Methods Data from 193 older adults (68.0 ± 11.0 years; 52.3% female) of the 2015 Health Survey of São Paulo with focus on Nutrition were used for this cross-sectional study. Participants with acute inflammatory diseases and in use of medication that can influence in this outcome were excluded from analysis. The presence of MetS was defined according to American Heart Association/National Heart, Lung, and Blood Institute criteria (2005). Overweight and obese individuals were grouped. The miRNAs were quantified by qRT-PCR, using a Fluidigm chip. The miRNA expression according to the BMI was assessed using the Kruskal-Wallis test followed by the Dunn test, while the miRNA expression according to the presence of MetS was determined by the Mann-Whitney test. Spearman correlation between miRNA and metabolic biomarkers was performed. Results A total of 44.6% of the participants were overweight/obese and 61% of them had MetS. Plasma expression of miR-130b and miR-376a was lower in overweight individuals compared to non-overweight individuals. MiR-let7c, miR-122 and miR-30a showed greater expression in individuals with MetS compared to those without MetS. MiR-30a showed positive correlations with fasting blood glucose (r = 0.100; P = 0.016), total cholesterol (CT) (r = 0.091; P = 0.028), LDL-c (r = 0.083; P = 0.047), no HDL-c (r = 0.101; P = 0.015) and triacylglycerols (TG) (r = 0.133; P = 0.001). The expression of miR-let7c showed positive correlations with fasting glucose (r = 0.0113; P = 0.006), CT (r = 0.100; P = 0.016), LDL-c (r = 0.102; P = 0.002), not HDL-c (r = 0.143; P &lt; 0.001), TG (r = 0.201; P &lt; 0.001) and negative correlation with HDL-c (r = −0.124; P = 0.002). The expression of miR-130b correlated with TG (r = 0.099; P = 0.018) and miR-376a with CT (r = 0.085; P = 0.042) and TG (r = 0.116; P = 0.005). Conclusions Plasma expression of miRNA in older adults varied according to the presence of MetS and weight status, presenting correlations with metabolic biomarkers. Funding Sources Grant 2017/05125-7 | 2020/03104-5;2019/22934-1, São Paulo Research Foundation (FAPESP) | 150834/2020-9, National Council for Scientific and Technological Development (CNPq).

scholarly journals Weight Status Influences Carotid Intima-Media Thickness to Executive Function Among Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 367-368
Author(s):  
Desiree Bygrave ◽  
Regina Wright
Keyword(s):  
Older Adults ◽  
Executive Function ◽  
Cognitive Function ◽  
Verbal Fluency ◽  
Weight Status ◽  
Carotid Atherosclerosis ◽  
Intima Media Thickness ◽  
Carotid Intima Media Thickness ◽  
Overweight And Obesity ◽  
Media Thickness

Abstract Carotid atherosclerosis has emerged as an early predictor of reduced cognitive function. Underlying this association are risk factors, such as overweight and obesity, that promote carotid atherosclerosis and poor cognitive outcomes. Given the prevalence of overweight and obesity among older adults, there is a critical need to better understand how atherosclerosis influences cognitive function in the context of elevated weight. To address this gap, the current study examined relations between carotid atherosclerosis (carotid intima-media thickness [IMT]), and attention (Trailmaking Test) and executive function (Verbal Fluency Test) performance, and whether they varied as a function of weight status (body mass index [BMI] classification). Data were analyzed from 162 older adults (mean age = 68.43y, 34% male, 41% African American), free of major disease. Mutliple regression and analysis of variance analyses, adjusted for age, sex, education and mean arterial pressure, showed a statistically significant IMT x BMI interaction for Verbal Fluency performance (p=.04) and a trending IMT x BMI interaction for Trailmaking A performance (p=.05). Simple effects analysis of IMT and Verbal Fluency performance showed that this association was most pronounced among those who are obese. Findings suggest atherosclerosis may influence executive function in the context of obesity among older adults. As the development of carotid atherosclerosis is strongly related to aging, our findings suggest that maintaining a healthy weight may reduce its impact on executive function in older adulthood.

scholarly journals Behavior of gastric cancer in Brazilian population

2009 ◽  
Vol 22 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Carlos Eduardo Jacob ◽  
Claudio Bresciani ◽  
Joaquim José Gama-Rodrigues ◽  
Osmar Kenji Yagi ◽  
Donato Mucerino ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Gastric Resection ◽  
Gastric Wall ◽  
Age Groups ◽  
Sao Paulo ◽  
São Paulo ◽  
Gender Ratio ◽  
Male Predominance ◽  
Number Of Patients ◽  
Significant Difference

BACKGROUND: Gastric cancer (GC) is a predominately male disease. Usually for every female that suffers from this condition there are two males and occurred an increase in the number of females in last decades. Brazil is poor in data about this issue. AIM: To verify if in Brazil it happened: a) a change in the gender ratio and on the average age of the patients; b) an increase in the number of patients with 70 years of age or more suffering from this disease; c) changes in the gender ratio and in the average age in the several gastric locations during the period of study. METHODS: The medical history of patients diagnosed with primary gastric adenocarcinoma, between 1971 and 1998 were obtained at Hospital das Clínicas of the University of São Paulo, São Paulo, SP, Brazil. Exclusion criteria were: patients suffering from a non epithelial gastric malignancy; adenocarcinoma from the intestinal metaplasia in the distal esophagus invading the proximal stomach and patients submitted to a gastric resection, due to a benign or malignant tumor during the last five years prior to the surgical procedure analyzed in this study. The patients were divided into 10 years age groups and also divided in three groups, according to their ages and time intervals. Interrelationships between gender and age, and with tumor´s location on gastric wall were analyzed. RESULTS: From 1971 to 1998, 1578 patients with GC were hospitalized. Among them, 1021 were treated with gastric resection, corresponding to 64.7% of all patients. There was an increase in the proportion of patients older than 70 years, and decrease between 41 and 70 years. There was no statistical significant difference among the average ages and the different locations. There were significant differences for the locations favoring proximal third and stump, both more prevalent in males. CONCLUSIONS: a) Occurred modifications in the ratio between genders: greater number of women and an increase in the number of male patients in the age group between 41 and 70 years; b) it was proved the greater number of occurrences in patients over 70 years of age; c) there was a greater increase in the male predominance in the tumors located in the stomach´s proximal third.

scholarly journals Predictors of Post-Exercise Energy Intake in Adolescents Ranging in Weight Status from Overweight to Severe Obesity

Nutrients ◽  
2022 ◽  
Vol 14 (1) ◽  
pp. 223
Author(s):  
Nicole Fearnbach ◽  
Amanda E. Staiano ◽  
Neil M. Johannsen ◽  
Daniel S. Hsia ◽  
Robbie A. Beyl ◽  
...  
Keyword(s):  
Body Size ◽  
Energy Intake ◽  
Exercise Test ◽  
Test Meal ◽  
Weight Status ◽  
Severe Obesity ◽  
Overweight And Obesity ◽  
Post Exercise ◽  
Body Composition Change ◽  
Ad Libitum

Exercise may sensitize individuals with overweight and obesity to appetitive signals (e.g., hunger and fullness cues), overriding trait eating behaviors that contribute to overeating and obesity, such as uncontrolled eating. The objective of the current study was to measure predictors of objective ad libitum energy intake at a laboratory-based, post-exercise test-meal in adolescents ranging in weight status from overweight to severe obesity. We hypothesized that appetitive states, rather than appetitive traits, would be the strongest predictors of energy intake at a post-exercise test-meal, after controlling for body size. At Baseline, 30 adolescents (ages 10–16 years, 50% female (F), 43% non-Hispanic white (NHW), 83% with obesity (OB)) completed state and trait appetite measures and an ad libitum dinner meal following intensive exercise. Nineteen of those participants (47% F, 32% NHW, 79% OB) completed identical assessments two years later (Year 2). Energy intake (kcal) at each time point was adjusted for fat-free mass index (i.e., body size). Adjusted energy intake was reliable from Baseline to Year 2 (ICC = 0.84). Multiple pre-meal appetite ratings were associated with test-meal energy intake. In stepwise linear regression models, pre-meal prospective food consumption was the strongest and only significant predictor of test-meal energy intake at both Baseline (R2 = 0.25, p = 0.005) and Year 2 (R2 = 0.41, p = 0.003). Baseline post-exercise energy intake was associated with weight change over two years (R2 = 0.24, p = 0.04), but not with change in fat mass (p = 0.11). Appetitive traits were not associated with weight or body composition change (p > 0.22). State appetite cues were the strongest predictors of post-exercise energy intake, independent of body size. Future studies should examine whether long-term exercise programs enhance responsiveness to homeostatic appetite signals in youth with overweight and obesity, with a goal to reduce excess energy intake and risk for weight gain over time.

Prevalence of Upper Cervical Vertebrae Anomalies in Patients with Cleft Lip and/or Palate and Noncleft Patients

2009 ◽  
Vol 46 (5) ◽  
pp. 481-486 ◽  
Author(s):  
Marta Cunha Lima ◽  
Eduardo Jacomino Franco ◽  
Guilherme Janson ◽  
Izabel Maria Marchi Carvalho ◽  
Carlos Ferreira Santos ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cervical Vertebrae ◽  
Sao Paulo ◽  
Posterior Arch ◽  
São Paulo ◽  
Craniofacial Anomalies ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Upper Cervical ◽  
School Of Dentistry

Objectives: To investigate the prevalence of upper cervical vertebrae anomalies in patients with isolated cleft lip, isolated cleft palate, and complete cleft lip and palate, as well as to compare the prevalence of these anomalies between groups, between genders, and with noncleft patients. Design: Retrospective cross-sectional study of randomly selected patients. Setting: Radiology Section, Hospital for Rehabilitation of Craniofacial Anomalies and Department of Orthodontics, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil. Participants: The sample comprised 300 lateral cephalograms of cleft patients, aged 12 to 13 years, of both genders, from the files of the Hospital for Rehabilitation of Craniofacial Anomalies–University of São Paulo and 300 lateral cephalograms from noncleft patients of the Department of Orthodontics, Bauru School of Dentistry. Cephalograms of patients with syndromes were not included. Method: Radiographs were interpreted on a film viewer by a single examiner; the profiles of vertebrae were traced on acetate paper, and cervical vertebrae anomalies were registered and categorized into posterior arch deficiencies, fusion, and association of both. Main Outcome Measures: Statistical comparison of groups using the chi-square test. Results: In the cleft group, 38.67% of the patients had cervical vertebrae anomalies. Of those in the noncleft sample, 31% showed anomalies of the cervical spine. This difference was statistically significant. There was no statistically significant difference when the types of clefts were compared with each other or when both genders were compared in both samples. Conclusions: This study confirms the association between clefts and cervical anomalies. Additional research on this topic is necessary.

scholarly journals 2015 Health Survey of São Paulo with Focus in Nutrition: Rationale, Design, and Procedures

Nutrients ◽  
2018 ◽  
Vol 10 (2) ◽  
pp. 169 ◽  
Author(s):  
Regina Fisberg ◽  
Cristiane Sales ◽  
Mariane Fontanelli ◽  
Jaqueline Pereira ◽  
Maria Alves ◽  
...  
Keyword(s):  
Health Survey ◽  
Sao Paulo ◽  
São Paulo

Prevalence of Palatal and Alveolar Cysts in Babies with Cleft Lip and Palate

2004 ◽  
Vol 41 (5) ◽  
pp. 490-493 ◽  
Author(s):  
Karina Mirela Ribeiro Pinto Alves ◽  
Virginia Peixoto ◽  
Márcia Ribeiro Gomide ◽  
Cleide Felíciode Carvalho Carrara ◽  
Beatriz Costa
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Sao Paulo ◽  
São Paulo ◽  
Craniofacial Anomalies ◽  
Cross Sectional ◽  
Significant Difference ◽  
Different Types ◽  
Low Prevalence ◽  
Posterior Area

Objective To evaluate the prevalence of palatal and alveolar cysts in babies with cleft lip and/or palate. Design Cross-sectional. Setting Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC-USP), Bauru, São Paulo, Brazil. Participants Two hundred ninety-one Caucasian babies divided into four groups according to the type of cleft: cleft lip with or without cleft alveolus (70), complete unilateral cleft lip and palate (112), complete bilateral cleft lip and palate (56), and cleft palate (53). Results A low prevalence of palatal and alveolar cysts was observed among patients with the four different types of clefts, with no statistically significant difference between genders. The maxilla and the anterior area of the mouth were more affected than the mandible and the posterior area. Conclusions The low prevalence of palatal and alveolar cysts in the four groups of babies with clefts included in this study may have been due to the high mean age of the sample.

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