Revista Brasileira de Obesidade, Nutrição e Emagrecimento

204-206

Authors: Antonio Coppi Navarro

Editorial

216-224

Authors: Priscila Moreira, Monica Cristina dos Santos Romualdo, Fernanda Cassullo Amparo, Catharina Paiva, Renata Alves, Daniel Magnoni, Cristiane Kovacs

Introduction: Obesity is now viewed as an independent risk factor for coronary events, since even after controlling for associated diseases, such as hypertension, dyslipidemia and diabetes mellitus, the risk remains high. Objective: To evaluate the anthropometric and nutritional, noting the reduction in weight and waist circumference and change in dietary pattern of patients treated by the protocol of nutritional group. Materials and Methods: We conducted nutritional counseling group with hypocaloric diet and slimming and meetings addressing healthy lifestyles, with 40 obese patients (BMI ≥ 30 kg / m²), of both sexes, biweekly for 6 months. We evaluated the changes in weight, waist circumference and dietary habits that. Results: After the monitoring period, we observed an average weight reduction of 5.9% and waist circumference by 5.2% (p = 0.000). An improvement in eating patterns, both with respect to the total caloric value, which showed an average reduction of 27% (p = 0.000), from baseline to the end of the program, with respect to consumption of macro and micronutrients, which was a reduction of 55.66% in the consumption of sodium (p = 0.000) and 46.45% increase in fiber intake (p = 0.000). Conclusion: The program proved to be very effective for reducing weight and eating habits. Shares of Nutrition Education Group should be encouraged and enhanced, helping to combat obesity and its comorbidities. Key words: Obesity, Weight loss, Nutrition education, Eating habits.

233-241

Authors: Gabrielli Thais de Mello, Ricardo Rodrigo Rech

Objective: Investigate the prevalence of body image dissatisfaction of the academics of physical education at a private university in southern Brazil. Materials and Methods: Study cross-sectional epidemiological, held in an institution of higher education located in the city of Caxias do Sul. We collected data on body dissatisfaction using the scale of nine silhouettes. Was measured the total body weight and height to define the nutritional status. Results: We assessed 366 students, 50.3% males. It was found that 58.2% of university students were dissatisfied with their body image. Regarding the courses of Bachelor and Degree, 62.9% and 55.3% were dissatisfied with their body image respectively. The women presented 60.4% of dissatisfaction while men 56%. The academics aged 24 or older had 64% more likely to dissatisfaction with the IC (RP= 1,64) in relation to students with 23 years or less. Students who were overweight presented more than double of chance (PR = 2.08) for the outcome in relation to academics with appropriate weight (CI = 1.31 to 3.30). Conclusion: It is estimated that more than half of the university of Bachelor and Degree in Physical Education who work directly as the body presented themselves dissatisfied with their body image. The dissatisfaction with body image was significantly associated with age and nutritional status. Key words: University students, Nutritional status, Body image.

175-177

Authors: Antonio Coppi Navarro

Editorial

184-190

Authors: Alessandra Xavier dos Santos

Introduction: overweight is a public health problem and is associated with high prevalence of Systemic Arterial Hypertension and Diabetes Mellitus (DM), especially in morbidly obese. Objective: To determine the prevalence of hypertension and DM in obese candidates for bariatric surgery. Materials and Methods: retrospective study in a hospital, with 83 candidates for bariatric surgery, both sexes, aged between 18 and 59 years with body mass index (BMI) ≥ 35 kg/m² with hypertension and/or DM or BMI ≥ 40 kg/m² with or without comorbidities. Data were collected: name, age, sex, weight, height, BMI and existence of hypertension and/or DM (those ones were reported). For statistical analysis we used the software IBM SPSS 19, considering statistically significant, p<0.05. Results: female predominance (73.5%). The mean age and BMI ± standard deviation were, respectively: 41.5 ± 11.4 years and 52.39 ± 10.57 kg/m². Most of obese patients had BMI ≥ 50 kg / m² (53.0%). The prevalence of DM was 27.7%, hypertension, 71.1%. The prevalence of DM and associated hypertension was 27.7% because all diabetic patients were also hypertensive. Discussion: the female predominance can be explained by greater prevalence of obesity or because they tend to seek medical treatment. The hypertension is common in obese diabetic patients, which increases the risk of cardiovascular diseases. The prevalence of comorbidities may have been underestimated in this study because they were reported by the patients. Conclusion: the prevalence of hypertension found in candidates for bariatric surgery was 71.1%. All obese diabetic patients were also hypertensive, so the prevalence of DM and associated hypertension was 27.7%. There was no significant difference between both sexes in relation to BMI and comorbidities. Key words: Obesity, Bariatric Surgery, Systemic Arterial Hypertension, Diabetes Mellitus.

197-203

Authors: Ivana Souza de Jesus Peixoto, Rafaela Liberali

The aim of this paper is to demonstrate the profile of adhesion and permanence of women aged 54-80 years, practitioners of a physical activity program in Amargosa - Bahia. For data collection, carried out a descriptive study using a questionnaire, adapted social profile proposed by Fiamoncini. The data indicated that most participants (79.17%) joined the activity for aesthetic reasons and the main reason which led them to stay (54.19%) was the improved quality of life and health. The physical benefit showed as the most relevant, acquired through physical exercise, was the improvement of general health (62.52%) and participation in the program provided in the body changes as more willing (66.69%) and well-being feeling. The results indicate that participation in physical activity program improves the elder’s quality of life, because an active lifestyle is primordial to preserving the health, to the maintenance of functional capacity and independence of these individuals. Key words: Physical activity, Quality of life, Health, The elderly.

135-137

Authors: Antonio Coppi Navarro

Editorial

146-154

Authors: Ana Paula Schreiner

Introduction: infant obesity becomes a problem of major proportions every day. It’s a issue of concern, because of the morbidity related to it. Objective: establish the overweight and obesity prevalence in children of six eight years from education network of Schroeder-SC. Materials and methods: 483 infants were studied. Overweigh was defined as body mass index (BMI) equal or above the 85th percentile and obesity was defined as BMI equal or above the 97th percentile for age and gender, according to the news curves of WHO (2007). Results: 12.63% of children (10.25% male and 15.06% female) are overweight and 11.8% (13.52% male and 10.04% female) are obese. While the prevalence of overweight is higher in females, the prevalence of obesity is higher in males. Discussion: the values found are below than those observed in other studies. Conclusion: although the numbers found in this research were below those observed in other studies, is a significant value that must be reflected as replicate the national trend of childhood obesity. Key words: Prevalence. Child. Obesity. Overweight.

168-174

Authors: Cristiane Aparecida Pedroso Cózaro

Objective: To relate the menarche according to BMI and body fat percentage. Materials and Methods: To have the data to the first menstruation of girls method was used "status quo", and the girls that the response was positive retrospective method was used by the interview, were also collected data such as weight , height, chronological age and triceps skinfold, subscapular, regarding BMI and body fat percentage. About the materials we used, a stadiometer, a scale, measuring tape and skinfold. No records were used in adolescents with diseases that compromise the occurrence of menarche. The statistics used in this study was descriptive. Results: It is observed in this study that half of the girls about weight in relation to BMI and with a body fat percentage above the desirable level, half have had their first menstruation while the normal weight or those with a normal percentage of body fat, a value less presented have passed through menarche (30% to 40%). But it is clear that the advanced age of menarche in obese also in eutrophic with a mean age of 11 years. Conclusion: The results of girls overweight indicate that elevated BMI both as the percentage of body fat, influencing early menarche, but one can not attribute this anticipation only to change the nutritional profile of the sample. Other untested factors may be contributing to this. Key words: Menarche, BMI, Percent body fat.

93-95

Authors: Antonio Coppi Navarro

Editorial

106-115

Authors: Paulo Roberto Rondon de Assis, Claudia Duarte Melo, Rosilene Andrade Silva Rodrigues

The treatment more considered to the patients gastroplasty after-surgery is based on the nutrition and the physical exercise. You evidence although them beneficial that the adhesion of the regular physical exercise provides to the patient gastroplasty after-surgery, they have little story with lapsing of the resisted muscle exercise (RME) objective of this was to analyze the benefits of four weeks of RME on the corporal weight, relation waist/hip and percentage of fat in a patient gastroplasty after-surgery. For sample an individual with age of 45 years was selected, of the masculine, resident sort in the Várzea Grande City (MT). The RME program was carried through three sessions per week, with minimum duration of 1 hour, in devices of academy. The instruments used for the collection of the data had been: electronic scale marks Toledo®, for the verification of the corporal weight (kg); metric ribbon (Cescorf ®) with precision of 0,1cm, in the measurement of the circumferences and the stature, and cardiac monitor (Polar®) for the control of the intensity during physical exercise. For the analysis of the data, with it stopped the moments initial and final of the values of the corporal weight, circumferences (waist, abdomen, hip) percentile of fat of the body-builder program. One concludes that the body-builder practised during four weeks promoted: reduction of the corporal and percentile weight of fat, profit of force and maintenance of the muscular mass. Thus, the body-builder prescribed with intervals assisted in the reduction of the corporal fat and in the improvement of the physical aptitude gastroplasty after-surgery of the patient obese. Key word: physical exercise, gastroplasty, obesity.

123-128

Authors: Silvéria Maria Peixoto Larêdo Oréfice de Camargo, Simone Patrícia Masari, Tamires Aparecida Fialho Inácio

Obesity is characterized by excessive accumulation of fat in the body, and the factors that contribute to this weight gain related to the facilities of modern life. Behind The study aimed at identifying the importance of monitoring pre-operatively in patients undergoing bariatric surgery. This is a descriptive study of quantitative approach, with field study design in which individual questionnaire was administered multiple choice beforehand. We studied 31 patients undergoing bariatric surgery. Of these 26 were female (83.87%) through the analysis of the age variable were observed between patients 18 and over 48 years with a mean age of 33 years, relative to the preparation 27 (87%) reported being very importance of preparation; 23 (74.19%) stated that the reason the surgery was for co morbidities (diabetes mellitus, hypertension, sleep apnea, depression, arthritis and others) for the treatment of obesity, all have said have made some kind of medical treatment including diet, medications, exercise and psychological support; on the multidisciplinary team 28 (90.32%) agree the team's importance to obtain good results. It is concluded that the preparation in view of the multidisciplinary patient provides greater knowledge about the procedures to be performed, and changes that will have to take to the success of treatment in the postoperative period. Key words: Obesity. Pre-operative. Bariatric surgery.

1-3

Authors: Francisco Nunes Navarro, Antonio Coppi Navarro, Francisco Navarro

Editorial

13-22

Authors: Raquel Cristina Lopes Assis, Saulo Moreira Coelho

The presence of metabolic disorders varies widely among obese individuals. A subset of the obese population appears to be protected or more resistant to the development of metabolic abnormalities associated with obesity. These individuals, despite having excessive body fatness, have a metabolic profile characterized by high levels of insulin sensitivity, no hypertension and lipid profile and hormonal favorable. However, recent studies indicate that this healthy metabolic profile did not translate into lower risk of mortality. The cardiovascular risk of metabolically healthy obese is not the same as normal weight individuals, and they are still subject to non metabolic complications of obesity. It is concluded that interventions to weight control are indicated in all obese individuals. Key words: Obesity, Metabolically health obese, Cardiovascular risk, Risk of mortality.

31-34

Authors: Danielle Giovanini Lage, Gleisson Alisson Pereira de Brito

Introduction: Obesity is a public health problem, being observed rapidly increasing prevalence. This diseases is associated with several comorbiditys such as metabolic syndrome, diabetes and cardiovascular disease. Additionally, recent studies have hypostatized that obesity can be related to alterations in the gut microbiome. On this sense, two major bacterial phyla: Firmicutes and Bacteroidetes found in the small and large intestine, have being studied. In fact, evidences have indicated that imbalance in the proportions of these two populations may lead not only obesity but also the insulin resistance. Objective: To analyze the interference Firmicutes and Bacteroidetes bacteria found in the gut with the weight gain and insulin resistance. Materials and methods: A literature review of articles from the databases and specific sites in the area of health, published since 2002. Literature review: We evaluated the relationship between intestinal microbiota with obesity and insulin resistance in rats and humans. Conclusion: The gut flora of the obese patient is different from the thin, both in humans and mice and that this is related to obesity and insulin resistance. There are changes in the phyla Firmicutes and Bacteroidetes bacteria compared to obese and thin. Key words: Gut microbiota; Insulin resistance; Obesity; Diabetes.

46-57

Authors: Caroline Niquini, Francisco Navarro, Fernando Bessa

Introduction: Obesity is a chronic disease of multifactorial origin, it's mostly caused by sedentary lifestyle and eating habits.Treatments that require behavioral changes, usually are not accepted as part of the daily routine by patients. Objective: Analyze factors that might interfere in adherence and non-adherence to a non-harmacological treatment for weight loss in two obese patients of Rodrigo Y. Roig Family Clinic. Materials and methods: A qualitative research, classified as a exploratory and analytical study case, realized through instruments of data collection and supported by literature. Results and discussion: This study emphasized factors associated with the perception of treatment need, social support, psychological factors, the doctor-patient relationship,level of behavioral change and the loss of old habits as aspects that should be considered in the approaching of obesity treatment, since it influences on treatment continuity. Conclusion: By results, we expect to offer subsidies to assist health care professionals, on planning prevention strategy and on the most appropriate intervention way to cover this population and its particularities. Key words: Obesity, Adherence, Treatment, Adults.

69-76

Authors: Eva Vilma Araújo de Souza, Rafaela Liberali, Francisco Navarro

The objective of this study was to demonstrate the anthropometric profile of men aged 25 to 60 years, workers in a rural town in the interior of Bahia. We sought to assess the prevalence of obesity among rural workers in two groups: cane cutters (CCA) and rubber (SER). The sample consisted of men aged 20 to 60 years (n = 45). To conduct the survey data were collected regarding the current weight (BP), height (H), body mass index (BMI), waist circumference (WC), blood pressure(SBP) and heart rate (HR). The collection data was carried out in companies, using as instruments for collection: digital anthropometric scale, stadio meter, tape inelastic fiber glass tensiômentro digital form and ballpoint pen to record the data. We evaluated the prevalence of obesity and overweight in this population. Results showed a higher prevalence of normal weight among rural workers, but 40% to 6.66% of overweight and obesity among CCA, 13.33% of overweight to be; values of waist circumference in both groups 83,34% and 79.93% with very increased risk for cardiovascular disease, metabolic syndrome and insulin resistance for CCA and BE, respectively. The values found for SBP and HR were within normal limits. The prevalence of such knowledge requires further research studies into eating habits and lifestyles of this type of population. Key words: Overweitht; Obesity; Waist circumference; Rural labor.