Revista Contexto & Saúde

Number n.37 (V19), 2019

005-010
BREASTFEEDING: INFLUENCE OF TIME TRANSITION TIME FOR ORAL PRESSURE IN PREMATUROS

Authors: Gabriele Kauss Barbosa , Simone Zeni Strassburger , Joseila Sonego Gomes, Maria Cristina Roppa Garcia, Pâmela Fantinel Ferreira, Camila Lehnhart Vargas

Abstract

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Purpose: This study presents some factors that may influence the practice of breastfeeding in premature infants, observing how the alimentary transition from oral probe (VO) can intervene in the success of this practice. Methodology: Descriptive study of observational and cross - sectional documentary character. The population is composed of preterm infants of both sexes, who were hospitalized in a Neonatal Intensive Care Unit (Nicu). Twenty-eight premature infants born 37 weeks of age or younger were included. Results: The mean gestational age was 32,59 ± 2,95 weeks. On admission to the Nicu 27 (96,42%) were prescribed nothing by mouth (NPO). The routes used for nutrition were parenteral nutrition (TPN), and enteral nutrition(NE), with a median of 10 days of use. During the use of the enteral probe, oral sensory-motor stimulation was performed in 25 (92,60%) of the preterm infants, at discharge the mother was questioned if she had received guidance on breastfeeding and 23 (82,14%) confirmed it. Conclusions: The time and prevalence of NE use suggest interference in the maintenance of exclusive breastfeeding, since most of them were discharged with the use of formulas. The hospital’s human milk bank (BLH) has a positive influence on the fact that a large proportion of preterm infants have started VO in the womb. The results regarding the influence of probe time on breastfeeding were not expressive in this sample.

011-019
MAIN OBSTACLES FOR THE MAINTENANCE OF EXCLUSIVE BREASTFEEDING IN THE BRAZIL AND US COUNTRIES

Authors: Leticia A. Santiago, Sérgio Augusto Yukio Hissayassu, Paula Moura Del Comuni

Abstract

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Identify, through a national and international bibliographic review, the main factors that corroborate with the Early Maternal Weaning (WMD) in Brazil and the United States of America, and to establish a comparative analysis of these countries. Descriptive study, based on a review of the literature, from Portuguese and English, available in the Scientific Electronic Library Online (SciELO) and Public Medline (PubMed) databases, published between 2003 and 2017, in the thematic area Sciences of Health. In PubMed, the descriptor Exclusive breastfeeding was used, being found 60 manuscripts. In SciELO, with the combination of the descriptors Breastfeeding and Weaning, it was observed 49 studies. It was observed that the mother’s return to the labor market was one of the main risk factors for WMD in both countries. However, in Brazil the legal support offered by maternity leave reflected in 41% of Exclusive Breastfeeding (EB) until six months, while in the US, the absence of this right led to a national average of only 8% for the WMD. The study showed that legislative support has a positive impact on the mother’s adherence to EB by collaborating in the interaction between the mother-child binomial, stimulating the practice of breastfeeding.

020-029
GESTIONAL WEIGHT GAIN AND FACTORS ASSOCIATED WITH PREGNANT AND NEWBORNS

Authors: Rafaela Santi Dell’Osbel , Cleber Cremonese , Maria Luisa de Oliveira Gregoletto

Abstract

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Objective: The present study aimed to measure gestational weight gain (GWG) and to identify the associated factors in pregnant and newborns. Methods: This is an observational cross-sectional epidemiological study in a cohort of pregnant and newborn users of Basic Care in Caxias do Sul/RS. The data were collected in three different moments, being in the first and third gestational trimester and in the first month after the baby’s birth. Results: The sample consisted of 47 pregnant and newborns, of whom 28.3% had insufficient GWG, 34.8% had adequate GWG and 37% had excessive GWG. Pregnant women with schooling up to 10 years of schooling presented a higher prevalence of insufficient GWG (48.0%), while those with 11 years or more of study had a higher prevalence of adequate GWG (52.4%) (p = 0.024). Also, a significant association with length at birth (p-value 0.035) and feeding during the first week of life (p-value 0.037) was observed. Conclusions: It is concluded that pregnant women have a high prevalence of excessive GWG. Also, a significant association was identified between the poor GWG with the low level of education of the pregnant woman and the shorter length at birth. There was an association between excessive GWG and high prevalence for exclusive breastfeeding in the first week of life. Thus, the need for strategies to adjust and guide GWG, as well as to instruct healthy life habits and to reinforce the need of prenatal care for the health of the pregnant woman and the newborn, is perceived.

030-036
SOLID ORGANIC WASTE IN FOODSERVICES HOSPITAL: THE CONTRIBUTION OF THE PLATE WASTE PATIENTS

Authors: Tânia Regina Kinasz, Ana Laura Almeida Dias , Dálete Campos Mariano , Mayara Barbosa Lima

Abstract

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The objective was to analyze the generation of solid organic waste originating from plate waste by patients the as internment clinic and the type of diet of a university hospital in the Cuiabá city of Mato Grosso, Brazil, and the factors that had contributed in this generation. An descriptive transversal study was carried. Were analyzed. 41 patients were questioned. For the calculation of the average portion meal of distributed and of the portion meal of plate waste the weight, method was used and as reference standard the rate of 20% for the plate waste. The index was determined by type of diet. For evaluation of the factors that, in the vision of the patients influence in the generation of solid organic waste happened of the plate waste ingestion questionnaire with open question was used. It was observed that the generation of solid organic waste originating of plate waste varied according to the consistency of the diets and clinics internment. Alimentary habits and preferences,sensation of gastric fullness, high portion, nauseous, inappetence, dinner time had been the cited reasons more for the rejection of the diet. The redefinition of per capita in accordance with the preparations, the redefinition of portions in accordance with the consistency of the diet for clinic internment and the standardization of the utensils and the execution of this standardization will be able to contribute for the reduction of the rate of organic waste originating the food wastage.

037-043
CONSUMPTION TENDENCY OF PROCESSED FOODS BY CARRIES OF NON-COMMUNICABLE CHRONIC DISEASES

Authors: Cristina Henschel Matos, Franciele Aparecida de Souza da Cruz , Joyce Aparecida de Oliveira Pereira, Rosana Henn

Abstract

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Non-communicable chronic diseases (CDN) are today one of the main causes of death in Brazil and in the world, with poor diet being one of the determining factors Thus, the study aimed to evaluate the knowledge and tendency of consumption of industrialized foods by users with CDNT from a School Health Unit of Itajaí-SC. The population was made up of adult women with CNCDs, assisted by the Health Unit between September and December 2017. Data was collected through an interview containing questions about factors that influence the purchase and consumption of food, labeling and difficulties in interpreting packaging information. The results showed that of the 59 women most evaluated were middle-aged adults with incomplete primary education and per capita incomes below minimum wage, among the most commonly reported NCDs were Systemic Arterial Hypertension and Diabetes Mellitus. It should be emphasized that price was a preponderant factor for the acquisition of food (56%),as well as the fact that they were in promotion (54%). It was also observed that there is a tendency to buy healthier products,therefore, only 61% of women have a habit of observing the nutritional value of food, and of these, 33% presents difficulties in their interpretation. Given this context, it is possible to verify the need for food and nutritional education activities which leads to reflection about the act of eating, seeking the disassociation between industrialized food and the price of healthy food.

044-051
ASSOCIATION BETWEEN VEGETARIAN FOOD AND COLORECTAL CANCER PREVENTION: A LITERATURE REVIEW

Authors: Caroline Topanotti Dagostin , Flavia Karine Rigo, Louyse Sulzbach Damázio

Abstract

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Colorectal cancer represents the most common malignant neoplasm of the gastrointestinal tract and the third leading cause of cancer-related death in the world. It may be hereditary or sporadic, with the latter accounting for approximately 95% of cases. Several risk factors contribute to the development of this neoplasia, however, feeding seems to be the most influential factor, since it is able to modulate the composition of the intestinal microbiota. The objective of this study was to review the literature regarding the feeding and triggering of colorectal cancer, the relationship of a high meat diet in the development of this pathology and to investigate the vegetarian diet acting as a possible prevention factor. The method is a narrative bibliographical review, based on original article searches and review. The high consumption of red and processed meat may be related to the appearance of colorectal cancer by causing changes in the microbiota, as well as producing N-nitroso compounds, polycyclic aromatic amines and polycyclic aromatic hydrocarbons, compounds considered genotoxic. In addition, heme iron can elevate the synthesis of reactive oxygen species and stimulate the endogenous formation of N-nitroso compounds. However, vegetarian food may be able to prevent dysbiosis and keep the intestinal microbiota healthy due to the high consumption of plant foods that provide phytochemicals, antioxidants and anti-inflammatories, that is, potential anti-tumorigenic agents. In conclusion that through changes in eating and behavioral habits, it becomes possible to delay or prevent the onset of cancer.

052-058
DEVELOPMENT OF COCONUT MILK PROBIOTIC FOOD WITHOUT ADDED SUGAR

Authors: Sabrina Pereira Messa , Cássia Regina Nespolo , Carla Pohl Sehn , Franciane Cabral Pinheiro , Morgana Balbueno Ferreira , Giovana Magalhães Soares

Abstract

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Healthy eating is aim of many consumers, especially those with dietary restrictions, increasing the use of probiotics and interest in lactose-free foods. As probiotics are usually ingested in dairy foods, the objective of this study was to develop an alternative product prepared with coconut milk, probiotics addition and no added sugar. Samples were stored under refrigeration(7°C) and the pH, water activity, titratable acidity, lactic acid bacteria, total coliforms and thermotolerant, psychrotrophic and mold and yeast were evaluated. Results for pH and water activity demonstrated conditions for proliferation of undesirable microorganisms and difficulties for maintenance of probiotic bacteria. The acidity varied between 0.11 and 0.14 % of lactic acid and counts for total and thermotolerant coliforms were adequate. Mean counts of lactic acid bacteria ranged from 3.40 to 4.09 log CFU/g, and yeasts and molds were 3.38 to 9.48 log CFU/g, respectively, below and above legal standards for similar dairy products. For coconut milk food be an alternative to vegetable food containing probiotics in adequate quantity, it would be necessary to add a larger initial dose of probiotics and facilitators of multiplication of these bacteria, such as monosaccharides or disaccharides. Further studies are underway to improve the formulation of this coconut milk probiotic food.