Nutrição

URI Permanente desta comunidadehttps://repositorio.cesupa.br/handle/prefix/42

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Alimentação para prevenção do câncer de mama: produção de uma tecnologia educacional
(Centro Universitário do Estado do Pará, 2022) Gonçalves, Maria Helena Monteiro; Moraes, Yasmin de Fatima Brito de Oliveira; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Mori, Rejane Maria Sales Cavalcante; http://lattes.cnpq.br/0068497734511867; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530
According to the Ministry of Health, cancer (CA) derives from multiple cumulative effects, due to disordered cell growth in the presence of neoplastic agents, as normal cells multiply naturally, responding to the body's needs, cancerous grow uncontrollably, forming abnormal cells, invading and compromising organs and tissues. Nutrition can be a great ally in preventing the development of the disease, since the consumption of foods rich in fiber, vegetables, fruits and “good” fats is a preventive factor, but it can be considered a risk factor, if the consumption of processed foods, deli meats, red meat, among others, is excessive. To develop an educational technology (ET) for users of primary health care on food for the prevention of breast cancer. Review study with a qualitative approach, carried out through methodological development, divided into two stages: integrative literature review (ILR) and production of ET, which is a digital booklet. The protective factors identified were the consumption of natural or minimally processed foods, such as vegetables, fruits, grains, seasonings and spices. While the excessive consumption of red meat, whole milk and derivatives rich in fat, deli meats, soft drinks, industrialized foods are considered risk factors. After the survey and organization of significant topics, the development of the booklet was started, with easy understanding content, containing in its extension the use of images and adequate textual content. In view of what has been explained, it is essential to produce educational technologies that allow subsidizing health actions to prevent breast CA.
Consumo alimentar de gestantes de alto risco: uma revisão integrativa da literatura
(Centro Universitário do Estado do Pará, 2021) Costa, Elaini dos Santos da; Rosa, Rayssa Teixeira; Ozela, Cilea Maria dos Santos; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530; http://lattes.cnpq.br/3869556585803094; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915
Appropriate availability of nutrients and a balanced diet are essential for the gestational period (FERNANDES, 2019). Search in literature for results that discuss about the pattern of eating habits in high-risk pregnancy. A review research was made in the databases of MEDLINE (International Literature in Health Sciences); LILACS – Latin-American and Caribbean Literature in Health Sciences; Cochrane Collaboration PMC (PubMed Central); Scielo; Virtual Health Library (BVS) and Google Scholar. As an inclusion criterion, articles published in full, online, in Portuguese and English in the period from January 2015 to 2021, were selected. As exclusion criterion, articles not relevant to the research for the defined descriptors. At first, 151 articles were found, among those, 9 which met the research objective, were selected. From the results, it was possible to notice that eating habits influence the mother’s health during the gestational period, and also the baby’s health in a short or long term. The study allowed us to verify that the variety of articles covering the specific objectives of the research is relatively low, which are based on relating food consumption with the complications that arise during pregnancy and understanding the importance of nutritional status during this period. Among the articles found, the most mentioned complications were Gestational Diabetes Mellitus (GDM) and Pregnancy-Specific Hypertensive Disease (DHEG). Therefore, based on the assessment of these data, it is plausible to state that the presence of healthy eating habits during the gestational period are extremely important to prevent the development of gestational complications.
Cuidado nutricional na hipertensão arterial: produção de tecnologia educativa para gestantes
(Centro Universitário do Estado do Pará, 2022) Lima, Alice Silva; Uchôa, Ana Carolina Santos; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530; Mori, Rejane Maria Sales Cavalcante; http://lattes.cnpq.br/0068497734511867
Arterial hypertension and its complications are the main causes of maternal mortality during pregnancy, and monitoring during prenatal care is essential. To develop an educational technology (ET) for pregnant women on nutritional care in hypertension, as a prevention and control tool. A qualitative study of methodological development was carried out, which took place through an integrative literature review, with the selection of 7 studies and then the production of an ET. Consumption of green vegetables, fish, cereals, whole grains, nuts, fruits, vegetable oils, milk, dairy products, orange vegetables, fortified foods such as flour and dairy alternatives, and lean meats, showed a protective relationship against the development of gestational hypertension. The most related micronutrients in the prevention of hypertensive disorders in pregnancy were magnesium, iron, folate, iodine, potassium, calcium and vitamin D. Afterwards, the ET was prepared, of the digital booklet type, based on what was evidenced by the studies. There is little availability of studies related to the topic addressed, making it important to carry out more research on this topic. The biggest obstacle found was the lack of studies that explain the physiological mechanisms involved in the interaction between nutrients/food and the pathophysiology of gestational hypertension, in order to justify the beneficial (or harmful) properties of foods for better control of hypertension during pregnancy. Thus, based on the literature review carried out, it was possible to develop an educational technology on the knowledge that pregnant women need to acquire about nutritional care in gestational hypertension.
Desenvolvimento de tecnologia educativa para pessoas com doença renal crônica em hemodiálise
(Centro Universitário do Estado do Pará, 2021) Ferreira, Diane Vitória Lopes; Matos, Quédema Bianca Sousa; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Sirotheau, Ana Cláudia Araújo Dinelly; http://lattes.cnpq.br/1157003247383282; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530
Chronic kidney disease (CKD) is the permanent loss of kidney function, recognized as a global public health problem. Hemodialysis, in turn, is a type of dialysis treatment that adopts renal replacement therapy (RRT), which uses a artificial membrane as a filter. To develop an educational technology for support the nutritional care of people with Chronic Kidney Disease, who are in hemodialysis treatment. A qualitative survey of the descriptive-exploratory was carried out. The survey was conducted in February 2021 at the Clinic Uronefro, after approval by the Ethics and Research Committee (ERC) of the University Center of the State of Pará (CESUPA). Twenty patients from the clinic, adults, who had been undergoing hemodialysis for at least 6 months. It was possible to notice that most participants were male in the age range of 41 to 50, 60% were unemployed, 35% presented family income higher than 5,000 and high school of complete education. Regarding nutritional guidance, it was possible to reveal that 100% of patients received guidance by a professional Nutritionist, and guidance given was the reduction in the intake of foods rich in potassium, phosphorus, sodium and liquids, but they still had doubts about some nutrients, preparations and foods. Later, they were asked if they were afraid of consuming any food and 65% answered yes and the most cited foods were shrimp and crab, starfruit and red meat. The present study has assessed the knowledge of the patient's experimented with feeding on dialysis, so the data has served as a subsidy for the digital-shared scale, material was designed in a didactic form, facilitating understanding, aiding to bring knowledge and more options for the proper feed.
Desmame precoce: causas e consequências na vida do lactente: revisão de literatura
(Centro Universitário do Estado do Pará, 2021) Moura, Lana Tayná de Oliveira Tolkesdorf; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530
Breast milk is considered the ideal food for babies as it meets all their nutritional and physiological needs, reducing morbidity and mortality in the first phase of life. Although daily scientific studies prove its effectiveness, only 39% of babies up to six months are exclusively breastfed worldwide. The interruption of EBF within the first 6 months of the baby's life is pointed out as the concept of early weaning. Identify the factors that influence the occurrence of early weaning. The present work can be defined as a systematic literature review. For the execution of the work, searches were carried out for original scientific articles and books on breastfeeding, breastfeeding, breast milk, human milk and early weaning. Of the 61 articles used in the construction of the work, 13.11% had outcomes that demonstrate relevance for responding to the general and specific objective, both established at its beginning. By analyzing the studies, it is possible to say that early weaning is still prevalent and may be caused by several factors that are closely linked to the breastfeeding woman. The present work, through the scientific bias, finds that several factors contribute to the occurrence of the interruption of exclusive breastfeeding, causing the infant to wean early.
Elaboração de tecnologia educativa sobre o método Babylead Weaning (BLW) para profissionais de saúde: produção baseado em evidências científicas
(Centro Universitário do Estado do Pará, 2021) Andrade, Arielle Cristiana Nogueira de; Figueiredo, Sandra Maria dos Santos; Sirotheau, Ana Cláudia Araújo Dinelly; http://lattes.cnpq.br/1157003247383282; http://lattes.cnpq.br/8530470051297070; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530
The Baby-Lead Weaning (BLW) method was devised by the British researcher and nurse Gill Rapley, who defends the offer of solid foods to the baby, presented in the form of sticks or sticks since the beginning of complementary feeding (CA). According to Rapley, BLW is a method that encourages parents to trust the infant's innate ability to self-feed. The choice of how and how much to eat the foods offered is made by the child more actively, without direct interference from the caregiver, taking advantage of the baby's curiosity and exploration phase. To develop an educational manual on the Baby-Lead Weaning (BLW) method for health professionals. The methodology applied was qualitative, divided into three stages, integrative literature review, summary of knowledge and production of educational technology. The construction of the technology was carried out from the survey of evidence through an integrative review. 136 works were found, after reading the abstracts, 123 were excluded that did not address the focus of the theme and the repeated ones, and 12 works were then selected. After summary, 6 main themes were identified: appropriation of knowledge by professionals, necessary knowledge, lack of knowledge, risk/disadvantages of choosing the BLW method and benefits of using the method, and to favor the correct handling food introduction with the BLW method the final step was the production of the manual. It is considered that the manual built for guidance on the BLW method, serves as an educational support for health professionals, especially the nutritionist of primary health care (PHC), in the introduction of complementary feeding.
Estado nutricional e inflamatório de pacientes com doença renal crônica em estágio inicial de hemodiálise e após seis meses de tratamento
(Centro Universitário do Estado do Pará, 2021) Goldim, Tainah Ratis; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530; Mori, Rejane Maria Sales Cavalcante; http://lattes.cnpq.br/0068497734511867
Non-communicable chronic diseases have grown in recent years, and with it kidney disease due to the prevalence of diabetes and high blood pressure. This can be acute or chronic, the first being reversible and the second irreversible, where the patient needs renal replacement therapy. With the progression of the disease, the nutritional and inflammatory status are compromised. Diet therapy is one of the main pillars for the treatment and control of the disease. To identify the nutritional status and laboratory tests of chronic kidney patients undergoing hemodialysis at baseline and after six months of treatment. Characterize the studied population. Identify associated diseases presented by chronic kidney patients on hemodialysis. Assess the nutritional and inflammatory status of chronic kidney patients and their relationship with the duration of hemodialysis. Analyze laboratory tests performed at the beginning and after six months of treatment. The research was of a quantitative descriptive cross-sectional type, took place in a private hemodialysis clinic in Belém and electronic medical records of adults and elderly of both genders who were in the beginning of hemodialysis treatment from January to August 2020 were evaluated with survey of height, weight, biochemical tests and associated diseases. The medical records of 30 patients were evaluated, 70% male, 50% presenting associated SAH and DM as the main comorbidity. Regarding nutritional status, the highest prevalence among the elderly was underweight with 43%, followed by eutrophic status with 38% and, in relation to adults, eutrophic status had the highest amount with 44%, followed by overweight with 33 % after six months of treatment. In addition, there was no significant difference, as the p-value was 0.0654 and 0.6768 between the nutritional and inflammatory status when compared to the reference values, but there was a change in the nutritional status after six months of treatment for some patients . For some tests, the result was significant, such as for hematocrit, albumin and calcium, which had a p-value <0.0001, hemoglobin with a p-value of 0.0005, pre urea with a p-value of 0.0320 and PCR with p -value of 0.0037. The assessment was significant for some indicators, but it would need to increase the variable length of treatment in order to be able to more accurately monitor the evolution of these patients.
A prevalência do aleitamento materno em recém-nascidos pré-termo e suas dificuldades: revisão integrativa da literatura
(Centro Universitário do Estado do Pará, 2022) Souza, Ana Carolina Neves de; Pires, Mikelly Britto; Ozela, Cilea Maria dos Santos; http://lattes.cnpq.br/3869556585803094; Almeida, Viviane dos Santos Viana de; http://lattes.cnpq.br/2965839727561530; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070
Exclusive Breastfeeding (EBF) until the sixth month of life, recommended by the World Health Organization (WHO), is the ideal food for promoting healthy growth and development. Especially when it comes to preterm newborns (PTNBs), they are the ones who benefit most from breastfeeding. However, despite presenting several benefits, breastfeeding has not yet reached the recommended and expected rate in Brazil, a fact that can be explained by the limitations and difficulties of newborns and mothers. Therefore, the general objective of this study was to identify the prevalence of breastfeeding in preterm newborns. Therefore, through an integrative literature review, searches were carried out for articles published in the last ten years, in the following databases: Scielo, LILACS and PubMed, using the descriptors "Breastfeeding in premature newborns", "Early weaning" , "Breastfeeding difficulties in preterm infants" and "Prevalence of breastfeeding in preterm infants". Initially, 430 articles were found, after reading the abstracts, 45 articles were selected. Those selected in full, who answered the guiding questions, totaled 13. From the results found, it was observed that there are a decrease in the prevalence of breastfeeding in preterm infants, especially after hospital discharge. Difficulties such as physiological immaturity, fear, insecurity, lack of early contact between mother and child, factors that compromise the structure of the breast and lack of guidance were the most reported for breastfeeding. Factors such as cesarean delivery, duration of mechanical ventilation, double pregnancy, extreme prematurity, greater complications during hospitalization, use of pacifiers and younger age of mothers were identified as risk factors for the interruption of breastfeeding in premature infants. Support strategies for mothers, from prenatal care to post-discharge follow-up, are still needed. In addition to the training of health professionals, in order to develop an empathetic look at the situation experienced by the mother, to support and assist them efficiently.

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