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Comparação entre aleitamento materno exclusivo até 6 meses de idade e introdução precoce de leites artificiais na evolução para sobrepeso e obesidade em pré-escolares, no período entre março a outubro de 2021, em serviços de atendimento pediátrico de Belém
(Centro Universitário do Estado do Pará, 2021) Moura, Alexandre Mendes; Serra, Natália Resende Calandrini da; Neves, Eliza Lemos Barbosa; Miranda, Marisa Eiró; http://lattes.cnpq.br/9869549838157176
Introduction: Breastfeeding is the natural and sufficient way to feed a child in the first months, as it provides adequate physical, psychological and social growth and development, in addition to ensuring sufficient nutrition in this phase of intense metabolism. In this sense, the World Health Organization and the Brazilian Society of Pediatrics recommend that exclusive breastfeeding be the first feeding experience, and should be maintained exclusively for up to six months, in order to avoid short-term harm such as orthopedic disorders and disorders respiratory and mainly long-term such as obesity, anemia and chronic non-communicable diseases. Methodology: The present study is characterized as observational, cross-sectional, exploratory, of patients treated at the Child Care Outpatient Clinic of the Medical Specialties Center (CEMEC) of the University Center of the State of Pará (CESUPA) and the Preventório Santa Terezinha. Data were collected from medical records of outpatient consultations, and only those patients who attended consultations from March to October 2021 were included in the research. The association between nutritional status and the other study variables were evaluated using the chi-square test. Objectives: To compare exclusive breastfeeding up to 6 months of age with the early introduction of artificial milk in the development of overweight and obesity in preschool children aged 2 to 5 years attended at the childcare clinic of the Medical Specialty Center (CEMEC) and do Preventório Santa Terezinha. Results: The results show that there was an association between breastfeeding for a minimum period of 06 months and the nutritional diagnosis of eutrophy in pediatric patients and, consequently, patients who underwent breastfeeding for a period of less than 06 months had the main outcome the diagnosis of overweight/obesity. Conclusion: It was possible to see that exclusive breastfeeding up to 6 months is a protective factor for the development of overweight and obesity.
Os impactos da alimentação low carb em pacientes com obesidade e sobrepeso na atenção primária à saúde
(Centro Universitário do Estado do Pará, 2021) Santos, Lorena Gabrielly da Silveira; Rabelo, Natália Cruz; Coelho, Érica Furtado Azevedo; Souza, Ivete Moura Seabra de; http://lattes.cnpq.br/5318491010793081; http://lattes.cnpq.br/5221363260090560
Introduction: Obesity is one of the biggest epidemics of the 21st century. It is associated with many comorbidities, including cardiovascular diseases and type 2 diabetes mellitus (DM2). Because of the dimension of the problem, several weight loss strategies are used, such as the Low Carb diet. Objective: Identify the impact of Low Carb Diet on obese and overweight patients treated at a Basic Health Unit in Ananindeua (PA). Methodology: The study is an interventional action-research type, where there was intervention, through a quantitative approach on Low carb diet in obese and overweight patients. The study took place at the Basic Health Unit (UBS) Júlia Seffer in Ananindeua (PA), lasted 2 months, and included an anthropometric data questionnaire (weight, height, BMI and AC) with complementary exams performed at the beginning and at the end of the research to compare the impact of diet on the lipid profile and fasting blood glucose of patients. Results: The study included 29 patients, of which 25 had a mean age of 45.8 ± 9.8 years (95%CI 41.8 – 49.9) and 12.0% (3/25) were elderly; most participants were women (96.6%, 28/29; p<0.0001). For 12 participants, there was a statistically significant difference only in relation to AC (Arm Circumference) when comparing the first measurements with in the last two (p=0.0168). About the laboratory variables, no significant differences were observed in comparisons for any of the considered markers. Numerical change was observed in the overall proportion of cases classified as overweight/pre-obesity and Obesity Grade 3. A strong positive correlation was found between waist circumference and weight during the research. Conclusion: As we have seen the Low carb diet is a viable and possible option to be performed in primary care, but there is a need for further studies to analyze its impact on the health of the population, patient adherence and the acceptance of doctors as a non-pharmacological indication to treat diabetes and help reduce the obesity epidemic.
Perfil clínico e epidemiológico na primeira consulta de pacientes matriculados em ambulatório de obesidade infantil
(Centro Universitário do Estado do Pará, 2019) Meira, Breno Figueiredo; Mergulhao, Thalita Martins; Silva, Silvana Cristina Rodrigues da; Rocha, Mônica Souza Filho Moura; http://lattes.cnpq.br/1302412321438738; http://lattes.cnpq.br/6484463061528812
INTRODUCTION: Obesity among children and adolescents is increasing, becoming a worldwide epidemic. Several factors are related in its genesis, including genetic, sedentary lifestyle, screen-based lifestyle, tablets and video games lifestyles, and unhealthy diet. In this context, the study that reveals the clinical and epidemiological profile of patients in the first consultation evaluation of the Childhood Obesity Outpatient Clinic of a Medical School of the city of Belém is enriching. OBJECTIVE: To evaluate the clinical and epidemiology of patients enrolled in the childhood obesity outpatient clinic. METHODOLOGY: A descriptive, transversal study with information extraction through an elaborated questionnaire applied in the first consultation file of the medical records. RESULTS: Sixty-one medical records registered at CEMEC's Childhood Obesity Outpatient Clinic were evaluated. It was identified 62.3% male and 37.7% female. The age groups found were schoolchildren and adolescents, with 47.5% and 52.5% respectively. Physical activity was not reported by 68.9% of patients. Most patients reported screen time greater than 2 hours daily. There is no significant difference in patients who underwent exclusive breastfeeding up to 6 months, and those who did not. A large proportion of patients had severe obesity (52.5%), especially boys, while 39.3% had obesity and 8.2% were overweight. The most declared monthly household income was 1 to 2 minimum wages. Among the parent's education there was a significant proportion for the complete high school of mothers (39.3%) and fathers (19.7). The presence of a family history of obesity was more frequently reported (72.1%). There was a significant proportion of patients with blood pressure below the 90th percentile (70.5%). CONCLUSION: it is necessary to know the epidemiological profile of childhood obesity, so that health professionals can update themselves with the current scenario, and take knowledge of childhood obesity, to better prevent, diagnosticate and treat, above all, doctors who work in childcare.
Perfil metabólico comparativo entre pacientes com obesidade infantil do CEMEC e pacientes eutróficos do ambulatório geral de pediatria do Preventório Santa Terezinha
(Centro Universitário do Estado do Pará, 2020) Oliveira, Carlos Henrique Novelino de; Oliveira, Emanuella Lemos Chaves de; Rocha, Mônica Souza Filho Moura; Neves, José Joaquim de Oliveira; http://lattes.cnpq.br/9075377277147026; http://lattes.cnpq.br/1302412321438738
Introduction: Brazil has a high prevalence of overweight and obesity, with a significant growth of children with obesity between 6 and 18 years old mainly. Among the consequences, there is a change in the lipid profile, hypertension and early diabetes. This promotes considerable complications in adulthood, such as Metabolic Syndrome. Obesity is identified as one of the main risk factors for altering the metabolic profile in children, hence the importance of establishing epidemiological profiles that facilitate interventions. Objective: Describe the comparative metabolic profile between patients with childhood obesity at CEMEC and eutrophic patients at the general pediatric outpatient clinic, Belém-PA. Methodology: Cross-sectional study of a descriptive character with a quantitative approach. Based on medical records from the childhood obesity outpatient clinic of CEMEC-CESUPA and the General Pediatric Outpatient Clinic of Preventório Santa Terezinha, dated from 2017 to 2019. A chi-square likelihood ratio test was performed, with a significance level adopted for the analysis of the variables: Fasting glycemia, total cholesterol, LDL, HDL, triglycerides in eutrophic and obese men and women aged 5 to 10 years and 10 to 15 years. Results: Children with obesity compared to eutrophic children had a higher blood glucose level of 6.73 mg / dL, a higher cholesterol level of 14.20 mg / dL, a lower HDL level of -3.17 mg / dL, the highest LDL at 11.25 mg / dL and the highest triglyceride level at 36.90 ml / dL in relation to eutrophic. In children with abnormalities, obese men, 10 to 15 years of age, stand out. Conclusion: Most children, obese and eutrophic, had normality in almost all variables except for triglycerides. It was also noticed that, despite the majority being normal, the obese had average values higher than the eutrophic in all variables, except in HDL where they had lower levels.