Publications by authors named "Kenia M B Carvalho"

Article Synopsis
  • - The study aimed to assess how well different diagnostic criteria for osteosarcopenic adiposity (OSAd) agree and their ability to validate conditions in women who had undergone Roux-en-Y gastric bypass (RYGB) surgery.
  • - Researchers evaluated 178 women a few years post-surgery and found that the prevalence of OSAd varied between 2.2% and 6.2% depending on the criteria used, with the Kelly criterion showing the highest accuracy.
  • - Despite high specificity across all diagnostic measures, sensitivity was notably low, suggesting that more effective and nuanced diagnostic methods are needed for identifying OSAd in this patient group.
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Eating behavior can be influenced by external factors; however, there is no consensus on the existence of differences in eating behavior between the sexes in stressful situations, such as the COVID-19 pandemic. This systematic review assessed whether there was a difference in eating behavior between sexes during the COVID-19 pandemic. A search of nine databases (Medline/Pubmed, Embase, Scielo, VHL, Scopus, PsycINFO, Web of Science, ProQuest, Google Scholar) was conducted in October 2023.

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Article Synopsis
  • The double burden of malnutrition (DBM) is a new form of malnutrition where individuals experience both malnutrition and overweight, with a study showing a prevalence of 7.3% among Brazilian adolescents aged 12 to 17.
  • Overweight and obesity rates in the surveyed population were 19.2% and 8.3%, respectively, with a significant portion (41.5%) experiencing vitamin D deficiency.
  • Factors such as region of residence and maternal education were found to influence the likelihood of DBM, indicating the importance of addressing social determinants to improve adolescent nutritional health.
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Purpose: To apply the ESPEN-EASO diagnostic criteria for Sarcopenic Obesity (SO) in older women and to assess its association with the risk of falls, fear of falls (FOF), and bone mineral density (BMD).

Methods: After exclusion criteria, 232 women aged ≥60 years (68.2 ± 6.

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Background: While several studies have investigated the association between vitamin D deficiency and biochemical parameters, the results are still inconsistent and mostly overlook seasonal variations. This study explored the relationships between 25-hydroxy-vitamin D (25(OH)D) concentrations, biochemical markers, and seasonal variation among young males and females.

Methods: A cross-sectional study was conducted among 203 individuals aged 18-24 years of both sexes residing in Brasilia, Brazil (latitude: 15°S).

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Background: The behavior of patients undergoing metabolic bariatric surgery (MBS) has been widely investigated to better understand their attitudes and to formulate effective advisory strategies. Although these elements have been studied separately, the magnitude of these behaviors still needs to be determined from a combined factors approach. This study aimed to identify the lifestyle patterns of patients who underwent MBS 5 or more years ago.

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Lifestyle and health-related quality of life (HRQoL) are good markers of surgical obesity treatment. This study aimed to investigate the lifestyle and HRQoL of patients at least five years after Roux-en-Y gastric bypass in public (SUS) and private (PVT) Brazilian healthcare systems. In this cross-sectional study, weight loss (WL), % of excess WL (%EWL), diet quality, physical activity, alcohol consumption, and HRQoL were evaluated.

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Purpose Of Review: To conduct a systematic review to summarize the results of studies on this subject and to identify whether single nucleotide polymorphisms (SNPs) are good prognostic markers for body weight trajectory after bariatric surgery.

Recent Findings: A considerable number of events can influence the body weight trajectory after bariatric surgery, and in the post-genomic era, genetic factors have been explored. This study is registered with PROSPERO (CRD42021240903).

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Article Synopsis
  • - The study aimed to explore how daily movement behaviors (like physical activity, sedentary time, and sleep) relate to abdominal obesity and inflammatory markers in adolescents, specifically looking at whether waist circumference acts as a mediating factor.
  • - Involving 3,591 adolescents aged 12-17 from four Brazilian cities, the research measured waist circumference and movement behaviors, using statistical models to assess the influence of abdominal obesity on inflammation.
  • - Findings indicated that while screen time and physical activity showed no significant link to inflammation, longer sleep duration correlated with lower pro-inflammatory (C-reactive protein) and higher anti-inflammatory (adiponectin) markers, with waist circumference partially mediating these effects.
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Background: To date, there is no protocol providing dietary guidelines to assist health care professionals in counseling Brazilian individuals with Diabetes Mellitus (DM) assisted in primary health care (PHC) according to the Dietary Guidelines for the Brazilian Population (DGBP). Therefore, this study aimed to develop and validate a protocol based on the DGBP for health care, non-nutritionist professionals in counseling adults with DM in PHC.

Methods: We systematized the recommendations published in the DGBP, the Diabetes Brazilian Society guidelines, and the scientific literature regarding food and nutrition needs of adults with DM.

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Context: Vitamin D deficiency is considered a global public health issue, even in low-latitude countries where there is abundant sunlight radiation. Nevertheless, the prevalence of vitamin D insufficiency and deficiency in the South American continent has not been well characterized.

Objective: The aim of this review was to estimate the prevalence of vitamin D deficiency (25-hydroxy-calciferol < 20 ng/mL) in South American populations.

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Background and aims: epidermolysis bullosa (EB) is a rare disease presenting with skin fragility and formation of blisters. Constant presence of skin lesions, loss of blood, wastage of heat through the open skin, increased turnover of proteins and infections, result in increased energy, protein, and micronutrient needs. This study investigated the intake adequacy of energy, protein, zinc, iron, and dietary fiber in children with epidermolysis bullosa.

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Objective: To estimate usual dietary intake (UDI), physical activity (PA), and their association with weight loss and body composition in patients who underwent Roux-en-Y gastric bypass (RYGB) after five years in the Federal District, Brazil.

Methods: We assessed anthropometry and body composition using bioimpedance, and dietary intake and PA with three nonconsecutive 24-h recalls. PC-Side was used to estimate UDI.

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Background: Obesity is a non-communicable chronic disease which carries a high cost for the Brazilian Unified Health System. Standardized protocols can help primary health care (PHC) professionals manage the disease.

Objectives: To describe the validation process of a protocol concerning dietary guidelines for adults with obesity in PHC by non-nutrition professionals.

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Article Synopsis
  • Adolescence is a key time for developing body image, and there is often a mismatch between how teens perceive their weight and their actual nutritional status, which can lead to weight concerns and substance use.
  • This study used data from the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA) to analyze the links between weight misperception and substance use (like smoking and alcohol) among normal-weight teens in Brazil.
  • Findings revealed that about one-third of the adolescents had weight misperception, with both underestimation and overestimation linked to higher likelihoods of trying smoking and consuming alcohol, particularly among younger teens (12-14 years).
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The effect of socioeconomic status (SES) on weight loss (WL) after bariatric surgery (BS) remains unclear. This systematic review and meta-analysis aimed to investigate the association between SES and WL at least 12 months after BS. This study included 53 observational studies (retrieved from databases in October 2021 and updated in February 2022) involving adults who underwent any type of BS; SES data and data regarding outcomes of weight loss were also retrieved.

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The objective of this study was to use ERICA data from adolescents from Brazilian public schools to investigate the role of school feeding in insulin resistance markers. Public school students (12-17 years old) with available biochemical examinations were selected. Adolescents answered a self-administered questionnaire, and contextual characteristics were obtained through interviews with principals.

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Background/aims: The aim of this study was to apply the European Society for Clinical Nutrition and Metabolism/European Association for the Study of Obesity (ESPEN/EASO) consensus to identify sarcopenic obesity (SO) in adults mid to long-term post-Roux-en-Y gastric bypass (RYGB) using both dual-energy x-ray absorptiometry (DXA) and bioelectrical impedance analysis (BIA). Further, this approach was compared to accepted sarcopenia diagnostic criteria (Revised European Working Group on Sarcopenia in Older People [EWGSOP2] and Sarcopenia Definition and Outcomes Consortium [SDOC]).

Methods: This cross-sectional study included adults ≥2 years post-RYGB surgery.

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Background: Individuals who have undergone long-term bariatric surgery may be at increased obstructive sleep apnea (OSA) risk. The purpose of this study was to estimate the frequency of OSA risk and its associations, via biochemical markers, in patients who have undergone long-term bariatric surgery.

Methods: This cross-sectional study evaluated patients after 5 years or more post Roux-en-Y gastric bypass.

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Individuals following bariatric surgery are considered at high risk for the development of sarcopenic obesity (excess fat mass, low muscle mass and low physical function), and exercise may play an important role in its prevention and treatment. We systematically reviewed 5 scientific databases (Embase, Medline, Scopus, SPORTDiscus, and Web of Science) and 2 grey literature databases (ProQuest and Google Scholar) for clinical trials that evaluated the effect of exercise on muscle strength in adults following bariatric surgery and conducted a separate meta-analysis for studies that used different muscle strength tests. Random-effect models, restricted maximum likelihood method and Hedges' g were used.

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Background: Vitamin D deficiency is a common consequence of bariatric surgery (BS). However, few studies have evaluated influential factors and to date there are no studies investigating individual ultraviolet B (UVB) radiation levels in BS patients. This study aimed to evaluate vitamin D deficiency and its associated factors, including UVB radiation, in Roux-Y gastric bypass (RYGB) patients.

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Background: The prevalence of hypertension and other metabolic disorders has increased in young individuals. However, no representative studies have been conducted in the population of the Federal District, Brazil.

Objective: To estimate the prevalence of hypertension and its association with lipid, glucose, and adiposity markers in school-aged adolescents living in the Federal District.

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Inadequate protein intake and low levels of physical activity are common long-term sequelae after bariatric surgery and can negatively affect muscle strength (MS) and physical function (PF). The study investigated the effects of resistance training with or without protein supplementation on MS and PF. The study, which involved a 12-week controlled trial ( = 61) of individuals 2-7 years post-Roux-en-Y gastric bypass (RYGB), comprised four groups: whey protein supplementation (PRO; = 18), maltodextrin placebo (control [CON]; = 17), resistance training combined with placebo (RTP; = 11), and resistance training combined with whey protein supplementation (RTP+PRO; = 15).

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The association between lifestyle factors and mental health has been evaluated in isolation; however, there has been a lack of information about lifestyle patterns and Common Mental Disorders (CMD) in adolescents. Therefore, the present study aims to assess the association between sets of lifestyle patterns and the occurrence of CMD in Brazilian adolescents evaluated in a national school-based cross-sectional survey. The outcome variable considered was presence of CMD.

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Article Synopsis
  • The study examines the link between weight misperception and dietary habits in adolescents in Brazil, filling a gap in existing research on this topic.
  • It analyzed data from 52,038 adolescents aged 12-17, evaluating their weight perception alongside their dietary patterns identified as "Traditional Brazilian," "Processed meat sandwiches and coffee," and "Ultra-processed and sweet foods."
  • Findings revealed that girls who underestimated their weight tended to consume more traditional and ultra-processed foods, while boys showed a similar trend for ultra-processed foods and had a lower association with traditional foods if they overestimated their weight.
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