Publications by authors named "Ludmila C Muniz"

A negative perception of body image is related to worsening of physical and mental health. This cross-sectional study sought to describe the relationship between body image and demographic, socioeconomic and behavioral factors in ninth grade students from 25 municipal elementary schools in Pelotas, Rio Grande do Sul. A total of 810 students participated (85% of those eligible), aged 13 to 22 years (mean age 14.

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The objective was to assess the prevalence of bullying victimization and associated factors among adolescents in the city of Pelotas, Rio Grande do Sul. A cross-sectional school-based study was conducted with 795 ninth grade students from 25 urban municipal schools linked to the School Health Program. Bullying was assessed using questions that addressed the occurrence, frequency, location, type of violence suffered and how much it bothers the victims.

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Main Results: Around 3% of the students regularly consumed the five healthy eating markers, with beans being the most frequently consumed; strong association was found between healthy eating markers and behavioral variables. Implications for services: The results obtained can contribute for interventions, programs and actions, particularly in the school environment, aimed at promoting an adequate and healthy diet.

Perspectives: Better targeting of interventions, programs and actions developed in the school environment, seeking to increase consumption of fresh and minimally processed food, along with the adoption of healthy behaviors.

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Objective: To identify the factors associated with the diet quality among 9th grade students in the municipal education system of Pelotas, state of Rio Grande do Sul, Brazil.

Methods: This was a cross-sectional study, conducted in 2019. Food information was collected using a food frequency questionnaire, and diet quality was assessed through an index developed by the authors.

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The scope of the study was to assess food consumption according to the level of processing and the ingestion of nutrients among adolescents in the rural areas of Pelotas-RS. It involved a cross-sectional census-type study with 462 students in grades 6 through 9 of elementary school from 21 municipal schools in the rural area. Food consumption was evaluated by 24-hour dietary recall (24HR), with food products being classified into four groups according to the level of processing in line with the NOVA classification.

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The study aimed to estimate the prevalence of behavioral risk factors for cardiovascular diseases (CVDs) and factors associated with their accumulation in adolescents from the rural area of a municipality in Pelotas, Rio Grande do Sul State, Brazil. This was a cross-sectional school-based census-type study with a sample of 515 sixth to nineth-grade schoolchildren in 21 rural public schools in Pelotas. The target behavioral risk factors were: physical inactivity; irregular consumption of fruits, vegetables, and greens; initiation to alcohol consumption and smoking; and addition of salt to foods.

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Objective: To evaluate the effectiveness of an intervention to improve young children's oral health-related behaviours and caregiver knowledge.

Methods: This paper reports on findings from a cluster randomized controlled trial, 12 months after of baseline, conducted in Pelotas, Southern Brazil. Two Primary Healthcare Centers (PHCs) and 170 caregiver-child dyads were assigned to an intervention group, and two PHCs and 174 dyads were assigned to a control group.

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Purpose: Methodological paper aiming to describe the development of a digital and self-reported food frequency questionnaire (FFQ), created to the 1982 and 1993 Pelotas Birth Cohorts.

Methods: The instrument was created based on FFQs previously applied to subjects belonging to both cohorts in the 2004 and 2008 follow-ups. The FFQ was developed including 88 foods and/or meals where frequencies were clustered from a minimum of never or once/month to a maximum of greater than or equal to 5 times/day.

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Objective: To evaluate food intake according to the degree of processing, stratified by family income and age, in a representative sample of children younger than 6 years in the city of Pelotas, RS, Brazil.

Methods: Cross-sectional population-based study carried out with 770 children aged 0-72 months of age living in the urban area of Pelotas. The dietary intake of children was assessed by 24-h recall administered to mothers or guardians.

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Article Synopsis
  • - The article analyzes the diet quality of 3,959 adolescents in Rio Grande do Sul, Brazil, using a Food Frequency Questionnaire and the Diet Quality Index Revised (DQI-R), which scores diets from 0 to 100, with a higher score indicating better quality.
  • - The mean DQI-R score for the adolescents was 62.4 points, revealing poor intake of dark green/orange vegetables, total vegetables, and dairy products, with the lowest scores observed in those who smoked or consumed alcohol.
  • - Interestingly, non-Caucasian adolescents, those from less educated households, and those in the lowest wealth quintile had higher DQI-R scores, highlighting the need for improved dietary habits, particularly regarding vegetables and dairy consumption
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Background: Conflicting results exist about the short-and long-term effects of breastfeeding on bone mineral content (BMC) and bone mineral density (BMD). We conducted a systematic review to assess the relationship between method of infant feeding and bone mass in children, adolescents and adults.

Methods: The literature review was concluded in September 2014 in MEDLINE, Web of Science and LILACS databases and articles published between 1998 and 2013 were included.

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Objective: To assess the stability and changes in fruit and vegetable (FV) consumption over a 3-year period during adolescence in a population-based birth cohort.

Design: Longitudinal descriptive study. FV consumption was collected in 2008 and 2011/12 using an FFQ.

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Background: We investigated whether Body Mass Index (BMI) at 11 years old has a direct effect on bone mass at age 18 operating through alterations to bone growth and development, or whether the association is mediated by concurrent BMI, fat mass (FM), and fat free mass (FFM).

Methods: Path analysis was used to explore the association between BMI at age 11 and whole-body bone mineral content (BMC) and bone mineral density (BMD) assessed by dual-energy x-ray absorptiometry (DXA) at age 18 in a prospective birth cohort study comprising 3,307 adolescents; we also evaluated the degree to which this association was mediated by BMI, FM (kg) and FFM (kg) assessed by plethysmography (BOD POD) at age 18.

Results: We found a positive association between BMI at age 11 and BMC (males [β = 179.

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Objective: To evaluate the effect of total breastfeeding, breastfeeding duration and type of breastfeeding at 3 months of age on bone mass at 18 and 30 years.

Study Design: A prospective, longitudinal study was conducted with two birth cohorts (1982 and 1993) in Pelotas, Southern Brazil. Measurements of bone mineral content (BMC) and bone mineral density (BMD) at 18 and 30 years of age were obtained by dual-energy X-ray absorptiometry (DXA).

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Background: Maternal smoking during pregnancy is associated with short-term and also long-term harmful effects on offspring.

Objective: The aim of this study is to evaluate the associations of maternal smoking during pregnancy with offspring bone health at 18years old, and the role of birth weight and contemporaneous height, weight and body mass index (BMI) in this association. Data from the 1993 Pelotas Birth Cohort were analyzed using path analysis stratified by sex.

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Sexual behavior is a key factor for susceptibility to sexually transmitted diseases. An evaluation of the sexual behavior of women at reproductive age was conducted in 1999. A replication of this study aims to evaluate the current situation and identify changes in sexual behavior, 13 years later.

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A school-based cross-sectional study in 2007 evaluated the prevalence and associated factors of daily consumption of soft drinks, sweets and fried foods among adolescents (15 to 20 years of age) in public schools in Caruaru in the state of Pernambuco. To evaluate the factors associated with the daily consumption of the above foods, a multivariate and hierarchical analysis was conducted using Poisson regression, with social and demographic variables at the first hierarchical level, behavioral variables at the second level and dietary standards at the third level. Consumption of soft drinks, sweets and fried foods at least once a week was declared by 90.

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This is a population-based cross-sectional study to evaluate the frequency of consumption of dairy products by adults and the elderly in Pelotas in the state of Rio Grande do Sul, in accordance with demographic, social and economic characteristics. Frequency of dairy product consumption was obtained by means of a questionnaire containing short, straightforward questions. Information about the type of milk (cow's milk, soy, other) and the fat contained in the milk consumed (full-cream, semi-skimmed and skimmed) was also investigated.

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The scope of this study was to describe aspects of the food intake of Brazilian children and its association with social and demographic factors. The 2006 food intake data of the National Survey on Demography and Health for women and children were analyzed. The analysis considered the complexity of the sample and included 3,083 children aged two to five years old.

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This study evaluated the association between obesity and emotional and behavioral difficulties in adolescents. We studied 4,325 individuals 11 to 15 years of age who were members of the 1993 birth cohort in Pelotas, Rio Grande do Sul State, Brazil. Information on body mass index (BMI), maternal assessment of the adolescents' emotional and behavioral health (Strengths and Difficulties Questionnaire - SDQ), and sociodemographic and behavioral characteristics were used.

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This is a cross-sectional school-based study that evaluated the prevalence and associated factors of the daily intake of fruit and vegetables by adolescents at public schools in Caruaru, Pernambuco. Poisson regression with a hierarchical model, including sociodemographic variables in the first hierarchical level, behavioral variables in the second and diet-related variables in the third was used to assess the factors associated with fruit and vegetable intake. The results showed that of the 600 adolescents interviewed, 10% reported never eating fruit and 30.

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Purpose: We explored predictors of nutritional status change from 11 to 15 years of age by analyzing prospective data.

Methods: We collected data at 11 and 15 years of age from individuals born in 1993 in Pelotas, Brazil. We assessed nutritional status using body mass index (BMI) for age in z-score according to the World Health Organization 2007 standards.

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Purpose: To evaluate the association between physical activity changes in those aged 11 to 15 years and lung function at age 15 years.

Methods: The original cohort comprised 5,249 hospital-born children during the calendar year of 1993 in Pelotas, Brazil. In 2004-2005 and 2008-2009, all cohort members were sought for follow-up visits.

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Background: Studies have reported an impact of central obesity on people's health. The literature is scarce on the effects of waist circumference (WC) on pulmonary function. Our objective was to review the literature on the association between WC and pulmonary function.

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This study investigated the time trend in self-reported arterial hypertension from 1998 to 2008 in individuals older than 20 years in Brazil. Data were analyzed on prevalence of hypertension from the National Household Sample Survey (PNAD) for the years 1998, 2003, and 2008. The analysis considered the sampling complexity and included 203,419, 238,591, and 257,816 individuals in the years 1998, 2003, and 2008, respectively.

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