Publications by authors named "Silvia Maria Fraga Piovacari"

Obesity is a chronic disease resulting from multifactorial causes mainly related to lifestyle (sedentary lifestyle, inadequate eating habits) and to other conditions such as genetic, hereditary, psychological, cultural, and ethnic factors. The weight loss process is slow and complex, and involves lifestyle changes with an emphasis on nutritional therapy, physical activity practice, psychological interventions, and pharmacological or surgical treatment. Because the management of obesity is a long-term process, it is essential that the nutritional treatment contributes to the maintenance of the individual's global health.

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Background: Hospitals are constantly searching for opportunities to improve efficiency, and telehealth (TH) has recently emerged as a strategy to assist in patient flow. We evaluated two methods of dietary counseling offered to patients in the time period between the medical and final hospital discharge. Counseling was given either the TH group or the face to face (FTF) group to the patients and their respective impact was evaluated on the patients' satisfaction and on the hospital patient flow.

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Background: Weight loss and body composition changes are common in patients with pancreatic cancer. Computed tomography (CT) images are helpful to investigate body composition and its changes and to discriminate the different kinds of body tissues. Patients with pancreatic cancer routinely undergo CT scans.

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Article Synopsis
  • - Interest in non-invasive body composition assessment methods is increasing in health care due to their link to clinical outcomes, with technologies like computed tomography being particularly noted for studies in cancer and sarcopenia.
  • - Various methods such as bedside ultrasonography, bioelectrical impedance analysis, and dual x-ray absorptiometry offer accurate measurements of skeletal muscle mass, adipose tissue, and edema, helping to diagnose conditions like malnutrition.
  • - Understanding the pros and cons of each assessment technique is crucial for effective clinical application, as discussed in this review of relevant scientific literature and the necessary considerations for implementation.
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Objective: To evaluate the intra- and inter-reliability and the ease of measuring the quadriceps muscle thickness using bedside ultrasound.

Methods: This is a prospective, observational study. The assessment of quadriceps muscle thickness was performed at two reference points and was quantified using portable B-mode ultrasound in two healthy volunteers.

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