Impacto de intervenção nutricional no controle dos níveis pressóricos e metabólicos de pacientes hipertensos em acompanhamento na atenção primária de saúde do município de São Luís MA

A hipertensão é uma das principais causas de morbidade e mortalidade no Brasil. Os hipertensos muitas vezes apresentam perfil lipídico e glicidico desfavoráveis. A alimentação pode desempenhar um papel importante na redução da pressão arterial (PA) e no perfil lipídico e controle glicêmico desses pacientes. Avaliar o impacto de uma intervenção nutricional adaptada ao padrão alimentar brasileiro no controle dos níveis pressóricos e metabólico de pacientes hipertensos em acompanhamento em um serviço de atenção primária de saúde do município de São Luís do Maranhão. Metodologia: ensaio clínico randomizado utilizando uma dieta de baixo índice glicêmico combinada ao aumento do consumo de frutas, vegetais, grãos integrais e laticínios desnatados que são os princípios do Dietary Approach to Stop Hypertension (dieta DASH). Foram alocados randomicamente 206 pacientes hipertensos que foram acompanhados por 6 meses. O grupo controle (GC, n=101) recebeu aconselhamento padrão, focado na redução da ingestão de sal. Resultados: Dos 206 pacientes randomizados, 156 (37 homens, 119 mulheres) completaram o estudo. A idade média dos participantes foi de 60,1 (DP 12,9) anos. Após 6 meses, houve redução na média da pressão arterial sistólica (PAS) em 14,4 mmHg e na diastólica (PAD) de 9,7 mmHg no grupo experimental (GE), em comparação a 6,7 mmHg e 4,6 mmHg, respectivamente, no GC. Após o ajuste para mudança de peso corporal, PA na linha de base e idade, essas diferenças entre os grupos foram de aproximadamente 9,2 mmHg e 6,2 mmHg, respectivamente. Ocorreram tambem variações estatisticamente significantes na excreção urinária de sódio, reduzida em 43,4 mEq/24 h no GE, bem como o colesterol total (-46.6mg/dl) , LDL colesterol (-42.5mg/dl), triglicérides (-31.3mg/dl), glicemia de jejum (-9.6mg/dl ) e hemoglobina glicada (-0,1%). O consumo alimentar modificou-se no GE com aumento do consumo de vegetais, passando de 2,97 para 5,85 ; frutas (4,09-7,18); feijão (1,94-3,13) e peixes (1,80 para 2,74). Modificações importantes relacionadas à redução significativa de carboidratos, teor lipídico e carga glicêmica da dieta, foram observadas. Conclusão: Este estudo mostrou a viabilidade e a eficácia de uma abordagem dietética com base no padrão alimentar brasileiro, na redução da PA e parâmetros bioquímicos inadequados, podendo causar um grande impacto na saúde pública.

Review of aquaculture and fish consumption in Bangladesh

Fish play a crucial role in the Bangladeshi diet, providing more than 60% of animal source food, representing a crucial source of micro-nutrients, and possessing an extremely strong cultural attachment. Fish (including shrimp and prawn) is the second most valuable agricultural crop, and its production contributes to the livelihoods and employment of millions. The culture and consumption of fish therefore has important implications for national food and nutrition security, poverty and growth. This review examines the current state of knowledge on the aquaculture sector and fish consumption in Bangladesh, based on extensive analysis of secondary sources (including unpublished data unavailable elsewhere), consultation with various experts and specially conducted surveys.

Environmental quality standards to protect identified uses of controlled waters: salmonid fisheries, cyprinid fisheries, migratory fisheries, commercial harvesting of marine fish for public consumption, commercial harvesting of shellfish for for public consumption

This report considers the development of environmental quality standards (EQSs) for the salmonid fishery, cyprinid fishery, migratory fishery, commercial harvesting of marine fish for public consumption and commercial harvesting of shellfish for public consumption uses of controlled surface waters. Previous reports have been used to identify those parameters necessary for the maintenance of these five uses. Each water use is considered in a separate section within which identified parameters are discussed and standards proposed, a summary of the proposed standards is presented at the beginning of the relevant section. For salmonid, cyprinid and migratory fisheries, EQSs for substances in water have been proposed for the protection of these fisheries. For the commercial harvesting of marine fish and shellfish for public consumption uses 'Warning Levels' of substances in waters have been proposed. These 'Warning Levels' have been proposed by considering data on bioaccumulation and food standards and aim to prevent acceptable intake values and concentrations in fish/shellfish flesh exceeding statutory or recommended levels. For the commercial harvesting of marine fish for public consumption it has been concluded that the current EQSs for most List II substances for the protection of salt water life should be adequately stringent to protect this use, however for the commercial harvesting of shellfish for public consumption, these List II EQSs do not appear adequate to protect this use and more stringent 'Warning Levels' have been proposed. For all five uses considered in this report there has been found to be limited information on a number of the parameters considered and in general for indigenous species, this has been found to be especially so when considering migratory fisheries and the commercial harvesting of marine fish and shellfish.

A comparative study of consumption rates and preference for some species of aquatic plants by Tilapia rendalli

The daily consumption rates and preference of juvenile Tilapia rendalli for some macrophytes, Ceratophyllum demersum, Lagarosiphon major, Najas pectinatas and Valisneria aethiopica were determined. Fish were offered single macrophyte diets to determine daily consumption and a mixture of the 4 macrophytes in equal quantities to determine selection. Consumption rates were 821.50 mg, 829.05 mg, 940.00 mg and 2293.53 mg per fish per day, respectively. The differences in consumption rates were significant. Preference was shown for V.aethiopica, whilst C.demersum was least selected. Fish fed on single species lost weight whereas those fed on a variety of macrophytes gained in weight.

Feeding ecology of Atlantic bluefin tuna (Thunnus thynnus) in North Carolina: diet, daily ration, and consumption of Atlantic menhaden (Brevoortia tyrannus)

Diet, gastric evacuation rates, daily ration, and population-level prey demand of bluefin tuna (Thunnus thynnus) were estimated in the continental shelf waters off North Carolina. Bluefin tuna stomachs were collected from commercial fishermen during the late fall and winter months of 2003–04, 2004–05, and 2005–06. Diel patterns in mean gut fullness values were used to estimate gastric evacuation rates. Daily ration determined from mean gut fullness values and gastric evacuation rates was used, along with bluefin tuna population size and residency times, to estimate population-level consumption by bluefin tuna on Atlantic menhaden (Brevoortia tyrannus). Bluefin tuna diet (n= 448) was dominated by Atlantic menhaden; other teleosts, portunid crabs, and squid were of mostly minor importance. The time required to empty the stomach after peak gut fullness was estimated to be ~20 hours. Daily ration estimates were approximately 2% of body weight per day. At current western Atlantic population levels, bluefin tuna predation on Atlantic menhaden is minimal compared to predation by other known predators and the numbers taken in commercial harvest. Bluefin tuna appear to occupy coastal waters in North Carolina during winter to prey upon Atlantic menhaden. Thus, changes in the Atlantic menhaden stock status or distribution would alter the winter foraging locations of bluefin

Estimating consumption rates of juvenile sandbar sharks (Carcharhinus plumbeus) in Chesapeake Bay, Virginia, using a bioenergetics model*

Using a bioenergetics model, we estimated daily ration and seasonal prey consumption rates for six age classes of juvenile sandbar sharks (Carcharhinus plumbeus) in the lower Chesapeake Bay summer nursery area. The model, incorporating habitat and species-specific data on growth rates, metabolic rate, diet composition, water temperature (range 16.8−27.9°C), and population structure, predicted mean daily rations between 2.17 ±0.03 (age-0) and 1.30 ±0.02 (age-5) % body mass/day. These daily rations are higher than earlier predictions for sandbar sharks but are comparable to those for ecologically similar shark species. The total nursery population of sandbar sharks was predicted to consume ~124,000 kg of prey during their 4.5 month stay in the Chesapeake Bay nursery. The predicted consumption rates support the conclusion that juvenile sandbar sharks exert a lesser top-down effect on the Chesapeake Bay ecosystem than do teleost piscivores and hu

Fish consumption pattern in major freshwater fisheries provinces of Cambodia

Production and consumption of fish were estimated for a one year period during 1995-96 using a sample of 5 117 households. The sample was taken from a study area covering 83 sample communes in 51 fishing districts belonging to eight freshwater fisheries provinces. About 39% of households in fishing dependent communities were actively involved in fishing. Of the total fishing households, 14% took part in commercial fishing using middle-scale fishing gear. Average annual catch per household for middle-scale and family fishing was 3 319 kg and 647 kg, respectively. Nearly 40% of the fish catch was consumed within the communes. The per capita consumption of fresh fish by fishing households (49.7 kg/yr) was higher than that of non-fishing households (39.9 kg/yr). Including processed fish, the total fish consumption by the fishing dependent communes was estimated at 75.6 kg per capita per annum. Given this high rate of fish consumption, development interventions must consider the role of fisheries in ensuring a sustainable livelihood and food security to Cambodia's growing population.

Consumption to biomass (Q/B) ratio and estimates of Q/B-predictor parameters for Caribbean fishes

Estimates of the Q/B ratio and parameters of equations to 'predict' Q/B values for 116 fish stocks in the Gulf of Salamanca, Colombia are presented. A compilation of these estimates available for Caribbean Sea fishes (264 stocks) is also provided for comparison purposes. General trends in the value of Q/B resulting from differences in the equation and parameter values used are briefly discussed.

Estimating the food consumption of fishes: one step in linking a species with its ecosystem

Details are given of a new software package MAXIMS which may be used to estimate the daily food consumption of fish. The software estimates the feeding times, the rates of ingestion and evacuation and related parameters. Two applications of the program are described. The first pertains to anchovy (Engraulis ringens ) with one feeding period per day, and the second one to juvenile cod (Gadus morhua ), which feed during dawn and dusk.

Food consumption/biomass ratios of the pelagic fish community of Lake Malawi/Niassa

An empirical model relating food requirements to morphometric indices of metabolic rate was used to calculate consumption/biomass ratios (Q/B) for 16 species of fish that make the pelagic fish community in Lake Malawi/Niassa. The Q/B/year varied from 3.31 to 9.82, with the large catfish (Dinotopterus nyasensis) having the lowest and a small cyprinid (Engraulicypris sardella) having the highest Q/B ratio. Direct estimates of Q/B for four of the most abundant species, based on analysis of diel feeding patterns, ranged from 4.20 to 24.70; the extreme values in this range representing replicate studies on the same species, the predatory cichlid Rhamphochromis longiceps. Previous studies that indicated exceptionally low Q/B ratios (1.0) in pelagic cichlids from Lake Malawi are not supported by this more recent work.

Dieta hiperlipídica materna, tecido adiposo, fígado, metabolismo de carboidratos e sinalização central de leptina na prole de camundongos C57BL/6

O consumo materno de dieta hiperlipídica saturada durante a gestação e lactação favorece o desenvolvimento obesidade e anormalidades metabólicas na prole. Este trabalho teve como objetivo testar a hipótese de que a prole proveniente de mães alimentadas com dieta hiperlipídica durante a gestação e lactação desenvolve obesidade e anormalidades metabólicas e de que essas alterações estão associadas a resistência central a leptina. As ratas grávidas da linhagem C57BL/6 (n=20) foram alimentadas com dieta standard chow (SC; 19% de lipídeos) ou dieta hiperlipídica (HF; 49% de lipídeos) durante todo período de gestação e lactação. Após o desmame, a prole de machos foi dividida em quatro grupos experimentais, de acordo com a dieta das mães e da prole: SC(mães)/SC(prole), SC/HF, HF/SC e HF/HF (n=12/gp). As características metabólicas foram avaliadas pela curva de ganho de peso; medida da pressão arterial; glicose de jejum, área sob a curva no teste oral de tolerância a glicose; concentrações de triglicerídeos hepáticos e estimativa da esteatose hepática; análise plasmática de insulina e leptina e; distribuição e análise morfológica do tecido adiposo. Para analisar a sensibilidade a leptina, os quatro grupos originais foram subdivididos em dois grupos cada (veículo ou leptina-5g) para verificar a resposta alimentar (g) após o tratamento agudo intracerebroventricular (ICV) e a sinalização hipotalâmica de leptina. A dieta HF durante o período pós-desmame (grupo SC/HF), durante gestação e lactação (grupo HF/SC), ou ambos os períodos (grupo HF/HF), promoveu aumento da massa corporal. No que concerne as alterações hepáticas e a ação da insulina, a dieta HF durante o período perinatal favoreceu 25% de esteatose hepática, hiperinsulinemia e hiperleptinemia, enquanto os demais grupos experimentais SC/HF e HF/HF, demonstraram um padrão mais exacerbado. A avaliação da distribuição e morfometria do tecido adiposo demonstra o importante papel da dieta HF perinatal em amplificar a habilidade de estocar gordura visceral na prole. Considerando a ação central da leptina nos grupos tratados, a resposta alimentar mostrou-se atenuada em SC/HF, indicando o efeito determinante da dieta pós-desmame sobre a ação da leptina nesse modelo. Os resultados indicam fortemente que a dieta HF materna afeta a saúde da prole adulta. Especificamente, a prole programada apresenta esteatose hepática, hipertrofia de adipócitos, aumento de gordura visceral, hiperleptinemia e resistência a insulina. Esse fenótipo não está associado a resistência central a leptina na prole aos três meses de idade.

Fenofibrato (agonista PPAR-alfa) induz a formação de células beges no tecido adiposo branco subcutâneo em camundongos obesos induzidos por dieta

O atual quadro de obesidade instalado no mundo estimula o estudo em busca de seu tratamento. O fenofibrato, um agonista PPAR-α, é usado atualmente para tratar a dislipidemia. No entanto, efeitos pleiotrópicos sobre a perda de massa corporal (MC) e redução nos depósitos de gordura necessitam de maiores estudos. O objetivo do trabalho foi examinar os efeitos do agonista PPAR-α fenofibrato sobre o gasto energético, MC, metabolismo de carboidratos, perfil secretor de adipocinas, plasticidade e termogênese do tecido adiposo branco subcutâneo (TABs) em camundongos com obesidade induzida por dieta. Este experimento foi aprovado pelo Comitê de Ética para Experimentação Animal local sob o protocolo CEUA/032/2013. Camundongos machos C57BL/6 de 3 meses foram divididos em dois grupos: dieta padrão (SC, 10% lipídios) e dieta hiperlipídica (HF, 50% de lipídios), as quais foram administradas durante 10 semanas para induzir o sobrepeso. Em seguida, foi iniciado o tratamento com fenofibrato (100 mg/kg MC, adicionado à dieta), formando quatro grupos: SC, SC-F, HF, HF-F. O tratamento teve duração de cinco semanas, com o total de 15 semanas de experimento. A análise estatística utilizou teste t de student no pré-tratamento e one way ANOVA seguida pelo pós-teste de Holm-Sidak durante o tratamento. O two way ANOVA foi utilizado para testar possíveis interações entre dieta e tratamento. O nível de significância P<0,05 foi considerado estatisticamente significativo. O grupo HF apresentou sobrepeso, resistência à insulina, além de remodelamento do tecido adiposo branco subcutâneo (TABs). O fenofibrato atenuou significativamente estes parâmetros (P<0,05). Os grupos tratados apresentaram formação de células beges no TABs, confirmado através de maior expressão gênica do PPAR-α, PPAR-β, PGC1-α, BMP8, UCP-1, PRDM16 e FNDC5/Irisina nos grupos tratados do que em suas contrapartes (P<0,05). O tratamento com fenofibrato também foi capaz de aumentar os niveis plasmáticos de FNDC5/Irisina em ambos os grupos tratados (P<0,005). Os grupos SC-F e HF-F apresentaram aumento do gasto energético, a produção de CO2 e consumo de O2 após o tratamento com fenofibrato (P<0,05). A ativação do PPAR-α parece ser fundamental para provocar browning através da indução da irisina e da transcrição de UCP-1. O fenofibrato restaurou a MC, a sensibilidade à insulina e a morfometria do TABs. Relevantemente, o fenofibrato aumentou a expressão de genes tipicamente expressos no tecido adiposo marrom no TABs, evidenciando a plasticidade do TABs em células beges com capacidade termogênica, caracterizando o browning.

Improving aquaculture feed in Bangladesh: From feed ingredients to farmer profit to safe consumption

Use of manufactured feeds in aquaculture in Bangladesh has grown rapidly over the last five years. More than 1 million tonnes of commercially formulated feeds and 0.3-0.4 million tonnes of farm-made feeds were produced in 2012, and sectoral growth is projected to increase substantially over the medium term. This working paper summarizes findings from a study, conducted as part of the WorldFish/USAID “Feed the Future-Aquaculture” project in 2012, assessing the current status of the aquaculture feed sector in Bangladesh. Fish feed value chains, market trends, ingredients and formulation systems, farm feeding practices, ancillary services and feed regulations were investigated. The study identifies a number of entry points for interventions in the sector, and investments which would improve feed quality and farmer access to better feeds and support the growth of sustainable aquaculture.