Greater level of physical activity associated with better cognitive function in hemodialysis in end stage renal disease

Patients with chronic kidney disease (CKD) have a lower exercise tolerance and poor functional capacity, carry on a sedentary lifestyle. Another important change found in patients with CKD is cognitive dysfunction. Physical inactivity has been associated with cognitive dysfunction in the general population, but few studies have evaluated this association in CKD. To assess the association between physical activity and cognitive function in patients with CKD on hemodialysis (HD). We evaluated 102 patients undergoing HD. The participants completed the International Physical Activity Questionnaire, which assesses the level of physical activity and the Mini Mental State Examination, used for cognitive screening. Patients were divided into three groups according to their level of physical activity (GI: active/GII: irregularly active/GIII: sedentary). It was applied logistic regression analysis and adopted as outcome variable the presence of cognitive impairment and preserving as independent variables those with a probability of statistical difference between groups of less than 0.1. It was considered statistically significant when p less than 0.05. The groups were similar in age, duration of HD, and smoking. Statistically significant difference regarding race, body mass index, diabetes mellitus, underlying disease and degree of cognitive impairment. Regarding laboratory data, the groups differed in terms of creatinine, glucose, hemoglobin and hematocrit. There was significant association with better physical activity and cognitive function, even adjusting for confounding variables. the highest level of physical activity was associated with better cognitive function in CKD patients undergoing HD.

Icodextrin reduces insulin resistance in non-diabetic patients undergoing automated peritoneal dialysis: results of a randomized controlled trial (STARCH)

Insulin resistance is a common risk factor in chronic kidney disease patients contributing to the high cardiovascular burden, even in the absence of diabetes. Glucose-based peritoneal dialysis (PD) solutions are thought to intensify insulin resistance due to the continuous glucose absorption from the peritoneal cavity. The aim of our study was to analyse the effect of the substitution of glucose for icodextrin on insulin resistance in non-diabetic PD patients in a multicentric randomized clinical trial. This was a multicenter, open-label study with balanced randomization (1:1) and two parallel-groups. Inclusion criteria were non-diabetic adult patients on automated peritoneal dialysis (APD) for at least 3 months on therapy prior to randomization. Patients assigned to the intervention group were treated with 2L of icodextrin 7.5%, and the control group with glucose 2.5% during the long dwell and, at night in the cycler, with a prescription of standard glucose-based PD solution only in both groups. The primary end-point was the change in insulin resistance measured by homeostatic model assessment (HOMA) index at 90 days. Sixty patients were included in the intervention (n = 33) or the control (n = 27) groups. There was no difference between groups at baseline. After adjustment for pre-intervention HOMA index levels, the group treated with icodextrin had the lower post-intervention levels at 90 days in both intention to treat [1.49 (95% CI: 1.23-1.74) versus 1.89 (95% CI: 1.62-2.17)], (F = 4.643, P = 0.03, partial η(2) = 0.078); and the treated analysis [1.47 (95% CI: 1.01-1.84) versus 2.18 (95% CI: 1.81-2.55)], (F = 7.488, P = 0.01, partial η(2) = 0.195). The substitution of glucose for icodextrin for the long dwell improved insulin resistance measured by HOMA index in non-diabetic APD patients.

Spironolactone is secure and reduces left ventricular hypertrophy in hemodialysis patients

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Red-fleshed sweet orange juice improves the risk factors for metabolic syndrome

Orange juice consumption can promote lower levels of oxidative stress and inflammation due to the antioxidant activity of citrus flavonoids and carotenoids. In addition, red-fleshed sweet orange juice (red orange juice) also contains lycopene. This study investigated the effects of red orange juice consumption on risk factors for metabolic syndrome. Volunteers consumed red orange juice daily for 8 weeks, with clinical and biochemical assessments performed at baseline and on the final day. There was no change in the abdominal obesity, but low-density lipoprotein cholesterol, C-reactive protein decreased, while there was an increase of the antioxidant activity in serum after red orange juice consumption. Insulin resistance and systolic blood pressure were reduced in normal-weight volunteers, while diastolic blood pressure decreased in overweight volunteers after intervention. Red orange juice showed anti-inflammatory, antioxidant, and lipid-lowering properties that may prevent the development of metabolic syndrome.

Anthropometric indicators predict metabolic syndrome diagnosis in maintenance hemodialysis patients

Obesity has been considered the key in metabolic syndrome (MetS) development, and fat accumulation may be responsible for the occurrence of metabolic abnormalities in hemodialysis patients. The use of gold-standard methods to evaluate obesity is limited, and anthropometric measures may be the simplest methods. However, no study has investigated the association between anthropometric indexes and MetS in these patients. Therefore, the aim was to determine which anthropometric indexes had the best association and prediction for MetS in patients undergoing hemodialysis. Cross-sectional study that included patients older than 18 years, undergoing hemodialysis for at least 3 months. Patients with liver disease and cancer or those receiving corticosteroids or antiretroviral therapy were excluded. Diagnostic criteria from Harmonizing Metabolic Syndrome were used for the diagnosis of MetS. Anthropometric indexes evaluated were body mass index (BMI); percent standard of triceps skinfold thickness and of middle arm muscle circumference; waist circumference (WC); sagittal abdominal diameter; neck circumference; waist-to-hip, waist-to-thigh, and waist-to-height ratios; sagittal index; conicity index; and body fat percentage. Ninety-eight patients were included, 54.1% male, and mean age was 57.8 ± 12.9 years. The prevalence of MetS was 74.5%. Individuals with MetS had increased accumulation of abdominal fat and general obesity. Waist-to-height ratio was the variable independently associated with MetS diagnosis (odds ratio, 1.21; 95% confidence interval, 1.09-1.34; P < .01) and that better predicts MetS, followed by WC and BMI (area under the curve of 0.840, 0.836, and 0.798, respectively, P < .01). Waist-to-height ratio was the best anthropometric predictor of MetS in maintenance hemodialysis patients.

Formas orgânicas e inorgânicas de fósforo no solo em função de plantas de cobertura e de adubação nitrogenada

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

As barreiras comerciais e o meio ambiente: o comércio brasileiro com a América do Norte e União Europeia diante de notificações ambientais

Os movimentos conservacionistas, desde a década de 80, impulsionam a predileção por produtos cujos fabricantes visam à sustentabilidade, ou seja, à degradação mínima do meio ambiente na produção e no consumo da sociedade atual, de modo a não comprometer os recursos naturais para as gerações futuras. Essa tendência fez países, a início os desenvolvidos, criarem regras, regulamentos ou normas de produção visando à preservação ambiental, a serem seguidas na produção por outros países com quem desejam estabelecer comércio. O que pode se configurar, principalmente para os países em desenvolvimento, uma barreira comercial - geralmente não tarifária - difícil de transpassar. O Brasil, como país em desenvolvimento e grande fornecedor de produtos primários para o exterior, enfrenta frequentemente essas barreiras comerciais com propósitos ambientais, muitas vezes de forma não planejada. Isso provoca, especialmente em pequenas e médias empresas, um aumento dos custos de produção e dificuldades de competir no mercado internacional. Este trabalho procura expor os principais produtos que sofrem notificações ambientais, mais especificamente dos Acordos SPS e TBT, e estabelecer uma relação entre essas notificações e a pauta exportadora brasileira durante o período de 1997 a 2014

Transtorno de ansiedade social e insatisfação com a imagem corporal em estudantes de medicina: prevalência e fatores associados

Pós-graduação em Saúde Coletiva - FMB

Explicação e argumentação na linguagem da criança: diferenças e intersecções em dois estudos de caso

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Circunferência da cintura ou abdominal? uma revisão crítica dos referenciais metodológicos

Embora haja consenso sobre a validade e facilidade do uso da antropometria na classificação da obesidade abdominal, ainda não existe consenso sobre a nomenclatura da medida e os sítios anatômicos para sua obtenção. Desta forma, o objetivo deste estudo foi analisar de forma crítica o uso da circunferência da cintura ou abdominal em adultos para aferição da obesidade abdominal. Foi realizada uma revisão sistemática a partir de busca em bases de dados indexadas MEDLINE (PubMed) e Scientific Eletronic Library Online (SciELO). Foram revisados artigos publicados no período compreendido entre 2003 e 2009. Quanto à nomenclatura, apesar dos National Institutes Health tratarem circunferência da cintura e abdominal como sinônimos, os pesquisadores internacionais, tem preferido o uso do termo circunferência da cintura. Quanto ao sítio anatômico para a medida, falta ainda consenso entre os pesquisadores e orientação da International Diabetes Federation (IDF). Considerando que os atuais pontos de corte para as populações de origem européia foram elaborados a partir dos sítios anatômicos estabelecidos pela OMS 1989, torna-se razoável a adoção desta referência. Sobre os pontos de corte, a proposta da IDF representa resultado de um consenso internacional e avalizado pela Sociedade Brasileira de Cardiologia.

Fresh and commercially pasteurized orange juice: an analysis of the metabolism of flavonoid compounds

Orange juice is a rich source of flavonoids, mainly the flavanones hesperidin and narirutin, associated with health benefits in humans. The objective of this study was to analyze the uptake of flavonoids in humans after the consumption of two types of orange juice, fresh squeezed (fresh juice, FJ) and commercially extracted and pasteurized (processed juice, PJ). Preliminary measurements showed that the main flavanones in PJ were approximately three-fold higher than in FJ. This study involved healthy volunteers including 12 men and 12 women, aged 27 ± 6, with a BMI of 24 ± 3 kg/m2. Volunteers drank 11.5 mL/kg body weight of fresh orange juice, and after an interval of 30 days they drank the same quantity of pasteurized orange juice. Urine was collected from each volunteer during 24 hours following juice consumption. Urine metabolites were recovered by solid phase extraction, and measured by HPLC–ESI–MS. Analyses of the urine samples showed high concentrations of glucuronic acid and sulfate conjugates of hesperetin and naringenin. The data indicate that the concentrations of the flavanone metabolites following consumption of PJ were approximately three times higher than for FJ, thus matching the relative doses of these compounds in the juices provided to the volunteers.

Ingestão regular do suco de laranja vermelha reduz pressão arterial de adultos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Proposta de gestão ambiental para o Instituto Federal de Educação, Ciência e Tecnologia do Piauí, campus Teresina Central

Pós-graduação em Geografia - IGCE

Design de superfície - abordagem qualitativa para fachadas corporativas

This paper reports the stage of a research on the corporate identity in commercial buildings. The objective of the research is to develop a system that aims to help the designer to enhance the transmission of the brand identity on the construction. At this step, we looked for the ascertainment of the variables that contribute to it in buildings considered as icons of brand identification in the building. And this paper also presents an analysis of a flagship located in Tokyo, from the Dior brand, which we used Surface Design techniques, combining cultural studies to geometric modeling, to Gestalt and Semiotics.