Resumo O ácido valproico associado ao valproato de sódio (VPA) é um importante agente anticonvulsivo usado há décadas no tratamento de distúrbios neurológicos. Também atua como um modulador epigenético ao inibir as desacetilases de histonas, permitindo a acetilaçao de histonas, afetando o estado de metilação do DNA e das histonas e a expressão gênica, e induzindo a remodelação da cromatina. Os insetos representam um importante modelo animal para estudos em diversas áreas da ciência e dada a sua alta plasticidade fenotípica os torna modelos alternativos para estudos epigenéticos e de resposta a agentes moduladores epigenéticos. Esta breve revisão enfatiza relatos recentes sobre epigenética em insetos e a contribuição de estudos sobre a ação do VPA nesse grupo animal, incluindo efeitos sobre marcadores epigenéticos, estendendo a compreensão farmacológica do potencial desta droga e demonstrando a utilidade dos insetos como um modelo animal alternativo para estudos de drogas.

Abstract Valproic acid in association with sodium valproate (VPA) is an important anticonvulsant drug used for decades to treat neurological disorders. VPA also acts as an epigenetic modulator by inhibiting histone deacetylases, permitting histone acetylation, affecting the DNA and histone methylation status and gene expression, and inducing chromatin remodeling. Insects represent an important animal model for studies in several areas of science. Their high phenotypic plasticity makes them alternative models for epigenetic studies. This brief review emphasizes recent reports on insect epigenetics and the contribution of studies on the VPA action in insects, including effects on epigenetic markers, extending the pharmacological understanding of the potential of this drug, and demonstrating the usefulness of insects as an alternative animal model to drug studies.

Abstract Objectives Evidence suggests that ketamine’s influence on brain-derived neurotrophic factor (BDNF) might be involved in its mechanism of rapid antidepressant action. We aimed to evaluate the differential impact of ketamine and esketamine on serum BDNF levels and its association with response patterns in treatment-resistant depression (TRD). Methods Participants (n = 53) are from a randomized, double-blind clinical trial comparing the efficacy of single-dose ketamine (0.5mg/kg, n = 27) and esketamine (0.25mg/kg, n = 26) in TRD. Depression severity was assessed before and 24 hours, 72 hours, and 7 days after the intervention, using the Montgomery-Åsberg Depression Rating Scale (MADRS). Blood samples were collected before infusion, 24 hours, and 7 days afterwards. Results There were no significant changes in BDNF levels at post-infusion evaluation points, and no difference in BDNF levels comparing ketamine and esketamine. Both drugs exhibited similar therapeutic effect. There was no association between BDNF levels and response to treatment or severity of depressive symptoms. Conclusion There was no significant treatment impact on BDNF serum levels – neither with ketamine nor esketamine – despite therapeutic response. These results suggest that ketamine or esketamine intervention for TRD has no impact on BDNF levels measured at 24 hours and 7 days after the infusion. This clinical trial is registered on the Japan Primary Registries Network: UMIN000032355.

ABSTRACT Scarabeoidea (Insecta: Coleoptera) present more than 2000 species recorded from all over Brazil. They have been scarcely recorded from caves, and truly troglobitic species are yet to be found in the country. In this study, we carried out a review of all existing scarab beetles deposited until 2017 in the Coleção de Invertebrados Subterrâneos de Lavras (ISLA), at the Universidade Federal de Lavras (UFLA) (Minas Gerais, Brazil), one of the most important collections of subterranean invertebrates in South America. Ninety-two individuals belonging to 52 species were recorded, distributed in six families (Cetoniidae, Hybosoridae, Melolonthidae, Passalidae, Scarabaeidae and Trogidae). Scarabaeidae was the most diverse of them, representing more than 50% of the total of species recorded. We found Scarabeoidea beetles in 51 of the ~ 1600 caves examined, distributed in nine Brazilian states: Alagoas, Bahia, Distrito Federal, Espírito Santo, Goiás, Minas Gerais, Pará, Piauí, and Tocantins. Our results provide evidence that Scarabaeoidea beetles are not frequent in Brazilian caves, and their records in this kind of environment are mostly accidental. Exceptions include Trogidae and Aphodiinae species, which may be associated with bat guano. Our study presents the first list of Scarabaeoidea species sampled in Brazilian caves.

Resumo Objetivo: Avaliar o impacto de uma intervenção nutricional no estado nutricional, no consumo de alimentos ultraprocessados e na qualidade de vida de adolescentes com excesso de peso. Métodos: Estudo experimental, realizado com escolares com excesso de peso, que foram divididos em dois grupos, intervenção e controle. A intervenção nutricional durou seis meses, com abordagem educativa e motivacional. Foram avaliados, antes e após o período, estado nutricional (circunferência da cintura e índice de massa corporal), qualidade de vida e consumo de alimentos ultraprocessados. Resultados: Participaram 62 adolescentes com sobrepeso ou obesidade, 37 do grupo intervenção e 25 do grupo controle, 13,2 ± 1,5 anos no grupo intervenção e 13,0 ± 1,8 anos no grupo controle, ambos com maior participação do sexo feminino. No índice de massa corporal houve mudanças [grupo intervenção (variação de −0,81 ± 2,28); grupo controle (variação de −0,64 ± 1,28)] e circunferência da cintura para os grupos intervenção (variação de −3,31 ± 5,47). No consumo de alimentos ultraprocessados pré e pós, houve redução significativa no grupo intervenção do consumo de refrigerante [variação de −0,07 (−0,27 a 0,00)], macarrão instantâneo [variação de −0,03 (−0,07 a 0,00)] e bolacha recheada [variação de −0,06 (−0,26 a 0,00)]. A qualidade de vida aumentou no grupo intervenção e reduziu no grupo controle, sem relevância estatística intra (p = 0,162) ou entre grupos pré (p = 0,426) e pós (0,249), reduziu a pontuação do domínio emocional, com variação significativa no grupo intervenção (pré e pós) (Δ−19,0 ± 40,6). Conclusão: Obteve-se uma diminuição do índice de massa corporal e circunferência da cintura (obesidade central mais relacionada com resistência insulínica), diminuição de alimentos ultraprocessados (refrigerante, biscoito recheado e macarrão instantâneo), tendência de melhoria da qualidade de vida (contudo, diminuição dos domínios da qualidade de vida emocional e escolar).

Abstract Objective: To evaluate the impact of a nutritional intervention on nutritional status, ultra-processed food consumption, and quality of life of adolescents with excess weight. Methods: Experimental study with adolescent students with excess weight, divided into two groups, an intervention group and a control group. The nutritional intervention lasted six months, with an educational and motivational approach. Nutritional status (waist circumference and body mass index), quality of life, and ultra-processed food consumption were evaluated before and after the period. Results: Sixty-two adolescents with overweight or obesity participated in the study, 37 in the intervention group and 25 in the control group, aged 13.2 ± 1.5 years in intervention group, and 13.0 ± 1.8 years in control group, both of which had a higher female participation. There were changes in the body mass index (intervention group Δ: −0.81 ± 2.28, control group Δ: −0.64 ± 1.28) and in the waist circumference for intervention group (Δ:−3.31 ± 5.47). For the pre- and post-ultra-processed food consumption, there was a significant reduction in the consumption of soft drinks in the intervention group (Δ: −0.07 [−0.27 to 0.00]), instant noodles (Δ: −0.03 [−0.07 to 0.00]), and sandwich cookies (Δ: −0.06 [−0.26 to 0.00]). The quality of life increased in the intervention group and decreased in the control group, with no intra- (p = 0.162) or intergroup statistical relevance in the pre- (p = 0.426) and post- (0.249) intervention period, with a reduction in the emotional domain score, with a significant variation in the intervention group (pre and post; Δ: −19.0 ± 40.6). Conclusion: There was a decrease in body mass index and waist circumference (central obesity being more often related to insulin resistance), reduction of ultra-processed food consumption (soft drinks, sandwich cookies, and instant noodles), and a tendency toward quality of life improvement (however, there was a decrease in the domains of emotional and school quality of life).

Resumo Apesar de muitos estudos sobre a ictiofauna do Arquipélago de Fernando de Noronha terem sido realizados, sua diversidade de peixes mesofóticos nunca foi estudada antes. Neste estudo utilizamos mergulho autônomo e mergulho técnico, vídeos subaquáticos remotos com isca e veículo operado remotamente para registrar peixes de ecossistemas rasos (≤ 30 m de profundidade) e mesofóticos (31 a 150 m de profundidade). Dezenove espécies de peixes pertencentes a 14 famílias são apresentadas aqui como novos registros, representando um aumento de 8,2% na riqueza de peixes marinhos da região, que agora possui um total de 250 espécies e 77 famílias. Esses novos registros incluem quatro prováveis novas espécies e reforçam a importância de estudos em ecossistemas mesofóticos. Nossos resultados também enfatizam a necessidade de proteção e atenção à essa ictiofauna única encontrada nesses ecossistemas profundos.

Abstract Although several studies on the ichthyofauna of the Fernando de Noronha Archipelago have been carried out, its mesophotic fish diversity has never been surveyed before. Here we used SCUBA and technical rebreather diving, baited remote underwater videos and remotely operated vehicle to record shallow (≤ 30 m depth) and mesophotic (31 to 150 m depth) fishes. Nineteen fish species belonging to 14 families are reported here as new records, representing an increase of 8.2% in marine fish richness for the region, which now has a total of 250 species and 77 families. These new records include four potential new species and highlight the importance of surveying mesophotic ecosystems, even in well studied sites. Our results also emphasize the need for protection and attention to the unique ichthyofauna found at mesophotic depths.

Sample preparation of polymers for halogen determination requires special attention because they are difficult to bring into solution and due to the risk of analyte losses when using acid digestion. A method using microwave-induced combustion (MIC) was optimized for accurate determination of halogens in polymeric parts obtained in waste of electrical and electronic equipment. Results were compared with those by using microwave-assisted extraction (MAE) with alkaline solution and microwave-assisted wet digestion (MAWD) using concentrated nitric acid, which are common choices for sample preparation. In this particular case, the MAE method was not suitable and underestimated results were obtained, showing the necessity for the complete digestion. Even with the use of MAWD under high temperature and pressure, incomplete digestion and high acid content were obtained, which were unsuitable for analysis and resulted in poor recovery. Only by using MIC (diluted ammonia as absorbing solution) acceptable recoveries (95 to 104%) and agreement with certified values for the certified reference materials (CRMs) of polymers were obtained. Thus, a suitable method for all halogen to be determined by ion chromatography (IC) or inductively coupled plasma mass spectrometry (ICP-MS), with the exception of F, was obtained in agreement with the requirements by the Restriction of the Use of Certain Hazardous Substances (RoHS) European directive.

Resumo Com o objetivo de avaliar aspectos da biologia reprodutiva da pequira Bryconamericus stramineus no elevador da represa do Funil - MG foram realizadas capturas entre os meses de novembro de 2008 a janeiro de 2009, sendo coletados 317 indivíduos. O comprimento padrão (CP) médio da população foi de 4,96 cm e peso médio de 1,80 g. As fêmeas apresentaram CP de 5,0 cm, enquanto que os machos obtiveram um CP de 4,6 cm. Foi observada proporção sexual de 2,20:1(fêmeas:macho). Dos indivíduos analisados, 73% foram considerados adultos. A espécie apresentou baixa fecundidade, com média de 470,9 ovócitos por fêmea e diâmetro médio de 221,08 μm, ocorrendo aumento no diâmetro de ovócitos com o decorrer do tempo no período avaliado. O comprimento de primeira maturação gonadal foi estimado em 5,0 cm. Os resultados obtidos neste trabalho sugerem que o ciclo reprodutivo da espécie ocorre no período analisado. Embora esta espécie não tenha hábitos reprodutivos migratórios, a presença de adultos no estágio reprodutivo foi observada na área de transposição, o que sugere a busca de novos ambientes para a reprodução.

Abstract In order to evaluate aspects of reproductive biology of the “pequira” ( Bryconamericus stramineus) in the elevator of the Funil Dam - MG, fish capture was carried out from November 2008 to January 2009 and 317 individuals were collected. The mean standard length (SL) of the population was 4.96 cm and mean weight 1.80 g. The females had SL of 5.0 cm, while males had a SL of 4.6 cm. A sex ratio of 2.20: 1 (females: male) was observed. Our results show that 73% of the individuals analyzed were considered adults. The species presented low fecundity, mean of 470.9 oocytes per female and a mean diameter of 221.08 μm, with an increase in oocyte diameter over the evaluation period. The length of the first gonadal maturation was estimated at 5.0 cm. The results obtained in this work suggest that the reproductive cycle of the species occurs in the analyzed period. Although this species does not have migratory reproductive habits, the presence of adults in the reproductive stage was observed in the transposition area, which suggests a search for new environments for spawning.

Resumo Objetivo: Identificar a qualidade de vida relacionada à saúde entre adolescentes com excesso de peso e fatores associados, como gênero, idade e categorias de peso. Método: Estudo transversal com dados coletados e secundários de 276 adolescentes entre 10 e 19 anos, com sobrepeso e obesidade, cujos responsáveis autorizaram a participação. Foram coletados dados antropométricos, desenvolvimento puberal e questionário PedsQL 4.0 para a avaliação da qualidade de vida relacionada à saúde. Os dados categóricos foram descritos por contagens e percentuais. Para a descrição das subescalas da qualidade de vida relacionada à saúde foram usadas medianas e percentis 25 e 75 e teste de Mann-Whitney para comparações entre grupos de faixa etária, gênero e categorias de peso. Resultados: A mediana do escore total da qualidade de vida relacionada à saúde foi de 78,3 (68,5-87,4). A menor escala foi o "escore emocional" 65 (50-80). Encontramos a qualidade de vida relacionada à saúde maior nos meninos na maioria dos escores (p < 0,05), exceto o "escore escolar" (p = 0,09). Quanto à faixa etária, a mediana dos "escores físico" (p = 0,03) e "escore social" (p = 0,02) foram significativamente menores no grupo menor de 14 anos. Ao separar as categorias de peso, percebe-se que os adolescentes obesos diferem significativamente com relação ao "escore físico" (p = 0,00); "escore escolar" (p = 0,04) e "escore total" (p = 0,02) da qualidade de vida relacionada à saúde. Contudo, não houve diferença significativa entre os escores emocional, social e psicossocial. Conclusões: Adolescentes com sobrepeso e obesidade têm prejuízos na qualidade de vida relacionada à saúde e também entre os diferentes domínios, quando separados por faixa etária, gênero e categorias de peso.

Abstract Objective: To identify health-related quality of life in adolescents with excess weight and associated factors, such as gender, age, and weight categories. Method: A cross-sectional study with collected and secondary data from 276 adolescents aged between 10 and 19 years with overweight and obesity, and whose parents or guardians authorized their participation. Anthropometric data, pubertal development, and the PedsQL 4.0 questionnaire were collected for the health-related quality of life assessment. Categorical data were described as numbers and percentages. For the description of health-related quality of life subscales, medians and the 25th and 75th percentiles were used, as well as the Mann -Whitney test for comparisons between age group, gender, and weight categories. Results: The median health-related quality of life total score was 78.3 (68.5 -87.4). The lowest scale was the "emotional score", 65 (50 -80). Higher health-related quality of life was found in boys in most of the scores (p < 0.05), except for the "school score" (p = 0.09). Regarding the age group, the median of the "physical scores" (p = 0.03) and "social score" (p = 0.02) were significantly lower in the group younger than 14 years. When separated according to weight categories, it was verified that obese adolescents differed significantly in relation to the "physical score" (p = 0.00), "school score" (p = 0.04), and "total score" (p = 0.02) of the health-related quality of life. However, there was no significant difference between the emotional, social, and psychosocial scores. Conclusions: Adolescents with overweight and obesity show losses in the health-related quality of life and also between the different domains, when separated by age, gender, and weight categories.

Resumo O controle higiênico e sanitário nas Unidades de Alimentação e Nutrição (UAN) é considerado um procedimento padrão para produzir refeições adequadas e reduzir o risco de doenças transmitidas pelos alimentos e infecções hospitalares. Este estudo teve como objetivo isolar e identificar bactérias de equipamentos e superfícies de contato com alimentos em uma UAN hospitalar, bem como avaliar a condição sanitária. Do mesmo modo, analisou-se a adesão dos micro-organismos em tábuas de corte de polietileno. A presença de micro-organismos aeróbios mesófilos, leveduras, fungos, Sthapylococcus coagulase-positivos, coliformes, coliformes fecais e Escherichia coli foi analisadas na superfície de mesas do refeitório, superfícies de bancada e tábuas de corte usadas para manuseio de carne ou vegetais e, em equipamentos como micro-ondas e refrigeradores. A identificação molecular foi feita pelo sequenciamento do gene 16S rRNA. A adesão dos micro-organismos (formação de biofilmes) em tábuas de corte de carne e de vegetais também foi avaliada por microscopia eletrônica de varredura. Os resultados mostraram elevada contagem para todos os micro-organismos analisados, exceto para E. coli, a qual não foi observada nas amostras. A análise molecular identificou espécies da família Enterobacteriaceae e Pseudomonadaceae. A análise de microscopia eletrônica de varredura revelaram adesão bacteriana nas superfícies das placsa de corte. Os resultados obtidos neste estudo indicaram que as condições higiênicas das superfícies e de equipamentos nesta UAN hospitalar estavam inadequadas. A aplicação de procedimentos operacionais padrão poderia auxiliar positivamente na padronização do controle higiênico-sanitário, reduzindo a contaminação microbiana e fornecendo um alimento seguro para pacientes hospitalizados.

Abstract The hygienic and sanitary control in Food and Nutrition Units (FNU) is considered a standard procedure to produce adequate meals and reduce the risk of foodborne diseases and hospital infections. This study aimed to evaluate the isolation and identification of bacteria from equipment and food contact surfaces in a hospital FNU as well as to evaluate the sanitary condition. Likewise, it was analyzed the adhesion of the microorganisms on polyethylene cutting boards. The presence of aerobic mesophilic microorganisms, yeasts, molds, coagulase-positive staphylococci, coliform and fecal coliform, and Escherichia coli were analyzed on eating tables, countertop surfaces and cutting boards used for meat or vegetable handling, and equipment such as microwaves and refrigerators. The molecular identification it was done by 16S rRNA gene sequencing. The adhesion of the microorganisms (biofilm formation) on meat and vegetable cutting boards was also evaluated by scanning electron microscopy. The results showed high numbers of all microorganisms, except for E. coli , which was not observed in the samples. The molecular analysis identified species of the Enterobacteriaceae family and species of the Pseudomonadaceae family. Scanning electron microscopy analyses revealed bacterial adhesion on the cutting board surfaces. The results obtained in this study indicated that the hygienic conditions of surfaces like plastic cutting boards and equipment in this hospital FNU were inadequate. The achievement and application of standard operating procedures could positively help in the standardization of sanitary control, reducing the microbial contamination and providing a safe food to hospitalized patients.

Objective: The aim of this study was to assess the effects of resistance exercise and stretching on sleep, mood, and quality of life in chronic insomnia patients. Methods: Three 4-month treatments included: resistance exercise (n=10), stretching (n=10), and control (n=8). Sleep was evaluated with polysomnography, actigraphy, and questionnaires. Mood and quality of life were assessed with the Profile of Mood States (POMS) and the Medical Outcomes Study Short-Form 36-Item Health Survey (SF-36), respectively. Results: There were no significant treatment differences between resistance exercise and stretching. However, compared with the control treatment, resistance exercise and stretching led to significantly greater improvements in Insomnia Severity Index scores (-10.5±2.3, -8.1±2.0 vs. 2.3±1.8, respectively), and actigraphic measures of sleep latency (-7.1±4.6, -5.2±1.9 vs. 2.2±2.1 min), wake after sleep onset (-9.3±2.8, -7.1±3.0 vs. 3.6±4.2 min), and sleep efficiency (4.4±1.8, 5.0±0.8 vs. -2.3±2%). Pittsburgh Sleep Quality Index (PSQI) global scores (-5.3±0.8, -3.9±1.5 vs. -0.1±0.8) and sleep duration (1.2±0.3, 1.6±0.6 vs. -0.1±0.2 h) also improved following both experimental treatments compared with control. PSQI-Sleep efficiency increased after resistance exercise compared with control (19.5±3.9 vs. 2.1±4.3%). No significant differences were observed in polysomnography or quality of life measures. Tension-anxiety was lower in the stretching group than the control group. Conclusion: Moderate-intensity resistance exercise and stretching led to similar improvements in objective and subjective sleep in patients with chronic insomnia. Clinical trial registration: NCT01571115

Abstract: Here we model and describe the wood volume of Cerrado Sensu Stricto, a highly heterogeneous vegetation type in the Savanna biome, in the state of Minas Gerais, Brazil, integrating forest inventory data with spatial-environmental variables, multivariate regression, and regression kriging. Our study contributes to a better understanding of the factors that affect the spatial distribution of the wood volume of this vegetation type as well as allowing better representation of the spatial heterogeneity of this biome. Wood volume estimates were obtained through regression models using different environmental variables as independent variables. Using the best fitted model, spatial analysis of the residuals was carried out by selecting a semivariogram model for generating an ordinary kriging map, which in turn was used with the fitted regression model in the regression kriging technique. Seasonality of both temperature and precipitation, along with the density of deforestation, explained the variations of wood volume throughout Minas Gerais. The spatial distribution of predicted wood volume of Cerrado Sensu Stricto in Minas Gerais revealed the high variability of this variable (15.32 to 98.38 m3 ha-1) and the decreasing gradient in the southeast-northwest direction.

ABSTRACT Heavy rainfall in conjunction with an increase in population and intensification of agricultural activities have resulted in countless problems related to flooding in watersheds. Among the techniques available for direct surface runoff (DSR) modeling and flood risk management are the Unit Hydrograph (UH) and Instantaneous Unit Hydrograph (IUH). This study focuses on the evaluation of predictive capability of two conceptual IUH models (Nash and Clark), considering their original (NIUH and CIUH) and geomorphological approaches (NIUHGEO and CIUHGEO), and their advantages over two traditional synthetics UH models - Triangular (TUH) and Dimensionless (DUH), to estimate DSR hydrographs taking as reference two Brazilian watersheds with contrasting geomorphological and climatic characteristics. The main results and conclusions were: i) there was an impact of the differences in physiographical characteristics between watersheds, especially those parameters associated with soil; the dominant rainfall patterns in each watershed had an influence on flood modeling; and ii) CIUH was the most satisfactory model for both watersheds, followed by NIUH, and both models had substantial superiority over synthetic models traditionally employed; iii) although geomorphological approaches for IUH had performances slightly better than TUH and DUH, they should not be considered as standard tools for flood modeling in these watersheds.

Antimicrobial packaging is a promising type of active packaging, which has an antimicrobial agent incorporated into the polymer matrix, capable to eliminate or inhibit deteriorating and/or pathogenic microorganisms. The zinc compounds are antimicrobial agents commonly used to confer this feature. The objective of this work was to evaluate the antimicrobial activity of biodegradable Ecoflex® films with 1% and 2% (w/w) zinc oxide nanoparticles (ZnO NPs) and 1% and 2% (w/w) glass microparticles doped with ionic zinc (Zn MCs), against Staphylococcus aureus and Escherichia coli. The sample’s biodegradation in soil also were studied. Microbiological results showed that biodegradable polymeric films obtained were effective to inhibit and/or kill S. aureus and E. coli at the initial concentration of 104 CFU.mL-1 after 24 h of contact. When evaluated the biodegradation of the polymers containing the additives, the results showed that the addition of zinc compounds to the biodegradable polymer did not affect its biodegradability characteristic. The antimicrobial biodegradable films developed have potential application to the food packaging industry.

Resumo Objetivo: Avaliar a possível relação entre hiperuricemia com aptidão cardiorrespiratória e o estado nutricional, agrupados, em escolares. Método: Estudo transversal com 2.335 escolares da educação básica de 7 a 17 anos, de ambos os sexos, estratificados por conglomerados de um munícipio do sul do Brasil. Foi calculado o índice de massa corporal (IMC) e a aptidão cardiorrespiratória (APCR) foi avaliada pelo teste de corrida/caminhada de 6 minutos. O IMC e a APCR foram agrupados em uma única variável, considerando: 1) baixo peso-normal/apto; 2) baixo peso-normal/inapto; 3) sobrepeso-obesidade/apto; 4) sobrepeso-obesidade/inapto. A regressão de Poisson (razão de prevalência; RP) foi usada para associação entre hiperuricemia e a relação APCR/IMC com intervalos de confiança de 95% e diferenças significativas consideradas para p < 0,05. Resultados: Observa-se associação, embora sutil, entre a presença de hiperuricemia com baixos níveis de APCR e a presença de excesso de peso, de forma agrupada. Meninos e meninas, com essa condição, têm maior prevalência de hiperuricemia (RP: 1,07; p = 0,007; RP: 1,10; p < 0,001, respectivamente), em comparação com seus pares com bons níveis de APCR e estado nutricional adequado. Conclusão: De forma conjunta, o excesso de peso e os baixos níveis de aptidão cardiorrespiratória estão associados com a presença de hiperuricemia em escolares.

Abstract Objective: To evaluate the possible association between hyperuricemia and cardiorespiratory fitness levels/nutritional profile, grouped into a single variable, in schoolchildren. Method: Cross-sectional study of 2335 students from Elementary schools, aged 7–17 years of both genders, stratified by conglomerates of a municipality in Southern Brazil. Body mass index (BMI) was calculated and cardiorespiratory fitness (CRF) was assessed by the 6-minute run/walk test. The BMI and CRF were grouped into a single variable, considering: (1) low and normal weight/fit; (2) low and normal weight/unfit; (3) overweight-obesity/fit; (4) overweight-obesity/unfit. The Poisson regression (prevalence ratio, PR) was used for the association between hyperuricemia and BMI/CRF ratio with 95% confidence intervals and differences were considered significant when p < 0.05. Results: There is an association, although subtle, between the presence of hyperuricemia with low levels of CRF and the presence of excess weight, when grouped into a single variable. Boys and girls with this condition have higher prevalence of hyperuricemia (PR: 1.07; p = 0.007 for boys; PR: 1.10; p < 0.001 for girls). Conclusion: Together, excess weight and low levels of cardiorespiratory fitness are associated with the presence of hyperuricemia in schoolchildren.

Resumo Fundamento: Sintomas depressivos estão associados de forma independente ao risco aumentado de doença cardiovascular (DCV) em indivíduos com DCV não diagnosticada. Os mecanismos subjacentes a essa associação, entretanto, não estão claros. Inflamação tem sido indicada como um possível elo mecanicista entre depressão e DCV. Objetivos: Este estudo avaliou a associação entre sintomas depressivos persistentes e o início de inflamação de baixo grau. Métodos: De um banco de dados de 1.508 indivíduos jovens (idade média: 41 anos) sem diagnóstico de DCV submetidos a pelo menos duas avaliações de saúde de rotina, 134 tinham sintomas depressivos persistentes (Inventário de Depressão de Beck - BDI ≥10, BDI+) e 1.374 não apresentavam sintomas em nenhuma das ocasiões (BDI-). Todos os participantes foram submetidos a repetidas avaliações clínicas e laboratoriais em seguimento regular, cuja média foi de 26 meses desde a condição basal. Definiu-se inflamação de baixo grau como concentração plasmática de proteína C reativa (PCR) ultrassensível > 3 mg/L. O desfecho foi a incidência de inflamação de baixo grau por ocasião da segunda avaliação clínica. Resultados: A incidência de inflamação de baixo grau foi maior no grupo BDI+ em comparação ao grupo BDI- (20,9% vs. 11,4%; p = 0,001). Após ajuste para sexo, idade, circunferência abdominal, índice de massa corporal, níveis de atividade física, tabagismo e prevalência de síndrome metabólica, os sintomas depressivos persistentes continuaram sendo um preditor independente de início de inflamação de baixo grau (OR = 1,76; IC 95%: 1,03-3,02; p = 0,04). Conclusões: Sintomas depressivos persistentes foram independentemente associados com início de inflamação de baixo grau em indivíduos saudáveis.

Abstract Background: Depressive symptoms are independently associated with an increased risk of cardiovascular disease (CVD) among individuals with non-diagnosed CVD. The mechanisms underlying this association, however, remain unclear. Inflammation has been indicated as a possible mechanistic link between depression and CVD. Objectives: This study evaluated the association between persistent depressive symptoms and the onset of low-grade inflammation. Methods: From a database of 1,508 young (mean age: 41 years) individuals with no CVD diagnosis who underwent at least two routine health evaluations, 134 had persistent depressive symptoms (Beck Depression Inventory - BDI ≥ 10, BDI+) and 1,374 had negative symptoms at both time points (BDI-). All participants had been submitted to repeated clinical and laboratory evaluations at a regular follow-up with an average of 26 months from baseline. Low-grade inflammation was defined as plasma high-sensitivity C-Reactive Protein (CRP) concentrations > 3 mg/L. The outcome was the incidence of low-grade inflammation evaluated by the time of the second clinical evaluation. Results: The incidence of low-grade inflammation was more frequently observed in the BDI+ group compared to the BDI- group (20.9% vs. 11.4%; p = 0.001). After adjusting for sex, age, waist circumference, body mass index, levels of physical activity, smoking, and prevalence of metabolic syndrome, persistent depressive symptoms remained an independent predictor of low-grade inflammation onset (OR = 1.76; 95% CI: 1.03-3.02; p = 0.04). Conclusions: Persistent depressive symptoms were independently associated with low-grade inflammation onset among healthy individuals.