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Impact of Percutaneous Endoscopic Gastrostomy Tube Feeding on Nutritional Status in Patients Undergoing Chemoradiotherapy for Oesophageal Cancer
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Garcia, Joana Lemos

; Rodrigues, Rita Vale

; Mão-de-Ferro, Susana

; Ferreira, Sara

; Serrano, Miguel

; Castela, Joana

; Sacarrão, Raquel

; Francisco, Fátima

; Sousa, Liliana

; Pereira, António Dias

GE-Portuguese Journal of Gastroenterology

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oct 2023, Volume 30 N. 5 Pages 24 - 32

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Introdução: A neoplasia do esófago associa-se a disfagia e perda ponderal, sendo a desnutrição agravada pelo tratamento multimodal. Objetivo: Avaliar o impacto da colocação de gastrostomia percutânea endoscópica (PEG) no estado nutricional de doentes com neoplasia do esófago propostos para quimiorradioterapia (QRT). Métodos: Estudo comparativo com braço prospetivo e contro-lo retrospetivo. Incluídos doentes com neoplasia do esófago propostos para QRT definitiva ou neoadjuvante, com disfagia grau >2 e/ou perda de peso >10%. Colocada PEG (método pull) antes do início de QRT. Avaliada se-menteira tumoral por zaragatoa e histologia. Como controlo, utilizada coorte histórica de doentes sem PEG. Registo ACTRN12616000697482. Resultados: 29 doentes (grupo intervenção, GI) foram comparados com 30 controlos (GC). Sem diferença significativa nos principais outcomes: perda de peso durante a QRT 8.1 ± 5.5 kg versus 9.1 ± 4.2 kg (p = 0.503); mortalidade aos 6 meses após QRT ou cirurgia 17.2% versus 26.7% (p = 0.383); taxa de complicações perioperatórias 54.5% versus 55.6% (p = 1.000); admissões hospitalares não planeadas 34.5% versus 40.0% (p = 0.661). No GC, durante a QRT, 14 (46.7%) apresentaram disfagia graus 3-4, dos quais 12 necessitaram de nutrição por sonda nasogástrica (n = 10), gastrostomia cirúrgica (n = 1) ou dilatação esofágica (n = 1). No GI, 89.7% utilizaram a PEG durante QRT, em algum momento de forma exclusiva em 51.7%. Os eventos adversos foram sobretudo minor (n = 12; 41.4%), sobretudo infeções tardias periestoma; 1 complicação major (laparotomia exploradora por suspeita de interposição de cólon, não confirmada). Sem evidência citológica ou histológica de sementeira tumoral no estoma. Conclusão: Embora não se tenham observado diferenças na perda de peso, complicações cirúrgicas e mortalidade entre grupos, metade dos utentes necessitou de nutrição entérica exclusiva, tornando a colocação de PEG uma alternativa a considerar.

Abstract Introduction: Oesophageal cancer causes dysphagia and weight loss. Malnutrition further worsens with multimodal treatment. Aim: The aim of the study was to evaluate the impact of percutaneous endoscopic gastrostomy (PEG) placement in the nutritional status of patients with oesophageal cancer requiring chemoradiotherapy (CRT). Methods: A comparative study with a prospective arm and a historical cohort was conducted. Oesophageal cancer patients undergoing CRT with dysphagia grade >2 and/or weight loss <10% were submitted to PEG-tube placement (pull method) before CRT. Stoma seeding was evaluated through a swab obtained after placement and, in surgical patients, the resected stoma. A matched historical cohort without PEG placement was used as control (trial ACTRN12616000697482). Results: Twenty-nine patients (intervention group, IG) were compared to 30 patients (control group, CG). Main outcomes did not differ in the IG and CG: weight loss during CRT 8.1 ± 5.5 kg versus 9.1 ± 4.2 kg (p = 0.503); 6-month mortality after CRT or surgery 17.2% versus 26.7% (p = 0.383); perioperative complication rate 54.5% versus 55.6% (p = 1.000); unplanned hospital admissions 34.5% versus 40.0% (p = 0.661). In the CG, during CRT, 14 (46.7%) patients presented with dysphagia grade 3-4, of whom 12 required nasogastric tube feeding (n = 10), surgical gastrostomy (n = 1), and oesophageal dilation (n = 1). In the IG, 89.7% used the PEG tube during CRT, sometimes exclusively in 51.7%. Adverse events were mainly minor (n = 12, 41.4%), mostly late peristomal infections, 1 major complication (exploratory laparotomy due to suspected colonic interposition, not confirmed). There was no cytological or histological evidence of stomal tumour seeding. Conclusion: Weight loss, hospital admissions, surgical complications, and mortality were identical in oesophageal cancer patients referred for CRT, regardless of prophylactic PEG. However, half of the patients required exclusive enteral nutritional support, making PEG-tube placement an alternative to consider.

https://doi.org/10.1159/000525853

O que mudou entre os períodos de pico e de platô durante a primeira onda do SARS-CoV-2? Estudo multicêntrico português em unidades de cuidados intensivos
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Pereira, Rui Antunes

; Sousa, Marta

; Cidade, José Pedro

; Melo, Luís

; Lopes, Diogo

; Ventura, Sara

; Aragão, Irene

; Lima Neto, Raul Miguel de Freitas

; Molinos, Elena

; Marques, Ana

; Cardoso, Nelson

; Marino, Flávio

; Monteiro, Filipa Brás

; Oliveira, Ana Pinho

; Silva, Rogério C

; Real, André Miguel Neto

; Banheiro, Bruno Sarmento

; Reis, Renato

; Adão-Serrano, Maria

; Cracium, Ana

; Valadas, Ana

; Ribeiro, João Miguel

; Póvoa, Pedro

; Tapadinhas, Camila

; Mendes, Vítor

; Coelho, Luís

; Maia, Raquel

; Freitas, Paulo Telles

; Ferreira, Isabel Amorim

; Ramires, Tiago

; Val-Flores, Luís Silva

; Cascão, Mariana

; Alves, Rita

; Rodeia, Simão C

; Barrigoto, Cleide

; Cardiga, Rosa

; Silva, Maria João Ferreira da

; Vale, Bruno

; Fonseca, Tatiana

; Rios, Ana Lúcia

; Camões, João

; Pérez, Danay

; Cabral, Susana

; Ribeiro, Maria Inês

; Mendes, João João

; Gouveia, João

; Fernandes, Susana Mendes

Revista Brasileira de Terapia Intensiva

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dec 2022, Volume 34 N. 4 Pages 433 - 442

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Objective: To analyze and compare COVID-19 patient characteristics, clinical management and outcomes between the peak and plateau periods of the first pandemic wave in Portugal. Methods: This was a multicentric ambispective cohort study including consecutive severe COVID-19 patients between March and August 2020 from 16 Portuguese intensive care units. The peak and plateau periods, respectively, weeks 10 - 16 and 17 - 34, were defined. Results: Five hundred forty-one adult patients with a median age of 65 [57 - 74] years, mostly male (71.2%), were included. There were no significant differences in median age (p = 0.3), Simplified Acute Physiology Score II (40 versus 39; p = 0.8), partial arterial oxygen pressure/fraction of inspired oxygen ratio (139 versus 136; p = 0.6), antibiotic therapy (57% versus 64%; p = 0.2) at admission, or 28-day mortality (24.4% versus 22.8%; p = 0.7) between the peak and plateau periods. During the peak period, patients had fewer comorbidities (1 [0 - 3] versus 2 [0 - 5]; p = 0.002) and presented a higher use of vasopressors (47% versus 36%; p < 0.001) and invasive mechanical ventilation (58.1 versus 49.2%; p < 0.001) at admission, prone positioning (45% versus 36%; p = 0.04), and hydroxychloroquine (59% versus 10%; p < 0.001) and lopinavir/ritonavir (41% versus 10%; p < 0.001) prescriptions. However, a greater use of high-flow nasal cannulas (5% versus 16%, p < 0.001) on admission, remdesivir (0.3% versus 15%; p < 0.001) and corticosteroid (29% versus 52%, p < 0.001) therapy, and a shorter ICU length of stay (12 days versus 8, p < 0.001) were observed during the plateau. Conclusion: There were significant changes in patient comorbidities, intensive care unit therapies and length of stay between the peak and plateau periods of the first COVID-19 wave.

RESUMO Objetivo: Analisar e comparar as características de pacientes críticos com a COVID-19, a abordagem clínica e os resultados entre os períodos de pico e de platô na primeira onda pandêmica em Portugal. Métodos: Este foi um estudo de coorte multicêntrico ambispectivo, que incluiu pacientes consecutivos com a forma grave da COVID-19 entre março e agosto de 2020 de 16 unidades de terapia intensiva portuguesas. Definiram-se as semanas 10 - 16 e 17 - 34 como os períodos de pico e platô. Resultados: Incluíram-se 541 pacientes adultos com mediana de idade de 65 [57 - 74] anos, a maioria do sexo masculino (71,2%). Não houve diferenças significativas na mediana de idade (p = 0,3), no Simplified Acute Physiology Score II (40 versus 39; p = 0,8), na pressão parcial de oxigênio/fração inspirada de oxigênio (139 versus 136; p = 0,6), na terapia com antibióticos na admissão (57% versus 64%; p = 0,2) ou na mortalidade aos 28 dias (24,4% versus 22,8%; p = 0,7) entre o período de pico e platô. Durante o período de pico, os pacientes tiveram menos comorbidades (1 [0 - 3] versus 2 [0 - 5]; p = 0,002); fizeram mais uso de vasopressores (47% versus 36%; p < 0,001) e ventilação mecânica invasiva na admissão (58,1% versus 49,2%; p < 0,001), e tiveram mais prescrição de hidroxicloroquina (59% versus 10%; p < 0,001), lopinavir/ritonavir (41% versus 10%; p < 0,001) e posição prona (45% versus 36%; p = 0,04). Entretanto, durante o platô, observou-se maior uso de cânulas nasais de alto fluxo (5% versus 16%; p < 0,001) na admissão, remdesivir (0,3% versus 15%; p < 0,001) e corticosteroides (29% versus 52%; p < 0,001), além de menor tempo de internação na unidade de terapia intensiva (12 versus 8 dias; p < 0,001). Conclusão: Houve mudanças significativas nas comorbidades dos pacientes, nos tratamentos da unidade de terapia intensiva e no tempo de internação entre os períodos de pico e platô na primeira onda da COVID-19.

https://doi.org/10.5935/0103-507x.20210037-pt

COVID-19 - What changed in the pediatric emergency room of a district hospital during the state of emergency?
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Pessoa, Tânia

; Parente, Rita

; Pedro, Maria São

; Simões, Mariana

; Vale, Gonçalo

; Lacerda, Catarina

; Santos, Sandra

; Correia, Susana

; Didelet, Cristina

Nascer e Crescer

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sep 2021, Volume 30 N. 3 Pages 159 - 165

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Introdução: A pandemia de COVID-19 levou à adoção do estado de emergência em Portugal, com uma diminuição das admissões nas urgências hospitalares. O objetivo deste estudo foi analisar as diferenças nas admissões na Urgência Pediátrica durante o estado de emergência em comparação com o período pré-pandémico. Materiais e métodos: Estudo observacional analítico retrospetivo de doentes admitidos no Serviço de Urgência Pediátrico de um hospital de grupo I entre 19 de março e 2 de maio de 2020 e período homólogo de 2019. Foram analisadas as variáveis idade, género, origem e motivo da admissão, recorrências, diagnóstico e destino após a alta. Resultados: Durante o estado de emergência, verificou-se uma redução de 78,7% nas admissões hospitalares em comparação com o contexto pré-pandémico (956 em 2020 vs 4481 em 2019). As principais diferenças entre os dois períodos foram um aumento das admissões no grupo com idade <1 ano; menor recurso à urgência por iniciativa própria, com aumento significativo das referenciações externas; diminuição dos diagnósticos infeciosos; aumento das intoxicações e ingestões acidentais, corpos estranhos e queimaduras; menor frequência de recorrências múltiplas; e aumento relativo das transferências hospitalares e internamentos no Serviço de Pediatria, embora estes tenham tido menor duração. Não se verificou um aumento dos internamentos no Serviço de Observação, referenciação para consultas externas ou óbitos. Discussão: Os resultados obtidos devem-se provavelmente à redução dos motivos frequentes de recurso ao Serviço de Urgência Pediátrico devido ao isolamento social/quarentena e limitações na deslocação/transportes impostos pela pandemia. Conclusão: A gravidade dos doentes não aumentou significativamente e aqueles com critérios para recorrer ao Serviço de Urgência Pediátrico continuaram a fazê-lo. As medidas de isolamento e recomendações da Direção-Geral da Saúde parecem ter sido cumpridas.

Abstract Introduction: The COVID-19 pandemic led to the adoption of a state of emergency in Portugal, during which hospital emergency admissions declined. The aim of this study was to analyze the differences in Pediatric Emergency Room admissions during the state of emergency compared to the pre-pandemic setting. Material and methods: Retrospective analytical observational study of patients admitted to the Pediatric Emergency Room of a group I hospital from March 19 to May 2 of 2020 and homologous 2019 period. Data regarding age, gender, admission origin and cause, recurrences, diagnosis, and discharge destination were collected. Results: During the state of emergency, a 78.7% reduction in Pediatric Emergency Room admissions occurred compared to the pre-pandemic state (956 in 2020 vs 4481 in 2019). The main differences between both periods were an increase in admission of patients with <1 year old; a decrease in admissions by own initiative together with an increase of external referrals; less infectious diseases diagnoses; a higher number of accidental intoxications or ingestions, foreign bodies, and burns; a decrease in recurrences; a relative increase of hospital transfers; and higher hospitalization rates despite their shorter duration. No increase was found in Observation Room admissions, referrals for hospital consultations, or deaths. Discussion: Most study findings may be due to a reduction in common reasons for attending the Pediatric Emergency Room, due to social distancing/quarantine and transport/circulation limitations imposed by the pandemic. Conclusions: There was no significant increase in patients’ disease severity and those with criteria for visiting the Pediatric Emergency Room continued to do so. Compliance with isolation measures and recommendations of the Directorate-General of Health (DGS) seem to have been met.

https://doi.org/10.25753/birthgrowthmj.v30.i3.20971 62 downloads

Referenciação dos Cuidados de Saúde Primários ao Serviço de Urgência de Pediatria de um Hospital Nível II: Que Realidade?
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Vale, Filipa

; Pinto, Filipa

; Oliveira, Rui

; Martins, Cecília

; Lopes, Susana

Gazeta Médica

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sep 2021, Volume 8 N. 3 Pages 179 - 186

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Introdução: O objetivo foi caracterizar os episódios referenciados pelos cuidados de saúde primários (CSP) ao serviço de urgência (SU) do Centro Hospitalar do Médio Ave, assim como classificar a adequabilidade da referenciação. Material e Métodos: Foi realizado um estudo observacional retrospetivo, incluindo todos os utentes com idade inferior a 18 anos referenciados por parte dos CSP ao SU, durante o ano de 2017. A referenciação foi considerada adequada sempre que foram realizados exames complementares de diagnóstico ou terapêuticas não disponíveis nos CSP. Assim como, a observação por outra especialidade que não a pediatria, a necessidade de internamento e a transferência para outro hospital. Resultados: Foram obtidos 406 episódios de urgência, dos quais 25,9% obtiveram como diagnóstico de saída a patologia gastrointestinal e 29,4% a patologia respiratória. Foram consideradas adequadas 65,3% das referenciações, sendo as mais frequentes a patologia gastrointestinal, respiratória e trauma. As patologias genitourinária e infecciológica foram as mais constantes quanto à referenciação inadequada (OR = 11,5 e OR = 3,49, respetivamente, ajustado à idade). Verificou-se concordância entre o motivo de referenciação e o diagnóstico de saída nas patologias gastrointestinal, otorrinolaringológica, trauma e oftalmológica (kappa > 0,7). A grande maioria (92,2%) das crianças teve alta clínica. Conclusão: A taxa de referenciação adequada aos serviços hospitalares no presente estudo foi semelhante à descrita na literatura. No entanto, a otimização da comunicação entre os CSP e o SU, a implementação de protocolos, bem como, a formação dos profissionais dos CSP permitirão melhorar a referenciação.

Abstract Introduction: Our objective was to characterize the situations referred to the emergency department by the primary health care as well as assess the pertinence of this referral. Methods: A study realized was observational, retrospective and included patients were younger than 18 years old referred to the emergency department by primary health care, over 2017. The referral was considered appropriate when complementary exams or therapeutics were performed, which were not available at the primary health care, as well as observation by other medical speciality but paediatrics, admission necessity or transfer to other hospital were needed. Results: A total of 406 emergency episodes were obtained. The most frequent diagnoses were respiratory disease (29.4%) and gastrointestinal disease (25.9%). A percentage of 65.3% of referrals were considered adequate and the most common pathologies were gastrointestinal and respiratory disease and trauma. The genitourinary (OR = 11.5) and infectious (OR = 3.49) pathologies were consistent on inadequate referral considering patients’ age. A match between referral’s reason and final diagnosis regarding gastrointestinal pathologies, otolaryngology pathologies and ophthalmic pathologies, as well as trauma (kappa > 0.7), was observed. The majority (92.2%) of the cases was discharged from the hospital. Conclusion: The hospital’s adequate referral rate was similar to the one described in other studies. However, communication’s optimization between the primary health care units and the emergency department, as well as more professional training, are vital to improve this referral.

https://doi.org/10.29315/gm.v1i1.425 50 downloads

Probable vertical transmission identified within six hours of life
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Pessoa, Fabrício Silva

; Vale, Marynéa Silva do

; Marques, Patrícia Franco

; Figueira, Susana da Silva

; Salgado, Izabel Athayde da Silva Cruz

; Mochel, Roberta de Sousa Wernz Cancian

Revista da Associação Médica Brasileira

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dec 2020, Volume 66 N. 12 Pages 1621 - 1624

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Apresentamos o caso de uma paciente grávida de 33 semanas + (G1P0), com infecção de COVID-19 comprovada por RT-PCR que, na admissão, apresentava tosse seca e “cansaço ao falar”. Foi realizada tomografia computadorizada do tórax, que mostrou a presença de atenuações com opacidade em vidro fosco e consolidações bilaterais. Ela então passou por uma cesariana devido a descompensação respiratória materna. Em seguida, foi transferida para a UTI do mesmo hospital com um cateter de O2. O recém-nascido foi transferido para a UTI neonatal do mesmo hospital, em ar ambiente, e mantido em isolamento respiratório e de contato. Material para o RT-PCR para SARS-COV-2 foi coletado às 6h de vida, e o resultado do teste foi positivo. Perante a lacuna de conhecimento sobre a transmissão vertical, o resultado positivo do RT-PCR para SARS-COV-2 às 6h de vida é motivo de preocupação, pois representa uma possível transmissão vertical do SARS-COV-2, embora investigações adicionais sejam necessárias.

SUMMARY We present the case of 33 weeks + weeks pregnant patient (G1P0), with proven COVID-19 infection by RT-PCR and, at admission, she presented with a dry cough and “tiredness when talking,”. Chest computed tomography was performed, which showed the presence of attenuations with ground glass opacification and bilateral consolidations. She then had a cesarean section because of maternal respiratory decompensation. She was transferred to the ICU of the same hospital with an O2 catheter. The newborn was transferred to the neonatal ICU of the same hospital in ambient air and maintained in respiratory and contact isolation. RT-PCR was collected for SARS-COV-2 at 6 h of life, which was positive. Faced with the knowledge gap on vertical transmission, RT-PCR for SARS-COV-2 at 6 h of life gives cause for concern, thus representing the possibility of vertical transmission by SARS-COV-2, although additional investigations are required.

https://doi.org/10.1590/1806-9282.66.12.1621 1110 downloads

Real-Time Optical Diagnosis of Colorectal Polyps in the Routine Clinical Practice Using the NICE and WASP Classifications in a Nonacademic Setting
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Castela, Joana

; Ferro, Susana Mão de

; Rosa, Isadora

; Lage, Pedro

; Ferreira, Sara

; Silva, João Pereira

; Pinto, João Cortez

; Rodrigues, Rita Vale

; Moleiro, Joana

; Claro, Isabel

; Esteves, Susana

; Pereira, António Dias

GE-Portuguese Journal of Gastroenterology

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oct 2019, Volume 26 N. 5 Pages 314 - 323

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Introdução: O narrow-band imaging (NBI) permite a classificação “in-vivo” dos pólipos colo-rectais. Objectivos: Avaliámos o diagnóstico óptico na prática clínica diária em endoscopistas da comunidade, sem experiência prévia em NBI, o impacto do treino e se estes conseguiam atingir o limiar da estratégia de “não ressecar”. Métodos: Estudo observacional, realizado em dois períodos (P1 e P2). Os endoscopistas não apresentavam experiência prévia em NBI em P1 e aplicaram a técnica diariamente durante um ano antes da participação em P2. As lesões foram classificadas aplicando as classificações NBI International Colorectal Endoscopic (NICE) e Workgroup serrated polypS and Polyposis (WASP), simultaneamente. Resultados: Foram analisados 290 pólipos. A acuidade global do diagnóstico óptico foi de 0.75 (IC 95%, 0.68-0.81) em P1, aumentando para 0.82 (IC 95%, 0.73-0.89) em P2 (p = 0.260). A acuidade das classificações de NICE/WASP na diferenciação de histologia adenomatosa de não-adenomatosa foi de 0.78 (IC 95%, 0.72-0.84) em P1, e 0.86 (IC 95%, 0.77-0.92) em P2 (p = 0.164); as predições realizadas com alto grau de confiança alcançaram significado estatístico (melhoria de 13%, IC 95%, 3-22%; p = 0.022). O valor preditivo negativo para histologia adenomatosa dos pólipos diminutos recto-sigmóides foi de 81% (IC 95%, 64-93%) e 80% (IC 95%, 59-93%), em P1 e P2, respetivamente. Conclusões: Endoscopistas sem experiência em NBI alcançaram acuidade moderada no diagnóstico óptico em tempo real de lesões colo-rectais, utilizando as classificações de NICE/WASP. O desempenho global melhorou após a utilização contínua do diagnóstico óptico, mas não alcançou o limiar definido para a implementação da estratégia de “não ressecar”.

Background: Narrow-band imaging (NBI) allows “in vivo” classification of colorectal polyps. Objectives: We evaluated the optical diagnosis by nonexpert community-based endoscopists in routine clinical practice, the impact of training, and whether the endoscopists could achieve the threshold for the “do not resect” policy. Methods: This was an observational study performed in two periods (P1 and P2). Endoscopists had no prior experience in NBI in P1 and applied the technique on a daily basis for 1 year before participation in P2. Lesions were classified by applying the NBI International Colorectal Endoscopic (NICE) and Workgroup serrAted polyps and Polyposis (WASP) classifications, simultaneously. Results: A total of 290 polyps were analyzed. The overall accuracyof optical diagnosis was 0.75 (95% CI 0.68-0.81) in P1, with an increase to 0.82 (95% CI 0.73-0.89) in P2 (p = 0.260). The accuracy of the NICE/WASP classifications to differentiate adenomatous from nonadenomatous histology was 0.78 (95% CI 0.72-0.84) in P1 and 0.86 (95% CI 0.77-0.92) in P2 (p = 0.164); assignments made with a high confidence level achieved statistical significance (13% improvement, 95% CI 3-22%; p = 0.022). The negative predictive value for adenomatous histology of diminutive rectosigmoid polyps was 81% (95% CI 64-93%) and 80% (95% CI 59-93%) in P1 and P2, respectively. Conclusions: Nonexpert endoscopists achieved moderate accuracy for real-time optical diagnosis of colorectal lesions with the NICE/WASP classifications. The overall performance of the endoscopists improved after sustained use of optical diagnosis, but did not achieve the standards for the implementation of the “do not resect” strategy.

https://doi.org/10.1159/000495258 483 downloads

Análise das características de jovens atletas de natação, futebol e basquetebol a nível antropométrico, de composição corporal e capacidades físicas
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Vale, Susana

; Venâncio, Tiago

; Ferreira, Cátia

; Figueiredo, Teresa

; Costa, Aldo M.

; Espada, Mário

Motricidade

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- Sobre o periódico
- SciELO Analytics

oct 2018, Volume 14 N. 2-3 Pages 146 - 147

Abstract: Pt | Text: Pt | PDF: Pt

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Parental education and perception of outdoor playing time for preschoolers
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Mota, Jorge

; Silva-Santos, Sandra

; Santos, Amanda

; Seabra, André

; Duncan, Michael

; Vale, Susana

Motriz: Revista de Educação Física

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2017, Volume 23 N. spe2 elocation e101762

Abstract: En | Text: En | PDF: En

Abstract Aim: The objective of this study was to analyze whether or not socioeconomic positions influence outdoor playtime during the week (WK) and on the weekends (WEND). Methods: The sample consisted of 485 (girls; n=223) healthy preschoolers, aged from 3 to 6 years, enrolled in kindergartens from the metropolitan area of Porto, Portugal. Physical Activity (PA) was assessed for 7 consecutive days with an accelerometer. The time playing outdoors during the WK or the WEND was reported by parents. Anthropometric data (weight and height) was collected following standardized protocols. Socioeconomic position was assessed by Parental Education (PE), according to the Portuguese education system. Results: We found differences in time spent playing outdoors either for the WK or WEND, but not for Total PA (TPA), in both sexes. However, regression analysis showed that after age adjustment, BMI and TPA for both sexes, we only found significant associations between low PE (LPE) and high PE (HPE) groups on WK or WEND. However, we found no statistically significant association for boys on the WK (p=0.06). Conclusion: Our findings suggest that socioeconomic position can influence the children’s time spent in outdoor activities, especially on the weekends. This may have implications for future interventions with this age group.

https://doi.org/10.1590/s1980-6574201700si0062 1143 downloads

Screen time between Portuguese and Brazilian children: a cross-cultural study
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Santos, Amanda

; Silva-Santos, Sandra

; Andaki, Alynne

; Mendes, Edmar Lacerda

; Vale, Susana

; Mota, Jorge

Motriz: Revista de Educação Física

Journal Metrics
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2017, Volume 23 N. 2 elocation e101636

Abstract: En | Text: En | PDF: En

Abstract AIMS To verify differences in screen time (ST) (hours watching TV, using computer and/or video game) and to compare the percentage of meeting ST recommendation between Portuguese and Brazilian children. METHODS The sample comprised 369 children aged 9 year-old from Portugal (n=95) and Brazil (n=274). ST average (h/day), physical activity (PA) and socioeconomic status (SES) were estimated by parental-report questionnaire. The Student t test or the Mann-Whitney U test and binary logistic regression analysis were used to verify differences and associations on ST (<2h/day) between cities. All analyses were stratified by gender and adjusted for age, BMI, PA and SES. RESULTS The prevalence of meet ST recommendation was 66.7% and 55.3% between Portuguese girls and boys and 25.0% and 16.4%between Brazilian girls and boys. Portuguese girls (1.58±0.84vs3.40 ± 1.76h/day, p<0.05) and boys (1.74 ± 1.18 vs 4.20 ± 2.30 h/day, p<0.05) had significantly less ST than their Brazilian counterparts. Brazilian girls (OR=7.593; p=0.0001) as well as Brazilian boys (OR=6.564; p=0.0001) were more likely to do not meet ST recommendation, compared with their Portuguese counterparts. CONCLUSIONS Portuguese children were approximately seven times more likely to meet ST recommendation than Brazilian children. Differences between countries should be considered in public policy strategies to reduce ST.

https://doi.org/10.1590/s1980-6574201700020006 1698 downloads

10.

Waist circumference percentile in children from municipalities of developed and developing countries
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Andaki, Alynne Christian Ribeiro

; Mendes, Edmar Lacerda

; Tinoco, Adelson Luiz Araújo

; Santos, Amanda

; Sousa, Bruno

; Vale, Susana

; Mota, Jorge

Motriz: Revista de Educação Física

Journal Metrics
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2017, Volume 23 N. spe2 elocation e101733

Abstract: En | Text: En | PDF: En

Abstract Aims: to design reference percentile curves of waist circumference (WC) in children aged 6-10 from municipalities of developed (Portugal) and developing (Brazil) countries and to compare these results with other international references. Methods: this cross-sectional study enrolled a 6-10-year-old probability sampling. Univariate analysis of covariance adjusted by height was carried out to test the main effects of age, sex, countries, and interactions. WC percentile curves were performed with the LMS Chart Maker. Results: The sample comprised 6,475 children. Portuguese children presented a curvilinear increase in WC curves and Brazilian WC curves have shown a linear increase with age both for boys and girls. Overweight and obesity prevalence was 15.9 % and 4.7 % for Portuguese children and 12.9 % 4.5% for Brazilian children, respectively. There was a main effect (p<0.0001) for age and countries, and an interaction effect for sex*age (p=0.001) and countries*age (p<0.0001). Portuguese boys and girls have shown higher values for the 50th, 75th, and 95th percentiles than Brazilian boys and girls. Conclusions: WC reference percentile curves were drawn for 6-10-year-old Portuguese and Brazilian children. Portuguese children have higher WC values than Brazilian children and other children from developed countries.

https://doi.org/10.1590/s1980-6574201700si0033 1541 downloads

11.

Reliability of the “Meals in Our Household Questionnaire” in Portuguese Preschool Children
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Sancho, Teresa

; Pinto, Ezequiel

; Moreira, Rita

; Mota, Jorge

; Vale, Susana

; Moreira, Pedro

Revista Nutrícias

Journal Metrics
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dec 2014, N. 23 Pages 10 - 13

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Os instrumentos para avaliação das refeições em família são limitados e não existe nenhum que meça de forma abrangente a estrutura, o ambiente, o comportamento e os respectivos efeitos na família, próprio para crianças Portuguesas. Este artigo tem como objectivo traduzir, adaptar culturalmente e testar as propriedades psicométricas do Questionário Sobre as Refeições na Nossa Casa (Meals in Our Household Questionnaire) em crianças portuguesas do ensino pré-escolar. O Questionário Sobre as Refeições na Nossa Casa foi submetido a tradução e retroversão por um tradutor especialista. Os questionários foram preenchidos por duas vezes pelos mesmos participantes, com duas semanas de intervalo. A análise de fiabilidade do Questionário Sobre as Refeições na Nossa Casa incluiu a consistência interna, avaliada pelo alfa de Cronbach, e a reprodutibilidade, avaliada pelo coeficiente de correlação de Spearman. A consistência interna encontrada em todos os domínios do Questionário Sobre as Refeições na Nossa Casa foi satisfatória e as correlações entre teste-reteste foram moderadas a fortes. A tradução do questionário conduziu a um instrumento satisfatoriamente fiável para avaliar a percepção dos pais de crianças pré-escolares portugueses relativamente aos comportamentos e ambiente durante as refeições em família, o qual pode ser bastante útil em intervenções no âmbito da saúde.

Assessment tools of mealtimes in families are limited and there is none which comprehensively measures Portuguese children’s mealtime structure, environment, behavior and its effects on the household. This paper aims at translating, culturally adapting and testing the psychometric properties of the Meals in Our Household Questionnaire in Portuguese preschool children. The Meals in Our Household Questionnaire was translated into Portuguese and back-translated into English by an expert translator. Questionnaires were filled in twice by the same participants, with two weeks in-between. The Meals in Our Household Questionnaire reliability analysis included internal consistency, assessed by Cronbach’s alpha, and reproducibility, assessed by Spearman’s correlation coefficient. We found satisfactory internal consistency across all of the Meals in Our Household Questionnaire domains and moderate to strong test-retest correlations. The questionnaire’s translation led to a satisfactory reliable tool to assess parents’ perception of the Portuguese preschoolers’ family mealtime behaviors and environments, which can be quite useful for healthcare interventions.

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