Objective: To investigate the prevalence of overweight and its association with socioeconomic, biological, and maternal factors in children under 5 years of age in the semiarid region of the state of Alagoas.Methods: This was a cross-sectional study with a representative sample. We evaluated child variables (excess weight, sex, birth weight, prematurity, duration of breastfeeding, and origin) and mother variables (excess weight, central obesity, income, education, and smoking during pregnancy). Excess weight in children was defined based on the weightfor-height ≥ 1 z score; in mothers, overweight and central obesity were identified by mass body index ≥ 30 kg/m 2 and waist circumference ≥ 80 cm, respectively. We conducted logistic regression, adopting overweight as an outcome, considering as significant p < 0.05. Results:The sample comprised 963 children, with a mean age of 27.7 months (SD ±17.3). The prevalence of overweight children was 28.5%, directly associated with central obesity in the mother (odds ratio = 1.46; 95%CI 1.07-1.98) and duration of non-exclusive breastfeeding for a period of less than 6 months (odds ratio = 1.82, 95%CI 1.31-2.51). Conclusions:This study showed a high prevalence of overweight children under 5 years of age associated with central obesity in the mother and non-exclusive breastfeeding for a period less than 6 months. These findings suggest that breastfeeding may protect children against overweight and point to the need for primary and secondary prevention of maternal central obesity.J Pediatr (Rio J). 2012;88(4):347-52: Overweight, obesity, anthropometry, childhood. ResumoObjetivo: Investigar a prevalência do excesso de peso e sua associação com fatores socioeconômicos, biológicos e maternos em menores de 5 anos da região semiárida do estado de Alagoas.Métodos: Estudo transversal, com amostra representativa. Foram avaliadas variáveis da criança (excesso de peso, sexo, peso ao nascer, prematuridade, duração do aleitamento materno e procedência) e da mãe (excesso de peso, obesidade central, renda, escolaridade e fumo durante a gestação). O excesso de peso nas crianças foi definido com base no índice peso/estatura ≥ 1 escore z, e nas mães, o excesso de peso e a obesidade central foram identificados pelo índice de massa corporal ≥ 30 kg/m 2 e circunferência da cintura ≥ 80 cm, respectivamente. Realizou-se regressão logística, adotando-se o excesso de peso como desfecho, considerando-se significante p < 0,05. Resultados:A amostra foi composta por 963 crianças, com média de idade de 27,7 meses (desvio padrão ±17,3). A prevalência de excesso de peso em crianças foi de 28,5% e diretamente associada à obesidade central na mãe (odds ratio = 1,46; IC95% 1,07-1,98) e duração do aleitamento materno não exclusivo por um período inferior a 6 meses (odds ratio = 1,82; IC95% 1,31-2,51). Conclusões:Este estudo mostrou uma elevada prevalência de excesso de peso em menores de 5 anos associada à obesidade central na mãe e ao aleitamento materno não exclusivo por um período inferior a 6 meses. ...

BackgroundBariatric surgery is considered the only effective method to treat refractory obesity, and especially for those in which clinical treatment was not successful. However, the appearance of food intolerances and clinical manifestations are quite common.AimTo identify food intolerances and associated them to symptoms in patients undergoing Fobi-Capella technique without gastric ring.MethodsThis was a cross-sectional study of adult patients who had more than one year after surgery. Demographic, anthropometric, weight and preoperative height data were investigated. Nutritional status was classified according to the criteria established by the World Health Organization. It was considered food intolerance the presence of nausea, vomiting, diarrhea or bloating after eating a particular food.ResultsThe sample consisted of 61 patients who attended the nutritional consultation of which 26 (42.6%) had food intolerance, mostly related to red meat (n=12; 34.3%) during the first six months of operation; there was a significant difference between the periods between 0 and 6 months, and 7 to 12 (p=0.02). Among the symptoms reported by patients, nausea was the most recurrent until the 6th month, but without significant differences between the two periods (p=0.06).ConclusionsThe Fobi-Capella procedure without gastric ring promoted high frequency of intolerance to meat in general, especially for the red, chicken and fish, on this sequence; nausea was the most frequent symptom. These data suggest the need for adequate nutritional monitoring throughout the postoperative period.

INTRODUÇÃOEm pacientes hospitalizados a desnutrição é algo comum e frequente, havendo necessidade de avaliações nutricionais periódicas nestes pacientes para que seja possível introduzir a terapia nutricional correta. O adequado estado nutricional é importante para a recuperação e tratamento clínico de enfermos, principalmente em pacientes hospitalizados por muito tempo (FRANCO; MORSOLETTO, 2012). O deficiente estado nutricional acarreta elevados custos para o hospital e maiores chances de complicações no tratamento. A dietoterapia