The study aimed to associate the consumption of trans and saturated fats with dyslipidemia in overweight and obese adolescents who participated in the Study of Cardiovascular Risks in Adolescents (ERICA) from February 2013 to November 2014. Anthropometry, food consumption data, and the lipidogram of 9,538 overweight Brazilian adolescents from macro-regions and Teresina were used in the study. We found an association between saturated fats and HDL-c in Teresina and in the Northeastern macro-region (p-value= 0.002 and p-value= 0.033, respectively), showing that adolescents in Teresina who consumed less than 10% of saturated fats were 2.04-fold more likely to have desirable HDL-c (OR= 2.04), while northeastern adolescents were 0.625 less likely to have desirable HDL-c (OR= 0.625). In Teresina, there was an association between saturated fat consumption and total cholesterol (p-value= 0.045), showing that adolescents consuming less than 10% of saturated fats had a 0.543fold lower odds of having desirable total cholesterol levels (OR= 0.543). Lipid profile was not associated with consumption of trans fats, but with the consumption of saturated fats. It is important to monitor the lipid profile of adolescents, especially in the presence of overweight.

Este artigo está publicado em acesso aberto (Open Access) sob a licença Creative Commons, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho seja corretamente citado. RELAÇÃO BILATERAL ENTRE EXCESSO DE PESO E TRANSTORNOS MENTAIS Bilateral relationship between excess weight and mental disorders Relación bilateral entre el exceso de peso y trastornos mentales

Objetivou-se realizar uma reflexão voltada aos desafios e perspectivas no enfrentamento da obesidade na atenção básica. A obesidade consiste em grave problema de saúde pública, considerada epidemia mundial. Sua prevenção no âmbito da atenção primária à saúde exige mobilização de equipe multiprofissional qualificada e integrada. Os profissionais veiculam estratégias de educação alimentar e nutricional direcionadas aos indivíduos, famílias e comunidades; contribuem para o fortalecimento do direito à alimentação saudável e estabelecem vínculos com os usuários do sistema de saúde. O atendimento no nível primário de assistência torna-se momento oportuno para mudanças de hábitos alimentares. Dificuldades relacionadas a esta temática são recorrentes na prática profissional dos nutricionistas, o que exige mudança no olhar da gestão pública para maior suporte à assistência nutricional. Recomenda-se a capacitação dos profissionais da atenção básica envolvidos nos processos de cuidado, a fim de reformularem as suas práticas de formação e adotar novos conceitos e práticas no processo de trabalho a fim de melhorar a qualidade de vida da população, promovendo saúde e prevenindo a obesidade e seus agravos.

Introduction: Psychopharmacology brought numerous benefits to people with mental disorders, although undesirable side effects have arisen, including weight gain.Objective: Identify the overweight frequency in individuals with mental disorders and its relation with the use of psychiatric drugs.  Material and methods: Cross-sectional study with patients with mental disorders of both sexes, older than 18 years. Body Mass Index (BMI) used to diagnose overweight (BMI > 25 kg/m2). Chi-square test of Pearson (c²) and Poisson regression were used for analytical statistics for association between variables.Results and discussion: the study involved 109 individuals. Overweight was found in 70.7% of the study population, 29.4% presented pre-obesity, 26.6% were obese class I, 8.3%, obese class II, and 6.4% obese grade III (morbid). The overweight prevalence was significantly higher among patients who used selective serotonin reuptake inhibitor antidepressants (PR = 1,42, 95% CI 1,12 to 1,80, p = 0,004), typical antipsychotics (PR = 1,43, 95% CI 1,13 to 1,80, p = 0,003), atypical antipsychotics (PR = 1,24, 95% CI 1,01 to 1,54, p = 0,045) and benzodiazepines (PR = 1,37, 95% CI 1,10 to 1,71, p = 0,004) when compared to those who used tricycle antidepressants ((PR=1,20, 95% CI 0,93 to 1,54, p=0,153) and mood stabilizers (PR=1,09, 95% IC 0,88 to 1,35, p=0,416) .Conclusion: High prevalence of overweight significantly higher among patients who used selective serotonin reuptake inhibitor antidepressants, typical and atypical antipsychotics and benzodiazepines.

I n f l u ê n c i a s s o c i a i s , p o l í t i c a s , i n s t i t u c i o n a i s e i d e o l ó g i c a s 2