Objective: Verify the association between anthropometric indicators and the Subjective Global Assessment of Nutritional Status (SGA) and the Screening of Risk for Nutritional Status and Growth (STRONGkids) scales. Methods: A cross-sectional study with patients from 0 to 18 years admitted in the Hospital das Clínicas, Goiânia (GO), between August and November 2015. Children and adolescents admitted in up to 48 hours were included. Patients who required specific instruments for assessing their nutritional status and those hospitalized in Intensive Care were excluded. Identification and anthropometric data was collected and applied to the SGA and STRONGkids. We performed an analysis comparing proportions and did an agreement assessment, where p<0.05 was significant.Results: 71 patients were evaluated, of whom 9.6% had low or very low birth weight/age, 9.7% had thinness or accentuated thinness according to the weight/height index, 16.9% had a height impairment, 7% were thin according to the body mass index/age, and 32.4% were malnourished with regard to arm muscle circumference. The STRONGkids detected that 69% of the sample had a moderate or high nutritional risk. According to the SGA, malnutrition prevalence was 38.1%. There was an association between the SGA and body mass index/age (p=0.022), height/age (p<0.001) and arm muscle circumference (p=0.014). There was no association between the STRONGkids and anthropometric indicators. A correlation was found between: high nutritional risk versus severe malnutrition and low nutritional risk x the well-nourished (p<0.001), but the agreement was weak (k=0.255). Conclusions: It is recommended to use the STRONGkids as a screening instrument because it has a higher sensitivity for diagnosing patients with a nutritional risk. The SGA should be applied to nutritional assessment due to its association with anthropometry.
The aim of this work was to evaluate the nutritional and microbiological quality of ready-to-eat açai, the physical and functional conditions of establishments that market this product and to verify the presence of microorganisms at handlers’ hands and nostrils. Twenty-three establishments in the city of Goiânia–Goiás were evaluated and açaí samples were obtained in two steps: before and after the training of handlers about good manufacturing practices. A decrease in the counts of total coliforms (from 26.08% to 8.7% of samples), coagulase positive staphylococci (from 78.26% to 65.2% of samples) and aerobic mesophiles (from 100% to 73.91% of samples) was observed between steps. The presence of microorganisms at handlers’ hands and nostrils did not present statistical difference between the two steps. According to the applied checklist, six items showed reduced compliance. After the training of handlers, the microbiological contamination of açaí decreased, and the presence of E coli in handlers’ nostrils was no longer observed, which highlights the importance of training about the implementation Good Manufacturing Practices to ensure food sanitary quality.
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