Perfil de risco cardíaco no diabetes mellitus e na glicemia de jejum alterada

Schaan, Beatriz D’Agord; Harzheim, Erno; Gus, Iseu

doi:10.1590/s0034-89102004000400008

Cited by 66 publications

(48 citation statements)

References 22 publications

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“…O diabetes se associa ao sedentarismo e à manifestação de doenças crônicas não transmissíveis, como obesidade, hipertensão arterial, doenças cardiovasculares 22,23,27,28 . A prática de atividades físicas tem sido recomendada aos pacientes diabéticos, por favorecer a redução dos níveis glicêmicos, aumentando a sensibilidade insulínica e melhorando a tolerância à glicose, já que o exercício promove um aumento do turnover da insulina por maior captação hepática e melhor sensibilidade dos receptores periféricos 22,27 .…”

Section: I S C U S S ã Ounclassified

“…Assim, a alta freqüência de hipertensão arterial sistêmica (71,4%), pode ter sido responsável pela elevada ocorrência de doenças cardiovasculares observada (42,5%) entre os indivíduos diabéticos deste estudo. No entanto, o controle adequado dos níveis glicêmicos pode resultar na redução da prevalência de hipertensão arterial sistêmica entre os indivíduos diabéticos 28 .…”

Section: I S C U S S ã Ounclassified

“…Em geral, tal fato é atribuído à grande procura dos pacientes diabéticos pelos serviços de saúde, nos quais são estimulados a adotar hábitos de vida saudá-veis, incluindo a suspensão do tabagismo e do etilismo 28 .…”

Section: I S C U S S ã Ounclassified

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Intervenção nutricional sobre medidas antropométricas e glicemia de jejum de pacientes diabéticos

et al. 2008

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ObjetivoAvaliar o alcance das atividades desenvolvidas em um projeto de atendimento nutricional, promovido pela Universidade Federal de Viçosa (MG), sobre a glicemia de jejum, medidas antropométricas e de composição corporal de indivíduos diabéticos. MétodosTrata-se de um estudo de coorte, no qual pacientes diabéticos, recrutados do Projeto de Atendimento Nutricional a Diabéticos da Terceira Idade, da Universidade Federal de Viçosa, participaram de reuniões quinzenais, nas quais foram abordados temas relativos à ingestão de dietas saudáveis, e receberam atendimento nutricional individualizado. Os dados foram coletados a partir da aplicação de um roteiro clínico-nutricional, a 42 pacientes, contendo informações pessoais e itens referentes a: história clínica, inquérito dietético, dados antropométricos, de composição corporal e bioquímicos. Analisaram-se o peso, o índice de massa corporal, a circunferência da cintura, o percentual de gordura corporal e a glicemia de jejum antes de qualquer intervenção e após seis meses de acompanhamento. As análises estatísticas foram conduzidas utilizando-se o software Statistical Package for the Social Sciences, versão 12.5. O critério de significância estatística adotado foi p<0,05. As análises, antes e depois do período de intervenção, foram realizadas pelo teste de Wilcoxon.

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Intervenção nutricional sobre medidas antropométricas e glicemia de jejum de pacientes diabéticos

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“…4 Literature data confirm the significant effects of alternative medicine to control hyperglycemia 5,6 and lipid levels. [7][8][9] Hypercaloric diets are very common nowadays and increase the occurrence of hypercholesterolemia and low levels of high-density lipoprotein-cholesterol (HDL-c), resulting in higher risks of cardiovascular diseases. 10 Hypercholesterolemia and low HDL-c levels may be associated with endothelium dysfunction and inflammation, which are often followed by atherosclerosis.…”

Section: Introductionmentioning

confidence: 99%

Effects ofPassiflora edulis(Yellow Passion) on Serum Lipids and Oxidative Stress Status of Wistar Rats

Souza

Barbalho

Damasceno

et al. 2012

Journal of Medicinal Food

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The aim of this study was to evaluate the effects of Passiflora edulis f. flavicarpa Degener (yellow passion) juice on the lipid profile and oxidative stress status of Wistar rats. Adult male Wistar rats were divided in two groups (n = 8 animals per group): the control group, which received water, and the treated group, which was given P. edulis juice (1,000 mg/kg). Both groups received by gavage treatment twice a day for 28 days. The treated group showed an increased high-density lipoproteincholesterol level and decreased low-density lipoprotein-cholesterol and free fatty acid levels compared with the control group. Levels of triglycerides and and very low-density lipoprotein-cholesterol, superoxide dismutase activity, and total glutathione concentration were not statistically different between the two groups, but the thiobarbituric acid-reactive substances concentration (indicating lipid peroxidation) decreased in the treated group. These findings suggests that P. edulis juice in the experimental conditions used showed beneficial effects on lipid profile and improved lipid peroxidation in Wistar rats.

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“…It is associated, in statistically valid percentages, with obesity, sedentary lifestyle, HBP and dyslipidemia [12][13][14] . The importance of DM increased so much that DM patients have the same risk of a cardiac event as that of ischemic heart disease patients.…”

Section: Diabetes Mellitusmentioning

confidence: 99%

Perfis de saúde: Brasil, 2006 - modificações e suas causas

Gus¹

2007

Arq. Bras. Cardiol.

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For centuries medicine progressed very slowly 1 , and in the past fifty years its development has been "blindingly fast" and difficult to keep up with, and made the means of communication, especially IT, indispensable. At each step of this progression the health profile faced by medicine went through changes thus changing the medical reasoning.We could say that Health Profiles are changes in the main focus of the medical care as a consequence of the evolution of our civilization and of medicine itself. EvidencesThroughout all those years of medical evolution, the Health Profile consequently went through changes and physicians had to keep up, adapt and change their attitudes and decisions.The purpose of this article is to attempt to show in an instructive and comprehensible manner how some events that modified the Health Profiles unfolded, and which were their repercussions on chronic degenerative diseases (CDD), and especially on cardiovascular diseases (CVD). Health profiles: changes and their causesSome of the changes that influenced the main focus of medical care were: -Epidemiological changes occurred when CVD, among the CDD, became the major cause of death as of the second half of the 20th century, with deep changes in medical behavior, therapies, and public health and their population-targeted programs.-Changes of stage of demographic transition: The Brazilian population is now comprised of more adult and elderly individuals because of the decrease in mortality and birth rates. This led to percentage changes of age ranges with a significant increase of elderly individuals.-The great structural changes in the world that modified a whole habitation and population structure that occurred between the end of the 19th century and beginning of the 20th century, with industrialization and subsequent movement of the rural population into the cities.-Changes with time evolution of medicine: We have an initial phase that lasted several centuries and could be called Medicine Based on Observation and Experience, and the current one which began in mid-20th century: the Medicine Based on Evidence. Medicine which was curative until then and treated CVD complications became more preventive.-Changes with the valuation of RF in CVD: With the valuation of RF in CVD emerges the Primary Prevention for CDD, especially for CVD. This was only possible thanks to principles that arose with the Medicine Based on Evidence. With them, RF for CVD were evidenced. And what was unthinkable until then: a whole range of possibilities to make primary prevention arose. Epidemiological changesContagious diseases predominated until 1950, accounting for 40% of deaths. As of 1990, CDD started to predominate, and among them CVD with 34.5% of deaths, whereas contagious diseases dropped to 12% 2-4 . Notions of hygiene and knowledge on transmitters and etiologic agents of contagious diseases led to a reduction of these diseases, thus reducing mortality of younger individuals. This occurred earlier in the currently called developed countries. A consequ...

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Perfil de risco cardíaco no diabetes mellitus e na glicemia de jejum alterada

Cited by 66 publications

References 22 publications

Intervenção nutricional sobre medidas antropométricas e glicemia de jejum de pacientes diabéticos

Intervenção nutricional sobre medidas antropométricas e glicemia de jejum de pacientes diabéticos

Effects ofPassiflora edulis(Yellow Passion) on Serum Lipids and Oxidative Stress Status of Wistar Rats

Perfis de saúde: Brasil, 2006 - modificações e suas causas

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