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The National checklists of Crop Wild Relatives (CWR) and Wild Harvested Plants (WHP) are the basic tools for the development of in situ and ex situ conservation strategies of plant genetic resources. Here we discuss the methodologies and the prioritization process we previously used in the preparation of the prioritized checklist of CWR and WHP for Italy. The starting point were the most up-to-date Italian checklists of native and alien flora with their updates used as a nomenclatural and distributive source of data. Sardinia and Sicily were kept separate from peninsular Italy to perform detailed analyses focused on the taxa of the two major islands. The origin, the endemic status, cultivation, economic importance, uses, gene pool or taxon group, and the Red List status information were added. The WHP status was attributed to all the taxa with known direct uses. A qualitative approach was adopted in the prioritization process, the main criteria used were: 1) the inclusion of wild relative taxa of crops listed in Annex I of the International Treaty on Plant Genetic Resources for Food and Agriculture (ITPGRFA) and/or by the Italian Institute of Statistics (ISTAT) for cultivated areas and yield in the last 5 years; 2) the threatened taxa occurring in national or global Red lists; 3) the endemism. This prioritization process generated 102 taxa as most in need of specific protection and/or monitoring measures, 57 taxa requiring monitoring because of their restricted distribution although not requiring specific protection measures and 735 taxa not requiring any specific protection. However, different prioritization processes could have been applied to the Italian checklists yielding different results. Here we discuss the matter. [ABSTRACT FROM AUTHOR]

Patterns and trends of declining reed-beds in four freshwater ecosystems in central Italy are investigated through an aerial orthoimagery-based diachronic analysis over a period of 24 years. Extent variations and retreat from the waterfront are detected in all sites, compensated only in few cases by backwards enlargements. These shape and size modifications suggest that reed die-back is associated with retreat and with a notable fragmentation process. Long-term analysis performed in one of the sites, compared to water levels, shows a drastic extent decrease co-occurring with an artificial rise of the water level, confirming the regulation of freshwater bodies as a driver of biodiversity loss. Results also suggest that reed-dominated ecosystems may reach a threshold of tolerance towards stressing conditions beyond which they cannot regenerate. The carried out study testifies for a valuable role of landscape metrics in analysing the spatial processes related to declining reed-beds. Spatial metrics prove to be a suitable tool in monitoring processes, working as early warning signals of ongoing decline and helping to model future changes. [ABSTRACT FROM AUTHOR]

Objective: To investigate the potential long-term effects of adolescent parenthood on completed education and income.Design: Population-based birth cohort study.Setting: All live births in 1982, whose mothers lived in the urban area of Pelotas, southern Brazil.Sample: A total of 3701 participants: 1914 women and 1787 men at age 30 years.Methods: Questionnaires were completed by the mothers in the early phases of this study, and by the cohort members in adolescence and adulthood. Linear regression models and G-computation were used in the analyses.Main Outcome Measures: Educational attainment and income at age 30 years.Results: In women, adolescent parenthood was associated with lower attained education compared with women without adolescent maternity: by -2.8 years [95% confidence interval (CI) -3.2 to -2.3] if their first birth was at age 16-19, and by -4.4 years (-5.5 to -3.3) at age 11-15. These effects were greater among women who had three or more children. Women with adolescent parenthood also had 49 or 33% lower income at age 30 if their first child was born when aged 16-19 or 11-15, respectively. In men, the adverse effect of adolescent parenthood on education appeared to be mediated by a higher number of children and there was no effect of adolescent paternity on income at age 30 years.Conclusion: These findings suggest lasting socio-economic disadvantages of adolescent parenthood, with larger effects being apparent in women than in men.Tweetable Abstract: Adolescent parenthood has an adverse effect on educational attainment later in life, and on household income among women. [ABSTRACT FROM AUTHOR]

Common reed Phragmites australis (Cav.) Trin. ex Steud. is one of the most widely distributed angiosperms with important ecological functions. In recent decades, it has been affected by a severe decline known as reed die-back syndrome (RDBS), the causal factors of which are still under investigation. Among the biotic factors that influence the dynamic of the reed population, the role of microorganisms is still poorly understood. During surveys carried out on P. australis populations in Central Italy, Claviceps-like sclerotia were detected: is Claviceps infection related to P. australis sexual reproduction and seed production? Could Claviceps infection be involved in the RDBS? These are the questions that we address. We characterized the sclerotia at the morphological, molecular, and chemical level and we demonstrated that they belong to Claviceps arundinis Pažoutová & M. Kolařík. To our knowledge, this is the first report of C. arundinis on P. australis in Italy. Furthermore, the association of C. arundinis with RDBS was evaluated considering a set of macromorphological traits generally related to RDBS, such as P. australis clumping habit, culm height and diameter. No correlation was seen between the occurrence of C. arundinis and the declining status of reed populations. [ABSTRACT FROM AUTHOR]

The importance of taking into account ecosystems, plant communities and habitats for the development of biodiversity conservation strategies is increasingly acknowledged. Recently, the first ever European Red List of Habitats was produced, which provided an evaluation of the extinction risk of EUNIS-based natural and semi-natural habitats in Europe. As assessment unit, it used the habitat intended as a plant community, thus representing a landmark for the role of vegetation science in nature conservation. In the present paper, the results of the European Red List of Habitats are analyzed at the national scale with specific reference to the terrestrial and freshwater habitat types occurring in Italy. More than three-quarters of the assessed European habitat types were recognized for the Italian territory. The distribution of the threat categories reflects approximately the situation at the EU28 level. About 35% of the assessed habitat types are referred to a threat category; no critically endangered habitat is present in Italy. The most frequently used criteria are those related to a reduction in quantity. Some critical issues arising from the analyses are discussed. In particular, the presence of knowledge gaps is pointed out, with remarkable reference to the poor availability of spatial and quantitative data, severely affecting the application of the criteria adopted for the assessment. Descriptions of habitat types from Italy are reported, some of which are representative, emblematic or even exclusive to the Italian territory. The outcomes of the analysis represent the starting point for the future development of a national-scale Red List of Habitats. Results also emphasized how habitat types with a too broad definition pose a limit to a proper evaluation of the regional biogeographic variability, often very high in Italy, with local floristic and phytocoenotic peculiarities which do not find room in the adopted European typology. This is the reason why the development of national subtypes stands as a necessary step for the development of a realistic and effective assessment at the national scale. [ABSTRACT FROM AUTHOR]

Background and Aims: The substantial reduction in adiponectin concentration among obese individuals seems to depend on fat distribution and is a marker of metabolic and adipose tissue dysfunction. We aimed to: (i) address whether abdominal fat from different compartments (visceral, deep subcutaneous abdominal and superficial subcutaneous abdominal) and gluteofemoral fat are independently associated with blood adiponectin concentration; and (ii) investigate whether abdominal (proxied by waist circumference) and gluteofemoral fat (proxied by hip circumference) accumulation causally determine blood adiponectin concentration.Methods: To investigate the independent association of abdominal and gluteofemoral fat with adiponectin concentration, we used multivariable regression and data from 30-year-old adults from the 1982 Pelotas Birth Cohort (n = 2,743). To assess the causal role of abdominal and gluteofemoral fat accumulation on adiponectin concentration, we used Mendelian randomization and data from two consortia of genome-wide association studies-the GIANT (n > 210 000) and ADIPOGen consortia (n = 29 347).Results: In the multivariable regression analysis, all abdominal fat depots were negatively associated with adiponectin concentration, specially visceral abdominal fat [men: β = -0.24 standard unit of log adiponectin per standard unit increase in abdominal fat; 95% confidence interval (CI) = -0.31, -0.18; P = 8*10-13; women: β = -0.31; 95% CI = -0.36, -0.25; P = 7*10-27), whereas gluteofemoral fat was positively associated with adiponectin concentration (men: β = 0.13 standard unit of log adiponectin per standard unit increase in gluteofemoral fat; 95% CI = 0.03, 0.22; P = 0.008; women: β = 0.24; 95% CI = 0.17, 0.31; P = 7*10-11). In the Mendelian randomization analysis, genetically-predicted waist circumference was inversely related to blood adiponectin concentration (β = -0.27 standard unit of log adiponectin per standard unit increase in waist circumference; 95% CI = -0.36, -0.19; P = 2*10-11), whereas genetically-predicted hip circumference was positively associated with blood adiponectin concentration (β = 0.17 standard unit of log adiponectin per standard unit increase in hip circumference; 95% CI = 0.11, 0.24; P = 1*10-7).Conclusions: These results support the hypotheses that there is a complex interplay between body fat distribution and circulating adiponectin concentration, and that whereas obesity-induced hypoadiponectinaemia seems to be primarily attributed to abdominal fat accumulation, gluteofemoral fat accumulation is likely to exert a protective effect. [ABSTRACT FROM AUTHOR]

Background/objectives: Homocysteine (Hcy) is a key intermediate in methionine metabolism. A high plasma concentration of Hcy is an independent risk factor for cardiovascular diseases among other determinants. In this study, we aimed to investigate the interactions between methylenetetrahydrofolate reductase enzyme gene (MTHFR) polymorphisms and lifestyle variables (smoking, alcohol intake and physical activity) on Hcy concentrations in a young Brazilian population.Subjects/methods: The study population comprised 3803 individuals from the Pelotas Birth Cohort, aged 22-23 years. Allelic discrimination assays and chemiluminescence immunoassays were performed for genotyping and serum Hcy measurements, respectively. Linear regression models were used to explore the effect of gene-lifestyle interactions on Hcy concentrations.Results: Men carrying the MTHFR 677TT genotype, who were also smokers and drinkers (⩾15 g of alcohol per day), had the highest concentration of Hcy (P-value for the interaction <0.001 for smoking and 0.002 for alcohol intake). In contrast, high folate concentrations attenuated the effects of the MTHFR C677T genotype on serum Hcy concentrations (P-value for interaction <0.001). Also, among males, blood folate concentration was the only lifestyle variable able to modify the influence of MTHFR A1298C genotypes on Hcy concentrations (P-value for the interaction <0.001). There was no strong evidence of an interaction between the MTHFR genotypes and the lifestyle variables in women.Conclusions: In summary, our study demonstrates a sex difference in Hcy concentrations among Brazilian young adults regarding MTHFR C677T-lifestyle interactions that are worsened under conditions of low blood folate. Identification of potentially modifiable factors related to an increase in homocysteine in young adults, especially in those who are genetically susceptible, is important to prevent negative health consequences in the future. [ABSTRACT FROM AUTHOR]

Background/objectives: The aim of this study was to investigate the association between stunting in the second year of life and metabolic syndrome components in early adulthood among subjects who have been prospectively followed-up since birth, in a city in Southern Brazil.Subjects/methods: In 1984, we attempted to follow-up the entire cohort; the subjects were examined and their mothers interviewed. Stunting was defined by a length-for-age Z-score 2 s.d. or more below the mean, in accordance with the World Health Organization reference. Between 2004 and 2005, we again tried to follow the entire cohort; during this period the subjects were evaluated for the following metabolic syndrome components: high-density lipoprotein (HDL) cholesterol, triglycerides, random blood glucose, waist circumference and systolic and diastolic blood pressure. Family income at the time of the baby's birth, asset index, mother's education, mother's smoking during pregnancy and duration of breastfeeding were considered possible confounders. Linear regression was used in the unadjusted and adjusted analyses.Results: Among men, stunting was inversely associated with triglycerides (β=-11.90, confidence interval (CI)=-22.33 to -1.48) and waist circumference (β=-4.29, CI=-5.62 to -2.97), whereas for women stunting was negatively related to HDL-cholesterol (β=-4.50, CI=-6.47 to -2.52), triglycerides (β=-9.61, CI=-17.66 to -1.56) and waist circumference (β=-1.14, CI=-4.22 to -1.02). However, after controlling for confounding variables, these associations vanished.Conclusions: The findings suggest that stunting in childhood is not associated with metabolic syndrome components in young adults. [ABSTRACT FROM AUTHOR]

Background. Episodes of depression and anxiety (D&A) during the transition from late adolescence to adulthood, particularly when persistent, are predictive of long-term disorders and associated public health burden. Understanding risk factors at this time is important to guide intervention. The current objective was to investigate the associations between maternal symptoms of D&A with offspring symptoms during their transition to adulthood. Method. Data from a large population-based birth cohort study, in South Brazil, were used. Prospective associations between maternal D&A and offspring risk of these symptoms during the transition to adulthood (18/19, 24 and 30 years) were estimated. Results. Maternal D&A in adolescence was associated with offspring symptoms across the transition to adulthood, associations were consistently stronger for females than for males. Daughters whose mothers reported D&A were 4.6 times (95% confidence interval 2.71-7.84) as likely to report D&A at all three time-points, than daughters of symptom-free mothers. Conclusions. Maternal D&A is associated with persistent D&A during the daughter's transition to adulthood. Intervention strategies should consider the mother's mental health. [ABSTRACT FROM AUTHOR]

A study of the bryophytes of the lowlands west of Lake Trasimeno, a very peculiar territory for its geological, biogeographical and bioclimatic traits, was carried out. The data here reported were collected in a mosaic of woods and Mediterranean temporary ponds, the latter indicated as priority natural habitats under the Habitats Directive 92/43/EEC with the code 3170*. Research led to the identification of 44 taxa of bryophytes (13 liverworts and 31 mosses), among which 5 liverwort and 8 moss species are new records for the Umbria region, while one is confirmed. Particularly interesting is the presence of 13 liverwort taxa considered, according to the European Committee for Conservation of Bryophytes (ECCB), under threat at different levels in Europe. The study offers new outcomes on neglected aspects of the flora of central Italy and represents a considerable improvement of the floristic, biogeographical and ecological understanding of its bryophytic component. [ABSTRACT FROM AUTHOR]

In recent years, research in botany was increasingly related with the use of large data-sets and data banks, in order to address emerging issues such as the severe risk of species, habitats and biodiversity loss. In this frame, theanArchivetaxonomic Checklist, an online synonymized list of botanical species names, developed to support the botanical data banking and vegetation analysis, is presented and discussed here. The benefits deriving from such a supervised and referenced tool are emphasized. They include the possibility to keep track of old and new species names, pointing out the latest reviewed accepted scientific name and its synonyms, and harmonizing different taxonomic points of view. Furthermore, the list is open access and expert qualified customers can collaborate to its improvement. The basic unit of the taxonomic Checklist is an object including thetaxonname at specific or, when present, infraspecific level; the taxonomic frame stops at the level of family and ranks higher than genus are not treated hierarchically. Some technical features, the main taxonomic references and the current state of the art are reported. [ABSTRACT FROM PUBLISHER]

Background/objectives: To identify the prevalence and factors associated with body dissatisfaction.Subjects/methods: Birth cohort study investigating 4100 subjects (2187 men and 1913 women) aged between 22 and 23 years who answered questionnaires, including the body satisfaction Stunkard Scale were included in the study; they were weighed and measured. Multinomial logistic regression was used in the crude and adjusted analyses.Results: The prevalence of body dissatisfaction was 64% (95% CI, 62.7-65.6); 42% (95% CI, 40.6-43.6) of the subjects reported feeling larger than the desired body size, and 22% (95% CI, 20.7-23.3) reported feeling smaller than desired. Underweight subjects, subjects with less schooling, poor and sedentary male subjects with low psychological well-being and female subjects who were already mothers were more likely to express body dissatisfaction, perceiving their body as smaller than the desirable body size. The prevalence of body dissatisfaction was also high among overweight subjects, subjects with a high socioeconomic status and married female subjects, who perceived their body size as too large. Minor psychiatric disorders were associated with body dissatisfaction in all subjects, regardless of perceiving themselves as larger or smaller than the desired body size. Most women perceived themselves as larger, but similar proportions of men perceived themselves as too small or too large.Conclusions: Body dissatisfaction was observed among men and women with normal weight, but it was more evident in the obese individuals. Regardless of the nutritional status, both men and women should be appropriately counseled because body size perception can lead to unhealthy behaviors in relation to diet and physical activity. [ABSTRACT FROM AUTHOR]

Background/Objectives:To identify the prevalence and factors associated with body dissatisfaction.Subjects/Methods:Birth cohort study investigating 4100 subjects (2187 men and 1913 women) aged between 22 and 23 years who answered questionnaires, including the body satisfaction Stunkard Scale were included in the study; they were weighed and measured. Multinomial logistic regression was used in the crude and adjusted analyses.Results:The prevalence of body dissatisfaction was 64% (95% CI, 62.7-65.6); 42% (95% CI, 40.6-43.6) of the subjects reported feeling larger than the desired body size, and 22% (95% CI, 20.7-23.3) reported feeling smaller than desired. Underweight subjects, subjects with less schooling, poor and sedentary male subjects with low psychological well-being and female subjects who were already mothers were more likely to express body dissatisfaction, perceiving their body as smaller than the desirable body size. The prevalence of body dissatisfaction was also high among overweight subjects, subjects with a high socioeconomic status and married female subjects, who perceived their body size as too large. Minor psychiatric disorders were associated with body dissatisfaction in all subjects, regardless of perceiving themselves as larger or smaller than the desired body size. Most women perceived themselves as larger, but similar proportions of men perceived themselves as too small or too large.Conclusions:Body dissatisfaction was observed among men and women with normal weight, but it was more evident in the obese individuals. Regardless of the nutritional status, both men and women should be appropriately counseled because body size perception can lead to unhealthy behaviors in relation to diet and physical activity. [ABSTRACT FROM AUTHOR]

This study reports results relating to the identification of wood samples from pile dwellings discovered during the archaeological excavation of the Middle-Final Late Bronze Age pile dwelling of San Savino (Lake Trasimeno, PG, Italy). Anatomical descriptions and identification of 16 wooden piles were performed by microscopic evaluation. In this study, the speciesQuercus petraea(Matt.) Liebl.,Quercus roburL. andPrunus spinosaL. were identified. For two samples, no precise identification of the species was carried out; however, these samples showed significant similarities toUlmusspp. In addition, among the charcoal fragments, some have been identified asFagus sylvaticaL. The detectedtaxareflect a species assemblage matching with a temperate deciduous mixed forest and, with reference to the current climate, it might be referred to conditions ranging from the mesotemperate to the Meso-Submediterranean bioclimatic belts. New information about the interactions between man and vegetation was provided. In fact, the wood species used in the construction of the Bronze Age pile-dwelling settlement in San Savino reflect a sensible choice; people living in that time period had solid knowledge and experience in the use of wood. [ABSTRACT FROM PUBLISHER]

In this study, we validated some syntaxa, the published names of which were regarded as invalid on the basis of the International Code of Phytosociological Nomenclature. The validations concern syntaxa of different hierarchical levels, belonging to different phytosociological classes. Most validations regard syntaxa that are invalid with respect to art. 5 of the Code. Indeed, the nomenclatural types were not indicated in the correct form (typus, holotypus, lectotypus, and neotypus). [ABSTRACT FROM AUTHOR]

Two years after its official start, the national vegetation database VegItaly, a collaborative project supported by the Italian scientific community and developed by a large group of scientists, is presented. This article offers a concise overview of the content of the database, currently consisting of 31,100 vegetation plot, including published and unpublished data. Some basic statistics are analysed; for example, data distribution in space and time, represented vegetation types expressed as physiognomic categories. Although rather young and still in progress, VegItaly already contains data from all the Italian regions and stands as an optimal candidate for the development of an Italian national vegetation database. Its main goals,theoretical basis, technical features, functionalities and recent progresses are outlined, showing glimpses of future prospects. [ABSTRACT FROM PUBLISHER]

Background There is evidence from two meta-analyses that children born through caesarean section (C-section) may have an increased risk of developing asthma compared with those born through vaginal delivery. Objective To evaluate the association between mode of delivery and wheezing (current and persistent) in childhood and adolescence, in two birth cohort studies in Brazil. Methods The outcome variable was based on the International Study of Allergy and Asthma questionnaire, which collects information about wheezing within the 12 months before the interview. Persistent wheezing was defined when it was present in more than one follow-up at different ages, in the 1993 cohort. The questions were asked to mothers when children were aged 4 years (1993 and 2004 cohorts) and directly to cohort participants at 11 and 15 years (1993 cohort). Mode of delivery was collected by the research team of each cohort when children were born. Results Response rates in the last follow-up visit of the 1993 and 2004 cohorts were 85% and 92%, respectively. The prevalence of current wheezing increased from 20% to 28% at 4 years from 1993 to 2004; at 11 and 15 years, the prevalence was around 14% and 12%, in the 1993 cohort. The proportion of C-sections increased from 30.5% to 45% between 1993 and 2004. In each cohort, the prevalence of current wheezing was similar among children born through vaginal and C-section. The risk for persistent wheezing in the 1993 cohort was higher among girls born through C-section than boys. Conclusion Despite the increase in the proportion of C-section in two cohorts in Southern Brazil, we found no evidence of an association between mode of delivery and the subsequent risk of wheezing. Among girls, although there was no statistical significance, the risk was higher for those born by C-section, especially regarding persistent wheezing. [ABSTRACT FROM AUTHOR]

This study aimed to assess the prevalence of use and need for dental prostheses (UNDP) by individuals at age 24 and their life-course determinants. A representative sample (n = 720) of all 5914 births occurring in Pelotas in 1982 were prospectively investigated, and the UNDP were assessed in 2006. Exploratory variables included demographic and socio-economic, oral health, and dental service utilization patterns during the lifecourse. The prevalence of UNDP was 2.1% and 29.7%, respectively. Multivariable Poisson regression analysis showed that low socio-economic status through the life-course [Prevalence Ratio (PR) = 1.56 (95% CI: 1.08-2.26)], lower maternal schooling in childhood [PR 2.79 (1.34-5.79)], no oral hygiene instruction by a dentist at age 15 [PR 1.64 (1.11-2.41)], and caries presence at age 15 (high DMFT tertile) [PR 2.90 (1.98-4.24)] were associated with prosthetic treatment needs. These results support the hypothesis that life-course socio-economic, behavioral, and clinical determinants are associated with the need for dental prostheses. [ABSTRACT FROM AUTHOR]

Background/Objective:To investigate socioeconomic, gestational and early life exposures as potential determinants of total height, leg and trunk length.Subjects/Methods:Male subjects from the 1982 Pelotas Birth Cohort Study were examined in 1986 at home, and in 2000 when registering at the local army base. The follow-up rate was 79%. Standing and sitting heights were measured on both occasions. Leg length was calculated as the difference between standing and sitting heights. Outcome measures were height, leg and trunk length at 4 and 18 years and growth in this period. Complete data were obtained for 2012 participants, representing 71% of all eligible male subjects.Results:Mean (s.d.) height, trunk length and leg length at 18 years were 173.4 (6.8), 96.0 (3.5) and 77.5 cm (4.5), respectively. The mean (s.d.) change in height from 1986 to 2000 was 75.4 cm (5.2) and for leg and trunk length 35.4 (3.9) and 40.0 cm (2.9), respectively. Of 11 independent variables analyzed, only maternal height and birthweight were associated with all three variables of growth. Gestational age showed no associations with growth or attained size.Conclusions:Early growth plays a pivotal role in determining attained height and its components. Both biological and socioeconomic variables strongly influence determinants of height, though socioeconomic factors appear to be more important in early growth. Leg and trunk length contribute almost equally to differences in overall height, regardless of the independent variable influencing the difference. Public health strategies designed to improve chronic disease profiles should focus on the early growth period.European Journal of Clinical Nutrition (2009) 63, 375–381; doi:10.1038/sj.ejcn.1602949; published online 27 February 2008 [ABSTRACT FROM AUTHOR]

Objectives:The effect of breastfeeding duration on the prevalence of overweight and on mean weight for height z-score (WHZ) was evaluated in Brazilian children.Design:Prospective population-based birth cohort study.Subjects:In total, 1273 children aged 4 years, corresponding to a follow-up rate of 87.2%.Measurements:Three explanatory variables were studied: duration of any breastfeeding, duration of exclusive or predominant breastfeeding, and ever breastfeeding. Weight and height were measured using a digital electronic scale and a portable stadiometer. Overweight was defined as WHZ >2 using the National Center for Health Statistics reference curve.Results:Overweight prevalence at the age of 4 years was 10.2% (95% CI 8.4; 11.8). The lowest prevalence (6.5%) was observed among children breastfed for >11 months. Among those breastfed for less than 3 months, the prevalence of overweight was approximately 9.5%. Mean WHZ ranged from 0.38 among children breastfed for less than 1 month to 0.62 among those breastfed for 9–11.9 months. No linear trends were detected in the association between breastfeeding and anthropometric indicators. None of the three breastfeeding variables was significantly associated with the prevalence of overweight or mean WHZ in multivariable analyses. No interactions were detected between breastfeeding and the variables sex, birth weight, socioeconomic status, skin color and pregestational in body mass index.Conclusion:Our results do not support the hypothesis that breastfeeding promotion would reduce overweight or obesity in this population. Existing evidence on many other benefits of breastfeeding for the mother and the child supports its continued promotion, protection and support.International Journal of Obesity (2006) 30, 500–506. doi:10.1038/sj.ijo.0803160; published online 8 November 2005 [ABSTRACT FROM AUTHOR]

Objective:To study the prevalence and current predictors of low body mass index (BMI) in a population undergoing a rapid nutritional transition.Design:Population-based cross-sectional study.Settings:Individuals living in the urban area of Pelotas, a medium-sized southern Brazilian city, were interviewed at home.Subjects:A multiple-stage sampling strategy was used. Out of 3372 eligible subjects, 3047 were interviewed. The study was restricted to adults (≥20 y).Main outcome measure:Low BMI was defined as <18.5 kg/m2.Results:The prevalence of low BMI was 2.7% (95% confidence interval: 2.1; 3.3), higher in women than men (3.8 vs 1.3%; P<0.001). In the whole sample (men and women combined), living without a partner and current smoking were positively associated with low BMI. Among women, low BMI presented a U-shaped relationship with age and was positively associated with educational level. The prevalence of low BMI in young women was 6.3%, and in highly educated young women was 8.9%.Conclusions:Consistently with previous Brazilian studies, a decline in the overall prevalence of low BMI is clear. However, differently from these studies, the predictors of low BMI in women are similar to those observed within developed countries (including low age and high education), possibly indicating an increase in eating disorders.European Journal of Clinical Nutrition (2005) 59, 1002–1006. doi:10.1038/sj.ejcn.1602204; published online 22 June 2005 [ABSTRACT FROM AUTHOR]

Objective: To evaluate the role of central adiposity, as evaluated by the measurement of waist circumference (WC), as an independent risk factor for hypertension and type 2 diabetes mellitus in the setting of a developing country.Design: Population-based, cross-sectional study.Setting: A medium-sized town in southern Brazil.Participants: One thousand and ninety-five non-pregnant women, 20 to 69 years old, recruited by cluster random sampling between 1999 and 2000. Their mean WC was 85.3 cm (standard deviation 13.9 cm) and 23.3% (n=255) were obese (body mass index >30 kg m(-2)). The prevalence of hypertension and diabetes was 25.6% (n=280) and 6.2% (n=68), respectively.Results: The risks of hypertension and diabetes were directly related to WC measurement. Women with WC>80 cm had increased risk of hypertension (odds ratio (OR)=6.2, P<0.001). The association remained significant (OR=1.04 per cm increase in WC, P=0.02) after adjusting for confounders. The effect of WC on diabetes was modified by age. The effect was stronger in women younger than 40 years old (OR=12.7, P=0.016) than in those over 40 years old (OR=2.8, P=0.013). In the multivariate analysis, the odds ratio was 5.7 (P=0.12) in those under 40 years old and 2.8 (P=0.008) in older women.Conclusions: Waist circumference is an independent determinant for hypertension and diabetes in women in this population. The stronger association between WC and diabetes in younger women suggests that the validity of this indicator to assess abdominal adiposity is age-specific. Further studies should validate the usefulness of WC measurement in different age groups. [ABSTRACT FROM AUTHOR]

To assess the impact on child growth of the nutrition-counseling component of the Integrated Management of Childhood Illnesses (IMCI) strategy, a randomized trial was implemented. All 28 government health centers in a Southern Brazil city were paired according to baseline nutritional indicators. One center from each pair was randomly selected and its doctors received 20-h training in nutrition counseling. Thirty-three doctors were included and 12-13 patients < 18 mo of age from each doctor were recruited. The study included testing the knowledge of doctors, observing consultations and visiting the children at home 8, 45 and 180 d after the initial consultation. Maternal knowledge, practices and adherence to nutritional recommendations were assessed, and anthropometric measurements were taken. Day-long dietary intake was evaluated on a subsample of children. Doctors in the intervention group had better knowledge of child nutrition and improved assessment and counseling practices. Maternal recall of recommendations was higher in the intervention than in the control group, as was satisfaction with the consultation. Reported use of recommended foods was also increased. Daily fat intake was higher in the intervention than in the control group; mean daily intakes of energy and zinc also tended to improve. Children 12 mo of age or older had improved weight gain and a positive but nonsignificant improvement in length. Nutrition-counseling training improved doctors' performances, maternal practices and the diets and weight gain of children. The randomized design with blind outcome evaluation strongly supports a causal link. These results should be replicated in other settings. [ABSTRACT FROM AUTHOR]

The effect of lactation on maternal nutrition is controversial. Some studies have shown that breast-feeding reduces maternal weight, whereas some have not. All studies have been restricted to the first 2 y after delivery. We investigated the effect of lactation on maternal nutrition 5 y after delivery. All mothers giving birth in the city of Pelotas, Brazil, in 1993 were interviewed and weighed soon after delivery; information was also obtained on prepregnancy weight. In 1994, information on breast-feeding duration and pattern was collected for a 20% subsample. They were seen again in 1998, and those eligible (nonsmokers, no subsequent pregnancy, last birth weight > or = 2500 g) underwent measurements for weight, height, waist, hip and arm circumferences, triceps and subscapular skinfolds. The following indices were calculated in 312 women: body mass index, waist/hip ratio, arm fat area, the percentage of body fat assessed through skinfolds, and weight and body mass index change since before conception. The percentage of body fat was also measured through bioimpedance for half of the sample. After adjustment for confounding, all outcomes generally showed a similar pattern, i.e., mothers who breast-fed for 6-11.9 mo had lower measurements than those with shorter or longer durations. However, only the association with bioimpedance was significant (P < 0.03), and that for arm fat area tended to be significant (P = 0.06). Exclusive or predominant breastfeeding at 4 mo was associated with lower waist circumference (P = 0.05) and the percentage of body fat measured through skinfolds (P = 0.04). This study suggests that the relationship between breast-feeding and long-term changes in maternal weight is complex and, in this population, not particularly strong. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the relationship between nutritional status and dental fluorosis in areas with fluoride in the drinking water in Paraíba, Brazil. Rural villages of comparable low socio-economic status and stable water fluoride levels were selected. Lifelong residents (6-11 years old, n = 650) were examined for nutritional status (height-for-age index; WHO methods) and dental fluorosis of central incisors and first molars (TF index). The sample was divided into three groups according to fluoride levels in the drinking water: low (below 0.7 ppm F, n = 164), medium (between 0.7 and 1.0 ppm F, n = 360) and high (above 1.0 ppm F, n = 126). Dental fluorosis was observed in 30.5, 61.1 and 71.4% of the children in these F groups, respectively. The prevalence was significantly related to the water F concentrations (chi2 = 59.93, d. f. = 2, p<0.001). The severity of dental fluorosis ranged from TF 1 to 3 in the low F group and up to 7 in the others. Malnutrition prevalence was approximately 20% in all F groups, but was unrelated to dental fluorosis. The fairly high prevalence of dental fluorosis observed suggests that other factors may be operating. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the relationship between nutritional status and dental fluorosis in areas with fluoride in the drinking water in Paraíba, Brazil. Rural villages of comparable low socio-economic status and stable water fluoride levels were selected. Lifelong residents (6-11 years old, n = 650) were examined for nutritional status (height-for-age index; WHO methods) and dental fluorosis of central incisors and first molars (TF index). The sample was divided into three groups according to fluoride levels in the drinking water: low (below 0.7 ppm F, n = 164), medium (between 0.7 and 1.0 ppm F, n = 360) and high (above 1.0 ppm F, n = 126). Dental fluorosis was observed in 30.5, 61.1 and 71.4% of the children in these F groups, respectively. The prevalence was significantly related to the water F concentrations (χ² = 59.93, d.f. = 2, p<0.001). The severity of dental fluorosis ranged from TF 1 to 3 in the low F group and up to 7 in the others. Malnutrition prevalence was approximately 20% in all F groups, but was unrelated to dental fluorosis. The fairly high prevalence of dental fluorosis observed suggests that other factors may be operating. [ABSTRACT FROM AUTHOR]