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3. Body Composition Profile and Nutritional Status of Adolescents with Overweight or Obesity Using Usual and Unusual Indicators

Author

Westphal, Greice, Faundez Casanova, Cesar P, Grizzo, Felipe Merchan Ferraz, Mendes, Anselmo Alexandre, Oltramari, Karine, Pascoini, Mara, Castillo Retamal, Marcelo, Souza de Carvalho, Ricardo, Vásquez Gómez, Jaime, Junior, Nelson Nardo, Westphal, Greice, Faundez Casanova, Cesar P, Grizzo, Felipe Merchan Ferraz, Mendes, Anselmo Alexandre, Oltramari, Karine, Pascoini, Mara, Castillo Retamal, Marcelo, Souza de Carvalho, Ricardo, Vásquez Gómez, Jaime, and Junior, Nelson Nardo

Abstract

In recent decades, overweight and obesity in childhood and adolescence have been one of the most important challenges in public health. The objective of this cross-sectional study was to further explore the body composition and nutritional status of adolescents with overweight or obesity using usual and unusual indicators. Participants were 90 adolescents between 10 and 18 years of age belonging to a multiprofessional obesity treatment program, who were evaluated with multifrequency bioelectrical impedance to determine their nutritional status as overweight, with obesity or with severe obesity and body composition. Analysis of variance, correlation, and linear regression adjusted for confounding variables were used to analyze the data. There were significant differences between the three groups according to their BMI in lean and fat mass as the usual indicators (p<0.05). The same was observed for lean and fat mass indexes, and for lean-to-fat ratio (p<0.01) which are unusual indicators. Additionally, positive and significant correlations were observed between usual and unusual variables (r = 0.5 to 0.89; p<0.05). At the same time, lean and fat mass mainly tended to increase with a higher BMI in adolescents (p<0.05). It is concluded that the comparison and associations between the usual and unusual variables provided important findings on the evaluation of adolescents with overweight, obesity, or severe obesity. It should be considered that this study was cross-sectional and did not indicate cause-effect between the variables., En las últimas décadas, el sobrepeso y la obesidad en la infancia y la adolescencia han sido uno de los desafíos más importantes en salud pública. El objetivo de este estudio transversal fue explorar más a fondo la composición corporal y el estado nutricional de adolescentes con sobrepeso u obesidad utilizando indicadores habituales e inusuales. Los participantes fueron 90 adolescentes entre 10 y 18 años pertenecientes a un programa multiprofesional de tratamiento de la obesidad, quienes fueron evaluados con impedancia bioeléctrica multifrecuencia para determinar su estado nutricional como sobrepeso, con obesidad o con obesidad severa y composición corporal. Para analizar los datos se utilizaron análisis de varianza, correlación y regresión lineal ajustados por variables de confusión. Hubo diferencias significativas entre los tres grupos según su IMC en masa magra y grasa como indicadores habituales (p<0,05). Lo mismo se observó para los índices de masa magra y grasa, y para la relación magro-grasa (p<0,01), que son indicadores inusuales. Además, se observaron correlaciones positivas y significativas entre variables habituales e inusuales (r = 0,5 a 0,89; p<0,05). Al mismo tiempo, la masa magra y grasa tendió principalmente a aumentar con un IMC más alto en los adolescentes (p<0,05). Se concluye que la comparación y asociaciones entre las variables habituales e inusuales proporcionaron hallazgos importantes en la evaluación de adolescentes con sobrepeso, obesidad u obesidad severa. Se debe considerar que este estudio fue transversal y no indicó causa-efecto entre las variables.

Published
2023

4. MULTICENTER CARPOTARSAL OSTEOLYSIS: AN IMPORTANT DIFFERENTIAL DIAGNOSIS OF JUVENILE IDIOPATHIC ARTHRITIS

Author

Fogaça, Guilherme Henrique Silva, primary, Facimoto, Lais Yurie, additional, Sekiyama, Juliana Yuri, additional, Volse, Amanda Alves, additional, Franchini, Cassia de Fatima Monteiro, additional, Borghi, Fernanda Maria, additional, Pereira, Gabriel Caetano, additional, Godinho, Jessica Dias, additional, Otani, Leandro Hideki, additional, Scremin, Luciano Henrique Gazoni, additional, Venazzi, Mateus Sabaini, additional, Donadio, Paulo Roberto, additional, Viana, Rudimila Caroline, additional, and Grizzo, Felipe Merchan Ferraz, additional

Published
2023
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5. DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS (DISH) PREVALENCE AND CLINICAL ASSOCIATIONS: A CROSS-SECTIONAL STUDY IN BRAZIL

Author

Facimoto, Laís Yurie, primary, Scremin, Luciano Henrique Gazoni, additional, Loures, Felipe Cayres Nogueira da Rocha, additional, Grizzo, Felipe Merchan Ferraz, additional, Borghi, Fernanda Maria, additional, Sekiyama, Juliana Yuri, additional, Venazzi, Mateus Sabaini, additional, Donadio, Paulo Roberto, additional, Pereira, Gabriel Caetano, additional, Viana, Rudimila Caroline, additional, Franchini, Cássia de Fátima Monteiro, additional, Volse, Amanda Alves, additional, Godinho, Jéssica Dias, additional, Otani, Leandro Hideki, additional, and Fogaça, Guilherme Henrique Silva, additional

Published
2023
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6. LUCIO S PHENOMENON MIMICKING CUTANEOUS VASCULITIS: A CASE REPORT

Author

Facimoto, Laís Yurie, primary, Borghi, Fernanda Maria, additional, Donadio, Paulo Roberto, additional, Grizzo, Felipe Merchan Ferraz, additional, Sekiyama, Juliana Yuri, additional, Venazzi, Mateus Sabaini, additional, Franchini, Cássia de Fátima Monteiro, additional, Volse, Amanda Alves, additional, Pereira, Gabriel Caetano, additional, Fogaça, Guilherme Henrique Silva, additional, Viana, Rudimila Caroline, additional, Godinho, Jéssica Dias, additional, Scremin, Luciano Henrique Gazoni, additional, and Otani, Leandro Hideki, additional

Published
2023
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8. X-LINKED HYPOPHOSPHATEMIC RICKETS IN AN ADULT: A CASE REPORT

Author

Fogaça, Guilherme Henrique Silva, primary, Facimot, Lais Yurie, additional, Volse, Amanda Alves, additional, Franchini, Cassia de Fatima Monteiro, additional, Borghi, Fernanda Maria, additional, Pereira, Gabriel Caetano, additional, Godinho, Jessica Dias, additional, Sekiyama, Juliana Yuri, additional, Scremin, Luciano Henrique Gazoni, additional, Otani, Leandro Hideki, additional, Venazzi, Mateus Sabaini, additional, Donadio, Paulo Roberto, additional, Viana, Rudimila Caroline, additional, and Grizzo, Felipe Merchan Ferraz, additional

Published
2023
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9. A CASE REPORT OF MIKULICZ SYNDROME ASSOCIATED WITH IGG4 IN YOUNG WOMEN

Author

Facimoto, Lais Yurie, primary, Volse, Amanda Alves, additional, Mucenieks, Anderson Gusthavo dos Santos, additional, Van Linschoten, Beatriz Kaway, additional, Grizzo, Felipe Merchan Ferraz, additional, Borghi, Fernanda Maria, additional, Sekiyama, Juliana Yuri, additional, Paroschi, Leonardo Henrique Branco, additional, and Donadio, Paulo Roberto, additional

Published
2022
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10. CONGENITAL COMPLETE ATRIOVENTRICULAR HEART BLOCK IN A HEALTHY PREGNANT WOMAN

Author

Volse, Amanda Alves, primary, Mucenieks, Anderson Gusthavo dos Santos, additional, Van Linschoten, Beatriz Kway, additional, Grizzo, Felipe Merchan Ferraz, additional, Borghi, Fernanda Maria, additional, Sekiyama, Juliana Yuri, additional, Facimoto, Lais Yurie, additional, Paroschi, Leonardo Henrique Branco, additional, Venazzi, Mateus Sabaini, additional, and Donadio, Paulo Roberto, additional

Published
2022
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11. SYNOVIAL CHONDROMATOSIS OF THE WRIST JOINT IN RENAL TRANSPLANT RECIPIENT

Author

Facimoto, Lais Yurie, primary, Volse, Amanda Alves, additional, Mucenieks, Anderson Gusthavo dos Santos, additional, Van Linschoten, Beatriz Kaway, additional, Grizzo, Felipe Merchan Ferraz, additional, Borghi, Fernanda Maria, additional, Sekiyama, Juliana Yuri, additional, Paroschi, Leonardo Henrique Branco, additional, and Donadio, Paulo Roberto, additional

Published
2022
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12. CARDIOVASCULAR RISK FACTORS IN PATIENTS WITH RHEUMATOID ARTHRITIS TREATED IN A SPECIALIZED OUTPACIENT CLINIC

Author

Mucenieks, Anderson Gusthavo dos Santos, primary, Volse, Amanda Alves, additional, Van Linschoten, Beatriz Kaway, additional, Grizzo, Felipe Merchan Ferraz, additional, Borghi, Fernanda Maria, additional, Sekiyama, Juliana Yuri, additional, Facimoto, Lais Yurie, additional, Paroschi, Leonardo Henrique Branco, additional, and Donadio, Paulo Roberto, additional

Published
2022
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13. RELAPSING POLYCHONDRITIS IN AN 18-YEAR-OLD MAN: A CASE REPORT IN A TERTIARY SERVICE IN SOUTHERN BRAZIL

Author

Mucenieks, Anderson Gusthavo dos Santos, primary, Volse, Amanda Alves, additional, Van Linschoten, Beatriz Kaway, additional, Grizzo, Felipe Merchan Ferraz, additional, Borghi, Fernanda Maria, additional, Sekiyama, Juliana Yuri, additional, Facimoto, Lais Yurie, additional, Paroschi, Leonardo Henrique Branco, additional, and Donadio, Paulo Roberto, additional

Published
2022
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15. Additional file 1 of Maintained activity in ankylosing spondylitis patients treated with TNFi and/or NSAID for at least 12 weeks: a cross-sectional study in Brazil

Author

de Toledo, Ricardo Acayaba, Grizzo, Felipe Merchan Ferraz, Fernandes, Vander, Calheiros, Renato, Russo, Ricardo T., Rosal, Gustavo, Marchese, Luiz Roberto Delboni, Tunala, Roberto, Watanabe, Renato, Birck, Marina Gabriela, Julian, Guilherme Silva, and Forestiero, Francisco Jose

Abstract

Supplementary Material 1

Published
2022
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16. Osteoporose associada à gestação/lactação : análise histomorfométrica e resposta ao tratamento com ácido zoledrônico

Author

Grizzo, Felipe Merchan Ferraz, Sandra Marisa Pelloso, Marcelo Medeiros Pinheiro - UEM, and Maria Dalva Barros Carvalho - UEM

Subjects
Bone biopsy, Ciências da Saúde, Brasil, Lactação.Histomorfometria óssea, Medicina, Bisphosphonates, Biópsia óssea, Gestação, Pregnancy, Bifosfonados, Osteoporosis, Lactation, Osteoporose, Brazil, Bone histomorphometry
Abstract

Pregnancy and lactation-associated osteoporosis is a rare condition with little known pathophysiology. Most cases are diagnosed in the third trimester of pregnancy or in the first weeks postpartum, particularly in first pregnancies. Vertebral fractures are most commonly observed and characterized by prolonged severe pain, functional limitations and a loss of height. Measurements of bone mineral density and biochemical markers of bone remodelling are the clinical methods most commonly used for the management of these patients. However, a bone biopsy with histomorphometric analysis has been considered to be the gold-standard. Few studies have evaluated the histomorphometry in patients with this clinical condition and none of them performed the procedure at the beginning of the clinical assessment. In this study, we report a case of pregnancy and lactation-associated osteoporosis in a 31 years old postpartum patient who had undergone a twin pregnancy. We describe the clinical, laboratory tests and imaging features. Bone histomorphometry showed a high resorption rate and excellent evolution after 1 year of treatment with intravenous zoledronic acid. Our data suggest that osteoclastogenesis plays a central role in the pathophysiological processes of this disease. A osteoporose associada à gestação/lactação é uma condição rara, com fisiopatologia pouco conhecida e com a maioria dos casos diagnosticada no terceiro trimestre de gestação ou nas primeiras semanas de puerpério, principalmente em primigestas. As fraturas vertebrais são as mais observadas e são caracterizadas por dor de forte intensidade por tempo prolongado, limitação funcional e perda de estatura. As medidas da densidade mineral óssea e os marcadores bioquímicos da remodelação óssea são os métodos mais usados na prática clínica para o manuseio desses pacientes, no entanto, a biópsia óssea com a análise histomorfométrica é considerada o padrão-ouro. Poucos estudos avaliaram a histomorfometria de pacientes com esta condição clínica e em nenhum deles o procedimento foi realizado no início do quadro clínico. Nesse estudo relatamos um caso de osteoporose associada à gestação/lactação em paciente de 31 anos no puerpério de gestação gemelar. Descrevemos as características clínicas, laboratoriais e exames de imagem. A histomorfometria óssea demonstrou osteoporose de alta remodelação com acentuada reabsorção óssea e houve excelente evolução após um ano de tratamento com ácido zoledrônico endovenoso. Nossos dados sugerem que a osteoclastogênese desempenha papel central no processo fisiopatogênico da doença. 52 f

Published
2015

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