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Browsing CEDS by Author "Braz, Nidia"
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- Ageing and nutritional therapy adherence in type 2 diabetesPublication . Pinto, Ezequiel; Braz, NidiaThe prevalence of diabetes increases with age, which is also a determinant of nutrition therapy adherence. This descriptive study was conducted in a non-random sample of 66 patients aged between 47 and 75 years (M=61.5; SD=8.0) receiving health care in a Diabetes Clinic in the municipality of Faro, in the Portuguese region of the Algarve. We aimed to assess the association between age and the clinical characteristics of type 2 diabetes and to analyze the perceptions regarding the barriers to an adequate diet. Glycated hemoglobin (HbA1c) (r=-0.372, P<0.001) showed a negative correlation with age, suggesting that older patients have a better glucose control. Older age is also correlated with a higher number of daily meals (r=0.263) and lower intake of energy (r=-0.334), protein (r=-0.249), sugars (r=-0.301), and water (r=-0.223). Forty-six patients (69.7%) had a mean excess energy intake of 384 kcal (SD=630.2), when compared with individual nutritional energy estimated requirements. Excess energy intake was uncorrelated with age (r=-0.138, P=0.269). Older patients also seem more confused with the nutrition information they received (r=0.248) and feel that they need more advice on what is a proper diet (r=0.242). Nutrition education interventions in this population must be tailored in order to address these factors
- Alimentos e produtos da Dieta MediterrânicaPublication . Braz, NidiaDieta Mediterrânica: Azeite como principal fonte de gordura; hortícolas, fruta, pão e outros cereais não refinados e leguminosas em abundância; alimentos pouco processados, frescos, locais e da época; consumo de carnes vermelhas com moderação e maior consumo de peixe e ovos; lacticínios diariamente, em quantidades baixas a moderadas e água como bebida de eleição.
- Atenção à saúde no envelhecimento humano, Aula inaugural do Mestrado em Atenção à SaúdePublication . Braz, NidiaO envelhecimento humano torna-se, nas sociedades desenvolvidas do século XXI, um tema incontornável para todos: para os decisores políticos, para os profissionais de saúde, os profissionais de cuidados e para os cidadãos empenhados. Com efeito, o numero cada vez maior de idosos e a idade cada vez maior que muitos desses idosos atingem, mudará necessariamente, o modo como as sociedades encaram o envelhecimento. Sabemos que sociedades diferentes, com raizes culturais distintas, têm posições diferentes face aos mais velhos, nalguns casos os anciões são os guardiões da sabedoria e do poder, enquanto noutros são afastados da vida social, menos respeitados e até escondidos e abandonados. A consciência social, por um lado, e a necessidade de aproveitar ao máximo os recursos humanos, por outro lado, levou a que se criassem, no final do século passado, múltiplos sistemas de cuidados formais, onde os mais velhos são depositados, tal como as crianças, para passar apenas as horas do dia laboral, numa fase inicial, evitando assim a solidão e a falta de cuidado de um lar vazio, e mais tarde, internados a tempo inteiro.
- Das memórias à inovação produção, pesca e consumos de peixe no AlgarvePublication . Braz, NidiaNesta época em que o modo de vida mediterrânico está reconhecido e valorizado como promotor de saúde e bem estar, torna-se particularmente relevante caracterizar a produção, a pesca e os consumos de peixe no Algarve Tem sido comum assumirmos o Algarve como exemplo de Mediterrâneo, à semelhança do que fez tantas vezes Orlando Ribeiro, ao tomar paisagens rurais e agrícolas, culturas e pessoas do Algarve como imagem do Mediterrâneo em Portugal, e também pela mesma razão que a comunidade portuguesa representativa da identidade que a UNESCO inscreveu na lista do Património Cultural Imaterial da Humanidade é a cidade algarvia de Tavira. A extensão e a diversidade da costa do Algarve, com seus sapais e rias escondidas pelas ilhasbarreira, com seus areais ventosos e, mais a barlavento, com suas arribas e rochas, determina, desde tempos imemoriais, uma relação importante entre o Algarvio e os produtos da pesca.
- Functional aspects in ageing adults with diabetic neuropathy. A reviewPublication . Braz, Nidia; Botelho, Marta; Conde, MonserratDiabetic Peripheral Neuropathy (DPN) is highly prevalent among diabetic ageing adults. The sensory and motor impairments caused by this long-term complication lead to poorer physical functioning, postural control and balance. These changes affect the activities of daily living and increase the risk of falling, subsequently leading to increased morbidity and decreased quality of life. Early detection of such functional limitations is important, as it may influence the effectiveness of rehabilitation programs and prevent further functional dependence. This review focuses on functional aspects related to balance, postural control and mobility in ageing adults suffering from DPN, as well as their assessment by valid, reliable and low-cost performance-based measurements. PUBMED was searched for articles in English published between 2004 and 2014. Search terms included diabetic neuropathy, balance, postural control, functional mobility, and functional outcomes. Reviewed literature indicates that simple and low-cost measurements, easy to include in clinical routines, can be used for screening impairments in complex functions, such as balance and mobility. Some studies have also been able to correlate results from DPN severity scales with those of functional tests, showing that applying such tests may improve the early diagnosis of this neurological disorder. Berg Balance Scale, Dynamic Gait Index, Functional Reach Test, and Time Up and Go already have modified cut-off points for the Diabetes Mellitus older population, but need validation for ageing adults with DPN. Further research on this subject should be addressed, in order to improve assessment outcomes.
- Self-care improvement after a pharmaceutical intervention in elderly type 2 diabetic patientsPublication . Nascimento, Tânia; Braz, Nidia; Gomes, Eurico; Fernandez-Arche, Angeles; De La Puerta, RocioDiabetes mellitus involves long-term complications that affect diabetic patients’ quality of life. The best way to prevent these complications is that patients achieve good metabolic control. In order to reach this goal, patients are requested to acquire daily behaviours (self-care). Such behaviours are sometimes hard to adhere, because they require changes in habits acquired over time. The aim of the present study is to evaluate the improvement on self-care after a pharmaceutical intervention on home regime patients. We performed a controlled experimental comparative study with a follow up of 6 months, on 87 patients, randomized in control group (n=43) and intervention group (n=44). We accessed sociodemographic and clinical data (glycaemic profile), as well as adherence to drug therapy and self-assessed care (before-after).In the intervention group, mean age was 74.2±5.4 years, and the median time of T2DM diagnosis was 14.7±8.5years. At the end of study, the decrease in fasting blood glucose was higher in the intervention group patients than that observed in the control group (50.2mg/dL), with statistically significant difference (p<0.05), as well as the decrease verified in HbA1c. In self-care adherence, alterations in the levels of adherence of the general nutrition and physical exercise dimensions became evident, with an increase in the number of days of adherence. On medication adherence statistically significant alterations (p<0.05) were also recorded. We can conclude that an individualized pharmaceutical intervention can improve self-care behaviours, as well as medication adherence, contributing to better metabolic control.