Raquel de Deus Mendonca

Scopus Publications

Validity and reliability of the Perceived Nutrition Environment Measures Survey (NEMS-P) for use in Brazil
Bruna Aparecida Avelar, Adriano Akira Ferreira Hino, Anabele Pires Santos, Larissa Loures Mendes, Júlia Cristina Cardoso Carraro, Raquel de Deus Mendonça, and Mariana Carvalho de Menezes
Cambridge University Press (CUP)
Abstract Objective: The aim of this study is to evaluate the validity and reliability of the Perceived Nutrition Environment Measures Survey (NEMS-P) translated and adapted for use in Brazil. Design: Validation of the NEMS-P questionnaire. The questionnaires were applied to assess validity and reliability, based on exploratory factor analysis, Cronbach’s α coefficient and intra-class correlation, with a significance level of 95 %. Setting: Brazil. Participants: Adults over 20 years of age diagnosed with hypertension were included in the internal validity and reliability test (n 176) and intra-rater reliability (subsample n 35). Results: Factor analysis obtained satisfactory results. Internal consistency was acceptable for most items, with Cronbach’s α ranging from 0·6 to 0·9. The intra-rater reliability of the subsample was also valid, with intra-class correlation coefficient values ranging from 0·5 to 0·9. Conclusion: This work reveals the usefulness of the instrument to assess the perceived food environment in the Brazilian context, being able to measure what is proposed according to its theoretical model, and reproduces the values when applied to a sample different from its original validation. However, refinement of some questions is suggested. Finally, it demonstrates the possibility of using the entire instrument or each section independently, according to the food environments to be investigated.

Fatty acid intake and prevalence of depression among Brazilian graduates and postgraduates (CUME Study)
Thaís da Silva Sabião, Fátima Costa de Oliveira, Josefina Bressan, Adriano Marçal Pimenta, Helen Hermana Miranda Hermsdorff, Fernando Luiz Pereira de Oliveira, Raquel de Deus Mendonça, and Júlia Cristina Cardoso Carraro
Elsevier BV

The combined consumption of fresh/minimally processed food and ultra-processed food on food insecurity: COVID Inconfidentes, a population-based survey
Hillary Nascimento Coletro, Luiz Antônio Alves de Menezes-Júnior, Raquel de Deus Mendonça, Adriana Lúcia Meireles, George Luiz Lins Machado-Coelho, and Mariana Carvalho de Menezes
Cambridge University Press (CUP)
AbstractObjective:To investigate whether the combined consumption of fresh/minimally processed and ultra-processed food is associated with food insecurity (FI) during the COVID-19 pandemic.Design:Cross-sectional observational study was derived from a survey using a population-based search of a complex sample. FI was assessed using the validated Brazilian Food Insecurity Scale. Food consumption was assessed using a qualitative FFQ and the NOVA classification for fresh/minimally processed food and ultra-processed food. A scoring system was used to evaluate combined food consumption according to the extent and purpose of processing, considering the weekly consumption of the two groups (according to the NOVA classification). Higher punctuation reflects worse diet quality (higher consumption of ultra-processed foods and lower consumption of fresh/minimally processed foods). A theoretical causality model was constructed using a directed acyclic graph, and multivariate analysis was performed using Poisson regression to test the association between FI and food consumption.Setting:Ouro Preto and Mariana, Brazil, between October and December 2020.Participants:An epidemiological household survey was conducted with 1753 individuals selected through a stratified and clustered sampling design in three stages.Results:Those with food consumption scores in the fourth quartile had a 60 % higher prevalence ratio (PR) for FI (PR: 1·60 and 95 % CI: 1·06 - 2·40). Also, the increased consumption of fresh/minimally processed foods and low consumption of ultra-processed foods presented a 45 % lower prevalence ratio of FI (PR: 0·55 and 95 % CI: 0·40 – 0·80).Conclusion:These results indicate an inverse association between FI and diet quality.

Racial disparities and anxiety symptoms association with nutritional status during the COVID-19 pandemic
Júlia Cristina Cardoso Carraro, Ana Cláudia Morito Neves, Mariana Carvalho de Menezes, Raquel de Deus Mendonça, and Adriana Lúcia Meireles
E.U. European Publishing

Development and validity evidence of a questionnaire to assess the risk of hypertension in primary health care
Raíssa Ferreira, Luiz Junior, Karine Correa, Marilia Alvares, Raquel Mendonça, Renata Vieira, and Julia Carraro
E.U. European Publishing

Consumption of processed meat increases the incidence of hypertension: ELSA-Brazil cohort
Maria del Carmen Bisi Molina, Raquel de Deus Mendonça, and Maria del Carmen Bisi molina
E.U. European Publishing

Editorial: Ultra-processed foods and human and planetary health
Gustavo Cediel, Raquel de Deus Mendonça, Adriana Lúcia Meireles, Maria Alvim Leite, Maria F. Gombi-Vaca, and Fernanda Rauber
Frontiers Media SA
COPYRIGHT © 2023 Cediel, Mendonça, Meireles, Leite, Gombi-Vaca and Rauber. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Editorial: Ultra-processed foods and human and planetary health

Habitual polyphenol intake of foods according to NOVA classification: implications of ultra-processed foods intake (CUME study)
Hillary Nascimento Coletro, Josefina Bressan, Amanda Popolino Diniz, Helen Hermana Miranda Hermsdorff, Adriano Marçal Pimenta, Adriana Lúcia Meireles, Raquel de Deus Mendonça, and Júlia Cristina Cardoso Carraro
Informa UK Limited
Abstract We aimed to evaluate the intake of dietary total polyphenols and their classes according to NOVA classification among adults of a Brazilian cohort study. This is a cross-sectional study, in which food consumption was assessed using an Food Frequency Questionnaire (FFQ) and polyphenol content (total and their classes) was estimated at Phenol-Explorer for each food category and presented as mean and 95% confidence interval. Adjusted linear regression was used to describe the trend of the association between the quintiles of polyphenols intake (dependent variable) and NOVA group of food consumption (independent variable). The higher consumption of fresh/minimally processed foods is accompanied by a higher intake of total polyphenols and all their classes, while the higher consumption of ultra-processed foods represented the lower intake of total polyphenols and their classes. Fresh foods are the greatest sources of polyphenols, and their daily consumption should be encouraged, while ultra-processed foods are deficient in such bioactive compounds. GRAPHICAL ABTSRACT

Total Polyphenol Intake, Polyphenol Subtypes, and Prevalence of Hypertension in the CUME Cohort
Hillary Nascimento Coletro, Josefina Bressan, Amanda Popolino Diniz, Helen Hermana Miranda Hermsdorff, Adriano Marçal Pimenta, Adriana Lúcia Meireles, Raquel de Deus Mendonça, and Júlia Cristina Cardoso Carraro
Informa UK Limited
Objective:Epidemiological studies have shown associations between polyphenol consumption and reduced risk of cardiovascular diseases. This study aimed to assess the association between polyphenol intake and the prevalence of hypertension.Methods:This cross-sectional study was performed on data from the Cohort of Universities of Minas Gerais (CUME) project. Participants completed an online food frequency questionnaire, and polyphenol intake was assessed using the Phenol-Explorer database and articles. Hypertension was determined by a medical diagnosis, having a blood pressure ≥ 130 mmHg/80 mmHg, or using antihypertensive drugs. Adjusted logistic regression models were used to estimate the odds ratios (ORs) and 95% confidence intervals (95% CIs) for the prevalence of hypertension.Results:The prevalence of hypertension was 39.57%, and the average intake of total polyphenols was 860.79 mg/day. The highest (5th quintile) intake of flavonoids (mean: 368.46mg/day; OR: 0.83; 95%CI 0.70; 0.97), hydroxybenzoic acids (mean: 379.38mg/day; OR: 0.77; 95%CI: 0.66;0.91), and flavonols (mean: 44.13mg/day; OR: 0.79; 95%CI: 0.67; 0.93) was inversely associated with hypertension prevalence, compared to the lowest intake (1st quintile).Conclusions:Our findings demonstrate that the intake of flavonoids, hydroxybenzoic acids, and flavonols is associated with a lower prevalence of hypertension.

Effects of minimally and ultra-processed foods on blood pressure in Brazilian adults: A two-year follow up of the CUME Project
Katiusse Rezende-Alves, Helen Hermana Miranda Hermsdorff, Aline Elizabeth da Silva Miranda, Josefina Bressan, Raquel de Deus Mendonça, Fernando Luiz Pereira de Oliveira, and Adriano Marçal Pimenta
Ovid Technologies (Wolters Kluwer Health)
Aim: To assess the association of food consumption according to degree of processing with changes in systolic (SBP) and diastolic (DBP) blood pressure in adult participants of a Brazilian cohort. Methods: Longitudinal study with 2496 adult participants of the Cohort of Universities of Minas Gerais (CUME Project). Food consumption was categorized by food groups according to degree of processing following the NOVA grading system: unprocessed/minimally processed foods/culinary ingredients (U/MPF&CI), processed foods (PFs) and ultra-processed foods (UPFs). unprocessed/minimally processed foods/culinary ingredients (U/MPF&CI), processed foods (PFs) and ultra-processed foods (UPFs). Changes in SBP and DBP were categorized (decreased, maintained, increased). Independent associations between exposure and outcomes were verified using multiple generalized ordered logistic models adjusted for potential confounders. Results: After a two-year follow-up, the consumption of U/MPF&CI (% daily caloric intake) reduced the chance of increasing DBP (P for trend = 0.014), with a more evident effect among participants within the 5th quintile of this food group (odds ratio (OR) = 0.55; 95% confidence interval (CI): 0.34–0.97]. On the other hand, the consumption of UPFs (% daily caloric intake) raised the chance of increasing DBP (P for trend = 0.005) and was more evident among participants within the quintiles of higher consumption (4th quintile – OR = 1.97; 95% CI: 1.25–3.10; 5th quintile – OR = 1.79; 95% CI = 1.12–2.86). No associations were found between food consumption according to degree of processing and changes in SBP. Conclusion: Higher consumption of U/MPF&CI and UPFs were independently associated to lower and greater chances of increased DBP in adult participants from CUME Project.

Multiple health risk behaviors, including high consumption of ultra-processed foods and their implications for mental health during the COVID-19 pandemic
Hillary Nascimento Coletro, Raquel de Deus Mendonça, Adriana Lúcia Meireles, George Luiz Lins Machado-Coelho, and Mariana Carvalho de Menezes
Frontiers Media SA
Background and aimThe growing increase in diet- and behavior-related illnesses has drawn the attention of many epidemiologists who attribute such changes to the epidemiological and nutritional transition. Thus, this study aims to evaluate the association between the combined occurrence of health risk behaviors, such as sedentary lifestyles, high weekly consumption of ultra-processed foods (UPFs), and non-daily consumption of fruits and vegetables, and symptoms of anxiety or depression in adults.MethodsThis is a cross-sectional study based on an epidemiological survey in two Brazilian cities. The outcome, anxiety, and depression symptoms were assessed using the Generalized Anxiety Disorder 7-item (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9). Food consumption was assessed using a qualitative food frequency questionnaire (FFQ) with reference to consumption in the last 3 months and categorized into the consumption of fruits and vegetables and the consumption of UPFs according to the NOVA classification. Sedentary behavior was assessed by considering the amount of sitting or reclining time per day reported by participants and categorized as less than 9 h of sitting or reclining and 9 h or more. For the analysis, adjusted Poisson regression (PR) was used to estimate the prevalence ratio and the 95% confidence interval (CI).ResultsThose with the health risk behaviors, non-daily consumption of fruits and vegetables, and high consumption of UPFs had a 2.6 higher prevalence ratio for symptoms of mental disorder (PR: 2.6 and 95%CI: 1.1–6.5), as well as those with all three health risk behaviors, had a 2.8 higher prevalence ratio for symptoms of mental disorder (PR: 2.8 and 95%CI: 1.3–6.1).ConclusionThis study revealed that the existence of a combination of two and three health risk behaviors led to a higher prevalence of symptoms of anxiety or depression.

Food insecurity and symptoms of anxiety and depression disorder during the COVID- 19 pandemic: COVID-Inconfidentes, a population-based survey
Thaís S. Sabião, Raquel D. Mendonça, Adriana L. Meireles, George L.L. Machado-Coelho, and Júlia C.C. Carraro
Elsevier BV

Food consumption according to the level of processing and sleep quality during the COVID-19 pandemic
Luiz Antônio Alves de Menezes-Júnior, Amanda Cristina de Souza Andrade, Hillary Nascimento Coletro, Raquel de Deus Mendonça, Mariana Carvalho de Menezes, George Luiz Lins Machado-Coelho, and Adriana Lúcia Meireles
Elsevier BV

Intervention for promoting intake of fruits and vegetables in Brazilians: A randomised controlled trial
Raquel de Deus Mendonça, Sueli Aparecida Mingoti, Maria Flávia Gazzinelli Bethony, Miguel Angel Martinez-Gonzalez, Maira Bes-Rastrollo, and Aline Cristine Souza Lopes
Cambridge University Press (CUP)
AbstractObjective:To evaluate the effectiveness of a nutritional intervention to promote fruit and vegetable (FV) intake.Design:A randomised controlled community trial was conducted to evaluate the effectiveness of a 7-month nutritional intervention and to promote FV intake, separately and together. All participants attended physical exercise sessions. The intervention was based on the transtheoretical model and Paulo Freire’s pedagogy. The interventions included group educational sessions, motivational cards and informational materials. The primary outcome was a change in FV intake (g/d), and secondary outcomes included stages of change, self-efficacy, decisional balance and knowledge on FV. All data were collected face-to-face; and FV intake was assessed using a validated brief questionnaire.Setting:Health promotion services of Brazilian Primary Health Care.Participants:3414 users of Brazilian Primary Health Care (1931 in the control group and 1483 in the intervention group (IG)).Results:At baseline, the average daily FV intake was 370·4 g/d (95 % CI 364·2, 376·6). The increase in FV intake (23·4 g/d; 95 % CI 6·7, 40·0) and fruit intake (+17·3 g/d; 95 % CI 5·1, 29·4; P = 0·01) was greater in the IG among participants in the lowest baseline intake. Participants in the IG also showed progression in the stages of change (P < 0·001), increased self-efficacy (P < 0·001) and improved knowledge of FV crops (P < 0·001).Conclusions:The nutritional intervention was effective in increasing FV intake and fruits intake among individuals with a lower intake at baseline and in maintaining FV intake among those who reported consuming FV as recommended (400 g/d).

Corrigendum to Home food insecurity during the suspension of classes in Brazilian public schools due to the COVID-19 pandemic [Nutrition 93 (2022) 111448](S0899900721003105)(10.1016/j.nut.2021.111448)
Erica Costa Rodrigues, Raquel de Deus Mendonça, Priscila Pena Camargo, Mariana Carvalho de Menezes, Natália Caldeira de Carvalho, and Adriana Lúcia Meireles
Elsevier BV

Ultra-processed and fresh food consumption and symptoms of anxiety and depression during the COVID – 19 pandemic: COVID Inconfidentes
Hillary Nascimento Coletro, Raquel de Deus Mendonça, Adriana Lúcia Meireles, George Luiz Lins Machado-Coelho, and Mariana Carvalho de Menezes
Elsevier BV

Home food insecurity during the suspension of classes in Brazilian public schools due to the COVID-19 pandemic
Erica Costa Rodrigues, Raquel de Deus Mendonça, Priscila Pena Camargo, Mariana Carvalho de Menezes, Natália Caldeira de Carvalho, and Adriana Lúcia Meireles
Elsevier BV

Influence of dietary total antioxidant capacity on the association between smoking and hypertension in Brazilian graduates (CUME project)
Thais S. Sabião, Josefina Bressan, Adriano M. Pimenta, Helen Hermana M. Hermsdorff, Fernando L.P. Oliveira, Raquel D. Mendonça, Julia C.C. Carraro, and Aline S. Aguiar
Elsevier BV

Polyphenols for improvement of inflammation and symptoms in rheumatic diseases: Systematic review
Hillary Nascimento Coletro, Amanda Popolino Diniz, Nathália Sernizon Guimarães, Júlia Cristina Cardoso Carraro, Raquel de Deus Mendonça, and Adriana Lúcia Meireles
FapUNIFESP (SciELO)
ABSTRACT BACKGROUND: Rheumatic diseases (RDs) are a group of pathological conditions characterized by inflammation and functional disability. There is evidence suggesting that regular consumption of polyphenols has therapeutic effects capable of relieving RD symptoms. OBJECTIVE: To synthesize data from randomized controlled trials on administration of polyphenols and their effects on RD activity. DESIGN AND SETTING: Systematic review conducted at Universidade Federal de Ouro Preto, Minas Gerais, Brazil. METHODS: A systematic search was conducted in the databases PubMed (Medline), LILACS (BVS), IBECS (BVS), CUMED (BVS), BINACIS (BVS), EMBASE, Web of Science and Cochrane Library and in the grey literature. The present study followed a PRISMA-P checklist. RESULTS: In total, 646 articles were considered potentially eligible, of which 33 were then subjected to complete reading. Out of these, 17 randomized controlled trials articles were selected to form the final sample. Among these 17 articles, 64.71% assessed osteoarthritis (n = 11), 23.53% rheumatoid arthritis (n = 4), 5.88% rheumatoid arthritis and fibromyalgia (n = 1) and 5.88% osteoarthritis and rheumatoid (n = 1). Intake of polyphenol showed positive effects in most of the studies assessed (94.12%): it improved pain (64.70%) and inflammation (58.82%). CONCLUSION: Polyphenols are potential allies for treating RD activity. However, the range of polyphenol sources administered was a limitation of this review, as also was the lack of information about the methodological characteristics of the studies evaluated. Thus, further primary studies are needed in order to evaluate the effects of polyphenol consumption for reducing RD activity. SYSTEMATIC REVIEW REGISTER: PROSPERO - CRD42020145349.

Food consumption differences in brazilian urban and rural areas: The national health survey
Danielle Vasconcellos de Paula Costa, Mariana Souza Lopes, Raquel de Deus Mendonça, Deborah Carvalho Malta, Patrícia Pinheiro de Freitas, and Aline Cristine Souza Lopes
FapUNIFESP (SciELO)
Resumo Objetivou-se identificar diferenças no consumo alimentar, segundo marcadores de alimentação saudável e não saudável, entre adultos residentes nas áreas urbanas e rurais do Brasil. Realizou-se estudo transversal com dados da Pesquisa Nacional de Saúde (2013). A alimentação foi avaliada por marcadores de alimentação saudável e não saudável. Estimou-se as prevalências (%) e modelos de regressão logística sequencial foram ajustados para estimar odds ratio (OR) e intervalos de confiança (IC95%). Verificou-se maior consumo de frutas e hortaliças, peixes, refrigerantes e substituições de refeições nas áreas urbanas, enquanto que, o consumo de carne com gorduras e feijão foi maior nas áreas rurais. Análises ajustadas mostraram maior consumo regular de feijão e de carne com excesso de gordura; e menor consumo de refrigerantes, de frutas e hortaliças e de substituição de refeições por lanches nas áreas rurais em comparação com as urbanas. Tendências semelhantes foram observadas nas macrorregiões do país. As diferenças no consumo alimentar de brasileiros residentes em áreas rurais e urbanas denotam a importância de fomentar políticas de alimentação que respeitem e valorizem as tradições e a cultura alimentar.

Ultra-processed food consumption and the incidence of depression in a Mediterranean cohort: the SUN Project
Clara Gómez-Donoso, Almudena Sánchez-Villegas, Miguel A. Martínez-González, Alfredo Gea, Raquel de Deus Mendonça, Francisca Lahortiga-Ramos, and Maira Bes-Rastrollo
Springer Science and Business Media LLC

Barriers to and facilitators for adherence to nutritional intervention: Consumption of fruits and vegetables
Raquel de Deus Mendonça, Larissa Morelli Ferraz Guimarães, Suely Aparecida Mingoti, Kelly Alves Magalhães, and Aline Cristine Souza Lopes
Elsevier BV

Effectiveness of the VAMOS Strategy for Increasing Physical Activity and Healthy Dietary Habits: A Randomized Controlled Community Trial
Simone Teresinha Meurer, Aline Cristine Souza Lopes, Fabio Araujo Almeida, Raquel de Deus Mendonça, and Tânia Rosane Bertoldo Benedetti
SAGE Publications
This study aimed to evaluate the effectiveness of the VAMOS strategy (Health-Improving Active Life) in improving physical activity (PA), dietary habits, and anthropometric variables of primary health care (PHC) users in Brazil. A randomized controlled community trial was conducted at two units of the Health Academy Program (HAP; a service provided by PHC), which were randomly assigned either to control group (CG) or intervention group (IG). Participants in both groups (CG = 156 and IG = 135) took part in physical activity classes provided by HAP facilities with those in IG also participating in the VAMOS strategy for 12 weeks. This strategy is based on social cognitive theory. The main behavioral constructs addressed were self-efficacy, goal setting, self-monitoring, identification of social support and barriers, and solutions for the identified barriers. Physical activity was measured with accelerometers, and nutritional status was assessed using dietary habits questionnaires and anthropometric measurements. Intention-to-treat analysis revealed that participants in IG increased the daily time of moderate-vigorous PA and the frequency of raw vegetable intake, while the intake of ultra-processed foods was reduced. Weight loss among participants who were classified as overweight/obese at baseline was observed in the intervention group compared to control. These results suggest that the VAMOS strategy was effective in increasing PA, healthy dietary habits, and decreasing weight among PHC users. Therefore, VAMOS could be used as a strategy to strengthen individuals’ autonomy regarding healthy choices and improve their overall health.

Dietary inflammatory index and all-cause mortality in large cohorts: The SUN and PREDIMED studies
Ana Garcia-Arellano, Miguel A. Martínez-González, Raul Ramallal, Jordi Salas-Salvadó, James R. Hébert, Dolores Corella, Nitin Shivappa, Luis Forga, Helmut Schröder, Carlos Muñoz-Bravo,et al.
Elsevier BV

Raquel de Deus Mendonca

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Scopus Publications