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As atividades desenvolvidas pelos profissionais de enfermagem propiciam exposições aos riscos ocupacionais e aos desgastes, que se refletem no processo saúde-doença. O presente estudo visa avaliar o estilo de vida e a autoestima de profissionais de enfermagem hospitalar, por meio de um estudo transversal com 289 funcionários de um hospital de Minas Gerais. Assim, foi possível verificar que a maioria deles era do sexo feminino, com a faixa etária entre 30 a 39 anos, casada e com renda de 1.501 a 3.000 reais mensais, apresentando autoestima média (68,18%) e bom estilo de vida (43,71%). Diante dos resultados, os domínios: comportamento, introspecção e trabalho tiveram maiores alterações, e, na avaliação da confiabilidade dos instrumentos, constatou-se que há consistência interna entre os itens dos instrumentos (0,77 e 0,78). Além disso, identificou-se a necessidade de melhorias no estilo de vida desses trabalhadores, assim como para a promoção de ações que favoreçam uma autoestima adequada.

Nas últimas décadas o conceito de marca tem sido associado ao turismo, funcionando como uma ferramenta de marketing. Os destinos turísticos passaram a ser vistos como empresas e começam a utilizar a marca como forma de atrair e fidelizar o visitante. A marca assenta numa perspetiva de criação de valor funcionando como estratégia de diferenciação num mercado cada vez mais competitivo. Neste enquadramento, o estudo aqui apresentado procurou perceber como a entidade regional do Turismo do Porto e Norte de Portugal tem desenvolvido o seu marketing através do conceito de marca. Em termos metodológicos, numa primeira parte foi feita uma análise da literatura sobre o conceito de marca, associada ao turismo, e numa segunda parte analisaram‐se as estratégias adotadas pela entidade alvo do nosso estudo. Como principais conclusões, constatou‐se que esta entidade procurou criar uma marca própria, agregadora de todos os produtos estratégicos âncora e produtos complementares, das suas sub‐regiões com vista a promover os seus recursos naturais e patrimoniais, transmitindo a ideia de um destino cosmopolita e glamoroso, com história e tradição. In the last few decades, branding is an important part of marketing tourism destinations. Tour‐ ist destinations started to be seen as companies and started to use the brand as a way to attract and retain visitors. The brand is based on a perspective of value creation acting as a differentiation strategy in an increasingly competitive market. In this context, this study presented here sought to understand how the regional entity of Tourism in Porto and Northern Portugal has developed its marketing through branding. In methodological terms, in a first part, there is an analysis of the literature on the concept of brands, and in a second part, the strategies adopted by the target entity of our study were analysed. As main conclusions, it was found that this entity sought to create its own brand, aggregating all anchor strategic products and complementary products, from its sub‐regions with a view to promoting its natural and heritage resources, and to convey the idea of a glam‐ orousa cosmopolitan destination with history and tradition.

© 2022 European College of Sport Science, Individual variability may contribute to the modest and inconsistent results reported in obesity-management interventions. This study aimed to investigate the impact of non-modifiable as well as modifiable factors on body mass index (BMI) and body fat variance in adolescents with obesity followed in a clinical obesity-management programme, in order to better understand individual variability. Non-modifiable factors (i.e. socio-economic status, pregnancy BMI, weight progression across pregnancy, BMI at time of delivery, way of delivery, birth weight, breastfeeding duration, age at overweight onset, overweight duration, and FTO rs9939609 polymorphism) and modifiable factors data (i.e. self-determination level, self-efficacy and perception of importance to lose weight, energy intake, physical activity, and sedentary behaviours) from 63 adolescents (93.7% Caucasian, 55.6% girls), with a median age of 15.0 (2.5) years, and a median BMI z-score of 2.88 (0.70), followed for 6 months were analyzed. BMI z-score variance was predicted by vigorous physical activity (VPA) (F(1,57) = 4.55, p = .039), overweight duration (F(1,59) = 5.61, p = .022), way of delivery (F(2,58) = 6.55, p = .003) and self-determination level (F(1,59) = 4.75, p = .034). VPA further predicted body fat mass (%) (F(1,57) = 9.99, p = .003) as well as trunk fat mass variance (F(1,57) = 8.94, p = .006). This study suggests that although both non-modifiable and modifiable factors influence BMI and body fat variance to some extent, in adolescents with obesity, VPA (modifiable factor) stands out as the factor with the best association with both outcomes. VPA may be a potential ally in the success of clinical obesity management in adolescents, and so should be emphasised in this population.Highlights There is a huge individual variability within studies in response to adolescent obesity-management interventions.Both non-modifiable and modifiable factors may influence body mass index (BMI) and body fat variance, influencing interventions' outcomes.The predictive value of both non-modifiable and modifiable factors largely overlaps, making lighter the burden of the former and highlighting the value of lifestyle changes.Among modifiable factors, vigorous physical activity standouts as the factor with the best (negative) association with BMI and body fat variance., This work was supported by Fundação para a Ciência e a Tecnologia: [Grant Number SFRH/BD/130193/2017]

© 2019 Annals of Pediatric Endocrinology & Metabolism. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited., Purpose: Acanthosis nigricans (AN) is a hyperpigmented dermatosis associated with obesity and insulin resistance (IR). There is no consensus whether AN extension scoring offers added value to the clinical estimation of IR. In this study we aimed to assess and score AN using both a short and an extended version of the scale proposed by Burke et al. and analyze the relationships of both versions with hyperinsulinemia and IR. Methods: We analyzed data from 139 overweight adolescents (body mass index ≥85th percentile) aged 12–18 with (n=67) or without (n=72) AN who were followed at a pediatric obesity clinic. Results: Adolescents with AN had higher levels of insulin (d=0.56, P=0.003) and HOMA-IR (d=0.55, P=0.003) compared to those without. Neither the short nor the extended versions of AN scores explained either hyperinsulinemia (β=1.10, P=0.316; β=1.15, P=0.251) or IR (β=1.07, P=0.422; β=1.10, P=0.374). The presence of AN alone predicted hyperinsulinemia and the presence of IR in 7.3% (β=2.68, P=0.008) and 7.1% (β=2.59, P=0.009) of adolescents, respectively. Conclusion: Screening for AN at the neck and axilla is a noninvasive and cost-effective way to identify asymptomatic overweight adolescents with or at risk of developing IR., AVS is supported by the Portuguese Foundation for Science and Technology (SFRH/BD/130193/2017).

BACKGROUND Investigating life-stage factors associated with overweight may be useful in the prevention of excessive BMI increase. The main aim of this study was to investigate the influence of the route of delivery, birth weight and overweight onset on overweight severity in a sample of overweight adolescents followed at a Pediatric Obesity Clinic. METHODS Clinical data from 412 adolescents with overweight (BMI ≥ p85), aged 10-18 were retrospectively collected and analyzed. RESULTS Adolescents born by cesarean section (CS) showed a lower age of overweight onset, compared to other methods of delivery (d= 0.33, p= .009). Birth weight was positively associated with BMI z-score (r=.164, p= 002) and waist circumference (WC) (r=.191, p=.001). The overweight onset was negatively associated with BMI z-score (r= -.277, p < .001), WC (r= -.270, p < .001) and body fat mass (r= -.199, p=.001). Overweight duration was the best predictor of BMI z-score, explaining in 75% its variation (F=1,317)=26.94, p < .001), which increased to 99% when birth weight was included in the model (F(2,316)=18.47, p < .001). CONCLUSIONS This study suggests that lifestyle may interrupt the burden of CS on BMI z-score throughout growth. Moreover, increased birth weight may anticipate overweight onset, and consequently overweight duration in the presence of inadequate lifestyle behaviors.