Shirley Steffany Muñoz Fernández

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Produções bibliográficas

• BALDINI, JULIA MILLER DA FONSECA ; MUOZ FERNÁNDEZ, SHIRLEY STEFFANY ; RIBEIRO, SANDRA MARIA LIMA . Association between raw bioelectrical impedance parameters and muscle mass and strength measured by DXA and dynamometry in older adults: a pilot study. NUTRIRE - REVISTA DA SOCIEDADE BRASILEIRA DE ALIMENTAÇÃO E NUTRIÇÃO , v. 46, p. 5, 2021.

• FERNANDEZ, S. S. MUOZ ; GARCEZ, F.B. ; ALENCAR, J.C.G.D. ; SOUZA, H.P.D. ; AVELINO-SILVA, T.J. ; RIBEIRO, S.M.L. . Gut microbiota diversity in glim-defined malnourished acutely ill older adults. CLINICAL NUTRITION ESPEN , v. 46, p. S752-S753, 2021.

• MUOZ FERNANDEZ, SHIRLEY STEFFANY ; GARCEZ, FLAVIA BARRETO ; DE ALENCAR, JULIO CÉSAR GARCÍA ; CEDERHOLM, TOMMY ; APRAHAMIAN, IVAN ; MORLEY, JOHN EDWARD ; DE SOUZA, HERALDO POSSOLO ; DA SILVA, THIAGO JUNQUEIRA AVELINO ; RIBEIRO, SANDRA MARIA LIMA . Applicability of the GLIM criteria for the diagnosis of malnutrition in older adults in the emergency ward: A pilot validation study. CLINICAL NUTRITION , v. 40, p. 5447-5456, 2021.

• FERNANDEZ, SHIRLEY STEFFANY MUOZ ; RIBEIRO, SANDRA MARIA LIMA . Diet, Microbioma, and Diabetes in Aging. Current Geriatrics Reports , v. 9, p. 1-14, 2020.

• RIBEIRO, SANDRA MARIA LIMA ; FERNANDEZ, S. S. M. ; ROGERO, M. M. . Nutrition and Diabetes in the Context of Inflammaging. Current Geriatrics Reports , v. 9, p. 1-10, 2020.

• MUOZ FERNANDEZ, S.S. ; ALMEIDA BASTOS, A. ; BARRETO GARCEZ CARVALHO, F. ; GARCIA DE ALENCAR, J.C. ; AVELINO DA SILVA, T. JUNQUEIRA ; POSSOLO DE SOUZA, H. ; RIBEIRO, S. M. LIMA . Association between mini-nutritional assessment and bioelectrical impedance analysis in emergency department elderly inpatient: A pilot study. CLINICAL NUTRITION ESPEN , v. 40, p. 589-590, 2020.

• ALMEIDA BASTOS, A. ; MUOZ FERNANDEZ, S.S. ; MARTINS VICENTE, B. ; LIMA RIBEIRO, S.M. . Association between the adherence to the mediterranean dietary pattern and its components with depressive symptoms among brazilian community-dwelling older adults. CLINICAL NUTRITION ESPEN , v. 40, p. 581, 2020.

• FERNNDEZ, SHIRLEY STEFFANY MUOZ ; RIBEIRO, SANDRA MARIA LIMA . Low Appendicular Lean Mass Index and Associations with Metabolic and Demographic Parameters in Wheelchair Athletes with Spinal Cord Injury. Journal of Neuromuscular Diseases , v. 6, p. 517-525, 2019.

• MUOZ FERNÁNDEZ, SHIRLEY STEFFANY ; LIMA RIBEIRO, SANDRA MARIA . Nutrition and Alzheimer Disease. CLINICS IN GERIATRIC MEDICINE , p. 677-697, 2018.

• MUOZ FERNÁNDEZ, SHIRLEY STEFFANY ; IVANAUSKAS, TERRY ; LIMA RIBEIRO, SANDRA MARIA . Nutritional Strategies in the Management of Alzheimer Disease: Systematic Review With Network Meta-Analysis. Journal of the American Medical Directors Association , v. 18, p. 897.e13-897.e30, 2017.

• MUOZ FERNÁNDEZ, SHIRLEY STEFFANY ; LIMA RIBEIRO, SANDRA MARIA ; CAVALLINI CYRILLO, DENISE . A necessidade de avaliação do impacto econômico da intervenção nutricional na prevenção ou tratamento da doença de Alzheimer: uma revisão narrativa. RBCEH. REVISTA BRASILEIRA DE CIÊNCIAS DO ENVELHECIMENTO HUMANO , v. 13, p. 81-93, 2016.

• FERNANDEZ, S. S. M. ; Ribeiro, SML. . O papel da nutrição na doença de Alzheimer. 2021. (Apresentação de Trabalho/Conferência ou palestra).

• MUOZ FERNÁNDEZ, SHIRLEY STEFFANY ; BARRETO GARCEZ CARVALHO, F. ; DE ALENCAR, JULIO CÉSAR GARCÍA ; DA SILVA, THIAGO JUNQUEIRA AVELINO ; DE SOUZA, HERALDO POSSOLO ; RIBEIRO, SANDRA MARIA LIMA . GUT MICROBIOTA DIVERSITY IN GLIM-DEFINED MALNOURISHED ACUTELY ILL OLDER ADULTS. 2021. (Apresentação de Trabalho/Congresso).

• FERNANDEZ, S. S. M. ; Ribeiro, SML. . O papel da nutrição na doença de Alzheimer. 2020. (Apresentação de Trabalho/Conferência ou palestra).

• ALMEIDA BASTOS, A. ; MUOZ FERNÁNDEZ, SHIRLEY STEFFANY ; Martins, B ; RIBEIRO, SANDRA MARIA LIMA . ASSOCIATION BETWEEN THE ADHERENCE TO THE MEDITERRANEAN DIETARY PATTERN AND ITS COMPONENTS WITH DEPRESSIVE SYMPTOMS AMONG BRAZILIAN COMMUNITY-DWELLING OLDER ADULTS. 2020. (Apresentação de Trabalho/Congresso).

• MUOZ FERNÁNDEZ, SHIRLEY STEFFANY ; ALMEIDA BASTOS, A. ; BARRETO GARCEZ CARVALHO, F. ; DE ALENCAR, JULIO CÉSAR GARCÍA ; DA SILVA, THIAGO JUNQUEIRA AVELINO ; DE SOUZA, HERALDO POSSOLO ; RIBEIRO, SANDRA MARIA LIMA . ASSOCIATION BETWEEN MINI-NUTRITIONAL ASSESSMENT AND BIOELECTRICAL IMPEDANCE ANALYSIS IN EMERGENCY DEPARTMENT ELDERLY INPATIENT: A PILOT STUDY. 2020. (Apresentação de Trabalho/Congresso).

• Ribeiro, SML. ; MUOZ FERNANDEZ, S.S. ; NETO, J.V. . Microbioma intestinal, conceitos gerais e importância da nutrição. 2020. (Apresentação de Trabalho/Conferência ou palestra).

• Shirley S.M. Fernández . Dieta, microbiota, e transtornos mentais do envelhecimento. 2019. (Apresentação de Trabalho/Congresso).

• FERNANDEZ, S. S. M. ; Ribeiro, SML. . O papel da nutrição na doença de Alzheimer. 2019. (Apresentação de Trabalho/Conferência ou palestra).

• MUOZ FERNÁNDEZ, SHIRLEY STEFFANY ; ALMEIDA BASTOS, A. ; RIBEIRO, SANDRA MARIA LIMA . GLUTAMINE SUPPLEMENTATION ON SYSTEMIC INFLAMMATION, MOOD AND COGNITIVE STATUS IN ELDERS: A SECONDARY ANALYSIS FROM A RANDOMIZED CLINICAL TRIAL (RCT). 2019. (Apresentação de Trabalho/Congresso).

• Shirley S.M. Fernández . Nutrição e doença de Alzheimer: resultados de uma metanálise e uma revisão narrativa. 2018. (Apresentação de Trabalho/Simpósio).

• MUOZ FERNÁNDEZ, SHIRLEY STEFFANY . Estrategias de alimentación en el manejo de la enfermedad de Alzheimer. 2017. (Apresentação de Trabalho/Simpósio).

• Shirley S.M. Fernández ; Ribeiro, SML. . Nutritional strategies in the prevention and/or management of Alzheimer's disease:1st part of a systematic review. 2015. (Apresentação de Trabalho/Congresso).

Projetos de pesquisa

• 2019 - Atual

  Association of nutritional status and diet with the gut microbiome in acutely ill hospitalised older adults., Projeto certificado pelo(a) coordenador(a) Sandra Maria Lima Ribeiro em 27/08/2018., Descrição: In this work, we will investigate the existing relationship between nutritional status and diet with the alteration in the intestinal microbiota in acutely ill hospitalised older adults. This is a 72h longitudinal analysis secondary to a prospective cohort performed in a sample size of 108 participants aged 65 years old and older admitted to the Emergency ward and transferred to other medical departments at the ICHCFMUSP. We will investigate the influence of nutritional status (malnutrition diagnosis) and the habitual and inpatient diet, regarding its composition and diversity, on the taxonomic and functional alterations of the faecal microbiome. For data analysis, the food variables will be explored through multivariate statistical methods. Therefore, variables will be investigated with the microbiome data using machine learning methods according to nutritional diagnosis. As control variables will be considered sex, age, acute condition, comorbidities, and medications. This study will allow us to generate new knowledge and develop and/or optimise nutritional therapies in the treatment of clinical conditions and prevent complications in acutely ill older adults.. , Situação: Em andamento; Natureza: Pesquisa. , Integrantes: Shirley Steffany Muoz Fernandez - Integrante / Sandra ML Ribeiro - Coordenador.

• 2014 - 2016

  Nutrição e Alimentação na Prevenção e/ou Manejo da Doença de Alzheimer: Revisão Sistemática e Meta-análise, Descrição: Alzheimer's disease (AD) is one of the main causes of dependency and disability in the elderly population. A number of investigations have been seeking its prevention and/or management. In this context, it is important to highlight the role of modifiable risk factors, such as nutrition. This study aims to conduct a systematic review and subsequent meta-analysis, to assess the effect of food and/or nutrients for the management of AD at different stages. This work was steered based on the Cochrane Handbook for systematic reviews of interventions and the PRISMA Statement. Electronic databases were searched up to 2014, in Portuguese, English or Spanish. Relevant publications were identified by title and abstract using key search terms referring to Alzheimer?s disease, nutrition interventions and type of study. Trials? risk of bias was appraised by applying the Cochrane?s tool for assessing risk of bias. The main outcome measures comprise neuropsychological tests such as MMSE, ADCS-ADL, NPI and CDR-sob, biomarkers and brain imaging. Pairwise meta-analyses were performed in a random-effect model by estimating the weighted mean differences between treatment and placebo groups, with 95% confidence intervals for outcome measures by treatment. Network meta-analysis and the ranking probability of treatment for each nutrition intervention were undertaken on cognitive outcome. The strength and quality of evidence were rated according to the GRADE approach. From the whole research, 182 studies met the systematic review?s purpose. Thirty-five clinical trials complied with eligibility criteria and risk of bias assessment. Included studies utilized: antioxidants, B-vitamin complex, carbohydrates, lipids, omega-3 fatty acids, polymeric formulas, polypeptide and vitamin D. Estimates treatment effects from pairwise meta-analyses show a significant positive effect from the supplementation with proline-rich polypeptide (WMD 12.00 [95% CI 10.20, 13.80] P < 0.00001) and B-vitamin complex (WMD 0.44 [95% CI 0.09, 0.79] P = 0.01) on cognitive function measured by the MMSE. Remaining nutrients supplementation did not show any significant effect on functional, behavioral, global performance, biomarkers or brain imaging outcomes. Isolated nutrient supplementations show no convincing evidence of providing a significant benefit on clinical manifestations or neuropathology of AD. As a treatment strategy, nutrients did not show any effect when delivered individually, probably due to their synergistic work on brain function at different domains. Nevertheless, nutrients represent a potential preventive approach and an adjuvant treatment for patients with AD at earlier stages.. , Situação: Concluído; Natureza: Pesquisa. , Integrantes: Shirley Steffany Muoz Fernandez - Integrante / Sandra ML Ribeiro - Coordenador., Número de produções C, T & A: 5

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