MARCIA SILVA QUEIROZ

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  • article 9 Citação(ões) na Scopus
    Serum RBP4 and CKD: Association with insulin resistance and lipids
    (2017) DOMINGOS, Maria Alice M.; QUEIROZ, Marcia; LOTUFO, Paulo Andrade; BENSENOR, Isabela Judith; TITAN, Silvia Maria de Oliveira
    Objective: Serum RBP4 is new adipokine and it has been related to insulin resistance and diabetes risk in animal and clinical studies. However, there is controversy on this relationship among CKD patients. In this study, we evaluated the association of serum RBP4 with insulin resistance and cardiovascular risk factors in CKD. Methods: Baseline data from the PROGREDIR Study (Sao Paulo, Brazil) comprising 454 participants (mainly stages 3 and 4) was analyzed. Results: In univariable analysis, RBP4 was inversely related to renal function, age and HDL, and positively related to other lipids, insulinemia, HOMA, glycemia, albumin, phosphorus and right hepatic lobe diameter. After adjustment for sex, age and eGFR, HOMA and lipids remained associated to RBP4. In multivariable analysis, eGFR and triglyceride remained significantly associated with RBP4, while HOMA showed no longer a significant positive association. An interaction term between RBP4 and eGFR was significantly related to HOMA. Conclusions: Renal function is inversely related to serum RBP4. As GFR decreases, the relationship between RBP4 and HOMA is attenuated. On the other hand, triglycerides remained strongly related to RBP4 and this was not affected by eGFR, suggesting that in the CKD population triglycerides may be a better marker of RBP4-associated metabolic effects.
  • article 19 Citação(ões) na Scopus
    Impact of type 1 diabetes mellitus and celiac disease on nutrition and quality of life
    (2017) NUNES-SILVA, J. G.; NUNES, V. S.; SCHWARTZ, R. P.; TRECCO, S. M. L. S. S.; EVAZIAN, D.; CORREA-GIANNELLA, M. L.; NERY, M.; QUEIROZ, M. S.
    OBJECTIVE: Type 1 diabetes mellitus (T1DM) and celiac disease (CD) are autoimmune diseases and have similar genetic patterns. T1DM treatment is based on diet, physical activity and insulin therapy, whereas CD depends on dietary changes with restriction of wheat, rye and barley. The aim of the study was to evaluate the quality of life (QoL) of individuals with the association of T1DM and CD, to characterize their nutritional status and to compare it with those with only one disease and healthier controls. SUBJECTS/METHODS: Sixty patients controlled by sex, age and body mass index (BMI) were stratified by previous diagnosis in: T1DM and CD (DMCD group); T1DM (DM group); CD (CD group); or healthy participants (HC). The SF-36 questionnaire was applied to assess psychological well being and results were compared with glycemic control and presence of complications related to diabetes, adhesion to gluten-free diet (GFD). Nutritional status and body mass composition were determined by BMI, waist circumference, bioimpedance, general laboratory tests and whole-body densitometry. RESULTS: The time of diagnosis of T1DM was similar between DMCD and DM groups; however, the duration of CD was significantly higher in the CD group compared with DMCD. The SF-36 analysis revealed statistically significant differences between DM and HC groups in two domains: general health (P = 0.042) and energy/vitality (P = 0.012). QoL was also correlated with compliance to a GFD, and scores were similar in both groups: DMCD and CD. Forty percent of individuals in the CD group had visceral fat area above 100 cm(2), as opposed to 20% in the other groups. CONCLUSIONS: Individuals of DMCD group had similar scores to DM, CD and HC on QoL, as well as on their nutritional status and bone metabolism. Thereby, we should conclude that the association of T1DM and CD did not deteriorate their health status.
  • bookPart
    Diabete melito tipo 1: tratamento
    (2017) QUEIROZ, Márcia Silva; CORRêA-GIANNELLA, Maria Lúcia; NERY, Márcia
  • conferenceObject
    Sex-Specific Association of a Single Nucleotide Polymorphism in the Gene Encoding Glutathione Peroxidase 4 (GPX4) and Diabetic Retinopathy in Brazilian Type 1 Diabetes Patients
    (2017) PEREZ, Ricardo V.; ADMONI, Sharon; PATENTE, Thiago; MONTEIRO, Maria Beatriz; SANTOS-BEZERRA, Daniele P.; CAVALEIRO, Ana Mercedes; MACHADO, Cleide G.; QUEIROZ, Marcia S.; NERY, Marcia; CORREA-GIANNELLA, Maria Lucia