Perfil nutricional de pacientes oncológicos atendidos em ambulatório de nutrição / Nutritional profile of oncological out patients served in a nutrition ambulatory

Objetivo ­ Traçar e comparar o perfil nutricional de pacientes provenientes de planos de saúde/particular e do Sistema Único de Saúde (SUS), atendidos pela primeira vez no ambulatório de nutrição. Indivíduos com câncer apresentam alterações fisiológicas provocadas pelo tumor ou pelo tipo de tratamento proposto, causando efeitos colaterais que diminuem a ingestão alimentar causando desnutrição. A desnutrição em pacientes oncológicos pode chegar a 80%, dependendo da localização do tumor e estágio da doença. Traçar o perfil nutricional permite uma adequada intervenção a fim de prevenir ou reverter o declínio do estado nutricional, e assim amenizar a progressão da doença. Métodos ­ Estudo do tipo descritivo, quantitativo e retrospectivo, onde os pacientes atendidos no ambulatório de nutrição foram avaliados quanto ao seu estado nutricional por meio de coleta de informações de prontuário em ficha de dados desenvolvida especialmente para o estudo. Resultados ­ 2704 pacientes foram avaliados, com maior prevalência do sexo feminino (66,4%) e maior prevalência de tumores colorretais (20,6%). Entre os pacientes, 27,1% estavam em tratamento de quimioterapia e/ou radioterapia e a maior parte dos classificados como desnutridos foram atendidos pelo SUS (36,9%), enquanto que a obesidade estava presente em 28% dos pacientes convênio/particulares. A perda de peso intensa foi semelhante nos dois grupos, porém, perda de peso leve ocorreu em sua maioria nos pacientes convênio/particulares. A classificação pelo IMC apresentou menor desnutrição (18%) quando comparada com a associação de perda de peso (25,1%). Conclusão ­ A prevalência de desnutrição em pacientes oncológicos, evidencia a importância do acompanhamento ambulatorial

Objective ­ The goal of this study was to compare the nutritional profiles of patients covered by the Universal Health System versus private health care systems in Brazil prior to their treatment at a nutrition clinic. Individuals with cancer present physiological changes depending on their type of tumor and treatment. Adverse reactions to either can reduce food intake. As a result, up to 80% of cancer patients develop malnutrition, depending on tumor location and stage of disease. Thus, monitoring the nutritional profile of cancer patients during treatment is important, especially to identify and reverse adverse nutritional patterns which can facilitate disease progression if they are left untreate. Methods ­ In this descriptive, quantitative, and retrospective study, nutritional information for each participant was collected from their medical records and entered in a data sheet specifically designed for this study. Results ­ A total of 2704 patients were included in this study, with a higher prevalence of females (66.4%) and patients with colorectal tumors (20.6%) included. Among this cohort, 27.1% of the patients were receiving chemotherapy and/or radiotherapy for cancer treatment. The majority of the patients classified as malnourished were covered by the Universal Health System (36.9%). However weight loss was similar between the two patient groups. Body mass index classification was the lowest for those presenting malnutrition (18%), followed by those presenting weight loss (25.1%). Conclusion ­ The present findings demonstrate that malnutrition is prevalent among cancer patients and outpatient follow-up is important

Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Adults.

The nutritional status of patients submitted to hematopoietic stem cell transplant is considered an independent risk factor, which may influence on quality of life and tolerance to the proposed treatment. The impairment of nutritional status during hematopoietic stem cell transplant occurs mainly due to the adverse effects resulting from conditioning to which the patient is subjected. Therefore, adequate nutritional evaluation and follow-up during hematopoietic stem cell transplant are essential. To emphasize the importance of nutritional status and body composition during treatment, as well as the main characteristics related to the nutritional assessment of the patient, the Brazilian Consensus on Nutrition in Hematopoietic Stem Cell Transplant: Adults was prepared, aiming to standardize and update Nutritional Therapy in this area. Dietitians, nutrition physicians and hematologists from 15 Brazilian centers thar are references in hematopoietic stem cell transplant took part.

Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Adults / Consenso Brasileiro de Nutrição em Transplante de Células-Tronco Hematopoiéticas: Adultos

ABSTRACT The nutritional status of patients submitted to hematopoietic stem cell transplant is considered an independent risk factor, which may influence on quality of life and tolerance to the proposed treatment. The impairment of nutritional status during hematopoietic stem cell transplant occurs mainly due to the adverse effects resulting from conditioning to which the patient is subjected. Therefore, adequate nutritional evaluation and follow-up during hematopoietic stem cell transplant are essential. To emphasize the importance of nutritional status and body composition during treatment, as well as the main characteristics related to the nutritional assessment of the patient, the Brazilian Consensus on Nutrition in Hematopoietic Stem Cell Transplant: Adults was prepared, aiming to standardize and update Nutritional Therapy in this area. Dietitians, nutrition physicians and hematologists from 15 Brazilian centers thar are references in hematopoietic stem cell transplant took part.

RESUMO O estado nutricional do paciente submetido ao transplante de células-tronco hematopoéticas é considerado fator de risco independente, podendo influenciar na qualidade de vida e na tolerância ao tratamento proposto. O comprometimento do estado nutricional durante o transplante de células-tronco hematopoéticas ocorre principalmente devido aos efeitos adversos decorrentes do condicionamento ao qual o paciente é submetido. Desta forma, a adequada avaliação nutricional e o acompanhamento durante o transplante de células-tronco hematopoéticas tornam-se imprescindíveis. Com o objetivo de salientar a importância do estado nutricional e da composição corporal durante o tratamento, bem como as principais características relacionadas à avaliação nutricional do paciente, o Consenso Brasileiro de Nutrição em Transplante de Células-Tronco Hematopoiéticas: Adulto foi elaborado visando uniformizar e atualizar a Terapia Nutricional nesta área. Com a participação de nutricionistas, nutrólogos e hematologistas de 15 centros brasileiros referências em transplante de células-tronco hematopoéticas