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1.
Arq. gastroenterol ; 58(2): 246-252, Apr.-June 2021. tab
Article in English | LILACS | ID: biblio-1285328

ABSTRACT

ABSTRACT BACKGROUND: Cirrhosis is a chronic and progressive liver disease that occurs from prolonged hepatocellular injury. Malnutrition causes complications in cirrhosis patients that worsen the condition to liver failure. Both are closely linked and increase the chances of morbidity and mortality. Regular nutritional screening and monitoring is prime concern for such patients including comprehensive dietary history, laboratory tests, and evaluation of muscle loss and strength capabilities to determine the degree of frailty. For efficient assessment of liver cirrhosis patients Subjective Global Assessment has been used worldwide. The nutritional objectives for such individuals should be to regain liver functions, to prevent complications associated, and to overcome nutritional deficiencies causing malnutrition. METHODS: We conducted a literature review using PubMed, Google Scholar and Science Direct for this purpose, a total of 130 articles were reviewed out of which 80 (from the past 5 years) including originally published research, review articles and abstracts were also included. Exclusion criteria of the selected studies was year of publication, irrelevancy and animal studies based on the purpose of current study. The aim of this study was to check nutritional management in patients having complications of liver cirrhosis. RESULTS: According to the guidelines, for the conservation of normal nutritional status of the malnourished patients', energy should be provided 35 kcal/kg/day while to prevent hypoalbuminemia and maintain the protein stores in the body, 1.5 g/kg/day protein has been recommended. Carbohydrates and fats for cirrhosis patients are recommended 50% to 60% and 10% to 20% of the total dietary intake respectively. CONCLUSION: Initial identification and prevention of malnutrition have the probability to lead to better health outcomes, prevention of complications of the disease, and improving quality of life.


RESUMO CONTEXTO: A cirrose hepática é uma doença crônica e progressiva que ocorre por lesão hepatocelular prolongada. A desnutrição causa complicações em pacientes com cirrose que pioram a condição para insuficiência hepática. A cirrose e a desnutrição estão intimamente ligadas e aumentam as chances de morbidade e mortalidade. O rastreamento e monitoramento nutricional regulares são as principais preocupações para esses pacientes, incluindo histórico alimentar abrangente, testes laboratoriais e avaliação de capacidades de perda muscular e força para determinar o grau de fragilidade. Para uma avaliação eficiente de pacientes com cirrose hepática, a Avaliação Global Subjetiva tem sido usada em todo o mundo. Os objetivos nutricionais desses indivíduos devem ser recuperar as funções hepáticas, prevenir complicações associadas e superar deficiências nutricionais que causam desnutrição. MÉTODOS: Realizada uma revisão de literatura usando PubMed, Google Scholar e Science Direct para este fim, e um total de 130 artigos foram revisados dos quais 80 (dos últimos 5 anos), incluindo pesquisas publicadas originalmente. Artigos de revisão e resumos também foram incluídos. Os critérios de exclusão dos estudos selecionados foram ano de publicação, irrelevância e estudos em animais com base na finalidade do estudo atual. O objetivo deste estudo foi verificar o manejo nutricional em pacientes com complicações da cirrose hepática. RESULTADOS: De acordo com as diretrizes, para a conservação do estado nutricional normal dos pacientes desnutridos, a energia deve ser fornecida 35 kcal/kg/dia, enquanto para prevenir hipoalbuminemia e manter os estoques de proteínas no corpo, 1,5 g/kg/dia de proteína foi recomendada. Carboidratos e gorduras para pacientes com cirrose são recomendados de 50% a 60% e 10% a 20% da ingestão alimentar total, respectivamente. CONCLUSÃO: A identificação inicial e a prevenção da desnutrição têm a probabilidade de levar a melhores desfechos de saúde, prevenção de complicações da doença e melhoria da qualidade de vida.


Subject(s)
Humans , Nutrition Assessment , Malnutrition/etiology , Malnutrition/prevention & control , Quality of Life , Nutritional Status , Liver Cirrhosis/complications
2.
Gac. méd. boliv ; 44(1): 6-14, jun. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1286583

ABSTRACT

Se conoce que la Desnutrición Fetal predispone a una mayor morbimortalidad perinatal, secundaria a sufrimiento fetal, aspiración de meconio, asfixia, hipoglucemia neonatal y síndrome de hiperviscosidad. También se asocia, a medio-largo plazo, a un mayor riesgo en comparación con la población general de presentar trastornos neurológicos o mentales (trastornos cognitivos y del aprendizaje), complicaciones endocrinológicas, metabólicas y cardiovasculares, por lo que sería conveniente identificar a estos recién nacidos precozmente, para promover una vigilancia e intervención adecuadas. Objetivo: demostrar la utilidad de la Evaluación Clínica Neonatal utilizando el CANs SCORE (Evaluación Clínica del Estado Nutricional), desarrollado y publicado por Mettcoff en 1994. Métodos: se realizó un estudio piloto transversal de marzo a junio de 2018, en el Hospital "Cochabamba", de nivel II, seleccionando 50 recién nacidos a término que presentasen signos clínicos para desnutrición según la escala de Mettcoff. Se realizaron mediciones antropométricas completas y exámenes de parámetros de laboratorio relacionados. Se utilizaron comparaciones de medias y correlaciones con valores del score-Z calculado mediante la herramienta Intergrowth- 21st, para evaluar los datos. Resultados: se encontraron diferencias estadísticamente significativas entre los parámetros antropométricos básicos evaluados como peso, talla, perímetro cefálico. Además, la evaluación mediante la escala de Mettcoff permitió la detección de DESNUTRICIÓN FETAL en recién nacidos que de otra manera se clasificarían como de peso adecuado para la Edad Gestacional (AEG). En el laboratorio los hallazgos fueron: disminución o aumento de las concentraciones de algunos de los parámetros bioquímicos evaluados; los más llamativos fueron la disminución de los niveles de albúmina sérica; también disminución de las concentraciones de calcio en más del 90% de la población estudiada y una elevación sistemática de los valores de creatinina en la mayoría, 80% de los casos. Conclusiones: el puntaje CANs es una herramienta clínica útil, sencilla y de fácil aplicación que permite identificar con mayor precisión el grado de desnutrición en recién nacidos y podría validarse estadísticamente en series más amplias y estudios sistemáticos.


It is known that Fetal Malnutrition predisposes to greater perinatal morbidity and mortality, secondary to fetal distress, meconium aspiration, asphyxia, neonatal hypoglycemia and hyperviscosity syndrome. It is also associated, in the medium-long term, with a higher risk compared to the general population of presenting neurological or mental disorders (cognitive and learning disorders), endocrinological, metabolic and cardiovascular complications, so it would be convenient to identify these newborns with DF early in life to promote appropriate surveillance and intervention. Objective:to demonstrate the usefulness of the Neonatal Clinical Assessment using the CANs SCORE (Clinical Assessment of Nutritional Status), developed and published by Mettcoff in 1994. Methods: a transversal pilot study was carried out from March to June 2018, in the second level Hospital "Cochabamba" , selecting 50 term neonates who had a positive score for malnutrition according to the Mettcoff scale. Complete anthropometric measurements and examinations of related laboratory parameters were performed. Comparisons of means and correlations were used to evaluate the data with Z-score values calculated using the Intergrowth -21st toolª. Results: statistically significant differences were found between the basic anthropometric parameters as weight, height, head circumference evaluated. Furthermore, the evaluation using the Mettcoff scale allowed the detection of FETAL MALNUTRITION in newborns who are otherwise classified as having adequate weight for Gestational Age (AEG). In the laboratory, the main findings were: decreased or increased concentrations of some of the biochemical parameters evaluated: the most striking findings being decreased serum albumin levels; also decreased calcium concentrations in 100% of the studied population and a systematic elevation of creatinine values in most of 90% of cases. Conclusions: the CANs score is a useful, simple and easy-to-apply clinical tool that allows the degree of malnutrition in Newborns to be identified with greater precision and it could be statistically validated in larger series and systematic studies.


Subject(s)
Nutritional Status
3.
Diaeta (B. Aires) ; 39(174): 39-44, mayo 2021. graf
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1339813

ABSTRACT

Introducción: se ha reportado una alta prevalencia de malnutrición por exceso en pacientes con Síndrome de Down (SD), tanto en niños, como en adolescentes y adultos. Evaluar correctamente el gasto energético basal (GEB) en estos pacientes, es un aspecto crítico del control de peso, que ha sido escasamente explorado. Objetivo: evaluar el estado nutricional y el GEB mediante calorimetría indirecta y dos ecuaciones predictivas, en pacientes con SD de Concepción, Chile. Materiales y método: estudio descriptivo y transversal en 6 pacientes con SD: 2 niños y 4 mujeres adultas. Se midieron el peso y la talla y se calcularon el índice peso/edad (niños) y el índice de masa corporal (adultos). La determinación del GEB, se realizó mediante calorimetría indirecta y utilizando dos ecuaciones predictivas: Harris & Benedict y FAO/OMS (1985). Los resultados se expresaron como medianas y rangos, y la comparación de los valores del GEB, se realizó a través de la prueba de Wilcoxon (α= 0,05). Resultados: se encontró que el 50% de los pacientes presentó sobrepeso. No se encontraron diferencias estadísticamente significativas entre el GEB calculado por las ecuaciones predictivas, y el obtenido por calorimetría indirecta. Conclusión: en el grupo de pacientes con SD evaluados, se podría estimar la GEB a través de las ecuaciones predictivas (Harris & Benedict y FAO/OMS, 1985), dada su concordancia con los valores obtenidos por calorimetría indirecta, lo que puede ser muy útil en la práctica clínica, permitiendo la elaboración de planes de alimentación adecuados para estos pacientes(AU)


Introduction: a high prevalence of malnutrition due to overweight and obesity has been reported in patients with Down Syndrome (DS), in children, adolescents and adults. A correct evaluation of the basal energy expenditure (BEE) in these patients is a critical aspect of weight control; however, this aspect has not been thoroughly studied. Objective: to evaluate the nutritional status and BEE using indirect calorimetry and two predictive equations in patients with DS from Concepción, Chile. Materials and methods: a descriptive and cross-sectional study was carried out in 6 patients with DS: 2 boys and 4 adult women. Weight and height were measured, and the weight/age index (children) and the body mass index (adults) were calculated. The determination of the BEE was carried out by indirect calorimetry and using two predictive equations: Harris & Benedict and FAO/WHO (1985). The results were expressed as means, standard deviations, medians and ranges, and the comparison of the BEE values was performed using the Wilcoxon test (α = 0.05). Results: 50% of the patients were overweight. No statistically significant differences were found between the BEE calculated by the predictive equations, and that obtained by indirect calorimetry. Conclusion: In the group of patients with DS evaluated, BEE could be estimated through the predictive equations (Harris & Benedict and FAO/ WHO, 1985), given its agreement with the values obtained by indirect calorimetry, which can be very useful in clinical practice, allowing the elaboration of adequate feeding plans for these patients(AU)


Subject(s)
Down Syndrome , Malnutrition , Basal Metabolism , Nutritional Status , Energy Metabolism
4.
Medisan ; 25(2)mar.-abr. 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1250345

ABSTRACT

Introducción: El consumo excesivo y prolongado de alcohol se asocia a una morbilidad elevada por afecciones hepáticas y de otros órganos. Objetivo: Precisar las lesiones hepáticas y su relación con otras enfermedades asociadas al alcohol y el estado nutricional en pacientes con enfermedad hepática alcohólica. Métodos: Se efectuó un estudio observacional, descriptivo y transversal de 270 pacientes con enfermedad hepática alcohólica, atendidos en el Servicio de Medicina Interna y la consulta especializada de Hepatología del Hospital Provincial Docente Clinicoquirúrgico Saturnino Lora de Santiago de Cuba, quienes fueron examinados clínicamente para detectar síntomas y signos de enfermedades hepática y asociadas al alcohol en diferentes sistemas, durante el decenio 2010-2019. Resultados: Predominaron los hombres (234), de los cuales 117 estuvieron en el grupo de 25 - 44 años de edad. La forma clínica preponderante fue la cirrosis hepática en 109 pacie2ntes, de ellos una proporción importante eran bebedores con más de 20 años de exposición al hábito. La enfermedad por reflujo gastroesofágico junto a las formas de gastropatía y la polineuropatía en 89 y 96 afectados, respectivamente, fueron las comorbilidades más asociadas a la lesión hepática. Se observaron diferentes grados de desnutrición en 167 afectados (61,8 %), de los cuales primaron aquellos con cirrosis hepática, de estos 51 (49,0 %) presentaron desnutrición moderada y 31 (49,2 %) grave. Conclusiones: Resulta elevada la presencia de comorbilidades en pacientes con enfermedad hepática alcohólica, lo cual se asocia al deterioro nutricional y a una exposición prolongada al hábito nocivo.


Introduction: The excessive and prolonged consumption of alcohol is associated with a high morbidity due to hepatic disorders and affections of other organs. Objective: To specify the hepatic lesions and their relationship with other diseases associated with alcohol and the nutritional state in patients with alcoholic hepatic disease. Methods: An observational, descriptive and cross-sectional study of 270 patients with alcoholic hepatic disease was carried out. They were assisted in the Internal Medicine Service and in the specialized visit of Hepatology from Saturnino Lora Teaching Clinical Surgical Provincial Hospital in Santiago de Cuba who were clinically examined to detect symptoms and signs of hepatic disease and those associated with alcohol in different systems, during the decade 2010-2019. Results: There was a prevalence of men (234), of which 117 were in the group of 25 - 44 years of age. The preponderant clinical form was the hepatic cirrhosis in 109 patients, an important proportion of them were drinkers with more than 20 years of exhibition to the habit. The disease due to gastroesophagic reflux along with the forms of gastropathy and polyneuropathy in 89 and 96 affected patients, respectively, were the comorbidities more associated with the hepatic lesion. Different degrees of malnutrition were observed in 167 affected patients (61.8 %), of which those with hepatic cirrhosis prevailed, of these 51 (49.0 %) presented moderate malnutrition and 31 (49.2 %) a serious one. Conclusions: The presence of comorbidities in patients with alcoholic hepatic disease is high, which is associated to the nutritional deterioration and a prolong exposure to the harmful habit.


Subject(s)
Comorbidity , Liver Cirrhosis , Liver Diseases, Alcoholic/epidemiology , Nutritional Status
5.
Arch. argent. pediatr ; 119(2): 99-105, abril 2021. tab, ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1151488

ABSTRACT

Introducción. La obesidad infantil en España es preocupante y el entorno familiar puede influir en su desarrollo. Los objetivos fueron determinar la prevalencia de exceso de peso en adolescentes, evaluar variables familiares que pudieran condicionarla y determinar la percepción corporal de los padres.Población y métodos. Estudio transversal; se incluyeron alumnos de cinco centros de secundaria del Área V de Murcia. Se registró antropometría de los alumnos y se administró una encuesta a los padres con variables de peso, talla, ejercicio, estudios, tipo de familia y percepción corporal. Se realizó el análisis mediante tablas de contingencia y asociación con d de Somers.Resultados. Participaron 421 alumnos (edad: 12,8 ± 0,6 años); el 21,1 % tenían sobrepeso, y el 19,5 %, obesidad. Existió asociación entre padres e hijos con sobrecarga ponderal (d de Somers con p < 0,05). Si ambos padres eran sedentarios, sus hijos realizaban menos ejercicio. A mayor nivel de estudios parental, menor tasa de sobrepeso infantil (p < 0,05). El sobrepeso-obesidad en los hijos fue mayor en familias separadas o monoparentales. El 32 % de los padres no percibía el exceso de peso de sus hijos ni el 53 % en sí mismos.Conclusiones. La prevalencia de exceso de peso en esta muestra fue del 40,6 %. El estado nutricional de los padres, el nivel de estudios y el tipo de familia se asociaron con la obesidad infantil. Influyó en mayor medida la figura materna. Existió una infraconsideración de la obesidad por parte de los padres.


Introduction. In Spain, childhood obesity is worrying, and its development might be influenced by the family setting. The objectives were to determine the prevalence of excess weight among adolescents, evaluate family variables that could affect it, and determine parents' body perception.Population and methods. Cross-sectional study; students from five secondary schools in health area V of the Region of Murcia were included. Students' anthropometric measurements were recorded and a survey was administered to parents, including variables such as weight, height, exercise, level of education, family structure, and body perception. The analysis was done using contingency tables and the association with Somers' D measures.Results. Four hundred and twenty one students participated (age: 12.8 ± 0.6 years old); 21.1 % were overweight and 19.5 %, obese. There was an association between parent and child excess weight (Somers' D with a p value < 0.05). If both parents had a sedentary lifestyle, their children would exercise less. The higher the level of parental education, the lower the rate of childhood overweight (p < 0.05). Overweight-obesity among children was higher in separated or single-parent families. In total, 32 % of parents misperceived their children's excess weight and 53 %, their own.Conclusions. In this sample, the prevalence of excess weight was 40.6 %. Parents' nutritional status, level of education, and family structure were associated with childhood obesity. Mothers had a greater influence on the development of their children's overweight. Parents underestimated obesity.


Subject(s)
Humans , Male , Female , Adolescent , Nutritional Status , Overweight , Life Style , Parents , Spain/epidemiology , Exercise , Family , Prevalence , Cross-Sectional Studies , Pediatric Obesity/epidemiology
6.
Rev. Bras. Saúde Mater. Infant. (Online) ; 21(1): 187-195, Jan.-Mar. 2021. tab
Article in English | LILACS | ID: biblio-1250691

ABSTRACT

Abstract Objectives: to determine the relationship between maternal hemoglobin (HbM) per gestational trimester and birthweight (BW). Methods: this was an analytical, cross-sectional observational study that included the prenatal records of494 pregnant women who delivered live newborns in the Department of Antioquia. The maternal health data collected included HbM and BW, and gynecological and obstetric, anthropometric, and maternal health-related data. The Mann-Whitney U test was applied, supplemented by effect size (ES) to compare the study groups. Results: HbMin the third trimester was significantly associated with BW (p=0.029).It showed a significant effect size on BW as follows: first trimester: ES=0.44 (CI95%= 0.183-0.697); second trimester: ES=0.49 (CI95%= 0.187-0.79); and third trimester: ES=0.43 (CI95% = 0.202-0.658). Maternal anemia was 4.2%>, 11.2%, and 21.4%> in the first, second, and third trimester, respectively. Conclusions: as it is an inexpensive indicator and easy to determine, the timely monitoring and assessment of HbM is required owing to its importance in maternal and neonatal health, quality of life, and human capital development.


Resumen Objetivos: determinar la relación entre hemoglobina materna (HbM) por trimestre de gestación y peso al nacer (PN). Métodos: estudio observacional analítico, transversal, en 494 historias prenatales de gestantes con recién nacido vivo del departamento de Antioquia. Se tomaron datos de HbMy PN, ginecobstétricos, antropométricos y de salud materna. Para comparar los grupos de estudio, se aplicó la prueba U-Mann Whitney, complementada con el tamaño de efecto (ES). Resultados: la HbM de tercer trimestre se asoció significativamente con el PN (p=0,029); la HbM mostró un tamaño de efecto importante sobre el PN, así: primer trimestre: ES=0,44 (IC95%= 0,183 a 0,697); segundo trimestre: ES=0,49 (IC95%= 0,187 a 0,79); tercer trimestre: ES=0,43 (IC95%o= 0,202 a 0,658). La anemia materna fue 4,2°%, 11,2%o y 21,4°% en el primero, segundo y tercer trimestre, respectivamente. Conclusiones: Se necesita seguimiento y evaluación oportuna de la HbM, indicador de bajo costo y fácil determinación, por su importancia en la salud materna y neonatal, en la calidad de vida y desarrollo del capital humano.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Pregnancy Trimesters , Birth Weight , Hemoglobins/analysis , Risk Factors , Anemia/blood , Socioeconomic Factors , Nutritional Status , Colombia
7.
Arch. latinoam. nutr ; 71(1): 61-78, mar. 2021. ilus, tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1283257

ABSTRACT

Las infecciones de las vías respiratorios altas (IVRA), son debilitantes para el potencial deportivo de los atletas de élite. El ejercicio físico activa múltiples vías moleculares y bioquímicas relacionadas con el sistema inmune, sensibles a influencias nutricionales. Sobre este contexto, la inmunonutrición está adquiriendo una nueva dirección orientada a conseguir el equilibrio inmunológico, contraponiéndose con algunas de las teorías que han sentado las bases de la inmunología del ejercicio durante las últimas décadas. Objetivo. Investigar los aspectos nutricionales que puedan mejorar la respuesta inmunológica en deportistas de elite. Estudiar los posibles beneficios del equilibrio inmunológico para mejorar el rendimiento, analizar los factores nutricionales que contribuyan al equilibrio de la respuesta inmunológica y extrapolar la evidencia actual en recomendaciones prácticas de alimentación/suplementación para mejorar la homeostasis de la respuesta inmunológica en atletas de élite, teniendo en cuenta las limitaciones existentes.Resultados. La evidencia científica apunta que se puede potenciar el equilibrio inmunológico y la respuesta inmune a través de la modificación de factores nutricionales. Dentro de los cuales, la vitamina D, los probióticos, la vitamina C y el cinc son los que cuentan con mayor evidencia. Conclusión. Los avances científicos resultan prometedores y de interés para los atletas de élite, debido a que pueden disminuir la incidencia de IVRA, mejorando el éxito deportivo de los mismos. Se requieren más estudios para su validación y aplicación(AU)


Upper respiratory tract infections (URTI) are debilitating for the athletic potential of elite athletes. Physical exercise in elite athletes activates multiple molecular and biochemical pathways related to the immune system, which, at the same time, are sensitive to nutritional influences. Based on this context, immunonutrition is taking a new direction aimed at achieving the immunological balance. Objective. To investigate the nutritional aspects that can improve the immune response in elite athletes. To study the potential benefits of immune balance to improve performance, to analyse nutritional factors that contribute to the balance of the immune response and to extrapolate current evidence into practical dietary/supplementation recommendations to improve the homeostasis of the immune response in elite athletes, considering existing limitations. Results. Scientific evidence suggests that immune balance and immune response can be enhanced through the modification of nutritional factors. Among which, vitamin D, probiotics, vitamin C and zinc are the micronutrients with most evidence. Conclusion. Scientific advances in this field are promising and of great interest to elite athletes since it could decrease the incidence of URTI and, as a consequence, it could improve their sporting success. However, more studies are still required for its validation and application(AU)


Subject(s)
Humans , Respiratory Tract Infections/immunology , Nutritional Status , Eating , Athletes , Exercise , Risk Factors , Immune Tolerance , Immunity
8.
Arch. latinoam. nutr ; 71(1): 45-53, mar. 2021. tab
Article in English | LILACS, LIVECS | ID: biblio-1283251

ABSTRACT

The reduction of hours of sleep affects the physical and mental health of people. Having unhealthy sleep habits are associated with a greater occurrence of daytime sleepiness, which in turn has been related to poorer nutritional status. The objective of this study was to relate food intake, anthropometric measurements, and daytime sleepiness in Ecuadorian adults. Non-experimental, cross-sectional study, the sample included 400 men and women between 18 and 65 years of age, who attended an outpatient consultation of general medicine, family medicine, and traumatology services of a public hospital in Quito-Ecuador. Anthropometric and body composition measurements were measured using tetrapolar bio-impedance, following the recommendations of the International Society for the Advancement of Anthropometry (ISAK). Caloric intake was measured using a 24-hour recall and for daytime sleepiness (DS) the Epworth questionnaire was used. Statistical analyzes were performed using R. From the sample 56.5% presented DS, which affected women more frequently compared to men (p < 0.05). Differences were found between body measurements and dietary intake between groups of people with and without DS. Caloric intake, waist circumference, percentage of fat mass were higher in people with DS (p < 0.05), while muscle mass was higher in subjects without DS (p <0.05). No differences were found concerning visceral fat. We conclude that SD is related to less healthy values in terms of dietary intake and anthropometric measures(AU)


La reducción de las horas de sueño afecta la salud física y mental de las personas. Tener hábitos de sueño poco saludables se asocia a una mayor ocurrencia de somnolencia diurna, lo que a su vez se ha relacionado con un peor Estado Nutricional. El objetivo de este estudio fue relacionar la ingesta de alimentos, las medidas antropométricas y la somnolencia diurna en adultos ecuatorianos. Estudio no experimental, transversal n=400 hombres y mujeres entre 18 y 65 años, que acudieron a consulta externa de los servicios de medicina general, medicina familiar y traumatología de un hospital público de Quito, Ecuador tomado como referencia. Se tomaron medidas antropométricas siguiendo las recomendaciones de la Sociedad Internacional para el Avance de la Antropometría (ISAK) y de composición corporal a través de la bioimpedancia tetrapolar. La ingesta calórica se midió mediante un recordatorio de 24 horas y para somnolencia diurna (SD)se utilizó el cuestionario de Epworth. Los análisis estadísticos se realizaron utilizando el software R. 56,5% de la muestra presenta SD, que afectó con mayor frecuencia a las mujeres en comparación con los hombres (p <0,05). Se encontraron diferencias entre las medidas corporales y la ingesta dietética entre grupos de personas con SD y sin ella. La ingesta calórica, la circunferencia de la cintura, el porcentaje de masa grasa fue mayor en personas con SD (p <0.05), mientras que la masa muscular fue mayor en sujetos sin SD (p <0.05). No se encontraron diferencias en relación con la grasa visceral. Concluimos que SD está relacionada con valores menos saludables en cuanto a ingesta dietética y medidas antropométricas(AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Young Adult , Body Weights and Measures , Eating , Feeding Behavior , Disorders of Excessive Somnolence/epidemiology , Body Composition , Nutritional Status , Cross-Sectional Studies , Sex Distribution , Ecuador/epidemiology , Cardiometabolic Risk Factors
9.
Arch. latinoam. nutr ; 71(1): 36-44, mar. 2021. tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1283249

ABSTRACT

Determinar la asociación entre la percepción de los consejos prácticos y los mensajes educativos de las guías alimentarias en estudiantes de una universidad privada de Perú. Estudio transversal. La población correspondió a estudiantes que cursan el primero a décimo semestre de las carreras de una universidad privada de Lima-Perú. La muestra fue de 480 universitarios quienes aceptaron voluntariamente participar en el estudio. Los datos fueron recolectados en el periodo octubre a noviembre del año 2019. Se aplicó un cuestionario para recoger la percepción de estudiantes universitarios sobre los mensajes de las guías alimentarias y medios de difusión donde les gustaría conocer información sobre mensajes educativos. El 46,5% corresponde a estudiantes de las carreras de la Facultad de Ciencias de la Salud. Los mensajes 1, 3, 4, 6, 9 y 11 de las guías alimentarias peruanas mostraron asociación estadística evidente (p<0,05). Los medios de difusión con mayor proporción por los cuales les gustaría conocer mensajes educativos sobre alimentación saludable, fueron la Televisión (28,5%), Instagram (27,7%) y Facebook (19,0%). Se deberían diseñar e implementar publicidad diferenciada en televisión, Instagram y Facebook sobre alimentación saludable para contribuir a la mejora del estado de salud y nutrición de los universitarios peruanos(AU)


To determine the association between the perception of practical advice and the educational messages of the food guides in students of a private university in Peru. Cross-sectional study. The population corresponded to undergrads who are from the first to tenth semester of their degrees in a private university of Lima-Peru. The sample was 480 university students who voluntarily agreed to participate in the study. The data were collected in the period from october to november of the year 2019. A questionnaire was applied to collect the perception of university students about the messages of the dietary guidelines and the media where they would like to know information about educational messages. 46.5% correspond to undergrads of the Faculty of Health Sciences. Messages 1, 3, 4, 6, 9 and 11 of the Peruvian GABAS showed an evident statistical association (p <0.05). The media with the highest proportion by which they would like to know educational messages about healthy eating were Television (28.5%), Instagram (27.7%) and Facebook (19.0%). Differentiated advertising should be designed and implemented on television, Instagram and Facebook on healthy eating to contribute to the improvement of the health and nutrition status of Peruvian university students(AU)


Subject(s)
Humans , Students , Universities , Attitude to Health , Counseling , Educational and Promotional Materials , Food Guide , Peru , Food and Nutrition Education , Nutritional Status , Cross-Sectional Studies , Eating , Feeding Behavior , Healthy Lifestyle
10.
Rev. cuba. salud pública ; 47(1): e1333, ene.-mar. 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1289573

ABSTRACT

Introducción: En el campo de la salud pública la tendencia es priorizar el tema de la vigilancia nutricional en la población, a través del monitoreo del comportamiento del estado nutricional. Objetivo: Evaluar la situación nutricional en menores de 18 años del municipio Pasto en el periodo 2014-2016. Métodos: Estudio observacional-descriptivo de la situación nutricional de la población de estudio, reportada en las bases de datos de la Secretaría de Salud Municipal de Pasto-Colombia. Resultados: Se analizaron 158 614 registros, de los cuales 40,82 por ciento fueron de menores de 5 años y 9,18 por ciento en edades entre 5-18 años. Respecto a la desnutrición global se encontró que 18,9 por ciento de los menores fueron diagnosticados en riesgo: 7,2 por ciento con desnutrición global aguda y 0,7 por ciento con desnutrición global severa. Para la desnutrición aguda 10,4 por ciento tuvo diagnóstico de riesgo, 4,8 por ciento desnutrición aguda y 0,8 por ciento desnutrición aguda severa. En la estimación de desnutrición crónica 30,9 por ciento de los niños presentó riesgo de retardo en el crecimiento y 13,05 por ciento retardo en el crecimiento. El 16,7 por ciento de la población tuvo sobrepeso, 4,2 por ciento obesidad, 10,6 por ciento riesgo de delgadez y 2,7 por ciento delgadez. Conclusiones: De acuerdo con la Encuesta Nacional de la Situación Nutricional en Colombia, la desnutrición disminuyó en el país entre los años 2010 a 2015. Sin embargo, aún existe desnutrición en el municipio de Pasto que, junto al aumento de la tasa de sobrepeso y obesidad en niños y adolescentes, representa una situación de malnutrición, que podría verse reflejada en importantes problemas para la salud por la generación de enfermedades crónicas a la que conlleva(AU)


Introduction: In the field of public health, the tendency is to prioritize the issue of nutritional surveillance in the population, through the monitoring of the nutritional state´s behavior. Objective: Assess the nutritional state of children under 18 years old in Pasto municipality in the period 2014-2016. Methods: Observational-descriptive study of the studied population´s nutritional state reported in the databases of the Municipal Health Secretariat of Pasto-Colombia. Results: 158 614 records were analyzed, of which 40.82 percent were children under 5 years and 9.18 percent in ages between 5 and 18 years. Regarding global malnutrition, 18.9 percent of children were diagnosed at risk: 7.2 percent with acute global malnutrition and 0.7 percent with severe global malnutrition. For acute malnutrition, 10.4 percent had a risk diagnosis, 4.8 percent acute malnutrition and 0.8 percent severe acute malnutrition. In the estimate of chronic malnutrition, 30.9 percent of the children presented risk of growth retardation and 13.05 percent growth retardation. 16.7 percent of the population were overweight, 4.2 percent obese, 10.6 percent risk of thinness and 2.7 percent thinness. Conclusions: According to the National Survey of the Nutritional Situation in Colombia, malnutrition decreased in the country between 2010 and 2015. However, there is still malnutrition in Pasto municipality which, together with the increase in the rate of overweight and obesity in children and adolescents, represents a situation of malnutrition, which could be reflected in major health problems from the generation of chronic diseases to which it leads(AU)


Subject(s)
Humans , Male , Female , Child , Nutritional Surveillance/methods , Nutritional Status/genetics , Overweight/epidemiology , Epidemiology, Descriptive , Colombia , Observational Study , Obesity/epidemiology
11.
Arq. ciências saúde UNIPAR ; 25(1): 25-30, jan-abr. 2021.
Article in Portuguese | LILACS | ID: biblio-1151401

ABSTRACT

O objetivo do estudo foi analisar a composição corporal com utilização do DXA e correlacioná-la com a idade cronológica em adolescentes pós-púberes, de ambos os sexos. Participaram da pesquisa 46 adolescentes em fase pós-puberal, sendo 27 meninas (17,23±0,98) e 19 meninos (17,65±0,74) de ensino médio de uma escola estadual da Zona Sul da cidade do Rio de Janeiro. Foram realizadas uma anamnese, avaliação antropométrica e o DXA para avaliações. O teste U de Mann Whitney e o coeficiente de correlação de Spearman foram utilizados, adotando P<0,05 para significância. Verificou-se que as meninas apresentam composição corporal diferentedos meninos (P<0,05) e que com o aumento da idade elas tendem a diminuir o percentual de gordura, embora tenha sido observado um quantitativo alto de meninas com percentual de gordura elevado. Os meninos apresentaram uma tendência de aumento do percentual de gordura e da massa magra com o aumento da idade. As medidas de conteúdo e densidade mineral ósseo dentro da normalidade, com tendência de aumento com o avanço da idade cronológica. Conclui-se que os grupos masculino e feminino apresentaram comportamentos diferenciados quanto à composição corporal e os valores apresentados trazem mais um complemento à literatura a respeito de referências para a composição corporal, obtida com o DXA, em adolescentes pós-púberes.


The purpose of this study was to analyze body composition using DXA and correlate it with chronological age in post-pubertal adolescents of both genders. A total of 46 adolescents participated in the study, of which 27 were girls (17.23±0.98) and 19 boys (17.65±0.74) from a state school in the South District in the city of Rio de Janeiro. An anamnesis, anthropometric evaluation and DXA were performed for evaluations. The Mann-Whitney U test and the Spearman correlation coefficient were used, adopting P <0.05 for significance. Girls were found to have a different body composition than boys (P <0.05) and that, with increasing age, they tended to present a decrease in fat percentage, although in general a high number of girls presented a high fat level. The boys presented a tendency to increase the percentage of fat and lean mass with the increase of the age. Measurements of bone mineral content and density were considered as being within normality, with a tendency to increase with the advancing of the chronological age. Girls and boys present a different behavior regarding body composition and the values presented in this study bring an addition to the literature regarding body composition references through DXA in post-pubertal adolescents.


Subject(s)
Humans , Male , Female , Adolescent , Body Composition/physiology , Body Weights and Measures , Puberty/physiology , Weight by Height/physiology , Bone Density/physiology , Nutritional Status , Adolescent/physiology , Fats/metabolism , Obesity/metabolism
12.
Rev. Bras. Saúde Mater. Infant. (Online) ; 21(supl.1): 287-292, Feb. 2021. graf
Article in English | LILACS | ID: biblio-1155306

ABSTRACT

Abstract In view of the current panorama of hospital nutritional care, it is necessary to review nutritional care practices in hospital units, in order to ensure nutritional monitoring and quality of care. Therefore, it is necessary to build flows of nutritional assistance practices at the pediatric hospital level, based on the recommendations of the Federal Council of Nutritionists and the Brazilian Society of Parenteral and Enteral Nutrition, aiming at not generating a deficit in the nutritional monitoring of the patient and in reducing the risk of contamination of the professional. When individual protection equipment is available, nutritional admission will be made in person and during hospitalization, monitoring can be performed using secondary data from electronic medical records and / or telecommunication with the multidisciplinary team. The implementation of nutritional routines in hospitals in times of Covid-19 pandemic generates more assertive conducts for the prevention and treatment of malnutrition and other nutritional implications, also guaranteeing the safety of professionals in assistance in pediatric units..


Resumo Diante do panorama atual da assistência nutricional hospitalar, torna-se necessário a revisão das práticas de assistência nutricional em unidades hospitalares, visando garantir monitoramento nutricional e qualidade assistencial. Portanto, faz-se necessário a construção de fluxos de práticas da assistência nutricional em nível hospitalar pediátrico, baseados nas recomendações do Conselho Federal de Nutricionistas e da Sociedade Brasileira de Nutrição Parenteral e Enteral, visando não gerar déficit no monitoramento nutricional ao paciente e em reduzir o risco de contaminação do profissional. Quando há a disponibilidade de equipamento de proteção individual a admissão nutricional será feita presencialmente e durante o internamento poderá ser realizado monitoramento por meio de dados secundários provenientes do prontuário eletrônico e/ou telecomunicação com a equipe multidisciplinar. A implantação de rotinas nutricionais em âmbito hospitalar em tempos de pandemia da COVID-19 gera condutas mais assertivas para a prevenção e tratamento da desnutrição e de outras implicações nutricionais, garantindo também a segurança do profissional na assistência em unidades pediátricas.


Subject(s)
Humans , Male , Female , Child , Security Measures , Occupational Health , Workflow , Patient Safety , COVID-19/prevention & control , COVID-19/epidemiology , Telecommunications , Brazil/epidemiology , Nutritional Status , Cohort Studies , Health Personnel , Electronic Health Records , Nutritionists , Personal Protective Equipment , Hospitals, Pediatric
13.
Invest. educ. enferm ; 39(1): [E03], 15 febrero 2021. table 1, table 2, table 3
Article in English | LILACS, BDENF, COLNAL | ID: biblio-1151085

ABSTRACT

Objective. To assess the relationship between the nutritional status and eating habits of children aged from five to ten years old and their mothers, living in rural areas. Methods. A cross-sectional study conducted with 156 children aged from five to ten years old, registered in the Family Health Strategies of the rural area of the Municipality of Divinópolis-MG (Brazil) from July 2017 to April 2018. Results. The prevalence of excess weight was 27.5%. The following parameters were significantly associated with excess weight in the children: maternal waist circumference (OR=1.04), protein consumption (OR=1.02), irregular consumption of natural juice (OR=5.05), and the most favored socioeconomic level, C1 social stratum (OR=3.54). Regarding the correlation between nutrient intake of the children and their mothers, most of the correlations were weak to moderate, being statistically significant for all the dietary components evaluated (r=0.185 to 0.496). Conclusion. Maternal nutritional status was related to the child's excess weight and a weak to moderate correlation was observed for nutrient intake among the children and their mothers. A high prevalence of children with excess weight was observed in the rural areas. The results point to the need to implement collective approaches, targeted at rural families, so as to prevent this problem.


Objetivo. Evaluar la relación entre el estado nutricional y los hábitos alimentarios de los niños de cinco a diez años y sus respectivas madres, las cuales residen en zonas rurales. Métodos. Se trató de un estudio transversal realizado con 156 niños de cinco a diez años, registrados en las Estrategias de Salud de la Familia del área rural del municipio de Divinópolis-MG (Brasil) de julio de 2017 a abril de 2018. Resultados. La prevalencia de sobrepeso fue del 27.5%. Se asoció significativamente con el sobrepeso de los niños: la circunferencia de la cintura materna (OR=1.04), el consumo de proteínas (OR=1.02), el consumo irregular de jugo natural (OR=5.05) y el nivel socioeconómico más favorecido, estrato social C1 (OR=3.54). En cuanto a la correlación entre la ingesta de nutrientes de los niños y la de sus madres, la mayoría de las correlaciones fueron débiles o moderadas, siendo estadísticamente significativas para todos los componentes dietéticos evaluados (r=0.185 a 0.496). Conclusión. El estado nutricional de la madre se relacionó con el sobrepeso del niño y se observó una correlación de débil a moderada para la ingesta de nutrientes entre los niños y sus madres. Se identificó una alta prevalencia de niños con sobrepeso en las zonas rurales. Los resultados apuntan a la necesidad de implementar enfoques colectivos, dirigidos a familias del medio rural, para prevenir este problema.


Objetivo. Avaliar a relação entre estado nutricional e hábitos alimentares de crianças de cinco a dez anos e de suas respectivas mães, residentes em zona rural. Métodos. Estudo transversal, realizado com 156 crianças de cinco a dez anos, cadastradas nas Estratégias de Saúde da Família da zona rural do município de Divinópolis-MG (Brasil), de julho de 2017 a abril de 2018. Resultados. A prevalência de excesso de peso foi 27.5%. Associou-se significativamente ao excesso de peso das crianças: a circunferência de cintura materna (OR=1.04), o consumo de proteína (OR:1.02), o consumo irregular de suco natural (OR=5.05); o nível socioeconômico mais favorecido, estrato social C1 (OR=3.54). No que diz respeito à correlação entre o consumo de nutrientes das crianças e suas mães, a maioria das correlações foi de fraca a moderada, sendo significativas estatisticamente para todos os componentes dietéticos avaliados (r=0.185 a 0.496). Conclusão. O estado nutricional materno relacionou-se ao excesso de peso da criança e observou-se correlação fraca-moderada para ingestão de nutrientes entre as crianças e suas mães. Foi identificada elevada prevalência de excesso de peso infantil na zona rural. Os resultados apontam a necessidade de implementação de abordagens de ordem coletiva, voltadas às famílias de áreas rurais, para prevenção desse agravo.


Subject(s)
Humans , Child , Nutritional Status , Feeding Behavior , Mother-Child Relations , Obesity
14.
ABCS health sci ; 46: e021301, 09 fev. 2021. ilus, tab
Article in English, Portuguese | LILACS | ID: biblio-1147213

ABSTRACT

The purpose of the study was to investigate the prevalence of overweight and obesity among young Brazilian aged 5 to 19 years through systematic review and metaanalysis of data available in the literature. An electronic search was conducted for articles in the MedLine/PubMed, Scopus, Web of Science, Scielo e Lilacs published from 2000 to 2018 were selected using predefined inclusion/exclusion criteria. Measures of heterogeneity and variability were calculated, and random effect model were used to estimate pooled prevalence rates. Forest-plots graphs were generated by sex and age. Meta-regression models were fitted to identify possible sources of heterogeneity in the prevalence estimates. Of the 1,002 articles initially identified 26 met the inclusion criteria. In children (5-9 years) the pooled prevalence rates of verweight were 16.2% (95%CI 13.2-19.3; Q=411.7, p<0.001; I2=97.8%) in girls and 14.4% (95%CI 11.5-17.3; Q=403.9, p<0.001; I2=97.7%) in boys. Obesity, 9.2% (95%CI 5.9-12.3; Q=1111.7, p<0.001; I2=99.2%) and 9.0% (95%CI 5.5-12.5; Q=1413.1, p<0.001; I2=99.4%), respectively. Regarding adolescents (10-19 years), in girls 16.4% (95%CI 15.1-17.7; Q=245.6, p<0.001; I2=92.3%) for overweight and 6.2% (95%CI 4.9-7.5; Q=842.9, p<0.001; I2=97.7%) for obesity. In boys, 15.3% (95%CI 13.4-17.1; Q=493.7, p<0.001; I2=96.2%) and 6.7% (95%CI 5.0-8.5; Q=1200.4, p<0.001; I2=98.4%), respectively. Geographic region, year of data collection and diagnostic criteria had a significant impact on the heterogeneity of the prevalence of overweight and obesity. The review identified increasing trends in the prevalence rates, highlighting the urgent need to promote healthy lifestyles from the young ages, in order to effectively address the presence of excess body weight.


O objetivo do estudo foi investigar a prevalência de sobrepeso e obesidade em jovens brasileiros entre 5 e 19 anos através de revisão sistemática e metanálise de dados disponibilizadas na literatura. Foi realizada busca eletrônica nas bases de dados MedLine/PubMed, Scopus, Web of Science, Scielo e Lilacs publicados de 2000 a 2018, utilizando critérios de inclusão/ gerados por sexo e idade. Modelos de metarregressão foram ajustados para identificar exclusão pré-definidos. Medidas de heterogeneidade e variabilidade foram calculadas e modelos de efeito aleatório foram usados para estimar taxas de prevalência global. Gráficos forest-plots foram possíveis fontes de heterogeneidade. Dos 1002 estudos identificados inicialmente 26 atenderam os critérios de inclusão. Nas crianças (5-9 anos) as taxas de prevalência global de sobrepeso foram equivalentes a 16,2% (IC95% 13,2-19,3; Q=411,7, p<0,001; I2=97,8%) nas moças e 14,4% (IC95% 11,5-17,3; Q=403,9, p<0,001; I2=97,7%) nos rapazes. No caso da obesidade, 9,2% (IC95% 5,9-12,3; Q=1111,7, p < 0,001; I2=99,2%) e 9,0% (IC95% 5,5-12,5; Q=1413,1, p<0,001; I2=99,4%), respectivamente. Referente aos adolescentes (10-19 anos), nas moças 16,4% (IC95% 15,1-17,7; Q=245,6, p<0,001; I2=92,3%) para sobrepeso e 6,2% (IC95% 4,9-7,5; Q=842,9, p<0,001; I2=97,7%) para obesidade. Nos rapazes, 15,3% (IC95% 13,4-17,1; Q=493,7, p<0,001; I2=96,2%) e 6,7% (IC95% 5,0-8,5; Q=1200,4, p<0,001; I2=98,4%), respectivamente. Região geográfica, ano de coleta dos dados e critérios diagnósticos impactaram significativamente na heterogeneidade das prevalências. Foram identificadas tendências crescentes nas taxas de prevalência, ressaltando a necessidade urgente de promover estilos de vida saudáveis desde as idades jovens, a fim de abordar com eficácia a presença do excesso de peso corporal.


Subject(s)
Humans , Male , Female , Child , Adolescent , Brazil , Nutritional Status , Overweight/epidemiology , Child Nutrition , Adolescent Nutrition , Obesity/epidemiology , Feeding Behavior , Life Style
15.
Rev. bras. promoç. saúde (Impr.) ; 34(1): 1-11, 17/02/2021.
Article in English, Portuguese | LILACS | ID: biblio-1342110

ABSTRACT

Objetivo: Avaliar a qualidade de vida e sua relação com o estado nutricional de mulheres diagnosticadas com câncer de mama. Métodos: Estudo transversal que avaliou mulheres com diagnóstico de câncer de mama frequentadoras de um programa filantrópico de combate ao câncer, em Brusque, Santa Catarina, entre abril e junho de 2018. Adotou-se como critério de exclusão apresentar incapacidade cognitiva de responder aos questionários European Organization for Research and Treatment of Cancer (QLQ-C30 e QLQ-BR23) ou impossibilidade de coleta das medidas antropométricas para classificação do estado nutricional. O total em escores dos questionários e de suas escalas e domínios deram-se como variáveis analisadas. Resultados: Participaram 40 mulheres, sendo 16 com sobrepeso (40%), 14 com eutrofia (35%) e 10 com obesidade (25%). O valor médio do QLQ-C30 apresentou-se como de 72,2 ± 26,3 pontos, sem diferença entre as categorias de estado nutricional. Os domínios mais afetados da escala funcional registraram-se como: emocional, cognitivo e escala sintomas, com insônia, dor e fadiga. Mulheres com sobrepeso apresentaram piora nos domínios de ambas as escalas. Os domínios perspectivas futuras, imagem corporal, função sexual e sintomas de braço apresentaram-se mais comprometidos. Mulheres submetidas à reconstrução mamária e as que receberam orientação nutricional apresentaram menores pontuações no domínio emocional e na escala sintomas, respectivamente. Conclusão: A pontuação média global da qualidade de vida desta amostra foi satisfatória, apesar dos domínios emocional, sintomas, perspectivas futuras, imagem corporal e função sexual serem os mais afetados. O excesso de peso associou-se à piora na avaliação dos aspectos emocionais e ao agravo de sintomas.


Objective: To assess the quality of life and its relationship with the nutritional status of women diagnosed with breast cancer. Methods: Cross-sectional study that evaluated women diagnosed with breast cancer attending a philanthropic program to fight cancer in Brusque, Santa Catarina, between April and June 2018. The exclusion criterion was: cognitive inability to answer the European Organization for Research and Treatment of Cancer questionnaires (QLQ-C30 and QLQ-BR23) or impossibility of collecting anthropometric measurements to classify nutritional status. The total scores of the questionnaires and their scales and domains were analyzed as variables. Results: 40 women participated, being 16 overweight (40%), 14 eutrophic (35%) and 10 obese (25%). The mean value of the QLQ-C30 was 72.2 ± 26.3 points, with no difference between the categories of nutritional status. The most affected domains of the functional scale were registered as: emotional, cognitive, and symptoms scale, with insomnia, pain, and fatigue. Overweight women showed worsening in the domains of both scales. The domains' future perspectives, body image, sexual function, and arm symptoms were more compromised. Women who underwent breast reconstruction and those who received nutritional guidance had lower scores in the emotional domain and the symptoms scale, respectively. Conclusion: The mean global quality of life score of this sample was satisfactory, although the emotional, symptoms, future perspectives, body image, and sexual function domains were the most affected. Excess weight was associated with worsening in the assessment of emotional aspects and worsening of symptoms.


Objetivo: Evaluar la calidad de vida y su relación con el estado nutricional de mujeres con el diagnóstico de cáncer de mama. Métodos: Estudio transversal que evaluó mujeres con el diagnóstico de cáncer de mama del programa filantrópico de combate al cáncer de Brusque, Santa Catarina, entre abril y junio de 2018. Se tuvo como criterio de exclusión la incapacidad cognitivapara contestar a los cuestionarios European Organization for Research and Treatment of Cancer (QLQ-C30 e QLQ-BR23) o la imposibilidad de recoger datos de las medidas antropométricas para la clasificación del estado nutricional. El total de puntos de los cuestionarios y de sus escalas y dominios fueron las variables analizadas. Resultados: Participaron 40 mujeres y de ellas 16 tenían sobrepeso (40%), 14 tenían eutrofia (35%) y 10 tenían obesidad (25%). El valor medio del QLQ-C30 fue de72,2 ± 26,3 puntos sin diferencia entre las categorías del estado nutricional. Los dominios más afectados de la escala funcional fueron: el emocional, el cognitivo y la escala síntomas, con el insomnio, el dolor y la fatiga. Mujeres de sobrepeso presentaron empeoramiento de los dominios de ambas las escalas. Los dominios perspectivas futuras, imagen corporal, función sexual y síntomas del brazo se presentaron peor. Mujeres que han hecho la reconstrucción de las mamas y las que han recibido orientación nutricional presentaron menos puntuaciones del dominio emocional y en la escala síntomas, respectivamente. Conclusión: La puntuación media global de la calidad de vida de esa muestra ha sido satisfactoria, aunque los dominios emocional, síntomas, perspectivas futuras, imagen corporal y función sexual son los más afectados. El exceso de peso se asoció con el empeoramiento de la evaluación de los aspectos emocionales y el agravio de los síntomas.


Subject(s)
Quality of Life , Breast Neoplasms , Nutritional Status
16.
Semina cienc. biol. saude ; 42(1): 51-58, jan./jun. 2021. Tab
Article in English | LILACS | ID: biblio-1247927

ABSTRACT

Objective: to assess the nutritional status of children with brain tumors on hospital admission and to verify whether the nutritional status varies according to the type of tumor. Methods: anthropometric data of 30 children between 2 and 10 years old, of both sexes, with brain tumors and admitted to a hospital in the city of São Paulo, Brazil, were evaluated. Secondary data collection allowed to assess and classify the Z-scores of the body mass index, percentage of adequacy of the triceptal skinfold and the arm muscle circumference, carried out between the years 2004 and 2011. Results: the frequencies of brain tumors were: 33.3% astrocytic, 40% embryonal, 10% of the seal region and 16.6% ependimals. The median age and body mass index Z scores were 5.5 years (4.0 and 7.0) and 0.66 SD (- 1.41 and 0.87), respectively. The median percentage of adequacy of arm muscle circumference was 98% (88.9 and 103.2) and the triceptal skinfold was 83.2% (57.0 and 106.6). As for nutritional status, 21 (70%) of the children were eutrophic; 7 (23.3%) overweight and 2 (6.7%) with malnutrition/wasting showing no significant difference between groups of brain tumors (p = 0.721). The percentages of adequacy of the triceptal skinfold and of the arm muscle circumference also showed no significant difference between the different types of brain tumors (p = 0.865 and p = 0.860, respectively). Conclusion: at the time of hospital admission, the children were in good nutritional status, regardless of the type of brain tumor. (AU)


Objetivo: avaliar o estado nutricional de crianças com tumores cerebrais na admissão hospitalar e verificar se o estado nutricional varia de acordo com o tipo de tumor. Métodos: avaliou-se os dados antropométricos de 30 crianças entre 2 e 10 anos, de ambos os sexos, com tumores cerebrais e admitidas em um hospital na cidade de São Paulo, Brasil. A coleta secundária de dados permitiu avaliar e classificar os escores Z do índice de massa corporal, percentual de adequação da dobra cutânea triceptal e da circunferência muscular do braço, realizados entre os anos de 2004 e 2011. Resultados: as frequências dos tumores cerebrais foram: 33,3% astrocíticos, 40% embrionários, 10% da região selar e 16,6% ependimais. As medianas de idade e dos escores Z do índice de massa corporal foram, respectivamente, 5,5 anos (4,0 e 7,0) e 0,66 DP (- 1,41 e 0,87). A mediana do percentual de adequação da circunferência muscular do braço foi de 98% (88,9 e 103,2) e da dobra cutânea triceptal foi 83,2% (57,0 e 106,6). Quanto ao estado nutricional, 21 (70%) das crianças apresentaramse eutróficas; 7 (23,3%) com excesso de peso e 2 (6,7%) com desnutrição/magreza, não mostrando diferença significante entre os grupos de tumores cerebrais (p=0,721). Os percentuais de adequação da dobra cutânea triceptal e da circunferência muscular do braço também não mostraram diferença significante entre os diferentes tipos de tumores cerebrais (p=0,865 e p=0,860, respectivamente). Conclusão: no momento da admissão hospitalar as crianças se encontravam em bom estado nutricional, independentemente do tipo de tumor cerebral. (AU)


Subject(s)
Humans , Child, Preschool , Child , Brain Neoplasms , Nutritional Status , Hospitals , Thinness , Overweight
17.
Article in Portuguese | LILACS | ID: biblio-1177058

ABSTRACT

Objetivos: Investigar a associação entre a circunferência do pescoço (CP) e fatores de risco cardiovascular em crianças e adolescentes atendidos ambulatorialmente em um hospital universitário na cidade de Recife, PE, Brasil. Métodos: Foram coletados dados sociodemográficos, antropométricos, bioquímicos, histórico familiar e estilo de vida. A amostra foi por conveniência, composta por crianças e adolescentes acompanhados de seus responsáveis, que aceitassem participar da pesquisa, no período de abril a setembro de 2018, no ambulatório de nutrição/pediatria. Resultados: A amostra foi composta por 144 pacientes com idade média de 11,0±3,0 anos, sendo 73 do sexo masculino (51,4%). 54 (37,6%) pacientes apresentaram CP elevada, dentre eles 59 (41,1%) eram do sexo masculino. Foi visto que 102 (71,5%) pacientes apresentaram tempo de tela elevado. Houve associação entre CP e estado nutricional e 13 (24,8%) indivíduos que tinham CP elevada apresentaram também excesso de peso. Foi observado correlação entre circunferência do pescoço com índice de massa corporal e perfil lipídico. Conclusão: Observou-se que há associação significativa entre CP e algumas medidas antropométricas como IMC e CC, sendo útil para identificação de risco de sobrepeso e de risco cardiovascular. Algumas limitações no estudo podem ser citadas como o limitado número de participantes por ser uma pesquisa transversal, não podendo assim ser estabelecidas medidas de causa e efeito.


Aims: To investigate the association between neck circumference (NC) and cardiovascular risk factors in children and adolescents seen in outpatient clinic in a university hospital in the city of Recife-PE. Methods: Sociodemographic, anthropometric, biochemical and lifestyle data were collected. The sample consisted of convenience, composed of children and adolescents monitored at the nutrition / pediatrics clinic who agreed to participate in the research, from April to September 2018. Results: The sample consisted of 144 patients with a mean age of 11.0 ± 3.0 years, the majority being male (51.4%). 37.6% of the patients had elevated NC, most of them male (41.1%). A large percentage of patients with high screen time (71.5%) were seen. There was a significant association between NC and nutritional status, 24.8% of those with excess weight presented NC elevation. Positive correlation was found between NC with body mass index and lipid profile. Conclusion: It was observed that there is a significant association between NC and nutritional status, corroborating with the literature, which suggests that such a measure can be a useful tool to identify overweight or obesity and an important predictor of cardiovascular health problems, since it also correlates with biochemical parameters.


Subject(s)
Humans , Child , Adolescent , Obesity , Nutritional Status , Heart Disease Risk Factors
18.
Clinics ; 76: e2258, 2021. tab, graf
Article in English | LILACS | ID: biblio-1153995

ABSTRACT

OBJECTIVES: Geriatric nutritional risk index (GNRI) might predict the all-cause mortality in patients with heart failure (HF). We performed a meta-analysis to evaluate the correlation between GNRI and all-cause mortality in patients with HF. METHODS: We searched the PubMed, Medline, Cochrane Library, and Embase databases for clinical trials investigating the association between GNRI and all-cause mortality in patients with HF, having the primary endpoint as all-cause mortality. RESULTS: In total, nine studies involving 7,659 subjects were included in the systematic review and meta-analysis. The results indicated that major risk and moderate risk GNRI (GNRI<92) was associated with an increased risk of all-cause mortality in elderly patients with HF (hazard ratios [HR] 1.59, 95% confidence intervals [CI] 1.37-1.85). Low risk GNRI (GNRI<98) group predicted all-cause mortality in elderly HF patients (HR 1.56, 95%CI 1.12-2.18) when compared with the high GNRI value group. A subgroup analysis indicated that the relationship between GNRI and HF might differ based on the subtype of heart failure. CONCLUSIONS: GNRI is a simple and well-established nutritional assessment tool to predict all-cause mortality in patients with HF.


Subject(s)
Humans , Aged , Malnutrition , Heart Failure , Geriatric Assessment , Nutrition Assessment , Proportional Hazards Models , Nutritional Status , Risk Factors
19.
São Paulo; s.n; 2021. 105 p.
Thesis in Portuguese | LILACS | ID: biblio-1247544

ABSTRACT

Introdução: O racismo, ainda que negligenciado, é fator de grande impacto nas iniquidades em saúde, está entre os determinantes de saúde e tem efeito sob outros determinantes sociais como escolaridade e condições de vida. O conhecimento do estado nutricional associado a variável raça/cor e nível socioeconômico da população brasileira, potencialmente contribui para avanços e propostas de aprimoramento das Políticas Públicas em Saúde e de Programas sociais e assistenciais. Além de fornecer subsídios para novas estratégias de prevenção e de tratamento dos agravos, desenvolvimento de ações de promoção da saúde, de segurança alimentar e nutricional e diminuição da iniquidade racial. Objetivo: Descrever e analisar o estado nutricional da população brasileira, com base na raça/cor e estratos socioeconômicos, do banco de dados nacional POF 2008-2009. Métodos: Trata-se de um estudo transversal, utilizando a base de dados nacional da Pesquisa de Orçamentos Familiares (POF) 2008-2009. Raça/cor foi utilizada como variável de exposição, z-escore de altura/idade, déficit de altura, IMC, baixo peso e obesidade, como variáveis de desfecho e sexo, idade, escolaridade e renda como variáveis de ajuste. Foram analisadas crianças menores de 5 anos e adultos entre 18 a 59 anos. As diferenças do estado nutricional de acordo com o recorte do estudo foram analisadas em regressões lineares e logísticas. Resultados: A consistência das análises mostra que as populações indígenas, pretas e pardas apresentam piores condições socioeconômicas. Crianças pretas (bruto OR: 1,26, ajustado OR:1,06), pardas (bruto OR:1,24*, ajustado OR:1,17) e indígenas (bruto OR: 2,59*, ajustado OR: 2,60) tem maiores chances de déficit de altura quando comparadas com brancas. Adultos pretos (bruto OR: 1,38*, ajustado OR: 1,23*), pardos (bruto OR: 1,40*, ajustado OR: 1,19*) e amarelos (bruto OR: 1,94*, ajustado OR: 1,89*) apresentaram maiores chances de baixo peso ao serem comparados com os brancos. E adultos pretos apresentaram maiores chances de obesidade (bruto OR: 1,06, ajustado OR: 1,11) quando comparados com os brancos. Conclusão: Os achados sugerem que as disparidades por raça/cor atravessam e interferem no estado nutricional da população brasileira. A pesquisa resgata dados de 2008-09 no objetivo de mostrar o fenômeno da variável raça/cor dentro de um mesmo banco de dados interfere seja na infância, quanto na fase adulta, ainda que os dados não sejam tão atuais o racismo se mantêm muito presente na sociedade brasileira, demostrando que tais iniquidades demandam de ações e políticas públicas específicas que contribuam para diminuição de seus efeitos na sociedade e monitoramentos posteriores, quantificando e avaliando o impacto dessas políticas ao longo do tempo. Entende-se que é fundamental a Política Nacional de Alimentação e Nutrição (PNAN) dialogar com a Política Nacional de Saúde Integral da População Negra (PNSIPN) de modo transversal, bem como outras políticas e programas relacionados a alimentação e nutrição.


Introduction: Although neglected, racism is a factor of great impact on health inequities and it's among the social determinants of health and affects other social determinants such as education and living conditions. The knowledge of the nutritional status associated with the Brazilian population's variable race/color and socioeconomic status contributes to improvement proposals for Public Health Policies and social and assistance programs. In addition to providing subsidies to new strategies for the prevention and treatment of health problems, this knowledge contributes to the development of actions to promote health, food and nutrition security and reduce racial inequity. Objective: To describe the nutritional status of the Brazilian population according to race/color and socioeconomic status from the national database of 2008-2009. Methods: This cross-sectional study uses a national database of the Family Budget Survey (POF) 2008-2009. Race/color was used as exposure, while height/age z-score, height deficit, BMI, underweight, and obesity as outcome variables, and sex, age, education, and income as adjustment variables. In this study, only children under 5 years old and adults from 18 to 59 years old were considered for the analysis process. Differences in nutritional status according to the study outline were analyzed using linear and logistic regressions. Results: The consistency of the analyses showed that black children (crude OR: 1.26, adjusted OR: 1.06), brown (crude OR: 1.24 *, adjusted OR: 1.17) and indigenous (crude OR: 2, 59 *, adjusted OR: 2.60) are more likely to have a height deficit when compared to white children. Black adults (crude OR: 1.38 *, adjusted OR: 1.23 *), brown (crude OR: 1.40 *, adjusted OR: 1.19 *) and yellow (crude OR: 1, 94 *, adjusted OR: 1.89 *) had greater chances to be underweight when compared to white adults. Regarding obesity among adults, black adults had greater chances of being obese (crude OR: 1.06, adjusted OR: 1.11) when compared to white adults. Conclusion: These findings suggest that race/color disparities intersect and interfere with the nutritional status of the Brazilian population. This research retrieves data from 2008-09 in order to show the phenomenon of the race/color variable within the same database interferes both in childhood and in adulthood, even though the data are not so current, racism remains very present in Brazilian society, demonstrating that such inequities demand specific actions and public policies that contribute to reducing their effects on society and subsequent monitoring, quantifying and evaluating the impact of these policies over time. It is understood that National Policy for Food and Nutrition (PNAN) is fundamental to dialogue with National Policy for the Integrative Health of the Black Population (PNSIPN) in a transversal way, as well as other policies and programs related to food and nutrition.


Subject(s)
Social Class , Nutritional Status , Color , Health Equity , Continental Population Groups , Racism , Social Determinants of Health
20.
Rev. bras. geriatr. gerontol. (Online) ; 24(2): e200339, 2021. tab
Article in English, Portuguese | LILACS | ID: biblio-1288544

ABSTRACT

Resumo Objetivo Investigar o comprometimento do apetite em pessoas idosas hospitalizadas com câncer e sua associação com estado nutricional e presença de caquexia. Métodos Estudo transversal realizado com pessoas idosas de ambos os sexos, diagnosticadas com neoplasia maligna, de julho de 2017 a março de 2019 em um hospital universitário. A amostra final foi composta por 90 pacientes. O comprometimento do apetite foi identificado pelo Questionário de Apetite e Sintomas para Pacientes com Câncer (CASQ) e o estado nutricional pela Avaliação Subjetiva Global Produzida pelo Próprio Paciente (ASG-PPP). A presença de caquexia foi avaliada pela perda de peso >5% nos últimos 6 meses; ou índice de massa corporal (IMC) <20 kg/m2 e perda de peso >2%; ou índice de músculo esquelético apendicular consistente com sarcopenia e perda de peso >2%. Resultados Houve predomínio de indivíduos do sexo masculino (56,7%), autodeclarados não brancos (56,7%), com tumores localizados no trato gastrointestinal (75,6%) e mediana de idade de 67 anos. 75,6% dos indivíduos apresentaram comprometimento do apetite, 57,8% suspeita de desnutrição ou desnutrição de algum grau, 54,4% caquexia e 92,2% necessidade de intervenção nutricional. Houve associação entre as categorias do CASQ com estado nutricional (p=0,001) e presença de caquexia (p=0,050). Após análise de regressão logística, a desnutrição permaneceu associada ao comprometimento do apetite [OR: 4,68 (IC 95%: 1,50-14,56), p=0,008]. Conclusão A presença de desnutrição aumentou as chances de comprometimento do apetite, o que reforça a necessidade da triagem e intervenção nutricional precoces, a fim de reduzir e/ou evitar os agravos nutricionais.


Abstract Objective To investigate appetite impairment in older adults hospitalized with cancer and its association with nutritional status and cachexia. Method A cross-sectional study, conducted with older adults men and women diagnosed with malignant neoplasia from July 2017 to March 2019 at a university hospital. The final sample consisted of 90 patients. Appetite was evaluated using the Cancer Appetite and Symptom Questionnaire (CASQ) and nutritional status was determined using the Patient-Generated Subjective Global Assessment (PG-SGA). Presence of cachexia was assessed by weight loss >5% in the last 6 months; or body mass index (BMI) <20 kg/m2 and weight loss >2%; or appendicular skeletal muscle index consistent with sarcopenia and weight loss >2%. Results There was a predominance of male (56.7%) self-declared non-white individuals (56.7%), with tumors in the gastrointestinal tract (75.6%) and median age of 67.0 years. 75.6% of the individuals have impaired appetite, 57.8% suspected malnutrition or malnutrition of some degree, 54.4% cachexia and 92.2% needed nutritional intervention. There was significant association between CASQ categories with nutritional status (p= 0.001) and presence of cachexia (p=0.050). After logistic regression analysis, malnutrition remained associated with impaired appetite assessed by CASQ score [OR: 4.68 (CI 95%: 1.50-14.56), p=0.008] Conclusion The presence of malnutrition increased the chances of appetite impairment, which reinforces the need for early nutritional screening and intervention, in order to reduce and/or avoid nutritional problems.


Subject(s)
Humans , Male , Female , Aged, 80 and over , Appetite , Cachexia , Nutritional Status , Health of the Elderly , Neoplasms
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