Avaliação dos resultados da atenção multiprofissional sobre o controle glicêmico, perfil lipídico e estado nutricional de diabéticos atendidos em nível primário / Evaluating the results of multiprofessional health care on the glucemic control, lipid profile, and nutritional status of diabetic patients assisted at primary level

OBJETIVO: Avaliar o resultado da intervenção multiprofissional sobre o controle glicêmico, o perfil lipídico e o estado nutricional de diabéticos atendidos em nível primário em Belo Horizonte, MG. MÉTODOS: Analisaram-se a glicemia, o índice de massa corporal e o perfil lipídico de 190 diabéticos tipo 2 (31 a 83 anos), atendidos no período de 1993 a 2000. Os dados foram coletados no momento inicial (primeira consulta de nutrição) e após três meses, tendo alguns sido coletados também uma terceira vez (6 meses após a primeira consulta). RESULTADOS: Inicialmente foram observados valores médios e medianos elevados, para índice de massa corporal, glicemia de jejum, colesterol total, LDL-c e triglicerídeos. Nos primeiros três meses após a intervenção, houve redução do índice de massa corporal (de 28,3 para 27,8kg/m²), glicemia de jejum (de 178,5 para 135,0mg/dL), colesterol total (de 251,0 para 230,0mg/dL), LDL-c (de 185,5 para 159mg/dL) e triglicerídeos (de 243,0 para 190,0mg/dL), não ocorrendo alteração dos níveis de HDL-c. Os pacientes com índice de massa corporal <30kg/m² e os com diabetes de manifestação mais recente, obtiveram melhores resultados. CONCLUSAO: Os resultados deste estudo indicam que o atendimento multiprofissional é importante para o controle do diabetes, devendo ser iniciado precocemente.

Impact of nutritional counseling in reducing serum cholesterol in public health service patients.

OBJECTIVE: To assess the impact of nutritional attention on the lipid profile and nutritional status of hypercholesterolemic patients attended in health centers of Belo Horizonte. METHODS: Using nutritional attendance patient record cards from two health units, the evolution of the lipid profile and the nutritional state (BMI) was monitored of 96 hypercholesterolemic patients who received diet. The patients were appraised at the following moments: initial (1st consultation), after 3 months (2nd consultation) and last consultation (variable for each patient). RESULTS: On the first attendance, 44,4% of the patients presented not only high total cholesterol and LDL-c, but also hypertriglyceridemia and 70.3% were overweight or obese, but most patients (75.6%) presented adequate HDL-c levels. There was significant reduction in the BMI, total cholesterol, LDL-c values (p < 0.01) and also in the triglyceride levels (p < 0.05) in the first three months, without alteration in the HDL-c levels. A significant reduction (p < 0.01) was observed in the frequency of individuals with high cholesterol (from 89.6% down to 47.9%), high and very high LDL-c (from 82.6% down to 45.7%), as well as high and very high triglyceride (from 43.6% down to 16.7%). The observed reduction in frequency of the low HDL-c was statistically meaningless. CONCLUSION: This study evidences the effect of the nutritional attention on lipid profile in hypercholesterolemic patients, reinforcing the need for a multiprofessional team to attend them at the public health services.

Impacto da atençäo nutricional na reduçäo dos níveis de colesterol sérico de pacientes atendidos em serviços públicos de saúde / Impact of nutritional counseling in reducing serum cholesterol in public health service patients

OBJECTIVE: To assess the impact of nutritional attention on the lipid profile and nutritional status of hypercholesterolemic patients attended in health centers of Belo Horizonte. METHODS: Using nutritional attendance patient record cards from two health units, the evolution of the lipid profile and the nutritional state (BMI) was monitored of 96 hypercholesterolemic patients who received diet. The patients were appraised at the following moments: initial (1st consultation), after 3 months (2nd consultation) and last consultation (variable for each patient). RESULTS: On the first attendance, 44,4 percent of the patients presented not only high total cholesterol and LDL-c, but also hypertriglyceridemia and 70.3 percent were overweight or obese, but most patients (75.6 percent) presented adequate HDL-c levels. There was significant reduction in the BMI, total cholesterol, LDL-c values (p < 0.01) and also in the triglyceride levels (p < 0.05) in the first three months, without alteration in the HDL-c levels. A significant reduction (p < 0.01) was observed in the frequency of individuals with high cholesterol (from 89.6 percent down to 47.9 percent), high and very high LDL-c (from 82.6 percent down to 45.7 percent), as well as high and very high triglyceride (from 43.6 percent down to 16.7 percent). The observed reduction in frequency of the low HDL-c was statistically meaningless. CONCLUSION: This study evidences the effect of the nutritional attention on lipid profile in hypercholesterolemic patients, reinforcing the need for a multiprofessional team to attend them at the public health services

Avaliação de indicadores antropométricos de adultos e idosos brasileiros / Evaluation of anthropometric indices of brazilian adults and elderly

Estudos nacionais de avaliação antropométrica de adultos e idosos brasileiros foram realizados pelo ENDEF-1974/1975 (Estudo Nacional da Despesa Familiar) e pela PNSN-1989 (Pesquisa Nacional sobre Saúde e Nutrição). Com estes estudos pôde-se ter noção do estado nutricional desta parcela populacional, além de dados sobre a transição nutricional. Este trabalho pretende, portanto, descrever e discutir dados mais recentes sobre a avaliação antropométrica de adultos e idosos do Brasil, comparando-os aos resultados da última pesquisa nacional (PNSN-1989)