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2.
Actual. nutr ; 18(4): [120]-[128], Diciembre 2017.
Artigo em Espanhol | LILACS | ID: biblio-969984

RESUMO

Introducción: de acuerdo a la bibliografía, las técnicas de medición de los pliegues grasos cutáneos refieren que se realizan tomando la piel y el tejido subcutáneo adyacente entre el pulgar y el índice, sin existir acuerdo establecido acerca de si debe sostenerse con los dedos el pliegue mientras el calibre lo mide, o si debe soltarse el pliegue para dejar que el calibre actúe solo. Esta discrepancia nos motivó a investigar comparativamente ambas técnicas. Objetivos: comparar si existen diferencias estadísticamente significativas entre la toma del pliegue libre (PL) y el pliegue sostenido (PS) en los cuatro pliegues grasos más utilizados en antropometría. Materiales y métodos: se evaluaron 110 individuos de ambos sexos, a quienes se les midió, entre otras variables, los pliegues tricipital, subescapular, ilíaco y bicipital con ambas técnicas para analizar estadísticamente las diferencias entre ambas. Para el tratamiento estadístico se emplearon el test de Pearson y la significación (p) de las diferencias de sus medias (Bland y Altman, y el test de "t" para muestras apareadas). Resultados: la media de las diferencias y el grado de significación (P) para los pliegues bicipital, ilíaco, subescapular y tricipital fueron respectivamente: -0,24 (P=0,08 NS), -0,25 (P=0,3 NS), -0,19 (P=0,24 NS), 0,18 (P=0,99 NS). El error técnico de medición (ETM) se ubicó en torno al 1% (NS). Conclusiones: en la muestra estudiada no se hallaron diferencias significativas entre ambas técnicas de medición.


Introduction: in accordance with the literature cited, fat skinfold measurement techniques entail pinching the skin and the adjacent subcutaneous tissue between the index finger and the thumb. However, no consensus has been reached on whether the skinfold must be pinched between the fingers while the caliper measures, or whether the skinfold must be released so that the caliper can measure on its own. This discrepancy has encouraged us to conduct a comparative research on both techniques. Objectives: to compare whether there are statistically significant differences between measuring the released skinfold (RS) and the pinched skinfold (PS) in the four fat skinfolds most commonly used in anthropometry. Materials and methods: a total of 110 individuals, both male and female, had their tricipital, subscapular, iliac, and bicipital skinfolds -among other variables- measured. Both techniques were used in order to statistically analyze the differences between them. For the statistical treatment, Pearson's test was used, and the significance (p) of the means' differences (Bland and Altman) and the t-test for paired samples. Results: the mean of the differences and the degree of significance (P) for bicipital, iliac, subscapular, and tricipital skinfolds were: -0.24 (P=0.08 NS), -0.25 (P=0.3 NS), -0.19 (P=0.24 NS), and 0.18 (P=0.99 NS), respectively. The technical error of measurement (TEM) was around 1% (NS). Conclusions: the analyzed sample did not show significant differences between both measurement techniques.


Assuntos
Humanos , Pregas Cutâneas
3.
Nutrition ; 29(3): 497-501, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23398919

RESUMO

OBJECTIVE: To determine the association of in-hospital mortality in patients with enteral feeding to their glycemic status (normoglycemia, new hyperglycemia, or diabetes) and their levels of serum albumin. METHODS: This was an observational, retrospective, descriptive, and longitudinal study. The data were from patients hospitalized at Hospital de Clínicas "José de San Martín" during a 4-y period who had received enteral feeding during the hospitalization period. P < 0.05 was considered statistically significant. RESULTS: Of the 1004 included patients, 558 (55.6%) had normoglycemia, 219 (21.8%) had known diabetes, and 227 (22.6%) had newly diagnosed hyperglycemia. The crude mortality rates during hospitalization were more pronounced for the hyperglycemic and diabetic patients. The univariate relative risks for trend were 1.34 and 1.56 for the diabetic and hyperglycemic subjects, respectively. At univariate analysis, in-hospital mortality was associated with age, known diabetes, newly diagnosed hyperglycemia, and albumin level. Hypoalbuminemia (<2.55 g/dL) also was significantly associated with mortality (univariate odds ratio ≈2.7). At multivariate analysis, in-hospital mortality was associated with age, newly diagnosed hyperglycemia, hypoalbuminemia (<2.55 g/dL), and known diabetes. No interactions between hypoalbuminemia and known diabetes or newly diagnosed hyperglycemia were detected at multivariate analysis. CONCLUSION: The results of this study showed that newly diagnosed hyperglycemia can be considered an independent prognostic factor of in-hospital mortality in patients with enteral feeding and that there is no interaction between newly diagnosed hyperglycemia and serum albumin levels.


Assuntos
Nutrição Enteral/mortalidade , Mortalidade Hospitalar , Hiperglicemia/mortalidade , Hipoalbuminemia/mortalidade , Idoso , Idoso de 80 Anos ou mais , Feminino , Hospitalização , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos
4.
Actual. nutr ; 14(3): 201-210, 2013. tab, graf
Artigo em Espanhol | LILACS | ID: lil-771555

RESUMO

La insulinoterapia intensificada con conteo de hidratos de carbono es actualmente considerada la mejor herramienta terapéutica disponible para los diabéticos tipo 1. Sin embargo, con su empleo aún es difícil alcanzar las metas de control glucémico propuestas en los consensos y se le atribuye promover tanto el aumento del peso como la prevalencia de hipoglucemias. Objetivo: Describir una población de pacientes diabéticos tipo 1 con insulinoterapia intensificada. Material y métodos: Estudio descriptivo, de corte transversal, con pacientes diabéticos tipo 1 con insulinoterapia intensificada y diferentes niveles de aplicación del conteo de hidratos de carbono, que se atienden en la Sección Diabetes Tipo 1 de la División Nutrición del Hospital de Clínicas “José de San Martín”, que hayan concurrido a la consulta por lo menos 1 vez en el período comprendido entre julio de 2011 a julio 2012 y que los datosa registrar pudieran rescatarse de la historia clínica. De la HC se obtuvieron los siguientes: sexo; edad; peso; talla; índice de masa corporal (IMC); tipo de tratamiento para la diabetes; nivel de entrenamiento en el conteo de hidratos de carbono; frecuencia de hipoglucemias; valor de hemoglobina glicosilada (HbA1c), antigüedad de la enfermedad, años de seguimiento. En el análisis estadístico se obtuvo la media y el desvío estándar (DS) utilizando la versión 17.0 del programa estadístico SPSS. También se obtuvieron los porcentajes de presentación de cada variable. Resultados: Se obtuvieron datos de 34 pacientes: 7 hombres y 27 mujeres. La media de IMC de la población fuede 24.28 kg/m2. El 97,28% de las pacientes...


Intensive insulin therapy, together with carbohydrate counting, is currently considered the best therapeutic strategy for the management of type 1 diabetes mellitus (DM1). However, goals of glycemic control proposed by consensus are still difficult to achieve with this therapy,which has also been associated with weight gain and increased hypoglycemia. Objective: To describe a population of patients with DM1, who were treated with intensive insulin therapy. Material and methods: This descriptive, cross-sectional study included type 1 diabetics who underwent intensive insulin therapy and used different levels of the carbohydrate counting method. All these patients were attending the Type 1 Diabetes Section of the Nutrition Division at the“José de San Martín” Clinical Hospital and they made at least one follow-up visit between July 2011 and July 2012. Only those with complete medical records were included in the study. The following information wastaken from their medical records: sex, age, weight, height, body mass index (BMI), treatment for diabetes, training level in the carbohydrate counting method, frequency of hypoglycemia, glycated hemoglobin (HbA1c) value, duration of the disease, number of follow-up years. The statistical analysis was performed using SPSS 17.0 software, mean and standard deviation (SD) values were calculated. Also the percentages of each variablewere calculated...


A insulinoterapia intensificada com contagem de carboidratos é atualmente considerada a melhor ferramenta terapêutica disponível para os diabéticos tipo 1. No entanto, com seu emprego ainda é difícil alcançar as metas de controle glicêmico propostas nosconsensos e atribui-se a tal terapia promover tanto o aumento do peso quanto a prevalência de hipoglicemias. Objetivo: Descrever uma população de pacientes diabéticostipo 1 com insulinoterapia intensificada. Material e métodos: Estudo descritivo, de corte transversal, com pacientes diabéticos tipo 1 com insulinoterapia intensificada e diferentes níveis de aplicação de contagem de carboidratos, que são mencionados na Seção Diabetes Tipo 1 da Divisão de Nutrição do Hospital de Clínicas /"José de San Martín/", que tenham ido à consulta pelo menos 1 vez no período compreendido entre julhode 2011 a julho 2012 e que os dados a registrar pudessem ser resgatados da história clínica. Da HC foram obtidos o seguinte: sexo; idade; peso; altura; índice de massacorpórea (IMC); tipo de tratamento para diabetes; nível de treinamento na contagem de carboidratos; frequência de hipoglicemias; valor de hemoglobina glicosilada (HbA1c), antiguidade da doença, anos de seguimento. Na análise estatística obteve-se a média e o desvio padrão (DS) utilizando a versão 17.0 do programa estatístico SPSS. Também foram obtidas as porcentagens de apresentação de cada variável. Resultados: Foram obtidos dados de 34 paciente ...


Assuntos
Humanos , Masculino , Feminino , Carboidratos da Dieta/uso terapêutico , Diabetes Mellitus Tipo 1 , Ganho de Peso , Hipoglicemia/epidemiologia , Insulina/uso terapêutico , Estudos Transversais/métodos , Hipoglicemia/prevenção & controle , Hipoglicemiantes/uso terapêutico
5.
Prensa méd. argent ; 96(10): 653-659, dic. 2009. graf
Artigo em Espanhol | LILACS | ID: lil-591665

RESUMO

Hospitalary malnutrition is a highly prevalent entity. Hospitalized patients with severe malnutrition usually show a high morbimortality. Many severe malnutritions inside the hospital could be avoided. The adequate and early nutritional support can mitigate or even spare a severe malnutrition. The introduction of a nutritions support team management in a community hospital is a favorable cost/beneficial resource. Also the possibility of a domiciliary nutritional support, should be a feasibe practice in a high complexity hospital. Still remains as an ethical dilemma to determine when a patient should be considered as terminal and when the nutritional support - even with low complexity and low costis a trifling therapeutics.


Assuntos
Humanos , Desnutrição/patologia , Indicadores Econômicos , Serviço Hospitalar de Nutrição , Comportamento Alimentar , Kwashiorkor , Política Nutricional , Terapia Nutricional , Marasmo Nutricional , Nutrição de Grupos de Risco , Equipe de Assistência ao Paciente
6.
Buenos Aires; El Ateneo; 2008. 671 p. tab, graf.
Monografia em Espanhol | LILACS | ID: lil-619543

RESUMO

Contenido: Aspectos nutricionales básicos. Alimentación normal en distintas etapas biológicas. Terapéutica nutricional. Aparato digestivo. Metabolismo. Proceso inflamatorio-inmunidad. Sangre y aparato cardiorrespiratorio. Riñón y vías urinarias. Apoyo nutricional-cirugía. Apéndice. Tablas.


Assuntos
Humanos , Adulto , Dieta , Ciências da Nutrição , Terapêutica
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