Diet Quality of patients with chronic Chagas disease in a tertiary hospital: a case-control study
Rev. Soc. Bras. Med. Trop
; 50(6): 795-804, Nov.-Dec. 2017. tab, graf
Article
in En
| LILACS
| ID: biblio-897027
Responsible library:
BR1.1
ABSTRACT
Abstract INTRODUCTION:
Nutritional status has been implicated in the modulation of the immune response, possibly augmenting the pathogenesis of Chagas disease (Cd). We evaluated diet quality and nutritional status in adults and elderly patients with chronic Cd in a tertiary hospital.METHODS:
A case-control study of Cd patients was conducted, paired for gender, age, and co-morbidities with non-Cd patients. Anthropometric measurements and food frequency questionnaire was used, and diet quality was assessed by the Brazilian Healthy Eating Index-Revised (BHEI-R). The Estimated Average Requirement cut-off points were used to determine the dietary micronutrient adequacy. The Cd group was further grouped according to Los Andes classification.RESULTS:
The study participants were 67 ± 10 years old, 73.6% elderly and 63% female. The prevalence of overweight/obesity and abdominal fat was high in both groups; however, Cd group showed a lower prevalence of obesity and increased risk of disease according to waist circumference classification. There was no difference in BHEI-R score between groups (p=0.145). The Cd group had sodium and saturated fat intake above recommendations and low intake of unsaturated fat, vitamin D, E, selenium, magnesium, and dairy products; but higher intake of iron. According to Los Andes classification, group III presented lower intake of whole fruit and dietary fiber.CONCLUSIONS:
Patients with Cd were overweight and the quality of their diet was unsatisfactory based on the recommended diet components for age and sex.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Energy Intake
/
Chagas Disease
/
Feeding Behavior
/
Obesity
Type of study:
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
En
Journal:
Rev. Soc. Bras. Med. Trop
Journal subject:
MEDICINA TROPICAL
Year:
2017
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil