ABSTRACT
ABSTRACT Objective Describe the dietary intake of children and adolescents submitted to allogeneic hematopoietic stem cell transplantation. Methods Data from 0 to 19-year-old patients' medical records who were submitted to the procedure from January 2012 to September 2017 were used. These medical records provided anthropometric, food intake control and symptoms data for three moments: three days before infusion (M1), the infusion day (M2), and 25 days after the cell infusion (M3). This study was approved by the Ethics in Research Committee (17-0267). Results The patients presented weight loss (p>0.001) and a decrease in body mass index (p>0.001) in M1 versus M2 and M3. The means of calorie intake (p=0.031), protein (p=0.006), lipid (p=0.017), dietary fiber (p=0.035), calcium (p=0.005), iron (p=0.012), and sodium (p=0.022) had a reduction from M1 to M2 and an increase from M2 to M3. There was a decrease in mean intake of carbohydrates and calories per kilo from M1 to M2 and an increase from M2 to M3. The nutritional status was related to temperature above 37ºC (p<0.001) and to mucositis (p=0.001), in M1 and M2. There was a correlation of dietary intake with the presence of temperature above 37ºC (p=0.019) in M2 and M3. Conclusion Reduced intake and worsening of the patients' previous nutritional status appear to interfere with allogeneic hematopoietic stem cell transplantation and its complications, such as the presence of temperature above 37ºC and mucositis.
RESUMO Objetivo Descrever a ingestão de alimentos de crianças e adolescentes submetidos ao transplante alogênico de células-tronco hematopoiéticas. Métodos Foram utilizados dados de prontuários de pacientes de 0 a 19 anos submetidos ao procedimento no período de janeiro de 2012 a setembro de 2017. Esses prontuários forneceram dados antropométricos, de ingestão alimentar e de sintomas durante três momentos: três dias antes da infusão (M1), no dia da infusão (M2) e 25 dias após a infusão celular (M3). Este estudo foi aprovado pelo Comitê de Ética em Pesquisa (17-0267). Resultados Os pacientes apresentaram perda de peso (p>0,001) e diminuição do índice de massa corporal (p>0,001) no M1 versus M2 e M3. As médias de ingestão calórica (p=0,031), de proteínas (p=0,006), de lipídios (p=0,017), de fibra alimentar (p=0,035), de cálcio (p=0,005), de ferro (p=0,012) e de sódio (p=0,022) tiveram redução de M1 para M2 e aumento de M2 para M3. Houve diminuição na ingestão média de carboidratos e calorias por quilo de M1 para M2 e um aumento de M2 para M3. O estado nutricional foi relacionado à temperatura acima de 37ºC (p<0,001) e à mucosite (p=0,001), em M1 e M2. Houve correlação da ingestão alimentar com a presença de temperatura acima de 37ºC (p=0,019) em M2 e M3. Conclusão A redução na ingestão e a piora do quadro nutricional prévio dos pacientes parece interferir no transplante alogênico de células tronco hematopoiéticas e em suas complicações, como temperatura corporal acima de 37°C e mucosite.
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Hematopoietic Stem Cells , Child , Nutritional Status , Adolescent , Stem Cell Transplantation , EatingABSTRACT
A dietoterapia é essencial para pacientes hospitalizados. O objetivo deste estudo foi avaliar a aceitabilidade das refeições do almoço de pacientes que receberam a dietética para Diabetes Mellitus (DM) e verificar aspectos que podem interferir nesse consumo, como as estações do ano. Estudo quantitativo descritivo que avaliou o consumo da refeição almoço dos pacientes que receberam dietética DM em um período de verão e outro de inverno no ano de 2019. Os dados foram verificados em frequências absolutas, porcentagens, médias, e o teste estatístico foi o de regressão logística com a correlação de dados a um nível de significância de 95% (p <0,05) usando o software SPSS® 18.0. Foram selecionadas duas unidades de internação, com amostra de 49 indivíduos (63,3% do sexo masculino). Das 115 refeições servidas, 55,7% foram parcialmente consumidas ou não consumidas. O desperdício de pratos nas refeições do almoço apresentou média per capita de 64,15 g (consumo de 310,89g) no verão e de 135,99g (consumo de 248,12g) no inverno. O padrão do cardápio foi semelhante nas duas estações. Encontrou-se p <0,05 em relação à temporada na associação do odds ratio univariável. Pesquisas dessa natureza são importantes para auxiliar no prognóstico do paciente. (AU)
Diet therapy is essential for hospitalized patients. This study aimed to evaluate the acceptability of lunch meals in patients who received diet for diabetes mellitus (DM) and to verify aspects that may interfere with this consumption, such as seasons. This is a quantitative, descriptive study. The consumption of lunch meal in patients who received dietary DM in summer and a winter period in 2019 was evaluated. The data were verified in absolute frequencies, percentages, means, and the statistical test was the logistic regression with the association data at a 95% significance level (p <0.05) using the SPSS® 18.0 software. Two inpatient units were selected, with a sample of 49 individuals (63.3% males). Out of the 115 lunch meals served, 55.7% were partially consumed or not consumed. The plate waste for the lunch meals showed a mean per capita of 64.15 g (intake of 310.89g) in the summer and of 135.99g (intake of 248.12g) in winter. The menu pattern was similar for both seasons. It was found p <0.05 in relation to the season in the association of univariable odds ratio. This typo of research is important to assist in the patient's prognosis. (AU)
Subject(s)
Humans , Male , Female , Diet, Diabetic , Dietetics , Feeding Behavior , Food Preferences , Inpatients , Brazil , LunchABSTRACT
BACKGROUND: The development of nutrition care programs for patients undergoing hematopoietic stem cell transplantation is necessity in view of the rapid and aggressive consequences frequently seen with this procedure. Patients require constant care to reduce complications and to contribute to the success of therapy. METHODS: In an attempt to ascertain the impact of systematic nutritional care on patients submitted to allogeneic hematopoietic stem cell transplantation, the present study assessed the nutritional and clinical status, use of parenteral nutrition, and complication and mortality rates in two groups of patients, who were submitted to transplantation between April 2003 and December 2004 (Non-intervention Group - NIG; n = 57) and between March 2006 and January 2008 (Intervention Group - IG; n = 34). RESULTS: There were no significant differences between groups in terms of clinical or nutritional profiles. Additionally, the length of hospital stay and complication and mortality rates were similar for both groups. However, time on parenteral nutrition during treatment was shorter for the IG [median 6.5 days (range: 1-28) for related donor recipients and 11 days (range: 1-21) for unrelated donor recipients] than for the NIG [median 20.5 days (range, 4-73) for patients submitted to myeloablative conditioning and 18.5 days (range: 11-59 days) for those submitted to nonablative conditioning]. CONCLUSION: The implementation of a nutritional follow-up and therapy protocol for adult patients submitted to hematopoietic stem cell transplantation shortens the duration of parenteral nutrition. It certainly has an impact on hospitalization costs and, potentially, on the rate of complications, even though this was not demonstrated in this study.