ABSTRACT
OBJECTIVE: To investigate if there is an association between glycemic index (GI) and glycemic load (GL) of the diet and the presence of nonalcoholic fatty liver disease (NAFLD) in the elderly. METHODS: Retrospective study, composed of 229 patients seen at the Outpatient Clinic of Arterial Hyperten- sion in a public hospital, 103 carriers and 126 noncarriers of NAFLD. Food intake was analyzed to GI and GL. RESULTS: We found a high prevalence of inadequate dietary GI, with an average of 62.0 +/- 6.3 among patients with NAFLD and 62.5 +/- 6.5 among patients without NAFLD. The same occurred with the GL, 101.7 +/- 33.3 and 101.4 +/- 40.2, respectively, between carriers and noncarriers of the disease. There was no statistical difference between the values of GI and GL found in the diet of patients with and without NAFLD. CONCLUSION: In the evaluated group there was no association between GI and GL dietetic with NAFLD, but the findings put all of the patients at higher risk for the development of chronic diseases.
Subject(s)
Feeding Behavior , Diabetes Mellitus/blood , Fatty Liver/etiology , Blood Glucose/analysis , Eating , Retrospective Studies , Risk Factors , Female , Fatty Liver/blood , Non-alcoholic Fatty Liver Disease , Humans , Aged , Male , Glycemic IndexABSTRACT
OBJETIVO: Investigar a associação entre índice glicêmico (IG) e/ou carga glicêmica (CG) da dieta e síndrome metabólica (SM). MÉTODOS: Trata-se de estudo documental e do tipo caso-controle, com uma amostra de 229 idosos. Calcularam-se o IG e a CG, classificando-os em adequado (baixo) e inadequado (moderado e alto). Calculou-se ainda a prevalência de consumo dos alimentos, consumidos por pelo menos metade dos avaliados. A análise estatística dos dados foi efetuada por meio do teste c² e teste t de Student. Adotou-se p < 0,05 como nível de significância. RESULTADOS: Dos indivíduos estudados (n = 229), 74,2% pertenciam ao sexo feminino. A média de idade do grupo foi de 70,1 (6,4) anos. A média diária de IG do grupo caso foi de 62,3 (6,5), e do grupo controle de 62,1 (6,1), com p = 0,864. As médias diárias de CG não foram estatisticamente diferentes (p = 0,212), sendo a do grupo caso de 99,8 (33,8) e do grupo controle de 108,9 (45,7). Os alimentos consumidos tanto pelos casos como pelos controles, com maior contribuição ao IG, foram: pão, arroz, banana e açúcar refinado. CONCLUSÃO: No grupo avaliado, não houve associação entre índice glicêmico e carga glicêmica dietéticos e síndrome metabólica. O padrão identificado, no entanto, coloca portadores e não portadores em situação de risco à saúde, merecendo ações educativas.
OBJECTIVE: To investigate the association between glycemic index and/or glycemic load diet and metabolic syndrome. METHODS: It is a documental and case-control study, with a sample of 229 elderly. We calculated the GI and GL, classifying them into appropriate (low) and inappropriate (moderate and high). We also estimated the prevalence of consumption of food, showing those who are consumed by 50% or more of the population studied. Data analysis was carried out through c² test and Independent Student's' t Test. We adopted p <0.05 level of significance. We used SPSS version 19.0 for data analysis. RESULTS: Of the individuals studied, 74.2% were female and 25.3% were male. The average age was 70.1 (6.4) years. The daily average GI in the case group was 62.3 (6.5) and control group, 62.1 (6.1), with no statistical difference (p = 0.864). The difference between the daily averages of GL was not significant (p = 0.212) between the case group - 99.8 (33.8) - and control group - 108.9 (45.7). The food consumed by both cases and controls, with higher contribution to the GI, were: bread, rice, banana and sugar. CONCLUSION: In the group assessed there was no association between dietary glycemic index and glycemic load and metabolic syndrome. However, the pattern identified puts cases and controls at risk to health, and deserve educational actions.