ABSTRACT
OBJECTIVE: We aimed to assess the nutritional status of patients with chronic liver disease by evaluating the strength of grip of non-dominant hand (SGNDH), correlating it with other methods and analyzing their contribution to this assessment. METHODS: This study was conducted with patients having chronic chronic disease at the outpatient hepatology service of the Instituto de Medicina Integral Professor Fernando Figueira--IMIP, Recife-PE, from February to October 2010. Clinical and demographic variables were collected. The evaluation was performed according to anthropometric, subjective and functional parameters. RESULTS: There were evaluated 49 individuals and 65.3
of them were men. The mean age was 51.3 years and individuals over 60 year predominated. The patients presented non-alcoholic liver disease in 61.2
of cases, MELD < or = 10 in 67.3
, some gastroenteropathy in 67.4
, jaundice in 66.7
and ascites in 63
. The global average SGNDH was higher among men with higher prevalence of malnutrition by arm muscle area (AMA), followed by arm muscle circumference (AMC) and SGNDH, and lower prevalence by body mass index (BMI) and adapted subjective global assessment (SGA). There were not statistically significant differences between the prevalence of malnutrition by SGNDH and arm circumference (AC), triceps skinfold (TS), AMC, AMA and Mendenhall score. The diagnosis of malnutrition by SGND was higher among men and 100
among elderly (P < 0.05). There was strong correlation between SGNDH and AMC, regular between SGNDU and height, and weak between SGDNH and AC (P < 0.05). CONCLUSIONS: It is noted that the SGNDH showed similar contribution than AMA and AMC and higher than BMI and adapted SGA. The strong correlation between SGNDH and AMC indicates a major relationship with muscle reserves. Thus, more studies are needed to clarify the application of SGNDH in this nutritional assessment. We point out that an association of different methods is necessary.
Subject(s)
Malnutrition/physiopathology , Hand Strength/physiology , Liver Diseases/physiopathology , Adult , Nutrition Assessment , Malnutrition/diagnosis , Malnutrition/etiology , Chronic Disease , Female , Liver Diseases/complications , Humans , Male , Middle Aged , Reproducibility of ResultsABSTRACT
OBJETIVO: Descrever o perfil de pacientes portadores de fibrose cística (FC). MÉTODOS: Estudo transversal, prospectivo, avaliando fibrocísticos de < 18 anos, durante o período de março a julho de 2006, em um centro de referência no nordeste do Brasil. A avaliação nutricional foi realizada pelo escore Z de altura/idade (A/I), peso/idade (P/I) e peso/altura (P/A) e por centopeso/altura ( por centoP/A), além de medidas de composição corporal. Foram obtidos dados socioeconômicos e clínicos. RESULTADOS: Foram avaliados 21 pacientes, sendo 12 (57,1 por cento) do sexo feminino. A média de idade de diagnóstico foi de 3,8 ± 3,9 anos, e as principais características ao diagnóstico foram infecção respiratória (85,7 por cento), esteatorreia (66,7 por cento) e déficit nutricional (47,6 por cento). A média de escore Z para P/I, A/I e P/A, respectivamente, foi de -0,73 ± 0,28, -0,34 ± 0,21 e -0,73 ± 0,35. A média de por centoP/A foi de 94,52 ± 1,58. O percentual de desnutridos divergiu quando avaliado pelo escore Z e por centoP/A (déficit nutricional em 66,7 por cento e 33,3 por cento, respectivamente; p > 0,05). Os pacientes eutróficos apresentaram melhores condições socioeconômicas (p > 0,05) e clínicas, com melhor escore de Shwachman (p < 0,05) quando comparados aos distróficos. CONCLUSÕES: Eutrofia foi encontrada através dos indicadores nutricionais (P/I, A/I e P/A), ao passo que déficit nutricional foi encontrado quando avaliada a composição corporal. As condições socioeconômicas apresentaram-se favoráveis, principalmente em relação ao grau de instrução materna e renda per capita. A idade de diagnóstico foi maior do que o relatado na literatura, embora o escore de Shwachman e o número de infecções respiratórias tenham demonstrado que os pacientes tinham boas condições clínicas.
OBJECTIVE: To describe the profile of patients with cystic fibrosis (CF). METHODS: A prospective, cross-sectional study involving CF patients < 18 years of age, evaluated between March and July of 2006 at a referral center in northeastern Brazil. Nutritional assessment was performed using Z scores for height/age (H/A), weight/age (W/A) and weight/height (W/H), as well as percentweight/height ( percentW/H) and body composition measurements. Socioeconomic and clinical data were obtained. RESULTS: Twenty-one patients were evaluated, 12 (57.1 percent) of whom were female. Mean age at diagnosis was 3.8 ± 3.9 years. The principal features at diagnosis were respiratory infection (85.7 percent), steatorrhea (66.7 percent) and nutritional deficit (47.6 percent). The mean Z scores for W/A, H/A and W/H were 0.73 ± 0.28, 0.34 ± 0.21 and 0.73 ± 0.35, respectively. Mean percentW/H was 94.52 ± 1.58. The percentage of malnourished children assessed by Z score differed from that assessed by percentW/H (nutritional deficit in 66.7 percent and 33.3 percent, respectively; p > 0.05). Socioeconomic status, clinical status and Shwachman score were better among well-nourished patients than among those classified as malnourished (p < 0.05 for Shwachman score). CONCLUSIONS: Normal nutritional status was identified based on nutritional indicators (W/A, H/A and W/H), whereas nutritional deficit was identified by assessing body composition. Socioeconomic factors proved favorable, especially maternal education and per capita income. Age at diagnosis was higher than that reported in the literature, although the Shwachman score and the incidence of respiratory infections demonstrated that the patients presented good clinical status.
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Male , Cystic Fibrosis , Malnutrition/diagnosis , Nutrition Assessment , Nutritional Status/physiology , Age of Onset , Analysis of Variance , Body Mass Index , Brazil , Cross-Sectional Studies , Cystic Fibrosis/complications , Cystic Fibrosis/diagnosis , Cystic Fibrosis/therapy , Malnutrition/etiology , Prospective Studies , Socioeconomic FactorsABSTRACT
Identificar as repercussões nutricionais mais frequentes em crinças com alergia à proteína do leite de vaca. Fontes pesquisadas: artigos, livros, teses, 'sites' governamentais e científicos. Síntese dos dados: Crianças com alergia à proteína do leite de vaca, em dieta de exclusão...
To acknowledge he most frequent conseguences to nutritional status of children with cow milk protein allergy (CMPA). Sorces of research: reported papers, books, theses, and both governamental and scientific web pages...