ABSTRACT
Objetivo: avaliar a associação entre consumo alimentar e estado nutricional e a síndrome metabólica, na clínica particular na cidade de Uberlândia, Minas Gerais. Método: Foi realizada uma avaliação nutricional e da frequencia alimentar com os pacientes dos médicos cardiologistas da Clínica particular, situada na cidade de Uberlândia, Minas Gerais. Resultados: a avaliação nutricional detectou prevalência de obesidade grau I, e um porcentual elevado de mulheres que se enquadram na categoria de risco para as doenças cardiovasculares (83,3%). Quanto à frequência de consumo dos alimentos, predominaram os alimentos ricos em gordura, colesterol e carboidrato simples. Conclusões: estes dados sugerem, portanto, a necessidade de um acompanhamento e intervenção nutricional imediato, para isso devem ser realizados trabalhos educativos com os familiares, com o objetivo de envolvê-los no tratamento, para que o paciente tenha apoio e incentivo para colocar em prática o seu plano alimentar.
Objective: To evaluate the association between dietary intake and nutritional status and metabolic syndrome, a private clinic in the city of Uberlandia, Minas Gerais. Method: We conducted a nutritional assessment and food frquencia with patients of cardiologists in private clinic, located in the city of Uberlandia, Minas Gerais. Results: The nutrition assessment found the prevalence of obesity grade I, and a high percentage of women who fall into the category of risk for cardiovascular disease (83.3%). As for the frequency of consumption of food, were the predominant foods high in fat, cholesterol and simple carbohydrates. Conclusions: These data suggest, therefore, the need for monitoring and nutrition intervention immediately, for it must be carried out educational work with family members, with the aim of involving them in treatment for that patient support and encouragement to put in practice your eating plan.
Objetivo: Evaluar la asociación entre la ingesta y del estado nutricional y síndrome metabólico, una clínica privada en la ciudad de Uberlandia, Minas Gerais. Método: Se realizó una evaluación nutricional y alimentaria frequencia con los pacientes de los cardiólogos en la clínica privada, situada en la ciudad de Uberlandia, Minas Gerais. Resultados: La evaluación de la nutrición encontró que la prevalencia de obesidad de grado I, y un alto porcentaje de mujeres que caen en la categoría de riesgo de enfermedad cardiovascular (83,3%). En cuanto a la frecuencia de consumo de alimentos, fueron los alimentos predominantes alta en grasa, colesterol y carbohidratos simples. Conclusiones: Estos datos sugieren, por lo tanto, la necesidad de vigilancia y de intervención en nutrición de inmediato, ya que debe llevarse a cabo el trabajo educativo con los miembros de la familia, con el fin de involucrarlos en el tratamiento para que de apoyo a pacientes y aliento para poner en la práctica su plan de alimentación.
Subject(s)
Humans , Male , Female , Middle Aged , Metabolic Diseases/diagnosis , Metabolic Diseases/diet therapy , Feeding Behavior , Eating , Nutrition Assessment , Nutritional Status/physiologyABSTRACT
Nutritional genomics forms part of the genomic sciences and addresses the interaction between genes and the human diet, its influence on metabolism and subsequent susceptibility to develop common diseases. It encompasses both nutrigenomics, which explores the effects of nutrients on the genome, proteome and metabolome; and nutrigenetics, that explores the effects of genetic variations on the diet/disease interaction. A number of mechanisms drive the gene/diet interaction: elements in the diet can act as links for transcription factor receptors and alter intermediary concentrations, thereby modifying chromatin and impacting genetic regulation; affect signal pathways, regulating phosphorylation of tyrosine in receptors; decrease signaling through the inositol pathway; and act through epigenetic mechanisms, silencing DNA fragments by methylation of cytosine. The signals generated by polyunsaturated fatty acids are so powerful that they can even bypass insulin mediated lipogenesis, stimulated by carbohydrates. Some fatty acids modify the expression of genes that participate in fatty acid transport by lipoproteins. Nutritional genomics has myriad possible therapeutic and preventive applications: in patients with enzymatic deficiencies; in those with a genetic predisposition to complex diseases such as dyslipidemia, diabetes and cancer; in those that already suffer these diseases; in those with altered mood or memory; during the aging process; in pregnant women; and as a preventive measure in the healthy population.
Subject(s)
Female , Humans , Pregnancy , Dietetics/methods , Genetic Predisposition to Disease/prevention & control , Metabolic Diseases/diet therapy , Nutrigenomics , Chronic DiseaseSubject(s)
Humans , Male , Female , Infant, Newborn , Carnitine , Metabolic Diseases/diet therapy , HemostasisSubject(s)
Humans , Male , Female , Infant, Newborn , Infant , Metabolic Diseases/diet therapy , Food, Formulated , Amino Acids/blood , Breast Feeding , Citrullinemia , Isoleucine , Leucine , Maple Syrup Urine Disease , Ornithine Carbamoyltransferase , ValineABSTRACT
En las modernas UCI quirúrgicas un nuevo tipo de paciente con hipermetabolismo y una gran propensión a desarrollar el síndrome de difución multiorgánica (SDMO) ha aparecido como una entidad clínica debido al avance de la tecnología médica, de la información médica y de la investigación científica aplicada al tratamiento de los pacientes críticos y constituye el estado final de la respuesta hipermetabólica a ciertos estados críticos. El SDMO constituye la primera causa de muerte en el paciente críticos quirúrgicos siendo responsable del 75 por ciento de las muertes en las UCI quirúrgicas. Puesto que la desnutrición es una manifestación prominente de ambos problemas, un paso lógico en el manejo de estos pacientes es el de aplicar un protocolo de soporte nutricional bien definido