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1.
Rev. colomb. obstet. ginecol ; 71(1): 34-41, Jan.-Mar. 2020. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1115618

ABSTRACT

RESUMEN Objetivo: evaluar el grado de concordancia entre el modelo de evaluación del estado nutricional materna propuesto por Rosso-Mardones con el propuesto por Atalah Materiales y métodos: estudio de concordancia diagnóstica. Se incluyeron gestantes entre los 19 y 37 años, con una edad gestacional de 10 o más semanas; se excluyeron gestantes con: diabetes, enfermedad tiroidea, hipertensión asociada al embarazo, embarazos gemelares, malformaciones fetales graves, muerte fetal e hidrops fetalis. Muestreo no probabilístico. Se midieron las variables sociodemográficas, obstétricas y el estado nutricional. Se calculó el valor de kappa de concordancia entre las dos escalas de evaluación nutricional. Conclusiones: las escalas de evaluación nutricional en gestantes, nomograma de Rosso-Mardones y de Atalah, tienen un acuerdo considerable. Se requieren más estudios que evalúen la concordancia entre estas escalas en población gestante.


ABSTRACT Objective: To assess the degree of agreement between the model for maternal nutritional assessment proposed by Rosso-Mardones and the one proposed by Atalah. Materials and methods: Diagnostic agreement study. Pregnant women between the ages of 19 and 37 years with a gestational age of 10 or more weeks were included; patients with diabetes, thyroid disease, pregnancy-associated hypertension, twin pregnancy, severe fetal malformation, fetal death and hydrops fetalis were excluded. Non-probabilistic sampling. Sociodemographic, obstetrical and nutritional status variables were measured. Results: Overall, 98 pregnant women were included. With the use of the Rosso-Mardones scale, 33% of the patients were classified as having a normal nutritional status, 22% as low weight, and 44% as overweight or obese. With the Atalah scale, 41% of the women were classified as having a normal nutritional status, 10% as low weight and 48% as overweight or obese. The weighted kappa value was 0.74 with a standard error of 0.04, a 95% CI of 0.66-0.82 and a p value < 0.05. Conclusions: There is substantial agreement between nutritional assessment scales used in pregnancy, namely the Rosso-Mardones nomogram and the Atalah scale. Further studies to assess the agreement of these scales in the pregnant population are required.


Subject(s)
Humans , Female , Pregnancy , Prenatal Care , Nutrition Assessment , Nutritional Sciences
2.
Article in English | WPRIM (Western Pacific) | ID: wprim-782286

ABSTRACT

This study was conducted to analyze the biochemical index, nutrient intakes, nutrition label use, diet-related factors and weight control behavior of Korean female adolescents at the age of 12 to 18 according to body mass index (BMI) by using the results of the 2010 and 2011 Korea National Health and Nutrition Examination Surveys. The obese group had higher waist circumference (p < 0.001) and systolic blood pressure (p < 0.01) than the normal group. In the biochemical index, the obese group had lower serum high-density lipoprotein-cholesterol level (p < 0.001), while their triglyceride level was higher than the normal group (p < 0.01). Nutrient intake according to BMI was not significantly different except carbohydrate, and calcium intake was about 53% of recommended nutrient intake in all study subjects. The nutrition label was recognized in more than 90% of all groups. But actual nutrition label use was below 50% in all groups and the underweight group was the lowest (p < 0.05). In the result for subjective body image perception, even in the group with normal BMI, 25.3% recognized themselves as obese, and 75.3% said they were trying to lose weight, indicating that many female teens actually think their bodies are obese. In conclusion, obese female adolescents have high systolic blood pressure and serum triglyceride concentrations, which requires obesity prevention education. And a large number of female adolescents with normal BMI thought they were obese and tried to lose weight. Therefore, education on healthy weight and calcium intake is necessary.


Subject(s)
Adolescent , Biomarkers , Blood Pressure , Body Image , Body Mass Index , Calcium , Education , Female , Food Labeling , Humans , Korea , Nutrition Assessment , Nutrition Surveys , Obesity , Thinness , Triglycerides , Waist Circumference , Weight Loss
3.
Goiânia; Cegraf UFG; 2020. 48 p. ilus.
Monography in Portuguese | LILACS (Americas), ColecionaSUS, Inca, CONASS, SES-GO | ID: biblio-1100218

ABSTRACT

Baseado em informações oficiais já disponíveis, "Orientações para boas práticas em alimentação e nutrição hospitalar no enfrentamento da COVID-19" foi elaborado por um grupo de profissionais nutricionistas do Brasil, atuantes em diversas áreas (clínica, hospitalar, unidades de alimentação e nutrição, docência e pesquisa universitária, consultoria em gestão de qualidade e segurança de alimentos), com o objetivo de contribuir com as adaptações nos processos de trabalho de nutricionistas e gestores de unidades hospitalares. Apresenta orientações: quanto à higienização de ambientes e materiais específicos, quanto aos cuidados no transporte e distribuição de refeições, dicas também para profissionais de saúde que trabalham na área de isolamento, orientações para os pacientes hospitalizados e apresenta condutas de avaliação nutricional. O resultado do trabalho foi de reforçar a condutas adequadas e contribuir significativamente com a segurança alimentar e nutricional de pacientes e colaboradores


Based on official information already available, "Guidelines for good practices in food and hospital nutrition in coping with COVID-19" was prepared by a group of nutritionists from Brazil, working in several areas (clinic, hospital, food and nutrition units, teaching and university research, consultancy in quality management and food safety), in order to contribute to adaptations in the work processes of nutritionists and hospital unit managers. It presents guidelines: regarding the cleaning of specific environments and materials, regarding care in the transportation and distribution of meals, tips also for health professionals working in the isolation area, guidelines for hospitalized patients and presents nutritional assessment procedures. The result of the work was to reinforce adequate conduct and significantly contribute to the food and nutritional security of patients and employees


Subject(s)
Humans , Personnel Administration, Hospital/methods , Nutrition for Vulnerable Groups , Patient Care Management , Food Hygiene , Nutrition Assessment , Enteral Nutrition , Coronavirus , Good Distribution Practices , Hand Hygiene , Materials Management, Hospital/methods , Health Facility Environment
4.
Rev. méd. Minas Gerais ; 30: e-3003, 2020.
Article in Portuguese | LILACS (Americas) | ID: biblio-1116887

ABSTRACT

Introdução: Pacientes portadores de vasculopatia periférica internam recorrentemente para procedimentos cirúrgicos ou tratamento clínico devido a complicações da doença de base. O real impacto da desnutrição nesses pacientes durante a internação ainda é pouco compreendido. Objetivo: Investigar os fatores de risco associados à mortalidade em pacientes internados com doença vascular periférica devido a complicação da doença vascular. Métodos: Estudo observacional retrospectivo avaliou cento e dezessete pacientes acima de 18 anos admitidos no serviço de cirurgia vascular de hospital terciário no período de junho de 2013 a agosto de 2014 por complicação da doença vascular. Avaliados parâmetros clínicos, comorbidades, dados demográficos, complicações durante a internação e estado nutricional. Dados coletados por meio de entrevista, aplicação do questionário Avaliação Global Subjetiva (AGS), exame físico e laboratoriais e dados de prontuário. Resultados: Cento e dezessete pacientes com doença vascular periférica avaliados em relação a complicações vasculares durante internação. Mortalidade geral de 7,7% e pacientes desnutridos ou com suspeita de desnutrição eram 39% da amostra Através da análise multivariada, tanto a classificação AGS (OR 6,15 CI 1,092-34,74 P = 0,039) quanto a presença de doença cardíaca (OR 8,51 CI 1,56-47,44 P = 0,015) foram fatores preditores independentes para mortalidade. Pacientes com doença vascular classificados em suspeita de estarem desnutridos ou desnutridos apresentaram chance de ir a óbito durante a internação aumentada em 6,15 vezes, enquanto a cardiopatia elevou essa chance 8,51 vezes. Conclusão: Pacientes internados por complicação de doença vascular periférica apresentam como fatores de risco para mortalidade a desnutrição e a presença de doença cardíaca.(AU)


Patients with peripheral vasculopathy are routinely hospitalized for surgical procedures or clinical treatment due to complications of the underlying disease. The real impact of malnutrition in these patients during hospitalization is still poorly understood. Aim: This study aimed to assess mortality predictors in patients with peripheral vascular disease during hospitalization. Methods: This retrospective observational study evaluate one hundred and seventeen patients over 18 years admitted to the vascular surgery service of a tertiary hospital in the period of June 2013 and August 2014 due to complications of vascular disease. They were assessed for clinical parameters, comorbidities, demographics, complications during hospitalization and nutritional status. Data were collected through interviews, the questionnaire Subjective Global Nutritional Assessment (SGA), laboratory exam and physical examination. Results: One hundred and seventeen patients with peripheral vascular disease were followed during admission due to vascular complications. Overall mortality was 7.7%, and malnourished patients or patients at nutritional risk were 39,0% of the sampled population By multivariate analysis both rating by SGA (OR 6.15, CI 1.092 to 34.74, P = 0.039), the presence of heart disease (OR 8.51 CI 1,56 to 47.44 P = 0.015) were independent predictors of mortality. When the patient was classified as malnourished or suspected of being malnourished by SGA it increased 6.15 times the odds of death during hospitalization, while the presence of heart disease increased by 8.51 times. Conclusion: Patients hospitalized for complications of peripheral vascular disease present as risk factors for mortality: malnutrition and the presence of heart disease. (AU)


Subject(s)
Nutritional Status , Peripheral Vascular Diseases , Peripheral Arterial Disease , Nutrition Assessment , Risk Factors , Mortality , Malnutrition , Hospitalization , Inpatients
5.
Rev Rene (Online) ; 21: 42053, 2020. ilus
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-1087338

ABSTRACT

Objetivo: descrever os elementos constitutivos do cuidado de enfermagem presentes nas escalas de avaliação do risco de lesão por pressão usadas em unidades de terapia intensiva. Métodos: trata-se de uma revisão integrativa da literatura a partir do LILACS, MEDLINE, SCIELO e BDENF. Os descritores utilizados para a busca foram Pressure Ulcer; Decubitus Ulcer; Prevention and Control; Prevention; Intensive Care Units. A amostra final foi constituída por 13 artigos científicos. Resultados: a escala mais utilizada entre os estudos analisados foi Braden. Os elementos constitutivos evidenciados foram avaliação estruturada do risco, avaliação da pele e tecidos, cuidados preventivos com a pele, nutrição, reposicionamento no leito, superfícies de apoio e cuidados com dispositivos médicos. Conclusão: a prevenção de lesões relacionadas às incontinências, avaliação nutricional, intervenções nutricionais com o objetivo de prevenir lesões e os cuidados relacionados a dispositivos médicos são elementos constitutivos do cuidado de enfermagem pouco explorados ou ausentes nas escalas avaliadas


Objective: to describe the constituent elements of nursing care present in the pressure injury risk assessment scales used in intensive care units. Methods: this is an integrative literature review based on LILACS, MEDLINE, SCIELO and BDENF. The descriptors used for the search were Pressure Ulcer; Decubitus Ulcer; Prevention and control; Preven-tion; Intensive Care Units. The final sample consisted of 13 scientific articles. Results: the Braden scale was the most used scale among the analyzed studies. The constituent ele-ments highlighted were structured risk assessment, skin and tissue assessment, preventive skin care, nutrition, re-positioning in bed, support surfaces, and care with medical device. Conclusion: the prevention of incontinence-related injuries, nutritional assessment, nutritional interventions aimed at preventing injuries and care with medical devices are constituent elements of nursing care still poorly explo-red or absent in the evaluated scales


Subject(s)
Humans , Pressure Ulcer/prevention & control , Intensive Care Units , Nutrition Assessment , Risk Assessment/methods , Pressure Ulcer/nursing , Equipment and Supplies, Hospital
7.
Estud. interdiscip. envelhec ; 24(3): 62-80, dez. 2019. tab
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1104122

ABSTRACT

A pesquisa teve como objetivo analisar o estado nutricional e qualidade de vida de idosos portadores de diabetes mellitus tipo 2. A população foi composta por 46 voluntários portadores de diabetes tipo 2, com faixa etária entre 60 e 85 anos, membros de uma Associação de Diabéticos localizada em Teresina (Piauí). Os idosos foram submetidos a um formulário sociodemográfico e, em seguida, foi realizada a avaliação do estado nutricional através de uma miniavaliação nutricional e dados antropométricos. Por fim, avaliou-se a qualidade de vida através do questionário Short Form-36. De acordo com as variáveis sociodemográficas, constatou-se que a maior parte dos participantes são do sexo feminino (69,6%), com idade entre 60 e 65 anos (54,3%), casados (63%), com ensino médio completo (54,3%) e renda de 1 (39,5%) e 2-3 salários mínimos (39,1%). Na avaliação do estado nutricional, de acordo com o índice de massa corporal, predominou o sobrepeso em 52,2%; Pela avaliação da dobra cutânea tricipital, constatou-se obesidade em 45,7% dos participantes; conforme a circunferência da cintura verificou-se risco muito elevado para o desenvolvimento de doenças cardiovasculares em 69,65% dos sujeitos pesquisados; constatou-se ainda que 88,43% dos idosos não apresentaram risco nutricional quando avaliados por meio da miniavaliação nutricional. Quanto à análise de qualidade de vida, as menores médias (escores) foram encontradas no domínio estado geral da saúde (59,67) e dor (65,63). Por conseguinte, os idosos portadores de diabetes tipo 2 avaliados possuem alterações no estado nutricional, entretanto apresentam boa qualidade vida.


The objective of the research was to analyze the nutritional status and quality of life of elderly patients with diabetes mellitus type 2. The population was composed of 46 volunteers that also were carriers of type 2 diabetes, with age range between 60 and 85 years of age, all members of the diabetic association located in Teresina (Piauí). Older adults were subjected to a demographic form and then the evaluation of nutritional status was performed through nutritional small evaluation and anthropometric data. Finally, the quality of life was evaluated through the Short Form-36 questionnaire. According to the sociodemographic variables, it was found that most of the participants are female (69.6%), aged between 60 and 65 years of age (54.3%), married (63%), graduated from middle school (54.3%) and income of 1 (39.5%) and 2-3 minimum wages (39.1%). In the evaluation of the nutritional state, according to the body mass index, predominated it overweight in 52.2%; Through evaluation of triceps cutis, obesity was found in 45.7% of the participants; according to the waist circumference, there was a very high risk for the development of cardiovascular diseases in 69.65% of subjects researched; it was also found that 88.43% of older adults did not have a nutritional risk when assessed through nutritional small evaluation. As for the quality of life analysis, the smallest averages (scores) were found in the general state of Health (59.67%) and Pain (65.63%). Consequently, older adults patients with type 2 diabetes evaluated have changes in the nutritional state; however they present good quality life.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Quality of Life , Nutrition Assessment , Diabetes Mellitus, Type 2 , Cross-Sectional Studies
8.
J. bras. nefrol ; 41(4): 472-480, Out.-Dec. 2019. tab, graf
Article in English | LILACS (Americas) | ID: biblio-1056605

ABSTRACT

Abstract Introduction: Anemic patients with chronic kidney disease (CKD) can be divided into anemic patients without or with functional iron deficiency (FID). The increase in the number of cases of hemosiderosis in patients on hemodialysis (HD) attributed to excessive intravenous iron replacement has called for the investigation of the factors involved in the genesis of FID. Objectives: This study aimed to describe the prevalence of FID in patients with CKD on HD, characterize the included individuals in terms of clinical and workup parameters, and assess their nutritional, oxidative stress, and inflammation statuses. This cross-sectional study assembled a convenience sample of 183 patients with CKD on HD treated in Southern Brazil. Patients meeting the inclusion and exclusion criteria were divided into two groups, one with anemic subjects with FID and one with anemic patients without FID. Participants answered a questionnaire probing into socio-epidemiological factors, underwent anthropometric measurements, and were tested for markers of anemia, oxidative stress, inflammation, and nutrition. Statistical analysis: The date sets were treated on software package GraphPad InStat version 3.1. Variables were tested with the Kolmogorov-Smirnov, chi-square, Student's t, and Mann-Whitney tests. Statistical significance was attributed to differences with a p < 0.05. Results: Markers of inflammation were not statistically different between the two groups. Markers of anemia and nutrition were significantly lower in patients with FID. Patients with FID were prescribed higher doses of parenteral iron (p < 0,05). Discussion: FID was associated with lower nutritional marker levels, but not to increased levels of markers of inflammation or oxidative stress, as reported in the literature. Additional studies on the subject are needed.


Resumo Introdução: A anemia na DRC pode ser dividida em anemia sem deficiência funcional de ferro e com deficiência funcional de ferro (ADFF). Diante do aumento dos casos de hemossiderose em pacientes em hemodiálise, atribuídos à reposição excessiva de ferro endovenoso, maiores conhecimentos sobre os fatores envolvidos na gênese da ADFF são importantes. Objetivos: documentar a prevalência de ADFF em renais crônicos em hemodiálise. Caracterizar clínica e laboratorialmente os portadores de ADFF em HD e avaliar o estado nutricional, estresse oxidativo e inflamatório. Estudo transversal, amostra de conveniência, envolvendo 183 renais crônicos em hemodiálise no sul do Brasil. Após aplicação dos critérios de exclusão, os pacientes foram separados em dois grupos: portadores de anemia com e sem deficiência funcional de ferro. Foram submetidos a questionário socioepidemiológico, à análise antropométrica e análise laboratorial dos marcadores de anemia, estresse oxidativo, inflamatórios e nutricionais. Análise estatística: programa GraphPad InStat versão 3.1. Foram aplicados os testes: Kolmogorov-Smirnov, qui-quadrado, t de Student e Mann-Whitney. Nível de significância adotado de 5%. Resultados: não houve diferença significativa nos marcadores inflamatórios entre os dois grupos. Houve diferença significativa nos marcadores de anemia e nutrição, significativamente menores nos pacientes com ADFF. Pacientes com ADFF receberam doses mais elevadas de ferro parenteral (p < 0,05). Discussão: ADFF esteve associada a menores valores de marcadores nutricionais, mas não esteve associada a marcadores inflamatórios ou de estresse oxidativo aumentados, como relatado na literatura. Estudos adicionais sobre o tema são necessários.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Biomarkers/metabolism , Renal Dialysis/adverse effects , Anemia, Iron-Deficiency/etiology , Renal Insufficiency, Chronic/complications , Inflammation/metabolism , Anemia/etiology , Brazil/epidemiology , Nutrition Assessment , Prevalence , Cross-Sectional Studies , Oxidative Stress/physiology , Anemia, Iron-Deficiency/epidemiology , Administration, Intravenous , Hemosiderosis/epidemiology , Anemia/epidemiology , Iron/administration & dosage , Iron/adverse effects , Nitric Oxide/metabolism
9.
Arch. latinoam. nutr ; 69(3): 165-173, sept. 2019. ilus
Article in Spanish | LILACS (Americas), LIVECS | ID: biblio-1053336

ABSTRACT

Debido a los cambios en los estilos de vida y su reflejo en la prevalencia de malnutrición por exceso a nivel mundial, en Chile (2016) se aprobó la Ley sobre Composición de los Alimentos y su Publicidad. El objetivo de este estudio fue determinar las actitudes alimentarias en madres de preescolares de distinto nivel socioeconómico y el estado nutricional de sus hijos, frente a la publicidad de alimentos y bebidas a través de distintas formas de promoción comercial, así como su actitud ante la Ley 20.606. Se aplicó una encuesta validada, la cual incluye preguntas sobre las etiquetas en los envases de los alimentos. Se realizó un análisis descriptivo de las variables y se determinó si existía diferencias entre la distribución de las respuestas según NSE mediante la prueba Chi2 .Al consultar los lugares en los que han visto publicidad de alimentos, 72% de las madres refiere haberla visto en los supermercados y 48,5% en internet. Sólo 34, 8% refirió recordar algún comercial en particular, y al solicitarles que especificaran el comercial que recordaban, 45,3% nombró alguna bebida azucarada y 13,6% alguna de yogurt. Respecto a los sellos de advertencia presentes en los envases de los alimentos, 87% declaró que les gustaban o les parecían bien. Sólo 43,6% respondió que había dejado de comprar alimentos con dichos sellos. Estos resultados serán útiles para el diseño de intervenciones específicas para este importante grupo, ya que un cambio positivo en sus conductas actuales podría repercutir en la creación de hábitos saludables en sus hijos e hijas(AU)


Due to changes in lifestyles and its reflection on the worldwide prevalence of malnutrition due to excess, in Chile (2016) the Law on Food Composition and its Advertising was approved. The objective of this study was to determine the nutritional attitudes of 509 mothers of preschoolers of different socioeconomic levels and the nutritional status of their children, in front of the advertising of food and beverages through different forms of commercial promotion, as well as their attitude towards Law 20,606. A validated survey was applied, which includes questions about labels on food containers. A descriptive analysis of the variables was carried out to determine if there were differences between the distributions of the responses according to the SEL using the Chi2 test. When consulting the places where they have seen the food advertising, 72% of the mothers reported having seen it in the supermarkets and 48.5% on the internet. Only 34, 8% reported to remembering a particular commercial, and when asked to specify the commercial they remembered, 45.3% named a sugary drink and 13.6% some yogurt. Regarding the warning seals present on food containers, 87% stated that they liked them or they seemed good to them. Only 43.6% answered that they have stopped buying foods with these labels. These results will be useful for the design of specific interventions for this important group, since a positive change in their current behaviors could have an impact on the creation of healthy habits in their children(AU)


Subject(s)
Humans , Female , Adult , Middle Aged , Dietary Carbohydrates , Food Composition , Food Publicity , Food Handling , Food Labeling , Dietary Sugars , Legislation, Food , Nutrition Assessment , Nutritional Status , Adolescent Nutrition , Diet, Food, and Nutrition
10.
Managua; s.n; sept. 2019. 74 p. ilus, tab, graf.
Thesis in Spanish | LILACS (Americas) | ID: biblio-1048297

ABSTRACT

Se realizó una investigación transversal analítica con un total de 129 mujeres embarazadas que asisten que son atendidas en el Policlínico Iraní en Villa Libertad, Managua. Se aplicó una encuesta con las variables relacionadas a Características sociodemográficas, estado nutricional, factores de riesgo relacionados a diabetes gestacional y hábitos alimentarios. Los rangos de edades estaban divididos de forma equitativas, predominó un mayor número de embarazadas casadas y en unión libre. El estado nutricional según el IMC 16% en bajo peso, 19% en normo peso, 19% en sobrepeso, 26% en obesidad I y 20% en obesidad II. Los factores personales patológicos y familiares patológico que más predisponen a la aparición de diabetes fueron la Hipertensión arterial, Obesidad y Dislipidemias. El hábito alimentario muestra que hay variedad de consumo de alimentos respecto a sus macro y micronutrientes perteneciente al patrón alimentario, pero destaca negativamente el consumo de alimentos industrializados. Los factores de riesgo que más se asocian a la aparición de diabetes gestacional son Enfermedades crónicas no transmisibles tales como Hipertensión arterial, Obesidad y Dislipidemias; un adecuado estado nutricional y adecuada equidad de alimentos favorece menos riesgo de padecer diabetes gestacional


Subject(s)
Humans , Female , Pregnancy , Nutrition Assessment , Risk Factors , Diabetes, Gestational , Diet , Epidemiology , Cross-Sectional Studies
11.
Rev. bras. ter. intensiva ; 31(3): 379-385, jul.-set. 2019. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1042594

ABSTRACT

RESUMO Objetivo: Coletar dados a respeito do uso do escore Nutrition Risk in Critically Ill (NUTRIC). Métodos: Conduziu-se pesquisa sistemática da literatura em conformidade com as especificações PRISMA. Excluíram-se da pesquisa os trabalhos referentes a revisões, resumos, dissertações, protocolos e relatos de caso. Foram incluídos estudos que avaliaram especificamente o escore NUTRIC publicados em inglês, espanhol ou português. Resultados: Incluímos 12 (0,8%) estudos de nossa busca nesta revisão. Dez eram estudos observacionais (83,3%), um estudo piloto (8,3%) e um ensaio randomizado e controlado (8,3%). Em todos os estudos incluídos (100%), os autores decidiram não utilizar dosagem de interleucina 6 e consideraram como ponto de corte para alto risco nutricional um escore ≥ 5. Dentre os estudos selecionados, 11 (91,7%) estavam em idioma inglês e um (8,3%) em espanhol. Ventilação mecânica e o escore NUTRIC tiveram correlação significante em quatro estudos. A associação entre o tempo de permanência no hospital ou na unidade de terapia intensiva e o alto risco nutricional apresentou correlação significante em três estudos. Sete estudos identificaram associação estatisticamente significante entre escore NUTRIC e mortalidade. Conclusão: O escore NUTRIC tem relação com desfechos clínicos, como tempo de permanência no hospital, e seu uso é apropriado em pacientes críticos na unidade de terapia intensiva.


ABSTRACT Objective: To collect data on the use of The Nutrition Risk in Critically Ill (NUTRIC) score. Methods: A systematic literature search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Reviews, abstracts, dissertations, protocols and case reports were excluded from this review; to be included in the review, studies needed to specifically evaluate the NUTRIC score and to have been published in English, Spanish or Portuguese. Results: We included 12 (0.8%) studies from our search in this review. Ten studies (83.3%) were observational, 1 was a pilot study (8.3%) and 1 was a randomized control trial (8.3%). All of the included studies (100%) chose not to use IL-6 and considered a high nutritional risk cutoff point ≥ 5. There were 11 (91.7%) English language studies versus 1 (8.3%) Spanish language study. Mechanical ventilation and a high NUTRIC score were significantly correlated in four studies. The association between intensive care unit or hospital length of stay and nutritional high risk was significant in three studies. Seven studies found a statistically significant association between the NUTRIC score and mortality. Conclusion: The NUTRIC score is related to clinical outcomes, such as length of hospital stay, and is appropriate for use in critically ill patients in intensive care units.


Subject(s)
Humans , Nutrition Assessment , Critical Illness , Risk Assessment , Critical Care
12.
Rev. bras. ter. intensiva ; 31(3): 326-332, jul.-set. 2019. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1042584

ABSTRACT

RESUMO Objetivo: Avaliar possíveis associações do risco nutricional com os desfechos clínicos desfavoráveis em pacientes críticos internados na unidade de terapia intensiva. Métodos: Estudo de coorte, prospectivo, realizado em 200 pacientes em unidade de terapia intensiva de hospital universitário. O risco nutricional foi avaliado pelos escores NRS-2002 e NUTRIC. Pacientes com escore ≥ 5 foram considerados de alto risco nutricional. Os dados e desfechos clínicos foram obtidos de registros clínicos dos pacientes. Utilizou-se análise de regressão logística múltipla para calcular os riscos relativos e seus respectivos intervalos de confiança de 95% para os desfechos clínicos. Resultados: Os pacientes críticos apresentaram idade de 59,4 ± 16,5 anos, e 53,5% eram do sexo feminino. O alto risco nutricional, segundo NRS-2002 e NUTRIC, foi de 55% e 36,5%, respectivamente. Em modelos de regressão logística múltipla, ajustados por sexo e motivo de internação, o alto risco nutricional avaliado pelo NRS-2002 associou-se positivamente ao uso de ventilação mecânica (RR = 2,34; IC95% 1,31 - 4,19; p = 0,004); presença de infecção (RR = 2,21; IC95% 1,24 - 3,94; p = 0,007) e óbito (RR = 1,86; IC95% 1,01 - 3,41; p = 0,045). Quando avaliado pelo NUTRIC, o risco nutricional foi associado à terapia de substituição renal (RR = 2,10; IC95% 1,02 - 4,15; p = 0,040) e óbito (RR = 3,48; IC95% 1,88 - 6,44; p < 0,001). Conclusão: Em pacientes gravemente doentes, o alto risco nutricional foi positivamente associado a um maior risco de desfechos clínicos desfavoráveis, incluindo óbito hospitalar.


ABSTRACT Objective: To evaluate possible associations between nutritional risk and the clinical outcomes of critical patients admitted to an intensive care unit. Methods: A prospective study was carried out with a cohort comprising 200 patients admitted to a university hospital intensive care unit. Nutritional risk was assessed with the NRS-2002 and NUTRIC scores. Patients with scores ≥ 5 were considered at high nutritional risk. Clinical data and outcome measures were obtained from patients' medical records. Multiple logistic regression analysis was used to calculate odds ratios and their respective 95% confidence intervals (for clinical outcomes). Results: This sample of critical patients had a mean age of 59.4 ± 16.5 years and 53.5% were female. The proportions at high nutritional risk according to NRS-2002 and NUTRIC were 55% and 36.5%, respectively. Multiple logistic regression models adjusted for gender and type of admission indicated that high nutritional risk assessed by the NRS-2002 was positively associated with use of mechanical ventilation (OR = 2.34; 95%CI 1.31 - 4.19; p = 0.004); presence of infection (OR = 2.21; 95%CI 1.24 - 3.94; p = 0.007), and death (OR = 1.86; 95%CI 1.01 - 3.41; p = 0.045). When evaluated by NUTRIC, nutritional risk was associated with renal replacement therapy (OR = 2.10; 95%CI 1.02 - 4.15; p = 0.040) and death (OR = 3.48; 95%CI 1.88 - 6.44; p < 0.001). Conclusion: In critically ill patients, high nutritional risk was positively associated with an increased risk of clinical outcomes including hospital death.


Subject(s)
Humans , Male , Female , Adult , Aged , Nutritional Status , Critical Illness , Nutrition Assessment , Prospective Studies , Treatment Outcome , Risk Assessment , Intensive Care Units , Middle Aged
13.
Rev. chil. nutr ; 46(4): 443-450, ago. 2019.
Article in Spanish | LILACS (Americas) | ID: biblio-1013809

ABSTRACT

RESUMEN Las enfermedades mentales abarcan un grupo de patologías relacionadas con factores fisiológicos, genéticos, psicológicos, sociales y medioambientales. Dentro de estas enfermedades se encuentran la parálisis cerebral, la discapacidad mental, la enfermedad del espectro autista y el síndrome de Down, las cuales son abordadas en la presente revisión. El abordaje integral del paciente por parte del equipo de salud es imprescindible. Se destaca el rol del nutricionista dietista, ya que su atención oportuna y regular permite evitar el deterioro del estado nutricional, el compromiso de la talla en caso de niños, o adquirir comorbilidades prevenibles en adultos, como sucede cuando está presente una de las complicaciones comunes como el reflujo gastroesofágico y la disfagia, permitiendo mejorar la calidad de vida de pacientes, cuidadores y familia. A pesar de esto, los sistemas de salud sólo autorizan la atención nutricional cada dos o tres meses; adicional a esto, se suman el tiempo prolongado que tardan los trámites para la consulta y las autorizaciones, pudiendo desencadenarse complicaciones que ponen en riesgo la vida del paciente. Se realizó una revisión bibliográfica en bases de datos Scielo, Dialnet, PubMed, para soportar la importancia del papel del nutricionista dietista en todos los estados de las patologías relacionadas con las enfermedades mentales.


ABSTRACT Mental illnesses encompass a group of pathologies concerning physical, genetic, psychological, social and environmental factors. These diseases include cerebral palsy, mental handicap, autism spectrum disorder and Down syndrome, which will be addressed in the present review. A comprehensive approach is essential, which includes the role of the nutritionist-dietitian, since prompt and regular attention allows avoiding the deterioration of nutritional status, compromised length, in the case of children, or acquiring preventable comorbidities in adults, such as gastroesophageal reflux and dysphagia. This approach improves the quality of life of patients, caregivers and families. In spite of this, health systems only authorize nutritional care every two or three months. In addition, there is often prolonged wait times to access treatment and obtain authorization, which may put the patient's life at risk. A systematic review was carried out using Scielo, Dialnet, and Pubmed to support the importance of the role of the nutritionist-dietitian in mental illness conditions.


Subject(s)
Humans , Autistic Disorder , Nutrition Assessment , Cerebral Palsy , Down Syndrome , Nutrition Therapy , Intellectual Disability , Patients
14.
Rev. Hosp. El Cruce ; (24): 8-11, 18/07/2019.
Article in Spanish | LILACS (Americas), BINACIS | ID: biblio-1006636

ABSTRACT

OBJETIVO: Conocer el estado nutricional y la terapia nutricional recibida durante la internación de los pacientes sometidos a TCPH. MATERIAL Y MÉTODOS: Estudio observacional, de corte transversal, comprendido en el período de enero de 2012 a octubre de 2017. Se incluyeron 100 pacientes mayores de 15 años internados en la unidad de trasplante de médula ósea, que se encontraban realizando tratamiento acondicionante y posterior TCPH, que respondieron voluntariamente al interrogatorio realizado por el Servicio de Nutrición. En una base de datos se registró el estado nutricional y el tipo de terapia nutricional, con los motivos de indicación, la duración y las causas de finalización de la misma. RESULTADOS: De la totalidad de los pacientes, el 84% se mantuvo con alimentación oral exclusiva, adecuándose la dieta a la sintomatología referida por el paciente; y de éstos, el 62% (52 pacientes) tuvieron indicación de suplementos orales como complemento. Sólo 16 pacientes tuvieron indicación de NP. La mediana de duración de NP fue de 9 días (IIC 6-24,5) CONCLUSIONES: La mayoría de los pacientes no presentó desnutrición a su ingreso, pero a pesar de ello, hubo un gran número de pacientes que requirió el uso de alguna terapia nutricional, lo que denota la importancia del monitoreo diario de estos pacientes a pesar de no presentar riesgo nutricional al ingreso.


OBJECTIVE: To know the nutritional status and nutritional therapy received during hospitalization of patients undergoing TCPH. MATERIAL AND METHODS: Observational, cross-sectional study, included in the period from January 2012 to October 2017. We included 100 patients older than 15 years admitted to the bone marrow transplant unit, who were undergoing conditioning treatment and subsequent TCPH, who voluntarily responded to the interrogation conducted by the Nutrition Service. In a database, the nutritional status and type of nutritional therapy were recorded, with the reasons for indication, the duration and the causes of the end of it. RESULTS: Of the totality of the patients, 84% remained with exclusive oral feeding, adapting the diet to the symptomatology referred by the patient; and of these, 62% (52 patients) had an indication for oral supplements as a complement. Only 16 patients had an NP indication. The median duration of NP was 9 days (IIC 6-24.5) CONCLUSIONS: The majority of patients did not present malnutrition at admission, but despite this, there was a large number of patients that required the use of some nutritional therapy, which indicates the importance of daily monitoring of these patients despite not present nutritional risk to income.


Subject(s)
Nutrition Assessment , Hematopoietic Stem Cell Transplantation , Nutrition Therapy , Malnutrition
15.
Int. j. cardiovasc. sci. (Impr.) ; 32(3): 253-260, May-June 2019. tab
Article in English | LILACS (Americas) | ID: biblio-1002220

ABSTRACT

Malnutrition is associated with morbidity and mortality in patients with heart failure (HF). Thus, it is essential to apply reliable indicators to assess the nutritional status of these individuals. Objective: To evaluate the thickness of the adductor pollicis muscle (APM) in patients with HF as an indicator of somatic protein status and correlate the obtained values with conventionally used parameters and electrical bioimpedance (EBI) markers. Methods: Cross-sectional study with patients with HF undergoing regular outpatient treatment. APM thickness was measured in the dominant arm, and the values obtained were classified according to gender and age. The anthropometric parameters assessed included the body mass index (BMI) and specific parameters to assess the muscle (arm muscle circumference [AMC] and arm muscle area [AMA]). Values of phase angle (PA), standard PA (SPA), and lean mass were obtained by EBI. Statistical analyses were performed with the software Statistical Package for the Social Sciences, version 19, using unpaired Student's t, Mann-Whitney, or one-way analysis of variance (ANOVA) tests for comparisons between groups, as appropriate. The correlation between variables of interest was performed using Pearson's or Spearman's correlation coefficient, as adequate. The level of significance was set at 5%. Results: About 70% of the 74 patients evaluated were classified as malnourished according to the APM thickness. Values of AMC, AMA, and lean mass correlated positively with APM thickness (p < 0.005). The APM thickness also correlated positively with PA and SPA (r = 0.49, p < 0.001 and r = 0.31, p = 0.008, respectively). Conclusion: Patients with HF presented a high frequency of protein malnutrition when APM thickness was used as an indicator of nutritional status. APM thickness values correlated with conventional measures of somatic protein evaluation and may be related to the prognosis of these patients, since they correlated positively with PA and SPA


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Nutrition Assessment , Malnutrition/mortality , Heart Failure/diagnosis , Thumb , Body Mass Index , Sex Factors , Anthropometry , Chronic Disease , Cross-Sectional Studies/methods , Statistical Analysis , Analysis of Variance , Age Factors , Inflammation
16.
J. Health NPEPS ; 4(1): 166-181, jan.-jun. 2019. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-999664

ABSTRACT

Objetivo: avaliar o estado nutricional e o consumo alimentar das principais fontes de macro e micronutrientes ingeridos por pré-escolares. Método: trata-se de estudo exploratório-descritivo, transversal e com abordagem quantitativa, composto por 269 crianças de ambos os sexos com idade entre 3 e 5 anos dos centros municipais de educação infantil de Montes Claros, Minas Gerais. Realizou-se inquérito alimentar e a avaliação antropométrica no ambiente escolar, mediante a autorização dos pais e/ou responsáveis. Resultados: verifica-se que a maioria das crianças se encontram eutróficas de acordo com todos os critérios avaliados. No inquérito alimentar, apenas o consumo de calorias totais e ferro encontrava-se adequado para a faixa etária. Entre os macronutrientes, o consumo de carboidratos, lipídeos e proteínas estava acima do valor recomendado. Dentre os micronutrientes, observa-se o consumo aumentado de zinco, sódio e vitamina C. No entanto, a ingestão de micronutrientes como o cálcio, magnésio, vitaminas A, D e E encontrava-se abaixo do recomendado, além das fibras. Conclusão: observa-se que o estado nutricional das crianças está adequado, porém há inadequação na ingestão alimentar. Este fator pode contribuir com o aumento no índice de sobrepeso e obesidade, e estar associado com as deficiências nutricionais.(AU)


Objective: to assess the nutritional status and food consumption of the main sources of macro and micronutrients ingested by preschool children. Method: This is an exploratory-descriptive, cross-sectional with a quantitative approach study, composed of 269 children of both sexes aged between 3 and 5 years of child municipal education centers in the city of Montes Claros, Minas Gerais. A food survey and anthropometric evaluation were carried out in the school environment, with the authorization of parents and/or guardians. Results: It appears that most of the children are eutrophic according to all the evaluated criteria. In the investigation of food, only the consumption of calories and iron was appropriate for the age range. Among the macronutrients, the consumption of carbohydrates, lipids and proteins was above the recommended value. Among the micronutrients, an increased consumption of zinc, sodium and vitamin C was observed. However, the intake of micronutrients such as calcium, magnesium, vitamins A, D and E was below the recommended levels, as well as the fibers consumption. Conclusion: It is observed that the nutritional status of children is appropriate, but there is inadequate food intake. This factor may contribute to the increase in overweight and obesity and may also be associated with nutritional deficiencies.(AU)


Objetivo: Valorar el estado nutricional y el consumo de alimentos de las principales fuentes de macro y micronutrientes son ingeridos por preescolar. Método: Este estudio es de tipo exploratorio-descriptivo, transversal de enfoque cuantitativo, compuesta por 269 niños de ambos sexos en edades comprendidas entre los 3 y los 5 años de centros municipales de educación infantil en la ciudad de Montes Claros, en el estado de Minas Gerais. Encuesta alimentaria y se realizó la evaluación antropométrica en el entorno de la escuela, previa autorización de los padres y/o tutores. Resultados: Parece que la mayoría de los niños se encuentra en el estatus nutricional de acuerdo con todos los criterios evaluados. En la investigación de alimentos, sólo el consumo de calorías y el hierro es el adecuado para el rango de edad. Entre los macronutrientes, el consumo de carbohidratos, lípidos y proteínas fue superior al valor recomendado. Entre los micronutrientes, se observó un incremento en el consumo de zinc, sodio y vitamina C. Sin embargo, la ingesta de micronutrientes como el calcio, el magnesio, vitaminas A, D y E, estaba por debajo de los niveles recomendados, así como las fibras. Conclusión: Se observa que el estado nutricional de los niños es adecuada, pero no hay una ingesta insuficiente de alimentos. Este factor puede contribuir al incremento del sobrepeso y la obesidad, y se asocia con deficiencias nutricionales.(AU)


Subject(s)
Humans , Child, Preschool , Food Consumption , Nutrition Assessment , Food/administration & dosage , Micronutrients/administration & dosage , Anthropometry/instrumentation , Diet Surveys/instrumentation , Epidemiology, Descriptive , Cross-Sectional Studies/instrumentation
17.
Rev. bras. ter. intensiva ; 31(2): 210-216, abr.-jun. 2019. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1013777

ABSTRACT

RESUMO Objetivo: Avaliar a associação do estado nutricional e do consumo proteico com o desfecho clínico de pacientes críticos em uso de terapia nutricional enteral em uma unidade de terapia intensiva. Métodos: Estudo retrospectivo de caráter observacional analítico, realizado por meio da coleta de dados secundários registrados nos prontuários de pacientes ≥ 18 anos, internados na unidade de terapia intensiva e que receberam terapia nutricional enteral exclusiva por pelo menos 72 horas em 2017. O estado nutricional foi avaliado pelo índice de massa corporal e pela circunferência do braço. Para a estimativa das necessidades proteicas, foi considerada a recomendação da American Society for Parenteral and Enteral Nutrition. A adequação nutricional foi realizada por meio da coleta diária do volume da fórmula enteral prescrita e administrada. Nas análises, utilizaram-se testes paramétricos e não paramétricos e foi considerado significante p < 0,05. Resultados: Dos 188 pacientes avaliados, 71,3% eram do sexo masculino, com idade mediana de 48,5 anos (31,0 - 63,75). O principal diagnóstico clínico foi o trauma (46,3%) e a eutrofia foi o estado nutricional mais frequente (54,8%), segundo o índice de massa corporal, e de 46,4% pela circunferência braquial. A adequação proteica esteve insuficiente em 56,4% dos pacientes e apenas 46,8% atingiram a recomendação proteica mínima. A ocorrência de mortalidade esteve associada ao diagnóstico nutricional, ao índice de massa corporal (p = 0,023) e à circunferência do braço (p = 0,041), assim como a adequação proteica (p = 0,012). Conclusão: O estado nutricional e o consumo proteico estiveram associados de forma siginificante ao desfecho clínico dos pacientes críticos.


ABSTRACT Objective: To evaluate the association of nutritional status and protein intake with the clinical outcomes of critically ill patients receiving enteral nutrition therapy in an intensive care unit. Methods: A retrospective observational analytical study was performed by collecting secondary data recorded in medical records of patients ≥ 18 years of age who were admitted to the intensive care unit and who received exclusive enteral nutrition therapy for at least 72 hours in 2017. Nutritional status was assessed by body mass index and arm circumference. For the estimation of protein requirements, the recommendation of the American Society for Parenteral and Enteral Nutrition was considered. Nutritional adequacy was assessed by the daily collection of prescribed and administered enteral formula. In the analyses, parametric and nonparametric tests were used, and significance was set at p <0.05. Results: Of the 188 patients evaluated, 71.3% were male. The median age of the patients was 48.5 years (31.0 - 63.75). The main clinical diagnosis was trauma (46.3%), and eutrophic was the most frequent nutritional status (54.8% according to body mass index and 46.4% according to arm circumference). Protein adequacy was not attained in 56.4% of patients, and only 46.8% reached the minimum protein recommendation. The occurrence of mortality was associated with nutritional diagnosis, body mass index (p = 0.023), arm circumference (p = 0.041) and protein adequacy (p = 0.012). Conclusion: Nutritional status and protein intake were significantly associated with the clinical outcomes of critically ill patients.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Aged, 80 and over , Young Adult , Dietary Proteins/administration & dosage , Nutritional Status , Enteral Nutrition/methods , Critical Care/methods , Nutrition Assessment , Retrospective Studies , Critical Illness/therapy , Intensive Care Units , Middle Aged , Nutritional Requirements
18.
J. Health NPEPS ; 4(1): 210-227, jan.-jun. 2019. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-999667

ABSTRACT

Objetivo: construir e implementar fichas técnicas de preparação de uma unidade de alimentação e nutrição militar de Brasília, Distrito Federal. Método: estudo longitudinal e quantitativo. Coleta de dados através de pesagem e observação in loco, construção de fichas técnicas de preparação com o auxílio do software CookGO. Foram realizadas análises nutricionais e análises de indicadores culinários a partir das informações nutricionais do software e das tabelas de composição de alimentos nele inseridas. Resultados: os dados demonstraram a falta de padronização dentro da unidade de alimentação e nutrição. Com isso há um grande desperdício em relação a alguns alimentos e um grande excesso na utilização de outros, gerando grande aporte de alguns nutrientes, como sódio e lipídeos. Conclusão: a ficha técnica de preparação possibilita identificar erros na produção e corrigi-los. Com ela pode-se padronizar preparações, reduzir desperdício, averiguar custo, criar lista de compras, rótulos e, sobretudo, a avaliação nutricional da preparação e sua adequação, o que permite a prevenção de DCNT.(AU)


Objective: to construct and implement technical preparation files for the preparation of a military food and nutrition unit in Brasília, Distrito Federal. Method: quantitative and longitudinal study. Collection of data through weighing and observation in loco and construction of technical preparation files with the help of CookGO software. Nutritional analyzes and analyzes of culinary indicators were carried out based on the nutritional information of the software and the food composition tables inserted in it. Results: the data demonstrated the lack of standardization within the food and nutrition unit. There was a great waste in relation to some foods and a great excess in the use of others, generating a great contribution of some nutrients, like sodium and lipids. Conclusion: technical preparation files makes it possible to identify errors in production and to correct them. With it, it is possible to standardize preparations, reduce waste, find out cost, create shopping list, labels, and especially the nutritional evaluation of the preparation and its adequacy, which allows the prevention of chronic non-communicable diseases.(AU)


Objetivo: construir e implementar la estandarización de recetas de un Servicio de Alimentación militar de Brasília, Distrito Federal. Método: estudio longitudinal y cuantitativo. Recolección de datos a través de pesaje y observación in loco, construcción de recetas estandarizadas con la ayuda del software CookGO. Se realizaron análisis nutricionales y análisis de indicadores culinarios a partir de las informaciones nutricionales del software y de las tablas de composición de alimentos en él insertadas. Resultados: los datos demostraron la falta de estandarización dentro de lo Servicio de Alimentación. Con ello hay un gran desperdicio en relación a algunos alimentos y un gran exceso en la utilización de otros, generando un gran aporte de algunos nutrientes, como sodio y lípidos. Conclusión: la receta estandarizada permite identificar errores en la producción y corregirlos. Con ella se pueden estandarizar preparaciones, reducir desperdicio, averiguar costo, crear lista de compras, etiqueta, y sobre todo la evaluación nutricional de la preparación y su adecuación lo que permite la prevención de enfermedades crónicas no transmisibles.(AU)


Subject(s)
Humans , Nutrition Assessment , Quality Management , Food Composition , Food Services/organization & administration , Evaluation Studies as Topic , Longitudinal Studies
19.
Int. j. cardiovasc. sci. (Impr.) ; 32(3): 253-260, may.-june. 2019. tab
Article in English | LILACS (Americas) | ID: biblio-1006052

ABSTRACT

Background: Malnutrition is associated with morbidity and mortality in patients with heart failure (HF). Thus, it is essential to apply reliable indicators to assess the nutritional status of these individuals. Objective: To evaluate the thickness of the adductor pollicis muscle (APM) in patients with HF as an indicator of somatic protein status and correlate the obtained values with conventionally used parameters and electrical bioimpedance (EBI) markers. Methods: Cross-sectional study with patients with HF undergoing regular outpatient treatment. APM thickness was measured in the dominant arm, and the values obtained were classified according to gender and age. The anthropometric parameters assessed included the body mass index (BMI) and specific parameters to assess the muscle (arm muscle circumference [AMC] and arm muscle area [AMA]). Values of phase angle (PA), standard PA (SPA), and lean mass were obtained by EBI. Statistical analyses were performed with the software Statistical Package for the Social Sciences, version 19, using unpaired Student's t, Mann-Whitney, or one-way analysis of variance (ANOVA) tests for comparisons between groups, as appropriate. The correlation between variables of interest was performed using Pearson's or Spearman's correlation coefficient, as adequate. The level of significance was set at 5%. Results: About 70% of the 74 patients evaluated were classified as malnourished according to the APM thickness. Values of AMC, AMA, and lean mass correlated positively with APM thickness (p < 0.005). The APM thickness also correlated positively with PA and SPA (r = 0.49, p < 0.001 and r = 0.31, p = 0.008, respectively). Conclusion: Patients with HF presented a high frequency of protein malnutrition when APM thickness was used as an indicator of nutritional status. APM thickness values correlated with conventional measures of somatic protein evaluation and may be related to the prognosis of these patients, since they correlated positively with PA and SPA


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Body Mass Index , Nutrition Assessment , Malnutrition/mortality , Heart Failure/diagnosis , Thumb , Sex Factors , Anthropometry , Chronic Disease , Cross-Sectional Studies/methods , Statistical Analysis , Analysis of Variance , Age Factors , Inflammation
20.
Int. j. cardiovasc. sci. (Impr.) ; 32(2): 143-151, mar.-abr. 2019. tab
Article in English | LILACS (Americas) | ID: biblio-988184

ABSTRACT

Background: Anabolic/catabolic disorder in heart failure (HF) favors cardiac cachexia, implying a reduction in HF survival. Objectives: To assess the accuracy and concordance of the diagnosis of protein malnutrition and excess fat among the anthropometric and body composition methods in individuals with HF. Method: A study of accuracy that included 60 individuals with HF. Body mass index (BMI), arm circumference (AC), triceps skinfold thickness (TST), adductor pollicis muscle thickness (APMT), arm muscle circumference (AMC) and corrected arm muscle area (cAMA). Fat free mass index (FFMI) and body fat percentage (BF%), obtained by electrical bioimpedance (EBI), were used to compare the diagnosis of protein malnutrition and excess fat. Accuracy was assessed by calculating sensitivity, specificity, positive and negative predictive value. The concordance of the EBI diagnosis and other methods was performed by the chi-square test and kappa (k) statistic, where p<0.05 was considered significant.Results: Higher frequencies of protein malnutrition were identified by cAMA and AMC, and excess fat by BF%. BMI presented low sensitivity (43%) and accuracy (38.5%), with moderate concordance (0.50). AMC sensitivity was 86%, accuracy 66.4%, and acceptable concordance (0.36) compared to FFMI. Similar percentages of moderate sensitivity and low accuracy were observed for TST and BMI.Conclusion: AMC may be useful to identify protein malnutrition and TST has not been adequate to diagnose adiposity. BMI was not sensitive to assess muscle and adipose reserve. EBI was more accurate


Subject(s)
Humans , Male , Female , Middle Aged , Body Mass Index , Nutrition Assessment , Anthropometry/methods , Heart Failure , Stroke Volume , Cachexia , Adipose Tissue , Statistical Analysis , Malnutrition/diagnosis , Dyslipidemias/diagnosis , Heart Ventricles , Obesity/complications
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