Perfil dos pacientes obesos no primeiro atendimento em Ambulatório de Nutrologia Municipal de Ribeirão Preto (SP) / Profile of obese patients in first care in the Ambulatory of Nutrology of Ribeirão Preto (SP)

RESUMO

Objetivo: levantar o perfil dos pacientes com diagnóstico de obesidade, no primeiro atendimento no Ambulatório de Nutrologia Municipal de Ribeirão Preto -SP, de outubro de 2008 a dezembro de 2013. Método: trata-se de um estudo transversal, retrospectivo e descritivo, com levantamento dos dados de prontuários dos pacientes com diagnóstico de obesidade. Resultados: total de pacientes 1386, sendo 71,7% do sexo feminino e 28,3% masculino; 8,0% crianças, 19,8% adolescentes, 63,7% adultos e 8,5% idosos que, respectivamente, têm Hipertensão Arterial Sistêmica, 0,9%, 3,6%, 49,9% e 83,9%; Diabetes Mellitus tipo 2, 0%, 0%, 19,3% e 47,5%; Dislipidemia 83,8%, 81,1%, 33,3% e 39,8%; não utilizavam medicamentos 83,3%, 69,8%, 21,4% e 5,1%; e usavam 5 ou mais medicamentos, 0%, 0%, 17,5% e 51,7%; não consumiam refrigerante, 4,5%, 6,5%,13,6% e 16,1% e consumiam diariamente 41,4%, 40,7%, 33,7% e 19,5%; não praticavam atividade física, 41,4%, 41,4%,78% e 78% e praticavam 5 a 7x/semana, 1,8%,10,2%, 8,1% e 4,2%; consumiam álcool, 0%, 5,5%, 38,8% e 23,7%; eram tabagistas, 0%, 1,1%, 11,9% e 0,8% e pararam de fumar 0%, 0%, 16,9% e 30,5%. Dos adultos 12,5% eram obesos grau I e dos idosos, 15,3% e, respectivamente, grau II, 21,3% e 20,3% e grau III, 66,2% e 64,4%. Conclusão: houve maior procura do sexo feminino pelo serviço, prevalência elevada de comorbidades e hábitos potencialmente modificáveis que podem ser relevantes tanto na prevenção quanto no tratamento da obesidade. (AU)

ABSTRACT

Objective: bring up the profile of patients diagnosed with obesity, in first care in the Ambulatory of Nutrology of Municipal Board of Ribeirão Preto (RP), from October 2008 to December of 2013. Method: this is a cross-sectional, retrospective and descriptive study based on survey data from medical records of patients diagnosed with obesity. Results: this study was conducted with 1386 patients data, 71,7% female and 28,3% male; 8% being children, 19.8% adolescents, 63.7% adults and 8.5% elderly and respectively have Systemic Arterial Hypertension, 0.9%, 3.6%, 49.9% and 83.9%; type 2 Diabetes Mellitus, 0%, 0%, 19.3% and 47.5%; Dyslipidemia, 83.8%, 81.1%, 33.3% and 39.8%; do not use any medicines, 83.3%, 69.8%, 21.4% and 5.1% and use 5 or more medicines, 0%, 0%, 17.5% and 51.7%; do not consume soft drinks, 4.5%, 6.5%, 13.6% and 16.1% and consume soft drinks on a daily basis, 41.4%, 40.7%, 33.7% and 19.5%; do not practice physical activity, 41.4%, 41.4%, 78% and 78% and practice 5-7 times a week, 1.8%, 10.2%, 8.1% and 4.2%; consume alcoholic drinks, 0%, 5.5%, 38.8% and 23.7%; are smokers, 0%, 1.1%, 11.9% and 0.8% and quit smoking, 0%, 0%, 16.9% and 30.5%. In the adult group, 12.5% are class I obese and in the elderly group, 15.3% and respectively class II, 21.3% and 20.3% and class III, 66.2% and 64.4%. Conclusion: there was a prevalence of females in demand for the medical care service, the increase of comorbidities is significant and potentially modifiable habits may be relevant both for the prevention and the treatment of Obesity (AU)