Triagem nutricional por meio da avaliação subjetiva global produzida pelo próprio paciente (ASG-PPP) em câncer ginecológico / Nutritional screening through patient-generated subjective global assessment (PG-SGA) in gynecological cancer

O câncer é considerado importante causa de morbimortalidade, estando relacionado ao comprometimento da condição nutricional, que por sua vez, repercute diretamente no manejo clínico e na qualidade de vida. Neste contexto, buscou-se identificar o estado nutricional de mulheres com câncer ginecológico e investigar a associação do estado nutricional por triagem nutricional específica com o estado nutricional pelo índice de massa corporal (IMC), faixa etária e características clínicas através de um estudo transversal, realizado nas enfermarias de ginecologia e oncologia de um hospital universitário, durante julho a dezembro de 2017. Foram avaliadas pacientes com idade ≥ 20 anos, diagnosticadas com câncer ginecológico. O estado nutricional foi identificado utilizando-se a avaliação subjetiva global produzida pelo próprio paciente (ASG-PPP) que classifica em bem nutrido, desnutrição moderada ou desnutrição grave. A altura e peso atual foram obtidos através de balança mecânica e o peso usual foi referido pelas pacientes, sendo utilizados na determinação do IMC e no percentual de peso perdido. Foram estudadas 60 mulheres, com idade média de 54,5 ± 14,17 anos, com diagnóstico predominante de câncer de útero (68,3%). O estadiamento IV foi o mais prevalente (65%), a frequência de desnutrição foi elevada (68,3%), principalmente entre as idosas (81,5%), a perda ponderal ocorreu em 60% do grupo e a necessidade de intervenção nutricional em 91,7% dos casos. Constatou-se nesta amostra de mulheres adultas e idosas, elevada frequência de desnutrição através da ASG-PPP, esses achados ressaltam a importância desta ferramenta na identificação do estado nutricional em pacientes com câncer ginecológico.

Cancer is considered an important cause of morbidity and mortality, and is related to the impairment of nutritional status, which in turn directly affects clinical management and quality-of-life. In this context, we sought to identify the nutritional status of women with gynecological cancer and to investigate the association of nutritional status by specific screening with nutritional status according to body mass index (BMI), age group, and clinical characteristics through a cross-sectional study, carried out in the gynecology and oncology wards of a university hospital, from July to December 2017. Patients aged ≥ 20 years old, diagnosed with gynecological cancer were evaluated. Nutritional status was identified using the patient-generated subjective global assessment (PG-SGA), which classifies well nourished, moderately malnourished, or severely malnourished individuals. Current height and weight were obtained using a mechanical scale and the usual weight was reported by the patients, which were used to determine the BMI and the percentage of weight lost. Sixty women were studied, with a mean age of 54.5 ± 14.17 years old, with a predominant diagnosis of uterine cancer (68.3%). Stage IV was the most prevalent (65%), the frequency of malnutrition was high (68.3%), especially among the elderly (81.5%), weight loss occurred in 60% of the group, and there was a need for intervention in 91.7% of cases. In this sample of adult and elderly women, a high frequency of malnutrition through the PG-SGA was identified. These findings highlight the importance of this tool in the identification of nutritional status in patients with gynecological cancer.

Consumption of ultraprocessed foods, nutritional status, and dyslipidemia in schoolchildren: a cohort study.

This study evaluates the relation between consumption of ultraprocessed foods, nutritional status, and dyslipidemia in schoolchildren from Recife/PE, Brazil. This is a cohort study conducted in 2008-2009 and 2012-2013, with 238 students recruited from the public school system of the city of Recife, Northeast Brazil. Demographic data, stage of sexual maturation, socioeconomic, lifestyle, anthropometric, and lipid profiles were collected. There was a high prevalence of overweight, abdominal obesity, and dyslipidemia in both the time periods. The number of teenagers sufficiently active was higher in 2012-2013. There was a positive correlation between the consumption of ultraprocessed foods and age in 2008-2009. In 2008-2009, high consumption of ultraprocessed foods occurred in the majority of adolescents with normal total serum cholesterol values. In 2012-2013, low maternal schooling proved to be an important factor for a lower consumption of ultraprocessed foods. The consumption of ultraprocessed foods showed no direct relationship with overweight, abdominal obesity, and dyslipidemia in adolescents.

Perfil nutricional e fatores associados em mulheres com diabetes gestacional / Nutritional profile and associated factors in women with gestational diabetes

Introdução: A avaliação do estado nutricional tem como objetivo analisar as medidas corporais de um indivíduo ou de uma população, com o propósito de criar uma conduta de intervenção. Objetivos: avaliar estado nutricional de portadoras de diabetes mellitus gestacional (DMG), associando com variáveis demográficas, socioeconômicas, obstétricas e clínicas. Métodos: a coleta foi realizada através de entrevistas com gestantes em ambulatório de pré-natal. Resultados: 50 mulheres, com idade de 32,8 ± 5,6 anos, no 2º (26%) e 3º terceiro trimestre (74%). A maioria eram não brancas, casadas/união estável, escolaridade superior a 9 anos, sem atividades remuneradas, renda familiar < 2 salários mínimos, multigestas e multíparas. O IMC gestacional revelou 88% de excesso de peso. Evidenciou-se TOTG elevado aos 120’ nas gestantes que realizavam tratamento para o DMG. IMC gestacional adequado associou-se positivamente com a pressão arterial diastólica e, entre os fatores de risco para o DMG, idade ≥ 25 anos teve uma frequência de 88%. Discussão: Dados da literatura com esse tipo de pacientes revelam que mulheres com DMG iniciam seu tratamento com dieta e mudanças no estilo de vida; porém, quando essas medidas falham em atingir um controle glicêmico adequado ou na presença de crescimento fetal excessivo à ultrassonografia, a insulinoterapia deve ser considerada. Conclusão: Foi detectado excesso de peso antes e durante a gestação, não sendo associado com fatores de risco para a incidência de DMG (AU)

Objective: The aim of the present study was to assess the nutritional status of women with gestational diabetes mellitus (GDM) and determine associations with demographic, socioeconomic, obstetric and clinical variables. Methods: Data collection was carried out through interviews with pregnant women in prenatal follow up. Results: The sample was made up of 50 women (mean age: 32.8 ± 5.6 years) in the second (26%) and third (74%) trimesters. Most participants were non Caucasian, married or in a stable relationship, had more than nine years of schooling, had no paid activities, had a household income of less than two times the minimum salary, had previous pregnancies and had given birth before. The gestational body mass index (BMI) revealed that 88% of the sample had excess weight. Oral glucose tolerance at 120 min was high among the women in treatment for GDM. Adequate gestational BMI was associated with diastolic blood pressure. Age ≥ 25 was a risk factor for GDM. Conclusion: While excess weight before and during pregnancy was detected in the present sample, this variable was not a risk factor for the occurrence of GDM (AU)

Intake of antioxidants in patients with rheumatoid arthritis / Consumo de antioxidantes em portadores de artrite reumatoide

Objective: to investigate dietary intake of antioxidants in patients with rheumatoid arthritis. Methods: this is a cross-sectional case series study with 53 women accompanied at the Rheumatology Outpatient Clinic, Hospital das Clínicas/UFPE, from January to October 2012. Demographic and anthropometric parameters (weight, height, body mass index, weight change) were collected by means of a form. The assessment of food consumption was conducted using a semi-quantitative food frequency survey, analyzed according to a food composition table. Database construction and statistical analysis were performed using Excel and SPSS version 18.0, using chi-squared test, Anova, and Student’s t-test, at a confidence level of 5%. Results: the sample was composed of 53 women with a mean age of 54.51 ± 4.24 years and BMI of 25.97 ± 5.94 kg/m². In the sociodemographic variables, statistically significant differences in origin, occupation, and income were observed. Daily consumption showed significance for vitamins A, C, and zinc. In adults, vitamins A and C were in accordance with recommendations, while in the elderly a low intake of vitamin E and selenium was observed. The relation between vitamin E and origin was significant. Conclusion: the sample was composed of 53 women with a mean age of 54.51 ± 4.24 years and BMI of 25.97 ± 5.94 kg/m². In the sociodemographic variables, statistically significant differences in origin, occupation, and income were observed. Daily consumption showed significance for vitamins A, C, and zinc. In adults, vitamins A and C were in accordance with recommendations, while in the elderly a low intake of vitamin E and selenium was observed. The relation between vitamin E and origin was significant. .

Objectivo: investigar o consumo alimentar de antioxidantes em pacientes portadores de artrite reumatoide. Métodos: estudo transversal do tipo série de casos com 53 mulheres acompanhadas no Ambulatório de Reumatologia do Hospital das Clínicas da Universidade Federal de Pernambuco (HC-UFPE), de janeiro a outubro de 2012. Por meio de formulário, foram coletados parâmetros sociodemográficos e antropométricos (peso, estatura, índice de massa corpórea [IMC], alteração ponderal). A avaliação do consumo alimentar foi realizada por questionário de frequência alimentar semiquantitativo, analisado por tabela de composição de alimentos. A construção do banco de dados e a análise estatística foram realizadas por Excel e SPSS versão 18.0, com aplicação de testes Qui-quadrado, Anova e t-Student, com nível de confiança de 5%. Resultados: demonstrou-se que os pacientes apresentaram baixo consumo de vitaminas A, C e zinco. Portanto, ressalta-se a importância de maior consumo de alimentos fontes em antioxidantes, a fim de contribuir para a prevenção da lesão articular e a perda da função reumática, melhorando a qualidade de vida do paciente. Conclusão: demonstrou-se que os pacientes apresentaram baixo consumo de vitaminas A, C e zinco. Portanto, ressalta-se a importância de maior consumo de alimentos fontes em antioxidantes, a fim de contribuir para a prevenção da lesão articular e a perda da função reumática, melhorando a qualidade de vida do paciente. .

Intake of antioxidants in patients with rheumatoid arthritis.

OBJECTIVE: to investigate dietary intake of antioxidants in patients with rheumatoid arthritis. METHODS: this is a cross-sectional case series study with 53 women accompanied at the Rheumatology Outpatient Clinic, Hospital das Clínicas/UFPE, from January to October 2012. Demographic and anthropometric parameters (weight, height, body mass index, weight change) were collected by means of a form. The assessment of food consumption was conducted using a semi-quantitative food frequency survey, analyzed according to a food composition table. Database construction and statistical analysis were performed using Excel and SPSS version 18.0, using chi-squared test, Anova, and Student's t-test, at a confidence level of 5%. RESULTS: the sample was composed of 53 women with a mean age of 54.51 ± 4.24 years and BMI of 25.97 ± 5.94 kg/m². In the sociodemographic variables, statistically significant differences in origin, occupation, and income were observed. Daily consumption showed significance for vitamins A, C, and zinc. In adults, vitamins A and C were in accordance with recommendations, while in the elderly a low intake of vitamin E and selenium was observed. The relation between vitamin E and origin was significant. CONCLUSION: the sample was composed of 53 women with a mean age of 54.51 ± 4.24 years and BMI of 25.97 ± 5.94 kg/m². In the sociodemographic variables, statistically significant differences in origin, occupation, and income were observed. Daily consumption showed significance for vitamins A, C, and zinc. In adults, vitamins A and C were in accordance with recommendations, while in the elderly a low intake of vitamin E and selenium was observed. The relation between vitamin E and origin was significant.