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Teodoro MA, Silva WRD, Spexoto MCB, Silva Júnior SID. Factors of food choice and nutritional intake of Brazilian older adults according sociodemographic and health characteristics. Appetite 2024; 199:107379. [PMID: 38703791 DOI: 10.1016/j.appet.2024.107379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 04/09/2024] [Accepted: 04/25/2024] [Indexed: 05/06/2024]
Abstract
The rapid demographic transition in developing countries has always posed a challenge for the social and economic policies of these nations. The increase in longevity poses new challenges for understanding dietary consumption among different age groups at the old age population. The aim of this study was to evaluate the reasons for food choice and the composition of nutritional intake of older adults and its relationship to individual characteristics. Community-living older adults aged 60 and older were interviewed in their homes at the southeastern region of Brazil, between December 2021 and February 2022. The Food Choice Questionnaire and a Food Frequency Questionnaire were administered to obtain data on the reasons for food choice and nutritional intake. A structured interview was employed to gather information on individual characteristics. 168 older adults (mean age of 72.6 ± 8.9; 69.6% women) participated. The reasons for food choice differed significantly, with weight control being one of the least important and health being one of the most important. But older adults aged 80 and over valued the health criterion less than younger participants (60-69 years old). The intake of macronutrients and energy were below nutritional recommendations. Carbohydrate consumption was positively correlated with the mood motive. There was a relationship between the reasons for choosing food and/or the components of nutritional intake with: gender, age, living with a partner, self-report of depression/anxiety, self-perception of health and nutritional status anthropometric. The results are important to be considered in prevention policies and clinical-nutritional management, with special attention to the oldest-old.
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Affiliation(s)
- Micaela Aparecida Teodoro
- Graduate Program in Nutrition and Longevity, Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Wanderson Roberto da Silva
- Graduate Program in Nutrition and Longevity, Federal University of Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil
| | - Maria Claudia Bernardes Spexoto
- Graduate Program in Food, Nutrition, and Health, Federal University of Grande Dourados (UFGD), Dourados, Mato Grosso do Sul, Brazil
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Tavares MS, de Menezes SLS, Ribeiro EDF, Orsini M, Tuza FAD, de Moura PH, Terra DV, Moreno AM. Associations between Cardiovascular Risk Factors and Timed Up and Go Test for Elderly Participants in Public Physical Activity Programs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:993. [PMID: 39200604 PMCID: PMC11354187 DOI: 10.3390/ijerph21080993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 07/12/2024] [Accepted: 07/25/2024] [Indexed: 09/02/2024]
Abstract
Variables such as body mass index (BMI), waist circumference (WC), and waist/height ratio (WHtR) are used to assess cardiovascular risks associated with abdominal obesity. The Timed Up and Go (TTUG) test assesses mobility and the risk of falls, especially in the elderly and individuals with physical limitations. The objective was to correlate anthropometric indicators of cardiovascular risk (BMI, WC, WHtR) with performance on the TTUG test in elderly people who practice physical activity. METHODS Observational, cross-sectional study, CAAE: 27116319.1.0000.8044. Active elderly participants in a public physical exercise program "Project 60 Up", promoted by the Municipal Secretariat for the Elderly of the City of Niterói, RJ, Brazil, were evaluated. Elderly people of both sexes, with independent locomotion and preserved cognitive status, were included and those with visual, hearing, severe mobility difficulties or neurological sequelae and imbalances were excluded. Anthropometric data were collected: BMI, WC, WHtR, and the TTUG test was performed. RESULTS In the sample composed of 55 elderly people of both sexes, with an average age of 68 years, the means of the variables were: body weight (67.8 ± 12.7 kg), height (157.2 ± 8.4 cm), TTUG (10.3 ± 2 s), WC (93.3 ± 10.9 cm), WHtR (0.59), and BMI (27.4 ± 4.4). The correlations were between TTUG and age (r = -0.24, p = 0.69), TTUG and BMI (r = 0.111, p = 0.426), and WC and WHtR (r = 0.885, p < 0.000). Weak correlations were observed between TTUG and BMI and WC and WHtR, indicating that factors other than BMI and abdominal fat accumulation may have a greater influence on performance on the TTUG test. In this specific context of elderly people participating in a physical activity program, the results found may have been shaped by the very nature of the interventions carried out in the program, with factors such as muscular strength, flexibility and balance preserved and acquired through the practice of regular physical exercise. Despite the benefits of physical activity, managing weight and abdominal fat remains challenging for elderly individuals with high anthropometric measurements. CONCLUSIONS Although many elderly people have anthropometric measurements above average levels, the results indicate that no negative influence on their performance on the TTUG was observed. However, the limitation of the sample size and the underrepresentation of elderly people ≥ 80 years and of men highlight the need for future studies with larger and more balanced samples to confirm these results.
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Affiliation(s)
- Marília Salete Tavares
- Exercise Physiology Laboratory, Postgraduate Program in Physical Activity Sciences, Universidade Salgado de Oliveira, Niterói 24030-060, Brazil; (S.L.S.d.M.); (E.D.F.R.)
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
| | - Sara Lucia Silveira de Menezes
- Exercise Physiology Laboratory, Postgraduate Program in Physical Activity Sciences, Universidade Salgado de Oliveira, Niterói 24030-060, Brazil; (S.L.S.d.M.); (E.D.F.R.)
- Health Sciences Center, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| | - Emanuel Davi Farias Ribeiro
- Exercise Physiology Laboratory, Postgraduate Program in Physical Activity Sciences, Universidade Salgado de Oliveira, Niterói 24030-060, Brazil; (S.L.S.d.M.); (E.D.F.R.)
| | - Marco Orsini
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
| | - Fábio Augusto d’Alegria Tuza
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
| | - Paulo Henrique de Moura
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
- Health Sciences Center, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| | | | - Adalgiza Mafra Moreno
- Exercise Physiology Laboratory, Postgraduate Program in Physical Activity Sciences, Universidade Salgado de Oliveira, Niterói 24030-060, Brazil; (S.L.S.d.M.); (E.D.F.R.)
- Health and Aging Research Group, Universidade Iguaçu, Nova Iguaçu 26275-580, Brazil; (M.O.); (F.A.d.T.); (P.H.d.M.)
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Brito RCDS, Oliveira AGRDC. Validation of self-reported measures of nutritional status: a study based on the PNS 2019. Rev Saude Publica 2024; 58:28. [PMID: 39082599 PMCID: PMC11319040 DOI: 10.11606/s1518-8787.2024058005505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 11/07/2023] [Indexed: 08/15/2024] Open
Abstract
The aim of this study was to analyze the validity of self-reported anthropometric measurements (weight and height) for classifying the nutritional status of Brazilian adults and elderly people using data from the 2019 National Health Survey (PNS). The PNS sample is made up of permanent private households from all of Brazil's federative units and this is a cross-sectional study in which 6,571 records were identified with measured and reported data, with no missing data for one variable being identified when in the presence of another. Validation was carried out with 6,381 data after removing atypical data. The variables used for stratification were: gender, age, race/color, schooling, and income, and the weighted Kappa Coefficient and the Intraclass Correlation Coefficient (ICC) were used to analyze agreement between the nutritional status categories. Accuracy was analyzed based on sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). For construct validity, a Poisson regression was performed for each outcome (measured and self-reported), with the independent variables "gender", "color/race", "schooling", and "family income". All the analyses showed positive results for validation. There was greater reproducibility among adults (18 to 59 years old) compared to the elderly and among men compared to women. This validation indicates a concrete possibility of carrying out an association of observational studies using reported nutritional status as the outcome variable, as an efficient strategy which could minimize the operational difficulties often encountered.
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Affiliation(s)
- Renatha Celiana da Silva Brito
- Universidade Federal do Rio Grande do NortePrograma de Pós-Graduação em Saúde ColetivaNatalRNBrasil Universidade Federal do Rio Grande do Norte. Programa de Pós-Graduação em Saúde Coletiva. Natal, RN, Brasil
| | - Angelo Giuseppe Roncalli da Costa Oliveira
- Universidade Federal do Rio Grande do NorteDepartamento de OdontologiaNatalRNBrasil Universidade Federal do Rio Grande do Norte. Departamento de Odontologia. Natal, RN, Brasil
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Barros-Neto JA, Mello CS, Vasconcelos SML, Bádue GS, Ferreira RC, Andrade MISD, Nascimento CQD, Macena MDL, Silva JAD, Clemente HA, Petribu MDMV, Dourado KF, Pinho CPS, Vieira RAL, Mello LBD, Neves MBD, Jesus CAD, Santos TMPD, Soares BLDM, Medeiros LDB, França APD, Sales ALDCC, Furtado EVH, Oliveira AC, Farias FO, Freitas MC, Bueno NB. ASSOCIATION BETWEEN UNDERWEIGHT AND EXCESS BODY WEIGHT BEFORE SARS-COV-2 INFECTION AND CLINICAL OUTCOMES OF COVID-19: MULTICENTER STUDY. Nutrition 2022; 101:111677. [PMID: 35660497 PMCID: PMC8975608 DOI: 10.1016/j.nut.2022.111677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 03/23/2022] [Accepted: 03/29/2022] [Indexed: 11/29/2022]
Abstract
Objectives The present study aimed to identify associations between extremes in body weight status (underweight and excess body weight) before a COVID-19 diagnosis and clinical outcomes in patients infected with SARS coronavirus type 2. Methods A multicenter cohort study was conducted in eight different states in northeastern Brazil. Demographic, clinical (previous diagnosis of comorbidities), and anthropometric (self-reported weight and height) data about individuals who tested positive for COVID-19 were collected. Outcomes included hospitalization, mechanical ventilation, and death. Multivariable logistic regression models, adjusted based on age, sex and previous comorbidities, were used to assess the effects of extremes in body weight status on clinical outcomes. Results A total of 1308 individuals were assessed (33.6% were elderly individuals). The univariable analyses showed that only hospitalization was more often observed among underweight (3.2% versus 1.2%) and overweight (68.1% versus 63.3%) individuals. In turn, cardiovascular diseases were more often observed in all clinical outcomes (hospitalization: 19.7% versus 4.8%; mechanical ventilation: 19.9% versus 13.5%; death: 21.8% versus 14.1%). Based on the multivariable analysis, body weight status was not associated with risk of hospitalization (underweight: odds ratio [OR]: 1.10; 95% confidence interval [CI] 95%, 0.50–2.41 and excess body weight: OR: 0.81; 95 CI, 0.57–1.14), mechanical ventilation (underweight: OR: 0.92; 95% CI, 0.52–1.62 and excess weight: OR: 0.90; 95% CI, 0.67–1.19), and death (underweight: OR: 0.61; 95% CI, 0.31–1.20 and excess body weight: OR 0.88; 95% CI, 0.63–1.23). Conclusions Being underweight and excess body weight were not independently associated with clinical outcomes in patients with COVID-19 in the herein analyzed cohort. This finding indicates that the association between these variables may be confounded by both age and comorbidities.
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Affiliation(s)
| | | | | | | | - Raphaela Costa Ferreira
- Faculdade de Nutrição, Universidade Federal de Alagoas, Maceió, Alagoas, Brazil; Curso de Nutrição, Centro Universitário Tiradentes, Maceió, Alagoas, Brazil
| | | | | | | | - José Adailton da Silva
- Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - Heleni Aires Clemente
- Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | | | - Keila Fernandes Dourado
- Centro Acadêmico de Vitória, Universidade Federal de Pernambuco, Vitória de Santo Antão, Pernambuco, Brazil
| | | | | | | | | | | | | | | | - Larissa de Brito Medeiros
- Faculdade de Santa Maria de Cajazeiras, Cajazeiras, Paraíba, Brazil; Facudade de Integração do Sertão, Serra Talhada, Pernambuco, Brazil
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Botelho LV, Lourenço AEP, Monteiro LS, Oliveira RBDA. Analysis of anthropometric indicators used in the nutritional assessment of active elderly in the city of Macaé, Rio de Janeiro, Brazil. ABCS HEALTH SCIENCES 2021. [DOI: 10.7322/abcshs.2020072.1525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Introduction: Body composition changes related to aging alter the capacity of predicting risk through anthropometric parameters. Objective: To discuss methodological aspects of anthropometry in active elderly based on associations between Body Mass Index (BMI) and other nutritional indicators. Methods: Cross-sectional study with active elderly from Macaé, Rio de Janeiro, Brazil (2014/2015). Nutritional status was described according to the BMI (Nutritional Screening Initiative, 1994). Linear regression analysis was performed: the outcome variable was BMI and the dependent ones were circumferences of waist, hip, neck, calf, arm and waist-to-hip ratio (WHR). Results: We assessed 173 people (55.5% female; median 71 years old). Calf and neck circumferences and WHR presented low R2 value. Among women, hip (R2=0.825) and waist circumferences (R2=0.729) individually explained much of the variation in BMI; and among men, waist (R2=0.759) and arm circumferences (R2=0.741) performed better. The cut-off points for waist circumference corresponding to the critical BMI value (27 kg/m2) were 87.9 and 96.8 cm, respectively for women and men. In multiple analysis, the association of waist, hip and arm circumferences with BMI remained significant. Conclusion: Circumferences traditionally used to assess adults had higher linear association with BMI than specific indicators for elderly people. The body composition of active elderly can be more similar to adults’ than that of elderly with other profiles. The waist circumference cut-off points established for adults may not be suitable for elderly populations. We suggest testing the cut-off points obtained by this study on other groups of active elderly.
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Pinto VL, Fustinoni SM, Nazário ACP, Facina G, Elias S. Prevalence of xerostomia in women during breast cancer chemotherapy. Rev Bras Enferm 2021; 73:e20190785. [PMID: 32965427 DOI: 10.1590/0034-7167-2019-0785] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Accepted: 05/21/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To identify the prevalence of xerostomia in women undergoing chemotherapy for breast cancer. METHOD Prospective cohort with 27 women who underwent up to 16 sessions of intravenous chemotherapy. Data collection was performed at the outpatient clinic of a university hospital in the city of São Paulo, where two forms were applied before the start of treatment and the Xerostomia Inventory before and after each chemotherapy session. RESULTS Complaints of dry mouth were present in 48.1% of women before chemotherapy, and they were approximately 28 times more likely to develop dry mouth during treatment. It was observed that the use of antiemetics contributed to the occurrence of xerostomia, and the anti-ulcerous were presented as a protective factor. CONCLUSION The study identified both a high prevalence of xerostomia regardless of the chemotherapy used and the need to create protocols to improve the quality of life of these patients.
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Affiliation(s)
| | | | | | - Gil Facina
- Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil
| | - Simone Elias
- Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil
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Santos Júnior GM, Geraldes AAR, Oliveira DWLD, Pereira PMG, Albuquerque RBD. Validation of anthropometric equations for predicting body mass and height in older women. REVISTA BRASILEIRA DE CINEANTROPOMETRIA E DESEMPENHO HUMANO 2021. [DOI: 10.1590/1980-0037.2021v23e77985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract To investigate the cross-validity of two equations widely used in national research to predict body mass and height in older Brazilians. Additionally, the importance of possible differences between observed and predicted BMI will be investigated with the help of equations. BM and HEI were measured using mechanical scales and portable stadiometers in a sample of 200 older women (66.6 ± 5.43 years) living in Maceió / AL - Brazil. To verify the validity of equations, the following variables were used: Student's t-test, constant error (CE), total error (TE) and standard error of estimation (SEE). To verify agreement between actual and predicted values, the Bland-Altman test was used. The comparison between BM and HEI values obtained through equations and those verified in measurements showed statistically significant differences (p <0.05). CE between predicted and measured values, TE of tested equations, as well as SEE for the prediction of variables: BM (1.66; 0.11 and 6.33), HEI (-0.02; 0.02 and 0.10) and BMI (1.47; 0.10 and 3.24) allowed determining relative values very close to actual ones (2.6%, 1.31% and 5.3% for BM, HEI and BMI respectively); however, values were not statistically significant. The equations analyzed should not be used in a general way for the population of older Brazilian women with characteristics similar to those analyzed in this study. Therefore, further studies should be carried out with the objective of constructing specific equations for the population of older women and hospitalized patients, especially the most fragile ones.
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Silva DFO, Lima SCVC, Sena-Evangelista KCM, Marchioni DM, Cobucci RN, de Andrade FB. Nutritional Risk Screening Tools for Older Adults with COVID-19: A Systematic Review. Nutrients 2020; 12:E2956. [PMID: 32992538 PMCID: PMC7599513 DOI: 10.3390/nu12102956] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 09/23/2020] [Accepted: 09/24/2020] [Indexed: 12/17/2022] Open
Abstract
Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in older people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature was searched in the MEDLINE, Embase, and LILACS databases. Four studies conducted in China met the eligibility criteria. Sample sizes ranged from six to 182, and participants' ages from 65 to 87 years. Seven nutritional screening and assessment tools were used: the Nutritional Risk Screening 2002 (NRS-2002), the Mini Nutritional Assessment (MNA), the MNA-short form (MNA-sf), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Index (NRI), the Geriatric NRI (GNRI), and modified Nutrition Risk in the Critically ill (mNUTRIC) score. Nutritional risk was identified in 27.5% to 100% of participants. The NRS-2002, MNA, MNA-sf, NRI, and MUST demonstrated high sensitivity; the MUST had better specificity. The MNA and MUST demonstrated better criterion validity. The MNA-sf demonstrated better predictive validity for poor appetite and weight loss; the NRS-2002 demonstrated better predictive validity for prolonged hospitalization. mNUTRIC score demonstrated good predictive validity for hospital mortality. Most instruments demonstrate high sensitivity for identifying nutritional risk, but none are acknowledged as the best for nutritional screening in older adults with COVID-19.
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Affiliation(s)
| | | | | | - Dirce Maria Marchioni
- Department of Nutrition, School of Public Health, University of São Paulo—USP, São Paulo 05410-020, Brazil;
| | - Ricardo Ney Cobucci
- Postgraduate Program in Biotechnology, Potiguar University—UnP, Natal 59056-000, Brazil;
| | - Fábia Barbosa de Andrade
- Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte—UFRN, Natal 59056-000, Brazil
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Supply of enteral diets in the Espirito Santo state public health system in Brazil. NUTR HOSP 2020; 38:23-28. [PMID: 33319571 DOI: 10.20960/nh.03257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Introduction Background: Brazil includes food as a social right, making the State responsible to the courts for the sufficient and adequate supply of enteral food. Objectives: to evaluate the supply of enteral diets in pharmacies in the state of Espirito Santo. Methods: to do this, we used the forms filled out by patients or legal representatives, containing medical records, to analyze the nutritional and social profiles of the users over two years, and the compliance of the administrative processes with the ordinance that instituted enteral food supplies was verified. Results: the sample was comprised of 204 patients receiving enteral nutrition, and the administrative procedures required to supply these patients were surveyed in seven (7/9) pharmacies. The data showed that the most common group was that of women (51 %), who were white (51 %), legally represented (91 %), and 73.5 years old (11 to 109 years). Information regarding missing anthropometric data, use of terms and calculations for obtaining enteral food other than those recommended, incomplete documents, alterations to the physical examinations suggestive of error, and nonobservance of inclusion and exclusion criteria were collected for this study. Conclusions: this study revealed that there were gaps in the process of enteral diet supply by the Espírito Santo pharmacies, both concerning compliance with the protocol and patient follow-up by the professional who assists both the patient and the pharmacist who provides the input.
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Saintrain MVDL, Sandrin RLESP, Bezerra CB, Lima AOP, Nobre MA, Braga DRA. Nutritional assessment of older adults with diabetes mellitus. Diabetes Res Clin Pract 2019; 155:107819. [PMID: 31425770 DOI: 10.1016/j.diabres.2019.107819] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Accepted: 08/14/2019] [Indexed: 01/12/2023]
Abstract
AIMS We aimed to screen the nutritional status of older adults with diabetes mellitus, seeking to outline the needs of this population group considering their socioeconomic status. METHODS Cross-sectional study of 246 diabetic people aged 65-94 years in Northeastern Brazil. Semi-structured questionnaires were used to collect sociodemographic, general health and lifestyle data. The Mini Nutritional Assessment was used to screen nutritional status. RESULTS Participants' mean age was 73 ± 6.4 years, and there was a predominance of women (56.5%). The mean duration of diabetes was 14.1 years (±9.6 years). Patients aged 80 years or older presented a 3.7-fold higher risk of malnutrition (p < 0.001), and those who were uneducated exhibited a 5.8-fold higher risk of malnutrition (p = 0.040). Patients with BMI of 18.6-24.9 km/m2 presented a 2.2-fold higher risk of malnutrition than overweight or obese patients (p < 0.001). Nutritional status was significantly associated with coronary artery disease (p = 0.010) and stroke (p < 0.001). Malnourished patients exhibited a 2.2-fold higher occurrence of infection in the past 6 months (p = 0.017) and 2-fold higher occurrence of foot injuries (p = 0.028) than their well-nourished peers. CONCLUSION Malnutrition in older diabetic patients exacerbates underlying diseases and contributes to unfavorable prognosis, particularly in the oldest old and in individuals with low levels of education.
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Affiliation(s)
- Maria Vieira de Lima Saintrain
- Public Health Graduation Program, University of Fortaleza - Unifor, Av. Washington Soares, 1321, Edson Queiroz, CEP 60.811-905, Fortaleza, Ceará, Brazil.
| | | | - Carina Bandeira Bezerra
- School of Medicine, University of Fortaleza - Unifor, Av. Washington Soares, 1321, Edson Queiroz, CEP 60.811-905, Fortaleza, Ceará, Brazil
| | - Ana Ofélia Portela Lima
- Public Health Graduation Program, University of Fortaleza - Unifor, Av. Washington Soares, 1321, Edson Queiroz, CEP 60.811-905, Fortaleza, Ceará, Brazil
| | - Marina Arrais Nobre
- School of Medicine, University of Fortaleza - Unifor, Av. Washington Soares, 1321, Edson Queiroz, CEP 60.811-905, Fortaleza, Ceará, Brazil
| | - Débora Rosana Alves Braga
- School of Dentistry, University of Fortaleza - Unifor, Av. Washington Soares, 1321, Edson Queiroz, CEP 60.811-905, Fortaleza, Ceará, Brazil
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Sant’Anna BC, Lage GMDC, Dores SMCD, Velarde LGC, Barroso SG, Rocha GDS. Agreement among methods for study estimation of elderly height at the nutrition ambulatory. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2018. [DOI: 10.1590/1981-22562018021.180114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Objective: to evaluate methods of elderly height estimation attended at the Nutrition ambulatory. Method: a total of 43 elderly individuals of both genders were evaluated during nutrition consultations. Sociodemographic data were collected from charts and height, knee height, arms wingspan and semi-span were measured. Statistical analysis were made through Bland-Altman test to evaluate concordance among statures estimated by predictive formulas and the height measured. Results: the values found were: height measured in meters 1.53 (±0.08), height estimated by the wingspan 1.60 (±0.10), by the semi-span 1.61 (±0.11) and by the knee height 1.56 (±0.10). According to the Bland-Altman graph, the height estimated by knee height showed a better agreement with the measured height. Conclusion: according to this study results, poor predictive formulas concordance in height estimation in elderly, using the measures: arms wingspan and semi-span with real stature measured were observed. Knee height, using Chumlea formula, presented the best concordance with measured stature and seems to be a good way for stature estimation at the studied population.
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Poier PH, Godke F, Foggiatto JA, Ulbricht L. Development and evaluation of low-cost walker with trunk support for senior citizen. Rev Esc Enferm USP 2017; 51:e03252. [PMID: 29019531 DOI: 10.1590/s1980-220x2016020103252] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 04/24/2017] [Indexed: 12/26/2022] Open
Abstract
OBJECTIVE Develop and evaluate a low-cost walker with trunk support for senior citizens. METHOD Two-stage descriptive study: development of a walker with trunk support and evaluation with fourth age senior citizens. RESULTS Twenty-three fourth age senior citizens were selected. The evaluated criteria were the immediate influence of the walker on the static stabilometry with baropodometer and the evaluation of gait with accelerometers monitoring time and amplitude of the hip movement. There was a significant decrease in the body oscillation of senior citizens with the use of the developed walker, and there were changes in the joint amplitudes of the hip, but they were not significant. CONCLUSION Using low-cost materials, it was possible to develop and equipment that met resistance and effectiveness requirements. The walker interfered in the balance of the senior citizens, reducing significantly the static body oscillation.
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Affiliation(s)
- Paloma Hohmann Poier
- Universidade Tecnológica Federal do Paraná, Programa de Pós Graduação em Engenharia Mecânica e de Materiais, Curitiba, PR, Brazil
| | - Francisco Godke
- Universidade Tecnológica Federal do Paraná, Departamento de Mecânica, Curitiba, PR, Brazil
| | - José Aguiomar Foggiatto
- Universidade Tecnológica Federal do Paraná, Programa de Pós Graduação em Engenharia Mecânica e de Materiais, Curitiba, PR, Brazil
| | - Leandra Ulbricht
- Universidade Tecnológica Federal do Paraná, Programa de Pós-Graduação em Engenharia Biomédica, Curitiba, PR, Brazil
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CLOSS VE, FEOLI AMP, SCHWANKE CHA. Altura do joelho como medida alternativa confiável na avaliação nutricional de idosos. REV NUTR 2015. [DOI: 10.1590/1415-52732015000500002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Objetivo:Avaliar o uso da altura do joelho como medida alternativa confiável na avaliação nutricional de idosos atendidos em um ambulatório de geriatria.Métodos:Estudo transversal com idosos atendidos em ambulatório de geriatria de um hospital universitário, entre novembro de 2009 e novembro de 2010. Variáveis investigadas: gênero, idade, peso, estatura, altura do joelho, estatura estimada através das equações de Chumlea, índice de massa corporal para as medidas de estatura aferida e estimada e classificado segundo Lipschitz, e dados sociodemográficos. Na análise descritiva dos dados foram usadas medidas de tendência central, dispersão e proporção; a homogeneidade entre as medidas foi verificada através do coeficiente de correlação intraclasse e do gráfico de Bland e Altman e a concordância entre a avaliação nutricional baseada no índice de massa corporal calculado a partir da estatura aferida e a avaliação nutricional baseada no índice de massa corporal calculado a partir da estatura estimada foi avaliada através do coeficiente Kappa ponderado com pesos quadráticos.Resultados:Foram avaliados 186 idosos com média de idade de 74,3±7,1 anos. A média do índice de massa corporal aferido e estimado foi 28,96±5,86 kg/m2e 27,95±5,47 kg/m2, respectivamente, e a prevalência de sobrepeso foi de 59,7% para o índice de massa corporal aferido e 53,2% para o estimado. Foi observada uma boa concordância (Kappa=0,79; p<0,001) entre as duas avaliações.Conclusão:Os resultados mostraram ser possível utilizar a altura do joelho na estimativa da estatura para cálculo do índice de massa corporal em idosos atendidos em ambulatório, alternativa útil para aqueles que apresentam limitações na aferição das medidas, sendo esta uma medida alternativa importante na avaliação nutricional de idosos.
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