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Avaliação nutricional do recém-nascido: limitações dos métodos atuais e novas perspectivas; Nutritional assessment of newborn infants: current method limitations and new perspectives

BROCK, Romy Schmidt; FALCÃO, Mário Cícero
Fonte: Sociedade de Pediatria de São Paulo Publicador: Sociedade de Pediatria de São Paulo
Tipo: Artigo de Revista Científica
Português
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56.35%
OBJETIVO: Revisar a literatura sobre as abordagens na avaliação nutricional do recém-nascido. FONTES DE DADOS: Levantamento das publicações sobre avaliação nutricional de recém-nascidos indexadas no Medline, SciELO e Lilacs nos últimos dez anos, utilizando os descritores "antropometria" e "avaliação nutricional". SÍNTESE DOS DADOS: A avaliação nutricional do recém-nascido é importante tanto para classificação e diagnóstico de alterações do crescimento intra-uterino, quanto para posterior acompanhamento nutricional e de crescimento. Esta avaliação compreende parâmetros antropométricos, bioquímicos e de composição corpórea. Devido à limitação de métodos laboratoriais e de composição corpórea, a avaliação nutricional do recém-nascido continua sendo baseada em parâmetros antropométricos, como peso, comprimento, perímetros cefálico e braquial e dobras cutâneas. Além dos parâmetros antropométricos, as relações antropométricas são úteis para descrever proporcionalidades corpóreas. Dentre tais relações, destacam-se: razão entre perímetros braquial e cefálico e índice ponderal. O índice de massa corpórea (IMC), bastante utilizado em crianças e adultos como indicador de proporcionalidade do crescimento...

Avaliação nutricional do cardiopata crítico em terapia de substituição renal: dificuldade diagnóstica; Nutritional assessment of the critically ill patients with cardiac disease under renal replacement therapy: diagnostic difficulty

JARDIM, Maria das Neves; COSTA, Helenice Moreira da; KOPEL, Liliane; LAGE, Silvia Gelás
Fonte: Associação de Medicina Intensiva Brasileira - AMIB Publicador: Associação de Medicina Intensiva Brasileira - AMIB
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
66.28%
OBJETIVO: Realizar avaliação nutricional em pacientes cardiopatas críticos que necessitem de terapia de substituição renal. MÉTODOS: Pacientes cardiopatas críticos, internados em unidade de terapia intensiva, que apresentavam insuficiência renal com indicação de terapia de substituição renal foram submetidos à avaliação nutricional com a utilização de medidas antropométricas e análise laboratorial. RESULTADOS: Foram avaliados 43 pacientes, com idade de 64±15 anos, 26 do sexo masculino. A média da fração de ejeção do ventrículo esquerdo foi de 0,36±0,16. Avaliação do estado nutricional com base no índice de massa corpórea revelou 18 pacientes eutróficos, 6 pacientes com baixo peso, 19 pacientes com sobrepeso ou obesidade. Baseado na medida da prega cutânea tricipital, 16 pacientes eram eutróficos, 27 pacientes apresentaram algum grau de depleção e, com base na circunferência do braço e na circunferência muscular do braço, 41 pacientes apresentaram algum grau de depleção. Dados laboratoriais evidenciaram depleção grave baseado na albumina em 28 pacientes e 27 pacientes tinham depleção grave de acordo com a contagem de linfócitos. CONCLUSÃO: A desnutrição é comum em pacientes cardiopatas críticos em terapia de substituição renal. Avaliação nutricional baseada no índice de massa corpórea não revelou ser bom método para diagnóstico de distúrbios nutricionais nesta população. Há necessidade de complementar a avaliação nutricional para identificação de desnutrição e possibilitar introdução precoce de suporte nutricional adequado.; OBJECTIVE: Evaluate the nutritional status of patients with cardiac disease and concomitant renal dysfunction requiring renal replacement therapy. METHODS: Patients with cardiac disease and renal failure receiving renal replacement therapy...

Challenges of nutritional assessment in pediatric ICU

FEFERBAUM, Rubens; DELGADO, Artur F.; ZAMBERLAN, Patricia; LEONE, Claudio
Fonte: LIPPINCOTT WILLIAMS & WILKINS Publicador: LIPPINCOTT WILLIAMS & WILKINS
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
66.38%
Purpose of review The nutritional assessment of children in the pediatric ICU is unique in view of the metabolic changes of the underlying disease. This review addresses the use and limitations of anthropometry and laboratorial and body composition markers in the diagnosis of the nutritional status of such patients. Recent findings The presence of inflammatory activity leads to body composition changes (lean mass reduction) and undernutrition. Nutritional assessment in pediatric ICU must prioritize anthropometric and laboratory markers that can differentiate body composition to detect specific macronutrient and micronutrient deficiencies and assessment of the inflammatory activity. Summary Nutritional assessment is one of the main aspects of the pediatric intensive care patient and is the most important tool to avoid hospital undernutrition. There is currently no gold standard for nutritional assessment in the pediatric ICU. The results of anthropometric and laboratory markers must be jointly analyzed, but individually interpreted according to disease and metabolic changes, in order to reach a correct diagnosis of the nutritional status and to plan and monitor the nutritional treatment.

Use of the mini nutritional assessment tool in elderly people from long-term institutions of southeast of Brazil

FERREIRA, L. S.; NASCIMENTO, L. F. C.; MARUCCI, M. F. N.
Fonte: SERDI EDITION Publicador: SERDI EDITION
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
66.28%
Background: the Mini Nutritional Assessment (MNA) is a multidimensional method of nutritional evaluation that allows the diagnosis of malnutrition and risk of malnutrition in elderly people, it is important to mention that this method has not been well studied in Brazil. Objective: to verify the use of the MNA in elderly people that has been living in long term institutions for elderly people. Design: transversal study. Participants: 89 people (>= 60 years), being 64.0% men. The average of age for both genders was 73.7 +/- 9.1 years old, being 72.8 +/- 8.9 years old for men, and 75.3 +/- 9.3 years old for women. Setting: long-term institutions for elderly people located in the Southeast of Brazil. Methods: it was calculated the sensibility, specificity, and positive and negative predictive values. It was data to set up a ROC curve to verify the accuracy of the MNA. The variable used as a ""standard"" for the nutritional diagnosis of the elderly people was the corrected arm muscle area because it is able to provide information or an estimative of the muscle reserve of a person being considered a good indicator of malnutrition in elderly people. Results: the sensibility was 84.0%, the specificity was 36.0%, the positive predictive value was 77.0%...

Avaliação nutricional de pacientes portadores de insuficiência cardíaca no período pré-transplante cardíaco; Nutritional assessment of heart failure patients after listing for cardiac transplantation

Costa, Helenice Moreira da
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 10/09/2008 Português
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A desnutrição freqüentemente está presente em pacientes com insuficiência cardíaca (IC), podendo trazer aumento de complicações e mortalidade. O objetivo do estudo foi o de avaliar o estado nutricional de pacientes portadores de IC refratária, aguardando a realização de transplante cardíaco. Avaliação nutricional foi realizada utilizando-se da avaliação subjetiva global, avaliação antropométrica completa [índice de massa corpórea (IMC), circunferência do braço (CB), prega cutânea tricipital (PCT), circunferência muscular do braço (CMB) e área gordurosa do braço (AGB)], avaliação laboratorial e realização de anamnese alimentar em dois momentos: no momento de admissão na fila de transplante (1a avaliação) e 4 meses após (2a avaliação). Na 1ª avaliação foram estudados 56 pacientes, idade média de 46±12 anos, 67,8% homens, 33,9% com miocardiopatia chagásica. Análise de dados antropométricos revelou com base no IMC: 73,2% eutróficos e 5,3% com baixo peso; CMB: 66% apresentavam depleção. Houve correlação negativa e significativa entre IMC e fator de necrose tumoral (r= - 0,305; p= 0,022). Análise laboratorial demonstrou: baseado na albumina, 50% dos pacientes apresentavam-se com algum grau de depleção...

O uso de indicadores antropométricos na avaliação nutricional seqüencial de crianças e adolescentes gravemente doentes internados em uma unidade de terapia intensiva; The use of anthropometric indicators in the nutritional sequential assessment of critically ill children and adolescents admitted to an intensive care unit

Santos, Patricia Zamberlan dos
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 15/09/2009 Português
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Apesar dos avanços tecnológicos, a subnutrição ainda permanece muito prevalente nas unidades de terapia intensiva pediátrica (UTIP). Crianças gravemente doentes apresentam maior risco nutricional devido às modificações no metabolismo intermediário, ocasionadas pelo estresse, e que se caracterizam por aumento da taxa metabólica basal e intenso catabolismo protéico. Estudos mostram que uma intervenção precoce, indicada com base em avaliação nutricional, pode prevenir a subnutrição, bem como, minimizar suas complicações. A avaliação nutricional antropométrica (ANA) de crianças e adolescentes em estado grave é particularmente difícil, e a discussão sobre a sua efetividade torna importante um estudo sobre a utilização de indicadores antropométricos nestes pacientes. Foi realizado um estudo prospectivo para classificar lactentes, pré-escolares, escolares e adolescentes segundo o seu estado nutricional à admissão e durante a internação em UTIP de nível de atendimento terciário, por intermédio de indicadores antropométricos. Foram avaliados 256 pacientes no período de janeiro de 2005 a janeiro de 2006, admitidos na UTIP do Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. A ANA foi realizada nas primeiras 24 horas de admissão e repetida semanalmente até a alta da UTIP e contemplou peso (P)...

Desempenho de testes de rastreamento e avaliação nutricional como preditores de desfechos clínicos negativos em pacientes hospitalizados; Screening and nutritional assessment tests performance as negative clinical outcomes predictors in hospitalized patients

Barbosa, Mariana Raslan Paes
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 10/05/2010 Português
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INTRODUÇÃO: O diagnóstico do estado nutricional por rastreamento e avaliação nutricional permite detectar desnutrição e se associa com desfechos clínicos negativos em pacientes adultos hospitalizados. OBJETIVO: Identificar o teste mais adequado para avaliação de risco e estado nutricional em relação a desfechos clínicos negativos em pacientes adultos hospitalizados; e investigar a complementaridade existente entre os testes de rastreamento (NRS 2002) e avaliação nutricional (SGA). MÉTODOS: Estudo prospectivo, sequencial, não intervencionista, realizado em 705 pacientes adultos de ambos os sexos, de distintas enfermarias, no Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Em até 48 horas da admissão aplicou-se em todos os pacientes quatro testes de rastreamento e avaliação nutricional (NRS 2002: Triagem de Risco Nutricional 2002, MUST: Triagem Universal de Risco Nutricional, MNA-SF: Mini Avaliação Nutricional Reduzida, e SGA: Avaliação Subjetiva Global). Os pacientes foram seguidos até o desfecho final, obtendo-se as intercorrências clínicas de complicações, tempo de internação prolongado e mortalidade. Analisou-se o desempenho de todos os testes por curvas ROC (Receiver Operating Characteristic Curve) e razão de verossimilhança (LR). Verificou-se a complementaridade entre NRS 2002 e SGA por regressão logística e o número necessário de pacientes a avaliar para encontrar um desfecho negativo (NNS). RESULTADOS: NRS 2002 detectou 27...

Estado nutricional de idosos em um hospital público de Rio Branco, Acre, 2006-2007; Nutritional status of elderly in a public hospital in Rio Branco, Acre, 2006-2007

Camêlo, André Alves
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 03/05/2010 Português
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56.39%
Introdução: Apesar de haver sido relatada grande variação da prevalência de desnutrição na admissão hospitalar, observa-se consenso ao afirmar que a prevalência aumenta e sua intensidade se agrava quanto maior o tempo de internação. Ao mesmo tempo, as desordens nutricionais estão diretamente implicadas com aumento da morbi-mortalidade, sendo escassos os estudos sobre estado nutricional em pacientes hospitalizados na região norte do Brasil. Objetivos: Descrever o estado nutricional dos idosos internados em hospital geral em Rio Branco, Acre através da Mini Avaliação Nutricional (MAN) e verificar a associação entre o estado nutricional e as características sociodemográficas, de saúde e estilo de vida dos idosos. Métodos: O presente estudo é um recorte de um estudo transversal de base institucional, realizado em hospital de nível terciário da região Amazônica em que foram estudados 318 idosos na primeira admissão nesse hospital, no período de janeiro de 2006 a julho de 2007. Resultados: A prevalência de risco para desnutrição foi de 33 por cento e de desnutrição, 21 por cento. Ser casado evidenciou em proteção para o idoso ter boas condições nutricionais, como também, maior escolaridade e fontes de ingresso. Enquanto que hipertensão...

Triagem nutricional em adultos hospitalizados; Nutritional screening in inpatients

Beghetto, Mariur Gomes; Manna, Bibiana Borges; Candal, Andréia; Mello, Elza Daniel de; Polanczyk, Carisi Anne
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
Português
Relevância na Pesquisa
56.41%
Em hospitais, o objetivo de um procedimento de triagem nutricional é identificar indivíduos desnutridos ou em risco de desnutrição, possibilitando intervenção nutricional precoce e melhor alocação de recursos. Diferentes métodos são apresentados na literatura para esta finalidade: Malnutrition Screening Tool, Short Nutritional Assessment Questionnaire, Nutritional Risk Index, Nutrition Risk Score, Nutritional Risk Screening, Mini Nutritional Assessment, Malnutrition Universal Screening Tool, Nutritional Screening Tool, Nutritional Screening Equation. No entanto, o emprego de muitos destes instrumentos está limitado pela inadequada metodologia empregada na derivação e/ou validação, pela seleção de grupos específicos de pacientes, pela pouca praticidade ou por necessidade de um especialista para seu emprego. Na ausência de um padrão de referência para emitir o diagnóstico nutricional, desfechos clínicos relevantes devem balizar a derivação e a validação de novos instrumentos. Este trabalho descreve os instrumentos de triagem nutricional acima referidos e apresenta considerações quanto ao seu emprego para adultos hospitalizados não selecionados.; In hospitals, the aim of a nutritional screening procedure is to identify malnourished individuals or those at risk of malnutrition...

Food intake and nutritional status of hospitalised older people

De Oliveira, Maria Rita Marques; Leandro-Merhi, Vânia Aparecida
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 196-200
Português
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Background and aims. Disease is influenced by the nutritional status of the individual. We have assessed the relationship between nutritional status and food intake among recently hospitalised older people. Methods. A cross-sectional study was undertaken with 240 older people in a hospital that provides care for the public and private healthcare systems. Nutritional status was classified by the MNA (Mini Nutritional Assessment) into: malnourished, risk of malnutrition and without malnutrition. Food intake was estimated by the reported food intake during a typical day. The Kruskal-Wallis test was used to compare the medians and the correlation coefficient of Spearman to verify the relationship between the consumption of energy, protein and vitamin C and MNA scores. Results. 33.8% were classified as adequate regarding nutritional status; 37.1% were classified as being at risk of malnutrition and 29.1% were classified as malnourished. The malnourished individuals reported significantly less energy and nutrient intake than those at risk of malnutrition or those without malnutrition (P=0.001). Not all nutrient intake, just some (iron, cholesterol and fibre), were lower in malnourished people. Conclusions and implications for practice. Deterioration of the nutritional status of older people is accompanied by a reduction in energy and some nutrient intake. The investigation of food intake in older people could provide important information about nutritional risk. © 2010 Blackwell Publishing Ltd.

Nutritional assessment in patients with cirrhosis

Fernandes,Sabrina Alves; Bassani,Lilian; Nunes,Flávia Feijó; Aydos,Maria Eugênia Deutrich; Alves,Alexandro Vaesken; Marroni,Cláudio Augusto
Fonte: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE ; Colégio Brasileiro de Cirurgia Digestiva - CBCD ; Sociedade Brasileira de Motilidade Digestiva - SBMD ; Federação Brasileira de Gastroenterologia - FBG; Sociedade Brasileira de Hepatologia - SBH; Sociedade Brasileira de Endoscopia Digestiva - SOBED Publicador: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE ; Colégio Brasileiro de Cirurgia Digestiva - CBCD ; Sociedade Brasileira de Motilidade Digestiva - SBMD ; Federação Brasileira de Gastroenterologia - FBG; Sociedade Brasileira de Hepatologia - SBH; Sociedade Brasileira de Endoscopia Digestiva - SOBED
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2012 Português
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56.33%
CONTEXT: Malnutrition in cirrhotic patients with end-stage disease is common, and the degree of nutritional debilitation can play an important role in the pathogenesis of complications and cause a negative impact on prognosis. However, it involves difficulties and controversies regarding the identification of the best nutritional assessment method. OBJECTIVE: To identify a method that provides a safe and effective nutritional diagnosis. METHODS: Cross-sectional study with 129 cirrhotic patients. Anthropometric measurements, subjective global assessment, hand grip strength and bioelectrical impedance. RESULTS: Through phase angle of bioelectrical impedance analysis (BIA) method, significant associations with Child-Pugh (P = 0.008), age group and gender were observed. The ROC (receiver operator characteristic) curve was generated to determine the best cutoff point of the phase angle of cirrhotic patients, serving as one of the reference parameters for the nutritional assessment with bioimpedance in this study, considering the classification through Child-Pugh score as the reference standard for the clinical conditions of patients with cirrhosis. CONCLUSIONS: The assessment through bioelectrical impedance presented a statistically significant correlation with Child-Pugh score. The identification of phase angle of 5.44º is the new parameter suggested for the classification of the nutritional conditions of cirrhotic patients.

Nutritional assessment and hand grip strength of candidates for surgery of the gastrointestinal tract

SILVEIRA,Thalita Morgana Guimarães; SOUSA,Juliana Barbosa de; STRINGHINI,Maria Luiza Ferreira; FREITAS,Ana Tereza Vaz de Souza; MELO,Paulla Guimarães
Fonte: Colégio Brasileiro de Cirurgia Digestiva Publicador: Colégio Brasileiro de Cirurgia Digestiva
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2014 Português
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56.35%
BACKGROUND: The assessment of nutritional status in clinical practice must be done with simple, reliable, low cost and easy performance methods. The power of handshake is recognized as a useful tool to evaluate muscle strength, and therefore, it is suggested that can detect malnutrition. AIM: To evaluate the nutritional status by subjective global assessment and power of handshake preoperatively in patients going to gastrointestinal surgeries and to compare the diagnosis obtained by subjective global assessment with traditional anthropometric methods and power of handshake. METHODS: A cross-sectional study was conducted with patients for surgery in the gastrointestinal tract and related organs. Socioeconomic and anthropometric data, applied to subjective global assessment and checked the power of handshake, were collected. The force was obtained by the average of three measurements of the dominant and non-dominant hand and thus compared with reference values ​​of the population by sex and age...

Evolution of the nutritional support pattern in Pediatric Intensive Care

Leite,Heitor Pons; Iglesias,Simone Brasil de Oliveira; Faria,Cacilda Maria de Santana; Ikeda,Angela Maria; Albuquerque,Maria Paula de; Carvalho,Werther Brunow de
Fonte: Associação Paulista de Medicina - APM Publicador: Associação Paulista de Medicina - APM
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/1998 Português
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56.38%
OBJECTIVES: to evaluate patterns of usage and monitoring of nutritional support in a Pediatric ICU of a teaching hospital and the role of an education program in nutritional support given throughout the resident physician training. DESIGN: in a historical cohort study, records from children who received nutritional support during the year 1992 were analyzed. Thereafter a continuing education program in Nutritional Support was conveyed to the residents. In a second phase of the study, the same parameters were reevaluated in children who received nutritional support throughout the year 1995. SETTING: Pediatric Intensive Care Unit of Department of Pediatrics, Escola Paulista de Medicina. PATIENTES: all the children who were given nutritional support during a period of five days or more. Based on this criteria 37 children were selected for the first phase of this study, and 35 for the second one. INTERVENTION: the education program included theoretical lectures about basic themes of nutritional support and journal article reading sessions. It was given to successive groups of residents on a weekly schedule. MEASUREMENTS: Daily records of fluid, protein, caloric and micronutrient supply, nutritional assessment and metabolic monitoring. RESULTS: In the first phase of the study...

Validation of the mini nutritional assessment short-form (MNA-SF): A practical tool for identification of nutritional status

Kaiser, M. J.; Bauer, Jochen; Ramsch, C.; Uter, W.; Guigoz, Y.; Cederholm, T.; Thomas, David R.; Anthony, P.; Charlton, K. E.; Maggio, M.; Tsai, A. C.; Grathwohl, D.; Vellas, B.; Sieber, C. C.; Visvanathan, Renuka
Fonte: SERDI Publisher Publicador: SERDI Publisher
Tipo: Artigo de Revista Científica
Publicado em //2009 Português
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66.26%
Objective To validate a revision of the Mini Nutritional Assessment short-form (MNA®-SF) against the full MNA, a standard tool for nutritional evaluation. Methods A literature search identified studies that used the MNA for nutritional screening in geriatric patients. The contacted authors submitted original datasets that were merged into a single database. Various combinations of the questions on the current MNA-SF were tested using this database through combination analysis and ROC based derivation of classification thresholds. Results Twenty-seven datasets (n=6257 participants) were initially processed from which twelve were used in the current analysis on a sample of 2032 study participants (mean age 82.3y) with complete information on all MNA items. The original MNA-SF was a combination of six questions from the full MNA. A revised MNA-SF included calf circumference (CC) substituted for BMI performed equally well. A revised three-category scoring classification for this revised MNA-SF, using BMI and/or CC, had good sensitivity compared to the full MNA. Conclusion The newly revised MNA-SF is a valid nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated. This revised MNA-SF increases the applicability of this rapid screening tool in clinical practice through the inclusion of a “malnourished” category.; M. J. Kaiser...

Relationship between hand grip strength and nutritional assessment methods used of hospitalized patients

Garcia,Monique Ferreira; Meireles,Marion Schneider; Führ,Letícia Maria; Donini,Amanda Brognoli; Wazlawik,Elisabeth
Fonte: Pontifícia Universidade Católica de Campinas Publicador: Pontifícia Universidade Católica de Campinas
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2013 Português
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OBJECTIVE: This study verified the association between hand grip strength and body mass index, subjective global assessment and nutritional risk screening 2002. METHODS: This cross-sectional study calculated the body mass index, measured hand grip strength and administered the subjective global assessment and nutritional risk screening 2002 to 118 patients hospitalized at the University Hospital of the Universidade Federal de Santa Catarina, Florianópolis, Brazil. Hand grip strength was compared with the reference values for the Brazilian population according to gender and age. The statistical analyses included the Student's t-test or Mann-Whitney test and multiple linear regression. The results were considered significant when p<0.05. RESULTS: The prevalences of nutritional risk or malnutrition according to body mass index, global subjective assessment, nutritional risk screening 2002 and hand grip strength were 3.5%, 50.9%, 33.9% and 35.6%, respectively. Malnourished individuals according to body mass index had, on average, 11.0kg less hand grip strength than the nourished individuals (p=0.008). There was no association between hand grip strength and the subjective global assessment (malnourished individuals had -2.8kg; p=0.078) and nutritional risk screening 2002 (malnourished individuals had -1.5kg; p=0.352). CONCLUSION: Hand grip strength was associated with body mass index but not with the subjective global assessment or nutritional risk screening 2002.

Scored patient-generated subjective global assessment, albumin and transferrin for nutritional assessment of gastrostomy fed head or neck cancer patients

Correira Pereira,Marta Alexandra; Santos,Carla Adriana; Almeida Brito,José; Fonseca,Jorge
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/02/2014 Português
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56.33%
Introduction: Gastrostomy fed head or neck cancer patients frequently have impaired speech capacities. Enteral feeding teams frequently depend on laboratorial or anthropometrical parameters for nutritional assessment. Aims: In these patients, this study aimed to evaluate: (1) the practicability of Scored - Patient-Generated Subjective Global Assessment (PG-SGA); (2) their nutritional status using the Scored-PG-SGA; (3) association of serum albumin and transferrin values to the nutritional status rating using PG-SGA. Methods: On adult outpatients with head or neck cancer under prolonged (> 1 month) gastrostomy feeding, Scored-PG-SGA, albumin and transferrin were evaluated during the same appointment. Results: Scored-PG-SGA was easily feasible in 42 patients, even in patients with speech difficulties. Twenty-five patients were moderately/severely undernourished (PG-SGA/B+C). Scored-PG-SGA rated 41 patients as ≥ 2, thus needing nutritional/pharmacologic intervention. Albumin was low in 13 patients. Transferrin was low in 19 patients. Average albumin and transferrin in moderately/severely undernourished patients (PG-SGA/B+C) was significantly lower than in well-nourished (PG-SGA/A). There was association between Scored-PG-SGA rating...

Nutritional assessment of very low birth weight infants: relationships between anthropometric and biochemical parameters

Monteiro Bigélli Cardoso,L. E.; Cícero Falção,M.
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2007 Português
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Objective: Analyze the importance of biochemical data and their relationship with anthropometric data in the longitudinal nutritional assessment of very low birth weight infants. Methods: A prospective cohort study was performed on 55 very low birth weight preterm infants (birth weight < 1.500 g and < 37 weeks of gestational age). Measurements of weight, length, head and mid-arm circumferences, mid-arm circumference: head circumference ratio, ponderal index, and body mass index. Serum prealbumin and retinol-binding protein were studied as biochemical parameters. All variables were collected at birth and days 14 and 28 of life. Results: The infants presented a mean birth weight of 1,076.7 ± 286 g and mean gestational age of 30.7 ± 2.1 weeks. At birth, the mean serum prealbumin was 7.0 ± 1.7 mg/dl and mean retinol-binding protein was 1.3 ± 0.4 mg/dl. There was a significant increase in all variables studied from birth to day 28. According to nutritional adequacy, there were no differences between appropriate and small for gestational age infants neither in the anthropometric nor in the biochemical data. The anthropometric measurements did not correlate with biochemical parameters. The serum protein concentrations were converted to serum protein mass (SPM) as follows: SPM = serum protein concentration X (100 X weight) X (1- hematocrit)] since the studied proteins are largely intravascular and the protein mass would be a more accurate index of nutritional status. The SPM of both protein and anthropometric parameters were correlated...

Assessing risk screening methods of malnutrition in geriatric patients: Mini Nutritional Assessment (MNA) versus Geriatric Nutritional Risk Index (GNRI)

Durán Alert,P.; Milà Villarroel,R.; Formiga,F.; Virgili Casas,N.; Vilarasau Farré,C.
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/04/2012 Português
Relevância na Pesquisa
66.28%
Introduction: Elderly subjects are considered a vulnerable group and they have more risk of nutritional problems. The risk of malnutrition increases in hospitalized geriatric patients. Objectives: To compare the correlation between MNA and GNRI with anthropometric, biochemical and Barthel Index in hospitalized geriatric patients and to test the concordance between MNA and GNRI and between Mini Nutritional Assessment Short Form (MNA-SF) and MNA. Methods: It was a cross-sectional study on a sample of 40 hospitalized geriatric patients. For determination nutritional status we used MNA and GNRI; we evaluated the correlation between this both test with biochemical and anthropometric parameters and functional questionnaires. We used Pearson´s simple correlation model, oneway ANOVA and multiple logistic regression to evaluate the relationship between MNA and GNRI. Results: According to MNA, 17 patients (42.5%) were malnourished and according to GNRI, 13 patients (32.5%) had high risk of nutritional complications. The concordance of MNA and GNRI was 39% and between MNA-SF and MNA was 81%. The most significant differences were detected in weight, BMI, arm and calf circumference and weight loss parameters. Barthel index was significantly different in both tests. The MNA and GRNI had significant correlations with albumin...

MNA® Mini Nutritional Assessment as a nutritional screening tool for hospitalized older adults; rationales and feasibility

Calvo,I.; Olivar,J.; Martínez,E.; Rico,A.; Díaz,J.; Gimena,M.
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/10/2012 Português
Relevância na Pesquisa
66.26%
The high prevalence of malnutrition in the growing population of older adults makes malnutrition screening critical, especially in hospitalized elderly patients. The aim of our study was to evaluate the use of the MNA® Mini Nutritional Assessment in hospitalized older adults for rapid evaluation of nutritional risk. A prospective cohort study was made of 106 patients 65 years old or older admitted to an internal medicine ward of a tertiary-care teaching hospital to evaluate the use of the short form, or screening phase, of the MNA-SF. In the first 48 hours of admission, the full MNA questionnaire was administered and laboratory tests and a dermatologic evaluation were made. The MNA score showed that 77% of the patients were at risk of malnutrition or were frankly malnourished. Low blood levels of albumin, cholesterol and vitamins A and D showed a statistically significant association with malnutrition or risk of malnutrition. Separate evaluation of the MNA-SF showed that it was accurate, sensitive and had predictive value for the screening process. Routine use of the MNA-SF questionnaire by admission nurses to screen patients is recommended. Patients with MNA-SF scores of 11 or lower should be specifically assessed by the nutritional intervention team.

Preliminary nutritional assessment of the Ecuadorian diet based on a 24-h food recall survey in Ecuador

Sánchez-Llaguno,S. N.; Neira-Mosquera,J. A.; Pérez-Rodríguez,F.; Moreno Rojas,R.
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/10/2013 Português
Relevância na Pesquisa
66.19%
Introduction: Ecuador is a country with limited nutritional information, with exception of some general studies supported by Food Agriculture Organization (FAO). Aims: To carry out a nutritional assessment of the Ecuadorian diet and determine the percentage of contribution to the intake of different nutrients according to the order of the meal (breakfast, morning snack, lunch, afternoon snack, and dinner snack) and Dietary Reference Intake (DRI). Methods: For that purpose a pilot survey based on 24-h food recall method was carried out in three specific regions in Ecuador and collected information was processed, analyzed statistically and compared with DRIs established for Latin-American population. Results: The study found significant differences for energy and certain vitamins in men and women in addition to determining that the highest energy contribution was obtained in lunch, followed by the afternoon snack and breakfast. Intermediate meals (morning snack, afternoon snack and dinner snack) contributed significantly less in the daily diet in comparison with other types of meal. Furthermore, it was observed that analyzed intakes did not meet the DRI for Carbohydrates, some vitamins (Thiamin, Pantothenic, Biotin, Folate Vitamin D and Vitamin E) and minerals (Ca...