Adequação da ingestão de macronutrientes e micronutrientes e sua relação com o estado nutricional em um grupo de idosos frequentadores do centro de atenção à saúde do idoso e cuidador da UFF/RJ
Adequação da ingestão de macronutrientes e micronutrientes e sua relação com o estado nutricional em um grupo de idosos frequentadores do centro de atenção à saúde do idoso e cuidador da UFF/RJ
Data
2020
Autores
Barroso, Taianah Almeida
Huguenin, Grazielle Vilas Boas
Lopes, Maylin da Silva
Amaral, Ludmila Ferreira Vieira do
Sá, Selma Chaves Petra
Barroso, Sérgio Girão
Rocha, Gabrielle de Souza
Medeiros, Renata Frauches
Journal Title
Journal ISSN
Volume Title
Publisher
Brazilian Journal of Health Review
Resumo
A população idosa é um dos grupos etários de maior risco à desnutrição e deficiências nutricionais devido ao declínio das funções cognitivas e fisiológicas que prejudicam a ingestão alimentar e o metabolismo dos nutrientes. Dessa forma é necessário o monitoramento e a caracterização das práticas alimentares e de seus determinantes nessa população, com vistas à prevenção dos distúrbios nutricionais e doenças a eles relacionadas. Os objetivos foram avaliar se a ingestão de macronutrientes (carboidrato, proteínas e lipídios) e micronutrientes (cálcio e vitamina D) pelos idosos estavam de acordo com as recomendações, e verificar a relação das variáveis antropométricas com os nutrientes. O estudo foi aprovado pelo Comitê de Ética. Trata-se de um estudo transversal com 34 pacientes, com idade acima de 60 anos, de ambos os sexos. Foram realizadas medidas antropométricas (peso, estatura, índice de massa corporal (IMC); circunferência abdominal, cintura, pescoço e quadril). O recordatório alimentar de 24 horas foi utilizado para calcular a ingestão dos nutrientes e a prevalências de inadequação dos micronutriente foi estimada utilizando como ponto de corte os valores da Estimated Average Requirement (EAR). Participaram do estudo 34 voluntários sendo 30 mulheres (88,2%) e 4 homens (11,7%). A média de idade foi de 72,37±13,27 anos, do IMC foi 28,47±4,45 kg/m², o que caracteriza sobrepeso na amostra. Em relação aos macronutrientes eles se encontraram adequados em relação as recomendações, sendo proteínas (20,7%), carboidratos (52,7%), e lipídios (26,6%). A ingestão de cálcio entre as mulheres apresentou um percentual de adequação de 41,66% semelhante a dos homens que foi 41,84%. Em relação a vitamina D encontramos 12,66% de adequação para ambos. A ingestão de vitamina D apresentou uma correlação inversa e significativa com o perímetro abdominal (r= -0,3718), IMC (r= -0,4919) e perímetro do pescoço (r= -0,4038), e o cálcio com o perímetro do pescoço (r=-0,4129). Verificou-se que apesar dos macronutrientes se adequados, a ingestão dos micronutrientes estudados se encontravam abaixo da recomendação, e esse valores estão relacionados com os preditores de gordura corporal da população.
The elderly population is one of the age groups most at risk for malnutrition and nutritional deficiencies due to the decline in cognitive and physiological functions that impair food intake and nutrient metabolism. Thus, it is necessary to monitor and characterize dietary practices and their determinants in this population, with a view to preventing nutritional disorders and related diseases. The objectives were to evaluate whether the intake of macronutrients (carbohydrate, protein and lipids) and micronutrients (calcium and vitamin D) by the elderly were in accordance with the recommendations, and to verify the relationship of anthropometric variables with nutrients. The study was approved by the Ethics Committee. This is a cross-sectional study with 34 patients, aged over 60 years, of both sexes. Anthropometric measurements (weight, height, body mass index (BMI), waist circumference, waist, neck and hip) were performed. The 24-hour dietary recall was used to calculate nutrient intake and the prevalence of micronutrient inadequacy was estimated using the Estimated Average Requirement (EAR) values as the cutoff point. Thirty-four volunteers participated in the study, 30 women (88.2%) and 4 men (11.7%). The mean age was 72.37 ± 13.27 years, BMI was 28.47 ± 4.45 kg / m², which characterizes overweight in the sample. Regarding macronutrients they were adequate in relation to the recommendations, being proteins (20.7%), carbohydrates (52.7%), and lipids (26.6%). Calcium intake among women had a 41.66% adequacy percentage similar to that of men, which was 41.84%. Regarding vitamin D we found 12.66% adequacy for both. Vitamin D intake showed a significant inverse correlation with waist circumference (r = -0.3718), BMI (r = -0.4919) and neck circumference (r = -0.4038), and calcium with the perimeter of the neck (r = -0,4129). Although macronutrients were adequate, the intake of the studied micronutrients was below the recommendation, and these values are related to the body fat predictors of the population. Keywords: Cleidocranial Dysostosis; Injuries Mandibula; Autosomal dominant.
The elderly population is one of the age groups most at risk for malnutrition and nutritional deficiencies due to the decline in cognitive and physiological functions that impair food intake and nutrient metabolism. Thus, it is necessary to monitor and characterize dietary practices and their determinants in this population, with a view to preventing nutritional disorders and related diseases. The objectives were to evaluate whether the intake of macronutrients (carbohydrate, protein and lipids) and micronutrients (calcium and vitamin D) by the elderly were in accordance with the recommendations, and to verify the relationship of anthropometric variables with nutrients. The study was approved by the Ethics Committee. This is a cross-sectional study with 34 patients, aged over 60 years, of both sexes. Anthropometric measurements (weight, height, body mass index (BMI), waist circumference, waist, neck and hip) were performed. The 24-hour dietary recall was used to calculate nutrient intake and the prevalence of micronutrient inadequacy was estimated using the Estimated Average Requirement (EAR) values as the cutoff point. Thirty-four volunteers participated in the study, 30 women (88.2%) and 4 men (11.7%). The mean age was 72.37 ± 13.27 years, BMI was 28.47 ± 4.45 kg / m², which characterizes overweight in the sample. Regarding macronutrients they were adequate in relation to the recommendations, being proteins (20.7%), carbohydrates (52.7%), and lipids (26.6%). Calcium intake among women had a 41.66% adequacy percentage similar to that of men, which was 41.84%. Regarding vitamin D we found 12.66% adequacy for both. Vitamin D intake showed a significant inverse correlation with waist circumference (r = -0.3718), BMI (r = -0.4919) and neck circumference (r = -0.4038), and calcium with the perimeter of the neck (r = -0,4129). Although macronutrients were adequate, the intake of the studied micronutrients was below the recommendation, and these values are related to the body fat predictors of the population. Keywords: Cleidocranial Dysostosis; Injuries Mandibula; Autosomal dominant.
Description
Palavras-chave
Idosos, Ingestão alimentar, Estado nutricional, Cleidocranial Dysostosis, Injuries Mandibula, Autosomal dominant.
Citação
Barroso TA, Huguenin GVB, Lopes MS, Amaral LFV, Sá SCP, Barroso SG, Rocha GS, Medeiros RF. Adequação da ingestão de macronutrientes e micronutrientes e sua relação com o estado nutricional em um grupo de idosos frequentadores do centro de atenção à saúde do idoso e cuidador da UFF/RJ. Braz J Hea Rev. 2020;3(2):1566-1582.