Navegando por Palavras-chave "Nutrition Assessment"
Agora exibindo 1 - 4 de 4
Resultados por página
Opções de Ordenação
- ItemSomente MetadadadosAnálise Da Interface Entre A Disfagia E As Implicações Nutricionais Nos Pacientes Com Doença Do Neurônio Motor(Universidade Federal de São Paulo (UNIFESP), 2017-01-31) Alves, Percilia Cardoso Lopes [UNIFESP]; Oliveira, Acary Souza Bulle [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Amyotriphic Lateral Sclerosis (ALS)is a disease in which there is impairment of the lower and upper motor neurons and the Bulbar Progressive Palsy (BPP) of the lower motor neuron of the brainstem; Both are within the Motor Neuron Disease (MND) group. Muscle weakness is a common sign that can trigger dysphagia. Purpose: To analyze the interaction between dysphagia and nutritional implications in the patient with MND. Method: Through observational, transversal, analytical and prospectiveresearch, 59 patients were evaluated, being 42 (71.18%) with ALS (47.62% male and 52.38%, female) and 17 (28.82%) with BPP (7 (41.17%) male and 17 (58.83%) female. The patients underwent speech therapy and nutritional evaluation; moreover, have been applied: functional range of consistencies (FOIS), scales of functionality (ALSFRS-R and EGELA) and respiratory assessment (peak cough flow).Results: 100% of patients with BPP presented oral and pharyngeal phase changes, while patients with ALS had less changes in oral (66.67%) and pharyngeal phase (73.80%). In nutritional evaluation, malnutrition was observed in 35.71% of patients with ALS and 23.52% of the patients with BPP. 28% (ALS) and 41.17% (BPP) of the patients made use of enteral route.Conclusion: Dysphagia was present in all patients with diagnosis of BPP, relating to increased frequency of malnutrition. Body mass index and Protein Energy Malnutrition score showed correlation with ALSFRS-R functionality. There was correlation between body mass indexes, the scale of food consistency (FOIS) and the peak cough flow.
- ItemSomente MetadadadosAvaliação nutricional, zinco e cobre séricos em crianças com AIDS(Universidade Federal de São Paulo (UNIFESP), 1994) Soraggi Neto, Caetano [UNIFESP]; Fisberg, Mauro [UNIFESP]
- ItemAcesso aberto (Open Access)Correlação entre estado nutricional e força de preensão palmar em idosos(Universidade do Estado do Rio Janeiro, 2012-09-01) Martin, Fabíola Giannattasio [UNIFESP]; Nebuloni, Clarice Cavalero [UNIFESP]; Najas, Myrian Spinola [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)In the aging process, body changes occur, such as reduction of lean mass with impaired muscle strength, affecting the functional capacity. Currently, the Hand Grip Strength Test (HGST) is being used to evaluate the overall muscle strength as an aid in nutritional assessment. OBJECTIVE: To investigate the correlation between the HGST and nutritional status in the elderly. METHODS: Cross sectional study on elderly people attending outpatient of a Federal Public University. To evaluate the nutritional status, were used: body mass index (BMI), nutritional evaluation by Mini Nutritional Assessment (MNA), calf circumference and HGST performed with the aid of a hydraulic hand dynamometer. It was used as reference for the GSTP and the BMI, cutoff points divided by gender (SABE / OPAS Project). RESULTS: The sample was mostly formed (n = 42) by women (66.7%), with an average of 26.82 points in the MNA and BMI, most seniors were eutrophic - 46.4% women and 57.1% men. Men and women were averaged over 31 cm of calf circumference. The average strength for men was higher than women. There was no statistically significant difference between nutritional status classified by BMI and HGST for men and women, there was a statistically significant correlation (p 0.008) between the nutritional status classified by MNA and hand grip strength in the total sample. CONCLUSIONS: Among the methods to assess nutritional status, only MNA correlated positively with the HGST, which is a measure associated with the functionality in the elderly.
- ItemAcesso aberto (Open Access)The influence of nutritional status and disease on adiponectin and TNF-alpha levels in colorectal cancer patients(Aula Medica Ediciones, 2014-07-01) Vicente, Mariana Abe [UNIFESP]; Silva, Tiago Donizetti [UNIFESP]; Barao, Katia [UNIFESP]; Felipe, Aledson Vitor [UNIFESP]; Oyama, Lila Missae [UNIFESP]; Forones, Nora Manoukian [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Dept PhysiolBackground: the aim of this study was to evaluate the association between adiponectin and tumor necrosis factor-a (TNF-alpha) serum levels in colorectal cancer (CRC) patients and compare these levels to clinical stage and nutritional status.Methods: A total of 79 patients were enrolled in the study (39 with CRC and 40 in the control). Nutritional status was assessed by Patient-Generated Subjective Global Assessment (PG-SGA), body mass index (BMI), and phase angle (PhA). Adiponectin and TNF-alpha serum concentrations were determined using an enzyme-linked immunosorbent assay.Results: Serum adiponectin levels were higher among CRC patients (p = 0.001). TNF-alpha serum levels were not significantly different between the groups, but patients with stage III or IV CRC had higher levels of TNF-alpha than those with lower stage disease (p = 0.037). the three tools used for the assessment of nutritional status (BMI, PhA, and PG-SGA) demonstrated that patients with a more severe nutritional deficit had higher adipocytokine levels, although these differences were significant only to TNF-alpha, when distributed PhA in tertiles.Conclusions: Adiponectin levels were higher among CRC patients. Although TNF-alpha serum levels from CRC patients did not differ significantly to the control group, CRC patients with stage III or IV had higher levels compared to those with stage I and II tumors. Nutritional status, as determined by BMI, PhA, and PG-SGA, demonstrated that patients with a greatest nutritional deficit, had higher levels of adipocytokines; however, these differences were significant only for TNF-alpha, when distributed PhA in tertiles.