Objetivo: Realizar uma revisão sobre os aspectos biopsicossociais bem como a atuação da esquipe multidisciplinar frente aos pacientes adultos e idosos oncológicos em uso de ostomias. Revisão bibliográfica: Inicialmente, foram selecionadas 30 publicações que apresentaram os critérios de inclusão. Posteriormente, a análise dos dados disponíveis na literatura nacional e internacional possibilitaram a descrição das atuais perspectivas epidemiológicas que evidenciam o crescimento dos novos casos de câncer associados a mudanças no perfil sociodemográfico da população. E assim, de forma concomitante, o crescimento das sequelas ocasionadas pelo tratamento antineoplásico, com destaque para o processo de ostomização. Esta revisão possibilitou a descrição dos tipos de ostomias, quais as possíveis complicações que o paciente pode apresentar e como se dá o processo de adaptação a esta nova condição. Considerações finais: O estudo demonstra a importância da abordagem multiprofissional na garantia da qualidade de vida na perspectiva biopsicossocial do paciente adulto e idoso oncológico ostomizado.
Objective:The objective of the study was to assess the association of anthropometric measurements with endothelial function and arterial stiffness of eutrophic individuals and with overweight. Subjects and methods: A cross-sectional study was carried out with individuals with body mass index (BMI) between 18.5 kg/m² and < 30 kg/m², low to intermediate global cardiovascular risk scores, and aged ≥ 18 and < 60 years. We assessed the sociodemographic data, anthropometric variables (body weight, height, circumferences of the waist [WC], neck [NC], hip [HC], sagittal abdominal diameter [SAD],[BMI], waist-to-hip ratio [WHR], and waist-to-height ratio [WHtR]), biochemical parameters (lipid profile and nitric oxide), endothelial function (flow-mediated dilation [FMD], by ultrasound), and arterial stiffness (pulse wave velocity [PWV] and the amplification index [AIx@75] by oscillometry). Thirty-six individuals were included, 18 eutrophic and 18 with overweight, with a mean age of 37.5 ± 10.2 years, mostly at low cardiovascular risk (86.1%), female (80.6%), single (52.8%), employed with formal contracts (44.4%), and with over twelve years of education (88.9%). Results: The PWV presented positive and moderate correlation with the WC (r = 0.584; P = 0.001), WHR (r = 0.513; P = 0.001), and WHtR (r = 0.590; P = 0.001), and positive and low correlation with the NC (r = 0.372; P = 0.013) and SAD (r = 0.356; P = 0.033). Moreover, no anthropometric parameter presented a correlation with the AIx@75 or the FMD percentage in the total sample. Conclusion: Our findings show that in eutrophic individuals and with overweight the WC, WHR, WHtR, SAD, and NC were positively correlated with the PWV but not to the endothelial function in the overall sample. These are hypothesis-generating findings and they should be replicated in other studies.
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