RESUMOObjetivos: avaliar o impacto sobre os níveis de hemoglobina entre gestantes submetidas à suplementação com sulfato ferroso e orientações alimentares.Métodos: foram avaliadas 197 gestantes acompanhadas no pré-natal de uma unidade de saúde. O grupo intervenção foi composto por 105 gestantes com idade gestacional inicial entre a 14ª e a 20ª semana de gravidez, as quais receberam prescrição de 60 mg de ferro elementar por dia, por meio de sulfato ferroso, orientações alimentares e dosagem de hemoglobina realizada com fotômetro portátil. A partir de 34 semanas gestacionais esse grupo foi reavaliado quanto à hemoglobina e realizado consumo alimentar de freqüência semiquantitativo. O grupo controle foi avaliado transversalmente e era formado por 92 gestantes com idade gestacional superior a 34 semanas. Considerou-se anemia quando a hemoglobina foi inferior a 11 g/dL As gestantes de ambos os grupos foram pesadas e medidas, sendo o diagnóstico nutricional determinado pelo IMC pré-gestacional. Foi realizada análise multivariada por meio de regressão logística utilizando modelo hierárquico. Resultados: a prevalência de anemia ao fi nal do terceiro trimestre, no grupo intervenção, foi de 31,6%, e no grupo controle, 26,1% (p=0,43). O uso do suplemento de ferro foi referido por 65% das gestantes do grupo intervenção, sendo que 67,7% interromperam o uso em algum momento. Os motivos principais foram: esquecimento (43,2%) e enjôo e/ou vômito (27,2%). Gestantes com escolaridade inferior a 8 anos de estudo apresentaram 3 vezes mais risco na ocorrência de anemia no terceiro trimestre. Conclusões: o uso de sulfato ferroso não mostrou-se associado à menor prevalência de anemia. Os resultados sugerem que são necessárias mudanças estruturais nas condições socioeconômicas para se modifi car o quadro atual quanto à anemia ferropriva. PALAVRAS-CHAVE:Gravidez; Anemia; Sulfato ferroso; Suplementação alimentar; Hemoglobinas/análise; Escolaridade; Resultado de tratamento ABSTRACT Purpose: to evaluate the impact of supplementary ferrous sulfate and dietary counseling on hemoglobin levels in pregnant women. Methods: a total of 197 pregnant women were evaluated during antenatal care at a health center. The treatment group consisted of 105 women who were prescribed 60 mg dietary iron per day, received dietary counseling and had hemoglobin measured by a portable photometer between the 14th and 20th week of pregnancy. The treatment group was reevaluated according to hemoglobin levels and food intake by a semiquantitative food frequency questionnaire after the 34th week of pregnancy. The control group consisted of 92 women in a cross-sectional study, at no less than 34 weeks of pregnancy. Hemoglobin was analyzed by a portable photometer and anemia was defi ned concentrations of less than 11 g/dL. All pregnant women had their weight and height measured. Hierarchical logistic regression model was developed for the multivariate analysis. Results: prevalence of anemia at the end of the third trimester was 31.6% in the treatment group and 26.1% in ...
RESUMOObjetivos: Verificar a prevalência do risco nutricional na admissão hospitalar, utilizando o protocolo Nutrition Risk Screening (NRS 2002) e identificar quais foram os aspectos desse protocolo que mais contribuiram para o escore final. Métodos: Foi realizado um estudo transversal com pacientes adultos e idosos de ambos os sexos, admitidos nos departamentos de internação clínica (exceto maternidade, emergência e unidade de saúde mental) de um hospital da cidade de Farroupilha, Rio Grande do Sul. Os indivíduos foram avaliados através do protocolo NRS 2002, nos primeiros três dias após admissão hospitalar. Resultados: Foram avaliados 386 pacientes, com idade média de 56,7±20,7 anos, sendo 198 (51,3%) do sexo feminino. O risco nutricional esteve presente em 57 (14,8%) dos pacientes. Na primeira parte da triagem nutricional, 315 (81,6%) pacientes tiveram pelo menos uma resposta positiva indicando risco nutricional, sendo a redução de ingestão alimentar na última semana a mais prevalente. Na segunda parte observou-se que em relação ao estado nutricional, a proporção do estado grave esteve presente em 21 pacientes (36,8% da amostra em risco). Quanto à gravidade da doença, prevaleceu o fator de risco leve em 29 (50,9%) pacientes. A pontuação adicional, através da pontuação da variável idade acima de 70 anos, contribuiu para caracterizar o risco nutricional em 35 pacientes (61,4%). Conclusões: Observou-se elevada proporção de pacientes em risco nutricional, sendo a redução na ingestão alimentar na última semana a variável que mais contribuiu para dar sequência à segunda etapa do processo de triagem nutricional. DESCRITORES: AVALIAÇÃO NUTRICIONAL; INGESTÃO DE ALIMENTOS; ASSISTÊNCIA AO PACIENTE. ABSTRACT Aims:To determine the prevalence of nutritional risk at admission using the Nutrition Risk Screening (NRS 2002) protocol, and to identify which aspects of this protocol contributed most to the final score. Methods: A cross-sectional study included adult and elderly patients of both sexes, admitted to clinical departments (except maternity, emergency and mental health unit) of a hospital in the city of Farroupilha, Rio Grande do Sul state, Brazil. Individuals were assessed through NRS 2002 in the first three days after admission. Results: A total of 386 patients were evaluated. They had a mean age of 56.7±20.7 years, and 198 (51.3%) were female. Nutritional risk was present in 57 (14.8%) patients. In the first part of the nutritional screening, 315 (81.6%) patients had at least one positive response indicating nutritional risk, being the reduction of food intake in the last week the most prevalent. In the second part it was noted that, in relation to nutritional status, the proportion of the severe condition was present in 21 patients (36.8% of the sample at risk). In relation to severity of disease, the prevailing condition was mild disease, in 29 (50.9%) patients. Additional score given by age over 70 years helped to characterize nutritional risk in 35 patients (61.4%). Conclusions: There was a high proportion of p...
Studies have shown associations of birth weight with increased concentrations of high sensitivity C-reactive protein. This study assessed the relationship between birth weight, anthropometric and metabolic parameters during childhood, and high sensitivity C-reactive protein. A total of 612 Brazilian school children aged 5–13 years were included in the study. High sensitivity C-reactive protein was measured by particle-enhanced immunonephelometry. Nutritional status was assessed by body mass index, waist circumference, and skinfolds. Total cholesterol and fractions, triglycerides, and glucose were measured by enzymatic methods. Insulin sensitivity was determined by the homeostasis model assessment method. Statistical analysis included chi-square test, General Linear Model, and General Linear Model for Gamma Distribution. Body mass index, waist circumference, and skinfolds were directly associated with birth weight (P < 0.001, P = 0.001, and P = 0.015, resp.). Large for gestational age children showed higher high sensitivity C-reactive protein levels (P < 0.001) than small for gestational age. High birth weight is associated with higher levels of high sensitivity C-reactive protein, body mass index, waist circumference, and skinfolds. Large for gestational age altered high sensitivity C-reactive protein and promoted additional risk factor for atherosclerosis in these school children, independent of current nutritional status.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
334 Leonard St
Brooklyn, NY 11211
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.