SummaryBackground: Weight changes frequently occur after cardiac transplantation (CT) and increase the risk of secondary diseases.

BackgroundAn individual's dietary pattern contributes in different ways to the prevention and control of recurrent cardiovascular events. However, the quality of the diet is influenced by several factors. The present study aimed to evaluate the quality of the diet of individuals with cardiovascular diseases and determine whether there is an association between sociodemographic and lifestyle factors.MethodsThis is a cross‐sectional study carried out with individuals with atherosclerosis (coronary artery disease, cerebrovascular disease or peripheral arterial disease) recruited from 35 reference centres for the treatment of cardiovascular disease in Brazil. Diet quality was assessed according to the Modified Alternative Healthy Eating Index (mAHEI) and stratified into tertiles. For comparing two groups, the Mann–Whitney or Pearson's chi‐squared tests were used. However, for comparing three or more groups, analysis of variance or Kruskal–Wallis was used. For the confounding analysis, a multinomial regression model was used. p < 0.05 was considered statistically significant.ResultsIn total, 2360 individuals were evaluated: 58.5% male and 64.2% elderly. The median (interquartile range [IQR]) of the mAHEI was 24.0 (20.0–30.0), ranging from 0.4 to 56.0 points. When comparing the odds ratios (ORs) for the low (first tertile) and medium (second tertile) diet quality groups with the high‐quality group (third tertile), it was observed that there was an association between diet quality with a family income of 1.885 (95% confidence intervals [CI] = 1.302–2.729) and 1.566 (95% CI = 1.097–2.235), as well as physical activity of 1.391 (95% CI = 1.107–1.749) and 1.346 (95% CI = 1.086–1.667), respectively. In addition, associations were observed between diet quality and region of residence.ConclusionsA low‐quality diet was associated with family income, sedentarism and geographical area. These data are extremely relevant to assist in coping with cardiovascular disease because they enable an assessment of the distribution of these factors in different regions of the country.

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Estado nutricional pré transplanteRev Bras Promoç Saúde, Fortaleza, 31(1): 1Este artigo está publicado em acesso aberto (Open Access) sob a licença Creative Commons, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho seja corretamente citado. RESUMOObjetivo: Avaliar o estado nutricional e a qualidade de vida de pacientes candidatos a transplante cardíaco. Métodos: Estudo quantitativo e descritivo, com pacientes candidatos a transplante cardíaco atendidos no ambulatório de uma Unidade de Transplante e Insuficiência Cardíaca (UTIC) em Fortaleza, Ceará, Brasil. Coletou-se, através da entrevista, do atendimento e do prontuário, dados de peso, estatura, índice de massa corporal (IMC), circunferência braquial (CB), circunferência muscular do braço (CMB), dobra cutânea tricipital (DCT) e dados clínicos sobre a patologia de base. Aplicaram-se questionários de perfil socioeconômico, estilo de vida, frequência alimentar e qualidade de vida versão World Health Organization Quality of Life -WHOQOLBref. Utilizou-se estatística descritiva e frequências absoluta e relativa. As variáveis contínuas foram testadas através do coeficiente de correlação de Pearson. Resultados: A idade média foi de 50,64±12,45 anos e 57% (n=27) eram do sexo masculino. Na avaliação do estado nutricional (EN), 47,22% (n=17) dos adultos tinham sobrepeso e 54,55% (n=6) dos idosos eram eutróficos. Além disso, os adultos apresentaram-se eutróficos para CB, CMB e DCT, com 52,78% (n=19), 88,82% (n=32) e 36,11% (n=13), respectivamente. Os idosos também estavam eutróficos para CB e CMB, ambos com 81,82% (n=9). A qualidade de vida (QV) mostrou-se satisfatória (regular) de acordo com a média dos domínios. Conclusão: Os pacientes apresentaram perfil nutricional de normalidade e/ou sobrepeso e uma qualidade de vida de regular a boa. As variações do EN e QV dependem da fase de vida e do apoio social/ familiar que recebem, atuando como determinantes positivos, mesmo na presença da doença cardíaca. ABSTRACTObjective: To assess the nutritional status and quality of life of candidates for heart transplantation. Methods: Quantitative descriptive study of candiates for heart transplantation attending the outpatient clinic of a Heart Failure and Transplant Center (HFTC) in Fortaleza, Ceará, Brazil. Interviews, consultations and medical records were used to collect data on weight, height, Body mass index (BMI), arm circumference (AC), arm muscle circumference (AMC), triceps skinfold (TS) and clinical data on the underlying disease. Questionnaires addressing socioeconomic data, lifestyle and dietary frequency and the World Health Organization Quality of Life-WHOQOLBref were used. Descriptive statistics and absolute and relative frequencies were used. Continuous variables were tested using Pearson's correlation coefficient. Results: Participants' mean age was 50.64±12.45 years and 57% (n=27) were men. As for nutritional status, 47.22% (n=17) of the adults were overweight and 54.55% (n=6) of the older people were at normal weight....

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