Background & aims Nutrition has become an important component in treating individuals during the COVID-19 pandemic, which is increasingly affecting the world population, and bringing with it a collapse in health services. Prolonged hospitalization, involving immobilization and catabolism, induces a decrease in body weight and muscle mass that may result in sarcopenia, a condition that impairs respiratory and cardiac function, worsening the prognosis. The present study aimed to analyze enteral nutritional support and the clinical evolution of patients admitted for COVID-19 in Brazil. Methods This was a retrospective study, carried out from March to May 2020, with patients admitted to a referral hospital in cardiology and pulmonology in Fortaleza-Ce/Brazil, 200 patients with COVID-19 were selected. Sociodemographic, clinical, and nutritional data were collected from electronic medical records, and associations between outcomes and use of prone body position with nutritional variables were analyzed by linear regression. The odds ratio and 95% confidence interval estimates for the death outcome were analyzed by logistic regression. Results Of the 112 patients who fed by the enteral route, the majority were male (n = 61, 54.5%), elderly (n = 88, 78.6%), with no current smoking habit (n = 81, 72.3%). The median hospital stay was 14 days, mostly in the intensive care units (median of 9 days). Prone body positioning impacted the nutritional therapy. In general, those patients who maintained a prone body position tested lower for kcal/kg of body weight, proteins/kg of body weight, percentage of diet adequacy, and total caloric value. In addition, patients who died had lower mean maximum kcal/kg body weight, protein/kg body weight, percentage of diet adequacy, and total caloric value compared to surviving patients. Conclusions There was an association between inadequacies in protein and energy supply with mortality was confirmed suggesting that nutritional support optimization be prescribed in such situations.
O uso da metodologia ativa TBL como método de ensino na aula de monitoria The use of the active TBL methodology as a teaching method in the monitoring class
OBJECTIVETo describe the beverage portion size consumed and to evaluate their association with excess weight in Brazil.METHODSWe used data from the National Dietary Survey, which included individuals with two days of food record aged over 20 years (n = 24,527 individuals). The beverages were categorized into six groups: soft drink, 100% fruit juice, fruit drink, alcoholic beverage, milk, and coffee or tea. We estimated the average portion consumed for each group and we evaluated, using linear regression, the association between portion size per group and the variables of age, sex, income, and nutritional status. We tested the association between portion size and excess weight using Poisson regression, adjusted for age, sex, income, and total energy intake.RESULTSThe most frequently consumed beverages in Brazil were coffee and tea, followed by 100% fruit juices, soft drinks, and milk. Alcoholic beverages presented the highest average in the portion size consumed, followed by soft drinks, 100% fruit juice, fruit drink, and milk. Portion size showed positive association with excess weight only in the soft drink (PR = 1.19, 95%CI 1.10–1.27) and alcoholic beverage groups (PR = 1.20, 95%CI, 1.11–1.29), regardless of age, sex, income, and total energy intake.CONCLUSIONSAlcoholic beverages and soft drinks presented the highest averages in portion size and positive association with excess weight. Public health interventions should address the issue of portion sizes offered to consumers by discouraging the consumption of large portions, especially sweetened and low nutritional beverages.
Revisão bibliográfica do tipo narrativa, que possui como objetivo maior trazer uma revisão atualizada do conhecimento estudado. O levantamento bibliográfico realizou-se por meio das bases de dados: Google Scholar, LILACS, SciELO e Pubmed. Foram realizadas leituras prévias do título e resumo dos trabalhos selecionados para, posteriormente, selecionar os de maior interesse para leitura completa e, assim, realizar a revisão narrativa. A correta ingestão de macro e micronutrientes somada a atividade física são fatores primordiais para evitar quadros sarcopênicos em idosos, sobretudo a respeito do consumo adequado de carboidratos e proteínas atrelada a uma alimentação saudável e balanceada, rica em vitaminas e minerais. Estudos mostraram que a suplementação nutricional promove poucas modificações fisiológicas. No entanto, o exercício é um estimulante para a obtenção de nutrientes via celular, desta forma a conciliação entre exercício físico e consumo de nutrientes é funcional para o anabolismo muscular. A prática de atividade física com a correta ingestão alimentar de macro e micronutrientes é importante para evitar possíveis problemas durante a fase idosa, com o correto aporte de carboidratos, proteínas, lipídios, vitaminas e minerais por meio da alimentação saudável.
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
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.