RESUMOObjetivos: Verificar as alterações da composição corporal e de parâmetros antropométricos de dependentes de crack internados para tratamento da adição. Métodos: Estudo de coorte prospectivo, com 40 voluntários masculinos dependentes de crack, de 18 a 60 anos, em tratamento. Foram aferidos parâmetros antropométricos e de composição corporal, por meio de bioimpedância elétrica, na internação e alta hospitalar. Resultados: Com idade média de 29,3 ± 6,9 anos, os pacientes tiveram, durante a abstinência, aumento de peso de 7,6 ± 3,7 kg; 11,6 ± 6,4% do peso corporal; 5,6 ± 4,2 cm de circunferência de cintura. Houve aumento de 4,2 ± 3,2 kg de gordura, 3,5 ± 3,0 kg de massa magra e de 2,5 ± 2,6 litros de água. Ao se internarem, 75% estavam eutróficos, 17,5% apresentavam sobrepeso e 5% apresentavam desnutrição, valores que, na alta, se alteraram para 50% de eutrofia e 47,6% de sobrepeso (IMC -Índice de Massa Corporal). Observou-se que a média de ganho de peso foi maior nas duas primeiras semanas de internação. Conclusão: Ao longo da internação, foram identificados ganho de peso e alterações de composição corporal e nos parâmetros antropométricos dos pacientes, refletindo em migração da eutrofia para o sobrepeso em parcela expressiva deles. ABSTRACTObjectives: Verify the alterations of body composition and of anthropometric parameters in crack addicted patients, hospitalized for addiction treatment. Methods: Cohort prospective studies, with 40 crack addicted male volunteers, 18 to 60 years old, in treatment. Anthropometric parameters and body composition were measured, through bioelectric impedance analysis, within the hospital and at discharge. Results: With an average age 29.3 ± 6.9 years, the patients have had, during abstinence, a weight gain of 7.6 ± 3.7 kg; 11.6 ± 6.4% of body weight; 5.6 ± 4.2 cm of waist circumference. There was an increase of 4.2 ± 3.2 kg of fat (obesity); 3.5 ± 3.0 kg of lean body mass and 2.5 ± 2.6 liters of water. When hospitalized, 17.5% of the patients presented overweight and 5% were malnourished, values that, at discharge, altered to 50% of eutrophy and 47.6% of overweight (BMI -Body Mass Index). It was observed that the average of weight gain increased in the first two weeks of hospitalization. Conclusion:
Objectives: With the crescent global rates of overweight and the concern with weight loss among adults, the number of popular diets published in non-scientific magazines has also grown. This study aimed to compare the nutritional composition of weight loss diets published in non-scientific magazines with the current dietary macronutrient recommendations proposed by the American Dietetic Association. Methods: We selected journals published by two publishers in 2010. The nutritional composition of diets was calculated (NutWin , 2005) and compared with current recommendations for macronutrients (ADA, 1996). The diets analyzed were divided into two groups according to their calorie content (high caloric restriction [(GRC) 800-1200kcal] or mild caloric restriction [(RCL);> 1200 kcal]); they were then compared. Results: We analyzed 137 diets (25 issues) with caloric intake ranging from 656.5 to 2243.08Kcal/day. Considering the macronutrient composition of diets, the diets in this study could be classified mostly as hypoglycemic (59.84%), hyperproteic (95.70%) and hypolipidic (60.58%), besides having inadequate amounts of fiber (69.30%). Except for lipids, the other macronutrients showed similar distribution between the two groups of diets when divided according to their caloric value. Conclusions: We conclude that a large proportion of the diets studied were inadequate according to the recommendations for macronutrients.
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