Impacto de um programa de intervenção nutricionalcom idosos portadores de doença renal crônica

Abstract

Chronic kidney disease (CKD) is recognized as a complex disease that requires multiple approaches to its treatment. The aim of this study was to evaluate the impact of a nutritional intervention program on the nutritional status and quality of life of elderly pre-dialysis CKD patients. A prospective cohort study was carried out involving 64 elderly stage 3 CKD patients receiving treatment at a Primary Care Center in the Municipality of Diadema in the State of São Paulo, Brazil. The nutritional intervention consisted of one individual and three group meetings. Nutritional status was assessed using anthropometric variables and classified according to Body Mass Index (BMI). Cardiovascular risk was classified according to Waist Circumference (WC). Quality of life was assessed using the WHOQOL-BREF. The data was analyzed adopting a significance level of 5%. Mean age was 73.95 ± 7.84 years and the majority of the sample were women, had a low level of schooling, and low monthly income. With respect to nutritional status, 21.9% of the sample were underweight, 32.8% overweight, and 62.6% were at a high or very high risk of developing cardiovascular disease. The nutritional intervention program had a positive impact on nutritional status, leading to a decline in BMI and WC, reduction in risk of developing heart disease, increased satisfaction with current state of health, and improved quality of life.

Qualidade de vida de idosos com Insuficiência Renal Crônica (IRC): uma revisão integrativa da literatura

“…Em relação a qualidade de vida e o estado nutricional dos idosos com IRC, no estudo de Magalhães et al (2018) é abordado sobre a necessidade de se diagnosticar a desnutrição pois está patologia influencia no risco de infecções, inflamações acentuadas, mortalidade, hospitalizações e diminuição da qualidade de vida de idosos com IRC. Além disso, é imprescindível que os profissionais também deem atenção não somente para os pacientes com destruição, mas também para aqueles com excesso de peso, uma vez que a obesidade é um fator agravante para a lesão renal (Magalhães et al, 2018).…”

Qualidade de vida, depressão e adesão medicamentosa de pacientes em hemodiálise

“…Entre os resultados encontrados por este estudo, destaca-se o predomínio de idosos em tratamento hemodialítico. Isso deve-se ao processo natural de envelhecimento que afeta todos os componentes do rim, altera sua morfologia e diminui sua função 19 . Nesse sentido, estudos desenvolvidos no Marrocos 20 e no Brasil 21 igualmente apontam aumento constante e progressivo de pessoas idosas com DRC.…”

Factors associated with the discontinuance of outpatient follow-up in neonatal units

“…Variables related to predisposing factors were: sex; gestational age at birth (< 37 weeks or ≥ 37 weeks); weight at birth in grams (< 2500 or ≥ 2500); diagnostic at the time of admittance to the NICU; mechanical ventilation during the hospitalization period (yes or no); technology dependence at the time of discharge (yes or no). The following maternal variables were also used: age (< 18 years, between 18 and 29 years, ≥ 30 years); previous children (yes or no); educational level (illiterate/some elementary school, elementary school/some high school, high school/some higher education, and 3 o higher education); declared ethnicity (white, black, mixed, or others); marital status (with partner or without partner); smoker (yes or no); use of drugs (yes or no); Edinburgh postnatal depression scale (EPDS), and the social support scale (Medical Outcomes Study -MOS), which were translated and adapted to the Brazilian culture and have been frequently used in national studies (13)(14)(15) .…”