Estado nutricional e ingestão alimentar de pessoas com fibrose cística

Abstract

de consumo alimentar. Quanto ao estado nutricional, 42,9% dos menores de 2 anos e 28,6% dos maiores de 10 anos estavam desnutridos; na faixa etária de 2 a 10 anos não houve nenhuma criança desnutrida. Quanto ao consumo alimentar, 33,3% atingiram a recomendação de energia e 95,2% atingiram a recomendação de proteína. Podemos concluir que a mucoviscidose afeta o estado nutricional das crianças em períodos críticos de crescimento e desenvolvimento, e que a qualidade da dieta destes pacientes pode ser melhorada através de um cuidado nutricional adequado.Termos de indexação: nutrição, fibrose cística, avaliação nutricional, ingestão de alimentos, criança. ABSTRACT ABSTRACT ABSTRACT ABSTRACT ABSTRACTCystic fibrosis affects nutritional status because it interferes with adequate ingestion and absorption of nutrients. The present study evaluated 22 fibrocystic patients, who attended ambulatory visits at Hospital Infantil Joana de Gusmão, in the city of Florianópolis, Santa Catarina, Brazil, from August 1998 to January 1999. Nutritional status was determined by anthropometric measurements and food intake data. As to the nutritional status, 42.9% of the children under 2 years old and 28.6% over 10 years old were malnourished. Children between 2-10 years old did not present malnutrition. Evaluation of nutritional intake showed that 33.3% were eating adequate amounts of energy, and 95.2% of protein.It can be concluded that cystic fibrosis affects nutritional status of children in critical periods of growth and development, and that the quality of their diets can benefit from adequate nutritional care

Perfil nutricional, clínico e socioeconômico de pacientes com fibrose cística atendidos em um centro de referência no nordeste do Brasil

“…Gestational age and appropriate birth weight, together with longer duration of breastfeeding, act as protective factors against the occurrence of frequent illnesses, especially those of infectious origin, and malnutrition, (17) which might have contributed to the fact that the nutritional status presented by the individuals studied was better than that reported in other studies. (18)(19)(20) In relation to maternal education, more years of schooling favors better nutritional status, as well as improving patient adherence to treatment. Family income can be considered an important determinant of health conditions by the influence it exerts on the possibility of acquiring and using goods and services essential to the maintenance of the health status, such as food, housing, clothing and sanitation.…”

“…In national (19,20) and international (5,18) studies of CF patients, some degree of malnutrition, as well as greater impairment of nutritional status in those over 10 years of age, has been described. Those findings were attributed to greater nutritional demand, due to the rapid growth or increase in energy expenditure related to pulmonary infections, which are more common in CF patients, as well as to changes in endocrine function, due to a higher probability of developing diabetes in this age bracket.…”

Canais Iônicos E Fibrose Cística

“…O tecido endócrino pancreático é preservado inicialmente, mas, com o passar dos anos, as células e o tecido glandular (completamente substituído por fibrose e gordura) são perdidos, podendo ocorrer intolerância à glicose e Diabetes mellitus em oito a 15 % dos pacientes (10,13) .…”

“…No organismo, a proteína CFTR contribui para a regulação do fluxo iônico nas superfícies apicais das células epiteliais e é um canal de cloreto (7,10,13) . Na fisiopatologia, este gene mutante prejudica a secreção de cloreto na membrana apical das células epiteliais, e há aumento da reabsorção de sódio e água da luz do órgão afetado, o que concentra as secreções, tornando-as mais viscosas e espessas (14) .…”

Alternativas terapêuticas para o tratamento de infecções por Pseudomonas aeruginosa multirresistentes endêmicas no Brasil.

“…Sendo assim, as queimaduras devem ser protegidas por agentes antimicrobianos de uso tópico para evitar a proliferação e migração dos microrganismos do tecido necrosado para as regiões sadias (Hammond et al, 2011;Pruitt, McManus, 1992 (Fiates et al, 2001;Firmida, Lopes, 2011;Rosa et al, 2008 (Nichols et al, 2008).…”