Impact of nutritional counseling in reducing serum cholesterol in public health service patients

Batista, Maria da Conceição Rosado; Franceschini, Sylvia do Carmo Castro

doi:10.1590/s0066-782x2003000200005

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…The detection of high blood cholesterol during childhood is of potential value in identifying those children who are at increased risk for developing CAD as adults and who might benefit from more intensive dietary interventions. Few Brazilian studies have investigated lipid profile and overweight as a preventive factor in identifying the individual risk of developing CAD in adolescents and children [17][18][19][20][21] . CAD is uncommon in young adults, and it has different characteristics from that in older patients.…”

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Dislipidemia entre crianças e adolescentes de Pernambuco

França

Alves

2006

Arq. Bras. Cardiol.

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Objective: To describe the prevalence of dyslipidemia and overweight among children and adolescents in the state of Pernambuco, Brazil. Methods:During clinical evaluation, a questionnaire was completed through interviews with parents and included personal details of the children and adolescents. An exclusion criterion was personal or parental history of diabetes or coronary artery disease (CAD). Blood samples were collected from subjects who had been fasting for 12 hours, and the following evaluations were performed using enzymatic methods: serum Total Cholesterol, LDL-Cholesterol, HDL-Cholesterol and Triglycerides. Data were analyzed using the SPSS 11.5 statistical package including Student's t test and Fisher's exact test. Results:Of the 414 children and adolescents analyzed in the present study, about 30% presented an atherogenic lipid profile, characterized by higher levels of Triglyceride, Total and LDL-Cholesterol. The prevalence of overweight in this sample from Pernambuco was 4%. Girls had higher levels of Triglycerides and Total Cholesterol than boys. Children and adolescents presented the same values of lipid on blood that is not expected for children in this phase of development. Conclusion:In the present population, an unfavorable lipid profile among children and adolescents from Pernambuco suggests that programs targeting the prevention of cardiovascular disease and obesity must begin early in life.

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confidence: 99%

“…However, little attention has been given to lipid profile among Brazilian adolescents 18,19 . The National Cholesterol Education Program 24 recommended the selective screening of children and adolescents (after 2 years of age) whose parents .…”

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Dislipidemia entre crianças e adolescentes de Pernambuco

França

Alves

2006

Arq. Bras. Cardiol.

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“…HDL-c mobilizes cholesterol into the cells thereby decreasing or reducing the formation of atherosclerotic plaque. Relative or absolute decrease in the cholesterol carried in the HDLfraction of plasma is seen in atherosclerotic patients [39].…”

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Atherogenic and Haematologic Indices of Paracetamol- Overdosed Albino Rats Treated With Aqueous Leaf Extracts of Euphorbia Heterophylla and Jatropha Curcas

Igwel¹,

Nwaogu²,

Olunkwa³

et al. 2017

J Clinic Toxicol

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Objective: The protective effect of aqueous leaf extracts of Euphorbia heterophylla and Jatropha curcas against paracetamol-induced acute changes in lipid, atherogenic and haematologic parameters of albino rats were studied.Methodology: Twenty-five adult male albino rats weighing 180 to 200 g were randomly assigned into 5 experimental groups (I-V) of five animals each. Group I animals were administered 10 ml of distilled water, while group II rats were given 1000 mg/kg paracetamol. Groups III-V were pretreated with vitamin C (500 mg/kg), E. heterophylla (200 mg/kg) and J. curcas (1000 mg/kg) respectively, 1 h before administration of 1000 mg/kg paracetamol. The animals were orally administered the extracts/drugs daily for 14 days.Result: Paracetamol administration reduced significantly (p<0.05) the total cholesterol, triglyceride, high density lipoprotein cholesterol (HDL-c), low density lipoprotein cholesterol (LDL-c) and total non HDL-c concentrations as well as white blood cell (WBC) count of the animals when compared with the control. Pre-treatment of the animals with vitamin C non-significantly (p>0.05) countered the observed effects of paracetamol overdose more than the extracts of E. heterophylla and J. curcas. Acute paracetamol overdose did not significantly (p>0.05) affect most of the atherogenic risk predictor indices and haematological parameters studied. Conclusion:The results indicate that atherogenic and haematologic indices were less responsive than lipid parameters to paracetamol-induced toxicity. Furthermore, aqueous leaf extracts of E. heterophylla and J. curcas had less protective effect than vitamin C against serum lipidaemic changes induced by paracetamol.

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“…Upaya edukatif tersebut perlu didukung melalui terapi non-farmakologis yang disebut perubahan gaya hidup terapeutik Therapeutic Lifestyle Changes (TLC) dan penggunaan obat-obat penurun kolesterol. Lebih lanjut Batista and Franceschini (2003) berpendapat bahwa melalui konseling, klien diharapkan dapat memiliki pengetahuan dan keterampilan untuk membuat perubahan yang merupakan penyelesaian masalahnya.…”

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“…Beberapa penelitian lain yang mendukung hasil penelitian ini yaitu terdapat pengaruh konseling terdapat penurunan kadar kolesterol darah yaitu seperti yang dikemukakan oleh Batista and Franceschini (2003) bahwa terjadi penurunan jumlah pasien dengan kolesterol total tinggi, dari 89,6% menjadi 47,9%, dan pasien dengan LDL tinggi, menurun dari 82,6% menjadi 45,7%, sedangkan pada pasien dengan gejala obesitas tingkat 1 dan 2 turun dari 31,9% menjadi 19,8% setelah mendapat konseling gizi sesuai SOP.…”

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Pengaruh Pemberian Konseling Gizi terhadap Penurunan Kadar Kolesterol Darah

Rahmad

2018

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Impact of Nutritional Counseling in Reducing Blood Cholesterol. Technological and socioeconomic advances resulted in dietary changes from the traditional diet to the western diet such as high-calorie fast food and fat, thus impacting the high prevalence of cholesterol in the community. One effort to reduce blood cholesterol can be done through consultation or counseling with a nutritionist. The study aimed to measure the effect of nutritional counseling on the decrease of cholesterol. This quasi-experimental study has used a sample of 48 patients of health center in the Banda Aceh City, divided into case and control groups through non-random assignment. Cholesterol data obtained through laboratory blood tests, and the tool used for its testing is Autocheck with scale ratio, while the variable method of counseling is done face to face with a tool leaflet. Analysis using a t-test. The results showed a decrease in blood cholesterol in patients given nutritional counseling using a leaflet medium of 20,2 mg/dl (p=0,000), while in the control group (counseling without media) also showed a decrease in cholesterol levels of 6,9 mg/dl (p=0.001). Counseling methods using leaflets have a better value of effectiveness than without the media. Conclusion, the provision of nutrition counseling is very influential on the decline in blood cholesterol, and the use of media leaflets better in nutrition counseling. Suggestion, every health services should cooperate with universities to conduct nutritional counseling routinely and become one of program priority in the handling of degenerative diseases. Abstrak: Pengaruh Pemberian Konseling Gizi terhadap Penurunan Kadar Kolesterol Darah.Kemajuan teknologi dan sosial ekonomi mengakibatkan perubahan pola makan dari pola makan tradisional ke pola makan barat seperti fast food yang tinggi kalori serta lemak sehingga berdampak tehadap tingginya prevalensi kolesterol pada masyarakat. Salah satu upaya untuk menurunkan kolesterol darah dapat dilakukan melalui konsultasi atau konseling dengan ahli gizi. Penelitian bertujuan untuk mengukur pengaruh pemberian konseling gizi terhadap penurunan kadar kolesterol. Penelitian quasi-eksperimen ini menggunakan sampel 48 pasien puskesmas Kota Banda Aceh yang terbagi ke dalam kelompok kasus dan kontrol melalui non-random assignment. Data kolesterol diperoleh melalui pemeriksaan darah secara laboratorium dengan skala rasio, pemeriksaan kolesterol menggunakan Autocheck, sedangkan variabel metode konseling dilakukan secara tatap muka dengan alat bantu leaflet. Analisis menggunakan uji t. Hasil penelitian menunjukan terjadi penurunan kadar kolesterol pada pasien yang diberikan konseling gizi menggunakan media leaflet sebesar 20,2 mg/dl (p=0,000), sedangkan pada kelompok kontrol (konseling tanpa media) juga menunjukan penurunan kadar kolesterol sebesar 6,9 mg/dl (p=0,001). Metode konseling menggunakan leaflet mempunyai nilai efektifitas yang lebih baik dibandingkan tanpa media dalam mendukung konseling untuk menurunkan kadar kolesterol. Kesimpulan, pemberian ...

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Impact of nutritional counseling in reducing serum cholesterol in public health service patients

Abstract: Objective -To assess the impact of nutritional attention on the lipid profile and nutritional status of hypercholesterolemic patients attended in health centers of BeloHorizonte. Methods

Cited by 4 publications

References 10 publications

Dislipidemia entre crianças e adolescentes de Pernambuco

Dislipidemia entre crianças e adolescentes de Pernambuco

Atherogenic and Haematologic Indices of Paracetamol- Overdosed Albino Rats Treated With Aqueous Leaf Extracts of Euphorbia Heterophylla and Jatropha Curcas

Pengaruh Pemberian Konseling Gizi terhadap Penurunan Kadar Kolesterol Darah

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