Percepção Da Importância E Adesão Ao Tratamento Dietético De Pacientes Com Doença Inflamatória Intestinal

Abstract

Inflammatory bowel diseases (IBD), represented by Crohn's disease and ulcerative colitis, result in changes in food consumption and nutritional changes. This paper aimed to assess the perception of importance and compliance with diet therapy of patients with IBD. Sample was made up by patients of the IBD multidisciplinary clinic of a family and community health unit in the town of Itajaí, Santa Catarina state, Brazil. A semi-structured questionnaire was applied to patients with IBD, containing questions on personal data, quality of care provided, and their compliance with the nutritional guidelines provided in the care protocol given by the nutritionists. The patient's nutritional status was also evaluated, through anthropometric measurements and nutritional diagnosis at beginning of treatment and at the time of data collection. Statistical analyses were performed using the software STATA 13.0. Of the 56 patients interviewed, 98% considered it important to receive guidelines on food, and 93% said that their adhesion to the guidelines helped treating the disease. There was a prevalence of overweight patients, with 52% after follow-up with nutritional guidance, and reduction of malnutrition. Over 70% of patients said they had complied with the guidelines, and the average adherence to guidelines for BMI was 7.61 and for perception of aid it was 7.69. The guideline with highest adherence was "reducing consumption of fats" and the least adhered to was "consume only bean broth". Based on the results, we observed that patients recognize the importance of nutritional care and its importance in controlling symptoms, as well as the improvement in nutritional status and adhesion to most of the diet therapy guildelines.A doença inflamatória intestinal (DII), representada pela doença de Crohn (DC) e pela retocolite ulcerativa idiopática (RCUI), é um grupo de condições inflamatórias crônicas, resultado de ativação persistente inadequada do sistema imune mucoso. 1 A DC define-se como um processo inflamatório crônico, idiopático e transmural que afeta um ou mais segmentos do tubo digestivo. A RCUI também é um processo inflamatório crônico idiopático que atinge o reto, estendendo-se contínua e proximalmente, podendo atingir a totalidade do cólon. 2

Aspectos Nutricionais Associados a Patogênese das Doenças Inflamatórias Intestinais: uma Revisão Sistemática / Nutritional Feature Associated with the Pathogenesis of Inflammatory Bowel Diseases: A Systematic Review

“…Acredita-se que dieta rica em lipídios está associada ao agravamento dos sintomas da DII em pacientes portadores ou aumento da suscetibilidade de seu desenvolvimento em não portadores da doença 35 . Hod (2016) 16 , em um estudo duplo-cego, controlado por placebo, avaliou 107 mulheres com Síndrome do Intestino Irritável com predomínio de diarreia (SII-D).…”