Characterization of the elderly care at a geriatric clinic in Cascavel - Paraná and the benefits of individualized nutritional intervention
Abstract
Introduction: With senescence, some precautions must be adopted, among which is the individualized nutritional intervention that identifies deficiencies and excesses, readjusting them to vital needs of elderly. Objectives: To characterize the elderly who receive regular care at a Geriatrics Clinic in the city of Cascavel-PR; Analyze possible predictive variables that characterize the risk for the development of chronic non-communicable diseases (NCDs) in the elderly; Looking back on how individualized nutritional intervention has contributed to the prevention or improvement of NCDs. Materials and Methods Fifty elderly patients (68%; n = 34 women and 32%; n = 16 men) seen between August 2017 and July 2019 were analyzed, characterizing them from clinical records. The data were analyzed in a descriptive and inferential manner. Results: They were classified as overweight or obese (56%; n = 28), with diabetes mellitus (DM, 42%; n = 21) and with arterial hypertension (SAH, 70%, n = 35). The glycated hemoglobin (HG) variable was considered a predictive variable for the development of DM in the elderly (exp (b): 25.07, 95% CI: 3.24; 193.82, P <0.05), but none of the variables predisposed to the development of SAH or obesity. And the individualized nutritional intervention, during the 16-week period, was effective for the loss of body weight and for the reduction of the HG and plasma LDL concentration of the elderly (P <0.05). Conclusion: The main diseases that affect the elderly evaluated are obesity, SAH and DM. And the HG was a predictive factor for the development of DM and the individualized nutritional intervention helped to reduce the risk factors that contribute to NCDs in elderly.
References
-Alam, I.; Larbi, A.; Pawelec, G. Relationship between anthropometric variables and nutrient intake in apparently healthy male elderly individuals: a study from Pakistan. Nutrition Journal. Vol. 10. Num. 111. 2011. p. 2-8.
-Araújo, M.L.A. A desidratação no idoso. Dissertação de Mestrado. Universidade Fernando Pessoa Faculdade de Ciências da Saúde. Porto. 2013.
-Brennan, C.S. Dietary fiber, glycemic response, and diabetes. Molecular Nutrition & Food Research. Vol. 49. Num. 1. 2005. p.560-570.
-Cabrera, M.; Jacob F.W.J. Obesidade em idosos: prevalência, distribuição e associação com hábitos e comorbidades. Arquivo Brasileiro de Endocrinologia e Metabolismo. Vol. 45. Num. 5. 2001. p. 494-501.
-Chandalia, M. Dietary treatment of Diabetes Mellitus. The New England Journal of Medicine. Vol. 342. Num. 1. 2000. p.1392-1398.
-Colman, E.; Toth, M.J.; Katzel, L.I.; Fonong, T.; Gardner, A.W.; Poehlman, E.T. Body fatness and waist circumference are independent predictors of the age-associated increase in fasting insulin levels in healthy men and women. International Journal of Obesity. Vol.19. Num.11. 1995. p.798-803.
-Davidson, M.B. The effect of aging on carbohydrate metabolism: a review of the English literature and a practical approach to the diagnosis of diabetes mellitus in the elderly. Metabolism - Clinical and Experimental. Vol. 28. Num. 6. 1979. p. 668-705.
-DCCT. Diabetes Control and Complications Trial. The effect of intensive treatment of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The New England Journal of Medicine. Vol. 329. Num. 1. 1993. p. 977-86.
-Elahi, D.; Muller, D.C. Carbohydrate metabolism in the elderly. European Journal of Clinical Nutrition. Vol. 54. Num. 3. 2000. p. 112-120.
-EFSA. Panel on Dietetic Products, Nutrition, and Allergies (NDA); Scientific Opinion on Dietary reference values for water. EFSA Journal. Vol. 8. Num. 3. 2010. p. 48.
-Fink, R.I.; Kolterman, O.G.; Griffin, J.; Olefsky, J, M. Mechanisms of insulin resistance in aging. Journal of Clinical Investigation. Vol. 71. Num. 6. 1983. p.1523-1535.
-Giacco, R.; Parillo, H.; Rivelesse, A.A.; Iasorella, L.; Giacco, A.; D’episcopo, G.; Riccardi, L. Long term dietary treatment with increased amounts of fiber rich low glicemic index natural foods improves blood glucose control and reduces the number of hypoglycemic events in type 1 diabetic patients. Diabetes Care. Vol. 23. Num. 1. 2000. p.1461-1466.
-Goldstein, D.E.; Little, R.R.; Lorenz, R.A.; Malone, J.I.; Nathan, D.; Peterson, C.M.; Sacks, D.B. Tests of glycemia in diabetes. Diabetes Care. Vol. 27. Num. 1. 2004. p. 1761-1773.
-Hashimoto, Y.; Futamura, A.; Ikushima, M. Effect of aging on Hb A1c in a working male japanese population. Diabetes Care. Vol.18. Num.10. 1995. p.1337-1340.
-IBGE. Instituto Brasileiro de Geografia e Estatística. Censo demográfico: resultados preliminares. 2018.
-Jensen, G.L; Mcgee, M; Binkley, J. Nutrition in the elderly. Gastroenterology Clinics of North America. Vol. 30. Num. 1. 2001. p. 313-334.
-Lemos, R.P. O perfil nutricional da população idosa e seus fatores associados. International Journal of Nutrology. Vol. 11. Num. 1. 2018. p.01.
-Lipschitz, D.A. Screeming for nutritional status in elderly. Primary Care. Vol. 21. Num. 1. 1994. p. 55-67.
-Lohman, T.G.; Roche, A.F.; Martorel, R. Anthropometrics standardization reference manual. Champaign. Human Kinetics Books. 1988.
-Menezes, T.N.; Marucci, M.F.N. Antropometria de idosos residentes em instituições geriátricas. Revista de Saúde Pública. Vol. 39. Num. 2. 2005. p. 169-175.
-Messinger-Rapport, B.J.; Thomas, D.R.; Gammack, J.K.; Morley, J.E. Clinical update on nursing home medicine. Journal of The American Medical Directors Association. Vol. 10. Num. 8. 2009. p. 530-553.
-Mira, G.S. Visão retrospectiva em fibras alimentares com ênfase em beta-glucanas no tratamento do diabetes. Brazilian Journal of Pharmaceutical Sciences. Vol. 45. Num. 1. 2009. p.22.
-Nagahashi, A.S.; Goulart, R.M.M.; Torraga, M.O.F.; Valiengo, A. Avaliação do estado nutricional, qualidade de vida e prática de atividade física de idosas em programas para terceira idade. Revista Brasileira de Ciências da Saúde. Vol. 11. Num. 38. 2014. p.38-45.
-Popkin, B.M.; D’ancI, K.E.; Rosenberg, I.H. Water, hydration, and health. Nutrition reviews. Vol. 68. Num. 8. 2010. p.439-58.
-Risig, R.; Tataranni, P.A.; Snitker, S; Ravussin, E. Decreased ratio of fat to carbohydrate oxidation with increasing age in Pima indians. Journal of the American College of Nutrition. Vol.15. Núm.3. 1996. p. 309-312.
-Sampaio, L.R. Avaliação nutricional e envelhecimento. Revista de Nutrição de Campinas. Campinas. Vol. 17. Num. 4. 2004. p. 507-514.
-Trompieri, N. O processo de envelhecimento: as principais alterações que acontecem com o idoso. Revista Cientifica Internacional. Vol. 1. Num. 7. 2012. p.106-132.
-Wilmoth, J.R. The future of human longevity: a demographer’s perspective. Science. Vol. 280. Num. 1. 1998. p.395-397.
-Wachholz, P.A.; Rodrigues, S.C.; Yamane, R. Estado nutricional e a qualidade de vida em homens idosos vivendo em instituição de longa permanência em Curitiba-PR. Revista Brasileira de Geriatria e Gerontologia. Vol. 14. Num. 4. 2011. p. 625-635.
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