Nutritional status of neurological patients with reduced mobility
DOI:
https://doi.org/10.7322/jhgd.72084Keywords:
nutritional status, body composition, evaluation, neurologyAbstract
Objective: to assess the nutritional status of neurological patients in physiotherapy treatment. Methods: this is a descriptive and transversal research in which all patients treated in an university physical therapy clinical at metropolitan region in Sao Paulo were invited to participate. After signing the informed consent by participants or their parents or guardians, nutritional consultation was scheduled to collect identification data and anthropometric data for the examination of bioelectrical impedance analysis and classification of nutritional status. We evaluated 24 patients of both sexes, aged between 3 and 62 years, divided into two groups (children and youth, and adults n = 10, n = 14) who underwent physical therapy in the clinic and who had limited mobility. Results: regarding socio-demographic variables, most of the patients had rated socioeconomic status between B1 and C1. The gastrointestinal symptoms most related were gastritis and gastro esophageal reflux. The most adult patients showed: normal weight (64.3%) followed by obesity (21.4%) and overweight (7.1%). They also submitted cardiovascular risk among moderate and high, according to waist circumference. The prevalence of malnutrition was 20% in children and adolescents. The percentage of body mass averaged 24.2%. Conclusion: this is a sample that shows anthropometric and commitments, and important nutritional need for systematic monitoring of health education.References
Greve JMD. Reabilitação na lesão da medula espinhal. Rev Med. 1999;78(2):276-86.
Reming VM, Weeden A. Tratamento Clínico Nutricional para Distúrbios Neurológicos. In: Mahan LK, Escott-Stump S. Krause: Alimentos, Nutrição e Dietoterapia. 11ª ed. São Paulo: Roca; 2005. p.623-955.
Stevenson RD. Use of segmental measures to estimate stature in children with cerebral palsy. Arch Pediatr Adolesc Med. 1995;149:658-62.
Weisstaub G, Durán CC, Mujica JF, Briones C. Nutrición en el niño con daño neurológico. Rev Chil Pediatr. 1996;67(3):130-35.
Kuperminc MN, Stevenson RD. Growth and nutrition disorders in children with cerebral palsy. Dev Disabil Res Rev. 2008;14:137-46.
Rede Sarah De Hospitais De Reabilitação. Disponível em http://www.sarah.br/. Acesso em 23 de novembro de 2013.
Engler TMNM, Farage L, Mello PA. Constipação intestinal em pacientes admitidos em programa de reabilitação neurológica. Acta Paul Enferm. 2011;24(6):804-09.
Rodriguez TN, Rocha ECV, Zanandréa EF. Síndrome da obstipação intestinal. Rev Bras Med. 2004;61(4):174-80.
Cardozo-Gonzales RI, Villa TCS, Calin MHL. O processo da assistência ao paciente com lesão medular: gerenciamento de um caso como estratégia de organização da alta hospitalar. Medicina. 2001;34(1):325-33.
Brandão CMA, Vieira JGH. Fatores envolvidos no pico de massa óssea. Arq Bras Endocrinol Metab. 1999;43(6):401-08.
Ryan AS, Ivey FM, Hurlubut DE, Martel GF, Lemmer JT, Sorkin JD. et al. Regional bone mineral density after resistive training in young and older men and women. Scand J Med Sci Sports. 2004;14(1):16-23.
Bell KL, Boyd RN, Tweedy SM, Weir KA, Stevenson RD, Davies PS. A prospective, longitudinal study of growth, nutrition and sedentary behaviour in young children with cerebral palsy. BMC Public Health. 2010;10(1):179.
Waitzberg DL, Ferrini MT. Exame Físico e Antropometria. In: Waitzberg DL. Nutrição Oral, Enteral e Parenteral na Prática Clínica. 3ª ed. São Paulo: Atheneu; 2001. p.255-78.
Anjos LA, Warhlich V. Avaliação Antropométrica: In: Taddei JA, Lang RMF, Longo-Silva G, Toloni MHA. Nutrição em Saúde Pública. Rio de Janeiro: Rubio; 2011. p.55-72.
WHO (World Health Organization). Child Growth Standards (2007). Disponível em: http://www.who.int/childgrowth/standards/en/. Acesso em 23 de novembro de 2013.
Buchholz AC, Bugaresti JM. A review of body mass index and waist circumference as markers of obesity and coronary heart disease risk in persons with chronic spinal cord injury. Spinal Cord. 2005;43(1):513-18.
WHO (World Health Organization). Obesity - Preventing and Managing the Global Epidemic. Report of a WHO Consultation. Geneva; 1998.
Spungen AM, Adkins RH, Stewart CA, Wang J, Pierson RN, Waters, RL. et al. Factors influencing body composition in persons with spinal cord injury: a cross-sectional study. J Appl Physiol. 2003;95(6):2398-407.
Rezende F, Rosado L, Franceschinni S, Rosado G, Ribeiro R, Marins JCB. Revisão crítica dos métodos disponíveis para avaliar a composição corporal em grandes estudos populacionais e clínicos. Arch Latinoamer Nutr. 2007;57(4):327-34.
ABEP - Associação Brasileira de Empresas de Pesquisa, 2010. Disponível em: http://www.abep.org/novo/FileGenerate.ashx?id=252. Acesso em 23 de novembro de 2013.
Kwok T, Whitelaw MN. The use of armspan in nutritional assessment of the elderly. J Am Geriatr Soc. 1991;39(1):492-96.
Taylor RW, Jones IE, Williams SM, Goulding A. Evaluation of waist circumference, waist-to hip ratio, and conicity index as screening tools for high trunk fat mass, as measured by dualenergy X-ray absorptiometry, in children aged 3-19 y. Am J Clin Nutr. 2000;72(2):490-5.
IDF (International Diabetes Federation). Clinical Guidelines Task Force. Global Guidelines for Type 2 Diabetes. Diabet Med. 2005;23(5):469-80.
NCEP (National Cholesterol Education Program). Third Report of the Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). NHI Publication. 2001;01-3670.
Lim PA, Tow AM. Recovery and regeneration after spinal cord injury: a review and summary of recent literature. Ann Acad Med Singapore. 2007;36(1):49-57.
Ghafoor AU, Martin TW, Gopalakrishnan S, Viswamitra S. Caring for the patients with cervical spine injuries: what have we learned? J Clin Anesth. 2005;17(8):640-49.
Lobo SM, Miranda ALD. Disfunção do trato gastrointestinal prolongada em pacientes admitidos na terapia intensiva. Rev Bras Ter Intensiva. 2010;22(2):118-24.
Weaver FM, Collins EG, Kurichi J, Miskevics S, Smith B, Rajan S. et al. Prevalence of obesity and high blood pressure in veterans with spinalcord injuries and disorders: a retrospective review. Am J Phys Med Rehabil. 2007;86(1):22-9.
Gupta N, White KT, Sandford PR. Body mass index in spinalcord injury - a retrospective study. Spinal Cord. 2006;44:92-4.
Wilt TJ, Carlson FK, Goldish GD, MacDonald R, Niewoehner C, Rutks I, Shamliyan T. et al. Carbohydrate & Lipid Disorders & Relevant Considerations in Persons with Spinal Cord Injury. Evidence Report/Technology Assessment Nº 163. Rockville, MD: Agency for Healthcare Research and Quality; 2008.
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