Abstract
Objective: To assess the nutritional status and quality of life of candidates for heart transplantation. Methods: Quantitative descriptive study of candiates for heart transplantation attending the outpatient clinic of a Heart Failure and Transplant Center (HFTC) in Fortaleza, Ceara, Brazil. Interviews, consultations and medical records were used to collect data on weight, height, Body mass index (BMI), arm circumference (AC), arm muscle circumference (AMC), triceps skinfold (TS) and clinical data on the underlying disease. Questionnaires addressing socioeconomic data, lifestyle and dietary frequency and the World Health Organization Quality of Life-WHOQOLBref were used. Descriptive statistics and absolute and relative frequencies were used. Continuous variables were tested using Pearson’s correlation coefficient. Results: Participants’ mean age was 50.64±12.45 years and 57% (n=27) were men. As for nutritional status, 47.22% (n=17) of the adults were overweight and 54.55% (n=6) of the older people were at normal weight. In addition, adults presented normal AC, AMC and TS, with 52.78% (n=19), 88.82% (n=32) and 36.11% (n=13), respectively. The older people also presented normal AC and AMC, both with 81.82% (n=9). Quality of life (QoL) was satisfactory (fair) according to the mean of the domains. Conclusion: The patients presented normal nutritional status and/or overweight and a quality of life ranging from fair to good. The variations in the NS and QoL depend on the life stage and on the social/family support they receive, which constitute positive determinants even in the presence of heart disease.
Highlights
of the older people were at normal weight
Quality of life (QoL) depend on the life stage
Independentemente das variáveis demográficas e clínicas, os pacientes adultos e idosos da atual investigação apresentaram perfil nutricional dentro dos parâmetros normais (de acordo com IMC, circunferência braquial (CB) e circunferência muscular do braço (CMB)) e/ou sobrepeso para dobra cutânea tricipital (DCT) em idosos, e qualidade de vida de regular a boa
Summary
Objetivo: Avaliar o estado nutricional e a qualidade de vida de pacientes candidatos a transplante cardíaco. Métodos: Estudo quantitativo e descritivo, com pacientes candidatos a transplante cardíaco atendidos no ambulatório de uma Unidade de Transplante e Insuficiência Cardíaca (UTIC) em Fortaleza, Ceará, Brasil. Na avaliação do estado nutricional (EN), 47,22% (n=17) dos adultos tinham sobrepeso e 54,55% (n=6) dos idosos eram eutróficos. Os adultos apresentaram-se eutróficos para CB, CMB e DCT, com 52,78% (n=19), 88,82% (n=32) e 36,11% (n=13), respectivamente. Os idosos também estavam eutróficos para CB e CMB, ambos com 81,82% (n=9). A qualidade de vida (QV) mostrou-se satisfatória (regular) de acordo com a média dos domínios. Conclusão: Os pacientes apresentaram perfil nutricional de normalidade e/ou sobrepeso e uma qualidade de vida de regular a boa. Descritores: Insuficiência Cardíaca; Estado Nutricional; Qualidade de Vida; Transplante de Coração
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