Food Consumption In Patients Research Articles

Comparison of Dietary Intakes and Fermented Food Consumption in Patients with and without Periodontal Disease

Lack of certain nutrients and foods in the diet may negatively affect oral health. Therefore, nutrition may play an important role in maintaining oral health. This study aimed to evaluate and compare the nutrient intakes, consumption of food groups and some fermented foods of individuals with periodontal disease and health. Thirty-one patients with periodontitis, 31 with gingivitis who applied to the periodontology clinic and 31 individuals of similar age and gender without periodontal disease were included in this study. Plaque, gingival indices, bleeding on probing, periodontal pocket depth, and clinical attachment level were evaluated. To determine individuals' daily energy, nutrient intakes, and consumption of food groups, 24-hour food consumption records were kept for three consecutive days by the nutritionist. Data on individuals' frequency and amount of consumption of some fermented products were recorded, considering the foods available in our culture and the market. Totally, 34 men and 59 women participated in the study. Mean energy intake was similar among groups. Energy from total dietary fat (%, P=0.042), saturated fatty acid (P=0.002), and short and medium chain fatty acids (P=0.003), consumption of dairy products (except cheese) (P=0.009), cheeses (P=0.025), coffee (P=0.036), whole-grain bread (P=0.010) and kefir (P=0.013) were different among individuals with periodontal disease and periodontal health. In conclusion, nutrition may have an impact on periodontal health and disease.

The use of non-invasive brain stimulation techniques to reduce body weight and food cravings: A systematic review and meta-analysis.

Several studies demonstrated non-invasive brain stimulation (NIBS) techniques such as transcranial direct current stimulation (tDCS) and transcranial magnetic stimulation (TMS) are safe and simple techniques that can reduce body weight, food cravings, and food consumption in patients with obesity. However, a systematic to evaluate the efficacy of active NIBS versus sham stimulation in reducing body weight and food cravings in patients with obesity is not available. We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) using PubMed, Embase, MEDLINE, and Cochrane Central Register of Control Trial between January 1990 and February 2022. Mean differences (MDs) for continuous outcome variables with 95% confidence intervals (95% CIs) were used to examine the effects of NIBS on body weight and body mass index (BMI), whereas the hedges's g test was used to measure the effects on food craving. Nineteen RCTs involving 571 participants were included in this study. Active neurostimulation (TMS and tDCS) was significantly more likely than sham stimulation to reduce body weight (TMS: -3.29 kg, 95% CI [-5.32, -1.26]; I2 = 48%; p < .001; tDCS: -0.82 kg, 95% CI [-1.01, -0.62]; I2 = 0.0%; p = .00) and BMI (TMS: -0.74, 95% CI [-1.17, -0.31]; I2 = 0% p = .00; tDCS: MD = -0.55, 95% CI [-2.32, 1.21]; I2 = 0% p = .54) as well as food cravings (TMS: g = -0.91, 95% CI [-1.68, -0.14]; I2 = 88 p = .00; tDCS: g = -0.32, 95% CI [-0.62, -0.02]; p = .04). Compared with sham stimulation, our findings indicate that active NIBS can significantly help to reduce body weight and food cravings. Hence, these novel techniques may be used as primary or adjunct tools in treating patients with obesity.

O153 The use of non-invasive brain stimulation techniques to reduce body weight and food cravings: a systematic review and meta-analysis

Abstract Introduction Non-invasive brain stimulation (NIBS) techniques such as transcranial Direct Current Stimulation (tDCS) and transcranial Magnetic Stimulation (TMS) are safe and simple techniques that have been used to reduce body weight, food cravings and food consumption in patients with obesity. Such strategy, if effective can be used as an adjunct, prior to bariatric surgery. We therefore aim to systematically evaluate current evidence on the efficacy of active NIBS versus sham stimulation in reducing body weight and food cravings. Methods We conducted a systematic review and meta-analysis of randomised controlled trials (RCTs) between January 1990 and February 2022. Mean differences (MDs) for continuous outcome variables with 95% confidence intervals (95% CIs) were used to examine the effects of NIBS on body weight and BMI, while the hedges's g test was used to measure the effects on food craving. Results Nineteen RCTs involving 571 participants were included in this study. Active neurostimulation (TMS and tDCS) was significantly more likely than sham stimulation to reduce body weight (TMS: -3.29 kg, P&amp;lt;0.001; tDCS: -0.82 kg, P=0.00) and BMI (TMS: - 0.74, P = 0.00; tDCS: MD= - 0.55, P = 0.54) as well as food cravings (TMS: g= -0.91, P = 0.00; tDCS: g= -0.32, P = 0.04). Conclusion Compared to sham stimulation, our findings indicate that active NIBS can significantly induce a reduction of body weight and food cravings. Hence, these novel techniques may be used as primary or adjunct tools in treating patients with obesity prior to bariatric surgery.

Evaluation of anthropometric indicators and food consumption in patients with type 2 diabetes mellitus

Objective: To evaluate the anthropometric indicators and food consumption of people with Type 2 Diabetes Mellitus treated at a Basic Health Unit in the city of São Luís, Maranhão. Methods: This is a cross-sectional and descriptive study with a quantitative approach conducted with 36 patients who have Type 2 Diabetes Mellitus, treated at a Basic Health Unit in the capital city of Maranhão. Semi-structured forms were used to collect sociodemographic and anthropometric data, as well as related to eating habits. The analyses were performed using descriptive statistics, with data represented as mean, frequency and their respective standard deviations, in addition to Pearson's correlation test between the quantitative variables. Results: The sample was mostly represented by women (54.4%), older adults (59.6%), sedentary people (63.1%), who had high abdominal obesity (80.4%), ingested a low amount of fiber (93.5%) and consumed a large amount of protein (67.4%), saturated fat (69.6%) and sucrose (57.5%). Conclusion: Factors such as inadequate weight and unregulated eating habits can represent risks for glycemic control and contribute to worsening of Diabetes Mellitus. Descritores: Diabetes mellitus. Estado nutricional. Consumo de alimentos.

Assessment of food consumption in patients with chronic kidney disease after nutritional counseling

Introdução: O aconselhamento nutricional é um componente-chave no tratamento da doença renal crônica (DRC). A ingestão alimentar adequada às recomendações auxilia no controle de sódio, proteínas, líquidos e eletrólitos na dieta e previne complicações adicionais da doença. Dessa forma, o objetivo deste estudo foi avaliar o efeito da orientação nutricional nos pacientes em tratamento conservador da DRC. Métodos: Estudo quase-experimental controlado e em dois momentos, incluindo indivíduos nos estadios 3 e 4 da doença, divididos em dois grupos: controle e aconselhamento, sendo este composto por indivíduos que receberam a orientação nutricional e foram acompanhados por 90 dias. Os dados de antropometria e avaliação clínica e nutricional foram coletados por meio da aplicação do recordatório de 24 horas (R24h). A avaliação do consumo alimentar foi obtida por meio do programa Nutrition Data System for Research (NDSR). A análise de dados foi realizada por meio do modelo de medidas repetidas ao avaliar a interação entre grupos versus momentos. O nível de significância de 95% foi fixado para todos os testes. Resultados: 51 pacientes foram incluídos, sendo 24 controles e 27 aconselhamentos. A análise inicial mostrou que os grupos eram homogêneos. A avaliação do consumo alimentar após aconselhamento resultou em resposta favorável ao controle proteico e restrição de minerais: fósforo, sódio e potássio. Não houve menor ingestão de cálcio e vitamina D, fatores que poderiam agravar alterações no metabolismo ósseo e mineral, e não houve efeitos adversos na antropometria. Conclusão: O aconselhamento nutricional é eficaz e proporciona consumo alimentar adequado às recomendações propostas na DRC.

Clinical Condition, Nutritional Status and Food Consumption of Patients with Maple Syrup Urine Disease

Maple syrup urine disease (MSUD) is an inborn error of metabolism caused by an enzyme deficiency and leads to the accumulation of branched-chain amino acids (BCAAs), which are toxic to the body in high concentrations. Part of the treatment is based on dietary control and a reduced intake of BCAAs. The objective of this study was to describe the clinical condition, nutritional status and food consumption of patients with MSUD. Two patients diagnosed with MSUD were selected. Interviews and nutritional, body composition, and food consumption assessments were carried out. Energy, macronutrients, micronutrients, BCCAs, and fiber contents were estimate. All clinical data were obtained from medical records. Both patients showed manifestations of neuropsychomotor development delay with intellectual disability. Regarding nutritional status, one patient was overweight, and the other was underweight, with low functional capacity in both of them. A monotonous dietary pattern and a low intake of energy, proteins, vitamins, and minerals were observed, but there was a high consumption of BCAAs by one of the patients. Developmental and intellectual disabilities were observed besides the changes in nutritional status (underweight and overweight), low functional capacity, dietary inadequacies in terms of energy, macronutrients, and micronutrients, besides a monotonous food consumption pattern.

A Survey Study on Soy Food Consumption in Patients with Chronic Kidney Diseases.

Chronic kidney disease (CKD) is one of the major and exacerbating global health burdens, which is characterized by no curative treatments and high morbidity and mortality. Since malnutrition has become an important factor determining the final clinical outcomes of CKD, soy products, high-quality plant-based sources of proteins and other nutrients, are recommended by many physicians for CKD patients. However, it has been reported that adherence to this dietary advice among those patients is low. In order to dissect the potential reasons behind this phenomenon and to subsequently develop target intervention to improve the current situation, we designed and conducted a self-administered questionnaire survey in 3 medical centers in China. Total 570 patients responded to our survey and data analysis reveals that 85.6% of the respondents were aware of the necessaries of high-quality protein diets for CKD patients, but only 41.9% of patients knew that soy foods provide high-quality proteins needed. In contrast, up to 90.4% of patients were affected by the notion that patients with CKD should avoid soy products. Besides, comparing with other groups, higher percentage of patients undergoing peritoneal dialysis recognized soy products as foods with high-quality proteins, however, as many as 68.8% of them did not consume any soy foods due to the concerns of adverse effects on the progress of CKD. Our data suggest that a significant portion of patients with CKD do not consume soy foods, which could be mainly resulted from their misconception towards soy products delivered by medical workers or social media. Evidence-based updated education of patients and medical workers on soy foods would be a necessary strategy for improving nutrition status of CKD patients and their clinical outcomes.

Habitual Food Consumption of Patients with COVID-19 Infection from Rural Regions - Preliminary, Cross Sectional Study.

Habitual Food Consumption of Patients with COVID-19 Infection from Rural Regions - Preliminary, Cross Sectional Study.

Superior Mesenteric Artery Syndrome

The patient was a 22-year-old woman with a 10-year history of anorexia nervosa restricting subtype who had been diagnosed with superior mesenteric artery (SMA) syndrome (Figure 1). She reported diffuse abdominal pain and nonvolitional vomiting shortly after food consumption, which was contributing to further weight loss. With nutritional rehabilitation, which initially included increased amounts of liquid supplements and eventual tolerance of a regular oral diet, she achieved a body mass index of 20.08 kg/m2, with near resolution of her gastrointestinal (GI) symptoms and computed tomography findings no longer meeting criteria for SMA syndrome (Figure 2).Figure 2After weight restoration (body mass index, 20.08 kg/m2; aortomesenteric distance, 4.72 mm; aortomesenteric distance, 8.05 mm). SMA = superior mesenteric artery.View Large Image Figure ViewerDownload Hi-res image Download (PPT)Superior mesenteric artery syndrome is a frequently overlooked cause of abdominal pain and emesis associated with food consumption in patients who have lost substantial weight. Superior mesenteric artery syndrome results from the compression of the horizontal duodenum between the SMA and the aorta owing to atrophy of the mesenteric fat pad resulting from weight loss. Diagnosis can be made functionally with upper GI series or with computed tomography angiography or magnetic resonance angiography; an aortomesenteric angle less than 25° or an aortomesenteric distance less than or equal to 8 mm are the most frequently cited diagnostic criteria.1Unal B. Aktaş A. Kemal G. et al.Superior mesenteric artery syndrome: CT and ultrasonography findings.Diagn Interv Radiol. 2005; 11: 90-95Google Scholar Patients may be referred for surgical intervention, but surgery should never be first-line treatment as duodenal compression and, hence, the GI symptoms resolve with even modest weight restoration and reconstitution of the mesenteric fat pad (see Figures 1 and 2).2Watters A. Gibson D. Dee E. Mascolo M. Mehler P.S. Superior mesenteric artery syndrome in severe anorexia nervosa: a case series.Clin Case Rep. 2019; 8: 185-189Google Scholar Options for nutritional rehabilitation can include increased liquid supplements, enteral nutrition bypassing the duodenal compression, or total parenteral nutrition in extreme cases. The patient was a 22-year-old woman with a 10-year history of anorexia nervosa restricting subtype who had been diagnosed with superior mesenteric artery (SMA) syndrome (Figure 1). She reported diffuse abdominal pain and nonvolitional vomiting shortly after food consumption, which was contributing to further weight loss. With nutritional rehabilitation, which initially included increased amounts of liquid supplements and eventual tolerance of a regular oral diet, she achieved a body mass index of 20.08 kg/m2, with near resolution of her gastrointestinal (GI) symptoms and computed tomography findings no longer meeting criteria for SMA syndrome (Figure 2). Superior mesenteric artery syndrome is a frequently overlooked cause of abdominal pain and emesis associated with food consumption in patients who have lost substantial weight. Superior mesenteric artery syndrome results from the compression of the horizontal duodenum between the SMA and the aorta owing to atrophy of the mesenteric fat pad resulting from weight loss. Diagnosis can be made functionally with upper GI series or with computed tomography angiography or magnetic resonance angiography; an aortomesenteric angle less than 25° or an aortomesenteric distance less than or equal to 8 mm are the most frequently cited diagnostic criteria.1Unal B. Aktaş A. Kemal G. et al.Superior mesenteric artery syndrome: CT and ultrasonography findings.Diagn Interv Radiol. 2005; 11: 90-95Google Scholar Patients may be referred for surgical intervention, but surgery should never be first-line treatment as duodenal compression and, hence, the GI symptoms resolve with even modest weight restoration and reconstitution of the mesenteric fat pad (see Figures 1 and 2).2Watters A. Gibson D. Dee E. Mascolo M. Mehler P.S. Superior mesenteric artery syndrome in severe anorexia nervosa: a case series.Clin Case Rep. 2019; 8: 185-189Google Scholar Options for nutritional rehabilitation can include increased liquid supplements, enteral nutrition bypassing the duodenal compression, or total parenteral nutrition in extreme cases. We thank Sara Nieder for her help in obtaining the images.

Nutritional status and food consumption of patients with Parkinson disease.

Parkinson's disease (PD) is a neurodegenerative disease that affects food intake as the disease progresses. The assessment of nutritional status is essential to identify early nutritional deficits. To investigate the nutritional status and food intake of patients diagnosed with PD. This was a descriptive, cross-sectional, and quantitative study. A structured questionnaire with restricted questions was applied to identify the sociodemographic profile and anthropometric measurements were taken. To evaluate the disease stage, the modified Hoehn & Yahr scale was used. Food intake was evaluated using the Food Frequency Questionnaire (FFQ). The acquired information was organized in the Microsoft Office Excel 2010 program and statistical analysis was performed using the BioEstat 5.3 program. The research was carried out with 40 patients; the majority was male (60%), over 60 years old (52.5%), single (55%), with a high school degree (42.5%), retirees (80%), and receiving one minimum salary (42.5%). Most were classified with eutrophic (42.5%) and overweight (42.5%). About food consumption, the most common foods were banana (60%), fish (52.5%), acerola (45%), and orange (32%). Among the high-risk foods, red meat (82.5%), fried foods (30%), heavy cream (25%), and filled sandwich cookies (25%) were the most common. Most patients had a high consumption of red meat and processed foods, with relevant consumption of some fruits and low consumption of grains and oilseeds. The disease stage was not associated with nutritional status.

Effect of Food on the Pharmacokinetics and Pharmacodynamics of a Single Oral Dose of Tegoprazan

PurposeTegoprazan is a potassium-competitive acid blocker (P-CAB) that is designed to treat acid-related diseases through a fundamentally different mechanism than that of proton pump inhibitors (PPIs). Because PPIs inhibit only activated parietal cell H+/K+ adenosine triphosphatase, stimulation of parietal cells by a meal is necessary for optimal results. In contrast, P-CABs can inactivate proton pumps without acid activation and bind to both activated and inactivated adenosine triphosphatase. This study evaluates the effect of food consumption on the pharmacokinetic and pharmacodynamic properties of tegoprazan after a single oral dose in healthy men. MethodsIn this open-label, 2-period crossover study, 24 healthy men were randomized to 1 of 2 treatment sequence groups: administration of tegoprazan under the fasting condition and administration of tegoprazan under the fed condition. The dosing periods of both sequence groups were separated by a washout period of 7 days. At each dosing period, the participants received a single dose of 200 mg of tegoprazan followed by pharmacokinetic and pharmacodynamic analysis. FindingsAfter the oral administration of 200 mg tegoprazan, the Cmax was decreased and delayed under the fed condition compared with that of the fasting condition. However, no significant differences were observed in the AUC and the time of gastric acid suppression (inhibition of integrated acidity) during 24 hours. ImplicationsThe pharmacokinetic and pharmacodynamic properties of tegoprazan are independent of food effect; thus, tegoprazan could be administered regardless of the timing of food consumption in patients. ClinicalTrials.gov identifier: NCT01830309.

Effect of Food Odors on Subjective Degree of Appetite Among Patients Undergoing Convalescent Rehabilitation

The goal of this study was to evaluate the effect of food odors on subjective degree of appetite in patients on a convalescent rehabilitation ward. The degree of subjective appetite for sauce and curry odor samples was significantly stronger than that for the odorless sample. But the evoked intensity of subjective appetite did not differ between the 2 groups, and none of the samples affected the degree of perceived favorability. These results suggested that sauce and curry odors can enhance the appetite and food consumption of patients in convalescent rehabilitation wards.

Avaliação do consumo alimentar e das condições socioeconômicas de pacientes sob terapia de hemodiálise no sertão paraibano

O paciente em hemodiálise sofre inúmeras modificações na alimentação. A alimentação exerce influência sobre o prognóstico de doentes renais sob terapia hemodialítica e os fatores socioeconômicos podem determinar a escolha alimentar e adesão ao tratamento. A partir de então se objetivou avaliar as condições socioeconômicas e o consumo alimentar de pacientes em hemodiálise crônica do município de Patos, Paraíba. Trata-se de um estudo transversal, de abordagem quantitativa, realizado com 29 pacientes adultos, com doença renal crônica em tratamento hemodialítico, atendidos no centro de hemodiálise. Os parâmetros dietéticos e socioeconômicos dos pacientes foram avaliados a partir de um questionário que foi respondido por meio de entrevistas individuais durante a sessão de hemodiálise e a avaliação das comorbidades existentes foram definidas após análise dos prontuários dos pacientes. Os resultados obtidos mostraram se tratar de pacientes com perfil socioeconômico comprometido, que tinham acesso a orientações básicas sobre alimentação, devido ao acompanhamento no serviço, porém, a maioria afirmou realizar refeições fora de casa o que impossibilitava muitas vezes suas escolhas, bem como a limitação ocasionada pelo fator. O estado nutricional dos mesmos correlaciona-se fortemente com a patologia existente e o estado psicoemocional.

Chemistry, Analysis, Pharmacokinetics and Pharmacodynamics Aspects of Lorcaserin, a Selective Serotonin 5-HT2C Receptor Agonist: An Update.

This review refers to the all-inclusive details of Lorcaserin Hydrochloride on comprehensive information about the synthesis, analytical methods, pharmacodynamics, pharmacokinetics, drug interactions and adverse effects. Lorcaserin Hydrochloride is chemically (R)-8-Chloro-1-methyl-2,3,4,5- tetrahydro-1H-3-benzazepine hydrochloride. Lorcaserin HCl is a novel, synthetic, centrally-acting selective serotonin C (5-HT2c) receptor, l agonist, which results in increased satiety and decreased food consumption in patients. Headache, dizziness and nausea are the most common side effects associated with this drug. Lorcaserin HCl has two major metabolites, one conjugated with glucuronide called N-carbamoyl glucuronide which is excreted in urine and the second Lorcaserin N-sulfamate, which is circulated in the blood. Lorcaserin HCl is synthesized using four different schemes of which a six-step method that resulted in 92.3% yield with 99.8% of purity is employed for scale-up production. It is analyzed quantitatively in the plasma and brain tissue matrix of rats by Ultra Performance Liquid chromatographic (UPLC) method using MS-MS (Mass Spectrometric) detection.

Evaluation of food consumption in patients with acne vulgaris and its relationship with acne severity.

Acne vulgaris is one of the chronic skin diseases with bacterial and perifollicular inflammation in its etiology. In recent years, numerous studies have been conducted on hormones and food consumption, which are thought to affect this inflammation. In this study, how effective various possible factors such as food consumption habits and anthropometric measurement are in the etiology and severity of acne was investigated in patients with acne. A case-control study was conducted including 53 acne vulgaris patients and 53 age-, gender-, and ethnicity-matched controls. Each patient's acne score was calculated by a dermatologist ranging from 0-44 points based on the Global Acne Grading System (GAGS) calculation. Dietary intake of milk and dairy products along with carbohydrate, fat, protein ratios and body mass index and body fat percentage were calculated. Statistical evaluation was carried out by calculating 95% confidence interval and prevalence rates between acne vulgaris and food categories. Cheese consumption was higher in the acne vulgaris group than in the control group, and there was a statistically significant difference.(P<.05) There was a statistically positive correlation between acne score and carbohydrate consumption (P<.01) and a statistically negative correlation between acne score and fat consumption. (P<.01). In patients with acne vulgaris, it was observed that cheese consumption increased acne formation and carbohydrate consumption increased acne severity, while fat consumption did not increase acne severity.

Nutritional status and constipation scoring of inguinal hernia patients: a case-control study.

There are many risk factors for inguinal hernia that have been determined in the literature, but the relationship between nutritional status and inguinal hernia has not yet been examined. In this study, we evaluated the constipation scale and food consumption of patients with inguinal hernia. This prospective case-control study was performed between March 2018 and March 2019. The patients who were admitted for inguinal hernia operation were the case group, and those patients who had been admitted to the same hospital without inguinal hernia were the control group. The age, body mass index, alcohol and smoking habits, daily activity, and the Wexner constipation scoring were examined using a questionnaire and 3-day food consumption records were noted. A total of 203 volunteers were included in the study. Of these, 88 patients were in the control group, and 115 patients were in the case group. The age and gender distribution of the groups was similar. Cigarette and alcohol usages are statistically high in the case group. The Wexner constipation scale of the groups was statistically high in the case group. In the univariate analysis, smoking, alcohol consumption, total constipation score, red meat consumption, chicken consumption, bread consumption, low fiber consumption, low egg consumption, low carbohydrate, and low energy intake were effective in hernia formation, and in the multivariate analysis, total constipation score, red meat consumption, chicken consumption, excess bread consumption, low energy intake, and low fiber consumption were significant as independent variables. Our study is the first to evaluate whether there is a relationship between inguinal hernia and nutrition, according to the literature. Lifestyle modifications and a healthy diet with the consumption of less meat and more vegetables may have an impact on the reduction of hernia occurrence.

Clinically significant food preferences of patients with atrial fibrillation: a nosological and regional peculiarities.

The aim of the investigation was to study the peculiarities of food consumption in patients with atrial fibrillation, capable of influencing the anticoagulant therapy with warfarin, in comparison with healthy volunteers and taking into account geographical specifics. In an open cohort study, 196 respondents (88 men, 108 women) evaluated food preferences using a questionnaire survey. The quantitative evaluation of adherence to lifestyle modification was studied by QAA-25. Statistical data processing was performed by parametric (Student's t-test) and nonparametric (Wald-Wolfowitz, Kolmogorov-Smirnov, Pearson) analysis methods. There were no statistically significant differences in food rations between the studied categories of respondents, both increasing [37.0±19.5 points versus 37.3±17.98 points; Wald-Wolfowitz (Z), p=0.16] and reducing the activity of warfarin [62.2±26.3 points versus 63.4±23.8 points; Wald-Wolfowitz (Z), p=0.95]. The absence of differences remained in the evaluation, taking into account regional characteristics of nutrition. The respondents were taking warfarin, there is no relationship between the level of commitment to the modification of lifestyle and diet modification. it is shown that medical recommendations aimed at correcting the eating behavior of respondents taking warfarin are not effective, which can be an independent risk factor for complications of both warfarin therapy and the underlying disease.

Hyperphagia in short bowel patients: Fat-free mass is a strong predictor.

Some patients with short bowel syndrome (SBS) develop hyperphagic behavior. Such an increase in food intake stimulates intestinal adaptation and limits dependence on parenteral nutrition (PN). The aim of this study was to determine the factors modulating food consumption in patients with SBS. The associations between oral energy intake (OEI) and anthropometric, metabolic, nutritional, and intestinal absorption-related characteristics were determined in a monocentric cohort of patients with SBS on PN with a stable nutritional status. Body composition was assessed by dual x-ray absorptiometry. Data were retrospectively collected from clinical records. After screening, 38 adult patients with a SBS on PN were included in this study. OEI ranged from 577 to 4054kcal/d. OEI correlated positively with weight, fat-free mass, handgrip strength, and resting energy expenditure (REE) and negatively with free triiodothyronine and C-reactive protein using Spearman correlation. Fat-free mass and thyroid-stimulating hormone remained positively correlated with OEI independently of all other parameters in a multilinear regression model. Fat-free mass is a strong predictor of OEI in patients with SBS on PN and without debilitating gastrointestinal symptoms. Increasing fat-free mass could be a way to stimulate OEI in these patients. Further studies are needed to assess this assumption.

Consumo alimentar de pacientes com diabetes mellitus tipo 2 de Ribeirão Preto

Proper food intake is very important for patients with diabetes mellitus type 2 (DM2) for controlling blood sugar levels and preventing complications. Thus, the aim of this study was to evaluate the variables associated with the food consumption of patients with DM2, registered in Unidades de Saude da Familia (USF) of Ribeirao Preto city (Sao Paulo state, Brazil). This is a survey-type descriptive study, with a sample of 100 individuals who are registered in Unidades de Saude da Familia, of Ribeirao Preto city. Food consumption was evaluated using the Food Frequency Questionnaire. The Odds Ratio was applied to verify association between the sociodemographic variables of access to a health service, and food consumption. The data were analyzed by statistical tests, with a type-I error of 5 % (95 % confidence interval, CI). Woman comprised 64 % of the population studied. The subjects averaged 66.7 years of age, were predominantly white (78 %), married (58 %), with an incomplete basic education (56 %). We found a significant correlation between macronutrient consumption and schooling level (OR: 0.29; CI: 0.11; 0.73), and having private health insurance (OR:0.13; IC:0.03; 0.51). Concerning the uptake of carbohydrates, proteins and lipids, 64 %, 60 % and 81 % of the population, respectively, consumed properly; furthermore, 79 % of the subjects consume more than 20 g of fiber daily. The average total caloric value was 1500 Kcal, and the basal metabolic rate was 1,619.5 Kcal. Thus, it follows that the majority of the patients consume the recommended amount of macronutrients, and their behavior is closely related to a higher level of education and having private health insurance.

Inadequação calórico-proteica e associação com Indicadores de Qualidade em Terapia Nutricional na assistência ao paciente crítico

Proper food intake is very important for patients with diabetes mellitus type 2 (DM2) for controlling blood sugar levels and preventing complications. Thus, the aim of this study was to evaluate the variables associated with the food consumption of patients with DM2, registered in Unidades de Saude da Familia (USF) of Ribeirao Preto city (Sao Paulo state, Brazil). This is a survey-type descriptive study, with a sample of 100 individuals who are registered in Unidades de Saude da Familia, of Ribeirao Preto city. Food consumption was evaluated using the Food Frequency Questionnaire. The Odds Ratio was applied to verify association between the sociodemographic variables of access to a health service, and food consumption. The data were analyzed by statistical tests, with a type-I error of 5 % (95 % confidence interval, CI). Woman comprised 64 % of the population studied. The subjects averaged 66.7 years of age, were predominantly white (78 %), married (58 %), with an incomplete basic education (56 %). We found a significant correlation between macronutrient consumption and schooling level (OR: 0.29; CI: 0.11; 0.73), and having private health insurance (OR:0.13; IC:0.03; 0.51). Concerning the uptake of carbohydrates, proteins and lipids, 64 %, 60 % and 81 % of the population, respectively, consumed properly; furthermore, 79 % of the subjects consume more than 20 g of fiber daily. The average total caloric value was 1500 Kcal, and the basal metabolic rate was 1,619.5 Kcal. Thus, it follows that the majority of the patients consume the recommended amount of macronutrients, and their behavior is closely related to a higher level of education and having private health insurance.