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Associa??o do estado nutricional e ingest?o alimentar com os sintomas depressivos e ansiosos em idosos institucionalizadosLockmann, Adriana da Silva 16 March 2016 (has links)
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Previous issue date: 2016-03-16 / This study aimed to investigate the association between dietary intake and nutritional status with depressive and anxiety symptoms in institutionalized elderly. They selected 80 elderly people with normal cognitive status by the Mini-Mental State three long-term care facilities served by the Bank of the Rio Grande do Sul Food. We collected demographic data through a short questionnaire. Nutritional status was assessed by Miniavalia??o Nutrition (MNA?) in full, including the calculation of body mass index (BMI). The nutrient intake was analyzed by averaging three dietary recalls Surveys 24 hours and depressive and anxiety symptoms were investigated by Beck Depression Inventory (BDI and BAI). Depressive and anxiety symptoms were found in 45 (56.3%) and 42 (52.5%) elderly, respectively. There was a positive association between nutritional status, the score MNA?, and depressive and anxiety symptoms, indicating greater nutritional risk in elderly patients with these symptoms (MNA? the score average of 23.74?3.41 and 23.54?3.35 on). There were statistical differences associated nutrients monounsaturated fat (p=0.039), calcium (p=0.025), phosphorus (p=0.001), potassium (p=0.002) and ascorbic acid (p=0.024) of the classification categories for the symptoms depression (BDI). Seniors with depressive symptoms (BDI ?10) showed higher calcium intake and lower intake of monounsaturated fat, phosphorus, potassium and ascorbic acid compared to those without depressive symptoms elderly (BDI ?9). Comparing food intake in relation to classification categories for anxiety symptoms (BAI), there was an indication of the significance of niacin (p = 0.059). We conclude that nutritional status and food intake are directly associated with mood (depressive and anxiety symptoms), more efforts are needed to encourage the intake of these nutrients in institutionalized elderly. / Este estudo teve o objetivo de verificar a associa??o da ingest?o alimentar e do estado nutricional com os sintomas depressivos e ansiosos em idosos institucionalizados. Foram selecionados 80 idosos que apresentaram estado cognitivo normal pelo Miniexame do Estado Mental de tr?s institui??es de longa perman?ncia atendidas pelo Banco de Alimentos do Rio Grande do Sul. Foram coletados dados sociodemogr?ficos atrav?s de um curto question?rio. O estado nutricional foi avaliado pela Miniavalia??o Nutricional (MNA?) na forma completa, incluindo o c?lculo do ?ndice de Massa Corporal (IMC). O consumo de nutrientes foi analisado pelo c?lculo da m?dia de tr?s Inqu?ritos Recordat?rios de 24 horas e os sintomas depressivos e ansiosos foram investigados pelos Invent?rios de Depress?o de Beck (BDI e BAI). Os sintomas depressivos e ansiosos foram encontrados em 45 (56,3%) e 42 (52,5%) idosos, respectivamente. Houve associa??o positiva entre o estado nutricional, pela pontua??o da MNA?, e os sintomas depressivos e ansiosos, apontando risco nutricional maior em idosos com esses sintomas (m?dia do escore da MNA? de 23,74?3,41 e 23,54?3,35 respectivamente). Houve diferen?a estat?stica quando associados os nutrientes gordura monoinsaturada (p=0,039), c?lcio (p=0,025), f?sforo (p=0,001), pot?ssio (p=0,002) e ?cido asc?rbico (p=0,024) ?s categorias de classifica??o para os sintomas depressivos (BDI). Os idosos com sintomas depressivos (BDI ?10) mostraram maior ingest?o de c?lcio e menor ingest?o de gordura monoinsaturada, f?sforo, pot?ssio e ?cido asc?rbico em rela??o aos idosos sem sintomas depressivos (BDI ?9). Comparando a ingest?o alimentar em rela??o ?s categorias de classifica??o para sintomas ansiosos (BAI), houve um indicativo de signific?ncia da niacina (p=0,059). Conclu?mos que estado nutricional e ingest?o alimentar est?o diretamente associados ao estado de humor (sintomas depressivos e ansiosos), sendo necess?rios mais esfor?os para incentivar a ingest?o desses nutrientes em idosos institucionalizados.
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