Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-02-15T13:29:42Z No. of bitstreams: 1 IsabelleFerreiraDaSilvaSouza_DISSERT.pdf: 1093593 bytes, checksum: 6543fb71b96f298c1fd5e5c38088482e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-02-20T20:36:23Z (GMT) No. of bitstreams: 1 IsabelleFerreiraDaSilvaSouza_DISSERT.pdf: 1093593 bytes, checksum: 6543fb71b96f298c1fd5e5c38088482e (MD5) / Made available in DSpace on 2018-02-20T20:36:23Z (GMT). No. of bitstreams: 1 IsabelleFerreiraDaSilvaSouza_DISSERT.pdf: 1093593 bytes, checksum: 6543fb71b96f298c1fd5e5c38088482e (MD5) Previous issue date: 2017-12-01 / Introdu??o: Embora a literatura afirme existir rela??o entre o excesso de peso e a osteoartrite de joelhos, a rela??o entre a doen?a e o consumo alimentar, ainda n?o est? esclarecido. Objetivo: Avaliar a ingest?o habitual de energia e nutrientes de idosas comunit?rias com e sem dor nos joelhos. Metodologia: Trata-se de um estudo transversal, com idosas sintom?ticas (n=49) e assintom?ticas (n=51) quanto ? dor nos joelhos. A ingest?o alimentar foi determinada pela m?dia de 2 dias do Recordat?rio de 24 horas. As dietas foram analisadas no Dietbox?. A necessidade energ?tica individual foi estimada atrav?s de f?rmulas e o consumo de calorias totais foi analisado considerando o intervalo de 97 a 103% do gasto energ?tico. A adequa??o dos macronutrientes foi verificada de acordo com os Acceptable Macronutrient Distribution Ranges. A ingest?o m?dia de ?cidos graxos, colesterol e fibra, foi analisada de acordo com os valores propostos pela IV Diretriz Brasileira sobre Dislipidemias. A inadequa??o dos micronutrientes foi estimada pelo m?todo da Estimated Average Requirement como ponto de corte e o consumo h?drico foi avaliado a partir da recomenda??o do Guia Alimentar para a Popula??o Brasileira. Para an?lise dos dados, foi utilizado o software Statistical Package for the Social Sciences (SPSS) vers?o 20.0. Resultados: A m?dia de idade foi de 67(?8,0) anos para o grupo assintom?tico e 67(?9,0) anos para o sintom?tico. Quanto ao consumo de energia, macronutrientes, ?cidos graxos, colesterol, fibra e ?gua, observam-se diferen?as entre os grupos, que n?o se mostraram estatisticamente significativas. A ingest?o de energia foi inadequada em 96,1% das assintom?ticas e em 93,9% das sintom?ticas. Tamb?m n?o foram observadas diferen?as estatisticamente significativas entre as idosas quanto ao consumo alimentar dos micronutrientes, exceto para o consumo habitual do mineral zinco (p valor = 0,033), o grupo sintom?tico teve um consumo m?dio de zinco inferior ao grupo assintom?tico. Nos grupos, as maiores inadequa??es (> 50%) foram para vitaminas A, D, E e ?cido f?lico e magn?sio e c?lcio. As menores inadequa??es foram para vitamina C e piridoxina (valores entre 21,6% e 22,4%). Destaca-se a ingest?o inadequada da vitamina D (100% das avaliadas). Conclus?o: Entre os grupos, foram observadas elevadas preval?ncias de inadequa??o para ingest?o cal?rica, consumo dos ?cidos graxos saturados, colesterol, fibra, ingest?o h?drica, macros e micronutrientes. Contudo, n?o foram observadas diferen?as estatisticamente significativas no consumo alimentar dos nutrientes, com exce??o do mineral zinco, pois as idosas sintom?ticas tiveram um consumo m?dio de zinco inferior ao grupo assintom?tico. / Introduction: Although the literature states that there is a relationship between overweight and knee osteoarthritis, the relationship between disease and food consumption is still unclear. Objective: To evaluate the habitual intake of energy and nutrients of community aged women with and without pain in the knees. Methodology: This is a cross-sectional study with symptomatic elderly women (n = 49) and asymptomatic women (n = 51) for knee pain. Food intake was determined by the 2-day mean of the 24-hour Reminder. The diets were analyzed in Dietbox?. The individual energy requirement was estimated using formulas and total calorie consumption was analyzed considering the range of 97 to 103% of energy expenditure. Macronutrient suitability was checked according to the Acceptable Macronutrient Distribution Ranges. The mean intake of fatty acids, cholesterol and fiber was analyzed according to the values proposed by the IV Brazilian Directive on Dyslipidemias. The micronutrient inadequacy was estimated by the Estimated Average Requirement method as the cutoff point and the water consumption was evaluated based on the recommendation of the Food Guide for the Brazilian Population. Statistical Package for the Social Sciences (SPSS) software version 20.0 was used to analyze the data. Results: The mean age was 67 (? 8.0) years for the asymptomatic group and 67 (? 9.0) years for the symptomatic group. As for the energy consumption, macronutrients, fatty acids, cholesterol, fiber and water, there were differences between the groups, which were not statistically significant. The energy intake was inadequate in 96.1% of the asymptomatic ones and in 93.9% of the symptomatic ones. There were also no statistically significant differences among the elderly women regarding the dietary intake of micronutrients, except for the usual consumption of zinc mineral (p value = 0.033), the symptomatic group had an average zinc intake lower than the asymptomatic group. In the groups, the greatest inadequacies (> 50%) were for vitamins A, D, E and folic acid and magnesium and calcium. The lowest inadequacies were for vitamin C and pyridoxine (values between 21.6% and 22.4%). Inadequate intake of vitamin D (100% of the evaluated ones) is highlighted. Conclusion: Among the groups, high prevalence of inadequacy for caloric intake, saturated fatty acid consumption, cholesterol, fiber, water intake, macros and micronutrients were observed. However, no statistically significant differences were observed in food intake of the nutrients, except for the zinc mineral, since the symptomatic elderly had an average zinc consumption lower than the asymptomatic group.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-01-14T20:47:09Z No. of bitstreams: 1 NataliaLouiseDeAraujoCabral_DISSERT.pdf: 1813905 bytes, checksum: a495e6db17ed58ade85b4fd971351660 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-01-19T21:31:47Z (GMT) No. of bitstreams: 1 NataliaLouiseDeAraujoCabral_DISSERT.pdf: 1813905 bytes, checksum: a495e6db17ed58ade85b4fd971351660 (MD5) / Made available in DSpace on 2016-01-19T21:31:47Z (GMT). No. of bitstreams: 1 NataliaLouiseDeAraujoCabral_DISSERT.pdf: 1813905 bytes, checksum: a495e6db17ed58ade85b4fd971351660 (MD5) Previous issue date: 2014-12-18 / O envelhecimento populacional ? um fen?meno demogr?fico exponencial. ? medida que a popula??o envelhece, aumenta a procura por Institui??es de Longa Perman?ncia para Idosos (ILPI), como alternativa para aqueles que apresentam algum grau de depend?ncia, bem como para as fam?lias que n?o disp?em de meios financeiros, f?sicos ou emocionais para a presta??o dos cuidados necess?rios. A institucionaliza??o provoca mudan?as na rotina dos idosos, especialmente na alimenta??o, que, somadas ?s altera??es fisiol?gicas do envelhecimento, podem levar ? ingest?o inadequada de alimentos e nutrientes, comprometendo o seu estado nutricional. Objetivo: Avaliar a ingest?o habitual de nutrientes de idosos residentes em Institui??es de Longa Perman?ncia de Natal/RN. Metodologia: Trata-se de um estudo transversal, com idosos residentes em ILPI cadastradas na Vigil?ncia Sanit?ria (n=416). A ingest?o alimentar foi determinada por dois registros alimentares pesados, com pesagem do rejeito, realizados com intervalo de 30 a 45 dias. Para determinar a quantidade consumida, foi feita a diferen?a entre a quantidade servida e o rejeito. As dietas foram analisadas no ambiente do software Virtual Nutri Plus?. A ingest?o habitual de cada nutriente foi estimada removendose o efeito da vari?ncia intrapessoal, pelo m?todo da Iowa State University. Os dados de ingest?o diet?tica foram ajustados pela energia utilizando o m?todo dos res?duos. A adequa??o dos macronutrientes foi verificada de acordo os intervalos de distribui??o aceit?vel e considerando os fatores associados. A preval?ncia de inadequa??o foi estimada pelo m?todo da Estimated Average Requirement (EAR) como ponto de corte, e verificou-se a associa??o com sexo, faixa et?ria, tipo de institui??o e necessidade de ajuda para alimenta-se por regress?o log?stica m?ltipla. Resultados: Dos 416 residentes em ILPI, 313 idosos foram avaliados. Observou-se que os homens apresentaram ingest?o energ?tica m?dia abaixo dos requerimentos nutricionais. Identificou-se que 52,4% dos idosos apresentaram consumo de energia inferior ?s recomenda??es. Verificou-se que 57,3% apresentaram consumo de gordura total abaixo do intervalo recomendado. Com rela??o aos carboidratos, 10,5% apresentaram consumo menor e 32,9% maior que as recomenda??es, sendo o consumo excessivo associado ao sexo feminino, ? idade igual ou superior a 75 anos e ? necessidade de ajuda para se alimentar. O consumo de prote?nas estava no intervalo recomendado para todos os idosos. Elevadas preval?ncias de inadequa??o foram observadas, independentemente dos fatores associados, para quase todos os micronutrientes analisados, ressaltando-se as inadequa??es para as vitaminas tiamina, riboflavina, piridoxina e vitamina D, e os minerais ferro, magn?sio e pot?ssio. Os idosos apresentaram baixa ingest?o usual de fibras. Conclus?o: Os idosos institucionalizados apresentaram baixa ingest?o de energia e desequil?brio na contribui??o dos macronutrientes da dieta, representados pelo consumo excessivo de carboidratos e insuficiente de gordura total. Al?m disso, apresentam elevadas preval?ncias de inadequa??o de micronutrientes, importantes na preven??o de doen?as cr?nicas comuns em idosos / Population aging is an exponential demographic phenomenon. As the population ages, increasing the demand for nursing homes as an alternative for those who have some degree of dependence, as well as for families who lack the financial, physical or emotional means to provide the necessary care. The institutionalization causes changes in the routine of the elderly, especially in food, which, added to the physiological changes of aging, can lead to inadequate intake of food and nutrients, compromising their nutritional status. Objective: To evaluate the nutritional habitual intake of elderly residents of nursing homes from Natal/RN, Brazil. Methods: Cross-sectional study, with elderly residents in nursing homes registered on authority healthy (n = 416). Dietary intake was determined by two dietary records with weighing the waste, with a range of 30 to 45 days. It was calculated the difference between the served amount and waste to determine the amount of consumption. Diets were analyzed in the software Virtual Nutri Plus?. The usual each nutrient intake was estimated by removing the effect of withinperson variance, by the Iowa State University method. The dietary intake data were adjusted for energy using the residual method. The adequate of macronutrients was verified according the acceptable distribution ranges, and considering the associated factors. The prevalence of inadequate intake was estimated using the Estimated Average Requirement (EAR) as the cutoff, gender, age, type of institution and need help to feed on. Results: Of the 416 nursing homes residents, 313 elderly were evaluated. It was observed that men had average energy intake below the nutritional requirements. It was identified that 52.4% of the elderly had lower energy consumption to the recommendations. It was found that 57.3% had total fat intake below the recommended range. With regard to carbohydrates, 10.5% had lower consumption and 32.9% higher than the recommendations, and overconsumption associated with being female, age less than 75 years and the need to help to feed. The protein intake was in the recommended range for all elderly. High prevalence of inadequacy were observed, regardless of the associated factors, for almost all micronutrients analyzed, highlighting the inadequacies of vitamins thiamine, riboflavin, pyridoxine and vitamin D, and the minerals iron, magnesium and potassium. Elderly had low usual fiber intake. Conclusion: The institutionalized elderly had low energy intake and imbalances in the contribution of dietary macronutrients, represented by excessive consumption of carbohydrates and insufficient total fat. They also have a high prevalence of inadequate micronutrient, important in preventing chronic diseases common in the elderly