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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24771 |
| Date | 01 December 2017 |
| Creators | Souza, Isabelle Ferreira da Silva |
| Contributors | 05792457646, Oliveira, Larissa Pra?a de, 01046652460, C?mara, Saionara Maria Aires da, 05324121410, Souza, Marcelo Cardoso de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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