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Previous issue date: 2014-03-31 / Introduction : Cystic Fibrosis (CF) is a disease of autosomal recessive character, chronic and progressive, with involvement in various organs and systems. Respiratory and gastrointestinal disorders are more prevalent, which usually results in nutritional deficit. However, when there is a worsening of the clinical condition, requiring hospitalization, the risk of nutritional inbalance increases. The aim of this study was to evaluate variation in weight and body composition during hospitalization of children and adolescents with cystic fibrosis who received hypercaloric and hyperlipidic diet during hospitalization.
Methods : This is a longitudinal study involving children and adolescents with CF hospitalized at S?o Lucas's Hospital/ PUCRS. Bioimpedance analysis was used to assess body composition. The evaluation took place within 48 hours after admission and 24 hours prior to hospital discharge. The energy and nutrient intake was investigated through a food record during three consecutive days. Comparisons between weight and body composition during hospitalization were performed through the corresponding statistical tests (t test and the Mann - Whitney test). Differences were considered significant at p < 0.05.
Results : The sample consisted of 13 patients, 8 (62 %) male. The mean age was 10.8 ? 3.61 years. The mean hospital stay was 14.5 ? 3.75 days. At the beginning of hospitalization, most patients were eutrophic (n = 9). Regarding categorization by pulmonary function, patients had moderate pulmonary disease according to FEV1 (52.08 ? 22.2). Patients received hypercaloric and hyperlipidic diet during hospitalization , and the findings showed significant changes in the variables, weight and fat mass (weight = 1.47 kg and fat mass 1.06 kg , p < 0.0001).
Conclusion : The hypercaloric and hyperlipidic diet recommended during hospitalization was associated with significant weight gain and fat mass, with improvement of the nutritional status of most patients. / Introdu??o : A Fibrose C?stica (FC) ? uma doen?a gen?tica de car?ter autoss?mico recessivo, cr?nica e progressiva, com acometimento em diversos ?rg?os e sistemas. As altera??es respirat?rias e gastrointestinais s?o mais prevalentes, o que resulta geralmente em um comprometimento nutricional. Todavia, quando existe uma piora do estado cl?nico com necessidade de interna??o hospitalar, o risco ou fal?ncia nutricional aumenta. O objetivo deste estudo foi avaliar a varia??o de peso e da composi??o corporal durante a interna??o hospitalar de crian?as e adolescentes portadores de Fibrose C?stica que receberam dieta hipercal?rica e hiperlip?dica durante a interna??o hospitalar.
M?todos : Estudo longitudinal, envolvendo crian?as e adolescentes com Fibrose C?stica internados no Hospital S?o Lucas/PUCRS. A an?lise de bioimped?ncia foi utilizada para avalia??o da composi??o corporal. A avalia??o ocorreu em at? 48 horas ap?s a interna??o e 24 horas antes da alta hospitalar. A ingest?o energ?tica e de nutrientes foi investigada por meio do registro alimentar de tr?s dias consecutivos. As compara??es entre o peso e a composi??o corporal durante a interna??o foram realizadas mediante os testes estat?sticos correspondentes (teste t e teste de Mann-Whitney). As diferen?as foram consideradas significativas com p < 0,05.
Resultados : A amostra estudada constituiu-se de 13 pacientes, sendo 8 (62%) do sexo masculino. A m?dia de idade foi de 10,8? 3,61 anos. O tempo m?dio de interna??o foi 14,5?3,75 dias. No in?cio da interna??o, a maioria dos pacientes encontravam-se eutr?ficos (n=9). Quanto ? categoriza??o pela fun??o pulmonar, os pacientes apresentaram doen?a pulmonar moderada conforme os valores de VEF1 (52,08?22,2). Os pacientes receberam dieta hipercal?rica e hiperlip?dica durante a interna??o, e os achados demonstraram altera??o significativa nas m?dias das vari?veis, peso e massa gorda (peso= 1,47 kg e massa gorda 1,06 kg; p<0,0001).
Conclus?o : A dieta hipercal?rica e hiperlip?dica preconizada durante a interna??o esteve associada a um ganho significativo de peso e de massa gorda, com melhoria do estado nutricional de grande parte dos pacientes.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1437 |
| Date | 31 March 2014 |
| Creators | Sampaio, Aline dos Santos |
| Contributors | Mattiello, Rita |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?a, PUCRS, BR, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 3098206005268432148, 500, 600, -8624664729441623247 |
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