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Previous issue date: 2006 / Introdução: Cerca de 35 por cento dos casos de cancer estao envolvidos a fatores advindos da dieta dos quais, entre outros, destacam-se o alcool, a luz solar, agentes quimicos e infeccoes por virus. O cancer de estomago e o segundo tipo de cancer mais diagnosticado no mundo, sendo responsavel por cerca de 9,9 por cento de todos os diagnosticos e cerca de 12,1 por cento das mortes. Objetivos: Comparar o peso corporeo atual e habitual, grau de escolaridade, saneamento basico, tabagismo, etilismo e frequencia pregressa de consumo de alimentos entre pacientes portadores de cancer de estomago e populacao controle. Casuistica e Metodo: Foram analisados 70 pacientes portadores de cancer gastrico pareados com 70 individuos sem diagnostico de neoplasia. Foram coletados dados de peso e altura, informacoes sobre grau de escolaridade, saneamento basico, tabagismo e etilismo e preenchido um questionario de frequencia alimentar pregressa. Resultados: Dos individuos elegiveis para o estudo, 42 eram homens, com media de idade de 59,5 anos; destes, 65 por cento eram fumantes e 45 por cento consumiam bebida alcoolica, contra 44 por cento e 19 por cento dos individuos do grupo controle respectivamente. Verificou-se que 64 pacientes foram submetidos a procedimento cirurgico e, destes, mais de 65 por cento realizaram gastrectomia subtotal. Em 6 doentes nao foi realizada cirurgia. O grupo de pacientes apresentou valor significantemente menor de peso atual e IMC atual do que o grupo Controle. Em relacao ao grau de escolaridade, verificou-se que, no grupo de pacientes com cancer gastrico, 21 individuos nunca ingressaram na escola, e dos que estudaram, cerca de 55 por cento nao conseguiram concluir o primeiro grau. Nesse grupo, 32,9 por cento dos individuos tiveram acesso ao saneamento basico e 37,1 por cento a eletricidade no passado; no grupo controle, esse percentual foi de 68,6 por cento para as variaveis (p = 0,001). No grupo caso, 58,6 por cento dos pacientes moraram na roca, enquanto no grupo controle apenas 7,1 por cento (p < 0,001). Dos pacientes com cancer, 65,7 por cento declararam ser fumantes; no grupo controle, 44,3 por cento (p = 0,017). Porem, nao diferiram em relacao a quantidade de cigarros consumidos, mas em relacao ao tempo de consumo: o grupo de pacientes com cancer fumou por maior tempo (p = 0,015). O etilismo tambem foi mais frequente no grupo com cancer (p < 0,001). Porem nao foi encontrada diferenca em relacao ao tempo de consumo e a quantidade de alcool consumida. Verificou-se que, entre os pacientes portadores de cancer, houve maior consumo de alimentos ricos em sal, condimentos, nitratos, gordura animal saturada, carboidratos complexos, acucar refinado e salgados fritos, comparado ao grupo controle. Conclusao: O grupo caso apresentou perda de peso em relacao ao peso habitual, quando comparado ao grupo controle. Verificou-se neste estudo que os pacientes portadores de cancer gastrico, de maneira geral, tiveram indicadores de qualidade de vida inferiores aos individuos do grupo controle, quando comparados ao passado, pois tiveram pouco ou nenhum acesso a saneamento basico, eletricidade, escolas e moravam em locais distantes da cidade. Tambem houve maior tempo de consumo de cigarros e maior quantidade de individuos consumidores de alcool entre os portadores de cancer do que entre os do grupo controle. Os pacientes relataram maior consumo de tempero industrializado, glutamato monossodico, biscoito recheado e sem recheio, salgados fritos, carne bovina frita, assada e grelhada, linguica, acucar refinado, farinha de mandioca e bolo. Relataram, tambem, maior consumo de salsa, ovos e gemada / Introduction: About 35% of the cancer cases are involved in factors coming from the diet which are among the others, we can quote of the alcohol, the sunlight, chemical agents and infections caused by viruses. The stomach cancer is the second cause of cancer more diagnosed in the world with the percentage of 9.9 % of all diagnosis and about 12.1 % of death cases. Aims: To compare the habitual and actual body weight, educational attainment, basic sanitation, smoking, alcoholism and past frequency of consume of food among patients
of stomach cancer and the controlled population a questionnaire was done. Patients and method: 70 patients with gastric cancer were examined and paired with 70 individuals without neoplásica. The data of the weight and height were researched;
information about educational attainment, basic sanitation, smoking, alcoholism and it
was filled out a form about the past eating habit of the majority.
Results: Among the eligible individuals for the study, 42 were men, with an average
age of 50 years old. From these, 65% were smokers and 45% were ethilists, against
44% and 19% of the individuals of the control group respectively.
It was verified that 64 patients were sent to surgical procedure. Between the cancer
patients more than 65% undergone subtotal gastrectomy. In six of them there was not
done any surgery.
The group of patients presented a lesser value of their actual weight and (BMI -Body
Mass Index) comparing to the control group.
In relation to their educational attainment, it was verified that in the group of patients
with gastric cancer, 21 individuals have never attended school, and for those who
attended school, 55% were not able to finish the first grade of elementary school. In this
group, 32.9% of the individuals had access to the basic sanitation process and 37.1%
used to have electricity in their areas. In the control group, this percentage was about
68.6% to the variable (p = 0.001). 58.6% of the patients from the group case lived in the
field, while in the control group only 7.1 % (p < 0.001) lived in the field as well.
65.7 % of the patients with cancer were smokers, in the control group, the percentage
of smokers was 44.3% (p = 0.017). Nevertheless they have not any differences relating
to the quantity of consumed cigarettes, but related to the time of consume. The group of
patients with cancer smoked for a longer time (p = 0.015). Alcoholism was also more
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frequent in the group with cancer (p < 0.001). There was not found any difference
between the consuming time and the quantity of alcohol among the groups.
It was verified that among the patients with cancer, there was a larger consume of food
rich in salt, condiments, nitrates, saturated fat, complex carbohydrates, refined sugar,
and fried salted food, compared to the control group.
Conclusions: The case group presented a lost of weight related to the habitual weight,
when compared to the control group.
It was verified in this study that the patients with gastric cancer, generally speaking, had
indications of low quality of life compared to the individuals of the control group if they
were compared to the past, because some of them had little access and some of them
did not have any access to basic sanitation, electricity, schools and they lived in distant
places from the cities. The majority of individuals with cancer were also consumers of
alcohol comparing to the control group.
The cancer patients also consumed a higher amount of industrialized seasoning,
monosodic glutamate, stuffed cookies and cookies, salted fried food, fried beef, baked
and grilled sausage, refined sugar, cassava powdered and cakes. They also reported a
larger consume of parsley, eggs and bitten egg. / BV UNIFESP: Teses e dissertações
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.unifesp.br:11600/23454 |
| Date | January 2006 |
| Creators | Magalhães, Lidiane Pereira [UNIFESP] |
| Contributors | Universidade Federal de São Paulo (UNIFESP), Forones, Nora Manoukian [UNIFESP] |
| Publisher | Universidade Federal de São Paulo (UNIFESP) |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | 124 f. |
| Source | reponame:Repositório Institucional da UNIFESP, instname:Universidade Federal de São Paulo, instacron:UNIFESP |
| Rights | info:eu-repo/semantics/openAccess |
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