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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
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19629 |
| Date | 18 December 2014 |
| Creators | Cabral , Nat?lia Louise de Ara?jo |
| Contributors | 70406030472, http://lattes.cnpq.br/4264395963141865, Verly J?nior, Eliseu, 05508664696, http://lattes.cnpq.br/9014880928943124, Ferreira, Maria ?ngela Fernandes, 39817270459, http://lattes.cnpq.br/4036539286429296, Lima, Severina Carla Vieira Cunha, Lyra, Cl?lia de Oliveira |
| Publisher | Universidade Federal do Rio Grande do Norte, 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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