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Efeito de intervenção dietética sobre fatores de risco associados ao diabetes melito e à hipertensão arterial em idosos sedentários
| Content Provider | Semantic Scholar |
|---|---|
| Author | Martins, Maria Do Perpétuo Socorro Carvalho Martins, Maria Do Carmo De Carvalho E Filho, Manoel Dias De Souza Mattos, Marco Gomes, André Luiz Marques Mello, Danielli Braga De Dantas, Estélio Henrique Martin |
| Copyright Year | 2010 |
| Abstract | Objetivo. Avaliar o efeito da intervencao dietetica sobre os fatores de risco associados ao diabetes melito e a hipertensao arterial em idosos inseridos no Programa Saude da Familia em Teresina, PI. Metodo. Estudo observacional, transversal e descritivo-analitico em 34 idosos diabeticos e hipertensos, de ambos os sexos, na faixa etaria de 60 a 82 anos, atendidos por duas equipes da estrategia de saude da familia em Teresina, PI. Foram analisadas informacoes referentes a dados sociodemograficos e antropometricos, medidas bioquimicas e consumo alimentar. Na associacao entre as variaveis, o nivel de significância foi estabelecido em 5%.Resultados. No grupo de controle, nao foi observada melhora nas variaveis estudadas ao fim do estudo, tendo ocorrido aumento significativo no teor serico da hemoglobina glicada. No grupo submetido a intervencao dietetica, houve reducao significativa da glicemia de jejum (p = 0,004) e do percentual de hemoglobina glicada (p = 0,0004). As concentracoes medias de LDL-c foram significativamente menores (p = 0,03) no grupo experimental em relacao ao grupo de controle. Observou-se, tambem, melhora clinica em relacao ao peso corporal, com reducao media de 3,8 kg, as concentracoes sericas de trigliceridios, com reducao de 54,9 mg/dL e a pressao sanguinea arterial, com reducao de 12 mmHg na pressao sistolica e 4,5 mmHg na pressao diastolica. Conclusao. A dieta prescrita aos pacientes foi eficaz no controle da glicemia de jejum e da hemoglobina glicada. Adicionalmente, resultou melhora clinica dos valores de pressao sanguinea arterial sistolica e diastolica, de trigliceridios e no controle de peso corporal. Objective. The study evaluated the effect of dietary intervention on risk factors associated with diabetes mellitus and hypertension in elderly attended in the Family Health Program (FHP) in Teresina, PI. Method. A cross-sectional descriptive and analytical study was conducted with 34 diabetics and hypertensive patients of both sexes, aged 60 to 82 years, attended by two teams of family health strategy in Teresina-PI, and the data concerning the demographics and anthropometrics, biochemical levels and food consumption was analyzed. On the association between variables, the level of significance was set at 5%. Results. In the control group no improvement was observed in the studied variables at the end of the study, and a significant increase in glycated hemoglobin was evident. On the experimental group, significant decreases in the levels of fasting glucose (p = 0.004) and the percentage of glycated hemoglobin (p = 0.0004) were observed. In addition, average LDL-c were significantly lower (p = 0.03) in the experimental group compared to those of the control group. Other findings were also noted in the experimental group, as clinical improvement in body weight (reduction of 3.8 kg), blood levels of triglycerides (reduction of 54.9 mg/dL) and in blood pressure measurements (reduction of 12 mmHg in systolic and 4.5 mmHg for diastolic blood pressure). Conclusions. This study suggests that the diet prescribed for the elderly was effective in controlling fasting plasma glucose and glycated hemoglobin. Additionally, it resulted in clinical improvement of systolic and diastolic blood pressure, triglycerides and body weight control. |
| File Format | PDF HTM / HTML |
| Volume Number | 47 |
| Alternate Webpage(s) | http://openrit.grupotiradentes.com/xmlui/bitstream/handle/set/453/efeit_interv_diet_nov%202010.pdf?sequence=1 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
