Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São Paulo

Detalhes bibliográficos
Autor(a) principal: Fabbri, Ariadne Polverini
Data de Publicação: 2023
Outros Autores: Soares, Rosimeire Angela de Queiroz, Cardoso, Luciana Gonzaga dos Santos, Rosa, Ronaldo Fernandes
Tipo de documento: Artigo
Idioma: por
Título da fonte: Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
Texto Completo: http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/893
Resumo: Objective: Objective. Assess the physical and nutritional conditions of elderly patients with heart disease, the level of frailty of the Elder and characterize the sociodemographic profile. Method. Field research, descriptive, prospective, transversal and with a quantitative approach to the data. The research was carried out at the Cardiology Service of a teaching hospital, people over 60 years old with a diagnosis of heart disease participated in the research; patients seen at the cardiology outpatient clinic and who consented to participate. Patients without heart disease and under 60 years of age were excluded, there was no refusal to participate. This research project is part of a larger project, entitled "Profile of patients treated in a cardiology service of a teaching hospital", already approved by opinion nº 2.623.123 and contemplated with resources from the Research Support Fund (FAP) from Fundação Arnaldo Vieira de Carvalho (2018/2019 term). Data collection was carried out from July 1 to August 31, 2021, before the medical consultation in the outpatient waiting room, and after signing the informed consent form The collection took place through individual interviews. Three instruments were used: Sociodemographic and clinical data (Appendix 2), Multidimensional assessment of the elderly (Appendix 3), Nutritional Assessment Scale: will be carried out using the Mini Nutritional Assessment® - Nestlé Nutrition form (ANNEX 4). The information was entered in a Microsoft Excel system file. The sociodemographic and clinical variables are presented in a descriptive way and the quantitative ones, in absolute frequency (N) and relative (%). Results. Twenty-nine elderly people participated in the survey: 52% were men and 48% were women aged between 60 and 74 years (68%), declared white, retired, former smokers, 10% said they consume alcohol, 51% perform some type of activity physical and 41% consider their current state of health to be regular. After submitting this population scope to the MNA, it was found that 62.1% of respondents were at risk of malnutrition. Conclusion. Pre-frail elderly people at risk of malnutrition predominated. The results confirm the importance of nursing care to emphasize the assessment and nutritional monitoring of the elderly, especially in patients with cardiovascular diseases, since the nutritional condition affects and is affected by chronic diseases, corroborating the functional decline, directly interfering with the health condition. of this population. Key words: Nutrition Assessment; Aged; Heart Diseases; Ambulatory Care
id FCMSCSP_2b723314ad249de92d2ca90ea38d7104
oai_identifier_str oai:ojs2.arquivosmedicos.fcmsantacasasp.edu.br:article/893
network_acronym_str FCMSCSP
network_name_str Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
repository_id_str
spelling Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São PauloElderyCardiologyNutritionObjective: Objective. Assess the physical and nutritional conditions of elderly patients with heart disease, the level of frailty of the Elder and characterize the sociodemographic profile. Method. Field research, descriptive, prospective, transversal and with a quantitative approach to the data. The research was carried out at the Cardiology Service of a teaching hospital, people over 60 years old with a diagnosis of heart disease participated in the research; patients seen at the cardiology outpatient clinic and who consented to participate. Patients without heart disease and under 60 years of age were excluded, there was no refusal to participate. This research project is part of a larger project, entitled "Profile of patients treated in a cardiology service of a teaching hospital", already approved by opinion nº 2.623.123 and contemplated with resources from the Research Support Fund (FAP) from Fundação Arnaldo Vieira de Carvalho (2018/2019 term). Data collection was carried out from July 1 to August 31, 2021, before the medical consultation in the outpatient waiting room, and after signing the informed consent form The collection took place through individual interviews. Three instruments were used: Sociodemographic and clinical data (Appendix 2), Multidimensional assessment of the elderly (Appendix 3), Nutritional Assessment Scale: will be carried out using the Mini Nutritional Assessment® - Nestlé Nutrition form (ANNEX 4). The information was entered in a Microsoft Excel system file. The sociodemographic and clinical variables are presented in a descriptive way and the quantitative ones, in absolute frequency (N) and relative (%). Results. Twenty-nine elderly people participated in the survey: 52% were men and 48% were women aged between 60 and 74 years (68%), declared white, retired, former smokers, 10% said they consume alcohol, 51% perform some type of activity physical and 41% consider their current state of health to be regular. After submitting this population scope to the MNA, it was found that 62.1% of respondents were at risk of malnutrition. Conclusion. Pre-frail elderly people at risk of malnutrition predominated. The results confirm the importance of nursing care to emphasize the assessment and nutritional monitoring of the elderly, especially in patients with cardiovascular diseases, since the nutritional condition affects and is affected by chronic diseases, corroborating the functional decline, directly interfering with the health condition. of this population. Key words: Nutrition Assessment; Aged; Heart Diseases; Ambulatory CareIntrodução: Avaliar o risco nutricional ou a desnutrição no idoso com doença cardiovascular é importante na definição de estratégias para intervenções efetivas que tratem de forma não farmacológica. Por exemplo,uma pequena restrição de sódio também pode melhorar a hipertensão. A redução da ingestão de sódio da dieta diminui a Pressão Arterial Sistólica em aproximadamente 2 a 8 mmHg. Nem todos os indivíduos hipertensos respondem à diminuição da ingestão de sal, e alguns pacientes podem ser particularmente sensíveis à redução do sódio. A adoção de uma dieta simples, rica em frutas, vegetais e produtos laticínios com baixos teores de gordura e pobre em gorduras totais e saturadas, demonstrou reduzir a Pressão Arterial Sistólica. Porém, devido à praticidade, questões culturais, rapidez de preparo e questões econômicas, muitas pessoas optam por  alimentos industrializados, embutidos, que possuem alto teor de sódio e gorduras. Isso pode trazer agravos para um coração já em processo de transformações fisiopatológicas devido ao processo de envelhecimento. Sendo assim, é muito importante avaliarmos quais os hábitos alimentares e estado nutricional dos idosos assistidos para cuidar e orientar de forma efetiva, engajando-os a buscar maior qualidade de vida. Objetivo: Avaliar as condições físicas e nutricionais dos pacientes idosos com cardiopatias, o nível de fragilidade dos idosos e caracterizar o perfil sociodemográfico. Material e Método: Pesquisa de campo, descritiva, prospectiva, transversal e de abordagem quantitativa dos dados. A pesquisa foi realizada no Serviço de Cardiologia de um hospital de ensino, com pessoas acima de 60 anos com diagnóstico de doença cardíaca; pacientes atendidos no ambulatório de cardiologia e que consentiram participar. Este projeto de pesquisa faz parte de um projeto maior, intitulado “Perfil de pacientesatendidos em um serviço de cardiologia de um hospital de ensino”, já aprovado pelo parecer nº 2.623.123 e contemplado com recursos do Fundo de Apoio à Pesquisa da Fundação Arnaldo Vieira de Carvalho (vigência 2018/2019). A coleta de dados foi realizada no período de 01 de julho a 31 de agosto de 2021, no momento antes da consulta médica na sala de espera do ambulatório e após a assinatura do Termo de Consentimento Livre e Esclarecido. A coleta ocorreu mediante entrevistas individuais. Foram usados três instrumentos: dados sociodemográficos e clínicos, avaliação multidimensional da pessoa idosa e escala de avaliação nutricional – realizada através do formulário de Mini Avaliação Nutricional® - Nestlé Nutrition. As informações foram inseridas em arquivo do sistema Microsoft Excel. As variáveis sociodemográficas e clínicas estão apresentadas deforma descritiva e as quantitativas, em frequência absoluta (N) e relativa (%). Resultados: Participaram da pesquisa 29 idosos: 52% eram homens e 48% eram mulheres com faixa etárias entre 60 e 74 anos (68%), 58% declarados brancos, 48% aposentados, 32,9% ex-tabagistas, 10% afirmaram consumir álcool, 51% realizam algum tipo de atividade física e 41% consideram o estado atual de saúde regular. Desses, foram identificados 13,8% de idosos saudáveis; pré-frágil equivaliam a 55,2%, e frágeis seriam 31%, conforme a Avaliação Multidimensional aplicada. Após submeter esse escopo populacional ao MAN, descobriu-se que 62,1% dos entrevistados estavam sob risco de desnutrição. Conclusão: Predominaram idosos préfrágeis, em risco de desnutrição. Os resultados ratificam a importância de a assistência de enfermagem enfatizar a avaliação e o acompanhamento nutricional do idoso, sobretudo em portadores de doenças cardiovasculares, uma vez que a condição nutricional afeta e é afetada pelas doenças crônicas, que corroboram para o declínio funcional, interferindo diretamente na condição de saúde dessa população.Palavras-chave: Avaliação nutricional, Idoso, Cardiopatias, Assistência ambulatorial ABSTRACT Introduction: Assessing nutritional risk or malnutrition in the elderly with cardiovascular disease is important to define strategies for effective interventions that treat non-pharmacologically. For example, a little sodium restriction can also improve high blood pressure. Reducing dietary sodium intake decreases systolic blood pressure by approximately 2 to 8 mmHg. Not all hypertensive individuals respond to decreased salt intake and some patients may be particularly sensitive to reduced sodium. Adopting a simple diet rich in fruits, vegetables and low-fat dairy products and low in total and saturated fat has been shown to reduce BP. However, due to practicality, cultural issues, speed of preparation and economic issues, many people opt for processed foods, which have a high content of sodium and fat. This can bring harm to a heart already in the process of pathophysiological transformations due to the aging process. Therefore, it is very important to assess the eating habits and nutritional status of the assisted elderly in order to provide effective care and guidance, engaging them to seek a better quality of life. Objective: To assess the physical and nutritional conditions of elderly patients with heart disease, their level of frailty, and to characterize their sociodemographic profile. Method: Field research, descriptive, prospective, transversal and with a quantitative approach to the data. The research was carried out at the Cardiology Service of a teaching hospital. People over 60 years old with a diagnosis of heart disease participated in the research; patients seen at the cardiology outpatient clinic and who consented to participate. Patients without heart disease and under 60 years of age were excluded, and there was no refusal to participate. This research project is part of a larger project, entitled “Profile of patients treated in a cardiology service of a teaching hospital”, approved by Opinion nº 2.623.123 and receiving resources from the Research Support Fund of Fundação Arnaldo Vieira de Carvalho (2018/2019 term). Data collection was carried out from July 1 to August 31, 2021, before the medical consultation in the outpatientwaiting room, and after signing the informed consent form. The collection took place through individual interviews. Three instruments were used: sociodemographic and clinical data, multidimensional assessment of the elderly, and a nutritional assessment scale (Mini Nutritional Assessment® – Nestlé Nutrition form — MNA). Information was entered in a Microsoft Excel system file. The sociodemographic and clinical variables are presented in a descriptive way and the quantitative ones, in absolute (N) and relative frequency (%). Results: Twenty-nine elderlypeople participated in the survey: 52% were men and 48% were women aged between 60 and 74 years (68%), declared white, retired, former smokers; 10% said they consume alcohol, 51% perform some type of physical activity and 41% consider their current state of health to be regular. Of these, 13.8% were healthy elderly, 55.2% were pre-frail and 31% frail according to the applied Multidimensional Assessment. After submitting this population scope to the MNA, it was found that 62.1% of respondents were at risk of malnutrition. Conclusion: Pre-frail elderly people at risk of malnutrition predominated. The results confirm the importance of nursing care to emphasize the assessment and nutritional monitoring of the elderly, especially in patients with cardiovascular diseases, since the nutritional condition affects and is affected by chronic diseases, reinforcing functional decline and directly interfering with the health condition of this population.Keywords: Nutrition assessment, Aged, Heart diseases, Ambulatory careFaculdade de Ciências Médicas da Santa Casa de São Paulo2023-08-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/89310.26432/1809-3019.2023.68.006Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo; V. 68 (2023): Jan/Dez; 1 of 61809-30190101-6067reponame:Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)instname:Faculdade de Ciências Médicas da Santa Casa de São Pauloinstacron:FCMSCSPporhttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/893/1212Copyright (c) 2023 Ariadne Fabbri, Dra Rosimeire Angela, Dra Luciana Cardoso, Ronaldo Fernandes Rosahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFabbri, Ariadne PolveriniSoares, Rosimeire Angela de QueirozCardoso, Luciana Gonzaga dos SantosRosa, Ronaldo Fernandes2023-08-14T17:06:47Zoai:ojs2.arquivosmedicos.fcmsantacasasp.edu.br:article/893Revistahttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSPONGhttp://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/oaiarquivosmedicos@fcmsantacasasp.edu.br||1809-30190101-6067opendoar:2023-08-14T17:06:47Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online) - Faculdade de Ciências Médicas da Santa Casa de São Paulofalse
dc.title.none.fl_str_mv Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São Paulo
title Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São Paulo
spellingShingle Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São Paulo
Fabbri, Ariadne Polverini
Eldery
Cardiology
Nutrition
title_short Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São Paulo
title_full Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São Paulo
title_fullStr Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São Paulo
title_full_unstemmed Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São Paulo
title_sort Avaliação nutricional e nível de fragilidade em idosos cardiopatas atendidos no ambulatório de um hospital de ensino em São Paulo
author Fabbri, Ariadne Polverini
author_facet Fabbri, Ariadne Polverini
Soares, Rosimeire Angela de Queiroz
Cardoso, Luciana Gonzaga dos Santos
Rosa, Ronaldo Fernandes
author_role author
author2 Soares, Rosimeire Angela de Queiroz
Cardoso, Luciana Gonzaga dos Santos
Rosa, Ronaldo Fernandes
author2_role author
author
author
dc.contributor.author.fl_str_mv Fabbri, Ariadne Polverini
Soares, Rosimeire Angela de Queiroz
Cardoso, Luciana Gonzaga dos Santos
Rosa, Ronaldo Fernandes
dc.subject.por.fl_str_mv Eldery
Cardiology
Nutrition
topic Eldery
Cardiology
Nutrition
description Objective: Objective. Assess the physical and nutritional conditions of elderly patients with heart disease, the level of frailty of the Elder and characterize the sociodemographic profile. Method. Field research, descriptive, prospective, transversal and with a quantitative approach to the data. The research was carried out at the Cardiology Service of a teaching hospital, people over 60 years old with a diagnosis of heart disease participated in the research; patients seen at the cardiology outpatient clinic and who consented to participate. Patients without heart disease and under 60 years of age were excluded, there was no refusal to participate. This research project is part of a larger project, entitled "Profile of patients treated in a cardiology service of a teaching hospital", already approved by opinion nº 2.623.123 and contemplated with resources from the Research Support Fund (FAP) from Fundação Arnaldo Vieira de Carvalho (2018/2019 term). Data collection was carried out from July 1 to August 31, 2021, before the medical consultation in the outpatient waiting room, and after signing the informed consent form The collection took place through individual interviews. Three instruments were used: Sociodemographic and clinical data (Appendix 2), Multidimensional assessment of the elderly (Appendix 3), Nutritional Assessment Scale: will be carried out using the Mini Nutritional Assessment® - Nestlé Nutrition form (ANNEX 4). The information was entered in a Microsoft Excel system file. The sociodemographic and clinical variables are presented in a descriptive way and the quantitative ones, in absolute frequency (N) and relative (%). Results. Twenty-nine elderly people participated in the survey: 52% were men and 48% were women aged between 60 and 74 years (68%), declared white, retired, former smokers, 10% said they consume alcohol, 51% perform some type of activity physical and 41% consider their current state of health to be regular. After submitting this population scope to the MNA, it was found that 62.1% of respondents were at risk of malnutrition. Conclusion. Pre-frail elderly people at risk of malnutrition predominated. The results confirm the importance of nursing care to emphasize the assessment and nutritional monitoring of the elderly, especially in patients with cardiovascular diseases, since the nutritional condition affects and is affected by chronic diseases, corroborating the functional decline, directly interfering with the health condition. of this population. Key words: Nutrition Assessment; Aged; Heart Diseases; Ambulatory Care
publishDate 2023
dc.date.none.fl_str_mv 2023-08-08
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/893
10.26432/1809-3019.2023.68.006
url http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/893
identifier_str_mv 10.26432/1809-3019.2023.68.006
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/893/1212
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Faculdade de Ciências Médicas da Santa Casa de São Paulo
publisher.none.fl_str_mv Faculdade de Ciências Médicas da Santa Casa de São Paulo
dc.source.none.fl_str_mv Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo; V. 68 (2023): Jan/Dez; 1 of 6
1809-3019
0101-6067
reponame:Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
instname:Faculdade de Ciências Médicas da Santa Casa de São Paulo
instacron:FCMSCSP
instname_str Faculdade de Ciências Médicas da Santa Casa de São Paulo
instacron_str FCMSCSP
institution FCMSCSP
reponame_str Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
collection Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online)
repository.name.fl_str_mv Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo (Online) - Faculdade de Ciências Médicas da Santa Casa de São Paulo
repository.mail.fl_str_mv arquivosmedicos@fcmsantacasasp.edu.br||
_version_ 1797067817447587840