Nutritional assessment in heart failure patients admitted to a referral hospital in Pará

• Autor(a) principal: Garces, Dayanne Caroline Pinheiro
• Data de Publicação: 2022
• Outros Autores: Carvalhal, Manuela Maria de Lima, Mori, Rejane Maria Sales Cavalcante, Martins, Nina Nayara Ferreira, Torres, Rosileide de Souza, Guterres, Aldair da Silva
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista brasileira de obesidade, nutrição e emagrecimento
• Texto Completo: https://www.rbone.com.br/index.php/rbone/article/view/1889
• topic: Nutrition Assessment; Heart Failure; Inpatients; Evaluación nutricional; Insuficiencia cardíaca; Pacientes hospitalizados; Valutatzione nutrizionale; Insufficienza cardíaca; Ricoverati; Avaliação nutricional; Insuficiência cardíaca; Pacientes internados; Avaliação nutricional; Insuficiência cardíaca; Pacientes internados

Introduction: Nutritional care prevents and treats malnutrition, which is responsible for the worsening of the clinical condition, longer hospital stays and increased morbidity and mortality rates. Thus, the objective of this study was to evaluate the nutritional status of patients with heart failure admitted to a reference hospital in Pará. Materials and methods: Descriptive, analytical, cross-sectional and convenience study. Patients with a diagnosis of heart failure, aged 20 years or older, were included. Socioeconomic, demographic, clinical, semiological, anthropometric, biochemical and nutritional risk information were collected. The Statistical Package for Social Sciences software was used using the Mann-Whitney U test, with 5% significance. Results: 31 patients with a mean age of 48 years, 67.7% male. Based on the body mass index, 43.4% of adults and 50% of the elderly were eutrophic, as well as 51.5% in relation to arm circumference. 56.6% and 66.6% had increased cardiovascular risk according to waist and neck circumferences, respectively. All were well nourished according to the subjective global assessment, 87.5% of the elderly were at risk according to the mini nutritional assessment, and 45.1% were also at risk according to the Nutritional Risk Screnning. A statistical difference was identified between body mass index (p=0.040), waist circumference (p=0.025), neck circumference (p=0.013) and nutritional risk. Conclusion: IC may be more prevalent in males and in those with lower education and income. Hypertension may have contributed to its development. Furthermore, despite being eutrophic, these patients may be at risk of malnutrition.