Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depression

Detalhes bibliográficos
Autor(a) principal: Jacondino, Camila Bittencourt
Data de Publicação: 2016
Outros Autores: Closs, Vera Elizabeth, Gomes, Irenio, Schwanke, Carla Helena Augustin
Tipo de documento: Artigo
Idioma: por
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/22956
Resumo: Aims: To describe diet adherence and to analyze its association with depression in elderly patients with metabolic syndrome treated by the Family Health Strategy.Methods: Cross-sectional study including elderly patients with metabolic syndrome diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III criteria who participated in the Epidemiological and Clinical Study of Elderly Individuals Treated by the Family Health Strategy in Porto Alegre, Brazil. A questionnaire developed by the researchers based on the recommendations of the I Brazilian Guideline for Metabolic Syndrome was used to evaluate compliance with eight possible dietary guidelines provided by health professionals (intake of "whole foods", "sweets", "sugar", "fruits/vegetables/legumes", "salt", "fatty foods/fried foods", "processed foods" and "fish"). Diet adherence was considered when an individual followed all dietary guidelines (regardless of their number, which ranged from one to eight). The diagnosis of depression was based on the Mini International Neuropsychiatric Interview instrument, used by psychiatrists.Results: A total of 109 elderly patients were included in the study, most of whom were female (67.9%). The mean age was 68.4±6.6 years (61-90 years). Thirty-seven elderly patients (33.9%) were considered adherent to the diet. Lower salt intake was the dietary guidance with greater adherence (89.1%) while the consumption of whole foods exhibited less adherence (59.7%). There was no association of diet adherence with sociodemographic and clinical parameters and with metabolic syndrome components. The frequency of adherence to the recommendation against the consumption of sugar and sweets was significantly lower among individuals with depression (43.9% and 34.9%, respectively; p = 0.001).Conclusions: Diet adherence occurred in one third of elderly patients with metabolic syndrome treated at the primary health care level. There was lower adherence to the recommendation against the consumption of sweets and sugar in individuals diagnosed with depression.
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spelling Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depressionAdesão à dieta por idosos com síndrome metabólica assistidos na Estratégia Saúde da Família: frequência e associação com depressãoelderlymetabolic syndrome Xfeeding behaviordepressionprimary health care.idososíndrome X metabólicacomportamento alimentardepressãoatenção primária à saúde.Aims: To describe diet adherence and to analyze its association with depression in elderly patients with metabolic syndrome treated by the Family Health Strategy.Methods: Cross-sectional study including elderly patients with metabolic syndrome diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III criteria who participated in the Epidemiological and Clinical Study of Elderly Individuals Treated by the Family Health Strategy in Porto Alegre, Brazil. A questionnaire developed by the researchers based on the recommendations of the I Brazilian Guideline for Metabolic Syndrome was used to evaluate compliance with eight possible dietary guidelines provided by health professionals (intake of "whole foods", "sweets", "sugar", "fruits/vegetables/legumes", "salt", "fatty foods/fried foods", "processed foods" and "fish"). Diet adherence was considered when an individual followed all dietary guidelines (regardless of their number, which ranged from one to eight). The diagnosis of depression was based on the Mini International Neuropsychiatric Interview instrument, used by psychiatrists.Results: A total of 109 elderly patients were included in the study, most of whom were female (67.9%). The mean age was 68.4±6.6 years (61-90 years). Thirty-seven elderly patients (33.9%) were considered adherent to the diet. Lower salt intake was the dietary guidance with greater adherence (89.1%) while the consumption of whole foods exhibited less adherence (59.7%). There was no association of diet adherence with sociodemographic and clinical parameters and with metabolic syndrome components. The frequency of adherence to the recommendation against the consumption of sugar and sweets was significantly lower among individuals with depression (43.9% and 34.9%, respectively; p = 0.001).Conclusions: Diet adherence occurred in one third of elderly patients with metabolic syndrome treated at the primary health care level. There was lower adherence to the recommendation against the consumption of sweets and sugar in individuals diagnosed with depression.Objetivos: Descrever a frequência de adesão à dieta e analisar sua associação com depressão em idosos com síndrome metabólica assistidos na atenção básica de saúde.Métodos: Estudo transversal que incluiu idosos com síndrome metabólica diagnosticada pelos critérios do National Cholesterol Education Program Adult Treatment Panel III, participantes do Estudo Epidemiológico e Clínico dos Idosos Atendidos pela Estratégia de Saúde da Família do Município de Porto Alegre (EMI-SUS). A avaliação da adesão à dieta foi realizada através de um questionário, elaborado pelos pesquisadores com base nas recomendações da I Diretriz Brasileira de Síndrome Metabólica, sobre a adesão a oito possíveis orientações dietéticas recebidas de profissionais da saúde (em relação a ingestão de “alimentos integrais”, “doces”, “açúcar”, “frutas/verduras/legumes”, “sal”, “alimentos gordurosos/frituras”, “alimentos processados” e “peixes”). Considerou-se aderente à dieta o indivíduo que seguiu todas as orientações dietéticas recebidas, independente de quantas foram (entre uma e oito possíveis orientações). O diagnóstico de depressão foi baseado no instrumento Mini International Neuropsychiatric Interview, aplicado por psiquiatras.Resultados: Foram incluídos 109 idosos, sendo que a maioria era do sexo feminino (67,9%). A média da idade foi 68,4±6,6 anos (61-90 anos). Trinta e sete idosos (33,9%) foram considerados aderentes à dieta. A orientação dietética com maior adesão foi a de diminuir a ingestão de sal (89,1%) e a com menor adesão foi a de consumir alimentos integrais (59,7%). Não se observou associação da adesão à dieta com variáveis sociodemográficas, clínicas e componentes da síndrome metabólica. A frequência de adesão à orientação de evitar o consumo de açúcar e de doces foi significativamente menor entre os indivíduos com depressão (43,9% e 34,9%, respectivamente; p=0,001).Conclusões: A adesão à dieta foi observada em um terço dos idosos com síndrome metabólica atendidos na atenção básica de saúde. Nos indivíduos com diagnóstico de depressão, a adesão às orientações de evitar o consumo de doces e de açúcar foi menor.Editora da PUCRS - ediPUCRS2016-07-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2295610.15448/1980-6108.2016.3.22956Scientia Medica; Vol. 26 No. 3 (2016): Special issue on Metabolic Syndrome; ID22956Scientia Medica; v. 26 n. 3 (2016): Número especial sobre Síndrome Metabólica; ID229561980-61081806-556210.15448/1980-6108.2016.3reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/22956/14652Copyright (c) 2016 Scientia Medicainfo:eu-repo/semantics/openAccessJacondino, Camila BittencourtCloss, Vera ElizabethGomes, IrenioSchwanke, Carla Helena Augustin2018-02-12T19:43:34Zoai:ojs.revistaseletronicas.pucrs.br:article/22956Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2018-02-12T19:43:34Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depression
Adesão à dieta por idosos com síndrome metabólica assistidos na Estratégia Saúde da Família: frequência e associação com depressão
title Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depression
spellingShingle Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depression
Jacondino, Camila Bittencourt
elderly
metabolic syndrome X
feeding behavior
depression
primary health care.
idoso
síndrome X metabólica
comportamento alimentar
depressão
atenção primária à saúde.
title_short Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depression
title_full Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depression
title_fullStr Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depression
title_full_unstemmed Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depression
title_sort Diet adherence in elderly patients with metabolic syndrome treated by the Family Health Strategy: frequency and association with depression
author Jacondino, Camila Bittencourt
author_facet Jacondino, Camila Bittencourt
Closs, Vera Elizabeth
Gomes, Irenio
Schwanke, Carla Helena Augustin
author_role author
author2 Closs, Vera Elizabeth
Gomes, Irenio
Schwanke, Carla Helena Augustin
author2_role author
author
author
dc.contributor.author.fl_str_mv Jacondino, Camila Bittencourt
Closs, Vera Elizabeth
Gomes, Irenio
Schwanke, Carla Helena Augustin
dc.subject.por.fl_str_mv elderly
metabolic syndrome X
feeding behavior
depression
primary health care.
idoso
síndrome X metabólica
comportamento alimentar
depressão
atenção primária à saúde.
topic elderly
metabolic syndrome X
feeding behavior
depression
primary health care.
idoso
síndrome X metabólica
comportamento alimentar
depressão
atenção primária à saúde.
description Aims: To describe diet adherence and to analyze its association with depression in elderly patients with metabolic syndrome treated by the Family Health Strategy.Methods: Cross-sectional study including elderly patients with metabolic syndrome diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III criteria who participated in the Epidemiological and Clinical Study of Elderly Individuals Treated by the Family Health Strategy in Porto Alegre, Brazil. A questionnaire developed by the researchers based on the recommendations of the I Brazilian Guideline for Metabolic Syndrome was used to evaluate compliance with eight possible dietary guidelines provided by health professionals (intake of "whole foods", "sweets", "sugar", "fruits/vegetables/legumes", "salt", "fatty foods/fried foods", "processed foods" and "fish"). Diet adherence was considered when an individual followed all dietary guidelines (regardless of their number, which ranged from one to eight). The diagnosis of depression was based on the Mini International Neuropsychiatric Interview instrument, used by psychiatrists.Results: A total of 109 elderly patients were included in the study, most of whom were female (67.9%). The mean age was 68.4±6.6 years (61-90 years). Thirty-seven elderly patients (33.9%) were considered adherent to the diet. Lower salt intake was the dietary guidance with greater adherence (89.1%) while the consumption of whole foods exhibited less adherence (59.7%). There was no association of diet adherence with sociodemographic and clinical parameters and with metabolic syndrome components. The frequency of adherence to the recommendation against the consumption of sugar and sweets was significantly lower among individuals with depression (43.9% and 34.9%, respectively; p = 0.001).Conclusions: Diet adherence occurred in one third of elderly patients with metabolic syndrome treated at the primary health care level. There was lower adherence to the recommendation against the consumption of sweets and sugar in individuals diagnosed with depression.
publishDate 2016
dc.date.none.fl_str_mv 2016-07-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/22956
10.15448/1980-6108.2016.3.22956
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/22956
identifier_str_mv 10.15448/1980-6108.2016.3.22956
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/22956/14652
dc.rights.driver.fl_str_mv Copyright (c) 2016 Scientia Medica
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2016 Scientia Medica
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 26 No. 3 (2016): Special issue on Metabolic Syndrome; ID22956
Scientia Medica; v. 26 n. 3 (2016): Número especial sobre Síndrome Metabólica; ID22956
1980-6108
1806-5562
10.15448/1980-6108.2016.3
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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