Hábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPAL
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_RS |
Texto Completo: | http://tede2.pucrs.br/tede2/handle/tede/9222 |
Resumo: | Introduction: Nonagenarians make up the fastest growing population group in Brazil. Deaths due to ill-defined signs and symptoms (25%) are the main causes of death of nonagenarians and centenarians, demonstrating a lack of assistance in these population groups. Aging is accompanied by changes in eating habits. Among nonagenarians and centenarians, the relationship of these habits to mortality is not established. Therefore, it is important to evaluate this relationship, providing a more adequate nutritional orientation that may be the result of a public health policy. Objective: To associate eating habits with survival in nonagenarians and centenarians. Methods: The 238 nonagenarians and centenarians, evaluated by the project “Multiprofessional Long-term Care in 2016, were followed up to August 2019 periodically by telephone or home visit. The number of months between the first assessment and the date of death or last contact was used to calculate follow-up time for survival analysis (by Cox damage regression). Eating habits were classified according to quality (Diet Quality Index - DQI) and diet variability (DVI). Results: The food intake evaluated by the DVI showed that chewing capacity (p=0.0033) and appetite (p=0.0368) influenced the index score. Age group (p=0.0247), physical exercise (p=0.0020), alcohol consumption (p=0.0344) and diarrhea (p=0.0064) were found to influence quality of the diet, reflecting on the DQI score. Both DVI and DQI were predictors of survival. Higher levels of both indices had a higher probability of survival, indicating significance for DVI (p=0.0809) and significant DQI (p=0.0098). Conclusions: Both quality and diet variability were predictors of survival in the nonagenarians and centenarians surveyed. It was possible to identify cutoff points for both indexes (DVI and DQI), more sensitive for survival prediction that could serve as normal parameters for the food quality of the nonagenarians and centenarians population. The DQI can be considered good of 9 or greater and the DVI if greater than or equal to 4. Although DQI had better performance both indices can be easily applied in primary care because they do not require specialized training. The instrument used for the calculation of indices is already widely applied in population surveys by IBGE. Therefore, the experience gained in the present work may be extended to other age groups. |
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Bós, Ângelo José Gonçalveshttp://lattes.cnpq.br/0542562572479109Goulart, Luana de Souza2020-08-10T14:32:56Z2020-03-24http://tede2.pucrs.br/tede2/handle/tede/9222Introduction: Nonagenarians make up the fastest growing population group in Brazil. Deaths due to ill-defined signs and symptoms (25%) are the main causes of death of nonagenarians and centenarians, demonstrating a lack of assistance in these population groups. Aging is accompanied by changes in eating habits. Among nonagenarians and centenarians, the relationship of these habits to mortality is not established. Therefore, it is important to evaluate this relationship, providing a more adequate nutritional orientation that may be the result of a public health policy. Objective: To associate eating habits with survival in nonagenarians and centenarians. Methods: The 238 nonagenarians and centenarians, evaluated by the project “Multiprofessional Long-term Care in 2016, were followed up to August 2019 periodically by telephone or home visit. The number of months between the first assessment and the date of death or last contact was used to calculate follow-up time for survival analysis (by Cox damage regression). Eating habits were classified according to quality (Diet Quality Index - DQI) and diet variability (DVI). Results: The food intake evaluated by the DVI showed that chewing capacity (p=0.0033) and appetite (p=0.0368) influenced the index score. Age group (p=0.0247), physical exercise (p=0.0020), alcohol consumption (p=0.0344) and diarrhea (p=0.0064) were found to influence quality of the diet, reflecting on the DQI score. Both DVI and DQI were predictors of survival. Higher levels of both indices had a higher probability of survival, indicating significance for DVI (p=0.0809) and significant DQI (p=0.0098). Conclusions: Both quality and diet variability were predictors of survival in the nonagenarians and centenarians surveyed. It was possible to identify cutoff points for both indexes (DVI and DQI), more sensitive for survival prediction that could serve as normal parameters for the food quality of the nonagenarians and centenarians population. The DQI can be considered good of 9 or greater and the DVI if greater than or equal to 4. Although DQI had better performance both indices can be easily applied in primary care because they do not require specialized training. The instrument used for the calculation of indices is already widely applied in population surveys by IBGE. Therefore, the experience gained in the present work may be extended to other age groups.Introdução: Os nonagenários compõem o grupo populacional que mais cresce no Brasil. Uma das principais causas de óbito entre os nonagenários e centenários estão mortes por sinais e sintomas mal definidos (25%), demonstrando uma carência na assistência desses grupos populacionais. O envelhecimento é acompanhado de modificações nos hábitos alimentares. Dentre os nonagenários e centenários, a relação desses hábitos com a mortalidade não está estabelecida. Portanto, é importante avaliar essa relação propiciando uma orientação nutricional mais adequada que poderá ser fruto de uma política de saúde pública. Objetivo: Associar os hábitos alimentares com a sobrevida em nonagenários e centenários. Métodos: Os 238 nonagenários e centenários avaliados pelo projeto “Atenção Multiprofissional ao Longevo (AMPAL) em 2016 foram acompanhados até agosto de 2019 periodicamente por telefone ou visita domiciliar. O número de meses entre a primeira avaliação e a data do óbito ou do último contato foi utilizado para calcular o tempo de acompanhamento, para fins de análise de sobrevida (pela regressão de dano de Cox). Os hábitos alimentares foram classificados quanto à qualidade (Índice de Qualidade da Dieta - IQD) e a variabilidade da dieta (IVD). Resultados: O consumo alimentar avaliado pelo IVD demonstrou que a capacidade mastigatória (p=0,0033) e o apetite (p=0,0368) influenciaram na pontuação do índice. A faixa etária (p=0,0247), o exercício físico (p=0,0020), o consumo de bebida alcoólica (p=0,0344) e a presença de diarreia (p=0,0064) demonstraram ter influência na qualidade da dieta, refletindo na pontuação do IQD. Tanto o IVD quando o IQD foram preditores de sobrevida. Níveis maiores de ambos os índices tiveram maior probabilidade de sobrevida sendo indicativo de significância para o IVD (p=0,0809) e significativo o IQD (p=0,0098). Conclusões: Tanto a qualidade quanto a variabilidade da dieta foram preditores de sobrevida nos nonagenários e centenários pesquidados. Foi possível identificar pontos de cortes, para ambos os índices (IVD e IQD), mais sensíveis para a predição de sobrevida que poderão servir como parâmetros de normalidade para a qualidade alimentar da população dos nonagenários e centenários. O IQD pode ser considerado bom se maior ou igual a 9 e o IVD se maior ou igual a 4. Apesar do IQD ter tido melhor desempenho ambos os índices podem ser facilmente aplicados na atenção primária, pois não necessitam de treinamento especializado. O instrumento utilizado para o cálculo dos índices já é amplamente aplicado em pesquisas populacionais pelo IBGE. Por tanto, a experiência adquirida no presente trabalho poderá ser estendida para outras faixas etárias.Submitted by PPG Gerontologia Biomédica (geronbio@pucrs.br) on 2020-06-04T18:15:19Z No. of bitstreams: 1 GOULART_LUANA_DE_SOUZA_DIS.pdf: 4179174 bytes, checksum: 6951068018d72adaa29a6cd80385f3d3 (MD5)Approved for entry into archive by Clarissa Selbach (clarissa.selbach@pucrs.br) on 2020-08-10T14:23:20Z (GMT) No. of bitstreams: 1 GOULART_LUANA_DE_SOUZA_DIS.pdf: 4179174 bytes, checksum: 6951068018d72adaa29a6cd80385f3d3 (MD5)Made available in DSpace on 2020-08-10T14:32:56Z (GMT). No. of bitstreams: 1 GOULART_LUANA_DE_SOUZA_DIS.pdf: 4179174 bytes, checksum: 6951068018d72adaa29a6cd80385f3d3 (MD5) Previous issue date: 2020-03-24Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/178587/DIS_LUANA_DE_SOUZA_GOULART_CONFIDENCIAL.pdf.jpghttp://tede2.pucrs.br:80/tede2/retrieve/179866/DIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdf.jpgporPontifícia Universidade Católica do Rio Grande do SulPrograma de Pós-Graduação em Gerontologia BiomédicaPUCRSBrasilEscola de MedicinaSaúde pública e envelhecimentoQualidade da dietaVariabilidade da dietaAlimentação saudávelAnálise de sobrevidaEnvelhecimentoPublic health and agingHealthy eatingSurvival analysisAgingCIENCIAS DA SAUDE::MEDICINAHábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPALinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisTrabalho será publicado como artigo ou livro06 meses10/02/20218969645070886364160500600500600-224747486637135387-9693694523087866273590462550136975366info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSORIGINALDIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdfDIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdfapplication/pdf4179174http://tede2.pucrs.br/tede2/bitstream/tede/9222/5/DIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdf6951068018d72adaa29a6cd80385f3d3MD55THUMBNAILDIS_LUANA_DE_SOUZA_GOULART_CONFIDENCIAL.pdf.jpgDIS_LUANA_DE_SOUZA_GOULART_CONFIDENCIAL.pdf.jpgimage/jpeg4092http://tede2.pucrs.br/tede2/bitstream/tede/9222/4/DIS_LUANA_DE_SOUZA_GOULART_CONFIDENCIAL.pdf.jpgb08284b557c81a6834b53ffe6a1180e3MD54DIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdf.jpgDIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdf.jpgimage/jpeg6141http://tede2.pucrs.br/tede2/bitstream/tede/9222/7/DIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdf.jpg0ca40219382f007bf5a40af55ec297f4MD57TEXTDIS_LUANA_DE_SOUZA_GOULART_CONFIDENCIAL.pdf.txtDIS_LUANA_DE_SOUZA_GOULART_CONFIDENCIAL.pdf.txttext/plain1450http://tede2.pucrs.br/tede2/bitstream/tede/9222/3/DIS_LUANA_DE_SOUZA_GOULART_CONFIDENCIAL.pdf.txt3eb3eefb21bf58630ad272f21e79d7fcMD53DIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdf.txtDIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdf.txttext/plain221336http://tede2.pucrs.br/tede2/bitstream/tede/9222/6/DIS_LUANA_DE_SOUZA_GOULART_COMPLETO.pdf.txtbcff3e55accbeab6115095e43bbdd40aMD56LICENSElicense.txtlicense.txttext/plain; charset=utf-8590http://tede2.pucrs.br/tede2/bitstream/tede/9222/1/license.txt220e11f2d3ba5354f917c7035aadef24MD51tede/92222021-01-12 12:00:21.482oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2021-01-12T14:00:21Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Hábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPAL |
title |
Hábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPAL |
spellingShingle |
Hábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPAL Goulart, Luana de Souza Saúde pública e envelhecimento Qualidade da dieta Variabilidade da dieta Alimentação saudável Análise de sobrevida Envelhecimento Public health and aging Healthy eating Survival analysis Aging CIENCIAS DA SAUDE::MEDICINA |
title_short |
Hábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPAL |
title_full |
Hábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPAL |
title_fullStr |
Hábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPAL |
title_full_unstemmed |
Hábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPAL |
title_sort |
Hábitos alimentares relacionados à sobrevida em nonagenários e centenários do AMPAL |
author |
Goulart, Luana de Souza |
author_facet |
Goulart, Luana de Souza |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Bós, Ângelo José Gonçalves |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0542562572479109 |
dc.contributor.author.fl_str_mv |
Goulart, Luana de Souza |
contributor_str_mv |
Bós, Ângelo José Gonçalves |
dc.subject.por.fl_str_mv |
Saúde pública e envelhecimento Qualidade da dieta Variabilidade da dieta Alimentação saudável Análise de sobrevida Envelhecimento |
topic |
Saúde pública e envelhecimento Qualidade da dieta Variabilidade da dieta Alimentação saudável Análise de sobrevida Envelhecimento Public health and aging Healthy eating Survival analysis Aging CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Public health and aging Healthy eating Survival analysis Aging |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: Nonagenarians make up the fastest growing population group in Brazil. Deaths due to ill-defined signs and symptoms (25%) are the main causes of death of nonagenarians and centenarians, demonstrating a lack of assistance in these population groups. Aging is accompanied by changes in eating habits. Among nonagenarians and centenarians, the relationship of these habits to mortality is not established. Therefore, it is important to evaluate this relationship, providing a more adequate nutritional orientation that may be the result of a public health policy. Objective: To associate eating habits with survival in nonagenarians and centenarians. Methods: The 238 nonagenarians and centenarians, evaluated by the project “Multiprofessional Long-term Care in 2016, were followed up to August 2019 periodically by telephone or home visit. The number of months between the first assessment and the date of death or last contact was used to calculate follow-up time for survival analysis (by Cox damage regression). Eating habits were classified according to quality (Diet Quality Index - DQI) and diet variability (DVI). Results: The food intake evaluated by the DVI showed that chewing capacity (p=0.0033) and appetite (p=0.0368) influenced the index score. Age group (p=0.0247), physical exercise (p=0.0020), alcohol consumption (p=0.0344) and diarrhea (p=0.0064) were found to influence quality of the diet, reflecting on the DQI score. Both DVI and DQI were predictors of survival. Higher levels of both indices had a higher probability of survival, indicating significance for DVI (p=0.0809) and significant DQI (p=0.0098). Conclusions: Both quality and diet variability were predictors of survival in the nonagenarians and centenarians surveyed. It was possible to identify cutoff points for both indexes (DVI and DQI), more sensitive for survival prediction that could serve as normal parameters for the food quality of the nonagenarians and centenarians population. The DQI can be considered good of 9 or greater and the DVI if greater than or equal to 4. Although DQI had better performance both indices can be easily applied in primary care because they do not require specialized training. The instrument used for the calculation of indices is already widely applied in population surveys by IBGE. Therefore, the experience gained in the present work may be extended to other age groups. |
publishDate |
2020 |
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2020-08-10T14:32:56Z |
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2020-03-24 |
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Pontifícia Universidade Católica do Rio Grande do Sul |
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Programa de Pós-Graduação em Gerontologia Biomédica |
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