Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tde/2872 |
Resumo: | Introduction: Body composition modification, mainly the increase in total body fat, which is related to a number of illnesses, is an important public health problem, is quite prevalent in breast cancer patents and is directly associated with a negative prognosis for the illness. Objective: To evaluate the body composition, of total body fat and its distribution and lipid profile of women recently diagnosed with breast cancer, at two referral centers in Goiânia, Goiás. Methodology: (Article 1) A cross-sectional, cohort nested study. (Article 2). A case-control study, with 1:1 pairing, carried out in Goiânia, Goiás, Brazil. The data were collected through interviews based on questionnaire, with 62 women, a socio-demographic characterization and an evaluation of body composition using anthropometry including skinfolds (SF) and circumferences, bioelectrical impedance analysis (BIA) and ultrasonography (USG), besides the evaluation of lipid profile. Were carried an data tabulation (Excel/2003) and analysis (SPSS program, version 8.0) and (STATA, Intercooled Stata 8) and were used descriptive statistics. Was used in the data analyses: the Kolmogorov-Smirnov test, ??t?? test, chi-square for tendency, (Mann-Whitney U), Pearson??s chi-square, Fisher??s exact test, and Yates?? correction, odds ratio, Pearson??s correlation coefficient (r), concordance correlation coefficient (CCC) and determination index (r2). The level of significance was: p < 0.05. Results: Compared with the controls, women with breast cancer (cases) had lower stature (1.56m±5.68) and (1.59m±6.92); greater body fat as measured by bioelectrical impedance (BIA) (39.87% ±8.26) and (36.00%±6.85) and (63.98%±6.87); and larger tricipital skinfolds (27.55mm±8.37) and (22.81mm±5.72), respectively. Seventeen (54.84%) cases and 19 (61.29%) controls presented increased abdominal adiposity and 20 (64.52%) of cases and 22 (70.97%) of controls were overweight (BMI ? 25.0 Kg/m2). A moderate concordance (CCC=0.59; r2=0.42; p<0.01) was identified between the methods (BIA and sum of skinfolds - ?SF) for determining body fat (%) and optimal concordance (r2=0.90; CCC=0.91; p<0.01) for body fat (Kg). The comparison between the methods of evaluation body fat distribuition (Waist Circumference (WC) and intra-abdominal thickness (IAT) for (USG) evidenced a moderate concordance (r2=0.49; p<0.01), between the methods. No association was found between the lipid profile and breast cancer occurrence. Conclusions: Women with breast cancer presented lower stature, a greater percentage of body fat and and larger tricipital skinfolds than women without cancer. A moderate concordance, between the methods used in determining total body fat (%) and a optimal concordance in determining body fat (Kg) were found. A moderate concordance were found between the methods in determining body fat distribution (IAT x WC). |
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Freitas Júnior, Ruffo dehttp://lattes.cnpq.br/7343840830786566Monego, Estelamaris Troncohttp://lattes.cnpq.br/0917323812776538http://lattes.cnpq.br/8697079749159115Martins, Karine Anusca2014-07-31T15:18:51Z2010-01-19MARTINS, Karine Anusca. Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama. 2010. 108 f. Tese - (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2010.http://repositorio.bc.ufg.br/tede/handle/tde/2872ark:/38995/0013000008mctIntroduction: Body composition modification, mainly the increase in total body fat, which is related to a number of illnesses, is an important public health problem, is quite prevalent in breast cancer patents and is directly associated with a negative prognosis for the illness. Objective: To evaluate the body composition, of total body fat and its distribution and lipid profile of women recently diagnosed with breast cancer, at two referral centers in Goiânia, Goiás. Methodology: (Article 1) A cross-sectional, cohort nested study. (Article 2). A case-control study, with 1:1 pairing, carried out in Goiânia, Goiás, Brazil. The data were collected through interviews based on questionnaire, with 62 women, a socio-demographic characterization and an evaluation of body composition using anthropometry including skinfolds (SF) and circumferences, bioelectrical impedance analysis (BIA) and ultrasonography (USG), besides the evaluation of lipid profile. Were carried an data tabulation (Excel/2003) and analysis (SPSS program, version 8.0) and (STATA, Intercooled Stata 8) and were used descriptive statistics. Was used in the data analyses: the Kolmogorov-Smirnov test, ??t?? test, chi-square for tendency, (Mann-Whitney U), Pearson??s chi-square, Fisher??s exact test, and Yates?? correction, odds ratio, Pearson??s correlation coefficient (r), concordance correlation coefficient (CCC) and determination index (r2). The level of significance was: p < 0.05. Results: Compared with the controls, women with breast cancer (cases) had lower stature (1.56m±5.68) and (1.59m±6.92); greater body fat as measured by bioelectrical impedance (BIA) (39.87% ±8.26) and (36.00%±6.85) and (63.98%±6.87); and larger tricipital skinfolds (27.55mm±8.37) and (22.81mm±5.72), respectively. Seventeen (54.84%) cases and 19 (61.29%) controls presented increased abdominal adiposity and 20 (64.52%) of cases and 22 (70.97%) of controls were overweight (BMI ? 25.0 Kg/m2). A moderate concordance (CCC=0.59; r2=0.42; p<0.01) was identified between the methods (BIA and sum of skinfolds - ?SF) for determining body fat (%) and optimal concordance (r2=0.90; CCC=0.91; p<0.01) for body fat (Kg). The comparison between the methods of evaluation body fat distribuition (Waist Circumference (WC) and intra-abdominal thickness (IAT) for (USG) evidenced a moderate concordance (r2=0.49; p<0.01), between the methods. No association was found between the lipid profile and breast cancer occurrence. Conclusions: Women with breast cancer presented lower stature, a greater percentage of body fat and and larger tricipital skinfolds than women without cancer. A moderate concordance, between the methods used in determining total body fat (%) and a optimal concordance in determining body fat (Kg) were found. A moderate concordance were found between the methods in determining body fat distribution (IAT x WC).Introdução: A modificação da composição corporal, principalmente o aumento da gordura corporal total, que se relaciona com diversas enfermidades, é um importante problema de saúde pública, e bastante prevalente nos pacientes com câncer de mama e se associa diretamente ao mau prognóstico da doença. Objetivo: Avaliar a composição corporal, a gordura corporal total e sua distribuição e o perfil lipídico de mulheres recém-diagnosticadas com câncer de mama, em dois centros de referência, em Goiânia, Goiás. Metodologia: (Artigo 1) Estudo transversal, aninhado a uma coorte. (Artigo 2) Estudo caso-controle, com pareamento de 1:1, realizado em Goiânia, Goiás, Brasil. Os dados foram coletados por meio de entrevista direta com 62 mulheres, com caracterização sociodemográfica, avaliação da composição corporal por antropometria, incluindo dobras cutâneas (DC) e circunferências, bioimpedância (BIA) e ultrassonografia (USG), além da avaliação do perfil lipídico. Foram realizadas a tabulação (Excel/2003) e análises dos dados (SPSS, versão 8.0) e (STATA, Intercooled Stata 8), e, utilizou-se estatística descritiva. Utilizou-se na análise dos dados: Teste de Kolmogorov-smirnov (distribuição normal das variáveis), teste ??t??, Qui-quadrado de tendência (U de Mann-Whitney), Qui-quadrado de Pearson, Teste Exato de Fisher e Correção de Yates, ??odds ratio??, coeficiente de determinação (r2) e o coeficiente de correlação de concordância (CCC). Considerou-se o nível de significância: p<0,05. Resultados: Comparadas aos controles, mulheres com câncer de mama (casos) apresentaram menor estatura (1,56m±5,68 e 1,59m±6,92); maior gordura corporal, avaliada por BIA (39,87% ±8,26 e 36,00%±6,85) e maior dobra cutânea tricipital (27,55mm±8,37 e 22,81mm±5,72), respectivamente. Dezessete (54,84%) casos e 19 (61,29%) controles apresentaram adiposidade abdominal aumentada e ambos apresentavam excesso de peso, sendo 20 (64,52%) casos e 22 (70,97%) controles. Identificou-se concordância moderada (CCC=0,59; r2=0,42) entre os métodos (BIA e somatório das dobras cutâneas - ?DC) de avaliação da gordura corporal (%) e ótima concordância (CCC=0,91; r2=0,90) para a gordura corporal (Kg). A comparação entre os métodos de avaliação da distribuição da gordura corporal (Circunferência da Cintura - CC e Espessura Intra-abdominal - EIA por USG) evidenciou-se concordância moderada (r2=0,49), entre os métodos. Não foi encontrada associação entre o perfil lipídico e a ocorrência de câncer de mama. Conclusões: Mulheres com câncer de mama apresentaram menor estatura, maior porcentagem de gordura corporal e maior dobra cutânea tricipital que mulheres sem câncer. Encontrou-se concordância moderada, entre os métodos utilizados na avaliação da gordura corporal (%) e ótima concordância para a gordura corporal (Kg). Identificou-se moderada concordância entre os métodos de distribuição da gordura corporal de mulheres (EIA x CC).Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2014-07-31T15:18:51Z No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Avaliacao_da_composicao_corporal_de_mulheres_recem_diagnosticadas_com_cancer_de_mama.pdf: 745451 bytes, checksum: 92a5d16f1db572c2b6f36e58aecf408f (MD5)Made available in DSpace on 2014-07-31T15:18:51Z (GMT). No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Avaliacao_da_composicao_corporal_de_mulheres_recem_diagnosticadas_com_cancer_de_mama.pdf: 745451 bytes, checksum: 92a5d16f1db572c2b6f36e58aecf408f (MD5) Previous issue date: 2010-01-19application/pdfhttp://repositorio.bc.ufg.br/tede/retrieve/5857/Avaliacao_da_composicao_corporal_de_mulheres_recem_diagnosticadas_com_cancer_de_mama.pdf.jpgporUniversidade Federal de GoiásPrograma de Pós Graduação em Ciências da SaúdeUFGBrasilFaculdade 1::Departamento 1ACUÑA, K.; CRUZ, T. Avaliação do estado nutricional de adultos e idosos e situação nutricional da população brasileira. Arquivos Brasileiros de Endocrinologia e Metabologia, São Paulo, v.48, n.3, p.345-361, 2004. ANELLI, A. Tratamento sistêmico do câncer. In: KOWASLKI, L.P.; ANELLI, A., SALVAJOLI, J.V., LOPES, L.F. Manual de condutas diagnósticas e terapêuticas em oncologia. 2. ed. São Paulo: Âmbito Editores Ltda, 2002. p.100-111. ARMELLINI, F. ; ZAMBONI, M. ; RIGO, L. et al. The contribution of sonography to the measurement of intra-abdominal fat. Journal of Clinical Ultrasound, New York, v.18, n.7, p. 563-567, 1990. ARMELLINI, F. ; ZAMBONI, M. ; ROBBI, R. et al. Total and intra-abdominal fat measurements by ultrasound and computerized tomography. International Journal of Obesity and Related Metabolic Disorders, London, v.17, p. 209- 214, 1993. ASSOCIAÇÃO DE COMBATE AO CÂNCER EM GOIÁS. ACCG. Distribuição das neoplasias malignas cadastradas no RHC do Hospital Araújo Jorge da ACCG, segundo topografia (CID-O, 2ª Ed.) e sexo, no ano de 2002. Disponível em: http://www.accg.org.br/accg/araujojorge_registro.htm. Acesso em 10 de outubro de 2009. ASSOCIAÇÃO DE COMBATE AO CÂNCER EM GOIÁS. ACCG. Hospital Araújo Jorge.HAJ. Disponível em: http://www.accg.org.br/accg/araujojorge.htm. Acesso em 05 de março de 2008. BEGHETTO, M.G.; ASSIS, M.C.S.; LUFT, V.C.; MELLO, E.D. Precisão e acurácia na aferição do peso corporal em adultos hospitalizados. Revista da Associação Médica Brasileira, São Paulo, v.52, n.1, p.23-27, 2006. BERNARDO-FILHO, M.; SANTOS-FILHO, S. D.; MOURA, E. G. et al. Drug interaction with radiopharmaceuticals: a review. Brazilian Archives of Biology Technology, Curitiba [online], v.48, n.2, p. 13-27, 2005. BERTERECHE, M.V.; DALIX, A.M.; CÉSAR d’ORNARO, A.M. et al. Decreased taste sensitivity in cancer patients under chemotherapy. 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dc.title.por.fl_str_mv |
Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama |
dc.title.alternative.eng.fl_str_mv |
Evaluation of the body composition of women recently diagnosed with breast cancer |
title |
Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama |
spellingShingle |
Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama Martins, Karine Anusca composição corporal antropometria distribuição da gordura corporal perfil lipídico câncer de mama body composition anthropometry body fat distribution lipid profile breast cancer CIENCIAS DA SAUDE |
title_short |
Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama |
title_full |
Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama |
title_fullStr |
Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama |
title_full_unstemmed |
Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama |
title_sort |
Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama |
author |
Martins, Karine Anusca |
author_facet |
Martins, Karine Anusca |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Freitas Júnior, Ruffo de |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7343840830786566 |
dc.contributor.advisor-co1.fl_str_mv |
Monego, Estelamaris Tronco |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/0917323812776538 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8697079749159115 |
dc.contributor.author.fl_str_mv |
Martins, Karine Anusca |
contributor_str_mv |
Freitas Júnior, Ruffo de Monego, Estelamaris Tronco |
dc.subject.por.fl_str_mv |
composição corporal antropometria distribuição da gordura corporal perfil lipídico câncer de mama |
topic |
composição corporal antropometria distribuição da gordura corporal perfil lipídico câncer de mama body composition anthropometry body fat distribution lipid profile breast cancer CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
body composition anthropometry body fat distribution lipid profile breast cancer |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: Body composition modification, mainly the increase in total body fat, which is related to a number of illnesses, is an important public health problem, is quite prevalent in breast cancer patents and is directly associated with a negative prognosis for the illness. Objective: To evaluate the body composition, of total body fat and its distribution and lipid profile of women recently diagnosed with breast cancer, at two referral centers in Goiânia, Goiás. Methodology: (Article 1) A cross-sectional, cohort nested study. (Article 2). A case-control study, with 1:1 pairing, carried out in Goiânia, Goiás, Brazil. The data were collected through interviews based on questionnaire, with 62 women, a socio-demographic characterization and an evaluation of body composition using anthropometry including skinfolds (SF) and circumferences, bioelectrical impedance analysis (BIA) and ultrasonography (USG), besides the evaluation of lipid profile. Were carried an data tabulation (Excel/2003) and analysis (SPSS program, version 8.0) and (STATA, Intercooled Stata 8) and were used descriptive statistics. Was used in the data analyses: the Kolmogorov-Smirnov test, ??t?? test, chi-square for tendency, (Mann-Whitney U), Pearson??s chi-square, Fisher??s exact test, and Yates?? correction, odds ratio, Pearson??s correlation coefficient (r), concordance correlation coefficient (CCC) and determination index (r2). The level of significance was: p < 0.05. Results: Compared with the controls, women with breast cancer (cases) had lower stature (1.56m±5.68) and (1.59m±6.92); greater body fat as measured by bioelectrical impedance (BIA) (39.87% ±8.26) and (36.00%±6.85) and (63.98%±6.87); and larger tricipital skinfolds (27.55mm±8.37) and (22.81mm±5.72), respectively. Seventeen (54.84%) cases and 19 (61.29%) controls presented increased abdominal adiposity and 20 (64.52%) of cases and 22 (70.97%) of controls were overweight (BMI ? 25.0 Kg/m2). A moderate concordance (CCC=0.59; r2=0.42; p<0.01) was identified between the methods (BIA and sum of skinfolds - ?SF) for determining body fat (%) and optimal concordance (r2=0.90; CCC=0.91; p<0.01) for body fat (Kg). The comparison between the methods of evaluation body fat distribuition (Waist Circumference (WC) and intra-abdominal thickness (IAT) for (USG) evidenced a moderate concordance (r2=0.49; p<0.01), between the methods. No association was found between the lipid profile and breast cancer occurrence. Conclusions: Women with breast cancer presented lower stature, a greater percentage of body fat and and larger tricipital skinfolds than women without cancer. A moderate concordance, between the methods used in determining total body fat (%) and a optimal concordance in determining body fat (Kg) were found. A moderate concordance were found between the methods in determining body fat distribution (IAT x WC). |
publishDate |
2010 |
dc.date.issued.fl_str_mv |
2010-01-19 |
dc.date.accessioned.fl_str_mv |
2014-07-31T15:18:51Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MARTINS, Karine Anusca. Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama. 2010. 108 f. Tese - (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2010. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tde/2872 |
dc.identifier.dark.fl_str_mv |
ark:/38995/0013000008mct |
identifier_str_mv |
MARTINS, Karine Anusca. Avaliação da composição corporal de mulheres recém-diagnosticadas com câncer de mama. 2010. 108 f. Tese - (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2010. ark:/38995/0013000008mct |
url |
http://repositorio.bc.ufg.br/tede/handle/tde/2872 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
1102159680310750095 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
306626487509624506 |
dc.relation.cnpq.fl_str_mv |
8765449414823306929 |
dc.relation.references.por.fl_str_mv |
ACUÑA, K.; CRUZ, T. Avaliação do estado nutricional de adultos e idosos e situação nutricional da população brasileira. Arquivos Brasileiros de Endocrinologia e Metabologia, São Paulo, v.48, n.3, p.345-361, 2004. ANELLI, A. Tratamento sistêmico do câncer. In: KOWASLKI, L.P.; ANELLI, A., SALVAJOLI, J.V., LOPES, L.F. Manual de condutas diagnósticas e terapêuticas em oncologia. 2. ed. São Paulo: Âmbito Editores Ltda, 2002. p.100-111. ARMELLINI, F. ; ZAMBONI, M. ; RIGO, L. et al. The contribution of sonography to the measurement of intra-abdominal fat. Journal of Clinical Ultrasound, New York, v.18, n.7, p. 563-567, 1990. ARMELLINI, F. ; ZAMBONI, M. ; ROBBI, R. et al. Total and intra-abdominal fat measurements by ultrasound and computerized tomography. International Journal of Obesity and Related Metabolic Disorders, London, v.17, p. 209- 214, 1993. ASSOCIAÇÃO DE COMBATE AO CÂNCER EM GOIÁS. ACCG. Distribuição das neoplasias malignas cadastradas no RHC do Hospital Araújo Jorge da ACCG, segundo topografia (CID-O, 2ª Ed.) e sexo, no ano de 2002. Disponível em: http://www.accg.org.br/accg/araujojorge_registro.htm. Acesso em 10 de outubro de 2009. ASSOCIAÇÃO DE COMBATE AO CÂNCER EM GOIÁS. ACCG. Hospital Araújo Jorge.HAJ. Disponível em: http://www.accg.org.br/accg/araujojorge.htm. Acesso em 05 de março de 2008. BEGHETTO, M.G.; ASSIS, M.C.S.; LUFT, V.C.; MELLO, E.D. Precisão e acurácia na aferição do peso corporal em adultos hospitalizados. Revista da Associação Médica Brasileira, São Paulo, v.52, n.1, p.23-27, 2006. BERNARDO-FILHO, M.; SANTOS-FILHO, S. D.; MOURA, E. G. et al. Drug interaction with radiopharmaceuticals: a review. Brazilian Archives of Biology Technology, Curitiba [online], v.48, n.2, p. 13-27, 2005. BERTERECHE, M.V.; DALIX, A.M.; CÉSAR d’ORNARO, A.M. et al. Decreased taste sensitivity in cancer patients under chemotherapy. Supportive Care in Cancer, Berlin, v.12, p. 571-576, 2004. |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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application/pdf |
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Universidade Federal de Goiás |
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Programa de Pós Graduação em Ciências da Saúde |
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UFG |
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Brasil |
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Faculdade 1::Departamento 1 |
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Universidade Federal de Goiás |
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