Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospital

Detalhes bibliográficos
Autor(a) principal: Costa, Cristiano Silva da
Data de Publicação: 2017
Outros Autores: Arruda Neto, Celso Lourenço de, Câmpelo, Wilma Félix, Mendes, Ana Luiza de Rezende Ferreira
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/6136
Resumo: Objective: To assess the nutritional status of individuals diagnosed with HIV/AIDS hospitalized in a public infectious diseases reference hospital, verifying the association between the different screening methods and the anthropometric evaluation. Methods: Descriptive, quantitative and cross-sectional study that evaluated 30 patients with HIV/AIDS in 2016, admitted within 72 hours in a public infectious diseases reference hospital of Fortaleza, Ceará, with data collection consisting in the application of subjective nutritional screening tools (MUST: Malnutrition Universal Screening Tool; ANSG: Subjective Global Assessment of Nutritional Status; and NRS-2002: Nutritional Risk Score-2002) and anthropometric measurements carried out for calculation of the Body Mass Index (BMI) and the Arm Circumference (AC), with subsequent classification according to the parameters described in the literature. The association between subjective and objective methods was evaluated using Fisher’s exact test, with p≤0.05. Results: Individuals of both genders, aged between 23 and 55 years, participated in the research. The BMI ranked 40.1% of them with thinness, while the AC diagnosed 89.3% (n=25) of the sample with malnutrition. Among the methods, MUST and NRS-2002 identified a higher percentage of patients at risk or with high nutritional risk. There was association only between the variables BMI and SGA (p=0.018), BMI and NRS-2002 (p=0.002), and BMI and MUST (p=0.018). Conclusion: The study found association between the three subjective methods and the assessment using the BMI. However, NRS-2002 and MUST proved more capable of identifying nutritional risk in comparison to SGA.
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spelling Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospitalAsociación entre distintos métodos de evaluación nutricional de pacientes con VIH/SIDA de un hospital públicoAssociação entre diferentes métodos de avaliação nutricional em pacientes com HIV/AIDS em um hospital públicoAcquired Immunodeficiency SyndromeAnthropometryMalnutritionHospitalizationTriage.Síndrome de Inmunodeficiencia AdquiridaAntropometríaDesnutriciónHospitalizaciónTriaje.Síndrome da Imunodeficiênca AdquiridaAntropometriaDesnutriçãoHospitalizaçãoTriagem.Objective: To assess the nutritional status of individuals diagnosed with HIV/AIDS hospitalized in a public infectious diseases reference hospital, verifying the association between the different screening methods and the anthropometric evaluation. Methods: Descriptive, quantitative and cross-sectional study that evaluated 30 patients with HIV/AIDS in 2016, admitted within 72 hours in a public infectious diseases reference hospital of Fortaleza, Ceará, with data collection consisting in the application of subjective nutritional screening tools (MUST: Malnutrition Universal Screening Tool; ANSG: Subjective Global Assessment of Nutritional Status; and NRS-2002: Nutritional Risk Score-2002) and anthropometric measurements carried out for calculation of the Body Mass Index (BMI) and the Arm Circumference (AC), with subsequent classification according to the parameters described in the literature. The association between subjective and objective methods was evaluated using Fisher’s exact test, with p≤0.05. Results: Individuals of both genders, aged between 23 and 55 years, participated in the research. The BMI ranked 40.1% of them with thinness, while the AC diagnosed 89.3% (n=25) of the sample with malnutrition. Among the methods, MUST and NRS-2002 identified a higher percentage of patients at risk or with high nutritional risk. There was association only between the variables BMI and SGA (p=0.018), BMI and NRS-2002 (p=0.002), and BMI and MUST (p=0.018). Conclusion: The study found association between the three subjective methods and the assessment using the BMI. However, NRS-2002 and MUST proved more capable of identifying nutritional risk in comparison to SGA.Objetivo: Evaluar el estado nutricional de individuos con VIH/SIDA ingresados en un hospital público de referencia en enfermedades infecciosas y la asociación entre los distintos métodos de selección y evaluación antropométrica. Métodos: Estudio transversal, descriptivo y cuantitativo que evaluó 30 pacientes con VIH/SIDA en 2016 que ingresaron hasta 72 horas en un hospital de referencia en enfermedades infecciosas de Fortaleza, Ceará con la aplicación de herramientas subjetivas de selección nutricional (MUST: Instrumento Universal de Selección de Desnutrición; ANSG: Evaluación Nutricional Subjetiva Global; NRS-2002: Cribado de Riesgo Nutricional-2002) y la realización de medidas antropométricas para el cálculo del Índice de Masa Corporal (IMC) y de la Circunferencia del Brazo (CB) con la clasificación a posteriori según los parámetros de la literatura. El análisis se dio a través del Test exacto de Fisher y la asociación entre los métodos subjetivos y objetivos con p≤0,05. Resultados: Participaron individuos de ambos los sexos con edad entre los 23 y 55 años. El 40,1% (n =12) tuvo el IMC clasificado como delgadez mientras la CB diagnosticó el 89,3% (n =25) de los individuos con desnutrición. Entre los métodos, el MUST y el NRS-2002 identificaron mayor porcentaje de pacientes con riesgo o riesgo nutricional elevado. Hubo asociación solamente entre las variables IMC y ANSG (p=0,018), el IMC y la NRS-2002 (p=0,002) y el IMC y el MUST (p=0,018). Conclusión: Se encontró asociación entre los tres métodos subjetivos y la evaluación a través del IMC. Sin embargo, la NRS-2002 y el MUST mostraron más capacidad para determinar el riesgo nutricional respecto la ANSG.Objetivo: Avaliar o estado nutricional de indivíduos diagnosticados com HIV/AIDS internados em um hospital público de referência em doenças infecciosas, verificando se há associação entre os diferentes métodos de triagem e a avaliação antropométrica. Métodos: Estudo transversal, descritivo e quantitativo avaliou 30 pacientes com HIV/AIDS em 2016, admitidos em até 72 horas em um hospital de referência em doenças infecciosas de Fortaleza, Ceará, cuja coleta consistiu na aplicação de ferramentas subjetivas de triagem nutricional (MUST: Instrumento Universal de Triagem de Desnutrição; ANSG: Avaliação Nutricional Subjetiva Global; NRS-2002: Escore de Risco Nutricional-2002) e realização de medidas antropométricas para cálculo do Índice de Massa Córporea (IMC) e da Circunferência do Braço (CB), com posterior classificação conforme parâmetros da literatura. Avaliou-se por meio do teste Exato de Fisher a associação entre os métodos subjetivos e objetivos, com p≤0,05. Resultados: Participaram indivíduos de ambos os sexos, com idade entre 23 e 55 anos. O IMC classificou 40,1% (n =12) com magreza, enquanto a CB diagnosticou 89,3%(n =25) com desnutrição. Entre os métodos, MUST e NRS-2002 identificaram maior percentual de pacientes com risco ou alto risco nutricional. Houve associação apenas entre as variáveis IMC e ANSG (p=0,018), IMC e NRS-2002 (p=0,002) e IMC e MUST (p=0,018). Conclusão: Encontrou-se associação entre os três métodos subjetivos e a avaliação por meio do IMC. Contudo, a NRS-2002 e a MUST mostraram maior capacidade de determinar risco nutricional em relação à ANSG.Universidade de Fortaleza2017-09-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/613610.5020/18061230.2017.6136Brazilian Journal in Health Promotion; Vol. 30 No. 3 (2017)Revista Brasileña en Promoción de la Salud; Vol. 30 Núm. 3 (2017)Revista Brasileira em Promoção da Saúde; v. 30 n. 3 (2017)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/6136/pdfhttps://ojs.unifor.br/RBPS/article/view/6136/pdf_1Copyright (c) 2017 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessCosta, Cristiano Silva daArruda Neto, Celso Lourenço deCâmpelo, Wilma FélixMendes, Ana Luiza de Rezende Ferreira2022-02-16T12:37:41Zoai:ojs.ojs.unifor.br:article/6136Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T12:37:41Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospital
Asociación entre distintos métodos de evaluación nutricional de pacientes con VIH/SIDA de un hospital público
Associação entre diferentes métodos de avaliação nutricional em pacientes com HIV/AIDS em um hospital público
title Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospital
spellingShingle Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospital
Costa, Cristiano Silva da
Acquired Immunodeficiency Syndrome
Anthropometry
Malnutrition
Hospitalization
Triage.
Síndrome de Inmunodeficiencia Adquirida
Antropometría
Desnutrición
Hospitalización
Triaje.
Síndrome da Imunodeficiênca Adquirida
Antropometria
Desnutrição
Hospitalização
Triagem.
title_short Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospital
title_full Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospital
title_fullStr Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospital
title_full_unstemmed Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospital
title_sort Association between different methods of nutrition assessment in patients with HIV/AIDS in a public hospital
author Costa, Cristiano Silva da
author_facet Costa, Cristiano Silva da
Arruda Neto, Celso Lourenço de
Câmpelo, Wilma Félix
Mendes, Ana Luiza de Rezende Ferreira
author_role author
author2 Arruda Neto, Celso Lourenço de
Câmpelo, Wilma Félix
Mendes, Ana Luiza de Rezende Ferreira
author2_role author
author
author
dc.contributor.author.fl_str_mv Costa, Cristiano Silva da
Arruda Neto, Celso Lourenço de
Câmpelo, Wilma Félix
Mendes, Ana Luiza de Rezende Ferreira
dc.subject.por.fl_str_mv Acquired Immunodeficiency Syndrome
Anthropometry
Malnutrition
Hospitalization
Triage.
Síndrome de Inmunodeficiencia Adquirida
Antropometría
Desnutrición
Hospitalización
Triaje.
Síndrome da Imunodeficiênca Adquirida
Antropometria
Desnutrição
Hospitalização
Triagem.
topic Acquired Immunodeficiency Syndrome
Anthropometry
Malnutrition
Hospitalization
Triage.
Síndrome de Inmunodeficiencia Adquirida
Antropometría
Desnutrición
Hospitalización
Triaje.
Síndrome da Imunodeficiênca Adquirida
Antropometria
Desnutrição
Hospitalização
Triagem.
description Objective: To assess the nutritional status of individuals diagnosed with HIV/AIDS hospitalized in a public infectious diseases reference hospital, verifying the association between the different screening methods and the anthropometric evaluation. Methods: Descriptive, quantitative and cross-sectional study that evaluated 30 patients with HIV/AIDS in 2016, admitted within 72 hours in a public infectious diseases reference hospital of Fortaleza, Ceará, with data collection consisting in the application of subjective nutritional screening tools (MUST: Malnutrition Universal Screening Tool; ANSG: Subjective Global Assessment of Nutritional Status; and NRS-2002: Nutritional Risk Score-2002) and anthropometric measurements carried out for calculation of the Body Mass Index (BMI) and the Arm Circumference (AC), with subsequent classification according to the parameters described in the literature. The association between subjective and objective methods was evaluated using Fisher’s exact test, with p≤0.05. Results: Individuals of both genders, aged between 23 and 55 years, participated in the research. The BMI ranked 40.1% of them with thinness, while the AC diagnosed 89.3% (n=25) of the sample with malnutrition. Among the methods, MUST and NRS-2002 identified a higher percentage of patients at risk or with high nutritional risk. There was association only between the variables BMI and SGA (p=0.018), BMI and NRS-2002 (p=0.002), and BMI and MUST (p=0.018). Conclusion: The study found association between the three subjective methods and the assessment using the BMI. However, NRS-2002 and MUST proved more capable of identifying nutritional risk in comparison to SGA.
publishDate 2017
dc.date.none.fl_str_mv 2017-09-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/6136
10.5020/18061230.2017.6136
url https://ojs.unifor.br/RBPS/article/view/6136
identifier_str_mv 10.5020/18061230.2017.6136
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/6136/pdf
https://ojs.unifor.br/RBPS/article/view/6136/pdf_1
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista Brasileira em Promoção da Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista Brasileira em Promoção da Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 30 No. 3 (2017)
Revista Brasileña en Promoción de la Salud; Vol. 30 Núm. 3 (2017)
Revista Brasileira em Promoção da Saúde; v. 30 n. 3 (2017)
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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