Obesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/150418 |
Resumo: | To assess the adequacy of food intake in severely obese patients and describe their main nutritional deficiencies on the basis of Dietary Reference Intakes (DRIs). Patients on a waiting list for bariatric surgery were sequentially recruited from March 2010 to November 2011. All subjects underwent nutritional status assessment (anthropometry, dietary recall and semi-structured interview), socioeconomic evaluation (Brazilian Association of Research Companies criteria) and laboratory testing (glucose/hormone/lipid panel). A total of 77 patients were assessed, 50 of whom (76.6%) were female. Mean age was 44.48±12.55 years. The most common comorbidities were hypertension (72.4%), binge eating disorder (47.4%), type 2 diabetes mellitus (32.9%), sleep apnea (30.3%) and dyslipidemia (18.4%). Macronutrient intake was largely adequate, in view of the high calorie intake. However, some micronutrient deficiencies were present. Only 19.5% of patients had an adequate intake of potassium, 26.0% of calcium, and 66.2% of iron. All subjects consumed more than the minimum recommended intake of sodium, with 98.7% reaching the upper limit. Bcomplex vitamin intake was satisfactory (adequate in >80% of subjects), but lipid-soluble vitamin (A, D, E) intake often fell short of the RDI. The diet of severely obese patients is unbalanced, with high calorie intake paralleled by insufficient micronutrient intake. When these patients are assessed and managed, qualitative dietary changes should be considered in addition to routine caloric restriction. |
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Horvath, Jaqueline Driemeyer CorreiaCastro, Mariana Laitano Dias deKops, Natália LuizaMalinoski, Natasha KrügerFriedman, Rogério2017-01-04T02:26:55Z20140212-1611http://hdl.handle.net/10183/150418001007267To assess the adequacy of food intake in severely obese patients and describe their main nutritional deficiencies on the basis of Dietary Reference Intakes (DRIs). Patients on a waiting list for bariatric surgery were sequentially recruited from March 2010 to November 2011. All subjects underwent nutritional status assessment (anthropometry, dietary recall and semi-structured interview), socioeconomic evaluation (Brazilian Association of Research Companies criteria) and laboratory testing (glucose/hormone/lipid panel). A total of 77 patients were assessed, 50 of whom (76.6%) were female. Mean age was 44.48±12.55 years. The most common comorbidities were hypertension (72.4%), binge eating disorder (47.4%), type 2 diabetes mellitus (32.9%), sleep apnea (30.3%) and dyslipidemia (18.4%). Macronutrient intake was largely adequate, in view of the high calorie intake. However, some micronutrient deficiencies were present. Only 19.5% of patients had an adequate intake of potassium, 26.0% of calcium, and 66.2% of iron. All subjects consumed more than the minimum recommended intake of sodium, with 98.7% reaching the upper limit. Bcomplex vitamin intake was satisfactory (adequate in >80% of subjects), but lipid-soluble vitamin (A, D, E) intake often fell short of the RDI. The diet of severely obese patients is unbalanced, with high calorie intake paralleled by insufficient micronutrient intake. When these patients are assessed and managed, qualitative dietary changes should be considered in addition to routine caloric restriction.Evaluar la adecuación de la dieta de los pacientes con obesidad severa y describir las principales deficiencias nutricionales a través del DRI. Los pacientes fueron seleccionados de forma secuencial, lo que indica la cirugía bariátrica en el periodo de marzo 2010 a noviembre 2011. Todos los pacientes fueron sometidos a la evaluación del estado nutricional (antropometría y la ingesta dietética) y metabólicos (perfiles de lípidos, hormonas y glucosa). Se evaluaron 77 pacientes (edad media ± DE) de 44,48 ± 12,55 años. Cincuenta pacientes (76,6% de la muestra) eran mujeres. Las comorbilidades más frecuentes fueron la hipertensión arterial (72,4%), trastorno por atracón (47,4%), diabetes mellitus (32.9%), apnea del sueño (30,3%) y la dislipemia (18,4%). El consumo de nutrientes fue generalmente adecuada, teniendo en cuenta la ingesta calórica alta. Sin embargo, se identificaron algunas deficiencias de micronutrientes. Sólo 19,5% de los pacientes alcanzar la ingesta recomendada mínima de potasio, de calcio 26,0%, y 66,2% de hierro. En cuanto a sodio, toda la muestra alcanza el mínimo recomendado, sin embargo, llegar a la UL 98,7% para el sodio. Las vitaminas del grupo B han evaluado el consumo satisfactorios, llegando a más del 80% de las necesidades, pero las vitaminas liposolubles A, D y E se consume a menudo por debajo de la ingesta diaria recomendada. La dieta del paciente obeso no está equilibrado. Un gran consumo de calorías se acompaña de una ingesta deficiente de micronutrientes. En la evaluación de estos pacientes, cambios en la dieta cualitativos deben ser considerados simultáneamente con la restricción calórica.application/pdfengNutrición hospitalaria. Madrid. Vol. 29, no. 2 (Feb 2014), p. 292-299ObesidadeDesnutriçãoDeficiências nutricionaisObesityFood consumptionDietary reference intakes (DRI)ObesidadConsumo de alimentosRecomendaciones de ingesta dietéticaObesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations¿Obesidad coexiste con la desnutrición? adecuación del consumo de alimentos de los pacientes obesos a las recomendaciones de ingesta dietética de referenciaEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL001007267.pdf001007267.pdfTexto completo (inglês)application/pdf135347http://www.lume.ufrgs.br/bitstream/10183/150418/1/001007267.pdf593a755bbe6b046290b7a7e964e29dc1MD51TEXT001007267.pdf.txt001007267.pdf.txtExtracted Texttext/plain38581http://www.lume.ufrgs.br/bitstream/10183/150418/2/001007267.pdf.txt265a4e0ee8cf5169cb26a7f725eeee73MD52THUMBNAIL001007267.pdf.jpg001007267.pdf.jpgGenerated Thumbnailimage/jpeg1920http://www.lume.ufrgs.br/bitstream/10183/150418/3/001007267.pdf.jpg7029e5eec04dfb6d0b87f06ce7f8fa84MD5310183/1504182018-10-30 08:06:05.674oai:www.lume.ufrgs.br:10183/150418Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-30T11:06:05Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Obesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations |
dc.title.alternative.es.fl_str_mv |
¿Obesidad coexiste con la desnutrición? adecuación del consumo de alimentos de los pacientes obesos a las recomendaciones de ingesta dietética de referencia |
title |
Obesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations |
spellingShingle |
Obesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations Horvath, Jaqueline Driemeyer Correia Obesidade Desnutrição Deficiências nutricionais Obesity Food consumption Dietary reference intakes (DRI) Obesidad Consumo de alimentos Recomendaciones de ingesta dietética |
title_short |
Obesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations |
title_full |
Obesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations |
title_fullStr |
Obesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations |
title_full_unstemmed |
Obesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations |
title_sort |
Obesity coexists with malnutrition? adequacy of food consumption by severely obese patients to dietary reference intake recommendations |
author |
Horvath, Jaqueline Driemeyer Correia |
author_facet |
Horvath, Jaqueline Driemeyer Correia Castro, Mariana Laitano Dias de Kops, Natália Luiza Malinoski, Natasha Krüger Friedman, Rogério |
author_role |
author |
author2 |
Castro, Mariana Laitano Dias de Kops, Natália Luiza Malinoski, Natasha Krüger Friedman, Rogério |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Horvath, Jaqueline Driemeyer Correia Castro, Mariana Laitano Dias de Kops, Natália Luiza Malinoski, Natasha Krüger Friedman, Rogério |
dc.subject.por.fl_str_mv |
Obesidade Desnutrição Deficiências nutricionais |
topic |
Obesidade Desnutrição Deficiências nutricionais Obesity Food consumption Dietary reference intakes (DRI) Obesidad Consumo de alimentos Recomendaciones de ingesta dietética |
dc.subject.eng.fl_str_mv |
Obesity Food consumption Dietary reference intakes (DRI) |
dc.subject.spa.fl_str_mv |
Obesidad Consumo de alimentos Recomendaciones de ingesta dietética |
description |
To assess the adequacy of food intake in severely obese patients and describe their main nutritional deficiencies on the basis of Dietary Reference Intakes (DRIs). Patients on a waiting list for bariatric surgery were sequentially recruited from March 2010 to November 2011. All subjects underwent nutritional status assessment (anthropometry, dietary recall and semi-structured interview), socioeconomic evaluation (Brazilian Association of Research Companies criteria) and laboratory testing (glucose/hormone/lipid panel). A total of 77 patients were assessed, 50 of whom (76.6%) were female. Mean age was 44.48±12.55 years. The most common comorbidities were hypertension (72.4%), binge eating disorder (47.4%), type 2 diabetes mellitus (32.9%), sleep apnea (30.3%) and dyslipidemia (18.4%). Macronutrient intake was largely adequate, in view of the high calorie intake. However, some micronutrient deficiencies were present. Only 19.5% of patients had an adequate intake of potassium, 26.0% of calcium, and 66.2% of iron. All subjects consumed more than the minimum recommended intake of sodium, with 98.7% reaching the upper limit. Bcomplex vitamin intake was satisfactory (adequate in >80% of subjects), but lipid-soluble vitamin (A, D, E) intake often fell short of the RDI. The diet of severely obese patients is unbalanced, with high calorie intake paralleled by insufficient micronutrient intake. When these patients are assessed and managed, qualitative dietary changes should be considered in addition to routine caloric restriction. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014 |
dc.date.accessioned.fl_str_mv |
2017-01-04T02:26:55Z |
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Estrangeiro info:eu-repo/semantics/article |
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0212-1611 |
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001007267 |
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0212-1611 001007267 |
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http://hdl.handle.net/10183/150418 |
dc.language.iso.fl_str_mv |
eng |
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eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Nutrición hospitalaria. Madrid. Vol. 29, no. 2 (Feb 2014), p. 292-299 |
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openAccess |
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