Interferência da disfagia orofaríngea no consumo alimentar de indivíduos com mucopolissacaridose II

• Autor(a) principal: Ferreira, Ana Carolina Rocha Gomes [UNIFESP]
• Data de Publicação: 2012
• Outros Autores: Oliveira, Alane Cabral de, Veiga, Larissa de Lima Pessoa, Santana, Liziane Damasceno, Barbosa, Pauliana Buarque, Guedes, Zelita Caldeira Ferreira [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S1516-18462012005000073; http://repositorio.unifesp.br/handle/11600/7424
• topic: Deglutition Disorders; Mucopolysaccharidosis II; Diet; Food Consumption; Transtornos da Deglutição; Mucopolissacaridose II; Dieta; Consumo de Alimentos

PURPOSE: this study aimed to relate the degree of dysphagia and food consumption of individuals with mucopolysaccharidosis II (MPS II). METHOD: it was included individuals with MPS II of the genetics department at the State University of Alagoas and excluded those with other types of mucopolysaccharidosis and in use of alternative way of supply. There were performed anthropometric, dietetic, speech therapy for dysphagia,clinical evaluation and otorrinolarigologic videoendoscopy swallowing. RESULTS: there were studied 07 individuals, male, between 5 and 14 years old: from them, more than 50% were taking anti-hypertensive and 42.8% had the severe form of disease. Six had serious deficit height / age and over 70% were obese according to Body Mass Index (BMI). Dysphagia was observed in five subjects, with daily average caloric intake 920.15 ± 244.09 calories, against 1264.94 ± 106.85 calories for those without such changes, with significantly greater intraindividual variation in the group of patients with dysphagia (p <0.05). In addition, individuals without dysphagia had higher food intake of carbohydrates, proteins and lipids. As for micronutrients, except average daily intake of iron and vitamin E, all other assessed had higher average daily consumption in the group without dysphagia (p < 0.05). CONCLUSION: it was observed a high frequency of dysphagia in the studied patients with MPS II, and this was associated with low caloric food consumption and imbalance in the proportion and amount of macronutrients and part of micronutrients.