Excesso de peso e obesidade em portadores de doença pulmonar obstrutiva crônica
Overweight and obesity in patients with chronic obstructive pulmonary disease
Maryane Gabriela Tavares, Alexsandra Camila Santos do Nascimento, Marília Correia Carvalho Novaes Ferraz, Rafael Augusto Batista de Medeiros, Poliana Coelho Cabral, Maria Goretti Pessoa de Araújo Burgos
Resumo
Objetivo: Definir o perfil epidemiológico do excesso de peso/obesidade e caracterizar as principais alterações antropométricas em pacientes com doença pulmonar obstrutiva crônica (DPOC) atendidos ambulatorialmente. Método: Estudo transversal, tipo série de casos, realizado no Ambulatório de Pneumologia do Hospital das Clínicas/UFPE. Foram coletados dados socioeconômicos, culturais e comportamentais. Para avaliação nutricional, foram coletados dados de peso, altura, índice de massa corporal (IMC), circunferências da cintura (CC), braço (CB) e quadril (CQ), e obtidas a relação cintura-estatura (RCEst) e a relação cintura-quadril (RCQ). Resultados: Foram obtidos 54 pacientes elegíveis com o seguinte perfil: faixa etária maior de 60 anos (68,5%), não brancos (75,9%), sexo masculino (68,5%), residentes no interior do estado (83,4%), casados/união estável (51,8%), baixa escolaridade (64,8%), sem ocupação (75,9%), renda ≤ 1 salário mínimo (66,6%), tabagistas (11,1%), ex-tabagistas (81,5%), sedentários (66,7%), sobrepeso/obesidade (50%), CC elevada (57,41%), RCQ elevada (51,86%), RCEst elevada (83,34%) e 38,8% na faixa da desnutrição em relação à CB. Conclusão: O excesso de peso/obesidade é bastante prevalente em pacientes com DPOC atendidos ambulatorialmente. Foi observado que, de forma paradoxal, o excesso de peso foi acompanhado de redução da massa magra, característica típica da afecção.
Palavras-chave
Abstract
Objective: To define the epidemiological profile of overweight/obesity and characterize the major anthropometric changes in chronic obstructive pulmonary disease (COPD) outpatients. Methods: Study of case series cross-sectional performed in Nutrition Outpatient/ Pulmonology Clinic of Clinical Hospital at Federal University of Pernambuco. Patients were evaluated by collecting socio-economic, cultural and behavioral data. For nutritional assessment, it was collected weight, height, body mass index (BMI), waist circumference (WC), arm circumference (AC) and hip circumference (HC), and it was calculated the waist-height ratio (WHtR) and waist-hip ratio (WHR). Results: It was obtained 54 eligible patients with the following profile: age higher than 60 years (68.5%), non-white (75.9%), male (68.5%), living within the state (83.4%), married/ stable union (51.8%), low education (64.8%), unemployed (75.9%), income ≤ 1 minimum wage (66.6%), smokers (11.1%), ex-smokers (81.5%), sedentary (66.7%), overweight/obesity (50%), high WC (57.41%), high WHR (51.86%), WHtR (83.34%) and 38.8% of malnutrition regarding to AB. Conclusion: Overweight/obesity is highly prevalent in patients with COPD outpatients. It was observed that, paradoxically, excess weight was accompanied by reduced lean body mass, a typical characteristic of the disease.
Keywords
Referências
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