Perfil nutricional e métodos de avaliação do estado nutricional de pacientes infectados pelo HIV
Nutritional profile and methods for assessing the nutritional status of HIV-infected patients
Danielly Souza Pires, Sanzia Francisca Ferraz, Manoela Luiza Monteiro, Victoria Araujo Ganzaroli Amador Reis, Daniela Bueno Pontes, Marta Isabel Valente Augusto Moraes Campos Nunes Andrade
Resumo
Introdução: Diante da importância do desenvolvimento de protocolos seguros de avaliação nutricional em unidades hospitalares que atendam pacientes infectados pelo HIV, o objetivo deste trabalho é avaliar e comparar o diagnóstico nutricional realizado pela Avaliação Nutricional Subjetiva Global (ANSG), parâmetros antropométricos e laboratoriais, em pacientes com HIV/AIDS. Método: Estudo transversal com 70 pacientes HIV/AIDS admitidos em um hospital público de referência em Goiânia, GO. O estado nutricional foi avaliado por meio da avaliação nutricional subjetiva global, antropometria (índice de massa corporal, circunferência braquial, circunferência muscular do braço e dobra cutânea triciptal) e parâmetros laboratoriais (albumina, colesterol total e contagem de linfócitos T). Resultados: As prevalências de desnutrição verificadas por meio da avaliação nutricional subjetiva global, índice de massa corporal, circunferência braquial, circunferência muscular do braço, dobra cutânea triciptal, albumina, colesterol total e contagem de linfócitos T foram de 74,3%, 25,7%, 75,7%, 62,9%, 74,3%, 85,3%, 72,3% e 62,9%, respectivamente.Verificou-se associação positiva entre a ANSG e o perfil antropométrico e laboratorial. Conclusões: A ANSG associou-se a indicadores antropométricos e laboratoriais em pacientes infectados pelo HIV. Confirmou-se também a sua capacidade preditiva, na medida em que identificou pacientes com maior gravidade clínica conforme os níveis de células TCD4.Estes resultados fomentam os níveis de evidências que apontam a ANSG como um método confiável e adequado para o diagnóstico, acompanhamento e intervenção nutricional nesses pacientes
Palavras-chave
Abstract
Introduction: In view of the importance of developing safe protocols for nutritional evaluation in hospital units that treat HIV-infected patients, the objective of this study is to evaluate and compare the nutritional diagnosis performed by Nutritional Subjective Global Assessment (NSGA), anthropometric and laboratory parameters, in patients with HIV / AIDS admitted in a public reference hospital in Goiânia, GO. Methods: A cross-sectional study was conducted with 70 HIV / AIDS patients admitted to a public referral hospital in Goiânia, Goiás. Nutritional status was evaluated through global subjective nutritional assessment, anthropometry (body mass index, arm circumference, arm circumference and Triceps skin fold) and laboratory parameters (albumin, total cholesterol and T lymphocyte counts). Results: The prevalence of malnutrition, measured by global subjective nutritional assessment, body mass index, arm circumference, arm circumference, triceps skinfold, albumin, total cholesterol and T lymphocyte counts were 74.3%, 25.7%, 75.7%, 62.9%, 74.3%, 85.3%, 72.3% and 62.9%, respectively. There was a positive association between the NSGA and the anthropometric and laboratory profile. Conclusions: NSGA was associated with anthropometric and laboratory indicators in patients infected with HIV. Its predictive capacity was also confirmed, in that it identified patients with greater clinical severity according to the levels of CD4 T cells. These results promote the levels of evidence that point to ANSG as a reliable and adequate method for diagnosis, follow-up and nutritional intervention in these patients.
Keywords
Referências
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Submetido em:
25/05/2017
Aceito em:
07/08/2017
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