Navegando por Palavras-chave "dietoterapia"
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- ItemAcesso aberto (Open Access)Acompanhamento nutricional de cirróticos com história pregressa de alcoolismo(Pontifícia Universidade Católica de Campinas, 1998-12-01) Reis, Nelzir Trindade; Cople, Cláudia Dos Santos [UNIFESP]; Universidade Gama Filho; Universidade Federal de São Paulo (UNIFESP)The protein-calorie malnutrition is very common in the cirrhotic patients and it represents a risk in the morbidity and mortality rates increase. Independently of the etiologic factor, its prevalence is high and has repercussions in both sexes. This cases study had the objective of verifying the impact of alcoholic cirrhosis in the nutritional status and the efficacy of the diet therapy in the reversion of malnutrition. Fifty patients (47 men and 3 women) were studied. They were attended at the Nutrition Ambulatory, where an objective nutritional assessment was carried out wish anthropometric, biochemical and clinical parameters and dietetic history in three distinct moments (beginning, 8th and 18th month of treatment). The first results revealed that 96% of the cirrhotic patients presented some level of malnutrition and in the 18th month the nutritional parameters were normalized.
- ItemAcesso aberto (Open Access)Desempenho de pais de crianças em dieta de exclusão do leite de vaca na identificação de alimentos industrializados com e sem leite vaca(Sociedade Brasileira de Pediatria, 2007-10-01) Weber, Thabata Koester [UNIFESP]; Speridião, Patrícia da Graça Leite [UNIFESP]; Sdepanian, Vera Lucia [UNIFESP]; Fagundes Neto, Ulysses [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To investigate how well the parents of children on cow's milk free diets perform at recognizing whether or not expressions describe and foods contain cow's milk proteins. METHODS: Interviews were conducted with 24 parents of children on cow's milk and by-products exclusion diets and 23 parents of children with no need for any type of exclusion diet. They were asked if they recognized 12 expressions relating to cow's milk. They were then asked to classify 10 commercial food products in terms of whether or not they contained cow's milk proteins. RESULTS: Terms that included the word milk were more often recognized by both groups of parents. The parents of children on exclusion diets recognized the terms cow's milk protein, traces of milk and milk formulation or preparation most frequently (p < 0.05). Less than 25.0% of those interviewed recognized casein, caseinate, lactalbumin and lactoglobulin. Both groups correctly identified more of the commercial products containing cow's milk than those free from milk. The median number of products containing cow's milk (total = 5) correctly identified by the parents of children on exclusion diets (4.0) was greater than for the control group (3.0; p = 0.005). Reading at least one label was associated with a greater chance of correctly identifying more than five of the 10 products (odds ratio = 8.0). CONCLUSIONS: Despite having received guidance, the parents of children on exclusion diets were not fully prepared to manage these diets, indicating a need for improvements to the instruction provided when indicating exclusion diets.
- ItemAcesso aberto (Open Access)Doença celíaca em tratamento: avaliação da densidade mineral óssea(Sociedade Brasileira de Pediatria, 2003-08-01) Carvalho, Cecília Noronha De Miranda; Sdepanian, Vera Lucia [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Fagundes Neto, Ulysses [UNIFESP]; Universidade Estadual do Rio de Janeiro; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: the present study was designed to compare the bone mineral density of children and adolescents with celiac disease to the bone mineral density of controls, and to evaluate laboratory analysis of calcium metabolism of celiac disease patients. METHODS: thirty celiac disease patients (17 children, 13 adolescents), on a gluten-free diet, and 23 healthy subjects were studied. Tests of bone mineral density of the lumbar spine (DEXA, Lunar) were performed in all patients and controls. Laboratory analysis of calcium metabolism was performed in all patients. RESULTS: mean weight and height of adolescents with celiac disease were lower than mean weight and height of controls (p<0.05). Bone mineral density in adolescents with celiac disease was significantly reduced if compared to controls (p=0.015), whereas no significant difference was found among children with celiac disease and controls. The number of adolescents who had started a gluten-free diet after the age of 2 years was higher than in children (p=0.003). Serum levels of ionized calcium, total calcium and parathormone were normal. CONCLUSIONS: the one mineral density of adolescents with celiac disease was lower than controls; whereas, no difference was found between the bone mineral density of children with celiac disease and controls.
- ItemAcesso aberto (Open Access)Evolução nutricional de crianças hospitalizadas e sob acompanhamento nutricional(Pontifícia Universidade Católica de Campinas, 2005-06-01) Oliveira, Ana Flávia de [UNIFESP]; Oliveira, Fernanda Luisa Ceragioli [UNIFESP]; Juliano, Yara; Ancona-Lopez, Fábio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de Santo Amaro Faculdade de MedicinaOBJECTIVE: This study aimed at evaluating the nutritional evolution of hospitalized children with infectious diseases, who were put under nutritional orientation. METHODS: Evaluate the effect of therapeutic nutritional orientation on 125 children between 6 and 36 months of age, who were admitted at the Pediatric Infectology Ward of the Hospital São Paulo, São Paulo, Brazil, between March 2001 and December 2002. The evaluations of nutritional status and energetic intake were based on data obtained from inquiry-forms on feeding-patterns and anthropometric measurements. RESULTS: Of the children being evaluated, 53,6% (67) were male. The mean age was 17 months, and the average period spent in the hospital was 10 days. At admission, 24,8% (31) of the children were undernourished and 10,0% (23) were overweight or obese. The diagnosis of acute diseases affected 69,6% (87) of the children. Nutritional support was provided for 21.6% (27) of the children, out of which, 81.5% (22) received nutritional support orally. The undernourished group presented a significant improvement of the Z-score of Weight over Height - Z W/H (p=0.001); the eutrophic group had no significant change of the Z-score Weight over Height (p=0.651), and the group overweight/obese showed a significant reduction of the Z-score Weight over Height (p=0.026). No significant associations were found between nutritional support therapy and improvement of the nutritional status (p=0.37). The children who had an energy intake higher than the one recommended for their age, had a significant improvement of the Z-score Weight over Height (p<0.001). CONCLUSION: The children followed up in this study had their nutritional condition significantly improved, making it evident that nutritional orientation, or diet therapy, can improve the treatment of hospitalized children.