Associação entre qualidade da dieta e fatores de risco cardiometabólico em mulheres na pós-menopausa

Made available in DSpace on 2014-07-22T13:14:40Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) Danyele_Ventura_iff_mest_2013.pdf: 678333 bytes, checksum: 18d68ad9b859536d2b561b6cee7d16e9 (MD5) Previous issue date: 2013INTRODUÇÃO: O climatério é a fase da vida da mulher na qual ocorre a transição do período reprodutivo para o não reprodutivo. Além do aumento no peso corporal total, a menopausa tem sido associada a um maior acúmulo de gordura abdominal. O Índice de Qualidade da Dieta tem sido desenvolvido para se obter uma medida resumo das principais características da alimentação, facilitando a avaliação da qualidade da dieta, permitindo uma avaliação indireta de nutrientes. Dentro deste contexto, o objetivo principal desse estudo é verificar a associação entre qualidade da dieta e fatores de risco cardiometabólicos em mulheres na pós-menopausa. MÉTODO: Estudo transversal com 215 mulheres na pós-menopausa atendidas em um ambulatório público. O consumo alimentar foi avaliado por Recordatório de 24 utilizado para calcular o Índice de Qualidade da Dieta: > 80 pontos (dieta adequada), 80-51 pontos (dieta "precisava melhorar") e <51 pontos (dieta pobre). Teste exato de Fisher foi utilizado para a análise estatística. RESULTADOS: A análise do consumo alimentar revelou que a mediana da ingestão diária de calorias foi de 1619,4kcal. Observou-se que a mediana do consumo de lipídios (35,6% do VET) e sódio (2521,5mg) estão acima do recomendado. Com base nos valores do Índice de Qualidade da Dieta, a dieta foi considerada pobre para 16,3% das mulheres, precisando melhorar em 82,8% e saudável para 0,9%. Sobrepeso e obesidade estavam presentes em 68,8% das participantes. CONCLUSÃO: As mulheres consomem uma dieta pobre em qualidade atribuída, possivelmente, à baixa ingestão de verduras e legumes e consumo excessivo e inadequado de lipídios e sódio. Essas práticas alimentares inadequadas causaram um impacto negativo sobre os fatores de risco cardiometabólicos como a composição corporal.INTRODUCTION: Menopause is the stage of a woman's life in which occurs the transition from the reproductive period to the non-reproductive one. Besides the increase in total body weight, menopause has been associated with increased abdominal fat accumulation. The Diet Quality Index has been developed to obtain a summary measure of the main characteristics of alimentation, facilitating the evaluation of diet quality, due it allows an indirect assessment of nutrients. In this context, the main objective of this study is to investigate the association between diet quality and cardiometabolic risk factors in postmenopausal women. METHODS: Cross-sectional study of 215 postmenopausal women attending a public clinic. Dietary intake was assessed by recall of 24 used to calculate the Diet Quality Index: >80 points (good diet), 80-51 points (diet "need to improvement") and <51 points (poor diet). Fisher's exact test was used for statistical analysis. RESULTS: Analysis of food intake showed that the median daily calorie intake was 1619.4 kcal. It was observed that the median intake of lipids (35,6% of VET) and sodium (2521.5 mg) were above recommended. Based on the values of the Diet Quality Index, the diet was considered poor for 16,3% of the women, needing an improvement for 82,2% and healthy for 0,9%. Overweight and obesity were present in 68.8% of participants. CONCLUSION: The women consume a diet with a poor quality possibly attributed to low intake of vegetables and inappropriate and excessive consumption of fat and sodium. These inadequate feeding practices caused a negative impact on cardiometabolic risk factors such as body composition

Association between quality of the diet and cardiometabolic risk factors in postmenopausal women

Background:Climateric is a phase of women’s life marked by the transition from the reproductive to the non-reproductive period. In addition to overall weight gain, the menopause is also associated with the increase of abdominal fat. We used The Healthy Eating Index as a summary measure to evaluate the major components and the quality of women’s diet after the onset of the menopause. This study aims at examining the association between the quality of the diet and cardiometabolic risk factors in postmenopausal women. Methods:Cross-sectional study including 215 postmenopausal women attending a public outpatient clinic. The 24-hour dietary recall method was used to assess the food intake and to establish the Healthy Eating Index. Diets were then classified as appropriate diet (>80 points), diet“requiring improvement” (80–51 points), and poor diet (<51 points). Cardiometabolic risk factors included abdominal obesity, dyslipidemia, diabetes mellitus, and hypertension. The Fisher’s exact test was utilized for the Statistical analysis. Results:The analysis of the food intake showed that the average daily intake of lipids (36.7%) and sodium (2829.9 mg) were above the recommended. Only 8.8% of the women performed moderate or intense physical exercises on a regular basis. The diet was considered poor in 16.3%,“requiring improvement”in 82.8%, and appropriate for only 0.9% of the women. The study detected increased waist circumference in 92.1% of the participants. The mean concentration of triglycerides was of 183.3 mg/dl, and 130.7 mg/dl for cholesterol (Low Density Lipoprotein). Conclusion:Women consume a low quality diet, possibly due to the low intake of vegetables and fruits and excessive consumption of sodium. These inappropriate eating habits are associated with and, have a negative impact on the cardiometabolic risk factors such as abdominal obesity