Rationale: Body image misperception and body image dissatisfaction can lead to underestimation of weight and less predisposition to weight control

Carolino, Elisabete

Costa, A. R.

Guerreiro, Catarina Sousa

Pereira, A. R.

Clinical Nutrition

A.R. Pereira

A.R. Costa

C.S. Guerreiro

E. Carolino

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MON-PP139: Body Image Perception in People with Type 2 Diabetes - Does Perceived Image Match Reality?

RCIPL Repositório Científico do Instituto Politécnico de Lisboa

S180 Poster presentationsMON-PP139BODY IMAGE PERCEPTION IN PEOPLE WITH TYPE 2DIABETES DOES PERCEIVED IMAGE MATCH REALITY?A.R. Pereira1, A.R. Costa2, C.S. Guerreiro1, E. Carolino3.1Dietetics and Nutrition, Lisbon School of Health Technology,2Nutrition, Portuguese Diabetes Association, 3Sciences,Lisbon School of Health Technology, Lisbon, PortugalRationale: Body image misperception and body image dis-satisfaction can lead to underestimation of weight and lesspredisposition to weight control.Methods: Cross-sectional study with a non-random sampleof 206 subjects with type 2 diabetes aged between18 65.Stunkard’s ﬁgure rating scale was used to determine perceivedbody image and body image satisfaction. Perceived bodyweight and weight loss attempt were also measured. Weight,height and waist circumference were also assessed.Results: 92.8% of participants were overweight, and 96.8% ofwomen and 89.3% of men showed a waist circumference in-dicative of high metabolic risk (p < 0.05). 64.1% of participantsunderestimated their body image, and the weight of 67.5%of participants corresponded to their perceived body image(rs = 0.670 and rs = 0.589, p < 0.05). A signiﬁcant relationshipbetween perceived body image and need to lose weightwas noted (p < 0.05). [CSG1] [RGP2] 83% of participants wereunsatisﬁed with their body image, and high discrepancy scores[CSG3] resulted in less effort for weight loss (rs = 0.379,p < 0.05).Conclusion: According to our results we may conclude thatthe evaluation of perceived body image and body imagedissatisfaction must be included in dietary intervention inorder to make it effective.Disclosure of Interest: None declaredMON-PP140HEMATOPOIETIC STEN CELL TRANSPLANTATION IN THEELDERLY: NUTRITIONAL AND GERIATRIC ASSESSMENTA.Z. Pereira1, S.M.F. Piovacari2, J.M. Nabarrete2, J.B. Silva2,M. Tanaka2, A.P.N. Barrere2, F. Lucio2, P.M. Gonc¸alves1,L.O. Koch1, M. Nicastro2, N. Hamerschlak1. 1Oncology,2Nutrition, Hospital Israelita Albert Einstein, Sa˜o Paulo,BrazilRationale: Hematopoietic stem cell transplantation (HSCT)may improve outcomes of patients with hematologic ma-lignancies not curable with conventional therapies. Beingin some diseases the only curative option. HSCT in elderlypatients with good performance status and no comorbiditiescould, in fact, not only survive the transplant with reasonablerisk, but also beneﬁt in the same measure as younger patients.Methods: A retrospective study of 17 elderly patients (>60years) undergoing HSCT May 2012 to January 2014 in theHematology-Oncology and Bone Marrow Transplantation Cen-ter at Albert Einstein Hospital in Sa˜o Paulo, Brazil. All patientswere evaluated approximately one month prior to HSCT. Inthe geriatric assessment were done hand-grip strength (HGS),questions about mobility and functional limitation. In thenutrition, we studied the Body Mass Index (BMI) (kg/m2), andserum levels of vitamin D, zinc and albumin.Results: We found the negative correlation between BMIand HGS (rp = 0.42). There were a signiﬁcant and positiveassociation between serum levels of zinc and albumin, andHGS and grades of mobility questions (p < 0.05). The serumlevels of vitamin D weren’t signiﬁcantly associated withgeriatric factors.Conclusion: Our study showed that the obese patients withmore risks of complications in HSCT had more functionallimitation. Besides low levels of zinc and albumin wereassociated with the worst results in the geriatric assessment.In the elderly the immobility and weakness can increasedthe complications after HSCT. The geriatric and nutritionassessment are important to improve HSCT results.References[1] Wildes TM, Stirewalt DL, Medeiros B, Hurria A. HematopoieticStem Cell Transplantation for Hematologic Malignancies in OlderAdults: Geriatric Principles in the Transplant Clinic. J Natl ComprCanc Netw. 2014. 12(1): 128 136.Disclosure of Interest: None declaredMON-PP141IIER NUTRITIONAL ASSESSMENT IS MORE EFFECTIVE THANNUTRITIONAL RISK SCREENING-2002 (NRS-2002) AND BMIITSELF AND CORRELATES TO LOS IN HIV/AIDS PATIENTSR.N. Camargo1, M.M. Pereira1, A.Z. Paulo1. 1Nutric¸a˜o,Instituto de Infectologia Emilio Ribas, Sa˜o Paulo, BrazilRationale: Anthropometric changes are important steps inthe evaluation and patient monitoring with HIV/AIDS in thepoint view of the catabolism caused by the disease. Bodymass index (BMI) by itself and nutritional screening tools arecommonly used, but other methods must be tested to improvenutritional risk and malnutrition diagnosis in these groups ofpatients.Methods: A cross-sectional study between May to December2013, evaluating nutritional risk and malnutrition in adultwith HIV/AIDS patients hospitalized in a reference infectiousdiseases hospital was performed. The nutritional status wasdetermined in the patient admission according classifying byIIER, which used the body mass index (BMI) classiﬁcationof Sobotka (2008), arm circumference (CB), and percentageof weight losses. Results were compared to NutritionalRisk Screening-2002 and BMI itself considering number ofdiagnosed patients, with permanence higher than seven days(LOS) and mortality, were analyzed in methodsResults: 312 HIV/AIDS patients were evaluated. BMI itselfdetected lower malnutrition index compared to IIER method(31.4% vs 49%). NRS-2002 detected lower nutritional risk indexcompared to IIER method (65% vs 76.6%). There were nodifferences in LOS (72%) between the three methods. Whenmortality was considered in the results, it was lower in theNRS evaluation (9.8%), than when compared with BMI and theIIER own method.Conclusion: IIER method considering CB, BMI and percentageof weight loss can diagnose malnutrition in HIV/AIDS patientsbetter than the BMI itself. When compared to NRS-2002, it wasmore sensitive to diagnose the nutritional risk and mortality.ReferencesSobotka, L. Bases da nutric¸a˜o clínica. 3 ed Rio de Janeiro: EditoraRubio, 2008.Disclosure of Interest: None declared

Body image perception in people with type 2 diabetes: does perceived image match reality?

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Body image perception in people with type 2 diabetes: does perceived image match reality?

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