Analysis of the dietary habits and nutritional status of patients with spinal cord injury after nutritional intervention

Authors

  • Elizabete Alexandre dos Santos Universidade de São Paulo. Faculdade de Medicina
  • Vera Lúcia Rodrigues Alves Universidade de São Paulo. Faculdade de Medicina
  • Silvia Ramos IMeN Educação
  • Vera Silvia Frangella Centro Universitário São Camilo

DOI:

https://doi.org/10.5935/0104-7795.20140025

Keywords:

Spinal Cord Injuries, Nutritional Status, Food Habits, Food and Nutrition Education

Abstract

According to the World Health Organization, disability is defined as a restriction of bodily structure or function that is not offset by social measures, with spinal cord injuries (SCI) being a common type of physical disability. Several factors may influence the nutritional status of individuals with SCI, and metabolic complications can lead to a number of acute and chronic changes in the body that are related to the development of chronic diseases and obesity. The evaluation and proper nutritional management of patients with SCI can assist in improving their nutritional status, minimize complications associated with the injury, and facilitate their rehabilitation in the long term. Objective: To evaluate the effect of the nutritional intervention measures used in one nutrition clinic on the eating habits and nutritional status of patients with spinal cord injuries. Method: This was a cross-sectional retrospective exploratory study in which we analyzed the eating habits of all the SCI outpatients in the period from April 2012 to October 2013. Results: 30 patients with mean age of 46 ± 15.29 years were evaluated, 70% of whom were male. After the nutritional intervention there was a reduction in saturated fat intake, a decreased intake of refined grains, and an increased consumption of fruits and vegetables. Conclusion: The study showed the importance of a nutritional intervention in the dietary habits of individuals, and that nutrition education should begin early to prevent complications secondary to the injury.

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References

World Health Organization. International Classification of Functioning and Disability. Geneva: WHO; 1999.

Costa VSP, Oliveira LD, Oyama CM, Azuma CS, Melo MRAC, Costa Filho RM. Perfil dos pacientes com trauma raquimedular atendidos pelas Clínicas Escolas de Londrina. UNOPAR Cient Ciênc Biol Saúde. 2010;12(2):39-44.

Brasil. Ministério da Saúde. Diretrizes de atenção à pessoa com lesão medular. Brasília (DF): Secretaria de Atenção à Saúde - Departamento de Ações Programáticas Estratégicas; 2012.

Abreu T, Friedman R, Fayh APT. Aspectos fisiopatológicos e avaliação do estado nutricional de indivíduos com deficiências físicas. Rev HCPA. 2011;31(3):345-52.

Sartori J, Neuwald MF, Bastos VH, Silva JG, Mello MP, Freitas MRG, et al. Reabilitação física na lesão traumática da medula espinhal: relato de caso. Rev Neurocienc. 2009;17(4):364-70.

Fonte N. Urological care of the spinal cord-injured patient. J Wound Ostomy Continence Nurs. 2008;35(3):323-31. DOI: http://dx.doi.org/10.1097/01.WON.0000319132.29478.17

Multidisciplinary Association of Spinal Cord Injury Professionals. Management of the older person with a new spinal cord injury: Good practice guidance. Brockley Hill: MASCIP; 2010.

Dionyssiotis Y. Malnutrition in spinal cord injury: more than nutritional deficiency. J Clin Med Res. 2012;4(4):227-36.

American Dietetic Association - ADA. Spinal cord injury (SCI). Evidence-based nutrition practice guideline. Chicago: American Dietetic Association - ADA; 2009.

Costa JN, Oliveira MV. Fenômenos de enfermagem em portadores de lesão medular e o desenvolvimento de úlceras por pressão. Rev Enferm UERJ. 2005;13(3):367-73.

Castilho LD, Caliri MHL. Úlcera de pressão e estado nutricional: revisão da literatura. Rev Bras Enferm. 2005;58(5):597-601. DOI: http://dx.doi.org/10.1590/S0034-71672005000500018

Carvalho DC, Carvalho MM, Cliquet Jr A. Osteoporose por desuso: aplicação na reabilitação do lesado medular. Acta Ortop Bras. 2001;9(3):34-43. DOI: http://dx.doi.org/10.1590/S1413-78522001000300006

França ISX, Coura AS, França EG, Basílio NV, Souto RQ. Qualidade de vida de adultos com lesão medular: um estudo com WHOQOL-bref. Rev Esc Enferm USP. 2011;45(6):1364-71. DOI: http://dx.doi.org/10.1590/S0080-62342011000600013

Nicastro H, Savoldelli RD, Kattan V, Coimbra P, Frangella V. S. Perfil antropométrico de indivíduos com lesão medular. Rev Soc Bras Alim Nutr.2008;33(1):73-87.

Furlan MLS, Caliri MHL, Defino HL. Intestino neurogênico: guia prático para pessoas com lesão medular - Parte I. Coluna/Columna. 2005;4(3):113-68.

Caliri MHL, Furlan MLS, Defino HL. Tratamento do intestino neurogênico em adultos com lesão da medula espinhal. Diretrizes para uma prática baseada em evidências. Coluna/Columna. 2005;4(2):102-5.

Thomé BI, Borgui IS, Berardi J, Moser ADL, Assis GM. Fisioterapia na reeducação do intestino neurogênico como resultado de uma lesão medular. Ter Man. 2012;10(47):19-27.

Fabris M, Tarrago MG, Jansen MM. Manual de orientação: reeducação intestinal do lesado medular. Porto Alegre: Hospital de Clínicas; 2010 [citado 2012 nov 21]. Disponível em: http://www.hcpa.ufrgs.br/downloads/Comunicacao/volume_14.pdf

Bruni DS, Strazzieri KC, Gumieiro MN, Giovanazzi R, Goes Sá V, Faro ACM. Aspectos fisiopatológicos e assistenciais de enfermagem na reabilitação da pessoa com lesão medular. Rev Esc Enferm USP. 2004;38(1):71-9. DOI: http://dx.doi.org/10.1590/S0080-62342004000100009

Groot S, Post MW, Postma K, Sluis TA, van der Woude LH. Prospective analysis of body mass index during and up to 5 years after discharge from inpatient spinal cord injury rehabilitation. J Rehabil Med. 2010;42(10):922-8. DOI: http://dx.doi.org/10.2340/16501977-0605

Chen Y, Henson S, Jackson AB, Richards JS. Obesity intervention in persons with spinal cord injury. Spinal Cord. 2006;44(2):82-91. DOI: http://dx.doi.org/10.1038/sj.sc.3101818

Cranel DA, Little JW, Burns SP. Weight gain following spinal cord injury: a pilot study. J Spinal Cord Med. 2011;34(2):227-32. DOI: http://dx.doi.org/10.1179/2045772311Y.0000000001

Andrade MJ, Gonçalves S. Lesão medular traumática: recuperação neurológica e funcional. Acta Med Port. 2007;20(2):401-6.

Gupta N, White KT, Sandford PR. Body mass index in spinal cord injury -- a retrospective study. Spinal Cord. 2006;44(2):92-4. DOI: http://dx.doi.org/10.1038/sj.sc.3101790

Bühler MA, Lucatelli V, Amaral RB, Rockenbach, CWF. Perfil clínico e epidemiológico dos pacientes com lesão medular atendidos no Centro de Atendimento à Deficiência (CAD). In: XIV Seminário Interinstitucional de Ensino e Pesquisa e Extensão; 2011; Cruz Alta. Anais. Cruz Alta: Universidade de Cruz Alta; 2011.

van den Berg ME, Castellote JM, Mahillo-Fernandez I, de Pedro-Cuesta J. Incidence of spinal cord injury worldwide: a systematic review. Neuroepidemiology. 2010;34(3):184-92. DOI: http://dx.doi.org/10.1159/000279335

Bloom DE, Boersch-Supan A, McGee P, Seike A. population aging: facts, challenges, and responses [text on the Internet]. Cambridge: Harvard Initiative for Global Health. c2011; [cited 2012 Nov 21]. Available from: http://www.hsph.harvard.edu/program-on-the-global-demography-of-aging/WorkingPapers/2011/PGDA_WP_71.pdf

Perret C, Stoffel-Kurt N. Comparison of nutritional intake between individuals with acute and chronic spinal cord injury. Spinal Cord. 2011;34(6):569-75. DOI: http://dx.doi.org/10.1179/2045772311Y.0000000026

Lam T, Chen Z, Sayed-Ahmed MM, Krassioukov A, Al-Yahya AA. Potential role of oxidative stress on the prescription of rehabilitation interventions in spinal cord injury. Spinal Cord. 2013;51(9):656-62. DOI: http://dx.doi.org/10.1038/sc.2013.71

Kim KD, Nam HS, Shin HI. Characteristics of abdominal obesity in persons with spinal cord injury. Ann Rehabil Med. 2013;37(3):336-46. DOI: http://dx.doi.org/10.5535/arm.2013.37.3.336

Groah SL, Nash MS, Ljungberg IH, Libin A, Hamm LF, Ward E, et al. Nutrient intake and body habitus after spinal cord injury: an analysis by sex and level of injury. Spinal Cord 2009;32(1):25-33.

Tomey KM, Chen DM, Wang X, Braunschweig CL. Dietary intake and nutritional status of urban community-dwelling men with paraplegia. Arch Phys Med Rehabil. 2005;86(4):664-71. DOI: http://dx.doi.org/10.1016/j.apmr.2004.10.023

Organización Mundial de la Salud. Reducción del consumo de sal en la población - 2006. Geneva: WHO Press; 2007.

Gibson AE, Buchholz AC, Martin Ginis KA; SHAPE-SCI Research Group. C-Reactive protein in adults with chronic spinal cord injury: increased chronic inflammation in tetraplegia vs paraplegia. Spinal Cord. 2008;46(9):616-21. DOI: http://dx.doi.org/10.1038/sc.2008.32

Finnie AK, Buchholz AC, Martin Ginis KA; SHAPE SCI Research Group. Current coronary heart disease risk assessment tools may underestimate risk in community-dwelling persons with chronic spinal cord injury. Spinal Cord. 2008;46(9):608-15. DOI: http://dx.doi.org/10.1038/sc.2008.21

Brasil. Ministério da Saúde. Guia alimentar para a população brasileira: promovendo a alimentação saudável. Brasília (DF): Ministério da Saúde; 2008.

Gross LS, Li L, Ford ES, Liu S. Increased consumption of refined carbohydrates and the epidemic of type 2 diabetes in the United States: an ecologic assessment. Am J Clin Nutr. 2004;79(5):774-9. p

Muhihi A, Gimbi D, Njelekela M, Shemaghembe E, Mwambene K, Chiwanga F, et al. Consumption and acceptability of whole grain staples for lowering markers of diabetes risk among overweight and obese Tanzanian adults. Global Health. 2013;9(1):26. DOI: http://dx.doi.org/10.1186/1744-8603-9-26

U.S. Department of Agriculture, U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. 7th ed. Washington, DC: Government Printing Office; 2010.

Reis NT, Pedruzzi MB. Terapia nutricional nas afecções do trato digestório. In: Silva SMCS, Mura JDP. Tratado de alimentação nutrição & dietoterapia. São Paulo: Roca; 2007. p. 515-33.

Filisetti TMC. Fibra alimentar: definições, componentes e métodos analíticos. In: Silva SMCS, Mura JDP. Tratado de alimentação nutrição & dietoterapia. São Paulo: Roca; 2007. p. 179-98.

Caruso L. Distúrbios do trato digestório. In: Cuppari L. Nutrição clínica no adulto. São Paulo: Manole; 2005. p. 201-20.

Alencar DL, Marucci MFN, Almeida MF, Santos LO, Moura CSS, Lebrão ML. Ingestão diária de líquidos, referida por idosos - Estudo SABE: Saúde, Bem-estar e Envelhecimento [resumo]. Nutrire. 2011;36(Supl):133. [Apresentado no 11º Congresso Nacional da Sociedade Brasileira de Alimentação e Nutrição - SBAN; 2011; São Paulo].

American Heart Association [homepage on the Internet]. Dallas: AHA; c2011 [cited 2011 Nov 10]. Available from: http://www.heart.org

Santos RD, Gagliardi ACM, Xavier HT, Magnoni CD, Cassani R, Lottenberg AMP, et al. Sociedade Brasileira de Cardiologia. I Diretriz sobre o consumo de Gorduras e Saúde Cardiovascular. Arq Bras Cardiol. 2013;100(1Supl.3):1-40. DOI: http://dx.doi.org/10.5935/abc.2013S003

Leidy HJ, Campbell WW. The effect of eating frequency on appetite control and food intake: brief synopsis of controlled feeding studies. J Nutr. 2011;141(1):154-7. DOI: http://dx.doi.org/10.3945/jn.109.114389

McCrory MA, Howarth NC, Roberts SB, Huang TT. Eating frequency and energy regulation in freeliving adults consuming self-selected diets. J Nutr. 2011;141(1):148-53. DOI: http://dx.doi.org/10.3945/jn.109.114991

Bonomo E, Caiaffa WT, César CC, Lopes ACS, Lima- Costa MF. Consumo alimentar da população adulta segundo perfil sócio-econômico e demográfico: Projeto Bambuí. Cad Saúde Pública. 2003;19(5):1461-71. DOI: http://dx.doi.org/10.1590/S0102-311X2003000500025

Published

2014-09-09

Issue

Section

Original Article

How to Cite

1.
Santos EA dos, Alves VLR, Ramos S, Frangella VS. Analysis of the dietary habits and nutritional status of patients with spinal cord injury after nutritional intervention. Acta Fisiátr. [Internet]. 2014 Sep. 9 [cited 2024 Jul. 18];21(3):121-3. Available from: https://periodicos.usp.br/actafisiatrica/article/view/103845