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Percorrer por autor "Pombo, M."

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  • Comparison of nutritional status among elderly in hospital and in community environments
    Publication . Cebola, Marisa; Mahendra, A.; Pombo, M.; Marques, B.; Pinto, H.; Carolino, Elisabete; Mendes, Lino
    Introduction: The elderly are considered vulnerable population by the senescence process, which puts them at high risk of morbidity and mortality. Several studies indicate a high prevalence of malnutrition in the elderly in the community and in hospital admissions, so the main purpose of this study is to compare the nutritional status of the elderly persons in both settings, located in Lisbon. Methods: The screening tool Mini Nutritional Assessment (MNA®), body mass index (BMI), arm circumference (AC), arm muscle area (AMA) and C-reactive protein (CRP) were used to assess nutritional status. Based on MNA® questions, food and water intake were evaluated. Results: A total of 99 elderly were evaluated (57.6% in hospital and 42.4% in the community). A higher level of inflammation was observed in hospital, according to CRP levels. It was reported a lower intake in the hospital for the number of meals (15% less), portions of fruit and vegetables (10.5% less), protein intake (33.4% less) and water intake (44.3% less). In the hospital, BMI indicated that 26.7% of the elderly were malnourished whilst in the community it was observed to be 20%. 43.9% had a form of malnutrition in the hospital and 45% in the community when AMA was evaluated. MNA® detected 63.1% of patients were malnourished or at risk of malnutrition in the hospital and 62% in the community. Overall the elderly revealed worse nutritional status is in hospital. The results suggest the need to regularly assess nutritional status allowing to identify and decrease complications associated with malnutrition, regardless of where the elderly are to remain.
    2016-10Documento de conferência Acesso aberto Ver mais
  • Nutritional assessment of an elderly population by application of 24-hour recall and the Mini Nutritional Assessment
    Publication . Cebola, Marisa; Pombo, M.; Pinto, H.; Carolino, Elisabete; Mendes, Lino
    Introduction: Aging is characterized by physiological, social and psychological changes that compromise food intake and nutritional status. To ensure good nutritional status it’s crucial to assess the nutritional status through a validated tool and evaluate the food intake, which is the purpose of this study. Methods: An analytical, observational, transversal, correlational and quantitative study was conducted. The elderly’s assessment and characterization was done by the application of Mini Nutritional Assessment (MNA), arm circumference (AC), laboratory parameters and 24 hours recall. Results: In the study, 42 elderly people were assessed, from which 26 women. By applying the MNA_Long Form® (MNA_LF®) 0 were undernourished, 26 (62%) at risk of desnutrition and 16 (38%) eutrophic. By applying the body mass index (BMI) 2 (5%) undernourished, 6 (15%) at risk of desnutrition, 7 (17%) eutrophic e 26 (63%) overweight. By the AC 19 (45%) exhibit depletion of lean body mass, 20 (48%) good nutritional state and 3 (7%) excess of body fat. The 24 hours recall indicated low intake of macronutrients and of some micronutrients (vitamins A, D, and E, folate, potassium, calcium, and magnesium) and high intake of sodium and phosphorus. The AC correlated with IMC (r = 0,61; p = 0) and MNA_LF (r = 0,45; p = 0,003). The IMC correlated with the presence of dyslipidemia (r = 0,41; p = 0,01), diabetes mellitus (r = 0,45; p = 0,003) and arterial hypertension (r = 0,375; p = 0,02). Key conclusions: The population being studied showed a high prevalence of malnutrition, a similar percentage of risk of desnutrition and overnutrition, and a deficit of food intake, as seen in other Portuguese studies about the elderly in the community.
    2016-10Documento de conferência Acesso aberto Ver mais