Consumo alimentar, antropometria e composição corporal de pacientes diagnosticados com doença de Parkinson

BEZERRA, Gleyce Kelly de Araújo; LUZ, Marcella Campos Lima da; BURGOS, Maria Goretti Pessoa de Araújo; LEMOS, Maria da Conceição Chaves de; SOUZA, John Weyk Cosme de; CABRAL, Poliana Coelho

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Sumário

ORIGINAL • Rev Nutr 35 • 2022 • https://doi.org/10.1590/1678-9865202235e220058 copiar

Consumo alimentar, antropometria e composição corporal de pacientes diagnosticados com doença de Parkinson

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivo

Este estudo visou avaliar o consumo de alimentos de risco e proteção para as doenças crônicas não transmissíveis e sua associação com parâmetros antropométricos e de composição corporal em pacientes com doença de Parkinson.

Métodos

Estudo do tipo série de casos, com 79 pacientes adultos e idosos, de ambos os sexos, atendidos ambulatorialmente. O consumo alimentar desses pacientes foi avaliado por um questionário de frequência alimentar, sendo identificados inicialmente os alimentos com maior frequência de consumo diário por sexo e, em seguida, a frequência de consumo de cada alimento foi convertida em escores, sendo constituídos dois grupos de alimentos: risco e proteção. O modelo conceitual considerou variáveis sociodemográficas, comportamentais, antropométricas e de composição corporal.

Resultados

Ao todo, 72,1% dos pacientes apresentaram excesso de peso segundo o índice de massa corporal e 43,5% apresentaram excesso de gordura corporal. O consumo de alimentos protetores foi maior nos pacientes com maior índice de massa corporal e maior percentual de gordura corporal.

Conclusão

Os dados apontam para uma condição de causalidade reversa e revelam a complexidade envolvida na relação entre consumo alimentar, gordura corporal e doenças crônicas não transmissíveis.

Palavras-chave
Composição corporal; Ingestão de Alimentos; Doença de Parkinson

Variables		Food group
		Group I (Risk)		Group II (Protection)
		Mdn	IQR	Mdn	IQR
Gender
	Male	0.164	0.109-0.281	0.158^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.085-0.223
	Female	0.130	0.069-0.223	0.147^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.080-0.259
	p-value^* * Mann Whitney “U” test;	0.214		0.301^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.
Age range (years)
	<60 (adults)	0.167	0.102-0.231	0.144^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.061-0.223
	≥60 (elderly)	0.178	0.112-0.240	0.149^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.060-0.251
	p-value^* * Mann Whitney “U” test;	0.243		0.126^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.
Origin
	Capital	0.157	0.113-0.263	0.154^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.091-0.274
	Metropolitan Region	0.151	0.105-0.251	0.148^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.082-0.263
	Interior	0.142	0.067-0.198	0.150^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.075-0.261
	p-value^ Kruskal Wallis test.	0.091		0.564^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.
Family Income (Minimum Wage)
	≤2	0.163	0.074-0.231	0.139^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.072-0.265
	>2	0.142	0.064-0.222	0.157^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.071-0.271
	p-value^* * Mann Whitney “U” test;	0.078		0.094^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.
Disease time (years)
	≤5	0.156	0.114-0.235	0.152^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.078-0.241
	>5	0.125	0.064-0.221	0.146^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.062-0.289
	p-value^* * Mann Whitney “U” test;	0.421		0.538^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.
	Disease Staging
	I (mild)	0.163	0.064-0.222	0.142^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.064-0.222
	II (mild)	0.171	0.117-0.255	0.156^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.117-0.255
	III (moderate)	0.139	0.065-0.235	0.139^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.065-0.235
	IV (severe)	0.135	0.071-0.213	0.135^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.071-0.213
	p-value^ Kruskal Wallis test.	0.588		0.588^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.
Body Mass Index (BMI)
	Low Weight	0.135	0.081-0.239	0.141^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.061-0.267
	Eutrophy	0.147	0.077-0.232	0.149^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.064-0.277
	Overweight	0.139	0.068-0.211	0.152^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.068-0.281
	Obesity	0.144	0.108-0.247	0.181^b a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.101-0.321
	p-value^ Kruskal Wallis test.	0.231		0.000^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.
Percentage of Body Fat
	Malnutrition	0.172	0.072-0.289	0.141^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.066-0.267
	Eutrophy	0.163	0.062-0.254	0.139^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.072-0.271
	Pre-obese	0.171	0.095-0.273	0.147^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.064-0.274
	Obese	0.161	0.091-0.211	0.178^b a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.	0.104-0.311
	p-value^ Kruskal Wallis test.	0.411		0.000^a a,b Different letters different meaning. A posteriori test: Mann Whitney “U” test. IQR: Interquartile Range; Mdn: Median.

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[1] Correspondence to: PC CABRAL. E-mail: cabralpc@yahoo.com.br.