Perfil sociodemográfico, clínico, nutricional e risco cardiovascular de pacientes atendidos em um ambulatório de nutrição clínica de um município da fronteira oeste - RS

Abstract

To describe the nutritional status and cardiovascular risk of patients attended in a nutrition outpatient clinic of a city in southern Brazil. In this cross-sectional study, 68 patients of both genders (≥20 years) were included. Sociodemographic, lifestyle, clinical data and medication use were collected; it was also measured blood pressure at the time of interview. Anthropometric measurements of weight, height, waist circumference, hip circumference, arm circumference and triceps skinfold thickness were performed and the body mass index and waist/hip ratio was calculated. Dietary intake was assessed using 24 hours food record and the adequacy of food intake was performed according to guidelines. The cardiovascular risk was assessed according to the classification of the Framingham score. Mean age was 43.7±13.4 years and 77.9% were female. Regarding lifestyles habits, 63.2% were sedentary, and the most frequent pathology was Hypertension. Body mass index (BMI) classification was obese for 58.8% of patients. According to the adequacy of waist circumference, 82.4% had very increased risk for metabolic complications. There was adequate intake of macronutrients and sodium; however, patients had high intake of saturated fatty acids and low fiber intake. Regarding the cardiovascular risk, 9.4% of patients had high risk. The demand for care was predominantly by women, sedentary and obese. The patients had irregular eating habits. Nutrition education strategies, valuing social aspects and regional customs, aimed at prevention, treatment and reducing mortality associated with noncommunicable chronic diseases are required.