Almeida Claudinéa S, Stanich Patricia, Salvioni Cristina C S, Diccini Solange
Escola Paulista de Enfermagem, Departamento de Neurologia, São Paulo SP, Brasil.
Universidade Federal de São Paulo, Departamento de Neurociências, São Paulo SP, Brasil.
Arq Neuropsiquiatr. 2016 Nov;74(11):902-908. doi: 10.1590/0004-282X20160145.
Neurological patients with amyotrophic lateral sclerosis (ALS)often deteriorate to a worsening nutritional status. The aim of this study was to compare the nutritional status and food intake after nutrition education in patients with ALS. Clinical, anthropometric and functional variables were analyzed. Fifty-three patients were monitored at an early stage of the disease. The average score on the functionality scale was 33 points. Initially only 3.8% were classified as low body weight. After three months, 50% showed significant variation in anthropometric measures related to muscle mass and body fat reserves without association with clinical variables. After nutritional guidance, there was an increase in the intake of all food groups, especially the dairy group (p <0.05).The change of the nutritional status occurs early in patients with amyotrophic lateral sclerosis, even in those previously eutrophic or over weight. There was an increase in food intake after nutritional guidance according to the food guide adapted to the Brazilian population.
患有肌萎缩侧索硬化症（ALS）的神经疾病患者的营养状况常常会恶化。本研究的目的是比较ALS患者接受营养教育后的营养状况和食物摄入量。对临床、人体测量和功能变量进行了分析。在疾病早期对53名患者进行了监测。功能量表的平均得分是33分。最初只有3.8%的患者被归类为体重过低。三个月后，50%的患者在与肌肉质量和身体脂肪储备相关的人体测量指标上出现了显著变化，且与临床变量无关。经过营养指导后，所有食物组的摄入量都有所增加，尤其是乳制品组（p<0.05）。肌萎缩侧索硬化症患者的营养状况变化在疾病早期就会出现，即使是那些之前营养良好或超重的患者。根据适用于巴西人群的食物指南，营养指导后食物摄入量有所增加。
