Mello Amanda de Carvalho, Carvalho Marilia Sá, Alves Luciana Correia, Gomes Viviane Pereira, Engstrom Elyne Montenegro
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Programa de Computação Científica, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2017 Aug 21;33(8):e00188815. doi: 10.1590/0102-311X00188815.
The aim of this study was to describe anthropometric and food intake data related to the frailty syndrome in the elderly. This was a cross-sectional study in individuals ≥ 60 years of age in a household survey in the Manguinhos neighborhood of Rio de Janeiro, Brazil (n = 137). Frailty syndrome was diagnosed according to Fried et al., anthropometric measures were taken, and a food frequency questionnaire was applied and the results compared to Brazilian Ministry of Health guidelines. In the pre-frail and frail groups, body mass index and measures of central adiposity showed higher levels, while lean muscle parameters showed lower values, proportional to the syndrome's gradation. Frail elderly consumed higher amounts of grains and lower amounts of beans and fruit; pre-frail elderly consumed more vegetables, dairy products, and high-sugar and high-fat foods; the two groups consumed similar amounts of meat. Thus, diagnosis of the syndrome, anthropometric evaluation, and dietary assessment should be included in health policies for the elderly, since they assist in early identification of risk and favor interventions for disease prevention and health and nutritional promotion.
本研究的目的是描述与老年人衰弱综合征相关的人体测量和食物摄入数据。这是一项横断面研究，在巴西里约热内卢曼吉纽斯社区的一项家庭调查中，对年龄≥60岁的个体进行了研究（n = 137）。根据弗里德等人的标准诊断衰弱综合征，进行人体测量，并应用食物频率问卷，将结果与巴西卫生部的指南进行比较。在衰弱前期和衰弱组中，体重指数和中心性肥胖指标显示出较高水平，而瘦肌肉参数显示出较低值，与综合征的分级成正比。衰弱老年人食用的谷物量较高，豆类和水果量较低；衰弱前期老年人食用的蔬菜、乳制品以及高糖和高脂肪食物较多；两组食用的肉类量相似。因此，综合征的诊断、人体测量评估和饮食评估应纳入老年人的健康政策，因为它们有助于早期识别风险，并有利于疾病预防以及健康和营养促进的干预措施。
