Profile of the nutritional intake of patients with decreased bone mass

<p>Osteoporosis is a systemic disorder in which there is bone fragility and an increase in susceptibility to fractures. A balanced diet that provides sufficient quantities of proteins, vitamins, and minerals has a positive influence on bone health. The aim of this study was to determine the pr...

Full description

Bibliographic Details
Main Authors: Gisele Mariana do Nascimento Schiavo, Eliege Carolina Vaz, Michele Novaes Ravelli, Kamila Assis Kihara, Carolina Magrin Saullo, José Eduardo Corrente, Célia Regina Nogueira, Gláucia Maria Ferreira da Silva Mazeto
Format: Article
Language:Portuguese
Published: Universidade Estadual Paulista, Pró-Reitoria de Extensão Universitária 2014-08-01
Series:Revista Ciência em Extensão
Subjects:
Online Access:http://ojs.unesp.br/index.php/revista_proex/article/view/735
_version_ 1818194688700579840
author Gisele Mariana do Nascimento Schiavo
Eliege Carolina Vaz
Michele Novaes Ravelli
Kamila Assis Kihara
Carolina Magrin Saullo
José Eduardo Corrente
Célia Regina Nogueira
Gláucia Maria Ferreira da Silva Mazeto
author_facet Gisele Mariana do Nascimento Schiavo
Eliege Carolina Vaz
Michele Novaes Ravelli
Kamila Assis Kihara
Carolina Magrin Saullo
José Eduardo Corrente
Célia Regina Nogueira
Gláucia Maria Ferreira da Silva Mazeto
author_sort Gisele Mariana do Nascimento Schiavo
collection DOAJ
description <p>Osteoporosis is a systemic disorder in which there is bone fragility and an increase in susceptibility to fractures. A balanced diet that provides sufficient quantities of proteins, vitamins, and minerals has a positive influence on bone health. The aim of this study was to determine the profile of consumption of the main nutrients involved in bone health, in order to optimize their ingestion, in patients with low bone mass. The progress of the patients was followed at the calcium disorders outpatients unit of the Clinical Hospital of Botucatu Medical School (UNESP). Forty-five patients with low bone mass were invited to participate in this study. Of these, 15 women, with an average age of 60.7 years, accepted and concluded the project. 24-h food recollections were performed and nutritional education activities (NEA) were organized based on an information leaflet, with the aim of optimizing the consumption of calcium (Ca), vitamin D, phosphorus (P), magnesium (Mg), and other nutrients involved in bone health. There was also tasting of dietary preparations rich in Ca. The average consumption of the nutrients was evaluated before and after the end of the activities, using the program DietPro 5i<sup>®</sup>. The median ingestion of energy (1096.8 Kcal) and macronutrients (carbohydrates: 127.2 g; proteins: 40.4 g; lipids: 20.4 g) was below the levels recommended according to the Dietary Reference Intakes (DRI). The consumption of energy and the nutrients showed no significant changes after the NEA (energy: 1120.8 Kcal; carbohydrates: 164.8 g; proteins: 60.5 g; lipids: 29.9 g; p&gt;0.05). The median ingestion of micronutrients was also below the levels recommended by DRI/Institute of Medicine (IOM) (Ca: 661.57 mg; vitamin D: 0.64 µg; Mg: 292.71 mg; P: 1214.00 mg). The consumption of such nutrients did not present significant changes after the NEA (Ca: 619.57 mg; vitamin D: 0.73 µg; Mg: 212.15 mg; P: 821.24 mg; p&gt;0.05). The percentage deficiencies for Ca, vitamin D and Mg were elevated (81.7%, 99.8%, and 100%, respectively). The percentage deficiency for P was 36%. In this group of female patients with low bone mass, there was an unsatisfactory ingestion profile for the main nutrients related to bone health. The nutritional guidance provided during the 8-month period was not effective in optimizing such ingestion. This finding highlights the importance of establishing new strategies in order to optimize the consumption of these nutrients.</p>
first_indexed 2024-12-12T01:06:16Z
format Article
id doaj.art-0b3c17b0850b4fe9974334dcb902a2a8
institution Directory Open Access Journal
issn 1679-4605
language Portuguese
last_indexed 2024-12-12T01:06:16Z
publishDate 2014-08-01
publisher Universidade Estadual Paulista, Pró-Reitoria de Extensão Universitária
record_format Article
series Revista Ciência em Extensão
spelling doaj.art-0b3c17b0850b4fe9974334dcb902a2a82022-12-22T00:43:34ZporUniversidade Estadual Paulista, Pró-Reitoria de Extensão UniversitáriaRevista Ciência em Extensão1679-46052014-08-01102718633Profile of the nutritional intake of patients with decreased bone massGisele Mariana do Nascimento Schiavo0Eliege Carolina Vaz1Michele Novaes Ravelli2Kamila Assis Kihara3Carolina Magrin Saullo4José Eduardo Corrente5Célia Regina Nogueira6Gláucia Maria Ferreira da Silva Mazeto7Faculdade de Medicina de Botucatu - UnespFaculdade de Medicina de Botucatu - UnespFaculdade de Medicina de Botucatu - UnespFaculdade de Medicina de Botucatu - UnespFaculdade de Medicina de Botucatu - UnespFaculdade de Medicina de Botucatu - UnespFaculdade de Medicina de Botucatu - UnespFaculdade de Medicina de Botucatu - Unesp<p>Osteoporosis is a systemic disorder in which there is bone fragility and an increase in susceptibility to fractures. A balanced diet that provides sufficient quantities of proteins, vitamins, and minerals has a positive influence on bone health. The aim of this study was to determine the profile of consumption of the main nutrients involved in bone health, in order to optimize their ingestion, in patients with low bone mass. The progress of the patients was followed at the calcium disorders outpatients unit of the Clinical Hospital of Botucatu Medical School (UNESP). Forty-five patients with low bone mass were invited to participate in this study. Of these, 15 women, with an average age of 60.7 years, accepted and concluded the project. 24-h food recollections were performed and nutritional education activities (NEA) were organized based on an information leaflet, with the aim of optimizing the consumption of calcium (Ca), vitamin D, phosphorus (P), magnesium (Mg), and other nutrients involved in bone health. There was also tasting of dietary preparations rich in Ca. The average consumption of the nutrients was evaluated before and after the end of the activities, using the program DietPro 5i<sup>®</sup>. The median ingestion of energy (1096.8 Kcal) and macronutrients (carbohydrates: 127.2 g; proteins: 40.4 g; lipids: 20.4 g) was below the levels recommended according to the Dietary Reference Intakes (DRI). The consumption of energy and the nutrients showed no significant changes after the NEA (energy: 1120.8 Kcal; carbohydrates: 164.8 g; proteins: 60.5 g; lipids: 29.9 g; p&gt;0.05). The median ingestion of micronutrients was also below the levels recommended by DRI/Institute of Medicine (IOM) (Ca: 661.57 mg; vitamin D: 0.64 µg; Mg: 292.71 mg; P: 1214.00 mg). The consumption of such nutrients did not present significant changes after the NEA (Ca: 619.57 mg; vitamin D: 0.73 µg; Mg: 212.15 mg; P: 821.24 mg; p&gt;0.05). The percentage deficiencies for Ca, vitamin D and Mg were elevated (81.7%, 99.8%, and 100%, respectively). The percentage deficiency for P was 36%. In this group of female patients with low bone mass, there was an unsatisfactory ingestion profile for the main nutrients related to bone health. The nutritional guidance provided during the 8-month period was not effective in optimizing such ingestion. This finding highlights the importance of establishing new strategies in order to optimize the consumption of these nutrients.</p>http://ojs.unesp.br/index.php/revista_proex/article/view/735OsteoporoseEducação Alimentar e NutricionalMicronutrientes.
spellingShingle Gisele Mariana do Nascimento Schiavo
Eliege Carolina Vaz
Michele Novaes Ravelli
Kamila Assis Kihara
Carolina Magrin Saullo
José Eduardo Corrente
Célia Regina Nogueira
Gláucia Maria Ferreira da Silva Mazeto
Profile of the nutritional intake of patients with decreased bone mass
Revista Ciência em Extensão
Osteoporose
Educação Alimentar e Nutricional
Micronutrientes.
title Profile of the nutritional intake of patients with decreased bone mass
title_full Profile of the nutritional intake of patients with decreased bone mass
title_fullStr Profile of the nutritional intake of patients with decreased bone mass
title_full_unstemmed Profile of the nutritional intake of patients with decreased bone mass
title_short Profile of the nutritional intake of patients with decreased bone mass
title_sort profile of the nutritional intake of patients with decreased bone mass
topic Osteoporose
Educação Alimentar e Nutricional
Micronutrientes.
url http://ojs.unesp.br/index.php/revista_proex/article/view/735
work_keys_str_mv AT giselemarianadonascimentoschiavo profileofthenutritionalintakeofpatientswithdecreasedbonemass
AT eliegecarolinavaz profileofthenutritionalintakeofpatientswithdecreasedbonemass
AT michelenovaesravelli profileofthenutritionalintakeofpatientswithdecreasedbonemass
AT kamilaassiskihara profileofthenutritionalintakeofpatientswithdecreasedbonemass
AT carolinamagrinsaullo profileofthenutritionalintakeofpatientswithdecreasedbonemass
AT joseeduardocorrente profileofthenutritionalintakeofpatientswithdecreasedbonemass
AT celiareginanogueira profileofthenutritionalintakeofpatientswithdecreasedbonemass
AT glauciamariaferreiradasilvamazeto profileofthenutritionalintakeofpatientswithdecreasedbonemass