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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(11): 902-908
DOI: 10.1590/0004-282X20160145
ARTICLE

Assessment and nutrition education in patients with amyotrophic lateral sclerosis

Avaliação e educação nutricional em pacientes com esclerose lateral amiotrófica
Claudinéa. S. Almeida
1   Escola Paulista de Enfermagem, Departamento de Neurologia, São Paulo SP, Brasil;
,
Patricia Stanich
2   Universidade Federal de São Paulo, Departamento de Neurociências, São Paulo SP, Brasil;
,
Cristina C. S. Salvioni
2   Universidade Federal de São Paulo, Departamento de Neurociências, São Paulo SP, Brasil;
,
Solange Diccini
3   Universidade Federal de São Paulo, Departamento de Ciências da Saúde, São Paulo SP, Brasil.
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ABSTRACT

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.

RESUMO

Pacientes neurológicos com esclerose lateral amiotrófica frequentemente evoluem com piora do estado nutricional. O objetivo desse estudo foi comparar o estado nutricional e a ingestão alimentar depois da orientação nutricional em pacientes com ELA. Variáveis clínicas,antropométricas e funcionais foram analisadas. 53 pacientes foram avaliados na fase inicial da doença. A pontuação média da escala de funcionalidade foi de 33 pontos. Inicialmente apenas 3,8% foram classificados como baixo peso. Após três meses, 50% apresentaram variação significativa nas medidas antropométricas relacionadas com reservas de massa muscular e gordura corporal, sem associação com variáveis clínicas. Após orientação nutricional, houve um aumento na ingestão de alimentos de todos os grupos com relevância para o grupo de lacticínios (p <0,05). A mudança do estado nutricional ocorre precocemente em pacientes com ELA, mesmo naqueles anteriormente eutróficos ou sobrepeso. Houve um aumento na ingestão de alimentos após orientação nutricional de acordo com o guia alimentar adaptado da população brasileira.

amyotrophic lateral sclerosis - continuing education - body composition
esclerose lateral amiotrófica - educação continuada - composição corporal


Publication History

Received: 13 May 2016

Accepted: 16 August 2016

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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