Metabolic syndrome and climacteric: impact of nutritional intervention
Abstract
Introduction and objectives: Metabolic syndrome (MS) is a complex disorder characterized by the coexistence of chronic diseases that constitute risk factors for the development of cardiovascular diseases. Materials and methods: Intervention study, before and after, selected women (n = 19) with Follicle Stimulating Hormone (FSH) level greater than 40 mIU / ml, compatible with climacteric syndrome, or whose last menstrual period occurred at least 12 months ago. For the diagnosis of MS, the parameters established By the International Diabetes Federation (IDF) were followed, in which central obesity is the main diagnostic criteria. The dietary orientation occurred in individual consultations, with recommendations adapted to each patient. Waist circumference was used as a parameter for monitoring the evolution of nutritional status. The measurements were made in two consultations, with an average interval of 75 days between the first and second evaluation. Results: The central adiposity was the change with greater statistical significance (p<0.0001). Discussion: Among the variables studied, there was a significant reduction in body weight (BW), waist circumference (WC), body mass index (BMI) and neck circumference (NC). Nutritional intervention demonstrated that dietary reeducation can be classified as one of the bases for control, and possible reversal, in the Metabolic Syndrome. CC measurement makes early diagnosis possible with prompt and adequate intervention. Conclusion: Considering the results achieved in the present study, nutritional intervention has been shown to be effective for the reduction of central adiposity and weight loss.
References
-Barroso, T.A.; Marins, L.B.; Alves, R.; Gonçalves, A.C.S.; Barroso, S.G.; Rocha, G.S. Association of Central Obesity with The Incidence of Cardiovascular Diseases and Risk Factors. International Journal of Cardiovascular Sciences. Vol. 30. Num. 5. 2017. p. 416-424.
-Busnello, F.M.; Bodanese, L.C.; Pellanda, L.C.; Santos, Z.E.A. Intervenção Nutricional e o Impacto na Adesão ao Tratamento em Pacientes com Síndrome. Arq. Bras. Cardiol. Vol. 97. Num. 3. 2011.
-Gadelha, A.B.; Myers, J.; Moreira, S.; Dutra, M.T.; Safons, M. P.; Lima, R.M. Comparison of adiposity indices and cut-off values in the prediction of metabolic syndrome in postmenopausal women. Diabetes & Metabolic Syndrome: Clinical Reserch & Reviews. Vol. 10. Num. 3. 2016. p. 143-148.
-Figueiredo Neto, J.A.; Figuerêdo, E.D.; Barbosa, J. B.; Barbosa, F.F.; Costa, G.R.C.; Nina, V.J.S.; Nina, R.V.A.H. Síndrome Metabólica e Menopausa: Estudo Transversal em Ambulatório de Ginecologia. Revista Brasileira de Cardiologia. Vol. 95. Num. 3. 2010. p. 339-345.
-Gallon, C.W.; Wender, M.C.O. Estado Nutricional e Qualidade de Vida da Mulher Climatérica. Revista Brasileira de Ginecologia e Obstetrícia. Rio de Janeiro. 2012. Vol. 34. Num. 4. 2012.
-Instituto Brasileiro de Geografia e Estatística. Projeção 2018. Disponível em: https://www.ibge.gov.br/apps/populacao/projecao/Acesso em 16/05/2019.
-International Diabetes Federation. Consensus Statements. IDF Consensus Word wide Definition of the Metabolic Syndrome. 2006. Disponível em:https://www.idf.org/e-library/consensus-statements/60-idfconsensus-worldwide-definitionof-the-metabolic-syndrome.html. Acesso em 06/04/2019.
-Lima, C.G.; Basile, L.G.; Silveira, J.Q.; Vieira, P.M.V; Oliveira, R.M. Circunferência da Cintura ou Abdominal? Uma RevisãoCrítica dos Referenciais Metodológicos. Revista Simbio-Logias. Vol. 4. Num. 6. 2011. p. 108-131.
-Lorenzi, D.R.S.; Danelon, C.; Saciloto, B.; Padilha Junior, I. Fatores indicadores da sintomatologia climatérica. Rev Bras Ginecol Obstet. Rio de Janeiro. Vol. 27. Num.1. 2005. p. 12-19.
-Ministério da Saúde. Orientações para a Coleta e Análise de Dados Antropométricos em Serviços de Saúde. Norma Técnica do Sistema de Vigilância Alimentar e Nutricional. SISVAN. Série G. Estatística e Informação em Saúde. Brasília. 2011. p. 34-37.
-Oliveira, C.; Brauna, C.; Camlofski, L.; Kuhl, A.M.; Melhem, A.R.F.; Schiessel, D.L.; Cavagnari, M.A.V.; Bennemann, G.D. Intervenção Nutricional: Reeducação Alimentar Alliada à Atividade Física em Mulheres com Síndrome Metabólica. Revista Brasileira de Obesidade, Nutrição e Emagrecimento. São Paulo. Vol. 13. Num. 78. 2019. p. 267-274.
-Organização Mundial da Saúde. Relatório Mundial de Envelhecimento e Saúde. 2015. Disponível em: https://sbgg.org.br/wp-content/uploads/2015/10/OMS-ENVELHECIMENTO-2015-port.pdf Acesso em 17/05/2019. 13-Schmitt, A.C.B. Prevalência da Síndrome Metabólica e Fatores Associados na Transição e após a menopausa. Tese de Doutorado. Faculdade de Saúde Pública. Universidade de São Paulo-USP. São Paulo. 2009.14-Silva, M.L.N.; Marucci, M.F.N.; Roediger, M.A. Tratado de Nutrição em Gerontologia. Manole. 2016. p. 172.15-Sociedade Brasileira de Cardiologia; Sociedade Brasileira de Endocrinologia e Metabologia; Sociedade Brasileira de Diabetes; Associação Brasileira para Estudos da Obesidade. I Diretriz Brasileira de Diagnóstico e Tratamento da Síndrome Metabólica. Arquivos Brasileiros de Cardiologia. Vol. 84. Suplemento I. 2005. p. 3-28.
Copyright (c) 2020 Gisela de Camargo Cunha Arnaud Fonseca, Camila Dias Ribeiro Rosado, Raquel Senna Telhado, Claudia Cardoso Netto, Lizanka Marinheiro
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish in this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication, with work simultaneously licensed under the Creative Commons Attribution License BY-NC which allows the sharing of the work with acknowledgment of the authorship of the work and initial publication in this journal.
- Authors are authorized to enter into additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal.
- Authors are allowed and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can bring about productive change as well as increase impact and impact. citation of published work (See The Effect of Free Access).
