RESUMO
INTRODUCTION: High sodium intake contributes to arterial hypertension; the relationship between high blood pressure and human aging is stronger among populations with high sodium intake. OBJECTIVES: The aim of this research is to compare subjective and objective methods on the estimate of the consumption of sodium. METHODS: This is a retrospective investigation along with secondary topics from the raw data base. The subjective method used was result of the score of the application of a questionary about the sodium intake, where the sodium consumption report was converted into daily mg of sodium intake. The objective method was the result of the urine excretion of hypertensive persons older than 50 years during 24 hours. The topics were analyzed by the software SPSS using the Spearman correlation. RESULTS: The main results did not show a significant linear correlation between the values of the sodium intake reported in the questionnaire and the values of the sodium (Na) 24 h collections. CONCLUSION: New studies possibly will elucidate the present results among the divergence faced with other studies.
Assuntos
Ingestão de Alimentos/fisiologia , Hipertensão/dietoterapia , Sódio na Dieta , Idoso , Pressão Sanguínea/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Sódio/urina , Software , Inquéritos e QuestionáriosRESUMO
Idosos utilizam elevado número de medicamentos, apresentando alto potencial para desenvolver interações medicamentosas. Objetivou-se verificar o perfil de utilização de medicamentos e conhecer possíveis interações medicamentosas em idosos acompanhados pelo Programa de Atenção ao Idoso (PAI) da Unijuí. Os dados foram coletados em julho de 2009. Classificaramse os medicamentos no sistema Anatomical Therapeutic Chemical e possibilidades de interações segundo Drug Interaction Facts. De março/2008 até julho/2009 o PAI atendeu 31 idosos, estando 16 em acompanhamento, os quais apresentaram média de 78,4 ± 6,8 anos e utilizaram 83 medicamentos, com média de 5,2 ± 3,7/ idoso. Os fármacos mais prevalentes foram os que atuam no aparelho cardiovascular, no sistema nervoso e para o trato alimentar e metabolismo. Verificaram-se 36 possíveis interações entre 9 pacientes, com média de 4/idoso. O fármaco mais envolvido foi digoxina. Quanto a classificação, 4 apresentaram nível de significância 1, dez nível 2, cinco nível 3, sete nível 4 e dez nível 5. O número de possíveis interações verificadas foi expressivo, entretanto nem todos os idosos apresentarão reações relacionadas às interações, mas apresentaram o risco. Portanto, é importante que prescritores conheçam a influência de um fármaco sobre outro. Seria necessário treinamento intensivo para intervenção farmacêutica, sendo o relacionamento com o médico indispensável.
Elderly people take a large number of medicines, entailing a high risk of developing drug interactions. The aim was to study the profile of medicines prescribed and the possible drug interactions in the public Elderly Care Program (PAI) run at Unijuí, a university in south Brazil. The data were collected in July 2009. The Anatomical Therapeutic Chemical (ATC) Classification System was used to classify medicines, while the potential interactions were classified with the aid of Drug Interaction Facts. Between March 2008 and July 2008, the PAI attended 31 elderly patients, of whom 16 were monitored, with a mean age of 78.4 ± 6.8 years. This group received 83 medicines, making an average of 5.2 ± 3.7 medicines/patient. The most prevalent drugs were those acting on the cardiovascular system, nervous system, digestive tract and metabolism. There were 36 possible interactions in 9 patients, an average of 4 interactions per patient. The drug most frequently involved was digoxin. The interactions were classified as follows: 4 at level 1, 10 at level 2, 5 at level 3, 7 at level 4 and 10 at level 5. This number of possible interactions is considerable; although not all elderly patients show the effects of the drug interactions, they do run the risk. Therefore, it is highly important that prescribers are familiar with the drug interactions. For the pharmacist to help the patient, intensive training for pharmaceutical intervention and a good relationship with the doctor are indispensable.