RESUMO
OBJECTIVE: Systemic inflammation, therapy with corticosteroids, and reduced physical activity may increase the predisposition to accumulate body fat in patients with systemic lupus erythematosus (SLE). The aim of this study was to assess the nutritional status and food intake of patients with SLE. METHODS: One hundred seventy women with SLE were evaluated consecutively in a cross-sectional study. Nutritional status was assessed by subjective global assessment and body mass index. Food intake was assessed by a 24-h recall and a semiquantitative food frequency questionnaire. Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS), considering P < 0.05 as significant. RESULTS: The mean ± SD age of the patients was 39.14 ± 9.98 y, and the duration of the disease was 9.94 ± 6.18 y. Approximately 91.8% patients were classified as being well nourished; 6.5% were classified as suspected or moderately malnourished, and 1.8% were classified as severely malnourished. In terms of body mass index, malnutrition was found in 1.2% of the patients, normal weight in 35.9%, overweight in 35.3%, and obesity in 27.7%. Most patients reported food consumption below the estimated needs for energy. Calcium was the nutrient with the most inadequate intake. Low consumption of fruits, vegetables, and dairy products and a high consumption of oils and fats were reported. CONCLUSION: The results showed that patients with SLE have inadequate nutritional status and food intake.
Assuntos
Dieta/efeitos adversos , Lúpus Eritematoso Sistêmico/complicações , Desnutrição/complicações , Estado Nutricional , Obesidade/complicações , Sobrepeso/complicações , Magreza/complicações , Adulto , Índice de Massa Corporal , Brasil/epidemiologia , Cálcio/deficiência , Cálcio da Dieta/administração & dosagem , Estudos Transversais , Dieta/etnologia , Feminino , Hospitais Universitários , Humanos , Desnutrição/epidemiologia , Desnutrição/etiologia , Desnutrição/fisiopatologia , Pessoa de Meia-Idade , Estado Nutricional/etnologia , Obesidade/epidemiologia , Obesidade/etnologia , Obesidade/etiologia , Ambulatório Hospitalar , Sobrepeso/epidemiologia , Sobrepeso/etnologia , Sobrepeso/etiologia , Índice de Gravidade de Doença , Inquéritos e Questionários , Magreza/epidemiologia , Magreza/etnologia , Magreza/etiologiaRESUMO
INTRODUCTION: Patients with systemic lupus erythematosus (SLE) may present nutritional changes triggered by disease or treatment, and these conditions may interfere with prognosis. OBJECTIVE: Assess the nutritional status, physical activity and associated factors in patients with SLE under treatment at the Service of Rheumatology of Hospital das Clínicas/Universidade Federal de Minas Gerais. METHODS: A cross-sectional study evaluating the nutritional status, clinical laboratory findings, sociodemographic, and treatment characteristics of 170 SLE female patients. RESULTS: Patients aged between 18 and 60 years were included. The mean (SD) age of patients and duration of SLE was 39.1 (10.0) and 9.9 (6.2) years, respectively. Two (1.2%) patients were classified as grade I underweight, 59 (34.7%) eutrophic, 61 (35.9%) as overweight, 37 (21.8%) as grade I obesity, seven (4,1%) as grade II obesity, and four (2,4%) as grade III obesity. Overweight and obesity were significantly associated with older age, lower education, higher SLE damage index, higher serum concentration of complement, higher incidence of hypertension and diabetes mellitus, presence of ovarian failure, and less frequent use of antimalarials Regarding physical activity, 39 patients (22.9%) were classified as inactive, 100 (58.8%) insufficiently active, and 31 (18.2%) active. Of the latter, 13 (43.3%) were in the eutrophic group. CONCLUSION: Excess weight was high in this population and associated with some traditional risk factors for cardiovascular disease and SLE poor prognosis. Therefore, encouraging weight control must be part of the main goals in treating SLE patients.