Failure of a single nutrition counseling session for climacteric women

Roberta Deh Souza Santos, Julio Sérgio Marchini, Odilon Iannetta, Vivian Marques Miguel Suen

Abstract


Background: Due to the alarming growth of obesity over the world, strategies of nutritional guidance are necessaryfor the treatment and prevention of this disease. Thus, the objective of the present study was to provide a singlesession of nutritional counseling to a group of climacteric women and to assess the efficacy of this procedure 2 yearslater and to calculate the concordance between methods that evaluate body composition.Methods: Anthropometric, dietary and physical activity data were collected from the volunteers studied, who werethen counseled about correct eating habits and the importance of physical activity during a single visit lasting 120minutes. Two years later, the same women were reevaluated on the basis of the same criteria as used for the initialevaluation. Body composition and energy expenditure were assessed by bioelectrical impedance, DXA and indirectcalorimetry, and food intake was calculated. Anthropometric measurements were made and laboratory tests werealso performed. The initial and final analyses were compared statistically by the Wilcoxon test for paired samplesand the St. Laurent test was applied to determine the concordance of the methods for the determination of bodycomposition.Results: Ten women were followed up during the study period and their mean (±SD) age was 54 ± 8 years at thebeginning of the study. The dietary history of the subjects studied showed deficient intake of calcium, vitamins, zincand fibers both at the beginning and at the end of the study. A greater intake of cholesterol and carbohydratesoccurred at the end of the study. The anthropometric measurements and all other body composition measurementsremained constant, with concordance between the anthropometric and DXA measurements regarding body mass.Conclusion: The data show the inefficiency of a single visit or counseling session regarding a change of nutritionalhabits in these patients, despite the limited number of participants

Keywords


nutrition, obesity, menopause, aging, counseling

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References


Lemieux GA, Lui J, Mayer N, Bainton RJ, Ashrafi K, Werb Z. A

whole-organism screen identifies new regulations of fat storage.

Nat Chem Biol 2011; 7(4): 206-13.

Lorenzi DR, Catan LB, Moreira K, Artico GR. Assistance to the

climacteric woman: new paradigms. Rev Bras Enferm 2009;

(2): 287-93.

Lin SQ, Sun LZ, Lin JF, Yang X, Zhang LJ, Qiao J et al. Estradiol

mg and drospirenone 2 mg as hormone replacement therapy in

postmenopausal Chinese women. Climacteric 2011 [Epub

ahead of print].

D´eon TM, Souza SC, Aronovitz M, Obin MS, Fried SK et al.

Estrogen regulation of adiposity and fuel partitioning: evidence

of genomic and non-genomic regulation of lipogenic and

oxidative pathways. J Biol Chem 2005; 280(43): 35983-91.

Butera PC. Estradiol and the control of food intake. Physiol

Behav 2010; 99(2): 175-80.

Melanson KJ, Saltazman E, Russell RR, Roberts SB. Fat

oxidation in response to four graded energy challenges in

younger and older women. Am J Clin Nutr 1997; 66(4): 860-6.

Ministério da Saúde. Dez passos para alimentação saudável. In:

Guia alimentar: saiba como ter uma alimentação saudável.

Disponível em: [http://www.saude.sp.gov.br/resources/

cidadao/destaques/guia_de_bolso_sobre_alimentacao.pdf].

Access in April, 29 of 2011.

Ribeiro AB, Cardoso MA. Construção de um questionário de

freqüência alimentar como subsídio para programas de

prevenção de doenças crônicas não-transmissíveis. Rev Nutr

; 15(2): 239-45.

Monteiro JP, Pfrimer K, Tremeschieri MH, Molina MC,

Chiarello P. Consumo alimentar: visualizando porções. 1ª

edição. Rio de Janeiro: Guanabara Koogan, 2007.

Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E,

Erinaldo O. Questionário internacional de atividade física

(IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev

Bras Ativ Fís Saúde 2001; 6(2): 5-18.

Durnin JVGA, Womersley I. Body fat assessed from total body

density and its estimation from skinfold thickness:

measurement on 481 men and women aged from 16 to 72 years.

Br J Nutr 1974; 32(1):77–97.

Marchini JS, Unamuno MRDL, Fonseca RMHR, Rodrigues

MMP, Oliveira JED. Métodos antropométricos para avaliação

do estado nutricional. Rev Nutr 1992; 5(2): 121-42.

Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M,

Gómez JM et al. Bioelectrical impedance analysis – part I:

review of principles and methods. Am J Clin Nutr 2004; 23(5):

-43.

Weir JB. New methods for calculating metabolic rate with

special reference to protein metabolism. J Physiol 1949; 109(1-

:1–9.

Frayn KN. Calculation of substrate oxidation rate in vivo from

gaseous exchange. J Appl Physiol 1983; 55(2):628–34.

Yu D, Zeng G, Li M, Mao D, Huang C, Piao J et al. Energy

expenditure at physical activities of young and middle-aged

adults in southern China. Wei Sheng Yan Jiu 2010; 39(6): 715-8.

St. Laurent ET. Evaluating agreement with a gold standard in

method comparison studies. Biometrics 1998; 54(2):537–45.

Institute of Medicine/Food and Nutrition Board. Dietary

reference intakes for energy, carbohydrate, fiber, fat, fatty acids,

cholesterol, protein and amino acids (macronutrients).

Washington: National Academy Press, 2002.

Institute of Medicine/Food and Nutrition Board. Committee to

review dietary reference intakes for vitamin D and calcium.

Washington: National Academy Press, 2011.

Institute of Medicine/Food and Nutrition Board. Dietary

reference intakes for vitamin A, vitamin K, arsenic, boron,

chromium, copper, iodine, iron, manganese, molybdenum,

nickel, silicon, vanadium and zinc. Washington: National

Academy Press, 2001.

Montilla RMG, Marucci MFN, Aldrighi JN. Avaliação do

estado nutricional e do consumo alimentar de mulheres no

climatério. Rev Assoc Med Bras 2003; 49(1):91–5.

Tardivo AP, Nahas-Neto J, Nahas EA, Maesta N, Rodrigues

MA, Orsatti FL. Associations between healthy eating patterns

and indicators of metabolic risk in postmenopausal women.

Nutr J 2010; 9:64-73.

Skouroliakou M, Giannopoulou I, Kostara C, Koutri K,

Stathopoulou MG, Kakavelaki C. Effects of a nutritional

intervention in obese postmenopausal women on atypical

antipsychotics. Maturitas 2010; 67(2): 166-70.

Suen VMM, Bombig GT, Rosa FT, Monteiro TH, Santos RDS,

Marchini JS et al. Avaliação clínica retrospectiva de mulheres no

período do climatério: a importância da prevenção. Femina

; 34(9):607–12.

Santos RDS, Suen VMM, Iannetta O, Marchini JS. Climacteric,

physically active women ingesting their routine diet oxidize

more carbohydrates than lipids. Climacteric 2008; 11(6): 454-

Bonganha V, Conceição MS, Santos CF, Chacon-Mikahil MP,

Madruga VA. Resting metabolic rate and body composition in

postmenopausal women. Arq Bras Endocrinol Metabol 2009;

(6): 755-9.

FEBRASGO (Federação Brasileira das Sociedades de

Ginecologia e Obstetrícia). Climatério: manual de orientação.

In: Federação Brasileira das Sociedades de Ginecologia e

Obstetrícia, 1995.

Kanellakis S, Kourlaba G, Moschonis G, Vandorou A, Manos Y.

Development and validation of two equations estimating body

composition for overweight and obese postmenopausal women.

Maturitas 2010; 65(1): 64-8.

Nicoletti CF, Lima TP, Santos RDS, Tanaka NYY, Suen VMM,

Marchini JS. The total amount of energy delivered by a Brazilian

hospital catering does not meet patient requirements as

measured by indirect calorimetry. Food and Nutrition Sciences

; 2:60-5.




DOI: http://dx.doi.org/10.22565/ijn.v5i1.58

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