Trabalho de Conclusão de Curso - TCC
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Item Alterações nutricionais em indivíduos com SIDA em utilização de terapia antirretroviral(Centro Universitário do Estado do Pará, 2021) Paixão, Wellington Felipe Coelho; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915Acquired Immunodeficiency Syndrome (AIDS) is characterized as a chronic clinical manifestation caused by the human immunodeficiency virus. The use of antiretroviral therapy has drastically decreased mortality and opportunistic infections, on the other hand, is strongly associated with metabolic and functional changes in the body, including HIV lipodystrophic syndrome, which causes dyslipidemias, glycemic and morphological changes, with changes in body fat distribution, as well as altered hormone levels and higher risks of developing chronic non-communicable diseases. To identify anatomical, metabolic and nutritional changes in individuals with AIDS in antiretroviral therapy. Systematic searches of Original Scientific Articles, Dissertations and Theses on Nutritional Status and biochemical alterations of AIDS carriers using antiretroviral therapy were carried out to perform the study, Lipodystrophic Syndrome and HIV published between 2010 and 2021, in the Portuguese, English and Spanish descriptors. When carrying out the research with the descriptors detailed in the methodology and in the described languages, 86 articles were found from which, after the inclusion and exclusion criteria, 8 articles were selected, in which it was possible to observe that most of the men evaluated were eutrophic and women were overweight, in addition to the high risk for metabolic complications due to the high cholesterol and triglyceride levels caused by the advance of infection and HAART in 50% of the evaluated patients. It was also observed that individuals with HIV are more susceptible to glycemic alterations and lipodystrophic syndrome, especially in females. Nutritional changes resulting from the use of ART are common and should be detected early through nutritional evaluation for treatment.Item Alterações nutricionais em pacientes oncológicos hospitalizados: um estudo de revisão(Centro Universitário do Estado do Pará, 2021) Mendonça, Luana Reis; Vasconcellos, Vitória Cristina de Matos; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645This study consists of a review of nutritional risk indicators in hospitalized cancer patients. It aims to analyze the indicators of nutritional risk in hospitalized cancer patients as well as to identify the prevalence of nutritional risk among cancer patients and investigate the factors that may be related to the nutritional risk of these patients. The methodology was carried out through a descriptive study, literature review in Portuguese and English. The search was carried out from March to May 2021, for articles published from 2011 to 2021. As a result, it was found that most studies indicated more than 40% of nutritional risk, this is because patients do notfeed enough to meet their energy needs, which can be due to a series of factors, such as the underlying disease, pain, nausea, vomiting, anxiety, inappetence, dysphagia, depression, functional incapacity, aggressive treatments and even the hospital environment. Furthermore, when they affect the digestive tract, they increase the risk of malnutrition, mainly due to the low food intake resulting from symptoms and the presence of cancer, often of an obstructive nature. Therefore, through the results of several studies analyzed, it was concluded that nutritional risk and malnutrition are prevalent conditions in hospitalized cancer patients, thus observing a high percentage, due to several factors found.Item Desenvolvimento de uma tecnologia educativa sobre contagem de carboidratos para pessoas com Diabetes Mellitus(Centro Universitário do Estado do Pará, 2022) Souza, Maysa Carvalho Cavalcante de; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915This study has the goal to make a bibliographic review about the efficacy of the carbohydrate counting upon the metabolic and glycemic control, elaborate an educational booklet to facilitate and to make flexible the food choices of the diabetic patients, to assist in the disease control and avoid complications. It is an integrated review of the specialized literature with qualitative approach that has been made through indexed articles search at Virtual Health Library with the support of The National Center for Biotechnology Information (Pub Med). The inclusion criteria were the integral gratuitous database since 2017 to 2021. The exclusion criteria were incomplete articles, divergent and ones did not reply the guiding question. In the end, nine scientific articles were taken. The results showed effective metabolic control for who made the carbohydrate counting and improving of the glycemic control with freedom and food choices flexibilization. It is an effective strategy to allow glycemic control, safety and quality of life. The review allowed to accomplish an educative technology by means of a carbohydrate counting booklet to make easy the understanding about the diabetes and simplify food choices day by day. It was concluded that the carbohydrate counting is a proper tool since favors best food choices and a healthy life, for this purpose was made an educational booklet about the understanding of diabetes and healthy eating aiming at learning carbohydrate counting with food group tables.Item Estratégias nutricionais no tratamento de doenças autoimunes(Centro Universitário do Estado do Pará, 2022) Malcher, Marina Rodrigues Vieira da Gama; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232The present work seeks to analyze the relationship between diet and autoimune diseases, with regard to dietary strategies that would be relevant for the treatment of diseases in this group, with emphasis on the most found pathologies in relation to nutrition (rheumatoid arthritis, type 1 diabetes, celiac disease, Crohn’s disease, multiple sclerosis, systemic lupus erythematosus, psoriasis, Hashimoto’s thyroiditis and vitiligo) by the investigation of existing scientific articles on the subject. This is a study with an exploratory objective, based on a narrative literature review, of a basic nature. Sixteen articles were analyzed, which demonstrated that the food strategies most related to autoimmune diseases, with improvement of symptoms, are diets with an anti-inflammatory pattern or diets that modulate the intestinal microbiota. There also is: Low-carbohydrate Diet, Gluten-free Diet, Semi-vegetarian Diet, Balanced Diet (associated with dietary supplementation of various macronutrients), Low-FODMAP Diet, and Paleolithic Diet with modifications. The dietary strategies under study showed several positive effects on related autoimmune diseases, such as improvement in the associated symptoms, reduction of the inflammatory profile, and, in some cases, remission. However, most articles conclude that more studies are needed to attribute the benefits found to the strategies used.Item Fatores de risco no desenvolvimento de diabetes gestacional(Centro Universitário do Estado do Pará, 2022) Souza, Isabelle Cardoso de; Ozela, Cilea Maria dos Santos; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645; http://lattes.cnpq.br/3869556585803094; Figueiredo, Sandra Maria dos Santos; http://lattes.cnpq.br/8530470051297070; Gaspar, Daniela Pinheiro; http://lattes.cnpq.br/9245835771527449Diabetes Mellitus (DM) is defined as a disease resulting from endocrine-metabolic abnormality, which is classified as an absolute deficiency of the hormone insulin or resistance to its action that triggers high levels of serum glucose, which leads to interference entry of glucose into the cell, increasing the plasmatic concentration. Being characterized by being a common metabolic problem during pregnancy, with a prevalence of 3 to 25% of pregnancies, becoming defined as an intolerance to carbohydrates, in various degrees. To identify the risk factors that influence the development of gestational diabetes. This work can be defined as a systematic literature review. For the execution of the work, original scientific articles were searched on gestational diabetes mellitus, high-risk pregnancy, glycemic control and risks of gestational diabetes. Carrying out the analysis of the studies, it is possible to say that the risk factors in the development of gestational diabetes mellitus are caused by several reasons, among them the analyzed studies verified that the majority of the women who presented gestational diabetes mellitus during their pregnancy, presented factors risk factors such as overweight/obesity both pre-pregnancy and during pregnancy, in addition to maternal age (over 30 years), number of pregnancies, family history (1st-degree relatives) and history of gestational diabetes in another pregnancy. The present work, through the scientific bias, finds that several factors contribute to the risk of gestational diabetes mellitus, among them are overweight, obesity, maternal age, excess weight gain during pregnancy, number of pregnancies and deliveries, family history and history of another pregnancy.Item Relação entre estado nutricional e qualidade de vida de pacientes idosos diabéticos acompanhados em uma clínica escola(Centro Universitário do Estado do Pará, 2022) Ferreira, Ana Beatriz da Silva; Nestor, Gabrielli Karolina Monteiro; Campos, Jamilie Suelen dos Prazeres; http://lattes.cnpq.br/4508719756740232; Marques, Simone do Socorro Fernandes; http://lattes.cnpq.br/0651248478895645; Moura, Carla Acatauassú Ferreira de; http://lattes.cnpq.br/4504006993667915Aging is something common for all individuals, consequently chronic non-communicable diseases may arise, such as Diabetes Mellitus. It is known that the diagnosis of diabetes can impact the quality of life due to changes in the routine that the elderly have. This study aims to relate the nutritional status with the perception of quality of life of elderly patients diagnosed with diabetes mellitus. This is a cross-sectional quantitative study carried out with 41 elderly people in a teaching clinic. Four instruments were used for data collection: a socioeconomic questionnaire, a data collection protocol and the B-PAID and WHOQOL-BREF scales to assess quality of life. Data analysis was performed using descriptive statistics using mean and standard deviation. Most of the elderly analyzed are aged between 60 and 69 years (63.4%), are female (53.7%), married (48.8%), studied up to elementary school (65.9%) and have an income of up to 1 minimum wage (51.2%). Regarding nutritional status, most are overweight (61%). In assessing quality of life using the B-PAID, the largest dimensions observed were food and emotional. In the WHOQOL-BREF, the major domains were psychological and personal relationships. There was no significant association between the perception of quality of life and the nutritional status of elderly people with diabetes, noting that most of the elderly diabetic participants have a good quality of life, even living with diabetes.