Profile of antioxidant nutrient intake in patients with metabolic syndrome

Authors

  • Michele Fernandes
  • Carina Paes
  • Carla Nogueira
  • Gisele Souza
  • Luana Aquino
  • Fernanda Borges
  • Andréa Ramalho

Keywords:

Antioxidants, Micronutrients, Obesity, Metabolic syndrome

Abstract

Objective
The objective of this study was to describe the dietary intake of antioxidant nutrients in patients with metabolic syndrome seen at a Basic Healthcare Unit in the city of Rio de Janeiro.
Methods
Metabolic syndrome diagnosis was done according to the Education Program Adult
Treatment Pane criteria. Dietary intake was assessed by a semi-quantitative food frequency questíonnaire and 24-hour recall and compared with the intake amounts
recommended by the Institute of Medicine. Abdominal circumference, weight and height were measured. The body mass index was calculated and classified according to the World Health Organization criteria. Lipid profile and fasting glucose were also determined.
Results
The sample consisted of 57 patients with a mean age of 49 t 7.7 years. Among the risk
factors for metabolic syndrome, inadequate abdominal circumference (91.2%) was the most prevalent, followed by hypertriglyceridemia (89.5%), systemic hypertension (87.7%), hyperglycemia (64.9%) and inadequate high densíty !ipoprotein-c (48.9%). Inadequate intakes of vitamin A, E and copper were observed in 1000% of the sample; inadequate intakes of vitamin C (93.0%). zinc (54,4%) and selenium (21, 1 %) were also observed.

Conclusion
There was a high prevalence of inadequate dietary intake of antioxidant nutrients. More emphasis is needed in dietary planning, not only of macronutrients but also of micronutríents given their role in antioxidant protection, essential for patients who are at risk of cardiovascular disease.

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References

Toscano CM. As campanhas nacionais para detecção das doenças crônicas não-transmissíveis: diabetes e

hipertensão arterial. Ciênc Saúde Coletiva. 2004; 9(4):885-95.

Pinheiro ARO, Freitas SFT, Corso ACT. Uma abordagem epidemiológica da obesidade. Rev Nutr. 2004. 17(4):523-33

Fundação Instituto Brasileiro de Geografia e Estatística. Pesquisa de orçamentos familiares 2002-

: análise da disponibilidade domiciliar de alimentos e do estado nutricional no Brasil. Rio de Janeiro: Ministério do Planejamento e Orçamento; 2004.

Santos CRB, Portella ES, Avila SS, Soares EA. Fatores dietéticos na prevenção e tratamento de comorbidades associadas à síndrome metabólica. Rev Nutr. 2006; 19(3):389-401.

Ford ES. Mokdad AH, Giles WH, Brown DW. The metabolic syndrome and antioxidant concentrations: findings from the Third National Health and Nutrition Examination Survey. Diabetes. 2003; 52(9):2346-52.

Bonora E, Kiechl S, Willeit J, Oberhollenzer F, Egger G, Bonadonna RC, et al, Metabolic syndrome epidemiology and more extensive phenotypic description. Cross-sectional data from the Bruneck Study. Int J Obes Relat Metab Disord. 2003; 27(1 0): 1283-89.

Executive Summary of The Third Report of The National Cholesterol Education Program, Expert Panel On Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (Adults Treatment Panel III). Jama, 2001 ; 285(19):2486-97.

Gagliardi ART. Obesidade central, bases hormonais e moleculares da síndrome metabólica. Rev Soc Cardiol. 2004; 14(4):557-66.

Hansel B, Giral P. Nobecourt E, Chantepie S, Bruckert EJ, Korltush A. Metabolic syndrome is associated with elevated oxidative stress and dysfunctional dense high-density lipoprotein particles displaying impaired antioxidative activity. J Clin Endocrinol Metab. 2004; 89(10):4963-71.

Pennington JAT. Methods for obtaining food consumption information. In: MacDonald I. Monitoring dietary intakes. New York: Springer-Verlag; 1991.

Coelho CSP, Ramalho RA, Accioly E. Vitamina A: inquérito dietético na avaliação do estado nutricional em gestantes. Gynaecia. 1995; 1 :200-8.

Ramalho RA, Saunders C. Vitamina A: aspectos fisiopatológicos, diagnóstico e medidas de intervenção. J Metab Nutr. 2003; 7(1):10-9.

Dwyer JT. Dietary assessment. In: Shils ME, Olson JA, Shike M. Modern nutrition in health and disease. 9th ed. Filadelphia= Lippincott WIlliams & Wilkins; 1999. p.937-59.

Willett WC. Reproducibility and validity of food frequency questionnaires. 2nd ed. Oxford: University Press; 1998. p.101-47.

IV Diretriz Brasileira sobre Dislipidem ias e Prevenção da Aterosclerose da Sociedade Brasileira de Cardiologia. Arq Bras Cardiol. 2007; 88(Supl 1): 2-19.

American Diabetes Association. Diagnosis andclassification of diabetes mellitus. Diabetes Care 2004; 27(Suppl 1):S5-S10.

World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation on Obesity. Geneva; 1998.

Salvo VL, Gimeno SG. Reproducibility and validity of a food frequency questionnaire. Rev Saude Publica 2002. 36(4):505-12.

Zabotto CB, Vianna RPT, Gil MF. Registro fotográfico para inquéritos dietéticos: utensílios e porções. Campinas: Unicamp; 1996.

Pinheiro ABV, Lacerda EMA, Benzecry EH, Gomes MC, Costa VM. Tabela para avaliação de consumo em medidas caseiras. 4a. ed, São Paulo: Atheneu; 2001.

Philippi ST. Tabela de composição de alimentos suporte para decisão nutricional. 2a. ed. São Paulo Editora Coronário; 2002.

Leung WTW, Flores M. Tabla de composición de alimentos para uso en America Latina. Ciudad de Guatemala: Instituto de Nutrición Centro America y Panamá; 2006.

Institute of Medicine. Vitamin A. In: Dietary Reference Intakes for Vitamin A, Vitamin K. Arsenic, Boron, Chromuim, Copper, lodine, Iron, Manganese, Molybdenum, NÊckel, Silicon, Vanadium, and Zinc Washington (DC): National Academic Press; 2004. p.82-161

Food and Agriculture Organization of the United Nations. Carbohydrates in human nutrition: report of joint FAO/WHO Expert Consultation, Rome: FAO; 1998. p.140.

Foster-PoweÉI, K. Holt SH. Brand-Miller J. International tables of glycemic index and glicemic load values 2002, Am J Clin Nutr. 2002; 76(1):5-56.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Coordenação Geral da Política de Alimentação e Nutrição. Guia alimentar para a população brasileira. Brasília: MS; 2004.

World Health Organization, World health statistics; 2007. [cited 2007 Mar 20]. Available from: http://www.who.int/healthinfo/statistics/en/index.html

Monteiro CA, Benício MH, Conde WL, Popkin BM Shifting obesity trends in Brazil. Eur J Clin Nutr. 2000; 54(4):342-46.

Silva JLT. Barbosa DS. Oliveira JA, Guedes DR Distribuiçáo centrípeta da gordura corporal, sobrepeso e aptidão cardiorrespiratória: associação com sensibilidade insulínica e alterações metabólicas. Arq Bras Endocrinol Metab. 2006; 50(6):1034-40.

Volp ACP, Alfenas RCG. índice glicêmico, carga glicêmica e doenças cardiovasculares. Rev Bras Nutr Clin. 2006; 21 (4):302-8.

Frei B. Cardiovascular disease and nutrient antioxidants: role of low-density lipoprotein oxidation. Crit Rev Food Sci Nutr. 1995; 35(1 &2):83-98.

Engelhard YN. Natural antioxidants from tomato extract reduce blood pressure in patients with grade-1 hypertension: a double-blind, placebo-controiled pilot study. Am Heart J. 2006; 151(1):100.

Shanrnugam MJ, Ayyalasomayajula v, Nappan VG, Chronic dietary vitamin A supplementation regulates obesity in an obese mutant WNIN/Ob rat model. Obesity. 2006; 14(1):52-9.

Barreiro ABS, David JM. Estresse oxidativo: relação entre geração de espécies reativas e defesa do organismo. Quim Nova. 2006; 29(1):113-23.

Ozata M, Mergen M, OktenIÊ C, Aydin A, Sanisoglu SY, Bolu E. et al, Increased oxidative stress and hypozincemia in male obesity, Clin Biochem. 2002; 35(8):627-31.

Earl S, Ford MD, MPH and Wayne H, Giles, MD, MSC. A Comparison of the Prevalence of the Metabolic Syndrome Using Two Proposed Definitions. Diabetes Care. 2003; 26(3):575-81.

Ramalho RA. Braun F, Gomes AIS. Taveira M. Souza LB, Ribeiro BG. Lipid profile and consumption of dietary antioxidants in overweight and obese individuaIs, users of the health promotion center - Petrobrás. Rio de Janeiro. Brazil. Clin Nutr. 2004; 23(4): 1005-6.

Pedrosa LFC, Cozzolino SMF. Alterações metabólicas e funcionais do cobre em diabetes mellitus. Rev Nutr. 1999; 12(3):213-24.

Singh U, Devaraj S, Jialal l. Vitamin E, oxidative stress, and inflammation. Ann Rev Nutr. 2005; 25:151-74

, Ferreira KS, Gomes JC, Bellato CR, Jordão CR Concentrações de selênio em alimentos consumidos no Brasil Rev Panam Salud Publica. 2002; 11 (3):172-77

Marques RC, Marreiro DN. Aspectos metabólicos e funcionais do zinco na Síndrome de Down. Rev Nutr. 2006; 1 9(4):501-10.

Published

2007-12-31

How to Cite

Fernandes, M., Paes, C., Nogueira, C., Souza, G., Aquino, L., Borges, F., & Ramalho, A. (2007). Profile of antioxidant nutrient intake in patients with metabolic syndrome. Revista De Ciências Médicas, 16(4/6). Retrieved from https://periodicos.puc-campinas.edu.br/cienciasmedicas/article/view/1047

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Artigos Originais