Nutrition intervention in elderly with functional bowel constipation
DOI:
https://doi.org/10.24220/2318-0897v22n3a2136Keywords:
Nutritional counseling, Constipation, Food counseling, Food consuption, Food and nutrition education, AgedAbstract
Objective
To analyze the effects of clíent-centered nutritiona! counseling on the intake of beans and fluids and on the complaints of constipation of elderly with functional constipation enroled in a geriatric outpatient clinic.
Methods
The elderly in this interventional study were divided into two groups, an intervention group (n=19) and a control group (n=21). All individuaIs in both groups attended seven individual monthly visits. The intervenüon group received nutritional counseIÉng. The study variables were íntake of beans, intake of fluids, and complaints that characterized functional constipation. The data were treated by repeated measures analysis of variance and the Bonfenoni correction. The significance level was set at 5%.
Results
Contrary to the control group. the intervention group had increased their intake of beans by the fourth (p=0,028) and sixth (p=0.042) visits. Fluid íntake had increased by the fourth visit and continued to increase until the end of the follow-up (p=0.031). By the end of the intewenüon, both groups were making fewer functional constipationrelated complaints.
Conclusion
Client-centered counseling is an effective educational approach for changing eating behavior and, consequently, reducing the number of bowel-related complaints that characterize constipation.
Downloads
References
Stanga Z, Alisson S, Vanderwoude M. Nutrition in the the elderly. In: Sobotka L, editor. Basic in clinical nutrition. 3rd ed. Prague: Galen; 2004. p.363-83.
Andre SB, Rodriguez TN, Moraes Filho JPP. Constipação intestinal. Rev Bras Med. 2000; 57(12):53-63.
Ginsberg DA, Phillips SF, Wallace J, Josephson KL. Evaluating and managing constipation in the elderly. Urol Nurs. 2007; 27(3):191-212.
Talley NJ, Jones M, Nuyts G, Dubois D. Risk factors for chronic constipation based on a general practice sample. Am J Gastroenterol. 2003; 98(5):1107-11.
Amado TCF, Arruda IKG, Ferreira RAR. Aspectos alimentares, nutricionais e de saúde de idosas atendidas no Núcleo de Atenção ao Idoso - NAI, Recife/2005. Arch Latinoam Nutr. 2007; 57(4):367-72.
Boog MCF. Histórico da educação alimentar e nutricional no Brasil. In: Diez-Garcia RW, Cervato-Mancuso AM. Mudanças alimentares e educação nutricional. Rio de Janeiro: Guanabara Koogan; 2011.
Geraldo JM, Alfenas RCG, Alves RDM, Salles VF, Queiroz VMV, Bitencourt MCB. Intervenção nutricional sobre medidas antropométricas e glicemia de jejum de pacientes diabéticos. Rev Nutr. 2008; 21(3):329-40. doi: 10.1590/S1415-52732008000300008.
Alvarez TS, Zanella MT. Impacto de dois programas de educação nutricional sobre o risco cardiovascular em pacientes hipertensos e com excesso de peso. Rev Nutr. 2009; 22(1):71-9. doi: 10.1590/S1415-52732009000100007.
Patterson LE, Eisenberg S. O processo de aconselhamento. São Paulo: Martins Fontes; 1988. p.173-200.
Martins C. Aconselhamento nutricional. In: Cuppari L. Nutrição clínica no adulto. São Paulo: Manole; 2002. p.111-27.
Pereira MG. Epidemiologia teórica e prática. Rio de Janeiro: Guanabara Koogan; 2005. p.269-88.
Schaefer DC, Cheskin LJ. Constipation in the elderly. Am Fam Phys. 1998; 58(4):907-14.
Martins C, Abreu SS. Pirâmide de alimentos: manual do educador. Curitiba: Nutroclínica; 1997.
Rodrigues EM, Soares FPTP, Boog MCF. Resgate do conceito de aconselhamento no contexto do atendimento nutricional. Rev Nutr. 2005; 18(1):119-28. doi: 10.1590/S1415-52732005000100011.
Philippi ST, Latterza AR, Cruz AT, Ribeiro LC. Pirâmide alimentar adaptada: guia para a escolha dos alimentos. Rev Nutr. 1999; 12(1):65-80. doi: 10.1590/S1415-52731999000100006.
Zabotto CB. Registro fotográfico para inquéritos dietéticos. Campinas: Metha; 1996.
Dean AG. Epi Info for DOS. Version 6.040. Atlanta: Center for Disease Control and Prevention; 1999 [cited 2002 Jan 18]. Available from: <http://www.cdc.gov/epiinfo/>.
Statistical Package for the Social Sciences. Version 11.0. Chicago (IL): Lead Technologies; 2004.
Minitab Statistical Software. Version 14. Pennsylvania: State College; 2003.
Winer BJ. Statistical principles in experimental design. New York: McGraw-Hill; 1991.
Brunner E, Domhof S, Langer F. Nonparametric analysis of longitudinal data in factorial designs. New York: Wiley; 2002.
Hackey H, Nye S. Aconselhamento: estratégias e objetivos. São Paulo: EPU; 1977.
Salgueiro MMHAO, Jacob Filho W, Cervato AM. Consumo alimentar entre idosas com constipação intestinal funcional. Gerontologia. 2004; 12(1-2):6-15.
Marchioni DML. Feijões: consumo e saúde. In: Anais do 7º Congresso Nacional de Pesquisa de Feijão: oportunidades e desafios na cadeia produtiva do feijão. Goiânia (GO); 2005. p.1187-91.
Brasil. Ministério da Saúde. Como está sua alimentação? Brasil: Ministério da Saúde; 2004 [acesso 2007 nov 16]. Disponível em: <http://bvsms.saude.gov.br/bvs/publicacoes/como_esta_alimentacao.pdf>.
Russell RM, Rasmussen H, Lichtenstein AH. Modified food guide pyramid for people over seventy years of age. J Nutr. 1999; 129(3):751-3.
Jungjohann SM, Lührmann PM, Bender R, Blettner M, Berthold-Neuhäuser M. Eight-year trends in food, energy and macronutrient intake in a sample of elderly German subjects. Br J Nutr. 2005; 93(3):361-78.
Firth M, Prather CM. Gastrointestinal motility problems in the elderly patient. Gastroenterology. 2002; 122(6):1688-700.
Annells M, Koch T. Older people seeking solutions to constipation: The laxative mire. J Clin Nursing. 2002; 11(5):603-12.
Oliveira SCM, Pinto-Neto A, Conde DM, Góes JRN, Sá DS, Carvasan GAF, et al. Constipação intestinal em mulheres na pós-menopausa. Rev Assoc Med Bras. 2005; 51(6):334-41.
