Avaliação nutricional e dietética de pacientes diabéticos em hemodiálise suplementados com farinha da casca do maracujá-amarelo.

Abstract

Diabetes Mellitus is a serious public health problem due to its high prevalence in the population and one of its main microvascular complications is chronic kidney disease. In Brazil, the prevalence of people on replacement therapy kidney disease has increased in recent years and one of the main causes is increased diabetes mellitus 2. Nutritional therapy, introducing fiber into the diet has been the focus of coping with diabetes mellitus. The yellow passion fruit peel flour is rich in pectin, a soluble fiber fraction that has been shown to be effective in glycemic control. Thus, the present work aimed to evaluate the effects of supplementation with yellow passion fruit peel flour on nutritional and dietary parameters of patients with type 2 diabetes mellitus undergoing hemodialysis in the city of Patos, Paraíba. Patients were divided into two groups, G 1: supplemented with flour of yellow passion fruit peel and G2: placebo. The profile was evaluated socioeconomic and anthropometric evaluation, for the percentage of fat, were measured the Triceps skinfolds; subscapular; suprailiac and abdominal. the circles arm, waist, hip, arm muscle and waist-hip ratio as well Were analysed. Weight and height were obtained for analysis of the Mass Index Body. For analysis of muscle strength, the Lovet scale was applied. the blood glucose of Fasting was analyzed through the patients' medical records. The dietary assessment was obtained by food frequency questionnaire and 24-hour recalls. All these collections were obtained before and after the proposed supplementation, except for the variables socioeconomic factors. For statistical analysis, Tukey's test at 5% of significance (p < 0.05) to verify statistical differences. The data demonstrated malnutrition when taking into account the measurements of the arm, being these parameters are more reliable for this population. Men showed greater loss of muscle mass and adipose tissue women. In 50% of patients there was a loss of muscle strength regardless of the use of flour. ingestion energy and protein is deficient characterizing protein-calorie malnutrition in patients. Inadequacies in eating habits were also perceived. supplementation it proved to be effective with regard to gastrointestinal issues. The patients' fasting blood glucose had an average reduction of 20%, after being supplemented with yellow passion fruit peel flour. Given the results obtained, we can conclude that the use of yellow passion fruit peel flour can be an auxiliary alternative in the treatment of diabetic patients undergoing hemodialysis.