SILVA, A. A. P.; http://lattes.cnpq.br/7966379901217319; SILVA, Alessandra Alexia Paiva e.
Résumé:
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.
