Avaliação da evolução da perda de peso de pacientes do Ambulatório Integrado de Nutrição e Nutrologia (AINN) de atenção secundária à saúde de Governador Valadares - MG

Abstract

This work had the goal to avaluate the weight loss rate and the evolution of the nutritional state in patients monitored at the Ambulatório Integrado de Nutrição e Nutrologia (AINN), in Govermador Valadares, MG. We have used as a method an analytical study, with data from secundary sources. Anthropometric and clinic data were used in the charts of patients older than 18 years of age that were seen between August of 2017 and August of 2018, in their first and last consultations. The amount of consultations was counted for each patient. The IMC (38,82 ±6,43) was used for verifying the nutritional state of the non bariatric patients up until three consultations, and to those with four or more consultations. The data was typed on the Microsoft Excel® software, the 2013 version, and analyzed on the SPSS, version 19. The final sample was composed by 276 patients, 31 post bariatric and 245 non bariatric. Most were of the female sex, with the average age of 43,5 (18 - 84). The most prevailling comorbidities were High Blood Pressure (58%) and diabetes mellitus (22,8%), and the least prevailling was kidney impairment (2%). Only 126 (51,4%) of the non bariariatric patiets have been to more than two consultations. The average weight loss in patients with 2 or 3 consultations was of 2,9 (+8,96/-10,18) and of 4,9 (+8,9/-28,67) for those with 4 or more consultations (p = 0,027). There has been reduction of frequency from patients with ≥ 40,0 Kg/m2. It is concluded that the rate of weight loss was related to the amount of consultations. Also, it was noticed that the multidisciplinary follow-up was able to reduce the more serious cases of obesity. We believe that this multidisciplinary work will be able to contribute to the reduction of the prevalence of serious obesity and to better the life quality of the population of Governador Valadares.