{"id":54939,"date":"2022-05-30T10:12:58","date_gmt":"2022-05-30T13:12:58","guid":{"rendered":"https:\/\/nutritotal.com.br\/pro\/?p=54939"},"modified":"2023-05-31T15:44:56","modified_gmt":"2023-05-31T18:44:56","slug":"fibrose-cistica-composicao-corporal","status":"publish","type":"post","link":"https:\/\/nutritotal.com.br\/pro\/fibrose-cistica-composicao-corporal\/","title":{"rendered":"Fibrose c\u00edstica: compara\u00e7\u00e3o de m\u00e9todos de avalia\u00e7\u00e3o da composi\u00e7\u00e3o corporal"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_75 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/nutritotal.com.br\/pro\/fibrose-cistica-composicao-corporal\/#A_concordancia_entre_as_tecnicas_foi_moderada\" >A concord\u00e2ncia entre as t\u00e9cnicas foi moderada<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/nutritotal.com.br\/pro\/fibrose-cistica-composicao-corporal\/#Qual_e_a_melhor_ferramenta_de_avaliacao_de_composicao_corporal_em_fibrose_cistica\" >Qual \u00e9 a melhor ferramenta de avalia\u00e7\u00e3o de composi\u00e7\u00e3o corporal em fibrose c\u00edstica?<\/a><\/li><\/ul><\/nav><\/div>\n<p>A <a href=\"https:\/\/nutritotal.com.br\/pro\/circunferencia-do-braco-como-indicador-de-desnutricao-em-criancas-com-fibrose-cistica\/\"><strong>fibrose c\u00edstica (FC)<\/strong><\/a> \u00e9 uma doen\u00e7a heredit\u00e1ria que gera diminui\u00e7\u00e3o da fun\u00e7\u00e3o pulmonar, m\u00e1 absor\u00e7\u00e3o e m\u00e1 digest\u00e3o dos nutrientes. Sendo a <strong>desnutri\u00e7\u00e3o<\/strong> um fator de morbimortalidade, \u00e9 recomendado que <strong>avalia\u00e7\u00f5es nutricionais frequentes<\/strong> sejam realizadas. Para analisar a composi\u00e7\u00e3o corporal na fibrose c\u00edstica, uma nova pesquisa buscou comparar a concord\u00e2ncia entre as t\u00e9cnicas de <strong>densitometria (<\/strong><a href=\"https:\/\/nutritotal.com.br\/pro\/massa-muscular-avaliada-por-dxa-como-valor-prognostico-em-idosos-hospitalizados\/\"><strong>DXA<\/strong><\/a><strong>)<\/strong> e medi\u00e7\u00e3o das <a href=\"https:\/\/nutritotal.com.br\/pro\/acuracia-das-dobras-cutaneas-para-avaliar-porcentagem-de-gordura-corporal\/\"><strong>dobras cut\u00e2neas<\/strong><\/a><strong> (DC)<\/strong>. Confira os resultados a seguir.<\/p>\n<div id=\"attachment_54924\" style=\"width: 1150px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-54924\" class=\"wp-image-54924 size-full\" src=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2022\/05\/composicao-corporal_site.png\" alt=\"fibrosa c\u00edstica\" width=\"1140\" height=\"460\" srcset=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2022\/05\/composicao-corporal_site.png 1140w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2022\/05\/composicao-corporal_site-300x121.png 300w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2022\/05\/composicao-corporal_site-1024x413.png 1024w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2022\/05\/composicao-corporal_site-768x310.png 768w\" sizes=\"(max-width: 1140px) 100vw, 1140px\" \/><p id=\"caption-attachment-54924\" class=\"wp-caption-text\">Fonte: Canva<\/p><\/div>\n<p><strong>DXA e Dobras Cut\u00e2neas foram as t\u00e9cnicas comparadas em pacientes com fibrose c\u00edstica<\/strong><\/p>\n<p>Atualmente, o DXA representa a op\u00e7\u00e3o preferencial para avaliar e monitorar as mudan\u00e7as na composi\u00e7\u00e3o corporal de pacientes com fibrose c\u00edstica. Desse modo, os autores da pesquisa consideraram fundamental conhecer o grau de concord\u00e2ncia entre o DXA e as dobras cut\u00e2neas, t\u00e9cnica mais facilmente implementada na rotina assistencial, al\u00e9m de ser mais acess\u00edvel para as equipes de sa\u00fade.<\/p>\n<p>Para isso, foi realizado um estudo transversal com <strong>41 pacientes de fibrose c\u00edstica<\/strong> clinicamente est\u00e1veis.<\/p>\n<p>Para as dobras cut\u00e2neas, foram medidas dobras <strong>triciptal, biciptal, subescapular e suprail\u00edaca<\/strong>. As porcentagens e quilogramas de massa de gordura e massa livre de gordura foram estimadas de acordo com <strong>f\u00f3rmulas de predi\u00e7\u00e3o<\/strong>.<\/p>\n<p>Em DXA, foram registrados <strong>peso, gordura total e regional, e massa livre de gordura<\/strong> (kg). Tamb\u00e9m foi calculado o <strong>\u00edndice de massa livre de gordura<\/strong> (kg\/m\u00b2).<\/p>\n<p>Por fim, o diagn\u00f3stico de <strong>desnutri\u00e7\u00e3o<\/strong> foi estabelecido quando o \u00cdndice de Massa Livre de Gordura fosse <strong>menor que 17 kg\/m\u00b2<\/strong> em homens ou <strong>menor que 15 kg\/m\u00b2<\/strong> em mulheres, seguindo os par\u00e2metros ESPEN.<\/p>\n<p>&nbsp;<\/p>\n<h3><span class=\"ez-toc-section\" id=\"A_concordancia_entre_as_tecnicas_foi_moderada\"><\/span><strong>A concord\u00e2ncia entre as t\u00e9cnicas foi moderada<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Conforme representado na tabela a seguir, os valores de massa de gordura e massa livre de gordura foram semelhantes em ambas as t\u00e9cnicas (DXA e DC). J\u00e1 para os valores de \u00cdndice de Massa Livre de Gordura, a concord\u00e2ncia foi apenas moderada.<\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><\/td>\n<td><strong>M\u00e9dia por DXA<\/strong><\/td>\n<td><strong>M\u00e9dia por Dobras Cut\u00e2neas (DC)<\/strong><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"188\"><strong>Massa de gordura (kg)<\/strong><\/td>\n<td width=\"100\">Homens<\/td>\n<td>14.9<\/td>\n<td>11.6<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">Mulheres<\/td>\n<td>14.8<\/td>\n<td>15.3<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"188\"><strong>Massa livre de gordura (kg)<\/strong><\/td>\n<td width=\"100\">Homens<\/td>\n<td>52.8<\/td>\n<td>52.1<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">Mulheres<\/td>\n<td>36.7<\/td>\n<td>36.9<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"188\"><strong>\u00cdndice de massa livre de gordura (kg\/m\u00b2)<\/strong><\/td>\n<td width=\"100\">Homens<\/td>\n<td>17.9<\/td>\n<td>18.7<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">Mulheres<\/td>\n<td>14.7<\/td>\n<td>14.9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>A preval\u00eancia de <strong>desnutri\u00e7\u00e3o<\/strong>, levando em conta o \u00cdndice de Massa Livre de Gordura (&lt;17 kg\/m\u00b2 em homens e &lt;15 kg\/m\u00b2 em mulheres), <strong>foi maior em DXA do que em DC<\/strong>. Utilizando DXA, 20 pacientes apresentaram desnutri\u00e7\u00e3o. Enquanto isso, utilizando DC, apenas 16 pacientes apresentaram desnutri\u00e7\u00e3o.<\/p>\n<p>&nbsp;<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Qual_e_a_melhor_ferramenta_de_avaliacao_de_composicao_corporal_em_fibrose_cistica\"><\/span><strong>Qual \u00e9 a melhor ferramenta de avalia\u00e7\u00e3o de composi\u00e7\u00e3o corporal em fibrose c\u00edstica?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Apesar da boa concord\u00e2ncia estat\u00edstica entre DXA e DC para avaliar massa de gordura e massa livre de gordura, a concord\u00e2ncia moderada para detec\u00e7\u00e3o de desnutri\u00e7\u00e3o levou os autores a conclu\u00edrem que <strong>DXA deve continuar sendo a t\u00e9cnica de escolha<\/strong> para avalia\u00e7\u00e3o da composi\u00e7\u00e3o corporal na Fibrose C\u00edstica.<\/p>\n<p>Contudo, a mensura\u00e7\u00e3o das dobras cut\u00e2neas pode ser utilizada nos casos em que a utiliza\u00e7\u00e3o de DXA esteja invi\u00e1vel, seja pela falta de portabilidade do equipamento, a dificuldade de uso em pacientes com doen\u00e7as pulmonares graves, ou por algum outro fator.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancia<\/strong><\/p>\n<p>BOL\u00cdVAR, Victoria Contreras et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34839671\/\" target=\"_blank\" rel=\"noopener\">Assessment of body composition in cystic fibrosis: agreement between skinfold measurement and densitometry<\/a>. <strong>Nutrici\u00f3n hospitalaria: Organo oficial de la Sociedad espa\u00f1ola de nutrici\u00f3n parenteral y enteral<\/strong>, v. 39, n. 2, p. 376-382, 2022.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A fibrose c\u00edstica (FC) \u00e9 uma doen\u00e7a heredit\u00e1ria que gera diminui\u00e7\u00e3o da fun\u00e7\u00e3o pulmonar, m\u00e1 absor\u00e7\u00e3o e m\u00e1 digest\u00e3o dos nutrientes. Sendo a desnutri\u00e7\u00e3o um fator de morbimortalidade, \u00e9 recomendado que avalia\u00e7\u00f5es nutricionais frequentes sejam realizadas. Para analisar a composi\u00e7\u00e3o corporal na fibrose c\u00edstica, uma nova pesquisa buscou comparar a concord\u00e2ncia entre as t\u00e9cnicas de [&hellip;]<\/p>\n","protected":false},"author":114981,"featured_media":54925,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[167,166,2729],"divisao":[3233,3396,2185],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fibrose C\u00edstica: avalia\u00e7\u00e3o nutricional - Nutritotal PRO<\/title>\n<meta name=\"description\" content=\"Para analisar a composi\u00e7\u00e3o corporal na fibrose c\u00edstica, uma nova pesquisa comparou a concord\u00e2ncia entre duas t\u00e9cnicas: DXA e dobras cut\u00e2neas\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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