Caloric-protein adequacy of nutritional therapy in patients with pressure ulcers undergoing exclusive enteral nutrition therapy

Authors

DOI:

https://doi.org/10.52521/nutrivisa.v11i1.13669

Keywords:

pressure ulcer; enteral nutrition; wounds and injuries; Trauma Centers.

Abstract

Pressure ulcers (PUs) are a serious public health problem affecting hospitalized patients. Providing adequate nutritional therapy contributes to the prevention and treatment of these lesions. The objective of the study is to evaluate the caloric-protein adequacy of nutritional therapy in trauma patients with pressure ulcers receiving exclusive enteral nutrition therapy. The sample consisted of 99 trauma patients, of whom 35 had PUs. Clinical, anthropometric, and dietary information was collected from the participants, and the data were subjected to association tests and mean comparisons. To analyze the protein and caloric adequacy of the diet, the association between adequate and inadequate nutritional therapy, according to recommendations for PUs, and the stages of the lesion was verified. The data were analyzed using the Statistical Package for the Social Sciences program, considering a significance level of p>0.05. Regarding nutritional therapy, a higher prevalence of protein adequacy was found in the diets of patients with stages 1 and 2 PUs compared to stages 3 and 4 (p=0.011). However, regarding calories, there was no association between adequacy and the stages of the lesion. The majority of patients with LPP were diagnosed with malnutrition (80%) according to arm circumference, with a statistical difference in relation to patients without LPP (p=0.018). A higher prevalence of adequate protein intake in the diet was found in patients with stage 1 and 2 of the lesions. However, the adequacy of dietary calories is not related to the stages of the injury.

Author Biographies

Thaynan dos Santos Dias, Programa de Pós-graduação em Nutrição e Saúde. Universidade Estadual do Ceará, Fortaleza, Ceará, Brasil.

 

 

Luis Felipe Nunes de Oliveira, Master. Postgraduate Program in Nutrition and Health. State University of Ceara, Fortaleza, Ceara, Brazil.

Nutritionist graduated from Estácio University Center of Ceará. Specialist in Functional Clinical Nutrition from the Faculty of Medical Sciences of Santa Casa de São Paulo. Master in Nutrition and Health from the State University of Ceará. Member of the Study and Research Group on Micronutrients and Chronic Diseases (GMIC) and the Study Group on Precision Nutrition (GENUP). Scientific experience in the field of study of chronic diseases, micronutrients, sports nutrition and oxidative stress. Has clinical experience in the area of ​​nutrition, with emphasis on chronic non-communicable diseases and sports.

Matheus Aragão Dias Firmino, Master. Postgraduate Program in Nutrition and Health. State University of Ceara, Fortaleza, Ceara, Brazil.

Master's student in Nutrition and Health at UECE (2022 - current) and nutritionist graduated from the State University of Ceará, CRN11 - 10696 (2018.2). During his undergraduate degree, he was a scholarship holder of the Extension Project at the Food Processing Laboratory - LABPAL in the baking area (2016) and also a scientific initiation scholarship holder from FUNCAP at the Laboratory of Food and Micronutrient Analysis - LAAM (2017). In addition, he was an effective member of the Academic League of Enteral and Parenteral Nutritional Therapy - LATNEP (2018). He is currently an active member/researcher of the Micronutrients and Chronic Diseases Group (GMIC) and was a volunteer in the extension project Integrated Activities Program in Nutrition/PAIN (2023-2024).

Kelly da Silva Sales, Master. Postgraduate Program in Nutrition and Health. State University of Ceara, Fortaleza, Ceara, Brazil.

Nutritionist, graduated from Estácio do Ceará University Center, Via Corpvs (2018). Postgraduate degree in Clinical and Sports Nutrition from the Faculty of Quixeramobim - CE (2019). Specialist in Urgency and Emergency (Multiprofessional Residency in Health) 2019 - 2021. Master's student in Nutrition and Health - Uece. Experience in the area of ​​​​Clinical and Hospital Nutrition. Currently a Nutritionist at Casa de Cuidados do Ceará.

Ashley Brito Valentim, Master's student in the Postgraduate Program in Nutrition and Health. State University of Ceará, Fortaleza, Ceará, Brazil.

Master's student in Nutrition and Health (2024) and graduated in Nutrition (2023) from the State University of Ceará. Postgraduate student in Behavioral and Clinical Nutrition. Member of the Food and Micronutrient Analysis Laboratory (LAAM) and the Study and Research Group on Micronutrients and Chronic Diseases (GMIC). Works in the areas of Public Health and Nutrition with a focus on Health in Childhood and Adolescence.

Letícia Maria Colares Perez , Specialist. Residency in cardiopulmonary care. Dr. Carlos Alberto Studart Gomes Messejana Hospital, Fortaleza, Ceará, Brazil.

Nutritionist from the State University of Ceará (UECE). Postgraduate degree in Multiprofessional Residency in Cardiopulmonary Care from the Hospital de Messejana Dr. Carlos Alberto Studart Gomes.

Ayana Florêncio de Meneses , PhD. Postgraduate Program in Public Health. State University of Ceara, Fortaleza, Ceara, Brazil.

Nutritionist graduated from the State University of Ceará - UECE. Nutritionist at a referral hospital for trauma, urgency and emergency care. Member of the Multidisciplinary Committee for Nutritional Therapy - EMTN/IJF. Trained by the EMDIA Center (Multidisciplinary Center for Studies, Integrated Care and Continuing Education in Diabetes, Obesity, High Blood Pressure, Dyslipidemia and Atherosclerosis - Federal University of Ceará). Specialist in Clinical Nutrition from Gama Filho University - UGF. Master in Public Health from the Federal University of Ceará - UFC. PhD in Public Health from the State University of Ceará - UECE Member of the Research Group on Nutrition and Chronic-Degenerative Diseases and Maternal-Child Nutrition of UECE (NUTRINDO).

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2024-09-16

How to Cite

DIAS, T. dos S.; OLIVEIRA, L. F. N. de; FIRMINO, M. A. D.; SALES, K. da S.; VALENTIM, A. B.; PEREZ , L. M. C.; MENESES , A. F. de. Caloric-protein adequacy of nutritional therapy in patients with pressure ulcers undergoing exclusive enteral nutrition therapy. Journal of Nutrition and Health Surveillance, Fortaleza, v. 11, n. 1, p. e13669, 2024. DOI: 10.52521/nutrivisa.v11i1.13669. Disponível em: https://revistas.uece.br/index.php/nutrivisa/article/view/13669. Acesso em: 23 nov. 2024.

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Vol. 11 No. 1 (2024): Nutrivisa (jan/dez)

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Artigos originais

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Copyright (c) 2024 Thaynan dos Santos Dias, Luis Felipe Nunes de Oliveira, Matheus Aragão Dias Firmino, Kelly da Silva Sales, Ashley Brito Valentim, Letícia Maria Colares Perez , Ayana Florêncio de Meneses

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