Consumo de fibras e sua associação com fatores de risco cardiometabólicos em indivíduos em prevenção secundária para doenças cardiovasculares: estudo multicêntrico

Detalhes bibliográficos
Ano de defesa: 2016
Autor(a) principal: Dias, Luciana Pereira Pinto lattes
Orientador(a): FIGUEIREDO NETO, José Albuquerque de
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal do Maranhão
Programa de Pós-Graduação: PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE DO ADULTO E DA CRIANÇA/CCBS
Departamento: DEPARTAMENTO DE MEDICINA I/CCBS
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: http://tedebc.ufma.br:8080/jspui/handle/tede/1430
Resumo: Introduction: Cardiovascular diseases are the leading cause of death in the world, and the adequate intake of dietary fiber plays an important role in the reduction and prevention of these diseases. Objective: Assess the association between fiber intake and cardiometabolic risk factors in patients in secondary prevention of cardiovascular disease. Methods: Crosssectional study with basal data from 141 patients of the collaborating centers in the states of Maranhão - MA (n = 40 samples), Bahia - BA (n = 52) and Rio de Janeiro - RJ (n = 49), belonging to the multicenter study “Effect of the Cardioprotective Brazilian Food Programme in reducing events and risk factors in secondary prevention of cardiovascular disease: A Randomized Clinical Trial (Dica Br)”. It were used sociodemographic, clinical, behavioral, anthropometric and daily fiber consumption data of indiviuals of both genders over 45 years old, with evidence (current or in the past 10 years) of manifest atherosclerosis. A descriptive analysis, a checking of the relation of cardiometabolic risk factors among centers, and the determination of the intrapersonal and interpersonal variance by ANOVA to analysis of fiber consumption were performed. The association of cardiometabolic risk factors with fiber intake was taken by Poisson regression model, with significance level of 5%. Data were analyzed in Stata® program (version 12). Results: The prevalence of inadequate daily fiber intake in the population studied was high. The patients of the centers of RJ (RP = 0,63; 95% CI = 0,49-0,80) and BA (RP = 0,79; 95% CI= 0,66 - 0,95), the former smokers (RP = 0,59;95% CI= 0,45 - 0,78) and those who had never smoked (RP = 0,62; 95% CI= 0,66- 0,95) had a lower chance of having an inadequate fiber intake; those with overweight were 28,0% more likely to have inadequate fiber intake. Conclusion: The results indicates that most of the population observed in the study had inadequate fiber intake and that the low consumption was significantly associated with the variables overweight, smoking and Collaborating Center.