Carmem-Costa-do-Nascimento C, Cristhine-Pordeus-de-Lima R, Rios-Asciutti LS, Marcos-de-Moraes R, Hermínia-Andrade-e-Silva A, da-Silva-Diniz A, Marinho-Albuquerque T, Rodrigues-Gonçalves MC, Santana-de-Oliveira R, de-Carvalho-Costa MJ

Idioma: Ingles.
Referencias bibliográficas: 54
Paginas: 450-460
Archivo PDF: 211.97 Kb.

RESUMEN

Introducción. El envejecimiento de la población fue uno de los principales resultados de las tendencias demográficas poblaciones durante el siglo XX y será el aspecto distintivo de las poblaciones durante el siglo XXI. Objetivo. Evaluar el consumo alimentario habitual de vitamina A y la concentración de retinol sérico en ancianos. Material y métodos. Estudio epidemiológico transversal, de base poblacional, realizado en João Pessoa/PB, zona del nordeste del Brasil en el periodo de julio 2008 a enero 2010, con 212 individuos de 60 y 90 años de edad, de ambos géneros. Se colectaron datos de consumo alimentario habitual, retinolemia y proteína C-reactiva (PCR), además de aspectos socioeconómicos y antropométricos. Resultados. El promedio de consumo de vitamina A fue de 1643,40 µg RAE/día (p25 = 1112.20-p75 = 2430.80). La concentración promedio de retinol sérico fue de 1.91 ± 0.68 µmol/L. No hubo correlación entre concentración de PCR y retinol sérico (r = 0.061/p = 0.424), ni con el consumo alimentario habitual de retinol (r = 0.000/p = 0.932). Sin embargo, hubo relación directa entre el consumo y la concentración sérica de retinol (r = 0.173/p = 0.025). Solamente 3,98% (IC95% 6.88-1.08) de los individuos presentaron concentraciones de retinol sérico inadecuados (‹ 1.05 µmol/L) y 12.4% (IC95% 17.36-7.44) consumo de vitamina A inadecuado (‹ 625 µg, sexo masculino; ‹ 500 µg, femenino). En la población se evidenció para la mayoría de los ancianos adecuado estado de retinolemia y de consumo alimentario habitual de vitamina A, protegiéndolos probablemente de esa vulnerabilidad nutricional específica; no se encontró correlación entre concentración de PCR con retinol sérico y dietético, posiblemente por tratarse de ancianos sin cuadro agudo de inflamación o con ausencia de enfermedades crónicas descompensadas.

REFERENCIAS (EN ESTE ARTÍCULO)

1. United Nations, Departament of Economic and Social Affairs: population division. World population ageing 2009. New York; 2009, p. 82.

2. Nascimento AL, Diniz AS, Arruda IKG. Deficiência de vitamina A em idosos do programa de saúde da família de Camaragibe, PE, Brasil. Arch Latinoam Nutr 2007; 57(3): 213-8.

3. D’Souza AL. Ageing and gut. Postgrad Med J 2007; 83: 44-53.

4. Campos MTFS, Monteiro JBR, Ornelas APRC. Fatores que afetam o consumo alimentar e a nutrição do idoso. Rev Nutr 2000; 13(3): 157-65.

5. Timiras PS. Physiological basis of aging and geriatrics. 4th. Ed. VIII. New York: Informa Healthcare; 2007, p. 407.

6. Oldewage-Theron WH, Samuel FO, Djould RD. Serum concentration and dietary intake of vitamins A and E in low-income South African elderly. Clin Nutr. DOI: 10.1016/ j.clnu.2009.08.001.

7. Akbaraly TN, Favier A, Berr C. Total plasma carotenoids and mortality in the elderly: results of the epidemiology of vascular ageing (EVA) study. Br J Nutr 2008. DOI: 10.1017/ S0007114508998445. Available from: http://journals.cambridge.org/action/displa Abstract?aid¼1890668 [On line, by Cambridge University 29 May 2008].

8. Lauretani F, Semba RD, Dayhoff-Brannigan M, Corsi A, Di Iorio A, Buiatti E, et al. Low total plasma carotenoids are independent predictors of mortality among older persons the In-CHIANTI study. Eur J Nutr 2008; 47(6): 335-40.

9. Thurnham DI, Mccabe GP, Northrop-Clewes CA, Nestel P. Effects of suclinical infarction on plasma retinol concentrations and assessment of prevalence of vitamin A deficiency: metaanalysis. Lancet 2003; 362: 2052-8.

10. Scheurig AC, Thorand B, Fischer B, Heier M, Koenig W. Association between the intake of vitamins and trace elements from supplements and C-reactive protein: results of the MONICA/KORA Augsburg study. Eur J Clin Nutr 2008; 62: 127-37.

11. Gey KF, Ducimetière P, Evans A, Amouyel P, Arveiler D, Ferrièresf J, et al. Low plasma retinol predicts coronary events in healthy middle-aged men: The PRIME Study. Atherosclerosis 2010; 208: 270-4.

12. Kac G, Sichieri R, Gigante DP. Epidemiologia nutricional. Rio de Janeiro: Fiocruz-Atheneu; 2007, p. 580.

13. WHO. Obesity: preventing and managing the global epidemic. Report of a WHO Consulation Group on Obesity. Geneva: 1998.

14. Lipschitz DA. Screening for nutritional status in the elderly. Prim Care 1994; 21(1): 55-67.

15. Lima FELL, Slater B, Latorre MRDO, Fisberg RM. Validade de um questionário quantitativo de frequência alimentar desenvolvido para população feminina no nordeste do Brasil. Rev Bras Epidemiol 2007; 10: 483-90.

16. Lima FEL, Latorres MRDO, Costa MJC, Fisberg RM. Diet and cancer in northeastern Brazil: evaluation of food and food group consumption in relation to breast cancer. Cad Saude Publica (FIOCRUZ). 2008; 24: 820-8.

17. Otten JJ, Hellwig JP, Meyers LD. Dietary Reference Intake: the essencial guide to nutrient requirements. Washington: The National Academies Press; 2006, p. 543.

18. Asciutti LSR, Rivera MAA, Costa MJC, Imperiano E, Arruda MS, Bandeira MG, Arruda NS. Manual de porções média em tamanho real: baseado no programa Dietsys. UFPB 2005.

19. Furr HC, Tanumihardj O, Olson JA. Training manual for assessing vitamin A status by use of the modified relative dose response and the relative dose response assays Sponsede by the USAID vitamin A. Washington: Field Support Project-Vital; 1992, p. 70.

20. WHO. Indicators for assessing vitamin A deficiency and their application in monitoring and evaluating intervention programs: Micronutrients series. Geneva: WHO/UNICEF; 1996.

21. Herbeth B, Siest G, Henny J. Hight-sensivity C-reactive protein (CRP) reference intervals in the elderly. Clin Chem Lab Med 2001; 39: 1169-70.

22. Development Core R Team: A language and environment for statistical computing. R Foundation for Statistical Computing, Available from: http://www.R-project.org/ Acesso em: 16 de fevereiro de 2010.

23. Cortês Neri M (coord.). Consumidores produtores e a nova classe média: miséria, desigualdade e determinantes das classes. Rio de Janeiro: FGV/IBRE, CPS; 2009, p. 130.

24. Oldewage-Theron WH, Kruger R. Food variety and dietary diversity as indicators of the dietary adequacy and health status of an elderly population in Sharpeville, South Africa. J Nutr Elder 2008; 27(1-2): 101-33.

25. Houston DK, Ding J, Nicklas BJ, Harris TB, Lee JS, Nevitt MC, et al. Overweight and obesity over the adult life course and incident mobility limitation in older adults. Am J Epidemiol 2009; 169(8): 927-36.

26. Lima ALL, Silva ACF, Konno SC, Conde WL, Benicio MHD, Monteiro CA. Causes of the accelerated decline in child undernutrition in Northeastern Brazil (1986-1996-2006). Rev Saude Pública 2010; 44(1): 17-27.

27. Neri MC (coord.). Miséria, desigualdade e políticas de renda: o Real do Lula. Rio de Janeiro: Centro de Políticas Sociais e Instituto Brasileiro de Economia da Fundação Getulio Vargas; 2007.

28. Neutzling MB, Rombaldi AJ, Azevedo MR, Hallal PC. Factors associates with fruit and vegetable intake among adults in a southern Brazilian city. Cad Saude Publica 2009; 25(11): 2365-74.

29. Ministério da Saúde. Guia Alimentar para a população brasileira: promovendo a alimentação saudável. Secretaria de atenção à saúde: Brasília; 2006.

30. Philippi ST, Latterza AR, Cruz ATR, Ribeiro LC. Adapted food pyramid: a guide for a right food choice. Rev Nutr Campinas 1999; 12(1): 65-80.

31. USDA. U.S. Department of Agriculture: U.S. Department of health and human service. Dietary Guidelines for Americans, 2005. Available from: www.healthierus.gov/dietaryguidelines

32. Sommer A. Vitamin A deficiency and clinical disease: an historical overview. J Nutr 2008; 138: 1835-9.

33. Goldbohm RA, Brants HAM, Hulshof KFAM, Van Den Brandt PA. The contribution of various foods to intake of vitamin a and carotenoids in the netherlands. Int J Vitam Nutr Res1998; 68: 378-83.

34. Lucarini M, Lanzi S, D’evoli L, Aguzzi A, Lombardi-Boccia G. Intake of vitamin a and carotenoids from the Italian population- Results of an Italian Total Diet Study. Int J Vitam Nutr Res. Seite 103-109, Band 76, 2006. Doi:10.1024/0300- 9831.76.3.10.

35. Lauretani F, Semba RD, Dayhoff-Brannigan M, Corsi A, Di Iorio A, Buiatti E, et al. Low total plasma carotenoids are independent predictors of mortality among older persons the In- CHIANTI study. Eur J Nutr 2008; 47(6): 335-40.

36. Humphreys V, Martin RM, Ratcliffe B, Duthie S, Wood S, Gunnell D, Collins AR. Age-related increases in DNA repair and antioxidant protection: A comparison of the Boyd Orr Cohort of elderly subjects with a younger population sample. Age Ageing.2007; 36: 521-6.

37. Mecocci P, Polidori MC, Troiano L, Cherubini A, Cecchetti R, Pini G. Plasma antioxidants and longevity: a study on healthy centenarians. Free Radic Biol Med 2000; 28(8): 1243-8.

38. Stephensen CB, Gildengorin G. Serum retinol, the acute phase response, and the apparent misclassification of vitamin A status in the Third National Health and Nutrition Examination Survey. Am J Clin Nutr 2000; 72: 1170-8.

39. Cheng WY, Fu ML, Wen LJ, Chen C, Pan WH, Huang CJ. Plasma retinol and α-tocopherol status of the Taiwanese elderly population. Asia Pac J Clin Nutr 2005; 14(3): 256-62.

40. Polito A, Intorre F, Andriollo-Sanchez M, Azzini E, Raguzzini A, Meunier N, et al. Estimation of intake and status of vitamin A, vitamin E and folate in older European adults: the ZENITH. Eur J Clin Nutr 2005; 59 (Suppl. 2): S42-S47.

41. Tomita LY, Almeida LC, Roteli-Martins C, D’Almeida V, Cardoso MA. Dietary predictors of serum total carotene in low-income women living in São Paulo, South-east Brazil. Public Health Nutr 2009; 12(11): 2133-42.

42. Russel RM. The aging process as a modifier of metabolism. Am J Clin Nutr 2000; 72 (Suppl.): S529-S532.

43. Hankinson SE, Stampfer MJ, Seddon JM, Colditz GA, Rosner B, Speizer FE. Nutrient intake and cataract extraction in women: a prospective study. BMJ 1992; 305(6849): 335-9.

44. Stahl W, Sie H. Bioactivity and protective effects of natural carotenoids. Biochimica et Biophysica Act 2005; 1740: 101-07.

45. Mora JR, Iwata M, Andrian UH. Vitamin effects on the immune system: vitamins A and D take centre stage. Nat Rev Immunol 2008; 8(9): 685-98.

46. Sommer A. Vitamin A deficiency and clinical disease: An historical overview. J Nutr 2008; 138: 1835-9.

47. Vannucchi H, Cunha DF, Bernades MM, Unamuno MRL. Avaliação dos níveis séricos das vitaminas A, E, C e B2, de carotenóides e zinco, em idosos hospitalizados. Rev Saude Pública1994; 28(2): 121-6.

48. Bulux J. Studies on the application of the relative-dose-response test for assessing vitamin A status in older adults. Am J Clin Nutr 1992; 56: 543-7.

49. Costa MJC, Guilland JC, Moreau D, Boggio V. Vitamin status of health subjects in Burgundy (France). Ann Nutr Metab1996; 40: 24-51.

50. Hallfrisch J, Müller DC, Singh VN. Vitamin A and E intakes and plasma concentrations of retinol, β-carotene, and α-tocopherol in men and women of the Baltimore Longitudinal Study of Aging. Am J Clin Nutr 1994; 60: 176-82.

51. Ambrósio CLB, Campos CFA, Faro ZP. Carotenoids as an alternative against hypovitaminosis. A Rev Nutr Campinas 2006; 19(2): 233-43.

52. Albuquerque MN, Diniz AS, Arruda IKG. Retinolemia, consumo de vitamina A e pressão arterial em idosos. Arch Latinoam Nutr 2009; 59(4): 396-401.

53. National Academy of Sciences. Recommended dietary allowances. 8th. Ed. Washington (DC); 1974.

54. Ribaya-Mercado JD, Solon FS, Solon MA, Cabal-Barza MA, Perfecto CS, Tang G, et al. Bioconversion of plant carotenoids to vitamin A in Filipino school-aged children varies inversely with vitamin A status. Am J Clin Nutr 2000; 72(2): 455-65.