Banca de DEFESA: REBECCA GARCIA GERMOGLIO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : REBECCA GARCIA GERMOGLIO
DATA : 30/07/2018
HORA: 09:00
LOCAL: Sala de aula 1 do Núcleo de Estudos em Saúde Coletiva - NESC/UFRN.
TÍTULO:

Meal quality of elderly people living in nursing homes in Natal, RN - Brazil.

PALAVRAS-CHAVES:

Meal quality index; Meal pattern; Feeding; Elderly; Nursing homes.

PÁGINAS: 88
GRANDE ÁREA: Ciências da Saúde
ÁREA: Nutrição
RESUMO:

The objective of this study was to evaluate the quality of the meals consumed by institutionalized elderly. A cross-sectional study carried out with 322-elderly people living in ten nursing homes in Natal, Brazil, between 2013 and 2014. To evaluate the quality of the meals, the Meal Quality Index (MQI) and the Main Meal Quality Index (MMQI) were calculated. Bio-sociodemographic, nutritional status and food consumption data were collected. Descriptive analysis of the population was performed by absolute and percentage frequencies and measurements of central tendency, dispersion and percentiles. All components of the indexes were calculated for the lunch meal. To compare the medians of the MMQI as a non-profit / non-profit ILPI, use the Mann-Whitney test for the independent samples. To assess the agreement between the two meal quality indices, the Wilcoxon test was performed. The scores of the two indices were categorized into quartiles and a concordance between them was tested by cross-classification and weighted kappa. The proportion of categorized elderly people in the same quartile, in adjacent quartiles and in opposing quartiles (discordance) was calculated. The study population was predominantly female, resided in non-profit institutions and was more than 80 years old. The anthropometric status of the elderly shows a large proportion of low weight. Regarding the quality of the lunch, it obtained a median score of 53.51 points in the MMQI and 54.67 points in the MQI, presenting adequate consumption of saturated fat, processed meats, sweetened beverages and desserts. It was evidenced low consumption of vegetables, fruits and fiber, and inadequate energy density. The quality of the meal consumed in the for-profit ILPI was statistically better than in the non-profit. In relation to the comparison between the two studied aspects, a cross-classification by quartiles showed good agreement, being the exact one of 48.8% and a discordance of 3.4% (weighted kappa = 0.447). The proportion of elderly in the same quartile or adjacent quartile was greater than 85%. It is concluded that the use of quality indices of meal quality has fundamental importance in the evaluation of quality of food consumed by the elderly, and to choose which one to use, the purpose of the study should be analyzed. However, it was observed that the meal consumed by the institutionalized elderly needs improvements. Thus, it is necessary to carry out deeper studies and the development of actions and public policies that encourage a better quality of food consumption of institutionalized elderly.

MEMBROS DA BANCA:
Presidente - 2149611 - CLELIA DE OLIVEIRA LYRA
Externo à Instituição - DIRCE MARIA LOBO MARCHIONI - USP
Interno - 2306763 - KARINE CAVALCANTI MAURICIO DE SENA EVANGELISTA