Objetivo. Verificar a associação de risco para Síndrome da Apneia Obstrutiva do Sono (SAOS) com o consumo de gorduras e fibras. Mé­todo. Estudo descritivo realizado na Sociedade Beneficente de Senho­ras Hospital Sírio Libanês (HSL). Participaram 1030 indivíduos que foram avaliados quanto idade, sexo, peso, estatura e Índice de Massa Corporal (IMC). Para investigar a ingestão alimentar foi aplicado o Questionário de Freqüência Alimentar (QFA) e para classificar o risco para SAOS foi aplicado Questionário de Berlin (QB). Resultados. A faixa etária variou entre 24 e 78 anos, com média de 45±8,9anos, com IMC médio de 26,9Kg/m2, 77,7% do sexo masculino. Pacientes com alto risco para SAOS representaram 23,13%. Observou-se associação de 13,95% (p<0,001) entre alto risco para SAOS e obesidade, quando comparados com sobrepeso (7,02%) e eutrófico (2,14%). 25% dos indivíduos apresentavam consumo elevado de gorduras e 43,4% re­lataram baixo consumo de fibras, mas não apresentando associação com alto risco para SAOS (p=0,44). Conclusão. O presente estudo encontrou associação entre obesidade e alto risco para SAOS. Além disso, apesar de não haver relação entre risco para SAOS e consumo de gorduras e fibras, os resultados mostram números expressivos que podem influenciar no desenvolvimento da SAOS.

No abstract

Introduction: Severe forms of COVID-19 are more common in patients with abnormal fat distribution, particularly high visceral adiposity. The patient's muscle strength may be reduced during the acute phase of the infection. Electrical bioimpedance (BIA) is a non-invasive method for measuring body compartments and estimating visceral fat area (VFA) that can be used at the bedside. Objective: To assess the relationship between several body composition parameters, primarily adipose tissue and VFA, in patients with and without a diagnosis of COVID-19 infection, as well as its role in disease severity. Methods: This is a retrospective study that was conducted in a private hospital in the city of São Paulo from March 2020 to August 2021. The Student's T test was used to compare the results of quantitative variables in the groups with and without COVID-19. The non-parametric Mann-Whitney test was used where normality could not be established. When dealing with categorical data, Pearson's Chi-square test or Fisher's exact test are used to analyze relationships. Results: A total of 96 patients with a mean age of 69.1 years (SD 15) were divided into two groups of 48 individuals, with and without COVID-19 infection. Body mass index (p=0.000), fat mass (p=0.052), and VFA (p=0.042) were all higher in the infection group. When COVID-19 patients were evaluated, those with higher VFA had longer hospital stays (p=0.020) and used more vasoactive drugs (p=0.043). Patients with COVID-19 with poor handgrip strength were 4.38 times more likely to require a prolonged intensive care unit (ICU) stay. Conclusion:The study concluded that excess weight and body fat are significantly associated with COVID-19 involvement, but the severity is primarily related to a greater area of visceral fat. The use of bioimpedance for visceral fat measurement was effective, as it is a simple method performed in the hospital setting that does not require the use of radiation.

its inadequacy. The data were analyzed using measures of central tendency, and absolute and relative frequencies. Results: Fifty onepatients were evaluated, with mean age of 68 (±18) years old, 72% (n¼37) being male subjects, 45% (n¼23) presenting nutritional risk, and, of those, 34% (n¼8) were classified as malnourished. Regarding nutritional therapy, 53% (n¼27) were in ENT, 39% (n¼20) orally, 4% (n¼2) in PNT, and 4% (n¼2) in mixed therapy. The mean time for beginning was of 1.6 (±1.3) day, and most of these patients (n¼18) reached nutritional needs within 7 days. The main reasons for the low supply were: 90.9% (n¼10) risk of refeeding syndrome, 90.9% (n¼10) use of vasoactive drugs, 54.5% (n¼6) use of neuromuscular blocker, 18.2% (n¼2) prone position, 18.2% (n¼2) procedures, and 18.2% (n¼2) intolerance. Conclusion: Most of the patients presented an early beginning on the first 48 hours and met the nutritional goals, reinforcing the importance of nutritional interventions on patientswith SARS-Cov-2, given the severity of the disease and complications in its treatment.

No abstract