Evidence of impact of dietary factors on development of coronary artery calcification remains uncertain. The objective of the study was to evaluate the association between the intake carbohydrates, proteins, total fats, saturated fatty acids (SFA), monounsaturated fatty acids (MUFA), polyunsaturated fatty acids (PUFA), trans fatty acids (TFA) cholesterol and fiber with cardiovascular risk. Cross-sectional analysis from 181 dyslipidemic patients. The Coronary Calcium Score (CCS) was used to measure cardiovascular risk. 24-hour recalls were applied and the Multiple Source Method was used to adjust dietary variability. The mean values of the cardiovascular risk categories were compared by analysis of variance, using ANOVA and Kruskal-Wallis. Tukey's post-test was used for multiple analyzes. Simple and multiple binary logistic regression, was used as a measure of association between nutrient intake and cardiovascular risk. Age, male gender, comorbidities and drug treatment were significantly prevalent in those with CCS>100. The average total energy intake was 1315.6 kcal. Total energy and macronutrient intake were higher among men (p < 0.05). No significant results were found regarding the association between cardiovascular risk and macronutrient intake. Fiber intake was inversely associated with cardiovascular risk, regardless of confusion factors (OR:0.918; 95% CI:0.845-0.999; p=0.047). The resultes that there was no association between nutrientes analyzed to cardiovascular risk assessed by CCS. However, the increase of dietary fiber intake in 1 g/day has been shown to reduce the of future cardiovascular events in 8.2% among individuals in the highest risk category. Therefore, we strongly recommend that fiber intake be encouraged.
1 Fatores de risco para hiperglicemia em pacientes transplantados renais Risk factors for hyperglycemia in kidney transplant patients Factores de riesgo de hiperglucemia en pacientes con trasplante renalResumo O objetivo desse estudo foi analisar os fatores de risco associados com a hiperglicemia em pacientes transplantados renais. Para tanto, foi realizado um estudo transversal retrospectivo Research, Society and Development, v. 9, n.2, e145922143, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i2.2143 2 com coleta de dados clínicos, laboratoriais e antropométricos de pacientes que realizaram transplante renal. Para identificar fatores associados à hiperglicemia, foi realizada análise bivariada e multivariada com modelos hierarquizados. Dentre os 89 pacientes avaliados, o índice de massa corporal revelou 47,1% dos pacientes eutróficos e 34,7% com excesso de peso. Observou-se que 28% dos pacientes apresentavam hiperglicemia e 82%, 86,5%, 87,6% e 91% tinham creatinina, ureia, hemoglobina, e hematócrito alterados, respectivamente. Foi encontrada associação estatística significativa (p<0,05) de hiperglicemia com obesidade II e III, e pacientes com obesidade II e III tinham mais chances de ter glicemia e potássio alterados, (RP=4,91; IC: 1,04, p<0,001; RP=2,23; IC: 1,09-4,54, p=0,026), respectivamente.Verificou-se que a obesidade e a hipercalemia foram fatores de risco para a hiperglicemia em pacientes transplantados renais. Palavras-chave: Transplante de rim; Estado nutricional; Glicemia; Avaliação nutricional;Complicações metabólicas. AbstractThe aim of this study was to analyze the risk factors associated with hyperglycemia in renal transplant patients. For this, a retrospective cross-sectional study was conducted to collect clinical, laboratory and anthropometric data from patients who underwent kidney transplantation. To identify factors associated with hyperglycemia, a bivariate and multivariate analysis was performed with hierarchical models. Among the 89 patients evaluated, the body mass index revealed 47.1% of eutrophic patients and 34.7% overweight.28% of the patients had hyperglycemia and 82%, 86.5%, 87.6% and 91% had altered creatinine, urea, hemoglobin, and hematocrit, respectively. A statistically significant association (p <0.05) of hyperglycemia with obesity II and III was found, and patients with obesity II and III were more likely to have altered glycemia and potassium, (PR = 4.91; CI:1.04, p <0.001; RP = 2.23; CI: 1.09-4.54, p = 0.026), respectively. Obesity and hyperkalemia were found to be risk factors for hyperglycemia in renal transplant patients. ResumenEl objetivo de este estúdio fue analizar los factores de riesgo asociados con la hiperglucemia en pacientes con trasplante renal. Com este fin, se realizó un estudio transversal retrospectivo para recopilar datos clínicos, de laboratorio y antropométricos de pacientes sometidos a
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