The sample showed an abnormal nutritional condition, an increased risk for chronic diseases related to obesity, worsening of the psoriatic lesions, and poor quality of life.

RESUMOAs doenças crônicas não transmissíveis (DCNT) representam as principais causas de internações hospitalares, geram impactos socioeconômicos e comprometimento da qualidade de vida em virtude de suas sequelas e incapacidades, justificando a importância e necessidade crescente de associação dos cuidados paliativos ao tratamento curativo. Esta revisão narrativa visa apresentar os consensos e dissensos sobre a indicação e a continuidade da terapia nutricional enteral (TNE) nos cuidados paliativos de pacientes com DCNT. Embasou-se em publicações oficiais sobre o tema e 15 artigos divulgados nas bases de dados: LILACS, SciELO, PubMed, MEDLINE, Cochrane Library e Science Direct, entre os anos de 2005 e 2016. Os objetivos do suporte nutricional nos cuidados paliativos desses pacientes variam com a evolução da doença. O suplemento nutricional oral é indicado para complementar a ingestão alimentar oral insuficiente, reduzindo custos hospitalares e favorecendo melhoras clínicas e funcionais. Na ingestão alimentar menor do que 60% e sem previsão de evolução, é indicada a TNE dentro dos três primeiros dias, mas sua continuidade em doenças avançadas permanece controversa. Na fase terminal, prioriza-se o conforto, o alívio dos sintomas e não mais a adequação nutricional. Nessa fase, a nutrição e hidratação artificiais podem não ser benéficas. Dessa forma, a nutrição nos cuidados paliativos é individualizada, depende do estágio da doença e visa promover a qualidade de vida. As tomadas de decisão devem envolver a vontade do paciente e de seus familiares, considerando os princípios de autonomia, beneficência, não maleficência e justiça.Palavras-chave: cuidados paliativos; doença crônica; terapia nutricional. ABSTRACTNon-communicable diseases (NCD) are the leading cause of hospital admissions, result in socioeconomic impacts and prejudice on quality of life due to after-effects and disabilities, justifying the importance and the increasing need to associate palliative care with curative treatment. This narrative review aims to introduce agreements and disagreements on indication and continuity concerning enteral nutritional therapy (ENT) in palliative care patients with NCD. This paper was based on official publications related to the topic and 15 articles found on LILACS, SciELO, PubMed, MEDLINE, Cochrane Library and Science Direct databases, between the years 2005 and 2016. In these patients, the objective of nutritional support in palliative care varies according to the evolution of the disease. Oral nutritional supplement is indicated to supplement insufficient oral food intake, reducing hospital costs and favoring clinical and functional improvements. When food intake is less than 60% and without evolution prospects, ENT is indicated within the first 3 days, but withholding and withdrawing it in advanced diseases remains controversial. In terminal phase, comfort and relief of symptoms are the priority instead of nutritional adequacy. On this stage, artificial nutrition and hydration may not be beneficial. Therefore, nutri...

omental. A equação de Petroski (1995) atendeu de modo satisfatório aos critérios de aplicação utilizados e mostrou ser adequada para a população em questão. AbstractObjective: To describe anthropometric profile and body composition of elderly by anthropometry and evaluate the applicability of Petroski (1995) and Durnin & Womerseley (1974) protocols. Methods: We evaluated 37 elderly individuals of both genders. The anthropometric measurements were performed according to the guidelines of the International Society for the Advancement of Kineanthropometry and established the variables weight, height, eight skinfolds and seven muscle girths. It was calculated body mass index (BMI), waist-to-hip ratio (WHR), sum of five skinfolds and body density by Petroski (1995) and Durnin & Womersley (1974) elderly protocols with the conversion to percentage of body fat (%BF) by Siri (1961) protocol. For further discussion, it was applied the Student t test (p<0.05). Results: Age, weight, height and BMI did not differ between genders. The sum of five skinfolds resulted in normal range for both genders. The WHR indicated "moderate risk" for men, and "high risk" for women to develop metabolic complications. The Durnin & Womersley (1974) protocol underestimated in male subjects and overestimated in female subjects the %BF obtained by the equation of Petroski (1995), respectively. For both protocols, female subjects showed higher %BF than male subjects. Conclusions: We conclude that individuals of both genders have high body fat, especially in the abdominal region. The Petroski (1995) protocol answered satisfactorily to the applying criteria used and showed to be adequate for this population.

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Objective:To define the nutritional profile of institutionalized elderly individuals.Methods:Comparative correlation and quantitative field study conducted in a Long-Stay Institution in Sao Paulo (SP), Brazil, between December 2010 and January 2012. To define nutritional diagnosis, data were collected from patient files, such as body mass index, circumferences, triceps skinfold, muscle area of the arm, thickness of the adductor pollicis, handgrip strength, and biochemical test results. The anthropometric variables were presented as mean, standard deviation, and percentages, and were grouped by gender and stratified by age. The level of statistical significance was p<0.05.Results:One hundred and two elderly individuals were selected, and 84 were females. Excess weight was the most common anthropometric diagnosis in men (n=11; 61%), with the detection of protein depletion in those aged 70 years, and possible cases of sarcopenic obesity. All women were in good health conditions (n=84; 100%). However, in 27% (n=23) of them, protein depletion was evident.Conclusion:More anthropometric studies are necessary which would allow a definition of local reference standards, stratified by gender and age group. The difference between populations and factors, such as inclusion and exclusion criteria, and methodological characteristics, limit the use of international standards, interfering in the reliability of the nutritional diagnosis.