NUTRITIONAL GUIDELINES IN HEALTH SERVICES: THE PERCEPTION OF ELDERLY PATIENTS WITH HYPERTENSION AND DIABETES
DOI:
https://doi.org/10.12957/demetra.2014.14051Keywords:
educação nutricional, saúde do idoso, serviços de saúde, doenças crônicasAbstract
Objective: To describe some aspects of nutritional care and food practices in view of nutritional guidelines received. Methods: Cross-sectional study with elderly patients of both sexes in the city of Campinas-SP, Brazil, using a questionnaire about demographic and socioeconomic data, nutritional care, assessed quality of nutritional guidelines provided and food intake. Inclusion criteria were: 60 years of age and older, high blood pressure (hypertension) and diabetes mellitus, resident of Campinas and voluntary participation. Results: A sample of 150 elderly was studied; 66.7% were females with mean age of 69.9 years (SD ± 7.5). Men had received regular nutritional advice in the last 12 months more often than women (68% and 32%). Although most elderly reported having received nutritional guidelines, daily recommended intake was not followed for whole foods (88%), vegetables (71%), fruit (27%); they did not restrict salt (67%) and animal fat (65%) and 65% did not even follow mealtimes. Instructional material with nutritional guidance was received by 80% of men and 64% of women. However, 50% of women and 62% of men reported being in doubt about the guidelines. Conclusion: The low adherence to nutritional recommendations is indicative of the need to improve the training of health professionals so that they can give their patients effective advice on food intake. This finding reinforces the importance of the role played by a multidisciplinary health team in encouraging the elderly to adhere to treatment, thus enabling better control of chronic diseases and preventing secondary complications.
DOI: http://dx.doi.org/10.12957/demetra.2014.14051
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