{"id":116900,"date":"2018-03-11T10:46:12","date_gmt":"2018-03-11T10:46:12","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/caracterizacion-nutricional-y-de-calidad-de-vida-en-pacientes-de-esclerosis-multiple\/"},"modified":"2018-03-11T10:46:12","modified_gmt":"2018-03-11T10:46:12","slug":"caracterizacion-nutricional-y-de-calidad-de-vida-en-pacientes-de-esclerosis-multiple","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-de-la-nutricion\/caracterizacion-nutricional-y-de-calidad-de-vida-en-pacientes-de-esclerosis-multiple\/","title":{"rendered":"Caracterizaci\u00f3n nutricional y de calidad de vida en pacientes de esclerosis m\u00faltiple"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pablo Nieto Guindo <\/strong><\/h2>\n<p>Objetivos: caracterizar el estado nutricional y la calidad de vida en pacientes de esclerosis m\u00faltiple (em), y su relaci\u00f3n con el  grado de discapacidad f\u00edsica.  material y m\u00e9todos: se realiz\u00f3 un estudio de tipo descriptivo y transversal, en el que se incluyeron 31 pacientes diagnosticados de esclerosis m\u00faltiple. Dichos pacientes pertenec\u00edan al centro integral de enfermedades neurol\u00f3gicas de la ciudad de albacete o a la asociaci\u00f3n de esclerosis m\u00faltiple de almer\u00eda.  para la caracterizaci\u00f3n nutricional se emplearon: a) datos anal\u00edticos (bioqu\u00edmica cl\u00e1sica, perfil lip\u00eddico y  perfil hep\u00e1tico); b) medidas antropom\u00e9tricas; c) cuestionario de frecuencia de consumo; d) recordatorio de 24 horas; e) cuestionario nutrition screening initiative check list. para la caracterizaci\u00f3n de la calidad de vida se emplearon: a) cuestionario euroqol-5d; b) cuestionario msqol-54; c) \u00edndice de barthel; d) \u00edndice de katz; e) test de tinetti para evaluar la movilidad y la marcha.  resultados: 14 pacientes presentaban un grado de discapacidad f\u00edsica leve y 17 pacientes un grado de discapacidad moderado-severo. los pacientes con em presentaron unos valores en la anal\u00edtica (bioqu\u00edmica  general, perfil lip\u00eddico y perfil hep\u00e1tico) dentro del intervalo \u00f3ptimo, sin diferencias  significativas entre los dos grupos de estudio. Los datos antropom\u00e9tricos fueron similares en ambos grupos. Tampoco se observaron diferencias, atendiendo al grado de discapacidad, en la evaluaci\u00f3n nutricional realizada mediante el cuestionario de frecuencia de consumo y el recordatorio de 24 horas. En relaci\u00f3n a los macronutrientes, destac\u00f3 un alto aporte de l\u00edpidos, principalmente \u00e1cidos grasos saturados, y un alto contenido en prote\u00ednas. Adem\u00e1s, era una dieta pobre en hidratos de carbono y algo baja en fibra. Respecto a los micronutrientes, el contenido en zinc, iodo, folato y retinol tambi\u00e9n se encontr\u00f3 por debajo de los requerimientos diarios. Mediante el cuestionario nutrition screening initiative check list se comprob\u00f3 que los pacientes con grado de discapacidad moderado-severo presentaron un  riesgo de malnutrici\u00f3n m\u00e1s elevado que los pacientes con  grado de discapacidad leve, sin que esta diferencia fuese estad\u00edsticamente significativa. los pacientes con grado de discapacidad moderado-severo presentaron una  evaluaci\u00f3n inferior de calidad de vida que los pacientes con grado de discapacidad  leve. Las dimensiones en las que se observaron diferencias estad\u00edsticamente significativas fueron la  movilidad (p=0.028), salud f\u00edsica (p=0.04), energ\u00eda (p=0.019), percepci\u00f3n de salud (p=0.026), calidad de vida en su conjunto (p=0.029) y  dimensi\u00f3n f\u00edsica (p=0.026). La dimensi\u00f3n mental no se vio tan afectada por el grado de  discapacidad. Los pacientes con grado de discapacidad moderado-severo presentaron un nivel de dependencia mayor que los pacientes con grado de discapacidad leve para realizar las actividades b\u00e1sicas de la vida diaria. Atendiendo al \u00edndice de barthel, los \u00edtems m\u00e1s afectados fueron: ba\u00f1o, movilidad, subir y bajar escaleras y el control de la vejiga. Atendiendo al \u00edndice de katz, el nivel de dependencia fue mayor en los  pacientes con grado de discapacidad moderado-severo, aunque sin alcanzar la  significaci\u00f3n estad\u00edstica. Los pacientes con grado de discapacidad leve no presentaron riesgo de ca\u00eddas, sin embargo los pacientes con grado de discapacidad moderado-severo ten\u00edan un alto  riesgo de ca\u00eddas.  conclusiones: la caracterizaci\u00f3n nutricional de los pacientes con em es similar en ambos grupos de estudio. Existen desequilibrios en la alimentaci\u00f3n por un aporte insuficiente de hidratos de carbono, zinc, iodo, folato y retinol. Por el contrario, existe un alto consumo de prote\u00ednas y grasas. Se recomienda aumentar el consumo de frutas, verduras, cereales integrales y reducir el consumo de mantequilla, boller\u00eda, embutidos y otros alimentos ricos en grasas saturadas. Los pacientes con grado de discapacidad moderado-severo presentan una peor puntuaci\u00f3n en la calidad de vida, una menor capacidad para realizar las actividades b\u00e1sicas de la vida diaria y un mayor riesgo de ca\u00eddas.   objectives: characterize nutritional condition and quality of life in patients with multiple sclerosis (me), and their connection with the degree of physical capacity.   material and methods: it was carried out a study of descriptive and transversal type, on which 31 patients diagnosed of multiple sclerosis were included. Such patients belonged to the integral centre of neurological diseases of albacete city or to the multiple sclerosis association of almer\u00eda.     for the nutritional characterization it was employed: a) analytic data (classic biochemistry, lipid profile and hepatic profile; b) anthropometric measures; c) questionnaire of consumption frequency; d) 24 hour reminder; e) nutrition questionnaire &quot;nutrition screening initiative check list&quot;.      for the quality of life characterization it was employed: a) euroqol-5d questionnaire; b) msqol-54 questionnaire; c) barthel index ; d) katz index ; e) tinetti test to assess mobility and walk.  results: 14 patients showed a degree of slight physic disability and 17 patients a degree of moderate-severe disability.       patients with me showed some values in the analytics (general biochemistry, lipid profile and hepatic profile) within the peak interval, without significant differences between the two study groups. Anthropometric data were similar in both groups. Paying attention to the degree of disability, there were not observed differences either in the nutritional assessment, carried out through questionnaire of consumption frequency and 24 hour reminder. With regard to macronutrients, it was stressed a high contribution of lipids, mainly saturated fat acids, and a high content in proteins. Besides, it was a poor diet in carbohydrates and a bit low in fibre. With regard to micronutrients, content in zinc, iodine, folate  and retinol was also found below the daily requirements. Through nutrition screening initiative check list questionnaire it was checked that patients with a degree of moderate-severe disability showed a higher malnutrition risk than patients with a degree of slight physic disability, without that this difference were statistically significant.        patients with a degree of moderate-severe disability showed a lower assessment of quality of life than patients with a degree of slight disability. The dimensions on which there were observed statistically significant differences, were mobility (p=0.028), physic health (p=0.04), energy (p=0.019), health perception (p=0.026), quality of life as a whole (p=0.029) and physic dimension (p=0.026). Mental dimension was not seen so affected by the disability degree. Patients with a degree of moderate-severe disability showed a higher level of dependence than patients with a degree of slight disability, for executing daily life basic activities. With regard to barthel index, the items more affected were: bathing, mobility, going up\/down the stairs, and bladder control. With regard to katz index, dependence level was higher in patients with a degree of moderate-severe disability, although without reaching the statistic significance. Patients with a degree of slight disability did not showed fall risk, however patients with a degree of moderate-severe disability had a high risk of falls.  conclusions: nutritional characterization of me patients is similar to both study groups. There exist imbalances in diet by an insufficient contribution of carbohydrates, zinc, iodine, folate and retinol. On the contrary, there exists a high consumption of proteins and fats. It is recommended to increase fruit consumption, vegetables, wholemeal cereals and to reduce butter consumption, pastries, sausages and other foods rich in saturated fats. Patients with a degree of moderate-severe disability show a worse mark on quality of life, a less capacity to carry out daily life basic activities and a higher risk of falls.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Caracterizaci\u00f3n nutricional y de calidad de vida en pacientes de esclerosis m\u00faltiple<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Caracterizaci\u00f3n nutricional y de calidad de vida en pacientes de esclerosis m\u00faltiple <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pablo Nieto Guindo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/12\/2014<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Magdalena Martinez Tome<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco javier Salazar aparicio <\/li>\n<li>Mar\u00eda  del mar Bibiloni esteva (vocal)<\/li>\n<li>enrique Roche collado (vocal)<\/li>\n<li>josep antoni Tur mar\u00ed (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pablo Nieto Guindo Objetivos: caracterizar el estado nutricional y la calidad de vida en pacientes de esclerosis [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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