Food and nutritional security and associated variables in families of home enteral nutrition therapy
DOI:
https://doi.org/10.33448/rsd-v10i15.22879Keywords:
Continuity of Patient Care; Social programs; Home assistance services.Abstract
Home enteral nutritional therapy (HENT) is a modality of nutritional care provided at home. HENT converges on the principles of food and nutrition security (FNS); due to the act of not eating by mouth, the patient is sometimes affected by the worsening of the FNS condition. Thus, this study aims to evaluate FNS and associate it with other variables in HENT patients. This is a cross-sectional survey. Socioeconomic, clinical and nutritional data were evaluated, in addition to the FNS verification by a validated questionnaire. 45 individuals participated in the research, with a mean age of 74.56±11.86 years; 46.7% (n=21) of the households had Food and Nutritional Insecurity (FNI) and all were categorized with mild FNI. Only age and per capita income were significantly different when comparing the profiles of households with FNS and FNI (p<0.05). The preexisting FNS in the patients' homes was not considered an independent predictor variable for the category of formula administered, even when adjusted for other variables (p>0.05). Thus, neither FNS nor family FNI were associated with the other variables presented by patients in HENT.
References
American Dietetic Association (ADA) (2013). Position of the Academy of Nutrition and Dietetics: Functional Foods. Eat Right 113(8), 1096-1103. doi: 10.1016/j.jand.2013.06.002
Bickel, G., Nord, M., Price, C., Hamilton, W., Cook, J. (2000) Guide to measuring household food security: revised 2000. Alexandria: United States Department of Agriculture, Food and Nutrition Service.
Elia, M., Stratton, R. J. (2008). A cost-utility analysis in patients receiving enteral tube feeding at home and in nursing homes. Clinical Nutrition, 27, 416-423.
Freijer, K., Bours, M. J. L., Nuijten, M. J. C., Poley, M. J., Meijers, J. M. M., Halfens, R. J. G., Schols, J. M. G. A. (2014). The Economic Value of Enteral Medical Nutrition in the Management of Disease-Related Malnutrition: A Systematic Review. JAMDA, 15(1), 17-29. doi:10.1016/j.jamda.2013.09.005
Kepple, A. W.; Segall-Corrêa, A. M. (2011). Conceituando e medindo segurança alimentar e nutricional. Ciência & Saúde Coletiva, Rio de Janeiro, 16(1), 187-199. doi:10.1590/S1413-81232011000100022
Mazur, C. E., Schmidt, S. T., Rigon, S. A., Schieferdecker MEM (2014). Terapia nutricional enteral domiciliar: interface entre direito humano à alimentação adequada e segurança alimentar e nutricional. Demetra – Alimentação, Nutrição e Saúde, 9(3), 757-769. doi:10.12957/demetra.2014.10345
Mazur, C. E., Pinheiro, P. A. R. G., Soares, M. M. A., Thieme, R. D., Maluf, E. M. C. P., Schieferdecker MEM (2021). Nutritional composition of the enteral formulas used in home enteral nutrition. International Journal of Development Research, 11(18), 50910-50913. doi:10.37118/ijdr.23138.10.2021
Mezzomo, T. R., Fiori, L. S., Reis, L. O., Schieferdecker, MEM (2021). Nutritional composition and cost of home-prepared enteral tube feeding. Clinical Nutrition Espen, 42, 393-399. doi:10.1016/j.clnesp.2020.12.016
Mizzuno, P. B., Costa, S. M., Arana, A. R. A., Uliana, M. R. (2021). Políticas de segurança alimentar e nutricional no Brasil e sua relação com a agricultura familiar. Campo-Território: Revista de Geografia Agrária, 16(40), 91-114. doi:10.14393/RCT164004
Ojo, O., Brooke, J. (2016). The Use of Enteral Nutrition in the Management of Stroke. Nutrients, 8(12), 827. doi: 10.3390/nu8120827
Perez-Escamilla, R., Segall-Corrêa, A. M., Maranha, L. K., Sampaio, M. F. A., Marín-León, L., Panigassi, G. (2004). An adapted version of the U.S. Department of Agriculture Food Insecurity Module is a valid tool for assessing household food insecurity in Campinas, Brazil. Journal of Nutrition, 135, 1923-1928. doi: 10.1093/jn/134.8.1923
Poulain, J. P. (2004). Sociologias da Alimentação. Florianópolis: Editora da UFSC.
Thieme, R. D., Schieferdecker, M. E. M., Ditterich, R. G. (2021) Políticas públicas e o direito à saúde e à alimentação de crianças e idosos em terapia nutricional enteral em domicílio. Revista de Direitos Sociais e Políticas Públicas, 9(2), 689-730. doi:10.25245/rdspp.v9i2.971
Vasconcellos, A. B. P.; Moura, L. B. A. (2018). Segurança alimentar e nutricional: uma análise da situação da descentralização de sua política pública nacional. Cadernos de Saúde Pública, 34(2), 1-13. doi:10.1590/0102-311X00206816
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Caryna Eurich Mazur; Marcia Maria Arenhart Soares; Maria Eliana Madalozzo Schieferdecker
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.