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Food Patterns of Hospitalized Patients with Heart Failure and Their Relationship with Demographic, Economic and Clinical Factors in Sergipe, Brazil

Background: The high rates of hospitalization and mortality caused by Heart Failure (HF) have attracted the attention of health sectors around the world. Dietary patterns that involve food combinations and preparations with synergistic or antagonistic effects of different dietary components can infl...

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Autores principales: Costa, Jamille Oliveira, Barbosa, Juliana Santos, Alves, Luciana Vieira Sousa, de Almeida, Rebeca Rocha, Oliveira, Victor Batista, Pereira, Larissa Monteiro Costa, de Oliveira, Larissa Marina Santana Mendonça, Rocha, Raysa Manuelle Santos, dos Santos Vieira, Diva Aliete, Barbosa, Kiriaque Barra Ferreira, de Carvalho Costa, Ingrid Maria Novais Barros, Aidar, Felipe J., de Souza, Márcia Ferreira Cândido, Oliveira, Joselina Luzia Menezes, Baumworcel, Leonardo, Neves, Eduardo Borba, Díaz-de-Durana, Alfonso López, Almeida-Santos, Marcos Antonio, Sousa, Antônio Carlos Sobral
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8912487/
https://www.ncbi.nlm.nih.gov/pubmed/35267962
http://dx.doi.org/10.3390/nu14050987
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author Costa, Jamille Oliveira
Barbosa, Juliana Santos
Alves, Luciana Vieira Sousa
de Almeida, Rebeca Rocha
Oliveira, Victor Batista
Pereira, Larissa Monteiro Costa
de Oliveira, Larissa Marina Santana Mendonça
Rocha, Raysa Manuelle Santos
dos Santos Vieira, Diva Aliete
Barbosa, Kiriaque Barra Ferreira
de Carvalho Costa, Ingrid Maria Novais Barros
Aidar, Felipe J.
de Souza, Márcia Ferreira Cândido
Oliveira, Joselina Luzia Menezes
Baumworcel, Leonardo
Neves, Eduardo Borba
Díaz-de-Durana, Alfonso López
Almeida-Santos, Marcos Antonio
Sousa, Antônio Carlos Sobral
author_facet Costa, Jamille Oliveira
Barbosa, Juliana Santos
Alves, Luciana Vieira Sousa
de Almeida, Rebeca Rocha
Oliveira, Victor Batista
Pereira, Larissa Monteiro Costa
de Oliveira, Larissa Marina Santana Mendonça
Rocha, Raysa Manuelle Santos
dos Santos Vieira, Diva Aliete
Barbosa, Kiriaque Barra Ferreira
de Carvalho Costa, Ingrid Maria Novais Barros
Aidar, Felipe J.
de Souza, Márcia Ferreira Cândido
Oliveira, Joselina Luzia Menezes
Baumworcel, Leonardo
Neves, Eduardo Borba
Díaz-de-Durana, Alfonso López
Almeida-Santos, Marcos Antonio
Sousa, Antônio Carlos Sobral
author_sort Costa, Jamille Oliveira
collection PubMed
description Background: The high rates of hospitalization and mortality caused by Heart Failure (HF) have attracted the attention of health sectors around the world. Dietary patterns that involve food combinations and preparations with synergistic or antagonistic effects of different dietary components can influence the worsening and negative outcomes of this disease. Objectives: To describe the dietary patterns of patients hospitalized for HF decompensation and associate them with demographic, economic, and clinical factors, and the type of care provided in Sergipe. Materials and Methods: Cross-sectional study that is part of the Congestive Heart Failure Registry (VICTIM-CHF)” of Aracaju/SE. Prospective data collection took place with all patients hospitalized between April 2018 and February 2021 in cardiology referral hospitals, 2 public and 1 private. The data collected were sociodemographic, clinical, lifestyle, anthropometric and food consumption variables. Daily dietary intake was estimated by applying a semiquantitative food frequency questionnaire. The extraction of dietary patterns, by exploratory factor analysis, was performed after grouping the foods according to the nutritional value and form of preparation into 34 groups. To assess the association between the factorial scores for adherence to the standards and the variables studied, the Mann-Whitney U test was applied. Linear regressions were also performed, considering the dietary pattern (one for each pattern) as a dependent variable. Results: The study included 240 patients hospitalized for HF decompensation, most of them elderly (mean age 61.12 ± 1.06 years), male (52.08%) and attended by the Unified Health System—SUS (67.5%). Three dietary patterns were identified, labeled “traditional” (typical foods of the Brazilian northeastern population added to ultra-processed foods), “Mediterranean” (foods recommended by the Mediterranean diet) and “dual” (healthy foods combined with fast and easy-to-prepare foods like snacks, bread, sweets and desserts). Adherence to the “traditional” pattern was greater among men (p < 0.031) and non-diabetics (p < 0.003). The “Mediterranean” was more consumed by the elderly (p < 0.001), with partners (p = 0.001) and a lower income (p < 0.001), assisted by the SUS (p < 0.001) and without hypertension (p = 0,04). The “dual” diet pattern had greater adherence by the elderly (p < 0.001), self-declared non-black (p = 0.012), with higher income (p < 0.001), assisted in the private sector (p < 0.001) and with less impaired functional capacity (p = 0.037). It was also observed that being female (p = 0.031) and being older reduced the average scores of performing the “traditional” pattern (p = 0.002). Regarding the type of service, being from the public service reduced the average scores for adhering to the “dual” pattern (p = 0.008). Conclusions: Three dietary patterns representative of the population were found, called traditional, Mediterranean and dual, which were associated with demographic, economic and clinical factors. Thus, these standards must be considered in the development of nutritional strategies and recommendations in order to increase adherence to diets that are more protective against cardiovascular diseases.
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spelling pubmed-89124872022-03-11 Food Patterns of Hospitalized Patients with Heart Failure and Their Relationship with Demographic, Economic and Clinical Factors in Sergipe, Brazil Costa, Jamille Oliveira Barbosa, Juliana Santos Alves, Luciana Vieira Sousa de Almeida, Rebeca Rocha Oliveira, Victor Batista Pereira, Larissa Monteiro Costa de Oliveira, Larissa Marina Santana Mendonça Rocha, Raysa Manuelle Santos dos Santos Vieira, Diva Aliete Barbosa, Kiriaque Barra Ferreira de Carvalho Costa, Ingrid Maria Novais Barros Aidar, Felipe J. de Souza, Márcia Ferreira Cândido Oliveira, Joselina Luzia Menezes Baumworcel, Leonardo Neves, Eduardo Borba Díaz-de-Durana, Alfonso López Almeida-Santos, Marcos Antonio Sousa, Antônio Carlos Sobral Nutrients Article Background: The high rates of hospitalization and mortality caused by Heart Failure (HF) have attracted the attention of health sectors around the world. Dietary patterns that involve food combinations and preparations with synergistic or antagonistic effects of different dietary components can influence the worsening and negative outcomes of this disease. Objectives: To describe the dietary patterns of patients hospitalized for HF decompensation and associate them with demographic, economic, and clinical factors, and the type of care provided in Sergipe. Materials and Methods: Cross-sectional study that is part of the Congestive Heart Failure Registry (VICTIM-CHF)” of Aracaju/SE. Prospective data collection took place with all patients hospitalized between April 2018 and February 2021 in cardiology referral hospitals, 2 public and 1 private. The data collected were sociodemographic, clinical, lifestyle, anthropometric and food consumption variables. Daily dietary intake was estimated by applying a semiquantitative food frequency questionnaire. The extraction of dietary patterns, by exploratory factor analysis, was performed after grouping the foods according to the nutritional value and form of preparation into 34 groups. To assess the association between the factorial scores for adherence to the standards and the variables studied, the Mann-Whitney U test was applied. Linear regressions were also performed, considering the dietary pattern (one for each pattern) as a dependent variable. Results: The study included 240 patients hospitalized for HF decompensation, most of them elderly (mean age 61.12 ± 1.06 years), male (52.08%) and attended by the Unified Health System—SUS (67.5%). Three dietary patterns were identified, labeled “traditional” (typical foods of the Brazilian northeastern population added to ultra-processed foods), “Mediterranean” (foods recommended by the Mediterranean diet) and “dual” (healthy foods combined with fast and easy-to-prepare foods like snacks, bread, sweets and desserts). Adherence to the “traditional” pattern was greater among men (p < 0.031) and non-diabetics (p < 0.003). The “Mediterranean” was more consumed by the elderly (p < 0.001), with partners (p = 0.001) and a lower income (p < 0.001), assisted by the SUS (p < 0.001) and without hypertension (p = 0,04). The “dual” diet pattern had greater adherence by the elderly (p < 0.001), self-declared non-black (p = 0.012), with higher income (p < 0.001), assisted in the private sector (p < 0.001) and with less impaired functional capacity (p = 0.037). It was also observed that being female (p = 0.031) and being older reduced the average scores of performing the “traditional” pattern (p = 0.002). Regarding the type of service, being from the public service reduced the average scores for adhering to the “dual” pattern (p = 0.008). Conclusions: Three dietary patterns representative of the population were found, called traditional, Mediterranean and dual, which were associated with demographic, economic and clinical factors. Thus, these standards must be considered in the development of nutritional strategies and recommendations in order to increase adherence to diets that are more protective against cardiovascular diseases. MDPI 2022-02-25 /pmc/articles/PMC8912487/ /pubmed/35267962 http://dx.doi.org/10.3390/nu14050987 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Costa, Jamille Oliveira
Barbosa, Juliana Santos
Alves, Luciana Vieira Sousa
de Almeida, Rebeca Rocha
Oliveira, Victor Batista
Pereira, Larissa Monteiro Costa
de Oliveira, Larissa Marina Santana Mendonça
Rocha, Raysa Manuelle Santos
dos Santos Vieira, Diva Aliete
Barbosa, Kiriaque Barra Ferreira
de Carvalho Costa, Ingrid Maria Novais Barros
Aidar, Felipe J.
de Souza, Márcia Ferreira Cândido
Oliveira, Joselina Luzia Menezes
Baumworcel, Leonardo
Neves, Eduardo Borba
Díaz-de-Durana, Alfonso López
Almeida-Santos, Marcos Antonio
Sousa, Antônio Carlos Sobral
Food Patterns of Hospitalized Patients with Heart Failure and Their Relationship with Demographic, Economic and Clinical Factors in Sergipe, Brazil
title Food Patterns of Hospitalized Patients with Heart Failure and Their Relationship with Demographic, Economic and Clinical Factors in Sergipe, Brazil
title_full Food Patterns of Hospitalized Patients with Heart Failure and Their Relationship with Demographic, Economic and Clinical Factors in Sergipe, Brazil
title_fullStr Food Patterns of Hospitalized Patients with Heart Failure and Their Relationship with Demographic, Economic and Clinical Factors in Sergipe, Brazil
title_full_unstemmed Food Patterns of Hospitalized Patients with Heart Failure and Their Relationship with Demographic, Economic and Clinical Factors in Sergipe, Brazil
title_short Food Patterns of Hospitalized Patients with Heart Failure and Their Relationship with Demographic, Economic and Clinical Factors in Sergipe, Brazil
title_sort food patterns of hospitalized patients with heart failure and their relationship with demographic, economic and clinical factors in sergipe, brazil
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8912487/
https://www.ncbi.nlm.nih.gov/pubmed/35267962
http://dx.doi.org/10.3390/nu14050987
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