[Dietetic assessment of patients with gastroenterologic diseases at the out-patient service of the Institute National of Sciences Medicine and Nutrition Salvador Zubiran].
Assessment of dietetic management is necessary for detection/correction of faults and best care of patients.


OBJECTIVE
Our aim was to evaluate dietetic management and nutritional status of gastroenterologic patients.


METHODS
Anthropometric, clinical-nutritional, biochemical, and dietetic parameters were assessed in 110 patients (150 with liver cirrhosis [LC], 30 with inflammatory bowel disease [IBD], and 30 with chronic and skin. In CP, prescribed energy, g and % carbohydrates and lipids were less than ideal and proteins were greater; in cirrhotics, less proteins and a great % of carbohydrates were prescribed; in IBD fewer lipids and more proteins than ideal were prescribed. Cirrhotics usually consumed less fat (g) and more proteins than prescribed, and patients with CP and IBD a greater amount of carbohydrates than prescribed. Cirrhotics consumed more % carbohydrates and < % lipids than ideal; CP patients lipid intake was less and protein intake above ideal and in IBD, carbohydrate intake was greater and lipid intake lower than ideal.


CONCLUSIONS
Anthropometric and biochemical parameters were not useful for assessment of these patients. Prescribed diet was too restricted regarding proteins in LC and was inadequate in energy/nutrients in patients with CP. Fewer lipids and more proteins were prescribed in IBD. The inadequacy of prescripted diet, lack of information regarding the person who prescribed it, and lack of constant supervision may cause non-adherence to diet and thus may affect nutritional status.
de la Cruz Góngora
Vanesa Vianey
VV
Departamento de Gastroenterología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga No. 15, Sección XVI, Tlalpan 14000, México, D.F.
Pando Aguilar
Nancy Esther
NE
Milke García
Pilar
P
Vargas-Voráková
Florencia
F
D000328:Adult; D000553:Ambulatory Care; D000886:Anthropometry; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D002149:Energy Intake; D005260:Female; D006779:Hospitals, Public; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000178:diet therapy*; D008103:Liver Cirrhosis / Q000178:diet therapy*; D008297:Male; D008800:Mexico; D008875:Middle Aged; D015596:Nutrition Assessment; D009752:Nutritional Status; D010195:Pancreatitis / Q000178:diet therapy*; D011446:Prospective Studies