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Failure of a single nutrition counseling session for climateric women.

R. Deh Souza Santos,J. Marchini,O. Iannetta,V. Marques Miguel Suen

Published 2012 in Nutrición Hospitalaria

ABSTRACT

Background: Due to the alarming growth of obesity over the world, strategies of nutritional guidance are necessaryfor the treatment and prevention of this disease. Thus, the objective of the present study was to provide a singlesession of nutritional counseling to a group of climacteric women and to assess the efficacy of this procedure 2 yearslater and to calculate the concordance between methods that evaluate body composition.Methods: Anthropometric, dietary and physical activity data were collected from the volunteers studied, who werethen counseled about correct eating habits and the importance of physical activity during a single visit lasting 120minutes. Two years later, the same women were reevaluated on the basis of the same criteria as used for the initialevaluation. Body composition and energy expenditure were assessed by bioelectrical impedance, DXA and indirectcalorimetry, and food intake was calculated. Anthropometric measurements were made and laboratory tests werealso performed. The initial and final analyses were compared statistically by the Wilcoxon test for paired samplesand the St. Laurent test was applied to determine the concordance of the methods for the determination of bodycomposition.Results: Ten women were followed up during the study period and their mean (±SD) age was 54 ± 8 years at thebeginning of the study. The dietary history of the subjects studied showed deficient intake of calcium, vitamins, zincand fibers both at the beginning and at the end of the study. A greater intake of cholesterol and carbohydratesoccurred at the end of the study. The anthropometric measurements and all other body composition measurementsremained constant, with concordance between the anthropometric and DXA measurements regarding body mass.Conclusion: The data show the inefficiency of a single visit or counseling session regarding a change of nutritionalhabits in these patients, despite the limited number of participants

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