Skip to main content Skip to main navigation menu Skip to site footer
Articles
Published: 01-25-2022

Failure of a single nutrition counseling session for climacteric women

Department of Clínica Médica, Faculdade de Medicina de Ribeirão Preto/Universidade de São Paulo – FMRP/USP
Department of Clínica Médica, Faculdade de Medicina de Ribeirão Preto/Universidade de São Paulo – FMRP/USP
Department of Ginecologia e Obstetrícia, Faculdade de Medicina de Ribeirão Preto/Universidade de São Paulo – FMRP/USP
Department of Clínica Médica, Faculdade de Medicina de Ribeirão Preto/Universidade de São Paulo – FMRP/USP
nutrition obesity menopause aging counseling

Abstract

Background: Due to the alarming growth of obesity over the world, strategies of nutritional guidance are necessary for the treatment and prevention of this disease. Thus, the objective of the present study was to provide a single session of nutritional counseling to a group of climacteric women and to assess the efficacy of this procedure 2 years later 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 were then counseled about correct eating habits and the importance of physical activity during a single visit lasting 120 minutes. Two years later, the same women were reevaluated on the basis of the same criteria as used for the initial evaluation. Body composition and energy expenditure were assessed by bioelectrical impedance, DXA and indirect calorimetry, and food intake was calculated. Anthropometric measurements were made and laboratory tests were also performed. The initial and final analyses were compared statistically by the Wilcoxon test for paired samples and the St. Laurent test was applied to determine the concordance of the methods for the determination of body composition.

Results: Ten women were followed up during the study period and their mean (±SD) age was 54 ± 8 years at the beginning of the study. The dietary history of the subjects studied showed deficient intake of calcium, vitamins, zinc and fibers both at the beginning and at the end of the study. A greater intake of cholesterol and carbohydrates occurred at the end of the study. The anthropometric measurements and all other body composition measurements remained 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 nutritional habits in these patients, despite the limited number of participants.

Metrics

Metrics Loading ...

References

  1. Lemieux GA, Lui J, Mayer N, Bainton RJ, Ashrafi K, Werb Z. A whole-organism screen identifies new regulations of fat storage. Nat Chem Biol 2011; 7(4): 206-13.
  2. Lorenzi DR, Catan LB, Moreira K, Artico GR. Assistance to the climacteric woman: new paradigms. Rev Bras Enferm 2009; 62(2): 287-93.
  3. Lin SQ, Sun LZ, Lin JF, Yang X, Zhang LJ, Qiao J et al. Estradiol 1mg and drospirenone 2 mg as hormone replacement therapy in postmenopausal Chinese women. Climacteric 2011 [Epub ahead of print].
  4. D´eon TM, Souza SC, Aronovitz M, Obin MS, Fried SK et al. Estrogen regulation of adiposity and fuel partitioning: evidence of genomic and non-genomic regulation of lipogenic and oxidative pathways. J Biol Chem 2005; 280(43): 35983-91.
  5. Butera PC. Estradiol and the control of food intake. Physiol Behav 2010; 99(2): 175-80.
  6. Melanson KJ, Saltazman E, Russell RR, Roberts SB. Fat oxidation in response to four graded energy challenges in younger and older women. Am J Clin Nutr 1997; 66(4): 860-6.
  7. Ministério da Saúde. Dez passos para alimentação saudável. In: Guia alimentar: saiba como ter uma alimentação saudável. Disponível em: [http://www.saude.sp.gov.br/resources/cidadao/destaques/guia_de_bolso_sobre_alimentacao.pdf]. Access in April, 29 of 2011.
  8. Ribeiro AB, Cardoso MA. Construção de um questionário de freqüência alimentar como subsídio para programas de prevenção de doenças crônicas não-transmissíveis. Rev Nutr 2002; 15(2): 239-45.
  9. Monteiro JP, Pfrimer K, Tremeschieri MH, Molina MC, Chiarello P. Consumo alimentar: visualizando porções. 1ª edição. Rio de Janeiro: Guanabara Koogan, 2007.
  10. Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Erinaldo O. Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fís Saúde 2001; 6(2): 5-18.
  11. Durnin JVGA, Womersley I. Body fat assessed from total body density and its estimation from skinfold thickness: measurement on 481 men and women aged from 16 to 72 years. Br J Nutr 1974; 32(1):77–97.
  12. Marchini JS, Unamuno MRDL, Fonseca RMHR, Rodrigues MMP, Oliveira JED. Métodos antropométricos para avaliação do estado nutricional. Rev Nutr 1992; 5(2): 121-42.
  13. Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Gómez JM et al. Bioelectrical impedance analysis – part I: review of principles and methods. Am J Clin Nutr 2004; 23(5): 1226-43.
  14. Weir JB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol 1949; 109(1-2):1–9.
  15. Frayn KN. Calculation of substrate oxidation rate in vivo from gaseous exchange. J Appl Physiol 1983; 55(2):628–34.
  16. Yu D, Zeng G, Li M, Mao D, Huang C, Piao J et al. Energy expenditure at physical activities of young and middle-aged adults in southern China. Wei Sheng Yan Jiu 2010; 39(6): 715-8.
  17. St. Laurent ET. Evaluating agreement with a gold standard in method comparison studies. Biometrics 1998; 54(2):537–45.
  18. Institute of Medicine/Food and Nutrition Board. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids (macronutrients). W ashington: National Academy Press, 2002.
  19. Institute of Medicine/Food and Nutrition Board. Committee to review dietary reference intakes for vitamin D and calcium. Washington: National Academy Press, 2011.
  20. Institute of Medicine/Food and Nutrition Board. Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium and zinc. Washington: National Academy Press, 2001.
  21. Montilla RMG, Marucci MFN, Aldrighi JN. Avaliação do estado nutricional e do consumo alimentar de mulheres no climatério. Rev Assoc Med Bras 2003; 49(1):91–5.
  22. Tardivo AP, Nahas-Neto J, Nahas EA, Maesta N, Rodrigues MA, Orsatti FL. Associations between healthy eating patterns and indicators of metabolic risk in postmenopausal women. Nutr J 2010; 9:64-73.
  23. Skouroliakou M, Giannopoulou I, Kostara C, Koutri K, Stathopoulou MG, Kakavelaki C. Effects of a nutritional intervention in obese postmenopausal women on atypical antipsychotics. Maturitas 2010; 67(2): 166-70.
  24. Suen VMM, Bombig GT, Rosa FT, Monteiro TH, Santos RDS, Marchini JS et al. Avaliação clínica retrospectiva de mulheres no período do climatério: a importância da prevenção. Femina 2006; 34(9):607–12.
  25. Santos RDS, Suen VMM, Iannetta O, Marchini JS. Climacteric, physically active women ingesting their routine diet oxidize more carbohydrates than lipids. Climacteric 2008; 11(6): 454-60.
  26. Bonganha V, Conceição MS, Santos CF, Chacon-Mikahil MP, Madruga VA. Resting metabolic rate and body composition in postmenopausal women. Arq Bras Endocrinol Metabol 2009; 53(6): 755-9.
  27. FEBRASGO (Federação Brasileira das Sociedades de Ginecologia e Obstetrícia). Climatério: manual de orientação. In: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 1995.
  28. Kanellakis S, Kourlaba G, Moschonis G, Vandorou A, Manos Y. Development and validation of two equations estimating body composition for overweight and obese postmenopausal women. Maturitas 2010; 65(1): 64-8.
  29. Nicoletti CF, Lima TP, Santos RDS, Tanaka NYY, Suen VMM, Marchini JS. The total amount of energy delivered by a Brazilian hospital catering does not meet patient requirements as measured by indirect calorimetry. Food and Nutrition Sciences 2011; 2:60-5.

How to Cite

Santos, R. D. S., Marchini, J. S., Iannetta, O., & Suen, V. M. M. (2022). Failure of a single nutrition counseling session for climacteric women. International Journal of Nutrology, 5(1), 43–49. https://doi.org/10.1055/s-0040-1701427