Evolution of the nutritional status of patients with cystic fibrosis during outpatient.

EVOLUÇÃO NUTRICIONAL DE PACIENTES COM FC DURANTE O ACOMPANHAMENTO AMBULATORIAL UM ESTUDO

Abstract

INTRODUCTION: Cystic Fibrosis (CF) is an autosomal recessive genetic disease caused by a mutation in the CFTR (Cystic Fibrosis Transmembrane Regulator) gene, which results in an imbalance of chlorine and sodium. In recent decades, advances have been made in understanding the disease, which has led to longer patient survival. OBJECTIVE: To assess the evolution of the nutritional status of patients with CF during outpatient follow-up. METHOD: A retrospective descriptive study was carried out based on the analysis of nutritional monitoring forms of children and adolescents with CF in the maternal and child outpatient clinic of a reference hospital in northeastern Brazil. The data were organized in excel with information analyzed in the SPSS v 23.0 software. . evaluations were carried out at three different times, at the first consultation, at the mid-treatment consultation and at the last consultation. RESULTS: There was a prevalence of males, and an average age below 10 years, with an average follow-up time of 13 months, the correlations of the parameter weight for age (W/A) identified an increase of 17.2%, with reduction of nutritional deficit to 50%. The height-for-age index (H/A) showed a 2% reduction in the percentile and the body mass index for age (BMI/A) a 13.6% reduction in the deficit. CONCLUSION: With this study, it was possible to verify the importance of outpatient nutritional monitoring through its repercussions on the nutritional status of patients with CF, where they obtained a positive clinical evolution, when comparing the nutritional status of the patient at the beginning and end of the follow-up.