Marcadores inflamatórios na avaliação nutricional: relação com parâmetros antropométricos, composição corporal e níveis de atividade física.

Valter Paulo Neves Miranda, Maria do Carmo Gouveia Peluzio, Sylvia do Carmo Castro Franceschini, Silvia Eloiza Priore

Resumo


Objetivo: realizar um estudo de revisão sistemática referente ao uso dos marcadores inflamatórios como fator de risco de doença cardiovascular e sua relação com parâmetros antropométricos, bioquímicos, composição corporal e a influência do nível de atividade física. Métodos: Foi realizada uma revisão sistemática de literatura nas bases de dados eletrônicas: PUBMED, SciELO e Conchrane Collection. Utilizaram-se os termos associados “inflammation, cardiovascular diseases” e “nutritional status”, “inflammation, cardiovascular diseases” e “body composition” e “inflammation, cardiovascular diseases” e “physical activity”. Resultados: Encontraram-se 866 artigos entre os anos de 1998 e 2013, sendo 332 (38,3%) publicados entre os anos de 2009 e 2013. A associação entre os termos indexados que mais selecionou artigos originais foi “cardiovascular diseases, inflammation and physical activity”, com 526 artigos (60,74%). A obesidade foi o fator mais relacionado com os marcadores, e a prática de atividade física a principal medida não farmacológica para o controle do sobrepeso e processo de inflamação. Conclusão: As pesquisas avaliaram os marcadores inflamatórios nas doenças cardiovasculares relacionados com avaliação da composição corporal, do estado nutricional e da influência da atividade física. A atividade física e a dieta balanceada foram as medidas necessárias no controle da incidência ou prevalência dos marcadores inflamatórios. Estudos com delineamento longitudinal e de intervenção são necessários para avaliar precisamente como a composição corporal, o estado nutricional e a atividade física podem interferir na manifestação dos marcadores inflamatórios.

Objective: To conduct a systematic review regarding the use of inflammatory markers as a risk factor of cardiovascular disease and its connection with anthropometric, biochemical parameters, body composition and the influence of physical activity. Methods: A systematic literature review was conducted in the electronic databases PUBMED, SciELO e Conchrane Collection. The associated terms “inflammation, cardiovascular diseases” and “nutritional status”, “inflammation, cardiovascular disease” and “body composition” and “inflammation, cardiovascular diseases” and “physical activity were used. Results: 866 articles between the years 1998-2013, 332 (38.3%) having been published between the years 2009-2013, were found. The association that selected more original items among the indexed terms was "cardiovascular diseases, inflammation and physical activity", with 526 articles (60.74%). Obesity was the factor the most associated with inflammatory markers, and physical activity was the main nonpharmacological measure used against overweight and inflammation process. Conclusion: The research evaluated inflammatory markers in cardiovascular diseases related to the assessment of body composition, nutritional status and the influence of physical activity. Physical activity and a balanced diet are the measures necessary to control the incidence or prevalence of inflammatory markers. Intervention longitudinal studies are needed to assess precisely how body composition, nutritional status and physical activity can interfere in the manifestation of inflammatory markers.


Palavras-chave


Doenças Cardiovasculares. Inflamação. Composição Corporal. Estado Nutricional. Atividade Física.

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Referências


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