Avaliação do estado nutricional , dosagens bioquímicas e os níveis séricos de vitamina C dos pacientes atendidos no Centro de Atenção Psicossocial de Álcool e Droga de Uberaba

Abstract

Psychoactive substances (SPA) are those that potentially change the processes of consciousness, individual mood and thought. Consumption patterns (use, abuse or dependence) cause significant damage to individuals and societies around the world. The interaction of the indiscriminate use of these substances affects the nutritional status, body weight and metabolism of nutrients due to impaired food intake and water consumption. Objective: To characterize the nutritional and biochemical profile of registered users in the ad caps. Methodology: Study observational, sectional (transverse) and quantitative approach to data. The study population consisted of 90 registered users in CAPS ad in the municipality of Uberaba- MG. Interviews were conducted which looked at the socio-demographic profile, nutritional assessment (recall 24 hours), anthropometric measurements, application of ASSIST, and blood sampling for biochemical analysis and vitamin C. Results: The mean age of 41.82 years with a predominance male sex (76.7%), the majority without income and unemployed (31.1%). The most common self-reported diseases were: column diseases (42.2%); depression, anxiety and emotional problems (55.6%), migraine and headache (46.7%) and gastric diseases (ulcers and gastritis) (28.9%). It was found that 21.0% of participants in this study were overweight and 31.1% inadequate waist circumference. The highest proportion was classified with severe malnutrition according to the evaluation of arm muscle circumference (40.0%). The scores of the nine psychoactive substances according to type of use, it was found that the highest percentage of suggestive dependency was alcohol (5.6%), followed by cannabis (4.7%). Regarding suggestive category of abuse, tobacco use (81.0%) followed by the alcohol (57.8%). When checking the relationship between the scores of use of psychoactive substances and the variables of food intake, a negative correlation was obtained between tobacco use and cholesterol (r = -0.231; p = 0.028). It was shown that the use of alcohol correlates negatively with daily fiber intake (r = -0.245; p = 0.020). The use of marijuana was positively correlated with the caloric intake (r = 0.255; p = 0.015), protein intake (r = 0.219; p = 0.038) and total fat (r = 0.271; p = 0.010). There was also a positive correlation between the scores of the use of cocaine / crack and consumption of total fat (r = 0.213; p = 0.044), polyunsaturated (r = 0.238; p = 0.024) and moninsaturas (r = 0.279; p = 0.008). There was only one positive correlation (r = 0.31; p = 0.003) between the level of alcohol dependence with serum levels of SGOT. The other correlations were not statistically significant. It was found a negative correlation (r = 0.21; p = 0.055) between marijuana addiction and alkaline phosphatase levels. Conclusion: We observed that the use of psychoactive substances directly affect the nutritional status of the sample is necessary awareness about their health condition and nutrition education interventions.