HOME NUTRITIONAL THERAPY AND FOOD INSECURITY

R.D. Thieme; J.H. Lima; E.I. Rabito; R.G. Ditterich; M.E.M. Schieferdecker

Rationale: Food Insecurity (FI) in Home Enteral Nutrition (HEN) occurs when the Human Right to Adequate Food Intake is disre-spected. Thus, the aim of this study was to verify the correlation between nutritional formulae categories and FI in households of patients in HEN, beneficiaries of the Programme of Nutritional Attention to People with Special Feeding Needs (PAN). Methods: A cross-sectional observational study within the households of PAN patients over 18 years old was performed. Data was collected between December 2015 and June 2018 in Curitiba/PR, Brazil. Nutritional formulae were categorized as commercial, with food and mixed (food+ supplement). FI was evaluated by short-form version of the Brazilian Scale of Food Insecurity (EBIA). Statistical analysis was carried out by means of chi-squared test, with level of significance of 5%. Results: 130 HEN patients were included (mean age: 64.6 ± 20.8 years), being 51.5% (n = 67) men, 72.3% (n = 94) with nervous system diseases and 20.8% (n = 27) with cancer. The most frequent nutritional formula category was mixed (53.1%, n = 69), followed by commercial (34.6%, n = 45) and with food (12.3%, n = 16). FI was observed in 50.0% (n = 65) of households. Nutritional formula category and diagnose did not associate to FI (p = 0.163 and p = 0.492, respectively). Households with male HEN patients presented higher FI frequency in comparison to households with female HEN patients (66.1% e 33.8%, respectively,p = 0.001). Male patients received mixed formula more frequently compared to female patients, that received commercial formula more frequently (p = 0.002). Conclusions: Nutritional formula category could not be linked to FI in households of HEN patients’beneficiaries of PAN, but being male and receiving mixed nutritional formula can influence presence of FI. Disclosure of Interest: None declared

DOI: https://doi.org/10.1016/S0261-5614(19)32287-3