P135 - NUTRITIONAL STATUS AND DIETARY INTAKE OF TRANSGENDER PATIENTS IN AN OUTPATIENT CLINIC OF A PUBLIC HOSPITAL IN BRAZIL

P135

NUTRITIONAL STATUS AND DIETARY INTAKE OF TRANSGENDER PATIENTS IN AN OUTPATIENT CLINIC OF A PUBLIC HOSPITAL IN BRAZIL

R. D. S. R. Salgueiro^1,*, T. N. Guiráo¹, A. M. Navarro¹

¹Departamento de Ciências da Saúde, Universidade de São Paulo, Ribeirão Preto, Brazil

Rationale: Considering the limited availability of studies on the impact of hormone therapy on the micronutrient profile, this study analyzed the dietary intake and nutritional status of transgender patients receiving care at a nutrition outpatient clinic.

Methods: Observational, retrospective, and descriptive study conducted through the analysis of medical records from the first appointment with a dietitian at a public hospital in Brazil. Body composition was assessed using electrical bioimpedance analysis, and dietary intake was obtained through a 24-hour dietary recall. Data were analyzed descriptively, and the reference values used were those established by the Institute of Medicine (2006).

Results: Nine patients were included, aged between 15 and 37 years, six transgender men and three transgender women; four were undergoing hormone therapy. Table 1 presents the complete data collected on nutritional status and dietary intake of the participants. Among the six patients with body composition data, a percentage of fat mass above the ideal was observed (29.6% IQR 24.5 - 38.7), even in individuals classified as eutrophic. Regarding food consumption, all patients had a calcium intake below recommended levels. In addition, inadequate meal distribution was observed, along with a high intake of simple carbohydrates, saturated fats and ultra-processed foods.

Image:

Conclusion: The study identified relevant nutritional inadequacies in transgender patients, including low micronutrient intake, excess body fat, high simple carbohydrate consumption and unbalanced dietary patterns. These findings point to the necessity of ongoing nutritional monitoring and further investigation into the effects of hormone therapy on nutritional status. 

References: Institute of Medicine. 2006. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Washington, DC: The National Academies Press. https://doi.org/10.17226/11537.

Disclosure of Interest: None declared