{"id":118627,"date":"2016-10-16T19:03:57","date_gmt":"2016-10-16T21:03:57","guid":{"rendered":"http:\/\/www.notibras.com\/site\/?p=118627"},"modified":"2016-10-17T08:42:27","modified_gmt":"2016-10-17T10:42:27","slug":"exame-de-colesterol-nao-vai-mais-exigir-velho-jejum","status":"publish","type":"post","link":"https:\/\/www.notibras.com\/site\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\/","title":{"rendered":"Exame de colesterol n\u00e3o vai mais exigir o velho jejum"},"content":{"rendered":"
\n
L\u00edgia Morais<\/strong><\/h6>\n

O h\u00e1bito de marcar os exames de colesterol logo no come\u00e7o da manh\u00e3, para evitar a fome e as filas, est\u00e1 prestes a mudar. A Sociedade Brasileira de Patologia Cl\u00ednica e Medicina Laboratorial, a de Cardiologia e a de An\u00e1lises Cl\u00ednicas se posicionaram oficialmente contra a obrigatoriedade do jejum de 12h para exames de colesterol e triglic\u00e9rides. As entidades, respons\u00e1veis por estabelecer diretrizes para os laborat\u00f3rios m\u00e9dicos, pretendem formalizar o documento com a flexibiliza\u00e7\u00e3o do jejum em janeiro de 2017.<\/p>\n

“As sociedades fazem as recomenda\u00e7\u00f5es, mas o m\u00e9dico dever\u00e1 avaliar os casos em que pode ser necess\u00e1rio o jejum, de acordo com o estado metab\u00f3lico do paciente”, afirma Tania Martinez, coordenadora de A\u00e7\u00f5es Sociais para a Aterosclerose da Sociedade Brasileira de Cardiologia. O jejum ainda ser\u00e1 recomendado em situa\u00e7\u00f5es espec\u00edficas, por exemplo, quando o paciente possuir alta concentra\u00e7\u00e3o de triglicer\u00eddios no sangue (acima de 440 mg\/dL, sendo que o normal \u00e9 de at\u00e9 150 mg\/dL). Tamb\u00e9m o jejum de oito horas continua necess\u00e1rio para o diagn\u00f3stico de diabetes em glicemia, apesar de existirem outros m\u00e9todos para a realiza\u00e7\u00e3o do diagn\u00f3stico dessa doen\u00e7a. Em geral, por\u00e9m, os laborat\u00f3rios devem realizar a coleta de sangue independente do tempo de jejum.<\/p>\n

Segundo as entidades m\u00e9dicas, o exame deve refletir o estado metab\u00f3lico cotidiano do paciente, em suas condi\u00e7\u00f5es habituais de dieta. Alex Galoro, presidente da Sociedade Brasileira de Patologia Cl\u00ednica, afirma que a principal vantagem dessa nova recomenda\u00e7\u00e3o \u00e9 para o pr\u00f3prio paciente, que vai poder evitar o desconforto de fazer jejum por 12 horas. “Para o laborat\u00f3rio, as principais altera\u00e7\u00f5es v\u00e3o ser na adequa\u00e7\u00e3o do tipo de laudo e no fluxo do trabalho, que deve diminuir no per\u00edodo da manh\u00e3”, diz. Galoro diz acreditar que menos de 10% dos pacientes precisar\u00e1 fazer jejum para o exame de triglic\u00e9rides.<\/p>\n

O jejum, que j\u00e1 n\u00e3o era obrigat\u00f3rio para os exames de colesterol e de HDL (conhecido como ‘colesterol bom’), era necess\u00e1rio para se verificar o n\u00edvel de triglicer\u00eddios no sangue. “Como o c\u00e1lculo do colesterol total e das fra\u00e7\u00f5es era feito em conjunto, precisava-se medir o triglic\u00e9rides para calcular as outras fra\u00e7\u00f5es do colesterol”, explica Carlos Eduardo Ferreira, coordenador m\u00e9dico do Hospital Israelita Albert Einstein. Com a evolu\u00e7\u00e3o das t\u00e9cnicas laboratoriais, foi poss\u00edvel alterar o m\u00e9todo, que verifica os riscos de doen\u00e7a card\u00edaca no paciente.<\/p>\n

“Faz quatro meses que o Albert Einstein j\u00e1 n\u00e3o exige o jejum de 12 horas para os exames de triglic\u00e9rides”, afirma Carlos. Com base em estudos internacionais, o m\u00e9dico conta que a equipe do hospital fez uma reuni\u00e3o interna e decidiu flexibilizar a exig\u00eancia do jejum. “Muitos pacientes e m\u00e9dicos j\u00e1 n\u00e3o seguiam essa orienta\u00e7\u00e3o. Agora as sociedades m\u00e9dicas decidiram oficializar essa pr\u00e1tica, j\u00e1 que n\u00e3o existia raz\u00e3o para mant\u00ea-la”, diz.<\/p>\n

Carlos tamb\u00e9m \u00e9 diretor de ensino da Sociedade Brasileira de Patologia Cl\u00ednica e tem ajudado na elabora\u00e7\u00e3o das novas diretrizes de medicina laboratorial propostas pelas entidades brasileiras.<\/p>\n

Desde 2009, as sociedades m\u00e9dicas da Dinamarca n\u00e3o recomendam mais o jejum em testes laboratoriais de lipoprote\u00ednas, depois de realizarem exames em pacientes em momentos aleat\u00f3rios do dia e n\u00e3o verificaram altera\u00e7\u00f5es nas an\u00e1lises. A Sociedade Europeia de Aterosclerose e a Federa\u00e7\u00e3o Europeia de Qu\u00edmica Cl\u00ednica e Medicina Laboratorial publicaram este ano um estudo tamb\u00e9m confirmando que o jejum n\u00e3o interfere nos exames. Nos Estados Unidos, as sociedades m\u00e9dicas ainda discutem a regulamenta\u00e7\u00e3o.<\/p>\n

Com o posicionamento das sociedades brasileiras, que ratificaram as diretrizes propostas pelas entidades internacionais, laborat\u00f3rios no Pa\u00eds j\u00e1 est\u00e3o sofrendo altera\u00e7\u00f5es. Existem alguns, por\u00e9m, de pequeno e m\u00e9dio porte que ainda n\u00e3o t\u00eam a tecnologia necess\u00e1ria para realizar os procedimentos indicados. “H\u00e1 um n\u00famero significativo desses laborat\u00f3rios de menor porte, mas em volume de exames de colesterol e triglic\u00e9rides, eles n\u00e3o representam tanto do que \u00e9 feito no Pa\u00eds”, afirma Alex Galoro.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

L\u00edgia Morais O h\u00e1bito de marcar os exames de colesterol logo no come\u00e7o da manh\u00e3, para evitar a fome e as filas, est\u00e1 prestes a mudar. A Sociedade Brasileira de Patologia Cl\u00ednica e Medicina Laboratorial, a de Cardiologia e a de An\u00e1lises Cl\u00ednicas se posicionaram oficialmente contra a obrigatoriedade do jejum de 12h para exames […]<\/p>\n","protected":false},"author":2,"featured_media":118628,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[68],"tags":[],"tmauthors":[],"class_list":["post-118627","post","type-post","status-publish","format-standard","has-post-thumbnail","category-saude"],"acf":[],"yoast_head":"\nExame de colesterol n\u00e3o vai mais exigir o velho jejum - Notibras<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.notibras.com\/site\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Exame de colesterol n\u00e3o vai mais exigir o velho jejum - Notibras\" \/>\n<meta property=\"og:description\" content=\"L\u00edgia Morais O h\u00e1bito de marcar os exames de colesterol logo no come\u00e7o da manh\u00e3, para evitar a fome e as filas, est\u00e1 prestes a mudar. A Sociedade Brasileira de Patologia Cl\u00ednica e Medicina Laboratorial, a de Cardiologia e a de An\u00e1lises Cl\u00ednicas se posicionaram oficialmente contra a obrigatoriedade do jejum de 12h para exames […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.notibras.com\/site\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\/\" \/>\n<meta property=\"og:site_name\" content=\"Notibras\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/notibras\/\" \/>\n<meta property=\"article:published_time\" content=\"2016-10-16T21:03:57+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-10-17T10:42:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.notibras.com\/site\/wp-content\/uploads\/2016\/10\/1394127415984.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"842\" \/>\n\t<meta property=\"og:image:height\" content=\"561\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Reda\u00e7\u00e3o\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@Notibras\" \/>\n<meta name=\"twitter:site\" content=\"@Notibras\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Reda\u00e7\u00e3o\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.notibras.com\\\/site\\\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.notibras.com\\\/site\\\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\\\/\"},\"author\":{\"name\":\"Reda\u00e7\u00e3o\",\"@id\":\"https:\\\/\\\/www.notibras.com\\\/site\\\/#\\\/schema\\\/person\\\/36ab0979449956132d3e5b517ea76ac8\"},\"headline\":\"Exame de colesterol n\u00e3o vai mais exigir o velho jejum\",\"datePublished\":\"2016-10-16T21:03:57+00:00\",\"dateModified\":\"2016-10-17T10:42:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.notibras.com\\\/site\\\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\\\/\"},\"wordCount\":729,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.notibras.com\\\/site\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.notibras.com\\\/site\\\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.notibras.com\\\/site\\\/wp-content\\\/uploads\\\/2016\\\/10\\\/1394127415984.jpg\",\"articleSection\":[\"Sa\u00fade\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.notibras.com\\\/site\\\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.notibras.com\\\/site\\\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\\\/\",\"url\":\"https:\\\/\\\/www.notibras.com\\\/site\\\/exame-de-colesterol-nao-vai-mais-exigir-velho-jejum\\\/\",\"name\":\"Exame de colesterol n\u00e3o vai mais exigir o velho jejum - 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