Characterization of the nutritional profile of patients with chronic kidney disease in non-dialytic treatment in nephrology ambulatory

• Autor(a) principal: Alexandre, Ana Claudia Nunes Palmeira
• Data de Publicação: 2022
• Outros Autores: Contini, Larissa Jeffery, Lorenzon, Luís Felipe Lopes
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista brasileira de obesidade, nutrição e emagrecimento
• Texto Completo: https://www.rbone.com.br/index.php/rbone/article/view/1730
• topic: Nutritional status; Conservative treatment; Patient care team; Estados nutricionales; Tratamento conservador; Equipo multiprofesional; Stato nutrizionale; Trattamento conservativo; Squadra multiprofessionale; Estado nutricional; Tratamento conservador; Equipe multiprofissional; Estado nutricional; Tratamento conservador; Equipe multiprofissional

Introduction: Chronic Kidney Disease (CKD) is classified into five stages, and the non-dialytic phase comprises stages 2 to 4, with glomerular filtration rates (GFR) between 90 and 15 ml / min / 1.73 m2 respectively. Objectives: to characterize the nutritional profile of non-dialytic chronic renal patients treated at a Tertiary Hospital nephrology outpatient clinic and to provide support that justifies the importance of outpatient nutritional monitoring. Materials and Methods: The following anthropometric measurements were taken: weight, height, triceps skinfold (PCT) and arm circumference (CB). From these variables the Body Mass Index (BMI), the adequacy of CB, arm muscle circumference (BMI) and PCT in percentages (%) were calculated. To assess food consumption, the 24-hour recall was used. Results and Discussion: 50 individuals participated in this study, most of them elderly. The results showed that 100% reported having systemic arterial hypertension (SAH). Regarding CKD classification, 34% were in stage 2. When evaluated by age group, it was noted that the mean BMI identified overweight in adults and elderly, in both sexes. There was a directly proportional correlation between CKD stage and protein intake (p <0.05), and protein intake per kg of weight increased according to CKD stage. Although it is not possible to state, the results suggest that the increase in protein consumption would be related to worsening renal function. Conclusion: this study reinforces the importance of multiprofessional care, including the professional nutritionist to patients under conservative treatment.