Association between nutritional indicators and risk of hospitalization among hemodialysis patients
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/8025 |
Resumo: | ObjectiveTo verify the ability of nutritional indicators to predict risk of hospitalization in hemodialysis patients. MethodsThis prospective cohort study was conducted in two hemodialysis units in Southern Brazil. The following nutritional indicators were evaluated: subjective global assessment, malnutrition-inflammation score, nutritional risk screening 2002, percentage of body fat, mid-upper arm muscle circumference, hand grip strength, phase angle, and serum albumin. The association between nutritional indicators and risk of hospitalization over a period of two years was analyzed. ResultsOne hundred thirty-eight patients (55.4±15.2 years, 61.6% men) were evaluated. The cumulative incidence of hospitalization during the study was 48.0% (95%CI=37.9-58.0). Patients hospitalized during the study period had higher body mass index and lower serum albumin than those who were not hospitalized. Based on the other indicators, malnourished patients did not have a significant risk of hospitalization (p>0.05). Serum albuminwas the only predictor of hospitalization. Patients with levels <3.8 g/dL had a density ratio for incidence of hospitalization 2.47 times greater than those with higher levels (p=0.003). Gender was a modifier of the effect(p interaction=0.042), with an effect in women of 7.31 (95%CI=2.34-22.9; p=0.001) and in men of 1.37(95%CI=0.60-3.12; p=0.448). ConclusionSerum albumin was able to predict the risk of hospitalization over a period of two years in female patients undergoing hemodialysis. |
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Association between nutritional indicators and risk of hospitalization among hemodialysis patientsAssociação entre indicadores nutricionais e risco de hospitalização em pacientes em hemodiáliseAlbuminsHospitalizationMalnutritionNutritional assessmentRenal dialysisAlbuminasHospitalizaçãoDesnutriçãoAvaliação nutricionalDiálise renalObjectiveTo verify the ability of nutritional indicators to predict risk of hospitalization in hemodialysis patients. MethodsThis prospective cohort study was conducted in two hemodialysis units in Southern Brazil. The following nutritional indicators were evaluated: subjective global assessment, malnutrition-inflammation score, nutritional risk screening 2002, percentage of body fat, mid-upper arm muscle circumference, hand grip strength, phase angle, and serum albumin. The association between nutritional indicators and risk of hospitalization over a period of two years was analyzed. ResultsOne hundred thirty-eight patients (55.4±15.2 years, 61.6% men) were evaluated. The cumulative incidence of hospitalization during the study was 48.0% (95%CI=37.9-58.0). Patients hospitalized during the study period had higher body mass index and lower serum albumin than those who were not hospitalized. Based on the other indicators, malnourished patients did not have a significant risk of hospitalization (p>0.05). Serum albuminwas the only predictor of hospitalization. Patients with levels <3.8 g/dL had a density ratio for incidence of hospitalization 2.47 times greater than those with higher levels (p=0.003). Gender was a modifier of the effect(p interaction=0.042), with an effect in women of 7.31 (95%CI=2.34-22.9; p=0.001) and in men of 1.37(95%CI=0.60-3.12; p=0.448). ConclusionSerum albumin was able to predict the risk of hospitalization over a period of two years in female patients undergoing hemodialysis.ObjetivoVerificar a capacidade preditiva de indicadores nutricionais em relação ao risco de hospitalização em pacientes em hemodiálise. MétodosEstudo de coorte prospectivo em duas unidades de hemodiálise no Sul do Brasil. Os indicadores nutricionais avaliados foram: avaliação subjetiva global, escore de desnutrição-inflamação, rastreamento de risco nutricional 2002, percentual de gordura corporal, circunferência muscular do braço, força do aperto da mão, ângulo de fase e albumina sérica. Foi analisada a associação entre indicadores nutricionais e risco de hospitalização no período de dois anos. ResultadosForam avaliados 138 pacientes (55.4±15.2 anos), sendo 61.6% homens. A incidência cumulativa de hospitalização foi 48.0% (IC95%=37,9-58,0). Os pacientes hospitalizados durante o período do estudo apresentaram maior índice de massa corporal e menores valores de albumina sérica em comparação aos não hospitalizados. Com base nos outros indicadores, pacientes desnutridos não apresentaram risco significativo de hospitalização (p>0,05). Albumina sérica foi o único preditor de hospitalização; pacientes com níveis <3,8 g/dL apresentaram taxa de densidade de incidência de hospitalização 2,47 vezes maior do que aquelescom níveis mais elevados (p=0,003). Sexo foi um modificador do efeito (p interação=0,042), com efeito em mulheres de 7,31 (IC95%=2,34-22,9; p=0,001) e em homens de 1,37 (IC95%=0,60-3,12; p=0,448). ConclusãoA albumina sérica foi capaz de prever o risco de hospitalização no período de dois anos, em pacientes do sexo feminino em hemodiálise. Núcleo de Editoração – PUC-Campinas2023-03-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8025Brazilian Journal of Nutrition; Vol. 29 No. 3 (2016): Revista de NutriçãoRevista de Nutrição; Vol. 29 Núm. 3 (2016): Revista de NutriçãoRevista de Nutrição; v. 29 n. 3 (2016): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPenghttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8025/5538Copyright (c) 2023 Patrícia SZUCK, Letícia Maria FÜHR, Monique Ferreira GARCIA, Angela Teodósio da SILVA, Elisabeth WAZLAWIKhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSZUCK, Patrícia FÜHR, Letícia Maria Ferreira GARCIA, MoniqueTeodósio da SILVA, Angela WAZLAWIK, Elisabeth 2023-03-23T18:33:01Zoai:ojs.periodicos.puc-campinas.edu.br:article/8025Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-03-23T18:33:01Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Association between nutritional indicators and risk of hospitalization among hemodialysis patients Associação entre indicadores nutricionais e risco de hospitalização em pacientes em hemodiálise |
title |
Association between nutritional indicators and risk of hospitalization among hemodialysis patients |
spellingShingle |
Association between nutritional indicators and risk of hospitalization among hemodialysis patients SZUCK, Patrícia Albumins Hospitalization Malnutrition Nutritional assessment Renal dialysis Albuminas Hospitalização Desnutrição Avaliação nutricional Diálise renal |
title_short |
Association between nutritional indicators and risk of hospitalization among hemodialysis patients |
title_full |
Association between nutritional indicators and risk of hospitalization among hemodialysis patients |
title_fullStr |
Association between nutritional indicators and risk of hospitalization among hemodialysis patients |
title_full_unstemmed |
Association between nutritional indicators and risk of hospitalization among hemodialysis patients |
title_sort |
Association between nutritional indicators and risk of hospitalization among hemodialysis patients |
author |
SZUCK, Patrícia |
author_facet |
SZUCK, Patrícia FÜHR, Letícia Maria Ferreira GARCIA, Monique Teodósio da SILVA, Angela WAZLAWIK, Elisabeth |
author_role |
author |
author2 |
FÜHR, Letícia Maria Ferreira GARCIA, Monique Teodósio da SILVA, Angela WAZLAWIK, Elisabeth |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
SZUCK, Patrícia FÜHR, Letícia Maria Ferreira GARCIA, Monique Teodósio da SILVA, Angela WAZLAWIK, Elisabeth |
dc.subject.por.fl_str_mv |
Albumins Hospitalization Malnutrition Nutritional assessment Renal dialysis Albuminas Hospitalização Desnutrição Avaliação nutricional Diálise renal |
topic |
Albumins Hospitalization Malnutrition Nutritional assessment Renal dialysis Albuminas Hospitalização Desnutrição Avaliação nutricional Diálise renal |
description |
ObjectiveTo verify the ability of nutritional indicators to predict risk of hospitalization in hemodialysis patients. MethodsThis prospective cohort study was conducted in two hemodialysis units in Southern Brazil. The following nutritional indicators were evaluated: subjective global assessment, malnutrition-inflammation score, nutritional risk screening 2002, percentage of body fat, mid-upper arm muscle circumference, hand grip strength, phase angle, and serum albumin. The association between nutritional indicators and risk of hospitalization over a period of two years was analyzed. ResultsOne hundred thirty-eight patients (55.4±15.2 years, 61.6% men) were evaluated. The cumulative incidence of hospitalization during the study was 48.0% (95%CI=37.9-58.0). Patients hospitalized during the study period had higher body mass index and lower serum albumin than those who were not hospitalized. Based on the other indicators, malnourished patients did not have a significant risk of hospitalization (p>0.05). Serum albuminwas the only predictor of hospitalization. Patients with levels <3.8 g/dL had a density ratio for incidence of hospitalization 2.47 times greater than those with higher levels (p=0.003). Gender was a modifier of the effect(p interaction=0.042), with an effect in women of 7.31 (95%CI=2.34-22.9; p=0.001) and in men of 1.37(95%CI=0.60-3.12; p=0.448). ConclusionSerum albumin was able to predict the risk of hospitalization over a period of two years in female patients undergoing hemodialysis. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8025 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8025 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8025/5538 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 29 No. 3 (2016): Revista de Nutrição Revista de Nutrição; Vol. 29 Núm. 3 (2016): Revista de Nutrição Revista de Nutrição; v. 29 n. 3 (2016): Revista de Nutrição 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
instname_str |
Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
collection |
Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
||sbi.submissionrn@puc-campinas.edu.br |
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1799126068916912128 |