Assessment of nutritional status in chronic renal failure patients on hemodialysis
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.15858 |
Resumo: | AIMS: To assess the nutritional status and associated factors in chronic renal failure patients on hemodialysis. METHODS: A cross-sectional study conducted at a referral nephrology center at the Hospital São Vicente de Paulo, in the city of Passo Fundo, Rio Grande do Sul state. Anthropometric evaluation consisted of weight (before and after the period of hemodialysis), body mass index, arm muscle circumference, arm muscle area, triceps skinfold thickness and thickness of the thumb muscle (these only after the period of hemodialysis). Biochemical tests included albumin, transferrin and cholesterol. The dietary recall was applied to total calories and protein. RESULTS: Ninety patients were evaluated, of whom 70 (77.8%) men. Using body mass index, 38 patients (42.2%) were overweight, 45 (50%) were normal and 7 (7.8%) were underweight after dialysis. Overweight was estimated in 18 (20%) patients by triceps skinfold and in no patient by the other anthropometric measures used. Nutritional depletion was identified in 53 patients (58.9%) using the triceps skinfold, in 37 (41.1%) by arm muscle circumference, in 72 (80%) by arm muscle area and in 84 (95.4 %) by albumin dosage. Dietary intake of energy and protein intake were below the reference standards and were significantly lower in patients with overweight. CONCLUSIONS: There was a high prevalence of overweight assessed by body mass index, whereas most patients had nutritional depletion in other anthropometric variables, with concomitant decrease in albumin and lean body mass, after the period of hemodialysis. |
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Assessment of nutritional status in chronic renal failure patients on hemodialysisAvaliação do estado nutricional em pacientes renais crônicos em hemodiáliseRENAL DIALYSISSTATUS NUTRITIONALMALNUTRITIONCHRONIC KIDNEY FAILUREDIÁLISE RENALESTADO NUTRICIONALDESNUTRIÇÃOFALÊNCIA RENAL CRÔNICAAIMS: To assess the nutritional status and associated factors in chronic renal failure patients on hemodialysis. METHODS: A cross-sectional study conducted at a referral nephrology center at the Hospital São Vicente de Paulo, in the city of Passo Fundo, Rio Grande do Sul state. Anthropometric evaluation consisted of weight (before and after the period of hemodialysis), body mass index, arm muscle circumference, arm muscle area, triceps skinfold thickness and thickness of the thumb muscle (these only after the period of hemodialysis). Biochemical tests included albumin, transferrin and cholesterol. The dietary recall was applied to total calories and protein. RESULTS: Ninety patients were evaluated, of whom 70 (77.8%) men. Using body mass index, 38 patients (42.2%) were overweight, 45 (50%) were normal and 7 (7.8%) were underweight after dialysis. Overweight was estimated in 18 (20%) patients by triceps skinfold and in no patient by the other anthropometric measures used. Nutritional depletion was identified in 53 patients (58.9%) using the triceps skinfold, in 37 (41.1%) by arm muscle circumference, in 72 (80%) by arm muscle area and in 84 (95.4 %) by albumin dosage. Dietary intake of energy and protein intake were below the reference standards and were significantly lower in patients with overweight. CONCLUSIONS: There was a high prevalence of overweight assessed by body mass index, whereas most patients had nutritional depletion in other anthropometric variables, with concomitant decrease in albumin and lean body mass, after the period of hemodialysis.OBJETIVOS: Avaliar o estado nutricional e fatores associados em pacientes renais crônicos em hemodiálise. MÉTODOS: Estudo do tipo transversal realizado no serviço de hemodiálise do Hospital São Vicente de Paulo, na cidade de Passo Fundo, Rio Grande do Sul. A avaliação antropométrica consistiu de peso (antes e após o período de hemodiálise), índice de massa corporal, circunferência muscular do braço, área muscular do braço, prega cutânea tricipital e espessura do músculo adutor do polegar (estas variáveis somente após o período de hemodiálise). Os exames bioquímicos realizados foram albumina, colesterol e transferrina. O recordatório alimentar foi aplicado para calorias totais e proteínas. RESULTADOS: Foram avaliados 90 pacientes, sendo 70 (77,8%) homens. Pelo índice de massa corporal, 38 pacientes (42,2%) tinham excesso de peso, 45 (50%) eram eutróficos e 7 (7,8%) tinham baixo peso após a diálise. Excesso de peso foi estimado em 18 (20%) dos pacientes pela prega cutânea tricipital e em nenhum paciente pelas outras medidas antropométricas utilizadas. Depleção nutricional foi identificada em 53 pacientes (58,9%) pela prega cutânea tricipital, em 37 (41,1%) pela circunferência muscular do braço, em 72 (80%) pela área muscular do braço e em 84 (95,4%) pela dosagem de albumina. O consumo alimentar de energia e o consumo de proteína estiveram abaixo dos padrões de referência e foram significativamente menores nos pacientes com excesso de peso. CONCLUSÕES: Houve elevada prevalência de excesso de peso avaliado pelo índice de massa corporal, enquanto a maioria dos pacientes apresentou depleção nutricional nas demais variáveis antropométricas, com concomitante diminuição da albumina e da massa magra, após o período de hemodiálise.Editora da PUCRS - ediPUCRS2014-05-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTransversalapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.1585810.15448/1980-6108.2014.1.15858Scientia Medica; Vol. 24 No. 1 (2014); 11-18Scientia Medica; v. 24 n. 1 (2014); 11-181980-61081806-556210.15448/1980-6108.2014.1reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.15858/11155Dobner, TaiseTelles, Cristina TrevizanPomatti, GabrielaPasqualotti, AdrianoBettinelli, Luiz Antonioinfo:eu-repo/semantics/openAccess2017-08-28T14:50:15Zoai:ojs.revistaseletronicas.pucrs.br:article/15858Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2017-08-28T14:50:15Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Assessment of nutritional status in chronic renal failure patients on hemodialysis Avaliação do estado nutricional em pacientes renais crônicos em hemodiálise |
title |
Assessment of nutritional status in chronic renal failure patients on hemodialysis |
spellingShingle |
Assessment of nutritional status in chronic renal failure patients on hemodialysis Dobner, Taise RENAL DIALYSIS STATUS NUTRITIONAL MALNUTRITION CHRONIC KIDNEY FAILURE DIÁLISE RENAL ESTADO NUTRICIONAL DESNUTRIÇÃO FALÊNCIA RENAL CRÔNICA |
title_short |
Assessment of nutritional status in chronic renal failure patients on hemodialysis |
title_full |
Assessment of nutritional status in chronic renal failure patients on hemodialysis |
title_fullStr |
Assessment of nutritional status in chronic renal failure patients on hemodialysis |
title_full_unstemmed |
Assessment of nutritional status in chronic renal failure patients on hemodialysis |
title_sort |
Assessment of nutritional status in chronic renal failure patients on hemodialysis |
author |
Dobner, Taise |
author_facet |
Dobner, Taise Telles, Cristina Trevizan Pomatti, Gabriela Pasqualotti, Adriano Bettinelli, Luiz Antonio |
author_role |
author |
author2 |
Telles, Cristina Trevizan Pomatti, Gabriela Pasqualotti, Adriano Bettinelli, Luiz Antonio |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Dobner, Taise Telles, Cristina Trevizan Pomatti, Gabriela Pasqualotti, Adriano Bettinelli, Luiz Antonio |
dc.subject.por.fl_str_mv |
RENAL DIALYSIS STATUS NUTRITIONAL MALNUTRITION CHRONIC KIDNEY FAILURE DIÁLISE RENAL ESTADO NUTRICIONAL DESNUTRIÇÃO FALÊNCIA RENAL CRÔNICA |
topic |
RENAL DIALYSIS STATUS NUTRITIONAL MALNUTRITION CHRONIC KIDNEY FAILURE DIÁLISE RENAL ESTADO NUTRICIONAL DESNUTRIÇÃO FALÊNCIA RENAL CRÔNICA |
description |
AIMS: To assess the nutritional status and associated factors in chronic renal failure patients on hemodialysis. METHODS: A cross-sectional study conducted at a referral nephrology center at the Hospital São Vicente de Paulo, in the city of Passo Fundo, Rio Grande do Sul state. Anthropometric evaluation consisted of weight (before and after the period of hemodialysis), body mass index, arm muscle circumference, arm muscle area, triceps skinfold thickness and thickness of the thumb muscle (these only after the period of hemodialysis). Biochemical tests included albumin, transferrin and cholesterol. The dietary recall was applied to total calories and protein. RESULTS: Ninety patients were evaluated, of whom 70 (77.8%) men. Using body mass index, 38 patients (42.2%) were overweight, 45 (50%) were normal and 7 (7.8%) were underweight after dialysis. Overweight was estimated in 18 (20%) patients by triceps skinfold and in no patient by the other anthropometric measures used. Nutritional depletion was identified in 53 patients (58.9%) using the triceps skinfold, in 37 (41.1%) by arm muscle circumference, in 72 (80%) by arm muscle area and in 84 (95.4 %) by albumin dosage. Dietary intake of energy and protein intake were below the reference standards and were significantly lower in patients with overweight. CONCLUSIONS: There was a high prevalence of overweight assessed by body mass index, whereas most patients had nutritional depletion in other anthropometric variables, with concomitant decrease in albumin and lean body mass, after the period of hemodialysis. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-05-10 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Transversal |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.15858 10.15448/1980-6108.2014.1.15858 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.15858 |
identifier_str_mv |
10.15448/1980-6108.2014.1.15858 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.15858/11155 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 24 No. 1 (2014); 11-18 Scientia Medica; v. 24 n. 1 (2014); 11-18 1980-6108 1806-5562 10.15448/1980-6108.2014.1 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101750166093824 |