Factors associated with malnutrition in elderly individuals with chronic kidney disease in conservative treatment

• Autor(a) principal: Gabriela Monteiro, Melina
• Data de Publicação: 2021
• Outros Autores: Moreira de Lima Pereira, Priscila, Teixeira Soares, Íris, de Fátima Maria de Oliveira, Cássia, Marcus Gomes Bastos, Marcus, Carlos Cândido, Ana Paula
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: HU Revista (Online)
• Texto Completo: https://periodicos.ufjf.br/index.php/hurevista/article/view/31466
• topic: Malnutrition; Elderly; Smoking; Chronic kidney failure; Conservative treatment; Desnutrição; Idosos; Tabagismo; Insuficiência renal crônica; Tratamento conservador

Introduction: Malnutrition is present in the elderly with chronic kidney disease (CKD) under conservative treatment. It is one of the main factors that adversely affect the prognosis and is associated with increased morbidity and mortality. Objective: To evaluate the presence of malnutrition and associated factors in elderly people with CKD undergoing conservative treatment. Material and methods: Epidemiological study, with cross-sectional design, including patients with CKD stages 3,4 and 5, under conservative treatment, aged over 60 years. Socioeconomic, clinical, physical activity and anthropometric data were collected. Categorical variables were presented with absolute and relative frequencies and compared, according to sex, using Pearson's chi-square test. For the assessment of factors related to the presence of malnutrition, the BMI was dichotomized into malnourished and non-malnourished and the Odds ratio was calculated. Results: 136 individuals were evaluated. The prevalence of malnutrition was 13%, according to BMI, and mass depletion was found in 35.2% of women and 30% of men by the lean tissue index. It was found that the smoker is 7.36 times more likely to have malnutrition when compared to a non-smoker. Conclusion: A high prevalence of malnutrition was observed in this study. No associations were found with sex, schooling, income, sedentary lifestyle, CKD stage, DM and SAH. Smoking was the factor that showed a significant association with malnutrition.