Assessment of food consumption in hemodialysis patients: comparison with recommendations from the Kidney Disease Outcome Quality Initiative

• Autor(a) principal: Procópio do Carmo, Layla
• Data de Publicação: 2022
• Outros Autores: Alves da Silva, Juliane, Souza Fernandes Azevedo, Ana Carolina, Pereira Xavier, Caroline, Barbosa Moura, Eduellen, Hermana Miranda Hermsdorff, Helen, Boroni Moreira, Ana Paula, Cardoso de Lima, Mário Flávio
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: HU Revista (Online)
• Texto Completo: https://periodicos.ufjf.br/index.php/hurevista/article/view/34507
• topic: Renal Dialysis; Recommended Dietary Allowances; Diet, Food, and Nutrition; Diálise Renal; Recomendações Nutricionais; Alimentos, Dieta e Nutrição

Introduction: The analysis of food intake in patients with chronic kidney disease (CKD) undergoing dialysis is effective to provide information to assist in nutritional diagnosis and guide the necessary dietary behaviors. Objective: To analyze the adequacy of food consumption according to the recommendations published by the Kidney Disease Outcome Quality Initiative (KDOQI) for macro and micronutrients, in addition to evaluating the total antioxidant capacity of the diet (CATd) of patients with CKD. Materials and Methods: Cross-sectional study with 60 volunteers with CKD undergoing hemodialysis treatment at a University Hospital in Juiz de Fora – MG. The characterization of the sample was carried out from June 2019 to February 2020, through the application of a Quantitative Food Frequency Questionnaire (QQFA) and the collection of personal, clinical and comorbid data. Statistical analyzes were conducted using SPSS software, version 20.0. Numerical variables were presented as mean (± standard deviation), median, minimum and maximum, while categorical variables in absolute and relative frequency. Results: It was observed that 43% and 55% of the patients had a caloric and protein consumption above that recommended by the KDOQI, respectively. For micronutrients, it was observed that 77% of the patients had calcium intake below the recommended level and phosphorus consumption 65% higher than the current recommendation. It was noticed that 67% and 40% of the patients had adequate consumption of sodium and potassium. The lipid profile of the patients' diet showed a disproportion of the omega 6/omega 3 ratio, in addition to a CATd of 4.05 mmol/day. Conclusion: Through the present study we can conclude that the food consumption of the evaluated hemodialysis patients presents some inadequacies in relation to the recommendations proposed by the literature.