Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal

Detalhes bibliográficos
Autor(a) principal: de Araujo Antunes, Aline [UNESP]
Data de Publicação: 2011
Outros Autores: Vannini, Francieli Cristina Delatim [UNESP], Martin, Luis Cuadrado [UNESP], Zanati, Silméia Garcia [UNESP], Barretti, Pasqual [UNESP], Caramori, Jacqueline Costa Teixeira [UNESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1590/S1415-52732011000100010
http://hdl.handle.net/11449/226392
Resumo: Objective: This study identified determinants of the hydration status of chronic peritoneal dialysis patients and investigated the effects of fluid overload on their nutritional status. Methods: A cross-sectional study was conducted in 2006 to evaluate 27 chronic peritoneal dialysis patients from the Dialysis Center of the Medical School Hospital of Botucatu (SP), considering clinical, dialytic, laboratory, anthropometric and bioimpedance parameters. A linear multiple regression model was used to evaluate the influence of these parameters on hydration status. The sample was stratified according to hydration status, given by the ratio between extracellular water and total body water (0.47 for males and 0.52 for females), obtained by bioelectrical impedance. Analysis of covariance, Mann-Whitney test, chi-square test, and Fisher's exact test were used for making comparisons. The significance level was set at 5% (p≤0.05). Results: Patients with greater urine volume and receiving automatic dialysis presented better hydration status. Patients with higher fluid overload, compared with those with lower overload, presented lower phase angle (M=4.2, SD=0.9 vs. M=5.7, SD=0.7°; p=0.006), lower albumin levels (M=3.06, SD=0.46 vs. M=3.55, SD=0.52g/dL; p=0.05), and higher percentage of triceps skinfold thickness (M=75.3, SD=36.9 vs. M= 92.1, SD=56.9; p=0.058). No other anthropometric differences were observed. Conclusion: Low levels of albumin and phase angle in patients with higher fluid overload were not related to worse nutritional status. This result suggests that one must consider the set of variables obtained by many methods and relate and interpret them comprehensively in order to obtain a reliable nutritional diagnosis of patients with fluid overload.
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spelling Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritonealRelevance of hydration status on the interpretation of nutritional parameters in peritoneal dialysisBioimpedanceHydration statusNutritionPeritoneal dialysisObjective: This study identified determinants of the hydration status of chronic peritoneal dialysis patients and investigated the effects of fluid overload on their nutritional status. Methods: A cross-sectional study was conducted in 2006 to evaluate 27 chronic peritoneal dialysis patients from the Dialysis Center of the Medical School Hospital of Botucatu (SP), considering clinical, dialytic, laboratory, anthropometric and bioimpedance parameters. A linear multiple regression model was used to evaluate the influence of these parameters on hydration status. The sample was stratified according to hydration status, given by the ratio between extracellular water and total body water (0.47 for males and 0.52 for females), obtained by bioelectrical impedance. Analysis of covariance, Mann-Whitney test, chi-square test, and Fisher's exact test were used for making comparisons. The significance level was set at 5% (p≤0.05). Results: Patients with greater urine volume and receiving automatic dialysis presented better hydration status. Patients with higher fluid overload, compared with those with lower overload, presented lower phase angle (M=4.2, SD=0.9 vs. M=5.7, SD=0.7°; p=0.006), lower albumin levels (M=3.06, SD=0.46 vs. M=3.55, SD=0.52g/dL; p=0.05), and higher percentage of triceps skinfold thickness (M=75.3, SD=36.9 vs. M= 92.1, SD=56.9; p=0.058). No other anthropometric differences were observed. Conclusion: Low levels of albumin and phase angle in patients with higher fluid overload were not related to worse nutritional status. This result suggests that one must consider the set of variables obtained by many methods and relate and interpret them comprehensively in order to obtain a reliable nutritional diagnosis of patients with fluid overload.Universidade Estadual Paulista Faculdade de Medicina de Botucatu Departamento de Clínica Médica, Distrito de Rubião Júnior, s/n, 18618-000, Botucatu, SPUniversidade Estadual Paulista Faculdade de Medicina de Botucatu Departamento de Clínica Médica, Distrito de Rubião Júnior, s/n, 18618-000, Botucatu, SPUniversidade Estadual Paulista (UNESP)de Araujo Antunes, Aline [UNESP]Vannini, Francieli Cristina Delatim [UNESP]Martin, Luis Cuadrado [UNESP]Zanati, Silméia Garcia [UNESP]Barretti, Pasqual [UNESP]Caramori, Jacqueline Costa Teixeira [UNESP]2022-04-28T22:48:45Z2022-04-28T22:48:45Z2011-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article99-107http://dx.doi.org/10.1590/S1415-52732011000100010Revista de Nutricao, v. 24, n. 1, p. 99-107, 2011.1415-5273http://hdl.handle.net/11449/22639210.1590/S1415-527320110001000102-s2.0-79959218741Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporRevista de Nutricaoinfo:eu-repo/semantics/openAccess2022-04-28T22:48:45Zoai:repositorio.unesp.br:11449/226392Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-28T22:48:45Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal
Relevance of hydration status on the interpretation of nutritional parameters in peritoneal dialysis
title Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal
spellingShingle Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal
de Araujo Antunes, Aline [UNESP]
Bioimpedance
Hydration status
Nutrition
Peritoneal dialysis
title_short Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal
title_full Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal
title_fullStr Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal
title_full_unstemmed Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal
title_sort Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal
author de Araujo Antunes, Aline [UNESP]
author_facet de Araujo Antunes, Aline [UNESP]
Vannini, Francieli Cristina Delatim [UNESP]
Martin, Luis Cuadrado [UNESP]
Zanati, Silméia Garcia [UNESP]
Barretti, Pasqual [UNESP]
Caramori, Jacqueline Costa Teixeira [UNESP]
author_role author
author2 Vannini, Francieli Cristina Delatim [UNESP]
Martin, Luis Cuadrado [UNESP]
Zanati, Silméia Garcia [UNESP]
Barretti, Pasqual [UNESP]
Caramori, Jacqueline Costa Teixeira [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
dc.contributor.author.fl_str_mv de Araujo Antunes, Aline [UNESP]
Vannini, Francieli Cristina Delatim [UNESP]
Martin, Luis Cuadrado [UNESP]
Zanati, Silméia Garcia [UNESP]
Barretti, Pasqual [UNESP]
Caramori, Jacqueline Costa Teixeira [UNESP]
dc.subject.por.fl_str_mv Bioimpedance
Hydration status
Nutrition
Peritoneal dialysis
topic Bioimpedance
Hydration status
Nutrition
Peritoneal dialysis
description Objective: This study identified determinants of the hydration status of chronic peritoneal dialysis patients and investigated the effects of fluid overload on their nutritional status. Methods: A cross-sectional study was conducted in 2006 to evaluate 27 chronic peritoneal dialysis patients from the Dialysis Center of the Medical School Hospital of Botucatu (SP), considering clinical, dialytic, laboratory, anthropometric and bioimpedance parameters. A linear multiple regression model was used to evaluate the influence of these parameters on hydration status. The sample was stratified according to hydration status, given by the ratio between extracellular water and total body water (0.47 for males and 0.52 for females), obtained by bioelectrical impedance. Analysis of covariance, Mann-Whitney test, chi-square test, and Fisher's exact test were used for making comparisons. The significance level was set at 5% (p≤0.05). Results: Patients with greater urine volume and receiving automatic dialysis presented better hydration status. Patients with higher fluid overload, compared with those with lower overload, presented lower phase angle (M=4.2, SD=0.9 vs. M=5.7, SD=0.7°; p=0.006), lower albumin levels (M=3.06, SD=0.46 vs. M=3.55, SD=0.52g/dL; p=0.05), and higher percentage of triceps skinfold thickness (M=75.3, SD=36.9 vs. M= 92.1, SD=56.9; p=0.058). No other anthropometric differences were observed. Conclusion: Low levels of albumin and phase angle in patients with higher fluid overload were not related to worse nutritional status. This result suggests that one must consider the set of variables obtained by many methods and relate and interpret them comprehensively in order to obtain a reliable nutritional diagnosis of patients with fluid overload.
publishDate 2011
dc.date.none.fl_str_mv 2011-01-01
2022-04-28T22:48:45Z
2022-04-28T22:48:45Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S1415-52732011000100010
Revista de Nutricao, v. 24, n. 1, p. 99-107, 2011.
1415-5273
http://hdl.handle.net/11449/226392
10.1590/S1415-52732011000100010
2-s2.0-79959218741
url http://dx.doi.org/10.1590/S1415-52732011000100010
http://hdl.handle.net/11449/226392
identifier_str_mv Revista de Nutricao, v. 24, n. 1, p. 99-107, 2011.
1415-5273
10.1590/S1415-52732011000100010
2-s2.0-79959218741
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Revista de Nutricao
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 99-107
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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