Relevância do estado de hidratação na interpretação de parâmetros nutricionais em diálise peritoneal
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
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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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/openAccess2024-08-14T17:23:33Zoai:repositorio.unesp.br:11449/226392Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:23:33Repositório 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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1808128168786132992 |