Análise de diferentes métodos de avaliação do estado nutricional de pacientes em hemodiálise

Ribeiro, Márcia Machado Cunha; Araújo, Melissa Luciana de; Cunha, Lucas Maciel; Ribeiro, Débora Machado Cunha; Pena, Geórgia das Graças

doi:10.15649/cuidarte.v6i1.163

Cited by 20 publications

(28 citation statements)

References 15 publications

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“…With a mean of 24.1 ± 16.8, the prevalence of overweight patients reached a total of 28.0% of the sample, where 22.0% were overweight and 8.0% were obese. The same result was found in a study with 90 patients from a hemodialysis clinic in the city of Belo Horizonte, Brazil, to compare the nutritional status of hemodialysis with malnutrition, showing a mean body mass index of 24.1kg/m 2 , that is, within the eutrophic parameter (11) .…”

Section: Discussionsupporting

confidence: 76%

Cardiovascular risk and lifestyle in patients with chronic kidney disease

et al. 2018

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Objective: to correlate cardiovascular risk factors of patients with kidney disease with elevated blood pressure levels. Methods: this is a cross-sectional study with 150 patients on hemodialysis. Two forms were used, one referring to socioeconomic factors and the other to lifestyle. Results: the sample consisted predominantly of male patients, aged over 52 years old, married and not working. Blood pressure levels were the most affected of the cardiovascular risk factors, where 78.0% had systolic blood pressure above ideal values. A statistically significant association was found between blood pressure and age (p=0.024) and between blood pressure and ability to deal with stress (p=0.015). Conclusion: through this study, it was verified that the statistical significance between the variables indicates that high systolic blood pressure, age and ability to deal with stress favor cardiovascular risk factors in patients with chronic kidney disease. Descriptors: Risk Factors; Life Style; Cardiovascular Diseases.Objetivo: correlacionar fatores de risco cardiovascular de pacientes com doença renal com níveis pressóricos elevados. Métodos: estudo transversal realizado com 150 pacientes em hemodiálise. Foram utilizados dois formulários, um referente aos fatores socioeconômicos e outro ao estilo de vida. Resultados: a amostra foi composta predominantemente por pacientes do sexo masculino, idade acima de 52 anos, casados e não exercendo atividade laboral. Dos fatores de risco cardiovascular, os níveis pressóricos foram os mais alterados, onde 78,0% estavam com pressão arterial sistólica acima dos valores ideais. Foi encontrada associação estatisticamente significativa entre pressão arterial e idade (p=0,024) e entre pressão arterial e capacidade de lidar com o estresse (p=0,015). Conclusão: por meio deste estudo, pôde-se verificar que a significância estatística entre as variáveis indica que a pressão arterial sistólica elevada, a idade e a capacidade em lidar com o estresse favorecem os fatores de risco cardiovascular em pacientes com doença renal crônica.

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Section: Discussionsupporting

confidence: 76%

Cardiovascular risk and lifestyle in patients with chronic kidney disease

et al. 2018

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“…The majority of the patients in this sample are male, with similar values in relation to the number of patients and gender distribution in other studies 9,10 ; which may be justified by the fact that men seek preventive health services less, and by the progression of kidney disease being faster in men and in more advanced individuals 11 .…”

Section: Methods Of Nutritional Evaluation Between Patients In Hemodisupporting

confidence: 81%

Methods of nutritional evaluation between patients in hemodialysis

Bertoni¹,

Bettinelli²,

Pasqualotti³

et al. 2017

Mundo Saúde

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Chronic kidney disease is a public health problem. Characterizing the nutritional profile of these patients allows early diagnosis of possible nutritional risks. The objective was to evaluate the nutritional status and dietary intake of hemodialysis patients. A cross-sectional study was performed at a hemodialysis clinic from February to April 2016. Patients 18 years of age or older who underwent treatment for at least three months and were able to perform the Bioimpedance test were included. Nutritional status was determined by Body Mass Index. The Palmar Grip Strength was measured by dynamometer and the Adductor Muscle Thickness of the Thumb was by an adipometer, food intake was analyzed through a 24-hour Food Recall. A Global Subjective Assessment was performed, adapted for kidney patients. Of the 33 patients, 66.7% were males, with a mean age of 57.6 ± 14.2 years. According to the body mass index, eutrophy was prevalent (54.5%). The thickness of the adductor muscle of the thumb showed severe depletion (66.7%). Palmar grip strength ranked 72.7% of patients as malnourished. Body Fat, obtained through Bioimpedance, was high in 57.6%. The Global Subjective Assessment ranked 87.9% of patients with mild malnutrition. According to the 24-hour food recall, the total caloric intake averaged 1493 ± 530 Kcal. The protein mean was 0.88 ± 0.4 g / kg. The study allowed to visualize nutritional alterations, food intake below the recommended amounts, and different classifications of the nutritional state depending on the method used. Thus, a comprehensive nutritional assessment becomes important.

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“…A circunferência é composta pela soma dos tecidos ósseo, muscular, gorduroso e epitelial. Logo, a diminuição dessa circunferência reflete a perda do conteúdo protéico, bem como de tecido adiposo (33,34) . Assim como no atual trabalho, a concordância entre métodos subjetivos e antropométricos foi investigada em outros estudos.…”

Section: Discussionunclassified