Impacto do hábito de jantar sobre o perfil dietético de pacientes em hemodiálise

Ribeiro, Márcia Machado Cunha; Araújo, Melissa Luciana de; Netto, Michele Pereira; Cunha, Lucas Maciel

doi:10.1590/s0101-28002011000100010

Cited by 12 publications

(7 citation statements)

References 15 publications

(27 reference statements)

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“…Hemodialysis patients commonly have poor dietary habits, particularly with regard to the intake of foods with high concentrations of sugar and fats, and low levels of consumption of cereals, fruits and vegetables 2,4 , an observation that is consistent with the findings of this study. Shortcomings in the intake of calories, proteins, saturated fats, cholesterol, vitamins and minerals, among other food components, are also found by other researchers [4][5][6][7]19 , as was the case with our results.…”

Section: Discussionsupporting

confidence: 91%

“…The restrictions imposed on the patient by the need to control interdialytic weight gain and serum levels of phosphorus and potassium can often give rise to significant difficulties when it comes to following dietary recommendations and a balanced diet 4 . Shortcomings in intake of calories and proteins represent the food problems that are most commonly found in hemodialysis patients [4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

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Food intake in patients on hemodialysis

et al. 2014

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Objective:To evaluate the intake of energy and nutrients by individuals on hemodialysis, following especific recommendations for this population and according to Food Guide for the Brazilian Population.Methods: A cross-sectional study, 118 adult patients, considered stable from, ten dialysis centers in Goiânia, Goiás. Dietary intake was estimated by six 24-hour recalls, and classified as adequate or inadequate, according to specific recommendations for individuals undergoing dialysis and that recommended for a healthy diet. A descriptive analysis was performed.Results: Average dietary intake of 2022.40 ± 283.70 kcal/day; 31.18 kcal/kg/day; 55.03 ± 4.20% carbohydrate; 30.23 ± 3.71% lipid, 1.18 ± 0.23 g protein/kg/day. Important prevalences of inadequacy were observed for the intake of calories (39.0%), protein (39.0%) and other nutrients such as retinol (94.9%), saturated fat (87.3%), cholesterol (61,9%), iron (61.0%), potassium (60.2%) and zinc (45.0%). Patients had a low intake of fruit food group (1.22 ± 0.89 servings) and vegetables (1.76 ± 1.01 servings), dairy products (0.57 ± 0.43 servings) and high intake of food group of oils and fats (3.45 ± 0.95 servings), sugars and sweets (1.55 ± 0.77 servings).Conclusion: Observed food consumption imbalance, characterized by excess of oils and fats, especially saturated oils and cholesterol, sugars and sweets, parallel to low intake of fruits and vegetables and dairy products. A considerable percentage of patients did not intake the minimum recommended of calories, protein, retinol, iron, zinc and potassium.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Food intake in patients on hemodialysis

et al. 2014

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“…Chronic kidney disease (CKD) is a condition highly prevalent worldwide. Although there is no reliable statistical information in Brazil, it is estimated that over 8 million people were suffering from CKD in the United States in the year 2000 [1] and over 400 thousand of them were undergoing hemodialysis (HD) in the year 2009 [2].…”

Section: Introductionmentioning

confidence: 99%

The Role of Zinc in Chronic Kidney Disease Patients on Hemodialysis: A Systematic Review

Neto¹,

Bacci²,

Sverzutt³

et al. 2016

Health

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Objective: Zinc has been studied for its antioxidant and anti-inflammatory properties and also for its immune function in end stage renal disease patients. The aim of this review is to clarify whether there is a relationship between zinc levels and ESRD patients in hemodialysis. Methodology: A search through LILACS and MEDLINE database using the keywords "zinc", "chronic kidney disease" and "hemodialysis" was performed. Articles in English and Portuguese performed in humans with the previous words were selected. Studies with subjects younger than 18 years of age were excluded. Moreover, exclusion criteria included patients with absence of diagnosis of end stage renal disease and not in hemodialysis; patients treated with peritoneal dialysis, absence of abstract available, absence of clear association between zinc deficiency and worse prognosis. Results: The search found a total of 214 articles. A total of 44 publications were selected after appliance of exclusion criteria. Conclusion: Zinc deficiency is highly prevalent, and it not only showed influence on inflammatory and immunological processes, but also interfered with metabolism and other systems. Zinc supplementation was considered positive. In summary, lower zinc levels are related to end stage renal disease patients in hemodialysis and supplementation seems to be a promising approach in such cases.

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“…This deficient intake can be justified by several factors such as decreased taste, chronic inflammation, rigorous dietary restriction, excessive medication, worsening of quality of life, hormonal and gastrointestinal disorders, intercurrent diseases, sedentary lifestyle, uremia, loss of nutrients during dialysis treatment, insufficient or inadequate dialysis, and psycho-emotional and social factors 16 . Ribeiro et al (2011) state that values of protein intake below the recommended values suggest a negative nitrogen balance, which would compromise the nutritional status of the hemodialysis patient 17 . The nutritional status classified by BMI in this study showed the prevalence of eutrophy, but when analyzing BF by BIA, it was identified as high and lean mass decreased, according to APMT and PGS measurements.…”

Section: Methods Of Nutritional Evaluation Between Patients In Hemodimentioning

confidence: 99%

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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Impacto do hábito de jantar sobre o perfil dietético de pacientes em hemodiálise

Cited by 12 publications

References 15 publications

Food intake in patients on hemodialysis

Food intake in patients on hemodialysis

The Role of Zinc in Chronic Kidney Disease Patients on Hemodialysis: A Systematic Review

Methods of nutritional evaluation between patients in hemodialysis

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