Analysis of different methods for the assessment of nutritional status of patients in hemodialysis

Authors

  • Márcia Machado Cunha Ribeiro Universidade Federal de Minas Gerais.
  • Melissa Luciana Araújo Universidade Federal de Minas Gerais.
  • Lucas Maciel Cunha Universidade Federal de Ouro Preto.
  • Débora Machado Cunha Ribeiro Faculdade de Ciências Médicas de Minas Gerais.
  • Geórgia das Gracas Pena

DOI:

https://doi.org/10.15649/cuidarte.v6i1.163

Keywords:

Nutrition Assessment, Malnutrition, Renal Dialysis, Renal Insufficiency Chronic, Kidney Failure Chronic

Abstract

Introduction: The patient undergoing dialysis must be nutritionally evaluated and keep in a regular monitoring since the start of dialytic procedures, thus providing the best proposals for effective interventions and diet. Objective: To compare the nutritional status of patients with chronic kidney disease with hemodialysis, considered malnourished and non-malnourished patients, through different clinical, anthropometric, biochemical parameters and verify the kappa level (concordance) of these assessment forms.  Materials and Methods: Cross-sectional study done with 90 patients in a dialysis clinic, in the city of Belo Horizonte, state of Minas Gerais in 2010. Personal, socioeconomic, nutritional, and clinical, biochemical and anthropometric data were collected. Results and Discussion: The results ranged from 12.2% up to 86.7% of malnourished individuals according to different evaluation parameters. In the anthropometrical analyzes, men had smaller skinfolds than women. Almost 40% of the patients had classification of malnutrition in the analyses of arm muscle circumference, being approximately 30% of them males individuals. The mean values of Body Mass Index were in the adequate range. The energy and protein intake were classified as malnourished were 86.7% and 57.8% respectively. The mean value of albumin was 3.9g/dL the frequency of malnourished ranged 35.6% and 50% according the reference. Conclusions: The large range of malnourished patients according to different classifications suggests the need standardization of routines, careful observation and monitoring of used references and the need for evaluation committees to determine new cutoff points for best nutritional classification of this population.

Author Biographies

Márcia Machado Cunha Ribeiro, Universidade Federal de Minas Gerais.

Mestranda em Nutrição e Saúde.

Melissa Luciana Araújo, Universidade Federal de Minas Gerais.

Mestranda em Saúde e Enfermagem.

Lucas Maciel Cunha, Universidade Federal de Ouro Preto.

Pós-doutorando em Ciências Biológicas.

Débora Machado Cunha Ribeiro, Faculdade de Ciências Médicas de Minas Gerais.

Graduanda em Medicina.

Geórgia das Gracas Pena

Doutora em Saúde e Enfermagem.

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Published

2015-05-15

How to Cite

1.
Ribeiro MMC, Araújo ML, Cunha LM, Ribeiro DMC, Pena G das G. Analysis of different methods for the assessment of nutritional status of patients in hemodialysis. Revista Cuidarte [Internet]. 2015 May 15 [cited 2024 Jul. 5];6(1):932-40. Available from: https://revistas.udes.edu.co/cuidarte/article/view/163

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