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Nutritional evaluation of stage 5 chronic kidney disease patients on dialysis
CONTEXT AND OBJECTIVE: Patients with chronic kidney failure undergoing dialysis have high prevalence of protein-energy malnutrition. There is still no uniform method for assessing these patients’ nutritional status. It is recommended that a set of subjective and objective methods should be applied s...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Paulista de Medicina - APM
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522319/ https://www.ncbi.nlm.nih.gov/pubmed/23338736 http://dx.doi.org/10.1590/S1516-31802012000600006 |
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author | Piratelli, Cynthia Mauro Telarolli, Rodolpho |
author_facet | Piratelli, Cynthia Mauro Telarolli, Rodolpho |
author_sort | Piratelli, Cynthia Mauro |
collection | PubMed |
description | CONTEXT AND OBJECTIVE: Patients with chronic kidney failure undergoing dialysis have high prevalence of protein-energy malnutrition. There is still no uniform method for assessing these patients’ nutritional status. It is recommended that a set of subjective and objective methods should be applied so that an adequate nutritional diagnosis can be reached. The aim of this study was to evaluate the nutritional profile of patients undergoing hemodialysis. DESIGN AND SETTING: Cross-sectional study conducted in the Dialysis Treatment Unit, Araraquara, São Paulo, Brazil, in 2008. METHODS: Anthropometric and biochemical indicators were characterized for 48 patients who also gave responses to the modified Subjective Global Assessment questionnaire (SGAm), and possible correlations between these indicators were investigated. RESULTS: The frequency of moderate or severe malnutrition ranged from 22% to 54%, according to the parameter used. Regarding the patients’ conformity with the ideal weight, 29% of them weighed less than 75% of the ideal, and thus were classified as having moderate or severe malnutrition. The most significant correlations were observed between body mass index (BMI) and the idealness of triceps skinfold (TSF), upper arm circumference (UAC) and upper arm muscle circumference (UAMC); and between SGAm and the idealness of UAC and UAMC. CONCLUSION: The frequency of malnutrition showed great variability among the patients, according to the evaluation criterion chosen. Routine nutritional monitoring and validation of methods for assessing body composition among such patients are extremely important for diagnosing malnutrition early on, thus preventing complications and reducing the morbidity and mortality rates in this population. |
format | Online Article Text |
id | pubmed-10522319 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Associação Paulista de Medicina - APM |
record_format | MEDLINE/PubMed |
spelling | pubmed-105223192023-09-27 Nutritional evaluation of stage 5 chronic kidney disease patients on dialysis Piratelli, Cynthia Mauro Telarolli, Rodolpho Sao Paulo Med J Original Article CONTEXT AND OBJECTIVE: Patients with chronic kidney failure undergoing dialysis have high prevalence of protein-energy malnutrition. There is still no uniform method for assessing these patients’ nutritional status. It is recommended that a set of subjective and objective methods should be applied so that an adequate nutritional diagnosis can be reached. The aim of this study was to evaluate the nutritional profile of patients undergoing hemodialysis. DESIGN AND SETTING: Cross-sectional study conducted in the Dialysis Treatment Unit, Araraquara, São Paulo, Brazil, in 2008. METHODS: Anthropometric and biochemical indicators were characterized for 48 patients who also gave responses to the modified Subjective Global Assessment questionnaire (SGAm), and possible correlations between these indicators were investigated. RESULTS: The frequency of moderate or severe malnutrition ranged from 22% to 54%, according to the parameter used. Regarding the patients’ conformity with the ideal weight, 29% of them weighed less than 75% of the ideal, and thus were classified as having moderate or severe malnutrition. The most significant correlations were observed between body mass index (BMI) and the idealness of triceps skinfold (TSF), upper arm circumference (UAC) and upper arm muscle circumference (UAMC); and between SGAm and the idealness of UAC and UAMC. CONCLUSION: The frequency of malnutrition showed great variability among the patients, according to the evaluation criterion chosen. Routine nutritional monitoring and validation of methods for assessing body composition among such patients are extremely important for diagnosing malnutrition early on, thus preventing complications and reducing the morbidity and mortality rates in this population. Associação Paulista de Medicina - APM 2013-01-18 /pmc/articles/PMC10522319/ /pubmed/23338736 http://dx.doi.org/10.1590/S1516-31802012000600006 Text en https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons license. |
spellingShingle | Original Article Piratelli, Cynthia Mauro Telarolli, Rodolpho Nutritional evaluation of stage 5 chronic kidney disease patients on dialysis |
title | Nutritional evaluation of stage 5 chronic kidney disease patients on dialysis |
title_full | Nutritional evaluation of stage 5 chronic kidney disease patients on dialysis |
title_fullStr | Nutritional evaluation of stage 5 chronic kidney disease patients on dialysis |
title_full_unstemmed | Nutritional evaluation of stage 5 chronic kidney disease patients on dialysis |
title_short | Nutritional evaluation of stage 5 chronic kidney disease patients on dialysis |
title_sort | nutritional evaluation of stage 5 chronic kidney disease patients on dialysis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522319/ https://www.ncbi.nlm.nih.gov/pubmed/23338736 http://dx.doi.org/10.1590/S1516-31802012000600006 |
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