Nutritional risk and its association with anthropometric, clinical and biochemical parameters in patients with chronic kidney disease on hemodialysis

Danielle Cristina Guimarães da Silva; Lara Maria Novaes de  Souza; Danielle Mendes Mariano; Hemilly Lorrane Ribeiro Cordeiro; Fabrícia Geralda Ferreira

doi:10.52521/nutrivisa.v12i1.15615

Autores

Danielle Cristina Guimarães da Silva UFOP https://orcid.org/0000-0001-5456-0853
Lara Maria Novaes de Souza Universidade Federal do Oeste da Bahia, Barreiras, Bahia, Brasil. https://orcid.org/0000-0002-2730-6603
Danielle Mendes Mariano Universidade Federal do Oeste da Bahia, Barreiras, Bahia, Brasil. https://orcid.org/0000-0002-2687-0704
Hemilly Lorrane Ribeiro Cordeiro Universidade Federal do Oeste da Bahia, Barreiras, Bahia, Brasil. https://orcid.org/0009-0002-8920-7130
Fabrícia Geralda Ferreira Universidade da Força Aérea, UNIFA, Brasil. https://orcid.org/0000-0001-9836-4176

DOI:

https://doi.org/10.52521/nutrivisa.v12i1.15615

Palavras-chave:

nutritional assessment, nutritional risk, chronic kidney disease, hemodialysis

Resumo

To investigate the association between higher nutritional risk and sociodemographic, anthropometric, clinical and biochemical parameters in hemodialysis patients. This is a cross-sectional study of adult and elderly patients with chronic kidney disease undergoing hemodialysis in Western Bahia. For the data collection, the modified subjective global assessment was used, anthropometric measurements were taken and clinical and biochemical data were obtained from the patients' medical records. Multiple linear regression analysis was used to assess the relationship between the highest score on the subjective global assessment and anthropometric, clinical and biochemical parameters. A total of 98 patients were assessed, 64.3% male and 59.2% aged between 35 and 59 years. The mean modified subjective global assessment score was 11,3±3,8. The prevalence of nutritional risk and malnutrition together was 73.3%. A positive association was found between higher nutritional risk and female sex (p=0.014), longer duration of hemodialysis treatment (p=0.010), higher serum potassium concentration (p=0.009) and higher pre-dialysis serum urea concentration (p=0.043). Higher nutritional risk is positively associated with female sex, longer hemodialysis treatment time, hyperpotassemia, and hyperphosphatemia in patients with chronic kidney disease.

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