Estado Nutricional Antropométrico de Pacientes com Doença Renal Crônica em Programa de Hemodiálise

Abstract

Objective: To assess the nutritional status of patients with chronic kidney disease in a hemodialysis program. Methods: This is a cross-sectional, prospective study, with a quantitative approach and of a basic descriptive nature, carried out with patients with chronic kidney disease on hemodialysis. Data were collected in a Nephrology Center, through the application of a structured questionnaire, aiming to characterize the nutritional status and the socioeconomic and demographic profile of the patients. The anthropometric measurements of the patients were taken by the researcher after the dialysis procedure. Statistical analysis of the data was performed using SPSS, version 15. Results: The sample consisted of 71 patients. It was possible to observe from the body mass index that more than half of the population studied had nutritional inadequacy, being overweight evidenced in 33.8% (n = 24) and thinness in 18.3% (n = 13) of the cases. However, muscle depletion was observed in 56.3% (n = 40) of the patients, according to the muscle circumference of the arm. In addition, from the assessment of waist circumference (54.0%; n = 34) and waist-hip ratio (58.7%; n = 37), it was identified that part of the population was at risk of cardiovascular complications associated with central obesity. Conclusion: The population studied presented with anthropometric nutritional inadequacy, being evidenced the states of excess weight and thinness, depletion of muscle mass and increased risk for the development of cardiovascular diseases associated with central obesity, evidencing the need for continuous nutritional intervention during substitutive treatment.