Estado nutricional e qualidade de vida de renais crônicos

Maria Olimpia Ribeiro do Vale Almada, Geilton Xavier de Matos, Vanessa Silvério de Siqueira, Joab Oliveira Salomão

Resumo


Objetivo: identificar e correlacionar o estado nutricional, a qualidade de vida e o consumo alimentar em pacientes com DRC em hemodiálise. Método: trata-se de um estudo quantitativo, descritivo, observacional, do tipo transversal, com delineamento amostral não probabilístico. Compôs-se a amostra do estudo por 63 indivíduos, dos 21 aos 86 anos. Avaliou-se o EN por meio de parâmetros antropométricos e bioquímicos, IMC e Avaliação Subjetiva Global (ASG). Utilizaram-se um recordatório de 24 horas para o consumo alimentar e, para a QV, o questionário Kidney Disease Quality Of Life Short Form (KDQOL-SF). Resultados: verificou-se que, entre as comorbidades relacionadas à IRC, prevaleceu o diabetes (76%). Observou-se que, segundo o protocolo de PEW, 73% dos pacientes estavam eutróficos e, pelo IMC, 57% estavam eutróficos. Conclusão: concluiu-se que os coeficientes tiveram uma correlação não substancial ou baixa para EN e QV e consumo alimentar. Observou-se a inadequação no consumo alimentar e nos parâmetros bioquímicos. Descritores: Hemodiálise; Estado Nutricional; Qualidade de Vida; Índice de Massa Corporal; Avaliação Subjetiva Global; KDQOL-SF.

Abstract

Objective: to identify and correlate nutritional status, quality of life and food intake in patients with CKD on hemodialysis. Method: this is a quantitative, descriptive, observational, cross-sectional study with a non-probabilistic sample design. The study sample consisted of 63 individuals, from 21 to 86 years old. EN was assessed by anthropometric and biochemical parameters, BMI and Global Subjective Assessment (GSA). A 24-hour dietary recall was used for food consumption and, for QOL, the Kidney Disease Quality Of Life Short Form questionnaire (KDQOL-SF). Results: it was found that among the comorbidities related to CKF, diabetes prevailed (76%). According to the PEW protocol, 73% of the patients were eutrophic and, by BMI, 57% were eutrophic. Conclusion: it was concluded that the coefficients had a non-substantial or low correlation for EN and QL and food intake. Inadequate food intake and biochemical parameters were observed. Descriptors: Hemodialysis; Nutritional status; Quality of life; Body mass index; Global Subjective Evaluation; KDQOL-SF.

Resumen

Objetivo: identificar y correlacionar el estado nutricional, la calidad de vida y la ingesta de alimentos en pacientes con ERC en hemodiálisis. Método: este es un estudio cuantitativo, descriptivo, observacional, transversal con un diseño de muestra no probabilístico. La muestra del estudio consistió en 63 individuos, de 21 a 86 años. Se evaluó el EN mediante parámetros antropométricos y bioquímicos, IMC y Evaluación Subjetiva Global (ESG). Se utilizó un recordatorio de 24 horas para el consumo de alimentos y, para la calidad de vida, el cuestionario Kidney Disease Quality Of Life Short Form (KDQOL-SF). Resultados: se encontró que entre las comorbilidades relacionadas con la IRC prevaleció la diabetes (76%). Según el protocolo PEW, el 73% de los pacientes eran eutróficos y, según el IMC, el 57% eran eutróficos. Conclusión: se concluyó que los coeficientes tenían una correlación no sustancial o baja para EN y CV y la ingesta de alimentos. Se observó una ingesta inadecuada de alimentos y en los parámetros bioquímicos. Descriptores: hemodiálisis; Estado nutricional; Calidad de vida; Indice de Masa Corporal; Evaluación subjetiva global; KDQOL-SF.


Palavras-chave


Hemodiálise; Estado nutricional; Qualidade de Vida; Índice de Massa Corporal; Avaliação Subjetiva Global; KDQOL-SF

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Referências


Sesso RC, Lopes AA, Thomé FS, Lugon JR, Santos DR. Brazilian Chronic Dialysis Survey 2013 - Trend analysis between 2011 and 2013. J Bras Nefrol 2014 July; 36(4):476-81. DOI: 10.5935/0101-2800.20140068

Ekramzadeh M, Mazloom Z, Jafari P, Ayatollahi M, Sagheb MM. Major barriers responsible for malnutrition in hemodialysis patients: challenges to optimal nutrition. Nephrourol Mon. 2014 Nov; 6(6):e23158. DOI: 10.5812/numonthly.23158

Marinho AWGB, Penha AP, Silva MT, Galvão TF. Prevalence of chronic renal disease among Brazilian adults: a systematic review. Cad Saúde Colet. 2017 July/Sept, 25 (3):379-88 DOI: 10.1590/1414-462X201700030134

Rodrigues AM, Bento LMA, Silva TPC. Nutritional Education at the Interdyalitic Weight Gain Control of Hemodialysis Patients. Cient. Ciênc Human Educ. 2015 May; 16(5): 492-9. DOI: 10.17921/2447-8733.2015v16n5p492-499

Santos ACB, Machado MC, Pereira LR, Abreu JLP, Lyra MB. Association between the level of quality of life and nutritional status in patients undergoing chronic renal hemodialysis. J Bras Nefrol. 2013 Oct/Dec; 35(4):279-88. DOI:10.5935/0101-2800.20130047

Ferraz SF, Freitas ATVS, Vaz IMF, Campos MIVAM, Peixoto MRG, Pereira ERS. Nutritional status and interdialytic weight gain of chronic hemodialysis patients. J Bras Nefrol. 2015 July/Sept; 37(3):306-14. DOI: 10.5935/0101-2800.20150050

Fernandes KHA, Mottoni SMP. Influence of the use of different anthropometric methods for assessing nutritional diagnosis of patients on hemodialysis. Rev Bras Nutr Clin [Internet]. 2016 Oct/Jan [cited 2018 Aug 10]; 31(1):43-8. Available from: http://www.braspen.com.br/home/wp-content/uploads/2016/11/09-Influ%C3%AAncia-do-uso.pdf

Fassbinder TRC, Winkelmann ER, Schneider J, Wendland J, Oliveira OB. Functional capacity and quality of life in patients with chronic kidney disease in pre-dialytic treatment and on hemodialysis: a cross sectional study. J Bras Nefrol. 2015 Jan/Mar;37(1):47-54. DOI: 10.5935/0101-2800.20150008

Costa PB, Vasconcelos KFS, Tassitano RM. Life quality: patients with chronic renal failure in the city of Caruaru, PE. Fisioter Mov. 2010 July/Sept;23(3):461-71. DOI: 10.1590/S0103-51502010000300013

Fouque D, Kalantar-Zadeh K, Kopple J, Cano N, Chauveau P, Cuppari L. et al. A proposed nomenclature and diagnostic criteria for protein–energy wasting in acute and chronic kidney disease. Kidney Int. 2008 Feb; 73(4):391-8. DOI: 10.1038/sj.ki.5002585

Johnson RK, Soultanakis RP, Matthews DE. Literacy and body fatness are associated with underreporting of energy intake in US low-income using the multiple-pass 24-hour recall: a doubly labeled water study. J Am Diet Assoc.1998 Oct; 98(10):1136-40. DOI:10.1016/S0002-8223(98)00263-6

Associação Brasileira de Empresas de Pesquisa. Critério Brasil 2015 e atualização da distribuição de classes para 2016 [Internet]. Brasilis: ABEP; 2016 [cited 2019 June 15] Available from:http://www.abep.org/Servicos/Download.aspx?id=12

Duarte PS, Miyazaki MCOS, Ciconelli RM, SESSO R. Translation and cultural adaptation of the quality of life assessment instrument for chronic renal patients (KDQOL-SFTM). Rev Assoc Med Bras. 2003; 49(4):375-81. DOI: 10.1590/S0104-42302003000400027

Medeiros RC, Sousa MNA, Nunes RMV, Costa TS, Moraes JC, Diniz MB. Health-related quality of life of individuals under hemodialysis. J Nurs UFPE on line. 2015 Nov; 9(Suppl 9):1018-27. DOI: 10.5205/reuol.8808-76748-1-SM.SM.0909supl201513

Sohrabi Z, Eftekhari MH, Eskandari MH, Rezaeianzadeh A, Sagheb MM. Malnutrition-inflammation score and quality of life in hemodialysis patients: is there any correlation? Nephrourol Mon. 2015 May; 7(3): e27445. DOI:10.5812/numonthly.7(3)2015.27445

Mitema D, JAAR BG. How Can we improve the quality of life of dialysis patients? Semin Dial. 2016 Mar/Apr; 29(2):93-102. DOI: 10.1111/sdi.12467

Pereira CV, Leite ICG. Health-related quality of life of patients receiving hemodialysis therapy. Acta Paul Enferm. 2019 May/June; 32(3):267-74. DOI: 10.1590/1982-0194201900037

Levva EC, Selier RA, González SRM, Pereira LC, Rupalé IL, Hernández YM. Evaluation of health-related quality of life in regular hemodialysis patients using the KDQOL-SFTM Questionnaire. Medisur [Internet]. 2015 July/Aug [cited 2018 Aug 10]; 13(4):508-16. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2015000400007

Rimsevicius L, Gincaite A, Vicka V, Sukackiene D, Pavinic J, Miglinas M. Malnutrition assessment in hemodialysis patients: role of bioelectrical impedance analysis phase angle. J Ren Nutr. 2016 Nov; 26(6):391-5. DOI: 10.1053/j.jrn.2016.05.004. Epub 2016 Jul 21.

Roij van Zuijdewijn CL, Grooteman MP, Bots ML, Blankestijn PJ, van den Dorpel MA, Nubé MJ, et al. Comparing tests assessing protein-energy wasting: relation with quality of life. J Ren Nutr. 2016 Mar; 26(2):111-7. DOI: 10.1053/j.jrn.2015.09.003

Santos RSS, Sardinha AHL. Quality of life of patients with chronic renal disease abstract. Enferm Foco. 2018; 2(9):61-6. DOI: 10.21675/2357-707X.2018.v9.n2.1078

Kanda E, Kato A, Masakane I, Kanno Y. A new nutritional risk index for predicting mortality in hemodialysis patients: nationwide cohort study. PLoS ONE, 2019 Mar; 14(3): e0214524. DOI: 10.1371/journal.pone.0214524

Weng CH, Hu CC, Yen TH, Hsu CW, Huang WH. Nutritional predictors of mortality in long term hemodialysis patients. Sci Rep. 2016; 6(35639). DOI: 10.1038/srep35639

Tsai WC, Peng YS, Wu HY, Hsu SP, Chiu YL, Liu LC, et al. Accuracy of a Nutrient Database in Estimating the Dietary Phosphorus-to-Protein Ratio and Using a Boiling Method in Low-Phosphate Hospital Diets. Sci Rep. 2018; 8 (15246).DOI: 10.1038/s41598-018-33657-8

Jung HY, Jeon Y, Park Y, Kim YS, Kang SW, Yang CW, et al. Better quality of life of peritoneal dialysis compared to hemodialysis over a two-year period after dialysis initiation. Sci Rep. 2019 July; 9(10266). DOI: 10.1038/s41598-019-46744-1




DOI: https://doi.org/10.5205/1981-8963.2020.242976



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