Prevalencia de desnutrición calórico proteica en pacientes hemodializados crónicos / Prevalence of caloric protein malnutrition among patients in chronic hemodialysis
Rev. méd. Chile
;
129(5): 495-502, mayo 2001. tab, graf
Artigo
em Espanhol
| LILACS
| ID: lil-295250
ABSTRACT
Background:
Malnutrition has been strongly associated with morbidity and mortality in hemodialysis patients. In the other hand, dialysis allows a nutritional improvement in patients with more than 12 months in dialysis.Aim:
To study the prevalence of malnutrition among patients in hemodialysis. Patients andmethods:
We measured clinical, anthropometric and biochemical parameters of nutritional status in chronic hemodialysed patients. Results were related to individual time in dialysis. Patients with more and less than 12 months in dialysis were compared.Results:
Twenty nine patients (18 male) aged 14 to 65 years old, were studied. Mean caloric intake was 23,8 Cal/Kg and protein intake was 0,7 g/Kg. Mean body mass index was 21.7ñ3.7 kg/m2 Thirty eight percent of patients had a body mass index of less than 20 kg/m2. Mean serum albumin was 4.1ñ0.7 g/L; mean prealbumin was 33.5ñ7.9 mg percent and creatinine was 9.6ñ2.8 mg percent. Serum cholesterol was 182 mg percent and triacylglycerol 129 mg percent. PCR was 42.2ñ18.8 and Kt/V was 1.45ñ0.3. We did not find a correlation between nutritional markers and time in dialysis or a difference in nutritional parameters between patients with less or more than 12 months in dialysis.Conclusions:
These patients in chronic dialysis have a high prevalence of caloric malnutrition, which may be due to a poor caloric intake. Protein malnutrition parameters were normal in most patients. The absence of abnormal lipid levels, common in chronic renal failure, is noticeable
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Diálise Renal
/
Desnutrição Proteico-Calórica
/
Insuficiência Renal Crônica
Tipo de estudo:
Estudo de etiologia
/
Estudo de prevalência
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2001
Tipo de documento:
Artigo
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