Estado nutricional de pacientes com doença renal crônica em hemodiálise atendidos em uma clínica renal de Cachoeira do Sul-RS.

Abstract

The objective of this study was to analyze the nutritional status of patients with chronic renal diseases on hemodialysis, with objective and subjective techniques, attended at a renal clinic in Cachoeira do Sul, RS. It was a cross-sectional study at the Nephrology Center of the Hospital de Caridade e Benificiência (HCB), in Cachoeira do Sul, RS. Patients on hemodialysis from January to February 2018 were included. Objective methods were used to identify nutritional status, classification of body mass index and arm circumference, and serum albumin dosage; and as a subjective method, the Mini Nutritional Assessment. The collected data were analyzed through descriptive and inferential statistics; continuous data were presented in mean and standard deviation and the categorical data were expressed in absolute and relative frequency. Pearson chi square test or Fisher’s exact test were used to evaluate the association between the variables; and to complement this analysis, the test of the adjusted residuals. There were 74 patients, with a mean age of 57.9 ± 14.6 years, of whom 44 (59.5%) were male. 41 patients were elderly. The nutritional status of malnutrition was more prevalent by body mass index (71.6%) (with statistical relevance), followed by the Mini Nutritional Assessment, grouping the risk for malnutrition and malnutrition (68.9%), and 48, 6% through the circumference of the arm. Adequate serum albumin levels were found to be 95.9%. Patients on hemodialysis are a risk group for malnutrition, once they have needs for dietary adjustments, which may interfere with food consumption.