Inflammation and association with clinical and nutritional parameters of patients on hemodialysis

Authors

  • Gilvan Campos Sampaio Universidade Federal do Maranhão http://orcid.org/0000-0002-1825-0097
  • Antônia Caroline Diniz Brito Universidade Federal do Maranhão
  • Andreia de Jesus Ferreira Barros Universidade Federal do Maranhão
  • Elane Viana Hortegal Universidade Federal do Maranhão
  • Raimunda Sheyla Carneiro Dias Universidade Federal do Maranhão

DOI:

https://doi.org/10.15448/1983-652X.2017.2.24244

Keywords:

nutritional assessment, hemodialysis, inflammation.

Abstract

Introduction: Recently, the role of inflammation in chronic renal failure patients on hemodialysis and its relation to clinical and nutritional status has been highlighted.
Objective: To evaluate the association between inflammation with clinical and nutritional parameters in hemodialysis patients.
Materials and Methods: Cross-sectional study. Demographic, clinical and nutritional data have been collected: age; Kt/V; serum creatinine and vitamin D; body mass index (BMI); waist circumference (WC), hip circumference (HC) and arm muscle circunference (AMC); tricipital skin fold (TSF); sagittal abdominal diameter (SAD) and hand grip strengh (HGS). For the evaluation of the inflammatory state the malnutrition inflammation score (MIS) was used. The paired Student’s t test was used to compare the means of clinical and nutritional variables with MIS.
Results: Of the 73 patients evaluated, 54.17% were male, with a mean age of 44.5±15.40 years. 81.95% had less than 60 years, were black/brown (95.83%), with less than 9 years of education (70.40%). There was a wide variation in the classification of malnutrition (11.11% to 66.66%), prevalence of inflammation (57.75%), low cardiovascular risk (60.56%) by WC; 52.86% by WHR without excess of visceral fat (84.70% - SAD). Appropriate serum creatinine and vitamin D (69.40 and 83.82%, respectively) were found. It was observed an association between the inflammatory state, age, creatinine, vitamin D and HGS (p<0.05).
Conclusion: A significant association of MIS with age, creatinine, vitamin D and muscle strength was observed.

Author Biographies

Gilvan Campos Sampaio, Universidade Federal do Maranhão

Graduado em nutrição pela Universidade Federal do Piauí - UFPI (2008-2012) e Especialização em Residência Multiprofissional em Saúde na Área de Atenção à Saúde Renal (Março de 2014 a março de 2016), pelo Hospital Universitário da Universidade Federal do Maranhão – HUUFMA

Antônia Caroline Diniz Brito, Universidade Federal do Maranhão

Graduada em nutrição pela Universidade Federal do Maranhão - UFMA (2009-2013) e Especialização em Residência Multiprofissional em Saúde na Área de Atenção à Saúde Renal (Março de 2014 a março de 2016), pelo Hospital Universitário da Universidade Federal do Maranhão – HUUFMA

Andreia de Jesus Ferreira Barros, Universidade Federal do Maranhão

Graduada em nutrição pela Universidade Federal do Maranhão - UFMA (2009-2012).

Elane Viana Hortegal, Universidade Federal do Maranhão

Graduada em nutrição pela Universidade Federal do Maranhão - UFMA (2005-2009). Mestre em Saúde Coletiva - UFMA (2010-2012). 

Raimunda Sheyla Carneiro Dias, Universidade Federal do Maranhão

Nutricionista do Serviço de Nefrologia do Hospital Universitário da Universidade Federal do Maranhão - HUUFMA.

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Published

2017-05-17

Issue

Vol. 10 No. 2 (2017)

Section

Original Articles

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