Assessment of dietary intake of patients with chronic kidney disease on hemodialysis
DOI:
https://doi.org/10.15448/1983-652X.2014.2.17758Keywords:
food consumption, chronic renal insufficiency, renal dialysisAbstract
Objective: To assess the dietary intake of energy, protein, phosphorus and potassium of patients with chronic kidney disease on hemodialysis. Materials and Methods: It was performed a cross-sectional study with 34 patients on hemodialysis. A questionnaire was applied by interview to identify the clinical and demographic characteristics of patients. The method used for the assessment of dietary intake was the 3-day food record. The serum levels of phosphorus and potassium and the value of Kt/V were obtained by consultation on patients’ charts. Results: The average intake of energy, protein, phosphorus and potassium corresponded to 19.0 kcal/kg, 0.9 g/kg, 612.5 mg and 1400.2 mg, respectively, which is lower than the established recommendations. The difference on intake was observed only for the gender (p<0.05). There was no statistically significant correlation between inadequate dialysis and low intake of nutrients and between the intake of phosphorus and potassium and its serum levels. Conclusions: The dietary intake of patients have presented as inadequate, emphasizing the need to carry out nutritional actions, so that the intake of the patients can suit the recommendations and the comorbidities resulting from the inadequate intake can be reduced.References
Kirsztajn GM, Bastos MG, Andriolo A. Dia Mundial do Rim 2011 - Proteinúria e creatinina sérica: testes essenciais para diagnóstico de doença renal crônica. J Bras Patol Med Lab. 2011; 47(2):100-3.
Sesso RC, Lopes AA, Thomé FS, Lugon JR, Watanabe Y, Santos DR. Relatório do Censo Brasileiro de Diálise Crônica 2012. J Bras Nefrol. 2014; 36(1):48-53.
National Kidney Foundation. Kidney Disease Outcomes Quality Initiative. Clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. Am J Kidney Dis. 2002;39(1):S1-266.
Bastos MG, Bregman R, Kirsztajn GM. Doença renal crônica: frequente e grave, mas também prevenível e tratável. Rev Assoc Med Bras. 2010; 56(2):248-53.
Nerbass FB, Cuppari L. Hemodiálise. In: Cuppari L, Avesani CM, Kamimura MA. Nutrição na doença renal crônica. Barueri: Manole; 2013. p.247-69.
National Kidney Foundation. Kidney Disease Outcomes Quality Initiative. Clinical practice guidelines for nutrition in chronic renal failure. Am J Kidney Dis. 2000; 35(2):17-103.
Carvalho AB, Cuppari L. Controle da hiperfosfatemia na DRC. J Bras Nefrol. 2011; 33(1):191-6.
Kamimura MA, Avesani CM, Draibe SA, Cuppari L. Gasto energético de repouso em pacientes com doença renal crônica. Rev Nutr. 2008; 21(1):75-84.
Huml AM, Sullivan CM, Leon JB, Sehgal AR. The adequacy of phosphorus binder prescriptions among American hemodialysis patients. Ren Fail. 2012; 34(10):1258-63.
Rachoin JS, Weisberg LS. How should dialysis fluid be individualized for the chronic hemodialysis patient? Potassium. Semin Dial. 2008; 21(3):223-5.
Fouque D, Vennegoor M, Wee PT, Wanner C, Basci A, Canaud B, Haage P, Konner K, Kooman J, Martin-Malo A, Pedrini L, Pizzarelli F, Tattersall J, Tordoir J, Vanholder R. EBPG guideline on nutrition. Nephrol Dial Transplant. 2007; 22(2):ii45-87.
World Health Organization. Obesity: Preventing and Managing the Global Epidemic. Geneva: WHO; 2000.
Organização Pan-Americana da Saúde. XXXVI Reunión del Comitê Asesor de Investigaciones en Salud - Encuestra Multicêntrica - Salud Beinestar y Envejecimiento (SABE) en América Latina e el Caribe - Informe Preliminar [acesso em 17 mar 2014]. 2002. Disponível em: http://www.opas.org/program/sabe.htm
Pinheiro ABV, Lacerda EMA, Benzecry EH, Gomes MCS, Costa VM. Tabela para Avaliação de Consumo Alimentar em Medidas Caseiras. 5. ed. São Paulo: Atheneu; 2008.
Block G, Dresser CM, Hartman AM, Carroll MD. Nutrient sources in the American diet: quantitative data from the NHANES II survey. I. Vitamins and minerals. Am J Epidemiol. 1985; 122(1):13-26.
Biavo BMM, Tzanno-Martins C, Cunha LM, Araujo ML, Ribeiro MMC, Sachs A, Uezima CBB, Draibe SA, Rodrigues CIS, Barros EJG. Aspectos nutricionais e epidemiológicos de pacientes com doença renal crônica submetidos a tratamento hemodialítico no Brasil, 2010. J Bras Nefrol. 2012; 34(3):206-15.
Chen J, Peng H, Yuan Z, Zhang K, Xiao L, Huang J, Wang J, Huang H. Combination with anthropometric measurements and MQSGA to assess nutritional status in Chinese hemodialysis population. Int J Med Sci. 2013; 10(8):974-80.
Pinto DE, Ullmann LS, Burmeister MM, Antonello ICF, Pizzato A. Associações entre ingestão energética, proteica e de fósforo em pacientes portadores de doença renal crônica em tratamento hemodialítico. J Bras Nefrol. 2009; 31(4):269-74.
Ribeiro MMC, Araújo ML, Netto MP, Cunha LM. Impacto do hábito de jantar sobre o perfil dietético de pacientes em hemodiálise. J Bras Nefrol. 2011;33(1):69-77.
Mafra D, Jolivot A, Chauveau P, Drai J, Azar R, Michel C, Fouque D. Are ghrelin and leptin involved in food intake and body mass index in maintenance hemodialysis? J Ren Nutr. 2010; 20(3):151-7.
Oner-Iyidogan Y, Gurdol F, Kocak H, Oner P, Cetinalp-Demircan P, Caliskan Y, Kocak T, Turkmen A. Appetite-regulating hormones in chronic kidney disease patients. J Ren Nutr. 2011; 21(4):316-21.
Molfino A, Chiappini MG, Laviano A, Ammann T, Bollea MR, Alegiani F, Rossi-Fanelli F, Muscaritoli M. Effect of intensive nutritional counseling and support on clinical outcomes of hemodialysis patients. Nutrition. 2012; 28(10):1012-5.
Antunes AA, Vannini FD, Silveira LVA, Martin LC, Barretti P, Caramori JC. Influence of protein intake and muscle mass on survival in chronic dialysis patients. Ren Fail. 2010; 32(9):1055-9.
Naylor HL, Jackson H, Walker GH, Macafee S, Magee K,
Hooper L, Stewart L, MacLaughlin HL, Renal Nutrition Group of the British Dietetic Association, British Dietetic Association. British Dietetic Association evidence-based guidelines for the protein requirements of adults undergoing maintenance haemodialysis or peritoneal dialysis. J Hum Nutr Diet. 2013; 26(4):315-28.
González-Parra E, Gracia-Iguacel C, Egido J, Ortiz A. Phosphorus and nutrition in chronic kidney disease. Int J Nephrol. 2012; 2012:597605.
Gutiérrez OM, Wolf M. Dietary phosphorus restriction in advanced chronic kidney disease: merits, challenges, and emerging strategies. Semin Dial. 2010; 23(4):401-6.
Benini O, D’Alessandro C, Gianfaldoni D, Cupisti A. Extra-phosphate load from food additives in commonly eaten foods: a real and insidious danger for renal patients. J Ren Nutr. 2011; 21(4):303-8.
Nisio JM, Bazanelli AP, Kamimura MA, Lopes MGG, Ribeiro FSM, Vasselai P, Oliveira CMV, Manfredi SR, Canziani ME, Draibe SA, Cuppari L. Impacto de um programa de educação nutricional no controle da hiperfosfatemia de pacientes em hemodiálise. J Bras Nefrol. 2007; 29(3):152-7.
Copetti C, Oliveira VR, Kirinus P. Avaliação da redução de potássio em hortaliças submetidas a diferentes métodos de cocção para possível utilização na dietoterapia renal. Rev Nutr. 2010;23(5):831-8.
Karamanidou C, Clatworthy J, Weinman J, Horne R. A systematic review of the prevalence and determinants of nonadherence to phosphate binding medication in patients with end-stage renal disease. BMC Nephrol. 2008;9(2).
Rocha PN. Hipercalemia. J Bras Nefrol. 2009;31(1):5.
Fisberg RM, Marchioni DML, Colucci ACA. Avaliação do consumo alimentar e da ingestão de nutrientes na prática clínica. Arq Bras Endocrinol Metab. 2009; 53(5):617-24.
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