Association between energy and protein intake and the adductor pollicis muscle thickness in hemodialysis patients
DOI:
https://doi.org/10.15448/1983-652X.2017.1.24111Keywords:
food consumption, nutrition assessment, renal dialysis.Abstract
Introduction: Protein-energy wasting is common in patients with chronic kidney disease in hemodialysis and alternative measures for evaluation of the nutritional status and dietary intake may be employed in clinical practice.
Objective: To evaluate the association between energy and protein intake and the adductor pollicis muscle thickness in hemodialysis patients.
Materials and Methods: A cross-sectional study was conducted with 33 patients with chronic kidney disease in hemodialysis. A questionnaire to identify the sociodemographic profile of patients was applied. Energy and protein intake were evaluated by the application of two 24-hour recalls. Adductor pollicis muscle thickness was measured with a skinfold caliper. Association between variables was assessed using parametric tests, correlation analysis, linear regression and ROC curve.
Results: Mean age of the study sample corresponded to 68.0 years old and 54.5% were male. Patients aged less than 60 years old and males had a higher adductor pollicis muscle thickness (p=0.01). There was no association between the adductor pollicis muscle thickness and energy and protein intake. The measure is also not able to indicate which patients have a higher energy and protein intake.
Conclusion: In patients with chronic kidney disease in hemodialysis there was no association between energy and protein intake and the adductor pollicis muscle thickness or effectiveness of the measure in predicting a higher energy and protein intake.
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