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MétodosRealizou-se análise descritiva de dados, levantados em um período de 14 dias, sobre os restos de alimentos deixados pelos clientes/pacientes, assim como dos custos estimados do total da produção e do resto de alimentos. ResultadosForam analisadas 650 dietas, totalizando 402kg de alimentos, tendo retornado à Unidade de Alimentação e Nutrição 123kg (31%) de alimentos. Das dietas distribuídas, 71 (15%) retornaram intactas. Desconsiderando as dietas intactas, o peso total de alimentos produzidos foi de 353kg e o resto de 77kg (22%). O custo total mensal estimado das dietas foi de US$25,000.00 e o custo estimado dos restos foi de US$7,580.00. ConclusãoOs resultados demonstram uma perda excessiva de alimentos, incompatível com as normas operacionais de uma Unidade de Alimentação e Nutrição hospitalar, o que nos remete à necessidade de reflexão acerca das

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Muscle depletion and sarcopenic obesity are related to a higher morbimortality risk in chronic kidney disease (CKD). We evaluated bed-side measures/indexes associated with low muscle mass, sarcopenia, obesity, and sarcopenic obesity in CKD and proposed cutoffs for each parameter. Sarcopenia was diagnosed according to the European Working Group on Sarcopenia in Older People revised consensus applying dual energy X-ray absorptiometry (DXA) and hand grip strength (HGS), and obesity according to the International Society for Clinical Densitometry. Anthropometric parameters including calf (CC) and waist (WC) circumferences and WC/height (WC/H); bioelectrical impedance data including appendicular fat free mass (AFFM) and fat mass index (FMI) were assessed. ROC analysis and area under the curve (AUC) were applied for performance analyses. AFFM and CC presented the best performances for low muscle mass diagnosis–AFFM AUC for women was 0.96 and for men, 0.94, and CC AUC for women was 0.89 and for men, 0.85. FMI and WC/H were the best parameters for obesity diagnosis–FMI AUC for women was 0.99 and for men, 0.96, and WC/H AUC for women was 0.94 and for men, 0.95. The cutoffs (sensibility and specificity, respectively) for women were AFFM≤15.87 (90%; 96%), CC≤35.5 (76%; 94%), FMI>12.58 (100%; 93%), and WC/H>0.66 (91%; 84%); and for men, AFFM≤21.43 (98%; 84%), CC≤37 (88%; 69%), FMI>8.82 (93%; 88%), and WC/H>0.60 (95%; 80%). Sensibility and specificity for sarcopenia diagnosis were for AFFM+HGS in women 85% and 99% and in men, 100% and 99%; for CC+HGS in women 85% and 99% and in men, 100% and 100%; and for sarcopenic obesity were for FMI+AFFM in women 75% and 97% and in men, 75% and 95%. The tested bed-side measures/indexes presented excellent performance.