Educação Nutricional no Controle do Ganho de Peso Interdialítico de Pacientes em Hemodiálise

Rodrigues, Annelise Manfrinatti; Bento, Leda Márcia Araújo; Silva, Talita Polli Curcino

doi:10.17921/2447-8733.2015v16n5p492-499

Cited by 5 publications

(8 citation statements)

References 5 publications

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“…The majority of the patients in this sample are male, with similar values in relation to the number of patients and gender distribution in other studies 9,10 ; which may be justified by the fact that men seek preventive health services less, and by the progression of kidney disease being faster in men and in more advanced individuals 11 .…”

Section: Methods Of Nutritional Evaluation Between Patients In Hemodisupporting

confidence: 80%

Methods of nutritional evaluation between patients in hemodialysis

Bertoni¹,

Bettinelli²,

Pasqualotti³

et al. 2017

Mundo Saúde

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Chronic kidney disease is a public health problem. Characterizing the nutritional profile of these patients allows early diagnosis of possible nutritional risks. The objective was to evaluate the nutritional status and dietary intake of hemodialysis patients. A cross-sectional study was performed at a hemodialysis clinic from February to April 2016. Patients 18 years of age or older who underwent treatment for at least three months and were able to perform the Bioimpedance test were included. Nutritional status was determined by Body Mass Index. The Palmar Grip Strength was measured by dynamometer and the Adductor Muscle Thickness of the Thumb was by an adipometer, food intake was analyzed through a 24-hour Food Recall. A Global Subjective Assessment was performed, adapted for kidney patients. Of the 33 patients, 66.7% were males, with a mean age of 57.6 ± 14.2 years. According to the body mass index, eutrophy was prevalent (54.5%). The thickness of the adductor muscle of the thumb showed severe depletion (66.7%). Palmar grip strength ranked 72.7% of patients as malnourished. Body Fat, obtained through Bioimpedance, was high in 57.6%. The Global Subjective Assessment ranked 87.9% of patients with mild malnutrition. According to the 24-hour food recall, the total caloric intake averaged 1493 ± 530 Kcal. The protein mean was 0.88 ± 0.4 g / kg. The study allowed to visualize nutritional alterations, food intake below the recommended amounts, and different classifications of the nutritional state depending on the method used. Thus, a comprehensive nutritional assessment becomes important.

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Section: Methods Of Nutritional Evaluation Between Patients In Hemodisupporting

confidence: 80%

Methods of nutritional evaluation between patients in hemodialysis

Bertoni¹,

Bettinelli²,

Pasqualotti³

et al. 2017

Mundo Saúde

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“…21 The participants had an average interdialytic weight gain of 2.34kg ± 1.4 kg, a finding that corroborates other Brazilian studies. 22,23 When excessive interdialytic weight is gained, patients are more likely to experience hypotension and complications during hemodialysis with ultrafiltration, which indicates the need for nurses to provide health education to avoid such an effect. 24 Excessive interdialytic weight gain has been associated with increased risk of left ventricular hypertrophy, hypotension, and cardiovascular comorbidities and mortality.…”

Section: Discussionmentioning

confidence: 99%

Efeitos da doença e adequação da hemodiálise em pacientes com rigidez arterial

et al. 2020

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Objectives:To analyze the adequacy of hemodialysis treatment in patients with arterial stiffness and to associate the effects of renal disease with sociodemographic and clinical factors. Method: A cross-sectional epidemiological study with 149 chronic renal patients undergoing hemodialysis treatment, in the interior of the State of São Paulo. They used to measure arterial stiffness with the Dyna-MAPA  device. The tests statistical were multivariate linear regression, t Student and chi-square were applied to the biomarkers and the occurrence of arterial stiffness. Results: Most were of productive age, professionally inactive, male, in a stable union, water, and food restriction, and with less than 48 months of dialysis treatment and 36.9% of patients had arterial stiffness. The biomarkers creatinine, urea, and phosphorus were increased, hematocrit and hemoglobin were decreased, mean interdialytic weight was 2.34 ± 1.4kg, and most of the Kt / V inadequate. The effects of renal disease were statistically significant with those enrolled in the transplant list, longer treatment time, and increased creatinine. Conclusion: These results are expected to reduce cardiovascular morbidity and mortality in these patients. RESUMOObjetivos: Analisar a adequação do tratamento hemodialítico em pacientes com rigidez arterial e associar os efeitos da doença renal com os fatores sociodemográficos e clínicos. Método: Estudo epidemiológico, transversal realizado com 149 renais crônicos em tratamento de hemodiálise, no interior do Estado de São Paulo. Utilizou para medida da rigidez arterial o aparelho de Dyna-MAPA  . Foram aplicados os testes de regressão linear multivariada, t Student e o qui-quadrado para os biomarcadores e a ocorrência de rigidez arterial. Resultados: A maioria estava em idade produtiva, inativa profissionalmente, do sexo masculino, em união estável, fazendo restrição hídrica e alimentar e com menos de 48 meses de tratamento dialítico e 36,9% dos pacientes apresentavam rigidez arterial. Os biomarcadores creatinina, ureia e fósforo estavam aumentados, hematócrito e hemoglobina estavam diminuídos, média de peso interdialítico de 2,34 ± 1,4 kg, e a maioria do Kt/V inadequado. Quanto aos efeitos da doença renal observou-se significância estatística com os inscritos na lista de transplantes, maior tempo de tratamento e aumento da creatinina. Conclusão: Espera-se que esses resultados proporcionem a diminuição da morbimortalidade cardiovascular desses pacientes. Palavras-chave: Doença renal crônica; Qualidade de vida; Hemodiálise; Rigidez arterial; Velocidade de onda de pulso. RESUMENObjetivos: Analizar la adecuación del tratamiento hemodialítico en pacientes con rigidez arterial y asociar los efectos de la enfermedad renal con los factores sociodemográficos y clínicos. Método: Estudio epidemiológico, transversal realizado con 149 renales crónicos en tratamiento de hemodiálisis, en el interior del Estado de São Paulo. Utilizaron el instrumento para medir la rigidez arterial el aparato de Dyna-MAPA  . Se aplicaron los p...

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“…Como se viu, a pesquisa mostrou predominância do sexo masculino e idade superior a 40 anos, concordando com outros estudos (Rodrigues et al, 2015;Bastos et al, 2016;Bousquet-Santos, Costa e Andrade, 2019;Oliveira, et al, 2015), que descreve idade média de 49,8 anos (Oliveira, et al, 2015). A fé e crença religiosa apontada foi positiva por favorecer a aceitação de seu quadro clínico/terapêutica e adesão ao tratamento (Silva et al, 2016a).…”

Section: Dificuldadesunclassified

Adesão ao tratamento de pacientes com doença renal crônica em hemodiálise: caracterização sociodemográfica e clínica, facilidades e dificuldades

Castro

Lira

Gomes

et al. 2020

RSD

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Objetivou-se descrever as características de pacientes com doença renal crônica em hemodiálise, suas facilidades e dificuldades de ao tratamento. Estudo descritivo desenvolvido com aplicação de formulário junto a 130 pacientes de uma clínica cearense de hemodiálise, em 2017. A maioria dos pacientes era do sexo masculino (58%), 91 (70%) tinham menos de 60 anos, 66 (51%) eram casados e 36 (28%) analfabetos. Nos dados clínico-epidemiológicos, adesão apresentaram maior impacto hipertensão arterial sistêmica e diabetes mellitus associadas (37%; 48), seguido de somente hipertensão (28%; 37) e somente diabetes (26%; 34). Foram descritas como facilidades para adesão ao tratamento a localização da clínica (40%) e a disponibilização de transporte (12%). Como dificuldades destacaram-se a adaptação (34%), o tempo das sessões (24%) e o acesso (91%). No entanto, 80% nunca pensaram em abandonar o tratamento e 91,5% não referem pensamentos negativos sobre ele, sendo que 96,3% se consideram felizes, com fé e apoio familiar. Os achados reforçam a capacidade adaptativa dos pacientes ao tratamento e a necessidade dos profissionais fortalecerem as potencialidades e dificuldades dos pacientes, a serem trabalhadas pela equipe multiprofissional.

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Educação Nutricional no Controle do Ganho de Peso Interdialítico de Pacientes em Hemodiálise

Cited by 5 publications

References 5 publications

Methods of nutritional evaluation between patients in hemodialysis

Methods of nutritional evaluation between patients in hemodialysis

Efeitos da doença e adequação da hemodiálise em pacientes com rigidez arterial

Adesão ao tratamento de pacientes com doença renal crônica em hemodiálise: caracterização sociodemográfica e clínica, facilidades e dificuldades

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