Marcadores de relevância nutricional e sua relação com o tempo de tratamento de pacientes renais crônicos em hemodiálise do Recôncavo da Bahia

Abstract

Introduction: In order to prevent malnutrition in dialysis patients, nutritional evaluation and monitoring are of great value, but no correct diagnosis can be generated from isolated information. Thus, the clinical analysis of associated laboratory and anthropometric parameters is of great importance in the diagnosis of malnutrition, inflammation and risk of mortality in these patients. Objective: The present study aimed to characterize markers of nutritional relevance and relate them to the time of hemodialysis treatment of chronic renal patients of a reference clinic in nephrology in the Recôncavo da Bahia. Methods: A cross - sectional study of a descriptive nature with no reference center in nephrology of the Bahia concave was carried out. Data evaluation through medical records review, interview, and anthropometric evaluation of the participants, guided by semi-structured questionnaires. A square-sized test was performed to evaluate the difference of proportions as variables of interest according to the treatment time, with the significance of the sample in the price less than 5% (p <0.05). Results: Participated in the study 132 (62.1%), adults (72.7%), brown or black (85.6%) and married (50.8%). As regards the treatment of dialysis, a median of the population was 104 months, around eight years. Arm circumference (p = 0.003), serum potassium (p = 0.030) and ferritin (p = 0.052) showed the longer the dialysis time. Conclusion: Most of the laboratory, biochemical and anthropomorphic indicators shown, demonstrating a need for constant monitoring and correction of contact via protocol.