Doença mineral e óssea da doença renal crônica, estado nutricional e fatores associados : estudo em indivíduos em hemodiálise da Região Metropolitana da Grande Vitória

• Ano de defesa: 2024
• Autor(a) principal: Péterle, Fernanda Zobole
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Espírito Santo; BR; Nutrição e Saúde; Centro de Ciências da Saúde; UFES; Programa de Pós-Graduação em Nutrição e Saúde
• Palavras-chave em Português: Insuficiência renal crônica; Hemodiálise; Nutrição - Avaliação; Distúrbio mineral e ósseo na doença renal crônica; Diálise renal; Renal dialysis; Chronic kidney disease-mineral and bone disorder; Estado nutricional; Nutritional status; Nutrição
• Link de acesso: http://repositorio.ufes.br/handle/10/17676

Chronic kidney disease is closely related to Chronic Kidney Disease-Mineral and Bone Disorder, resulting in distinct nutritional contexts. This study aimed to evaluate the laboratory constituents of Chronic Kidney Disease-Mineral and Bone Disorder, along with clinical, sociodemographic, and nutritional factors in hemodialysis patients in the Greater Vitória Metropolitan Region. This cross-sectional study included 790 hemodialysis patients (58% men) with a mean age of 54.23 years. Chronic Kidney Disease-Mineral and Bone Disorder was assessed using specific diagnostic criteria. Sociodemographic tools, lifestyle habits, clinical characteristics, anthropometric measures, and other laboratory variables were utilized. The odds of individuals having altered ionized calcium increased in the absence of employment (OR:1.50) and with an income below the minimum wage (OR:2.00). Alcoholism (OR:1.40) and a significantly increased waist circumference (OR:3.04) increased the chances of altered vitamin D levels. Elderly individuals (OR:2.04) showed a higher chance of altered phosphorus levels. Being male (OR:0.61), having higher education (OR:0.84), and maintaining the thickness of the adductor pollicis muscle (OR:0.58) reduced the chances of altered phosphorus levels. Black individuals (OR:0.54) showed lower chances of altered parathyroid hormone levels, while those with higher interdialytic weight gain (OR:1.01) showed higher chances of altered parathyroid hormone levels.