Relationship between micronutriente consumption and hydroelectrolytic disorders in renal patients undergoing hemodialysis
DOI:
https://doi.org/10.33448/rsd-v10i4.14545Keywords:
Renal Insufficiency, Chronic; Renal Dialysis; Electrolytes; Eating; Micronutrients.Abstract
Objective: To evaluate the relationship between hydroelectrolytic disorders and the consumption of calcium, potassium and phosphorus in chronic renal patients during hemodialysis. Methods: This is an observational, cross-sectional study, composed of 33 participants conducted at a nephrology clinic in Fortaleza, carried out between September and October 2018. Data on eating habits were collected through the application of the Frequency Questionnaire Food and values obtained by weight were divided according to the frequency of consumption in order to obtain daily values. The serum levels of calcium, potassium and phosphorus were obtained by consulting the medical records. Results: Average calcium intake of 641.8mg, potassium 2652.9mg, phosphorus 1429.0mg where calcium and potassium consumption achieved greater adequacy and phosphorus less adequacy to reference standards. The serum levels found were 8.8 mg / dL for calcium, 5.5 mg / dL for potassium and phosphorus of 5.1 mg / dL. There was no sufficiency in the statistical correlation between consumption and serum levels Conclusion: Inadequate phosphorus consumption, in addition to its inadequate serum concentration, conferred relevant findings in the current research. The use of chelators and the methodology used to measure the consumption of nutrients seems to interfere with reported results of food consumption, associated with this, the control of intake must be strictly monitored.
References
Alvarenga, L. de A., et al (2017). Análise do perfil nutricional de pacientes renais crônicos em hemodiálise em relação ao tempo de tratamento. Brazilian Journal of Nephrology, 39(3), 283-286. https://doi.org/10.5935/0101-2800.20170052.
Casas, J., et al (2015). Educação nutricional para pacientes renais crônicos em programa de hemodiálise. Rev Nutrire, 40(1), 36-44.
Custódio, M. R., C., et al (2013). Protocolo clínico e diretrizes terapêuticas para o tratamento do hiperparatireoidismo secundário em pacientes com doença renal crônica. Brazilian Journal of Nephrology, 35(4), 308-322. https://doi.org/10.5935/0101-2800.20130050.
Do Nascimento, R. P., et al (2016). Relato de experiência: educação alimentar e nutricional com pacientes renais crônicos em hemodiálise. Nutr Clín Diet Hosp, 36(3), 31-7.
Estrela, C. Metodologia científica: ciência, ensino, pesquisa Artes Médicas, 738p.
Ferreira, L. F. S., & Neves, P. (2013). Aspectos nutricionais de pacientes com doença renal crônica em tratamento de hemodiálise. Rev Bras Nutr Clinic, 28(3), 192-6.
Hannedouche, T., Fouque, D., & Joly, D. (2018). Complications métaboliques en insuffisance rénale chronique : hyperphosphatémie, hyperkaliémie et anémie [Metabolic complications in chronic kidney disease: hyperphosphatemia, hyperkalemia and anemia]. Nephrologie & therapeutique, 14(6S), 6S17–6S25. https://doi.org/10.1016/S1769-7255(18)30647-3.
Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group (2017). KDIGO 2017 Clinical Practice Guideline update for the diagnosis, evaluation, prevention, and treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKDMBD). Kidney Int. Suppl, ;7,1–59.
Luz, C. A., et al (2017). Avaliação da ingestão nutricional de pacientes com doença renal crônica em tratamento hemodialítico. Braspen J, 32(3):241-5.
Machado, A. D., et al (2014). Avaliação do consumo alimentar de pacientes com doença renal crônica em hemodiálise. Rev Ci e saúde, mai-ago; 7(2):76-84. https://doi.org/10.15448/1983-652X.2014.2.17758.
Machado, G. R. G., & Pinhati, F. R. (2014). Tratamento de diálise em pacientes com insuficiência renal crônica. Cad UniFOA, 26:137-48. https://doi.org/10.47385/cadunifoa.v9i26.193.
Martins, C., et al. (2013) Nutrição e HemodiáliseIn: Riella, M. C., Martins, C. Nutrição e o rim (2a ed.). Guanabara Koogan, p149-73.
Martins, C. Padrões de referência para exames laboratoriais. In: Riella MC, Martins C. Nutrição e o rim (2a ed.). Guanabara Koogan; 379-84.
Ministério do Planejamento, Orçamento e Gestão (BR). Instituto Brasileiro de Geografia e Estatística - IGBE (2011). Tabela de Medidas Referidas para os Alimentos Consumidos no Brasil. Rio de Janeiro: Ministério do Planejamento, Orçamento e Gestão. Disponível em: <https://biblioteca.ibge.gov.br/visualizacao/livros/liv50000.pdf>.
Nascimento, M. M., et al Metabolismo de água, sódio, potássio e magnésio na doença renal crônica (2013). In: Riella. M. C., & Martins, C. Nutrição e o rim (2 ed.). Rio de Janeiro: Guanabara Koogan. p44-50.
Nerbass, F. B., et al (2019). Diferenças na fosfatemia e na frequência de consumo de fontes alimentares de fósforo em pacientes em hemodiálise do sul e norte do Brasil. Brazilian Journal of Nephrology, 41(1), 83-88. https://dx.doi.org/10.1590/2175-8239-jbn-2018-0063.
Nerbass, F. B., et al (2017). Percepções de pacientes em hemodiálise sobre as restrições alimentares. Brazilian Journal of Nephrology, 39(2), 154-161. https://doi.org/10.5935/0101-2800.20170031.
Porto, R. A., Truite, M. R., Bucharles, S. E. G., & Hauser, A. B. (2016). Hiperparatireoidismo secundário: uma complicação da Doença Renal Crônica. Rev Bras Anal Clin, 3(48):182-8.
Rodrigues, I. D., et al (2017). Relação entre consumo alimentar e ganho de peso interdialítico em doentes renais crônicos. Rev Saúde.Com, 13(01): 779-85.
Santos, A. C. B., et al (2013). Associação entre qualidade de vida e estado nutricional em pacientes renais crônicos em hemodiálise. Brazilian Journal of Nephrology, 35(4), 279-288. https://dx.doi.org/10.5935/0101-2800.20130047.
Selem, S. S. C., et al (2014). Validade e reprodutibilidade de um questionário de frequência alimentar para adultos de São Paulo, Brasil. Rev Bras Epidemiol, 17(4):852-9. https://doi.org/10.1590/0102-311X00151313.
Riobó Serván, P., & Moreno Ruiz, I. (2019). Nutrición en insuficiencia renal crónica [Nutrition in chronic kidney disease]. Nutricion hospitalaria, 36(Spec No3), 63–69. https://doi.org/10.20960/nh.02812.
Sesso, R. C., et al (2017). Inquérito Brasileiro de Diálise Crônica 2016. Brazilian Journal of Nephrology, 39(3), 261-266. https://doi.org/10.5935/0101-2800.20170049.
Telles, C., & Boita, E. R. F. (2015). Importância da terapia nutricional com ênfase no cálcio, fósforo e potássio no tratamento da doença renal crônica. Perspectiva, 39(145)143-154.
Universidade Estadual de Campinas - UNICAMP, Núcleo de Estudos e Pesquisas em Alimentação (NEPA). (2011). Tabela Brasileira de Composição de Alimentos (4a ed.). NEPA - UNICAMP, 2011.
United States Department of Agriculture (USA). USDA Food Composition Databases. United States Department of Agriculture; 2013.
Belmar Vega, L., Galabia, E. R., Bada da Silva, J., Bentanachs González, M., Fernández Fresnedo, G., Piñera Haces, C., Palomar Fontanet, R., Ruiz San Millán, J. C., & de Francisco, Á. (2019). Epidemiology of hyperkalemia in chronic kidney disease. Epidemiología de la hiperpotasemia en la enfermedad renal crónica. Nefrologia: publicacion oficial de la Sociedad Espanola Nefrologia, 39(3), 277–286. https://doi.org/10.1016/j.nefro.2018.11.011.
Kalantar-Zadeh, K., & Fouque, D. (2017). Nutritional Management of Chronic Kidney Disease. The New England journal of medicine, 377(18), 1765–1776. https://doi.org/10.1056/NEJMra1700312.
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Copyright (c) 2021 Alexandre Danton Viana Pinheiro; Lorrainy Umbelina Alves de Souza Cortez; Antônio Augusto Ferreira Carioca; Ribanna Aparecida Marques Braga; Maria Dinara de Araújo Nogueira; Francisca Isabelle da Silva e Sousa; Lívia Torres Medeiros
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