Relationship between interdialytic weight gain and nutritional status of chronic kidney disease patients on hemodialysis

Authors

DOI:

https://doi.org/10.33448/rsd-v11i7.30036

Keywords:

Chronic kidney disease; Kidney dialysis; Nutritional status; Body composition.

Abstract

Introduction: Interdialytic weight gain (IDWG) is an important marker of adherence to dietary restrictions in individuals on hemodialysis (HD). Objective: To evaluate the association between nutritional indicators and IDWG in HD patients in the Metropolitan Region of Greater Vitória/ES. Method: This is a cross-sectional study developed with 1024 patients on HD. Results: The GPID was raised to 30.5% (n=311) of the individuals, and those with excess weight and high waist circumference presented, respectively, 46% (OR 0.540, 95%CI 0.394-0.741) and 44% (OR 0.540, 95%CI 0.394-0.741) less chance of inadequate GPID. However, those who presented muscle depletion according to arm muscle circumference (OR 1.421, 95%CI 1.009-2.002) and by corrected arm muscle area (OR 1.435, 95%CI 1.052-1.958) had approximately 1.4 times more chances of high weight gain between dialysis sessions. Conclusion: Individuals with muscle depletion are more likely to have high GPID, while having greater body mass decreased the chances of this inadequate weight gain.

References

GBD Chronic Kidney Disease Collaboration (2020). Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet (London, England), 395(10225), 709–733.

Brasil. (2014). Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Especializada e Temática. Diretrizes clínicas para o cuidado ao paciente com doença renal crônica -DRC no Sistema Único de Saúde. Secretaria de Atenção à Saúde. Brasília, Ministério da Saúde.

Neves, P. D., Sesso, R. C. C., Thomé, F. S., Lugon, J. R., & Nascimento, M. M. (2021). Inquérito brasileiro de diálise 2019. J Bras. Nefrol, 43(2), 217-227.

Nerbass, F. B., Morais, J. G., Santos, R. G., Krüger, T. S., Koene, T. T., & Luiz-Filho, H. A. (2011). Fatores relacionados ao ganho de peso interdialítico em pacientes em hemodiálise. J Bras. Nefrol, 33(3), 3000–3005.

Kakiya, R., Shoji, T., Tsujimoto, Y., Tatsumi, N., Hatsuda, S., Shinohara, K., Kimoto, E., Tahara, H., Koyama, H., Emoto, M., Ishimura, E., Miki, T., Tabata, T., & Nishizawa, Y. (2006). Body fat mass and lean mass as predictors of survival in hemodialysis patients. Kidney Int, 70(3), 549–556.

Ikizler, T. A., Burrowes, J. D., Byham-Gray, L. D., Campbell, K. L., Carrero, J. J., Chan, W., Fouque, D., Friedman, A. N., Ghaddar, S., Goldstein-Fuchs, D. J., Kaysen, G. A., Kopple, J. D., Teta, D., Yee-Moon Wang, A., & Cuppari, L. (2020). KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. Am J Kidney Dis, 76(3 Suppl 1), S1–S107.

Cristóvão, A. F. A. (2015). Fluid and dietary restriction’s efficacy on chronic kidney disease patients in hemodialysis. Rev Bras Enferm, 68(6), 842-850.

Ferraz, S. F., Freitas, A. T. V. S., Vaz, I. M. F., Campos, M. I. V. A. M., Peixoto, M. R. G., & Pereira, E. R. S. (2015). Nutritional status and interdialytic weight gain of chronic hemodialysis patients. J Bras Nefrol, 37(3), 306-314.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., Shitsuka, R. (2018). Metodologia da pesquisa científica. (1ª ed.): UFSM.

Severino, A. J. (2018). Metodologia do trabalho científico. (23ª. ed.) Rev. e Atual. Cortez, 2007.

Telles, E. (2003). Racismo à brasileira: uma nova perspectiva sociológica: Relume-Dumará: Fundação Ford.

World Health Organization. (2004). Global strategy on diet, physical activity and health. https://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf

OMS. Organização Mundial da Saúde. Consulta da OMS sobre Obesidade (1999: Genebra, Suíça) e Organização Mundial da Saúde. (2004). Obesidade: prevenindo e controlando a epidemia global: relatório de consulta da OMS.

Blackburn, G. L., & Thornton, P. A. (1979). Nutritional assessment of the hospitalized patient. Med Clin North Am, 63(5), 11103–11115.

Frisancho A. R. (1981). New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr, 34(11), 2540–2545.

Lameu, E. B, Gerude, M. F., Corrêa, R. C., & Lima, K. A. (2004). Adductor policismuscle: a new anthropometric parameter. Rev. Hosp. Clin, 59, 57–62.

Caporrino, F. A., Faloppa, F., Santos, J. B. G., Réssio, C., Soares, F. H. C., Nakachima, L. R., & Segre, N. G. (1998). Estudo populacional da força de preensão palmar com dinamômetro Jamar. Rev Bras Ortop Traumatol, 33(2), 150-5.

Lu, J. L., Kalantar-Zadeh, K., Ma, J. Z., Quarles, L. D., & Kovesdy, C. P. (2014). Association of body mass index with outcomes in patients with CKD. J Am Soc Nephrol, 25(9), 2088–2096.

Kittiskulnam, P., Carrero, J. J., Chertow, G. M., Kaysen, G. A., Delgado, C., & Johansen, K. L. (2017). Sarcopenia among patients receiving hemodialysis: weighing the evidence. J Cachexia Sarcopenia Muscle, 8(1), 57–68.

Kittiskulnam, P., & Johansen, K. L. (2019). The obesity paradox: A further consideration in dialysis patients. Semin Dial, 32(6), 485–489.

Marcelli, D., Usvyat, L. A., Kotanko, P., Bayh, I., Canaud, B., Etter, M., Gatti, E., Grassmann, A., Wang, Y., Marelli, C., Scatizzi, L., Stopper, A., van der Sande, F. M., Kooman, J., & MONitoring Dialysis Outcomes (MONDO) Consortium (2015). Body composition and survival in dialysis patients: results from an international cohort study. Clin J Am Soc Nephrol, 10(7), 1192–1200.

Abro, A., Delicata, L. A., Vongsanim, S., & Davenport, A. (2018). Differences in the prevalence of sarcopenia in peritoneal dialysis patients using hand grip strength and appendicular lean mass: depends upon guideline definitions. Eur J Clin Nutr, 72(7), 993–999.

Prado, C. M., Cushen, S. J., Orsso, C. E., & Ryan, A. M. (2016). Sarcopenia and cachexia in the era of obesity: clinical and nutritional impact. Proc Nutr Soc, 75(2), 188–198.

Foley, R. N., Wang, C., Ishani, A., Collins, A. J., & Murray, A. M. (2007). Kidney function and sarcopenia in the United States general population: NHANES III. Am J Nephrol, 27(3), 279–286.

Giglio, J., Kamimura, M. A., Lamarca, F., Rodrigues, J., Santin, F., & Avesani, C. M. (2018). Association of sarcopenia with nutritional parameters, quality of life, hospitalization, and mortality rates of elderly patients on hemodialysis. J Ren Nutr, 28(3), 197–207.

Molina, P., Carrero, J. J., Bover, J., Chauveau, P., Mazzaferro, S., Torres, P. U., & European Renal Nutrition (ERN) and Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD) Working Groups of the European Renal Association-European Dialysis Transplant Association (ERA-EDTA) (2017). Vitamin D, a modulator of musculoskeletal health in chronic kidney disease. J Cachexia Sarcopenia Muscle, 8(5), 686–701.

Silva, D. R. (2017). Obesity-the verse and the reverse. J Bras. Nefrol, 39 (03), 232–233.

Rodrigues Telini, L. S., de Carvalho Beduschi, G., Caramori, J. C., Castro, J. H., Martin, L. C., & Barretti, P. (2014). Effect of dietary sodium restriction on body water, blood pressure, and inflammation in hemodialysis patients: a prospective randomized controlled study. Int Urol Nephrol, 46(1), 91–97.

Yamada, Y., Ikenaga, M., Takeda, N., Morimura, K., Miyoshi, N., Kiyonaga, A., Kimura, M., Higaki, Y., Tanaka, H., & Nakagawa Study (2014). Estimation of thigh muscle cross sectional area by single- and multifrequency segmental bioelectrical impedance analysis in the elderly. J Appl Physiol, 116(2), 176–182.

Rodrigues, I. D. (2017). Relação entre consumo alimentar e ganho de peso interdialítico em doentes renais crônicos. Revista Saúde.com, 13(1), 779-85.

Bousquet-Santos, K., Costa, L. G., & Andrade, J. M. D. L. (2019). Nutritional status of individuals with chronic renal failure in hemodialysis in the Unified Health System. Cien Saude Colet, 24(3), 1189–1199.

Weiner, D. E., Brunelli, S. M., Hunt, A., Schiller, B., Glassock, R., Maddux, F. W., Johnson, D., Parker, T., & Nissenson, A. (2014). Improving clinical outcomes among hemodialysis patients: a proposal for a “volume first” approach from the chief medical officers of US dialysis providers. Am J Kidney Dis, 64(5), 685–695.

Matsumoto, A., Nagasawa, Y., Yamamoto, R., Shinzawa, M., Hasuike, Y., Kuragano, T., Isaka, Y., Nakanishi, T., Iseki, K., Yamagata, K., Tsuruya, K., Yoshida, H., Fujimoto, S., Asahi, K., Moriyama, T., & Watanabe, T. (2017). The association of alcohol and smoking with CKD in a Japanese nationwide cross-sectional survey. Hypertens Res, 40(8), 771–778.

Sevick, M. A., Piraino, B. M., St-Jules, D. E., Hough, L. J., Hanlon, J. T., Marcum, Z. A., Zickmund, S. L., Snetselaar, L. G., Steenkiste, A. R., & Stone, R. A. (2016). No Difference in Average Interdialytic Weight Gain Observed in a Randomized Trial With a Technology-Supported Behavioral Intervention to Reduce Dietary Sodium Intake in Adults Undergoing Maintenance Hemodialysis in the United States: Primary Outcomes of the BalanceWise Study. J Ren Nutr, 26(3), 149–158.

Canaud, B., Chazot, C., Koomans, J., & Collins, A. (2019). Fluid and hemodynamic management in hemodialysis patients: challenges and opportunities. J Bras. Nefrol, 41(4), 550–559.

Martins, E. C. V., Pereira, V. F. S., Sales, P. S., & Pereira, P. A. L. (2017). Tempo de hemodiálise e o estado nutricional em pacientes com doença renal crônica. Braspen j, 32(1), 54-57.

Lauretani, F., Russo, C. R., Bandinelli, S., Bartali, B., Cavazzini, C., Di Iorio, A., Corsi, A. M., Rantanen, T., Guralnik, J. M., & Ferrucci, L. (2003). Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol, 95(5), 1851–1860.

Published

30/05/2022

How to Cite

PEREIRA, J.; GAMBARINI, M. Z. dos S.; BARRETO, M. A.; PAIXÃO, M. P. C. P.; SANTOS NETO, E. T. dos; CATTAFESTA, M.; SALAROLI, L. B. Relationship between interdialytic weight gain and nutritional status of chronic kidney disease patients on hemodialysis. Research, Society and Development, [S. l.], v. 11, n. 7, p. e43311730036, 2022. DOI: 10.33448/rsd-v11i7.30036. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/30036. Acesso em: 5 jul. 2022.

Issue

Section

Health Sciences