Factors associated with malnutrition in elderly individuals with chronic kidney disease in conservative treatment

Authors

  • Melina Gabriela Monteiro Universidade Federal de Juiz de Fora https://orcid.org/0000-0003-1996-7871
  • Priscila Department of Nutrition, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil. https://orcid.org/0000-0002-7983-6307
  • Íris Department of Nutrition, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
  • Cássia Department of Nutrition, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil. https://orcid.org/0000-0003-1280-2601
  • Marcus Department of Internal Medicine, Faculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil. https://orcid.org/0000-0003-3651-9923
  • Ana Paula Department of Nutrition, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.

DOI:

https://doi.org/10.34019/1982-8047.2020.v46.31466

Keywords:

Malnutrition, Elderly, Smoking, Chronic kidney failure, Conservative treatment

Abstract

Introduction: Malnutrition is present in the elderly with chronic kidney disease (CKD) under conservative treatment. It is one of the main factors that adversely affect the prognosis and is associated with increased morbidity and mortality. Objective: To evaluate the presence of malnutrition and associated factors in elderly people with CKD undergoing conservative treatment. Material and methods: Epidemiological study, with cross-sectional design, including patients with CKD stages 3,4 and 5, under conservative treatment, aged over 60 years. Socioeconomic, clinical, physical activity and anthropometric data were collected. Categorical variables were presented with absolute and relative frequencies and compared, according to sex, using Pearson's chi-square test. For the assessment of factors related to the presence of malnutrition, the BMI was dichotomized into malnourished and non-malnourished and the Odds ratio was calculated. Results: 136 individuals were evaluated. The prevalence of malnutrition was 13%, according to BMI, and mass depletion was found in 35.2% of women and 30% of men by the lean tissue index. It was found that the smoker is 7.36 times more likely to have malnutrition when compared to a non-smoker. Conclusion: A high prevalence of malnutrition was observed in this study. No associations were found with sex, schooling, income, sedentary lifestyle, CKD stage, DM and SAH. Smoking was the factor that showed a significant association with malnutrition.

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Author Biographies

Priscila, Department of Nutrition, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.

Graduated in Nutrition (Federal University of Juiz de Fora - UFJF), specialization in Public Health (Centro Universitário Internacional - UNINTER), specialization in Multidisciplinary Nephrology (Federal University of Maranhão - UFMA) and master's in Public Health (UFJF). She acted as a substitute professor in the Nutrition department at UFJF, teaching the subjects: Nutritional assessment II, Nutrition of adults and the elderly, orientation of clinical internship and course completion works. He was a nutritionist for the HIPERDIA program, at the Minas Gerais Institute of Teaching and Research in Nephrology (IMEPEN) and at the Inter-municipal Cooperation Agency in Health Pé da Serra (ACISPES). In addition, he has professional experience as a nutritionist in residences for the elderly, in food and nutrition units (working in the worker's food program - PAT) and at the Santa Casa de Misericórdia Hospital in Juiz de Fora. Currently, she is a doctoral student in Public Health (UFJF) and a member of the Research Group on Nutrition and Public Health (GPENSC). He has experience in the area of ​​nutrition and public health, with an emphasis on nutritional analysis of populations, working mainly on the following topics: eating disorders, nutrition at maturity, chronic non-communicable diseases (with an emphasis on diabetes, arterial hypertension and chronic kidney disease), anthropometry , body composition and food environment.

Íris, Department of Nutrition, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.

Currently, I work as a clinical nutritionist at Unimed Vertente do Caparaó. Master in Public Health (2019) from the Faculty of Medicine of the Federal University of Juiz Fora. Specialization in Public Health (2018) by the International University Center (UNINTER). Graduated in Nutrition (2016) from the Federal University of Juiz de Fora. At present, she is a member of the research group: "Research Group on Nutrition and Public Health" (GPENSC) and Reviewer at HU REVISTA. He has experience in Nutrition and Public Health with an emphasis on chronic diseases: Diabetes Mellitus and Chronic Kidney Disease. Performance in a project to monitor chronic non-communicable diseases in the city of Juiz de Fora.

Marcus, Department of Internal Medicine, Faculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.

Graduated from the Federal University of Juiz de Fora (1974), master's degree in Medical Sciences from the State University of Rio de Janeiro (1979) and doctorate in Medicine (Nephrology) from the Federal University of São Paulo (1985). He is currently a professor at the Faculty of Medical and Health Sciences of Juiz de Fora and professor at the Ubaense Faculty Ozanam Coelho. Has experience in Medicine, with emphasis on Nephrology, acting on the following subjects: chronic kidney disease, chronic kidney disease, chronic renal failure, peritoneal dialysis and ultrasound.

Ana Paula, Department of Nutrition, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.

Graduated in Nutrition from the Federal University of Ouro Preto (1997), master's degree in Biological Sciences from the Federal University of Ouro Preto (2004) and doctorate in Biological Sciences from the Federal University of Ouro Preto (2009). He is currently an associate professor at the Federal University of Juiz de Fora. He has experience in the area of Nutrition, with an emphasis on Nutrition and Public Health, acting mainly on the following themes: non-communicable diseases, nutritional epidemiology, children and adolescents.

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Published

2021-02-10

How to Cite

1.
Gabriela Monteiro M, Moreira de Lima Pereira P, Teixeira Soares Íris, de Fátima Maria de Oliveira C, Marcus Gomes Bastos M, Carlos Cândido AP. Factors associated with malnutrition in elderly individuals with chronic kidney disease in conservative treatment. HU Rev [Internet]. 2021Feb.10 [cited 2024Nov.21];46:1-8. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/31466

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Vol. 46 (2020)

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