A ingestão energética de pacientes em hemodiálise é subrelatada?
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Data
2015-09
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Resumo
Introduction: Underreporting of energy
intake is not much studied in hemodialysis
population. Objective: To evaluate
the underreporting of energy intake
and associated factors in hemodialysis
patients. Methods: A cross-sectional
study, with 344 patients stable adults, of
ten hemodialysis centers in Goiânia-GO.
Energy intake was assessed by six 24-hour
dietary recalls and basal metabolic rate
(BMR) was estimated using the Harris
Benedict equation. It was considered as
underreporting when the ratio between the
average energy intake and basal metabolic
rate was lower than1.27. For analysis of
factors associated with underreporting, the
Poisson regression with robust variance
estimation was applied. Results: The
prevalence of underreporting was 65.7%,
being more significant in individuals who
are overweight and in the non dialysis
days. The result of the multivariate analysis
identified four factors independently
associated with the underreporting: being
a female (PR = 1.27, CI = 1.10 to 1.46),
body mass index ≥ 25 kg/m2 (PR = 1.29,
CI = 1.12 to 1.48), three meals or lower/
day (PR = 1.31, CI = 1.14 to 1.51) and
hemodialysis length lower than 5 years
(PR = 1.19CI = 1.01 to 1.40). Conclusion:
The population showed a high prevalence
of underreporting of energy intake. Being
a female, presenting overweight, lower
number of meals/day and lower length time
on hemodialysis were factors associated
with underreporting.
Descrição
Palavras-chave
Autorrelato, Energy intake, Diálise renal, Insuficiência renal crônica, Ingestão de energia, Kidney failure, Chronic, Renal dialysis, Self report
Citação
VAZ, Inaiana Marques Filizola et al. A ingestão energética de pacientes em hemodiálise é subrelatada? Jornal Brasileiro de Nefrologia, São Paulo, v. 37, n. 3, p. 359-366, jul./set. 2015.