Prevalência e fatores associados à obesidade abdominal em pacientes em hemodiálise em Goiânia - GO
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Data
2013
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Resumo
Introduction: The presence of excess
weight, especially visceral obesity contributes
to the increased risk of metabolic
and cardiovascular complications
in patients with chronic kidney disease.
Objective: To determine the prevalence
and associated factors with abdominal
obesity in patients on hemodialysis
(HD). Methods: Cross-sectional study
with 344 patients older than 18 years.
Abdominal obesity was defined as waist
circunference ≥ 94 cm in men and ≥ 80
cm in women. The independent variables
involved socioeconomic, demographic,
lifestyle, duration of HD, food consumption
and body mass index (BMI). The
analysis of associated factors was performed
by multiple Poisson regression,
remaining in the final model variables
with p < 0.05. Results: The prevalence
of abdominal obesity was 44.77% and
was more prevalent in women (55.71%)
than in men (37.25%), p = 0.001. The
end result of the multivariate analysis
identified factors associated with abdominal
obesity in men and women:
age over 40 years, protein intake below
1.2 g/kg/day and BMI ≥ 25 kg/m². In
men the economic class D/E remained
associated with abdominal obesity,
p < 0.05. Conclusion: There was a high
prevalence of abdominal obesity in hemodialysis
patients. Age greater than
40 years, lower socioeconomic classes,
below the recommended protein intake
and overweight were associated with
abdominal obesity.
Descrição
Palavras-chave
Avaliação nutricional, Abdominal obesity, Circunferência da cintura, Obesidade abdominal, Diálise renal, Nutrition assessment, Waist circunference, Renal dialysis
Citação
FREITAS, Ana Tereza Vaz de Souza et al. Prevalência e fatores associados à obesidade abdominal em pacientes em hemodiálise em Goiânia - GO. Jornal Brasileiro de Nefrologia, São Paulo, v. 35, n. 4, p. 265-272, 2013.