Nutritional assessment and its repercusion in the functional capacity: Hemodyalisis, "Abel Santamaría Cuadrado" General Hospital

Authors

  • Nadienka Rodríguez Ramos Especialista de Primer Grado en Nefrología. Asistente.Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Yisel Lázara Ortega Formoso Residente en Nefrología. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Raúl Díaz Hernández Licenciado en Cultura Física y Recreación. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Andrea Maritza Ramos Ramos Licenciada en Química General. Instructora. Policlínico Universitario "Epifanio Rojas Gil". San Luis.
  • Roberto Omar Rodríguez Llanusa Licenciado en Química General. Instructor. Policlínico Universitario "Epifanio Rojas Gil". San Luis.

Abstract

Malnutritión is a frequent problem that represents a greater number of hospital admissions and compromise of the functional capacity of the patients that undergo a renal replacement hemodyalisis. Objective: Describe the nutritional status and the functional capacity of those patients that undergo hemodyalisis. Methods: A tranversal analytical study was carried out by means of a subjective comprehensive assessment and Karnofsky Scale during the months of January through May, 2008 . This study was conducted, with the due informed consent, on 34 patients in hemodyalisis who belong in the nephrological service of Abel Santamaria General Teaching Hospital of Pinar del Rio City. Variables like age, etiology of the chronic renal failure, time elapsed in hemodyalisis, nutritional status and functional capacity were included in the study. Information was gathered through surveys and from the the morbimortality book of the nephrology unit. The statistical analysis of frequency distribution was used for each category of variables. Furthermore, the independence test was also used so as to test the association of variable null hypothesis. The level of significance was set at á = 0.05. Results: 34 patients were studied. The average age was 48 years and the hemodyalisis treatment under study was 124 months. 66,67% of patients showed a normal nutritional status and functional capacity. On the other hand, 6 out of the whole group had evident signs of malnutrition from moderate to severe, which had direct correspondence with evident compromise of the functional capacity according to the Karnofsky Scale. There was no correlation with the nutritional status and the time in hemodyalisis in the patients who had undergone more that two years of treatment.

Downloads

Download data is not yet available.

References

1. Lorenzo V, Rufino M, Martín M. Aspectos nutricionales en hemodiálisis. En: Valderrábano F.eds. Tratado de hemodiálisis. 1ª Edición. Editorial Médica-JIMS; 1999: p 339 -49.

2. Levey AS. Using standardized serum creatinine values in the modification of diet in renal disease study equation for estimating glomerular filtration rate. Ann Intern Med. 2006; 145(4): 247-54.

3. Kalantar Zadeh K, Fouque D, Kopple JD. Outcome research, nutrition and reverse epidemiology in maintenance dialysis patients. J of Renal Nutrition. April. 2004; 14 (2):32-36.

4. Burrowes JD, Cockram DB, Dwyer JT, Larive B, Paranandi L, Bergen C. et al. Cross-sectional relationship between dietary protein and energy intake, nutritional status, functional status, and comorbidity in older versus younger hemodialysis patients. April. 2002; 12(2): 45-49.

5. Alarcón O'Farril R. Intervención nutricional en la insuficiencia renal crónica. Nutrición parenteral intradialítica. Acta médica. 2003; 11(1):26-37.

6. Rocco MV, Ikizler TA. Nutrition. Handbook of Dialysis, 4th Edition. 2007; 28 p: 462-481.

7. Kramer HJ. Increasing body mass index and obesity in the incident ESRD population. J Am Soc Nephrol. 2006; 17(5):1453-59.

8. Johansen KL. Association of body size with health status in patients beginning dialysis. Am J Clin Nutr. 2006; 83(3):543-54.

9. Drum W. Malnutrition is bad but how can one detect malnutrition? Nephrol Dial Transplant. 1997; 12: 2225 -27.

10. Pupim LB, Cuppari L, Ikizler TA. Nutrition and metabolism in kidney disease. Semin Nephrol. 2006; 26(2):134-57.

11. Kalantar Zadeh K. A modified, quantitative, subjective, global assessment of nutrition for dialysis patients. Nephrol Dial Transplant. 1999; 14:1732-38.

12. Cooper BA, Bartlett LH, Aslani A, Allen BJ, Ibels LS, Pollock CA. et al. Validity of subjective global assessment as a nutritional marker in end-stage renal disease. Am J Kidney Dis.Jul. 2002; 40(1):126-32.

13. Machado G, Fierro D, Seguí J, Fernández R, Saldía R, Moreno V. et al. Aplicación de un método de valoración de calidad de vida en un Centro de Hemodiálisis en Mendoza. Nefrol. Diál. y Transpl. 2004; 24 (1): 181-84.

14. Lyoumi S, Tamion F, Petit J, Dechelotte P, Dauguet C, Scotte M. et al. Induction and modulation of acute phase response by protein malnutrition in rats: comparative effect of systemic and localized inflammation on interleukin 6 and acute phase protein synthesis. J Nutr. 1998; 128(2):166-74.

15. Beddhu S, Ramkumar N, Pappas LM. Normalization of protein intake by body weight and the associations of protein intake with nutritional status and survival. J Ren Nutr. 2005; 15(4):387-97.

Downloads

Published

2010-03-19

How to Cite

1.
Rodríguez Ramos N, Ortega Formoso YL, Díaz Hernández R, Ramos Ramos AM, Rodríguez Llanusa RO. Nutritional assessment and its repercusion in the functional capacity: Hemodyalisis, "Abel Santamaría Cuadrado" General Hospital. Rev Ciencias Médicas [Internet]. 2010 Mar. 19 [cited 2025 Sep. 1];14(1):180-91. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/608

Issue

Vol. 14 No. 1 (2010)

Section

ORIGINAL ARTICLES

License

Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.

Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/