Métodos de avaliação da composição corporal em pacientes submetidos à hemodiálise
Palavras-chave:
composição corporal, hemodiálise, somatória de dobras cutâneas, bioimpedância elétrica, interactância ao infravermelho próximoResumo
A avaliação da composição corporal de pacientes com insuficiência renal crônica em hemodiálise é de suma importância para propiciar uma conduta clínica e nutricional adequada, de forma a contribuir para a redução da elevada taxa de morbidade e mortalidade observada nesta população. No entanto, fatores relacionados à doença tais como anormalidades no estado de hidratação e presença de osteodistrofia renal, podem afetar a validade das técnicas de avaliação da composição corporal de pacientes com insuficiência renal crônica. Apesar dos inúmeros métodos de análise de composição corporal existentes, a maioria apresenta limitações para utilização na prática clínica da população em hemodiálise. Este artigo tem como objetivo revisar os métodos de composição corporal de fácil aplicabilidade na rotina clínica dos pacientes em hemodiálise tais como a somatória de pregas cutâneas, a bioimpedância elétrica e a interactância do infravermelho próximo.
Referências
Qureshi AR, Alvestrand A, Divino-Filho JC, Gutierrez A, Heimburger O, Lindholm B, et al. Inflammation, malnutrition, and cardiac disease as predictors of mortality in hemodialysis patients. J Am Soc Nephrol 2002; 13:S28-S36.
Kopple JD, Zhu X, Lew NL, Lowrie EG. Body weightfor- height relationships predict mortality in maintenance hemodialysis patients. Kidney Int 1999; 56:1136-48.
Kushner RF, De Vries PMJP, Gudivaka R. Use of bioelectrical impedance analysis measurements in the clinical management of patients undergoing dialysis. Am J Clin Nutr 1996; 64:S503-S9.
Kurtin PS, Shapiro AC, Tomita H, Raizman D. Volume status and body composition of chronic dialysis patients: utility of bioelectric impedance plethysmography. Am J Nephrol 1990; 10:363-7.
Kamimura MA, Schumaker F, Agliussi RG, Baxmann A, Canziani MEF, Cuppari L, et al. Effect of body water changes on body composition assessed by near-infrared compared to bioelectrical impedance and skinfold thicknesses in hemodialysis patients”. Annals of the 10th International Congress on Nutrition and Metabolism in Renal Disease; 2000; Lyon, France. France: International Society of Renal Nutrition & Metabolism; 2000. p.49.
Kaufmann P, Smolle KH, Horina JH, Zach R, Krejs GJ. Impact of long-term hemodialysis on nutritional status in patients with end-stage renal failure. Clin Investig 1994; 72:754-61.
Ikizler TA, Pupim LB, Brouillette JR, Levenhagen DK, Farmer K, Hakim RM, et al. Hemodialysis stimulates muscle and whole body protein loss and alters substrate oxidation. Am J Physiol Endocrinol Metab 2002; 282:107-16.
Cuppari L, Draibe AS, Anção MS, Sigulem D, Sustovich DR, Ajzen H, et al. Avaliação nutricional em pacientes renais crônicos em programa de hemodiálise. Estudo multicêntrico. Assoc Med Bras 1989; 35.
Ishimura E, Okuno S, Kim M, Yamamoto T, Izumotani T, Otoshi T, et al. Increasing body fat mass in the first year of hemodialysis. J Am Soc Nephrol 2001; 12:1921-6.
Pupim LB, Kent P, Caglar K, Shyr Yu, Hakim RM, Ikizler TA. Improvement in nutritional parameters after initiation of chronic hemodialysis. Am J Kidney Dis 2002; 40:143-51.
Brennan BL, Yasumura S, Letteri JM, Cohn SH. Total body electrolyte composition and distribution of body water in uremia. Kidney Int 1980; 17: 364-71.
Woodrow G, Oldroyd B, Smith MA, Turney JH. Measurement of body composition in chronic renal failure: comparison of skinfold anthropometry and bioelectrical impedance with dual energy X-ray absortiometry. Eur J Clin Nutr 1996; 50:295-301.
Mazess RB, Barden HS, Bisek JP, Hanson J. Dual- -energy X-ray absorptiometry for total body and regional bone mineral and soft-tissue composition. Am J Clin Nutr 1990; 51:1106-12.
Abrahamsen B, Hansen TB, Hogsberg IM, Pedersen FB, Beck-Nielsen H. Impact of hemodialysis on dual X-ray absorptiometry, bioelectrical impedance mesurements, and antropometry. Am J Clin Nutr 1996; 63:80-6.
National Kidney Foundation: DOQI Kidney Disease Outcomes Quality Initiative Clinical Practice Guidelines for Nutrition in Chronic Renal Failure. Am J Kidney Dis 2000; 35(Suppl 2):34-5.
Nelson EE. Anthropometry in the nutritional assessment of adults with end-stage renal disease. J Renal Nutr 1991; 1(4):162-72.
De Lorenzo A, Barra PFA, Sasso GF, Battistini NC, Deureberg P. Body impedance measurements during dialysis. Eur J Clin Nutr 1991; 45:321-5.
Guida B, De Nicola L, Pecoraro P, Trio R, Di Paola F, Iodice C, et al. Abnormalities of bioimpedance measures in overweight and obese hemodialyzed patients. Int J Obes 2001; 25:265-72.
Lukaski HC, Bolonchuk WW, Hall CB, Siders WA. Validation of tretapolar bioelectrical impedance method to assess human body composition. J Appl Physiol 1986; 60:1327-32.
Oe B, De Fijter CWH, Oe PL, Stevens P, De Vries PMJM. Four-sites skinfold anthropometry (FSA) versus body impedance analysis (BIA) in assessing nutritional status of patients on maintenance hemodialysis: which method is to be preferred in routine patient care? Clin Nephrol 1998; 49(3):180-5.
Kamimura MA, Avesani CM, Cendoroglo M, Canziani MEF, Draibe SA, Cuppari L. Comparison of skinfold thicknesses and bioelectrical impedance analysis with dual-energy X-ray absorptiometry for the assessment of body fat in patients on long-term hemodialysis therapy. Nephrol Dial Transplant 2003; 18(1):101-5.
Avesani CM, Cuppari L, Ventura RTP, Cendoroglo M, Draibe SA. Comparison of body composition assessed by three methods in nondialyzed chronic renal failure patients. Annals of the 10th International Congress on Nutrition and Metabolism in Renal Disease; 2000; Lyon, France. France: International Society of Renal Nutrition & Metabolism; 2000. p.60.
Stall SH, Ginsberg NS, De Vita MV, Zabetakis PM, Lynn RI, Gleim GW, et al. Comparison of five body- -composition methods in peritoneal dialysis patients. Am J Clin Nutr 1996; 64:125-30.
Conway JM, Norris KH, Bodwell CE. A new approach for the estimation of body composition: infrared interactance. Am J Clin Nutr 1984; 40:1123-30.
Elia M, Parkinson SA, Diaz E. Evaluation of near infra-red interactance as a method for predicting body composition. Eur J Clin Nutr 1990; 44: 113-21.
Brooke-Wavell K, Jones PRM, Norgan NG, Hardman AE. Evaluation of near infra-red interactance for assessment of subcutaneous and total body fat. Eur J Clin Nutr 1995; 49:57-65.
Kalantar-Zadeh K, Dunne E, Nixon K, Kahn K, Lee GH, Kleiner M, et al. Near infra-red interactance for nutritional assessment of dialysis patients. Nephrol Dial Transplant 1999; 14:169-75.
Kalantar-Zadeh K, Block G, Kelly MP, Schroepfer C, Rodriguez RA, Humphreys MH. Near Infra-Red Interactance for Longitudinal Assessment of Nutrition in Dialysis Patients. J Renal Nutr 2001; 11:23-31.
Lo W, Prowant BF, Moore HL, Gamboa SB, Nolph KD, Flynn MA, et al. Comparison of different measurements of lean body mass in normal individuals and in chronic peritoneal dialysis patients. Am J Kidney Dis 1994; 23:74-85.
Kamimura MA, Santos NSJ, Avesani CM, Canziani MEF, Draibe SA, Cuppari L. Comparison of simple methods for the determination of body fat in patients on long-term hemodialysis therapy. J Am Diet Assoc 2003; 103(2):195-9.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 Maria Ayako KAMIMURA, Sérgio Antônio DRAIBE, Dirce Maria SIGULEM, Lílian CUPPARI
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
