Prevalence of sarcopenia and associated factors in patients in hemodialysis

Main Article Content

Camila Ferreira Nunes
https://orcid.org/0000-0002-1306-7883
Tuane Rodrigues de Carvalho
Ricardo da Silva Duarte
Ylka Anny Couto Oliveira Barboza
Maria Conceição Chaves de Lemos
Claudia Porto Sabino Pinho
https://orcid.org/0000-0002-5689-5048

Abstract

Objective: To assess the prevalence of sarcopenia and associated factors in patients with chronic kidney disease (CKD) undergoing hemodialysis (HD). Methods: This cross-sectional study evaluated patients with CKD undergoing HD from January to October 2016 in two dialysis centers located in Recife, Pernambuco. For the diagnosis of sarcopenia, the criteria proposed by the 2019 European Consensus on Sarcopenia, which advocates low muscle strength as the main criterion, were considered. Demographic, clinical, anthropometric, and behavioral covariates were evaluated. Results: 108 patients were included, with a mean age of 51.4 ± 17.0 years and homogeneous distribution between the sexes.Sarcopenia was present in 38.9% of the population, of which 69% had severe sarcopenia. A higher prevalence of sarcopenia was observed among men (60% vs. 17%; p < 0.001), in those without a partner (48.1% vs. 30.4%; p < 0.045), in smokers (50% vs. 30%; p < 0.034), with low weight (underweight 73.3%, eutrophic 33.9%, overweight 32.4%; p = 0.001) and those with normal albumin levels (47.5% vs. 28.6%; p = 0.045). Conclusion: Approximately one in three nephropathic patients on hemodialysis presented sarcopenia and, among these, most had the severe form of this condition.Uremic sarcopenia was more prevalent in males, in individuals without partners, underweight, in smokers, and among those with normal albumin levels.



Article Details

How to Cite
1.
Nunes CF, Carvalho TR de, Duarte R da S, Barboza YACO, Lemos MCC de, Pinho CPS. Prevalence of sarcopenia and associated factors in patients in hemodialysis. HSJ [Internet]. 2021 Dec. 23 [cited 2024 Nov. 2];11(4):61-9. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1153
Section
ORIGINAL ARTICLE
Author Biographies

Camila Ferreira Nunes, University of Pernambuco (UPE)

Nutritionist, Specialist by the University of Pernambuco. Pernambuco Cardiac Emergency Room Professor Luiz Tavares, UPE. Recife, Pernambuco, Brazil.

Tuane Rodrigues de Carvalho, Hospital das Clínicas de Pernambuco, Federal University of Pernambuco (UFPE)

Nutritionist, specialist by the Federal University of Pernambuco (UFPE). Recife Pernambuco, Brazil.

Ricardo da Silva Duarte, Hospital das Clínicas de Pernambuco, Federal University of Pernambuco (UFPE)

Nutritionist, specialist by the Federal University of Pernambuco (UFPE). Recife, Pernambuco, Brazil.

Ylka Anny Couto Oliveira Barboza, Hospital das Clínicas de Pernambuco, Federal University of Pernambuco (UFPE)

Nutritionist, specialist by the Federal University of Pernambuco (UFPE). Recife, Pernambuco, Brazil.

Maria Conceição Chaves de Lemos, Department of Nutrition, Federal University of Pernambuco (UFPE)

Nutritionist, Doctor by the Federal University of Pernambuco. Department of Nutrition, UFPE. Recife, Pernambuco, Brazil.

Claudia Porto Sabino Pinho, University of Pernambuco (UPE), Federal University of Pernambuco (UFPE)

Nutritionist, PhD from the Federal University of Pernambuco (UFPE). Pernambuco Cardiac Emergency Room Professor Luiz Tavares, University of Pernambuco (UPE). Department of Nutrition, UFPE. Recife, Pernambuco, Brazil.

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