OLIVEIRA, G. F.; http://lattes.cnpq.br/8043209388596001; OLIVEIRA, Gleyson Fagner de.
Abstract:
Hemodialysis treatment in patients with chronic kidney disease can directly influence
nutritional status, and as it is the most used replacement therapy in clinical practice, it is
essential to carry out frequent nutritional assessments during treatment to identify possible
deficiencies and perform specific interventions. Therefore, this study aimed to verify through
the scientific literature the nutritional status of patients with chronic kidney disease and the
possible association of prognosis with hemodialysis therapy. This is a systematic review study
with data collection through a survey and analysis of publications from the years 2017 to 2022.
The searches were carried out in the databases of Academic Google, Pubmed, Scientific
Electronic Library Online (SciELO). 24 articles were selected to discuss the theme, 7 of which
were part of the results table. In all selected studies, nutritional assessments were performed by
at least 3 of these methods, being subjective global assessment, serum albumin tests, food recall
and anthropometry. With this, it was observed that, although the prevalence was of adequacy
in the nutritional status, malnutrition was present in a general way in all the analyzed studies,
usually identified by the anthropometric method of analysis of the muscular circumference of
the arm, which is an important marker of muscle depletion. In addition, although it was found
that most of the sample was receiving dialysis treatment adequately and efficiently, there were
cases of insufficient and/or inadequate treatment, and this can negatively interfere with
nutritional status. Thus, it is evident that, in fact, hemodialysis therapy can have a negative
impact on the nutritional status and consequently on the patient's prognosis, which brings to the
fore even more the need for these individuals for specialized nutritional monitoring in order to
generate an improvement in the clinical condition
