A nova escola de saúde de Goiás / The new health school in Goiás

A Superintendência da Escola de Saúde de Goiás (SESG) coordena e gere a educação permanente e continuada em saúde, no âmbito do SUS e este e-book tem como objetivo de apresentar a configuração da "Nova Escola de Saúde de Goiás", abrangendo educação permanente em saúde, educação à distância, qualificação dos trabalhadores do SUS para organização e fortalecimento dos processos de trabalho, divulgação científica no estado de Goiás, programa de pesquisa para o SUS (PPSUS), democratização, solidariedade, metodologias ativas, tecnologias educacionais e estratégias de ensino e aprendizagem.

The Superintendence of the School of Health of Goiás (SESG) coordinates and manages permanent and continuous education in health, within the scope of the SUS and this e-book aims to present the configuration of the "New School of Health of Goiás", covering education permanent education in health, distance education, qualification of SUS workers to organize and strengthen work processes, scientific dissemination in the state of Goiás, research program for SUS (PPSUS), democratization, solidarity, active methodologies, educational technologies and strategies of teaching and learning

Situação epidemiológica das hepatites virais no Estado de Goiás: 2013 a 2017 / Epidemiological situation of viral hepatitis in the State of Goiás: 2013 to 2017

Objetivo: Descrever a situação epidemiológica das hepatites virais no Estado de Goiás de 2013 a 2017. Materiais e Métodos: Estudo do tipo retrospectivo, descritivo dos casos notificados e confirmados das hepatites virais no Estado de Goiás. Os dados foram obtidos de fontes secundárias, fornecidos pela Coordenação Estadual de Hepatites Virais e pelo Sistema Nacional de Informações (SINAN). Resultados: Entre 2013 a 2017 foram notificados 29.358 casos de hepatites, desses 7.762 confirmados. O sorotipo mais prevalente foi a hepatite B com 5.607 episódios, seguido de hepatite tipo C (1.713) e hepatite tipo A (208 casos). De acordo com a forma clínica, a hepatite B crônica foi a mais frequente, perfazendo 1.727 ocorrências, de um total de 2.051 casos, seguida da forma aguda com 323 notificações. Dentre as formas de contaminação para a Hepatite B e C na população goiana, a via sexual foi a mais representativa com 1.038 e 153 casos, respectivamente. Não houve predominância entre os sexos para os casos de hepatite B, mas foi observado maior número de ocorrência entre os homens para a hepatite C, no período estudado. Conclusão: Continuam elevados os números para as hepatites em Goiás no período estudado. Dentre todos os sorotipos, o tipo B foi o mais prevalente. A forma clínica mais frequente foi a hepatite B crônica, sendo a via sexual a fonte mais frequente de contaminação, não havendo diferença predominante entre os sexos. Os dados confirmam a necessidade de planejamento e/ou incremento de ações específicas para promoção de saúde e prevenção das situações de contaminação, com campanhas de alertas e orientações, além de atividades frequentes de educação em saúde, a fim de se evitar as consequências adversas da infecção ao nível individual e para todo o contexto da saúde pública

Objective: To describe the epidemiological situation of Viral Hepatitis in Goiás from 2013 to 2017. Materials and methods: Descriptive cross-sectional study of the reported and confirmed cases of viral hepatitis in Goiás. Data were obtained from secondary sources, provided by the State Coordination of Viral Hepatitis and the National Information System (SINAN). Results: Between 2013 and 2017, 7762 were reported according to the etiological classification. Of these, the most prevalent was Hepatitis B with 5,607 cases, followed by type C hepatitis (1713) and type A hepatitis (208). According to the clinical form, chronic hepatites B was the most frequent, accounting for 1,727, followed by the acute form with 323 reports. Among the forms of contamination for Hepatitis B and C in the population, the sexual route was the most frequent with 1,038 and 153 cases, respectively. There was no predominance between the sexes for cases of hepatitis B, but a greater number of occurrences was observed among men for hepatitis C in the studied period. Conclusion: Among all types of hepatitis, type B was the most prevalent in Goiás in the period studied. The most frequent clinical form was chronic hepatitis, with the sexual route being the most frequent source of contamination, with no significant difference between the genders. The data confirm the need to plan or increase specific actions for health promotion and prevention of contamination situations, with alert campaigns and guidelines, as well as frequent health education activities, in order to avoid the adverse consequences of infection for individuals and the whole context of public health

Perfil nutricional e métodos de avaliação do estado nutricional de pacientes infectados pelo HIV / Nutritional profile and methods for assessing the nutritional status of HIV-infected patients

Introdução: Diante da importância do desenvolvimento de protocolos seguros de avaliação nutricional em unidades hospitalares que atendam pacientes infectados pelo HIV, o objetivo deste trabalho é avaliar e comparar o diagnóstico nutricional realizado pela Avaliação Nutricional Subjetiva Global (ANSG), parâmetros antropométricos e laboratoriais, em pacientes com HIV/AIDS. Método: Estudo transversal com 70 pacientes HIV/AIDS admitidos em um hospital público de referência em Goiânia, GO. O estado nutricional foi avaliado por meio da avaliação nutricional subjetiva global, antropometria (índice de massa corporal, circunferência braquial, circunferência muscular do braço e dobra cutânea triciptal) e parâmetros laboratoriais (albumina, colesterol total e contagem de linfócitos T). Resultados: As prevalências de desnutrição verificadas por meio da avaliação nutricional subjetiva global, índice de massa corporal, circunferência braquial, circunferência muscular do braço, dobra cutânea triciptal, albumina, colesterol total e contagem de linfócitos T foram de 74,3%, 25,7%, 75,7%, 62,9%, 74,3%, 85,3%, 72,3% e 62,9%, respectivamente.Verificou-se associação positiva entre a ANSG e o perfil antropométrico e laboratorial. Conclusões: A ANSG associou-se a indicadores antropométricos e laboratoriais em pacientes infectados pelo HIV. Confirmou-se também a sua capacidade preditiva, na medida em que identificou pacientes com maior gravidade clínica conforme os níveis de células TCD4.Estes resultados fomentam os níveis de evidências que apontam a ANSG como um método confiável e adequado para o diagnóstico, acompanhamento e intervenção nutricional nesses pacientes.(AU)

Introduction: In view of the importance of developing safe protocols for nutritional evaluation in hospital units that treat HIV-infected patients, the objective of this study is to evaluate and compare the nutritional diagnosis performed by Nutritional Subjective Global Assessment (NSGA), anthropometric and laboratory parameters, in patients with HIV / AIDS admitted in a public reference hospital in Goiânia, GO. Methods: A cross-sectional study was conducted with 70 HIV / AIDS patients admitted to a public referral hospital in Goiânia, Goiás. Nutritional status was evaluated through global subjective nutritional assessment, anthropometry (body mass index, arm circumference, arm circumference and Triceps skin fold) and laboratory parameters (albumin, total cholesterol and T lymphocyte counts). Results: The prevalence of malnutrition, measured by global subjective nutritional assessment, body mass index, arm circumference, arm circumference, triceps skinfold, albumin, total cholesterol and T lymphocyte counts were 74.3%, 25.7%, 75.7%, 62.9%, 74.3%, 85.3%, 72.3% and 62.9%, respectively. There was a positive association between the NSGA and the anthropometric and laboratory profile. Conclusions: NSGA was associated with anthropometric and laboratory indicators in patients infected with HIV. Its predictive capacity was also confirmed, in that it identified patients with greater clinical severity according to the levels of CD4 T cells. These results promote the levels of evidence that point to ANSG as a reliable and adequate method for diagnosis, follow-up and nutritional intervention in these patients.(AU)

Nutritional status and interdialytic weight gain of chronic hemodialysis patients.

INTRODUCTION: The nutritional status (NS) of patients on hemodialysis (HD) is a major concern and challenge. Malnutrition is common in these patients and is related to poorer clinical outcomes. OBJECTIVES: To assess the association between the NS and the interdialytic weight gain (IDWG) of patients with chronic kidney disease (CKD) on HD. METHODS: Cross-sectional study with 322 patients older than 18 years. The NS was assessed by body mass index (BMI), percentage body fat estimated by the sum of four skinfolds (triceps, biceps, subscapular and supra iliac), lean body mass (LBM), serum creatinine and albumin and rate of nitrogen appearance (PNA). The IDWG was evaluated from the sum of the weight difference of 12 hemodialysis sessions (IDWGm). RESULTS: Considering the sample into quartiles IDWGm, it was found that BMI, LBM, serum creatinine ( p < 0.001) and PNA ( p = 0.011) were directly correlated. There was no association between IDWGm and serum albumin. Using multivariate analysis, it was found that the prevalence of patients with BMI suitability and serum creatinine were significantly higher for patients in the bottom quartile with respect to the first IDWGm. CONCLUSION: The NS is positively associated with IDWG. The results point to the need for individualized assessment of IDWG and cautious in order not to generalize a recommendation that does not meet the expectations of maintaining and promoting the nutritional status of these patients.

Is energy intake underreported in hemodialysis patients?

INTRODUCTION: Underreporting of energy intake is not much studied in hemodialysis population. OBJECTIVE: To evaluate the underreporting of energy intake and associated factors in hemodialysis patients. METHODS: A cross-sectional study, with 344 patients stable adults, of ten hemodialysis centers in Goiânia-GO. Energy intake was assessed by six 24-hour dietary recalls and basal metabolic rate (BMR) was estimated using the Harris Benedict equation. It was considered as underreporting when the ratio between the average energy intake and basal metabolic rate was lower than1.27. For analysis of factors associated with underreporting, the Poisson regression with robust variance estimation was applied. RESULTS: The prevalence of underreporting was 65.7%, being more significant in individuals who are overweight and in the non dialysis days. The result of the multivariate analysis identified four factors independently associated with the underreporting: being a female (PR = 1.27, CI = 1.10 to 1.46), body mass index ≥ 25 kg/m2 (PR = 1.29, CI = 1.12 to 1.48), three meals or lower/day (PR = 1.31, CI = 1.14 to 1.51) and hemodialysis length lower than 5 years (PR = 1.19CI = 1.01 to 1.40). CONCLUSION: The population showed a high prevalence of underreporting of energy intake. Being a female, presenting overweight, lower number of meals/day and lower length time on hemodialysis were factors associated with underreporting.

A ingestão energética de pacientes em hemodiálise é subrelatada? / Is energy intake underreported in hemodialysis patients?

ResumoIntrodução:O sub-relato da ingestão energética é pouco estudado na população em hemodiálise.Objetivo:Avaliar o sub-relato da ingestão energética e os fatores associados em pacientes em hemodiálise.Métodos:Estudo transversal, com 344 pacientes adultos estáveis, de dez centros de hemodiálise de Goiânia-GO. A ingestão energética foi avaliada por seis recordatórios de 24 horas e a taxa de metabolismo basal (TMB) foi calculada pela equação de Harris Benedict. Foi considerado como sub-relato quando a razão entre a ingestão energética média e a TMB foi menor que 1,27. Para análise dos fatores associados ao sub-relato, foi utilizada a regressão de Poisson com estimativa robusta da variância.Resultados:A prevalência de sub-relato foi de 65,7%, sendo mais expressiva em indivíduos com excesso de peso e nos dias sem diálise. O resultado final da análise multivariada identificou quatro fatores independentemente associados ao sub-relato: sexo feminino (RP = 1,27; IC = 1,10-1,46), índice de massa corporal ≥ 25 kg/m2 (RP = 1,29; IC = 1,12-1,48), três ou menos refeições/dia (RP = 1,31; IC = 1,14-1,51) e tempo de hemodiálise inferior a cinco anos (RP = 1,19; IC = 1,01-1,40).Conclusão:A população avaliada demonstrou elevada prevalência de sub-relato da ingestão energética. Pertencer ao sexo feminino, apresentar excesso de peso, fazer um menor número de refeições diárias e ter menos tempo de hemodiálise foram fatores associados ao sub-relato.

AbstractIntroduction:Underreporting of energy intake is not much studied in hemodialysis population.Objective:To evaluate the underreporting of energy intake and associated factors in hemodialysis patients.Methods:A cross-sectional study, with 344 patients stable adults, of ten hemodialysis centers in Goiânia-GO. Energy intake was assessed by six 24-hour dietary recalls and basal metabolic rate (BMR) was estimated using the Harris Benedict equation. It was considered as underreporting when the ratio between the average energy intake and basal metabolic rate was lower than1.27. For analysis of factors associated with underreporting, the Poisson regression with robust variance estimation was applied.Results:The prevalence of underreporting was 65.7%, being more significant in individuals who are overweight and in the non dialysis days. The result of the multivariate analysis identified four factors independently associated with the underreporting: being a female (PR = 1.27, CI = 1.10 to 1.46), body mass index ≥ 25 kg/m2 (PR = 1.29, CI = 1.12 to 1.48), three meals or lower/day (PR = 1.31, CI = 1.14 to 1.51) and hemodialysis length lower than 5 years (PR = 1.19CI = 1.01 to 1.40).Conclusion:The population showed a high prevalence of underreporting of energy intake. Being a female, presenting overweight, lower number of meals/day and lower length time on hemodialysis were factors associated with underreporting.

Estado nutricional e ganho de peso interdialítico de pacientes com doença renal crônica em hemodiálise / Nutritional status and interdialytic weight gain of chronic hemodialysis patients

ResumoIntrodução:O estado nutricional (EN) de pacientes em hemodiálise (HD) é motivo de preocupação e de desafio. A desnutrição é comum nestes pacientes e relaciona-se com pior prognóstico clínico.Objetivos:Avaliar a associação entre o EN e o ganho de peso interdialítico (GPID) de pacientes com doença renal crônica (DRC) em hemodiálise (HD).Métodos:Estudo transversal realizado com 322 pacientes maiores de 18 anos. O EN foi avaliado por meio do índice de massa corporal (IMC), percentual de gordura corporal estimado pela somatória de quatro dobras cutâneas (tricipital, bicipital, suprailíaca e subescapular), massa corporal magra (MCM), creatinina e albumina sérica e a taxa de aparecimento do nitrogênio (PNA). O GPID foi avaliado a partir da somatória da diferença de peso de 12 sessões de hemodiálise (GPIDm).Resultados:Considerando-se a amostra em quartis de GPIDm, verificou-se que o IMC, MCM, creatinina sérica (p < 0,001) e PNA (p = 0,011) estavam diretamente correlacionados. Não foi verificada associação entre o GPIDm e os níveis de albumina sérica. Por meio de análise multivariada, verificou-se que a prevalência de pacientes com adequação ao IMC e a creatinina sérica foi significativamente maior para pacientes do último quartil de GPIDm em relação ao primeiro.Conclusão:O EN associou-se positivamente ao GPID. Os resultados apontam para necessidade de avaliação individualizada e cautelosa do GPID, a fim de não se generalizar uma recomendação que não satisfaça as expectativas de manutenção e promoção do estado nutricional desses pacientes.

AbstractIntroduction:The nutritional status (NS) of patients on hemodialysis (HD) is a major concern and challenge. Malnutrition is common in these patients and is related to poorer clinical outcomes.Objectives:To assess the association between the NS and the interdialytic weight gain (IDWG) of patients with chronic kidney disease (CKD) on HD.Methods:Cross-sectional study with 322 patients older than 18 years. The NS was assessed by body mass index (BMI), percentage body fat estimated by the sum of four skinfolds (triceps, biceps, subscapular and supra iliac), lean body mass (LBM), serum creatinine and albumin and rate of nitrogen appearance (PNA). The IDWG was evaluated from the sum of the weight difference of 12 hemodialysis sessions (IDWGm).Results:Considering the sample into quartiles IDWGm, it was found that BMI, LBM, serum creatinine ( p < 0.001) and PNA ( p = 0.011) were directly correlated. There was no association between IDWGm and serum albumin. Using multivariate analysis, it was found that the prevalence of patients with BMI suitability and serum creatinine were significantly higher for patients in the bottom quartile with respect to the first IDWGm.Conclusion:The NS is positively associated with IDWG. The results point to the need for individualized assessment of IDWG and cautious in order not to generalize a recommendation that does not meet the expectations of maintaining and promoting the nutritional status of these patients.

Food intake in patients on hemodialysis / Ingestão alimentar de pacientes em hemodiálise

Objective: To evaluate the intake of energy and nutrients by individuals on hemodialysis, following especific recommendations for this population and according to Food Guide for the Brazilian Population. Methods: A cross-sectional study, 118 adult patients, considered stable from, ten dialysis centers in Goiânia, Goiás. Dietary intake was estimated by six 24-hour recalls, and classified as adequate or inadequate, according to specific recommendations for individuals undergoing dialysis and that recommended for a healthy diet. A descriptive analysis was performed. Results: Average dietary intake of 2022.40 ± 283.70 kcal/day; 31.18 kcal/kg/day; 55.03 ± 4.20% carbohydrate; 30.23 ± 3.71% lipid, 1.18 ± 0.23 g protein/kg/day. Important prevalences of inadequacy were observed for the intake of calories (39.0%), protein (39.0%) and other nutrients such as retinol (94.9%), saturated fat (87.3%), cholesterol (61,9%), iron (61.0%), potassium (60.2%) and zinc (45.0%). Patients had a low intake of fruit food group (1.22 ± 0.89 servings) and vegetables (1.76 ± 1.01 servings), dairy products (0.57 ± 0.43 servings) and high intake of food group of oils and fats (3.45 ± 0.95 servings), sugars and sweets (1.55 ± 0.77 servings). Conclusion: Observed food consumption imbalance, characterized by excess of oils and fats, especially saturated oils and cholesterol, sugars and sweets, parallel to low intake of fruits and vegetables and dairy products. A considerable percentage of patients did not intake the minimum recommended of calories, protein, retinol, iron, zinc and potassium. .

Objetivo: Avaliar o consumo de energia e nutrientes de indivíduos em hemodiálise, segundo recomendações específicas para essa população, e de acordo com o Guia Alimentar para a População Brasileira. Métodos: Trata-se de estudo transversal, com 118 pacientes adultos considerados estáveis, tratados em 10 centros de diálise em Goiânia, Estado de Goiás. A ingestão alimentar foi estimada por meio de seis recordatórios de 24 horas, sendo classificada em adequada ou inadequada, conforme recomendações específicas para indivíduos em hemodiálise, é recomendado para uma alimentação saudável. Foi realizada análise descritiva dos dados. Resultados: Observou-se ingestão alimentar média de 2022,40 ± 283,70 kcal/dia; 31,18 kcal/kg/dia; 55,03 ± 4,20% de carboidrato; 30,23 ± 3,71% de lipídeo; e 1,18 ± 0,23 g de proteína/kg/dia. Importantes prevalências de inadequação foram observadas para a ingestão de calorias (39,0%), proteínas (39,0%) e outros nutrientes, como retinol (94,9%), gordura saturada (87,3%), colesterol (61,9%), ferro (61,0%), potássio (60,2%) e zinco (45,0%). Os pacientes apresentaram baixa ingestão de alimentos do grupo das frutas (1,22 ± 0,89 porções), legumes e verduras (1,76 ± 1,01 porções), leite e derivados (0,57 ± 0,43 porções), bem como ingestão elevada de alimentos do grupo dos óleos e gorduras (3,45 ± 0,95 porções) e açúcares e doces (1,55 ± 0,77 porções). Conclusão: Foi observado um consumo alimentar em desequilíbrio, caracterizado ...

Prevalence of malnutrition and associated factors in hemodialysis patients / Prevalência de desnutrição e fatores associados em pacientes em hemodiálise

OBJECTIVE: To assess the prevalence of malnutrition and associated factors in hemodialysis patients. METHODS: This is a cross-sectional study of 344 hemodialysis patients from Goiânia, Goiás aged 18 years or more. The dependent variable, malnutrition, was investigated by the Subjective Global Assessment. The independent variables included socioeconomic, demographic, and lifestyle data, clinical history, and energy and protein intakes. The patients underwent anthropometric measurements and laboratory tests. Multiple Poisson regression determined the associated factors (p<0.05). RESULTS: Mild or moderate malnutrition was found in 22.4% of the patients. Malnourished patients had lower body mass index, mid-arm muscle circumference, percentage of body fat, serum creatinine (p<0.001), and normalized protein nitrogen appearance (p=0.001). Multivariate analysis identified the following factors associated with malnutrition: age between 19 and 29 years (PR=1.23, 95%CI=1.06-1.43), family income less than 2 minimum salaries (PR=1.13, 95%CI=1.01-1.27), hemodialysis vintage >60 months (PR=1.08, 95%CI=1.01-1.16), Kt/V>1.2 (RP=1.12, 95%CI=1.03-1.22), calorie intake <35 kcal/kg/day (PR=1.22, 95%CI=1.10-1.34), and normalized protein nitrogen appearance <1.0 g/kg/day (PR=1.13, 95%CI=1.05-1.21). CONCLUSION: The prevalence of malnutrition in this population was high, corroborating the literature. The prevalence was higher in patients aged less than 29 years and those with low family income, longer hemodialysis vintage, higher Kt/V, and inadequate protein and calorie intakes. Strategies to reverse this situation should include more nutritional care. .

OBJETIVO: Avaliar a prevalência e os fatores associados à desnutrição em pacientes em hemodiálise. MÉTODOS: Estudo transversal com 344 pacientes maiores de 18 anos em hemodiálise em Goiânia, Goiás. A variável dependente, desnutrição, foi obtida por meio da avaliação subjetiva global. As variáveis independentes envolveram aspectos socioeconômicos, demográficos, estilo de vida, história clínica, ingestão energética e proteica. Realizaram-se antropometria e exames laboratoriais. A análise dos fatores associados foi realizada por regressão de Poisson múltipla (p<0,05). RESULTADOS: A prevalência de desnutrição leve ou moderada foi constatada em 22,4% dos pacientes. Os pacientes desnutridos apresentaram menor índice de massa corporal, menor circunferência muscular do braço, menor porcentagem de gordura corporal, menor valor de creatinina sérica (p<0,001) e nPNA (p=0,001).O resultado final da análi-se multivariada identificou os fatores associados à desnutrição: idade de 19 a 29 anos (RP=1,23; IC95%=1,06-1,43), renda familiar <2 salários-mínimos (RP=1,13; IC95%=1,01-1,27), tempo em HD >60 meses (RP=1,08; IC95%=1,01-1,16), Kt/V >1,2 (RP=1,12; IC95%=1,03-1,22), ingestão calórica inferior a 35 kcal/kg/dia (RP=1,22; IC95%=1,10-1,34) e nPNA <1,0 g/kg/dia (RP=1,13; IC95%=1,05-1,21). CONCLUSÃO: Observou-se alta prevalência de desnutrição na população estudada em acordo com o encontrado na literatura. A prevalência foi maior entre os pacientes com idade inferior a 29 anos, renda familiar baixa, maior tempo em hemodiálise, maior Kt/V e ingestão calórica e proteica inadequadas. Estratégias para reverter esta situação devem envolver maior atenção nutricional. .

Prevalência e fatores associados à obesidade abdominal em pacientes em hemodiálise em Goiânia - GO / Prevalence and associated factors with abdominal obesity in hemodialysis patients in Goiânia - GO

INTRODUÇÃO: A presença de excesso de peso, especialmente obesidade visceral, contribui para o maior risco de complicações metabólicas e cardiovasculares em pacientes com doença renal crônica. OBJETIVO: Determinar a prevalência e os fatores associados à obesidade abdominal em pacientes em hemodiálise (HD). MÉTODOS: Estudo transversal com 344 pacientes maiores de 18 anos. A obesidade abdominal foi definida pela circunferência da cintura > 94 cm nos homens e > 80 cm nas mulheres. As variáveis independentes envolveram aspectos socioeconômicos, demográficos, hábitos de vida, tempo em HD, consumo alimentar e índice de massa corporal (IMC). A análise dos fatores associados foi realizada por regressão de Poisson múltipla, permanecendo no modelo final as variáveis com p < 0,05. RESULTADOS: A prevalência de obesidade abdominal foi de 44,77%, sendo mais prevalente nas mulheres (55,71%) que nos homens (37,25%), p = 0,001. O resultado final da análise multivariada identificou os fatores associados à obesidade abdominal em homens e mulheres: idade superior a 40 anos, ingestão proteica inferior a 1,2 g/kg/dia e IMC > 25 kg/m². Nos homens, a classe econômica D/E também permaneceu associada à obesidade abdominal, p < 0,05. CONCLUSÃO: Observou-se alta prevalência de obesidade abdominal em pacientes em hemodiálise. Idade superior a 40 anos, classes econômicas mais baixas, ingestão proteica inferior ao recomendado e excesso de peso foram associados à obesidade abdominal.

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.

Prevalence and associated factors with abdominal obesity in hemodialysis patients in Goiânia--GO.

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 circumference > 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.