Influence of protein intake and muscle mass on survival in chronic dialysis patients

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dc.contributor.authorAntunes, Aline Araujo [UNESP]
dc.contributor.authorVannini, Francieli Delatim [UNESP]
dc.contributor.authorSilveira, Liciana Vaz de Arruda [UNESP]
dc.contributor.authorMartin, Luis Cuadrado [UNESP]
dc.contributor.authorBarretti, Pasqual [UNESP]
dc.contributor.authorCaramori, Jacqueline Socorro Costa Teixeira [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-20T13:33:18Z
dc.date.available2014-05-20T13:33:18Z
dc.date.issued2010-01-01
dc.description.abstractIntroduction: Some studies suggest that high body mass index (BMI) confers survival advantage in dialysis patients, but BMI does not differentiate muscle from fat mass, and the survival advantage conferred by its increase seems to be limited to patients with high muscle mass. Thus, discriminating body components when evaluating nutritional status and survival is highly important. This study evaluated the influence of nutritional parameters on survival in patients on chronic dialysis. Subjects and methods: Anthropometry, bioimpedance, biochemistry, and dietary recall were used to investigate the influence of nutritional parameters on survival in 79 prevalent patients on chronic dialysis. Results: Protein intake <1.2 g/kg/day and creatinine <9.7 mg/dL were independent predictors of mortality in all patients. Regarding dialysis method, protein intake <1.2 g/kg/ day was predictive of mortality among hemodialysis patients, and percent standard mid-arm muscle circumference <80% was identified as a risk factor among peritoneal dialysis patients. Conclusion: Higher muscle mass, possibly favored by a higher protein intake, conferred survival advantage in dialysis patients.en
dc.description.affiliationSão Paulo State Univ, UNESP, Botucatu Sch Med, Dept Clin Med, BR-18618000 São Paulo, Brazil
dc.description.affiliationSão Paulo State Univ, UNESP, Inst Biosci, Dept Bioestatist, BR-18618000 São Paulo, Brazil
dc.description.affiliationUnespSão Paulo State Univ, UNESP, Botucatu Sch Med, Dept Clin Med, BR-18618000 São Paulo, Brazil
dc.description.affiliationUnespSão Paulo State Univ, UNESP, Inst Biosci, Dept Bioestatist, BR-18618000 São Paulo, Brazil
dc.format.extent1055-1059
dc.identifierhttp://dx.doi.org/10.3109/0886022X.2010.510233
dc.identifier.citationRenal Failure. London: Informa Healthcare, v. 32, n. 9, p. 1055-1059, 2010.
dc.identifier.doi10.3109/0886022X.2010.510233
dc.identifier.issn0886-022X
dc.identifier.lattes7805298466001457
dc.identifier.lattes5496411983893479
dc.identifier.lattes4923203168446615
dc.identifier.orcid0000-0003-4979-4836
dc.identifier.urihttp://hdl.handle.net/11449/11387
dc.identifier.wosWOS:000283121700006
dc.language.isoeng
dc.publisherInforma Healthcare
dc.relation.ispartofRenal Failure
dc.relation.ispartofjcr1.440
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectdialysisen
dc.subjectmalnutritionen
dc.subjectmortalityen
dc.subjectmuscle massen
dc.subjectprotein intakeen
dc.subjectsurvivalen
dc.titleInfluence of protein intake and muscle mass on survival in chronic dialysis patientsen
dc.typeArtigo
dcterms.licensehttp://informahealthcare.com/page/resources/authors
dcterms.rightsHolderInforma Healthcare
unesp.author.lattes5496411983893479[5]
unesp.author.lattes5496411983893479
unesp.author.lattes7805298466001457
unesp.author.lattes4923203168446615
unesp.author.orcid0000-0003-4979-4836[5]
unesp.author.orcid0000-0001-8931-5495[3]
unesp.campusUniversidade Estadual Paulista (Unesp), Instituto de Biociências, Botucatupt
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Clínica Médica - FMB
Artigos - Bioestatística - IBB