Cardiovascular risk evaluation in chronic renal patients in non-dialysis by anthropometric indicators

Introduction: Studies that have adopted anthropometric indicators for the evaluation of cardiovascular risk in patients with chronic kidney disease (CKD) in the non-dialysis phase are scarce. Objective: To assess cardiovascular risk, with anthropometric indicators, in patients with CKD in the non-di...

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Main Authors: Adriana dos Santos Dutra, Gisselma Aliny Santos Muniz, Antonia Caroline Diniz Brito, Andréa Martins Melo Fontenele, Sueli Ismael Oliveira da Conceição
Format: Article
Language:English
Published: Universidade do Estado do Rio de Janeiro 2021-11-01
Series:Demetra
Subjects:
Online Access:https://www.e-publicacoes.uerj.br/index.php/demetra/article/view/59857
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author Adriana dos Santos Dutra
Gisselma Aliny Santos Muniz
Antonia Caroline Diniz Brito
Andréa Martins Melo Fontenele
Sueli Ismael Oliveira da Conceição
author_facet Adriana dos Santos Dutra
Gisselma Aliny Santos Muniz
Antonia Caroline Diniz Brito
Andréa Martins Melo Fontenele
Sueli Ismael Oliveira da Conceição
author_sort Adriana dos Santos Dutra
collection DOAJ
description Introduction: Studies that have adopted anthropometric indicators for the evaluation of cardiovascular risk in patients with chronic kidney disease (CKD) in the non-dialysis phase are scarce. Objective: To assess cardiovascular risk, with anthropometric indicators, in patients with CKD in the non-dialysis phase and their associated factors. Methods: Cross-sectional study with 106 patients treated at a university hospital in São Luís-MA. A structured form was applied to collect information on sociodemographics, lifestyle, morbidities, and stage of kidney disease. For anthropometric evaluation and identification of cardiovascular risk, the following indicators were adopted: body mass index, waist circumference, neck circumference, sagittal abdominal diameter, waist-to-height ratio, and conicity index. Person’s chi-square test and Fischer's exact test evaluated the association between the variables and adopted the significance level p<0.05. Results: According to waist circumference, there was very high cardiovascular risk in women (75.4%); and according to the conicity index, all were at risk (p<0.001). In patients with ≥60 years of age, there was cardiovascular risk according to the indicators of sagittal abdominal diameter (77.5%), waist-to-height ratio (92.6%), and conicity index (98.2%) (p<0.005). Neck circumference showed high risk in smokers (100.0%) and alcohol users (88.9%) (p=0.001). According to neck circumference (73.5%) and waist-to-height ratio (91.7%), diabetic chronic renal patients presented high cardiovascular risk (p<0.05). Conclusion: The cardiovascular risk, evidenced by different anthropometric indicators, shows that actions promoting a healthy lifestyle should be implemented, thus contributing to the better prognosis of these patients.
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spelling doaj.art-388b3e34671542ea8f8ceba9bc938c672022-12-22T04:21:13ZengUniversidade do Estado do Rio de JaneiroDemetra2238-913X2021-11-01160e59857e5985710.12957/demetra.2021.5985730890Cardiovascular risk evaluation in chronic renal patients in non-dialysis by anthropometric indicatorsAdriana dos Santos Dutra0Gisselma Aliny Santos Muniz1Antonia Caroline Diniz Brito2Andréa Martins Melo Fontenele3Sueli Ismael Oliveira da Conceição4Programa de Pós-Graduação Residência Multiprofissional em Saúde, Hospital Universitário da Universidade Federal do Maranhão- HUUFMA.Programa de Pós-Graduação Residência Multiprofissional em Saúde, Hospital Universitário da Universidade Federal do Maranhão- HUUFMA.Programa de Pós-Graduação de Ciências da Saúde da Universidade Federal do Maranhão-UFMAFarmacêutica Clínica do Serviço de Nefrologia do Hospital Universitário da Universidade Federal do Maranhão- HUUFMA.UNIVERSIDADE FEDERAL DO MARANHÃOIntroduction: Studies that have adopted anthropometric indicators for the evaluation of cardiovascular risk in patients with chronic kidney disease (CKD) in the non-dialysis phase are scarce. Objective: To assess cardiovascular risk, with anthropometric indicators, in patients with CKD in the non-dialysis phase and their associated factors. Methods: Cross-sectional study with 106 patients treated at a university hospital in São Luís-MA. A structured form was applied to collect information on sociodemographics, lifestyle, morbidities, and stage of kidney disease. For anthropometric evaluation and identification of cardiovascular risk, the following indicators were adopted: body mass index, waist circumference, neck circumference, sagittal abdominal diameter, waist-to-height ratio, and conicity index. Person’s chi-square test and Fischer's exact test evaluated the association between the variables and adopted the significance level p<0.05. Results: According to waist circumference, there was very high cardiovascular risk in women (75.4%); and according to the conicity index, all were at risk (p<0.001). In patients with ≥60 years of age, there was cardiovascular risk according to the indicators of sagittal abdominal diameter (77.5%), waist-to-height ratio (92.6%), and conicity index (98.2%) (p<0.005). Neck circumference showed high risk in smokers (100.0%) and alcohol users (88.9%) (p=0.001). According to neck circumference (73.5%) and waist-to-height ratio (91.7%), diabetic chronic renal patients presented high cardiovascular risk (p<0.05). Conclusion: The cardiovascular risk, evidenced by different anthropometric indicators, shows that actions promoting a healthy lifestyle should be implemented, thus contributing to the better prognosis of these patients.https://www.e-publicacoes.uerj.br/index.php/demetra/article/view/59857antropometria. doenças cardiovasculares. insuficiência renal crônica.
spellingShingle Adriana dos Santos Dutra
Gisselma Aliny Santos Muniz
Antonia Caroline Diniz Brito
Andréa Martins Melo Fontenele
Sueli Ismael Oliveira da Conceição
Cardiovascular risk evaluation in chronic renal patients in non-dialysis by anthropometric indicators
Demetra
antropometria. doenças cardiovasculares. insuficiência renal crônica.
title Cardiovascular risk evaluation in chronic renal patients in non-dialysis by anthropometric indicators
title_full Cardiovascular risk evaluation in chronic renal patients in non-dialysis by anthropometric indicators
title_fullStr Cardiovascular risk evaluation in chronic renal patients in non-dialysis by anthropometric indicators
title_full_unstemmed Cardiovascular risk evaluation in chronic renal patients in non-dialysis by anthropometric indicators
title_short Cardiovascular risk evaluation in chronic renal patients in non-dialysis by anthropometric indicators
title_sort cardiovascular risk evaluation in chronic renal patients in non dialysis by anthropometric indicators
topic antropometria. doenças cardiovasculares. insuficiência renal crônica.
url https://www.e-publicacoes.uerj.br/index.php/demetra/article/view/59857
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