Prevalência de sarcopenia e fatores associados em pacientes submetidos a hemodiálise em um ambulatório em Caxias do Sul/RS

Abstract

Introduction: The patients with chronic kidney disease (CKD) undergoing hemodialysis in most of the cases present low weight associated with muscle mass deficit and low physical performance, also had been diagnosed with sarcopenia. Within the main factors that lead to such outcome, we highlight the hypercatabolism of the disease and the uremic syndrome. The presence of sarcopenia can lead to associated with high mortality rates. The present study aims to evaluate the sarcopenia prevalence and relate factors of hemodialysis on former of clinic patients at Caxias do Sul/RS city. Methods: Anthropometric data collected, such as weight height and age for subsequent calculation and classification of body mass index (BMI), calf circumference (CC), handgrip strength and walking test for sarcopenia diagnosis. Sarcopenia is defined according to criteria pre-established by the European Working Group on Sarcopenia in Older People (EWGSOP). Results: 95 patients evaluated, 21% (n = 20) had sarcopenia, and 36.8% (n = 35) of the subjects were at risk for its development. Regarding the sample characterization, 61.1% (n = 20) were male, 53.7% (n = 51) were <60 years old. The average age found was 55.4 ± 15.1 years. The mean BMI was 25.9 ± 5.1 kg/m², and 45.3% (n = 43) were overweight, 34.7% (n = 3) showed CC indicating muscle depletion. Conclusion: The conditions of probable sarcopenia and sarcopenia were present in most patients studied, especially in older and underweight patients.