Estimativa das necessidades energéticas em pacientes com doença renal crônica
Palavras-chave:
Doença renal crônica, Metabolismo energético, Necessidade energéticaResumo
Estabelecer as necessidades energéticas de pacientes com doença renal crônica é importante para que se possam tratar os distúrbios nutricionais encontrados nessa população. Segundo os guias de condutas voltados ao cuidado nutricional de pacientes com essa doença, a recomendação energética pode variar entre 30 e 40kcal/kg/dia. Contudo, trabalhos que avaliaram os componentes do gasto energético nos pacientes com doença renal crônica sugerem que as necessidades energéticas dessa população podem diferir do valor recomendado acima, a depender da condição clínica (presença de comorbidades), da modalidade de tratamento empregado e do nível de atividade física. Dessa forma, o presente trabalho tem como objetivo fazer uma revisão dos estudos sobre o gasto energético de pacientes com doença renal crônica, com o intuito de abordar as seguintes questões: (1) as atuais recomendações de energia para pacientes com doença renal crônica estão adequadas? (2) qual equação de predição poderia ser empregada para estimar as necessidades energéticas desse grupo de pacientes? Assim, esta revisão busca auxiliar o nutricionista ao estimar as necessidades energéticas de pacientes com doença renal crônica.
Referências
Cianciaruso B, Brunori G, Kopple JD, Traverso G, Panarello G, Enia G, et al. Cross-sectional comparison of malnutrition in continuous ambulatory peritoneal dialysis and hemodialysis patients. Am J Kidney Dis. 1995; 26(3):475-86.
National Kidney Foundation. K/DOQI - Clinical practice guidelines for nutrition in chronic renal failure. Am J Kidney Dis. 2000; 35(6 Suppl 2):S1-140.
Aparicio M, Cano N, Chauveau P, Azar R, Canaud B, Flory A, et al. Nutritional status of haemodialysis patients: a French national cooperative study. French Study Group for Nutrition in Dialysis. Nephrol Dial Transplant.1999; 14(7):1679-86.
Avesani CM, Carrero JJ, Axesson J, Qureshi AR, Lindholm P, Stenvinkel P. Inflammation and wasting in chonic kidney disease: partners in crime. Kidney Int. 2006; 70:S8-S13.
Kamimura MA, Draibe SA, Dalboni MA, Cendoroglo M, Avesani CM, Manfredi SR, et al. Serum and cellular interleukin-6 in haemodialysis patients: relationship with energy expenditure. Nephrol Dial Transplant. 2007; 22(3):839-44.
Kramer HJ, Saranathan A, Luke A, Durazo-Arvizu RA, Guichan C, Hou S, et al. Increasing body mass index and obesity in the incident ESRD population. J Am Soc Nephrol. 2006; 17(5):1453-9.
Pollock C, Voss D, Hodson E, Crompton C. Caring for Australasians with Renal Impairment (CARI). The CARI guidelines. Nutrition and growth in kidneydisease. Nephrology (Carlton). 2005; 10(Suppl 5):177-230.
Fouque D, Vennegoor M, ter Wee P, Wanner C, Basci A, Canaud B, et al. EBPG guideline on nutrition. Nephrol Dial Transplant. 2007; 22(Suppl 2):ii45-87.
Cano NJ, Aparicio M, Brunori G, Carrero JJ, Cianciaruso B, Fiaccadori E, et al. ESPEN guidelines on parenteral nutrition: adult renal failure. Clin Nutr. 2009; 28(4):401-14.
Byham-Gray LD. Weighing the evidence: energy determinations across the spectrum of kidney disease. J Ren Nutr. 2006; 16(1):17-26.
World Health Organization. Human energy requirements. Rome: WHO; 2001. Technical Report Series; 2001.
Institute of Medicine. Food and Nutrition Board. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids(Macronutrients). Washington (DC): National Academy Press; 2002.
Monteon FJ, Laidlaw SA, Shaib JK, Kopple JD. Energy expenditure in patients with chronic renal failure. Kidney Int. 1986; 30(5):741-7.
Schneeweiss B, Graninger W, Stockenhuber F, Druml W, Ferenci P, Eichinger S, et al. Energy metabolism in acute and chronic renal failure. Am J Clin Nutr. 1990; 52(4):596-601.
Ikizler TA, Wingard RL, Sun M, Harvell J, Parker RA, Hakim RM. Increased energy expenditure in hemodialysis patients. J Am Soc Nephrol. 1996; 7(12):2646-53.
Avesani CM, Cuppari L, Silva AC, Sigulem DM, Cendoroglo M, Sesso R, et al. Resting energy expenditure in pre-dialysis diabetic patients. Nephrol Dial Transplant. 2001; 16(3):556-65.
O’Sullivan AJ, Lawson JA, Chan M, Kelly JJ. Body composition and energy metabolism in chronic renal insufficiency. Am J Kidney Dis. 2002; 39(2): 369-75.
Avesani CM, Draibe SA, Kamimura MA, Dalboni MA, Colugnati FA, Cuppari L. Decreased resting energy expenditure in non-dialysed chronic kidney disease patients. Nephrol Dial Transplant. 2004; 19(12):3091-7.
Bazanelli AP, Kamimura MA, Silva CB, Avesani CM, Lopes MG, Manfredi SR, et al. Resting energy expenditure in peritoneal dialysis patients. Perit Dial Int. 2006; 26(6):697-704.
Kamimura MA, Draibe SA, Avesani CM, Canziani ME, Colugnati FA, Cuppari L. Resting energy expenditure and its determinants in hemodialysis patients. Eur J Clin Nutr. 2007; 61(3):362-7.
Cuppari L, Carvalho AB, Avesani CM, Kamimura MA, Dos Santos Lobao RR, Draibe SA. Increased resting energy expenditure in hemodialysis patients with severe hyperparathyroidism. J Am Soc Nephrol. 2004; 15(11):2933-9.
Utaka S, Avesani CM, Draibe SA, Kamimura MA, Andreoni S, Cuppari L. Inflammation is associated with increased energy expenditure in patients with chronic kidney disease. Am J Clin Nutr. 2005; 82(4): 801-5.
Wang AY, Sea MM, Tang N, Sanderson JE, Lui SF, Li PK, et al. Resting energy expenditure and subsequent mortality risk in peritoneal dialysis patients. J Am Soc Nephrol. 2004; 15(12):3134-43.
Ikizler TA, Pupim LB, Brouillette JR, Levenhagen DK, Farmer K, Hakim RM, et al. Hemodialysis stimulates muscle and whole body protein loss and alters substrate oxidation. Am J Physiol Endocrinol Metab. 2002; 282(1):E107-16.
Baria F, Kamimura MA, Avesani CM, Lindholm B, Stenvinkel P, Draibe SA, et al. Activity-related energy expenditure of patients undergoing hemodialysis. J Ren Nutr. 2011; 21(3):226-34.
Majchrzak KM, Pupim LB, Chen K, Martin CJ, Gaffney S, Greene JH, et al. Physical activity patterns in chronic hemodialysis patients: comparison of dialysis and nondialysis days. J Ren Nutr. 2005; 15(2):217-24.
Avesani CM, Trolonge S, Dele´aval P, Baria F, Mafra D, Faxe´n-Irving G, et al. Physical activity and energy expenditure in haemodialysis patients: an interna-tional survey. Nephrol Dial Transplant. 2012; 27(6): 2430-4.
Mafra D, Deleaval P, Teta D, Cleaud C, Arkouche W, Jolivot A, et al. Influence of inflammation on total energy expenditure in hemodialysis patients. J Ren Nutr. 2011; 21(5):387-93.
Johansen KL, Chertow GM, Ng AV, Mulligan K, Carey S, Schoenfeld PY, et al. Physical activity levels in patients on hemodialysis and healthy sedentary controls. Kidney Int. 2000; 57(6):2564-70.
Zamojska S, Szklarek M, Niewodniczy M, Nowicki M. Correlates of habitual physical activity in chronic haemodialysis patients. Nephrol Dial Transplant. 2006; 21(5):1323-7.
Harris JA, Benedict FG. A biometric study of basal metabolism in man. Washington (DC): Carnegie Institution of Washington; 1919.
World Health Organization. Energy and protein requirements. Geneva: WHO; 1985. Technical Report Series.
Frankenfield DC. On heat, respiration, and calorimetry. Nutrition. 2010; 26(10):939-50.
Lee SW, Kim HJ, Kwon HK, Son SM, Song JH, Kim MJ. Agreements between indirect calorimetry and prediction equations of resting energy expenditure in end-stage renal disease patients on continuous ambulatory peritoneal dialysis. Yonsei Med J. 2008; 49(2):255-64.
Fredrix EW, Soeters PB, Deerenberg IM, Kester AD, von Meyenfeldt MF, Saris WH. Resting and sleeping energy expenditure in the elderly. Eur J Clin Nutr. 1990; 44(10):741-7.
Mifflin MD, St Jeor ST, Hill LA, Scott BJ, Daugherty SA, Koh YO. A new predictive equation for resting energy expenditure in healthy individuals. Am J Clin Nutr. 1990; 51(2):241-7.
Kamimura MA, Avesani CM, Bazanelli AP, Baria F, Draibe SA, Cuppari L. Are prediction equations reliable for estimating resting energy expenditure in chronic kidney disease patients? Nephrol Dial Transplant. 2011; 26(2):544-50.
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Copyright (c) 2023 Juliana Cordeiro Dias RODRIGUES, Fernando LAMARCA, Cecilia Lacroix OLIVEIRA, Carla Maria AVESANI
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
