Correlation Between Anthropometric Parameters And Biochemical Markers Of Cardiovascular Risk In Chronic Renal Patients On Hemodialysis

Correlation Between Anthropometric Parameters And Biochemical Markers Of Cardiovascular Risk In Chronic Renal Patients On Hemodialysis

Hannah Fernandes Cavalcanti Brandão1 *, Halanna Celina Magalhães Melo 1,2, Ellen Diana Silva de Souza3, Bruno Soares de Souza1,4, Marilía Tokiko Oliveira Tomiya1,5

Faculdade Pernambucana de Saúde1 e Instituto de Medicina Integral Professor Fernando Figueira2,3,4,5

Objective: To correlate anthropometric parameters and biochemical markers of cardiovascular risk in chronic renal patients undergoing hemodialysis.

Methods: Cross-sectional observational study, carried out at the Instituto de Medicina Integral Professor Fernando Figueira – Imip (Recife-PE), from July to October 2018.  Anthropometric parameters were analyzed: The anthropometric measurements used were waist circumference (WC) and waist-height ratio (WHT), sociodemographic data (sex and base disease) and biochemical parameters (HDL, LDL, Total Cholesterol, Triglycerides, Vitamin D, phosphorus, calcium, potassium and parathyroid hormone).

Results: Fifty-nine patients with CKD were evaluated in a regular HD program. and males (54.2%). The majority of the population had an undetermined disease (44.1%). Regarding anthropometry, it was observed that there was a predominance in the change in waist circumference (57.6%) and waist/height ratio (59.3%). Regarding the biochemical profile, through pearson’s correlation, it was observed that there was a significant positive association of WC and WHT with phosphorus (ρ*=0.305 and 0.329). In the correlation of WC and WHT with vitamin D, it was seen that as these anthropometric indices increase, vitamin D decreases, making this correlation significant (ρ*=-0.435 and -0.368).

Conclusion: It can be concluded that most patients presented inadequate nutritional status, as well as decreased serum vitamin D levels and changes in serum phosphorus levels. These changes may result in increased risk for cardiovascular events in this population.

Keywords: Chronic Renal Failure, Nutritional Status, Nutritional Assessment, Cardiovascular Diseases.

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Hannah Fernandes Cavalcanti Brandão, Halanna Celina Magalhães Melo, Ellen Diana Silva de Souza, Bruno Soares de Souza, Marilía Tokiko Oliveira Tomiya.Correlation Between Anthropometric Parameters And Biochemical Markers Of Cardiovascular Risk In Chronic Renal Patients On Hemodialysis.Global Journal of Urology and Nephrology, 2021, 4:26. DOI: 10.28933/gjun-2021-06-1805


1. Crews DC, Bello AK, Saadi G. World Kidney Day Editorial – burden, access, and disparities in kidney disease. j. bras. nefrol, v.41,n.1, 2019.
2. Xavier SSM, et al. na correnteza da vida: a descoberta da doença renal crônica. interface botucatu, v.22, n.66, p.841-851, 2018.
3. Pinho NA; Silva GV, Pierin AMG. prevalência e fatores associados à doença renal crônica em pacientes internados em um hospital universitário na cidade de são paulo, sp, brasil. j bras nefrol, v.37, n.1, p.91-7, 2015.
4. Thomé FS, et al. brazilian chronic dialysis survey. inquérito brasileiro de diálise crônica, 2017.
5. Bulbul MC, et al. disorders of lipid metabolism in chronic kidney disease. blood purif, v.46, p.144–152,2018.
6. Quasch-ferré M, et al. waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk. plos one. v.7, n.8, p.432-75, 2012.
7. Hauan DR, Pitanga FJG, Lessa I. Razão cintura/ estatura comparado a outros indicadores antropométricos de obesidade como preditor de risco coronariano elevado. rev assoc med bras. v.55, n.6, p.705-11, 2009.
8. He Y, Li F, Wang F, Ma X, Zhao X, Zeng Q. The association of chronic kidney disease and waist circumference and waist-to-height ratio in Chinese urban adults. Medicine (Baltimore). 2016;95(25):e3769.
9. Elsayed EF, Tighiouart H, Weiner DE, Griffith J, Salem D, Levey AS, et al. Waist-to-hip ratio and body mass index as risk factors for cardiovascular events in CKD. Am J Kidney Dis. 2008;52(1):49-57
10. Wang Z, et al. BMI and its association with death and the initiation of renal replacement therapy (RRT) in a cohort of patients with chronic kidney disease (CKD). BMC Nephrology (2019).
11. Liu L, Wang Y, Zhang W, Chang W, Jin Y, Yao Y. Waist height ratio predicts chronic kidney disease: a systematic review and meta-analysis, 1998-2019. Arch Public Health. 2019;77:55.
12. Umeukeje EM, Mixon AS, Cavanaugh KL. Phosphate-control adherence in hemodialysis patients: current perspectives. Patient Prefer Adherence. 2018;12:1175-1191.
13. Jean G, Souberbielle JC, Chazot C. Vitamin D in Chronic Kidney Disease and Dialysis Patients. Nutrients. 2017;9(4):328.

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