Cardiovascular risk evaluation in chronic renal patients in non-dialysis by anthropometric indicators
DOI:
https://doi.org/10.12957/demetra.2021.59857Keywords:
Anthropometry. Cardiovascular diseases. Chronic Renal Insufficiency.Abstract
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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