Nutrición Hospitalaria 04255 / http://dx.doi.org/10.20960/nh.04255

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Dietary evaluation of sodium intake in patients with chronic kidney disease

Elisangela Milhomem Santos, Laísa Cristina Camões Cunha, Raimunda Sheyla Carneiro Dias, Maria Célia Cruz Diniz, Dyego José Araujo Brito, Thaisa Cristina Sousa Teixeira, Alcione Miranda dos Santos, Ana Karina Teixeira da Cunha França

Prepublicado: 2022-12-14

Publicado: 2023-02-07

VOLUMEN 40, NÚM. 1, enero-febrero (2023), PAG. 96-101

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Introduction: high sodium intake is a risk factor for diseases such as systemic arterial hypertension, stroke, left ventricular hypertrophy, and chronic kidney disease (CKD). Objective: to evaluate the correlation between estimated sodium intake by dietary intake and 24-hour urinary excretion in patients with non-dialysis CKD. Material and Methods: a cross-sectional study with 151 individuals. Demographic, socioeconomic, clinical and lifestyle data were evaluated. Sodium was dosed in 24-hour urine and estimated by 24-hour Food Recall (R24h). To evaluate the association between demographic, anthropometric, nutritional and laboratory variables with sodium excretion in 24-hour urine, variance analysis (ANOVA) or Kruskal-Wallis test were used. The correlation between 24-hour urinary sodium excretion and dietary sodium intake was performed by Spearman's correlation coefficient. Results: mean age was 60.8 ± 11.8 years, 51.7 % were women. Hypertensive patients, 88.9 %; diabetics, 45.0 %; and 39.1 % were in stage 3B of CKD. Median sodium excretion in 24-hour urine was 112.2 mmol/L and R24h intake was 833.8 mg/day. Individuals belonging to the highest tertile of sodium excretion (T3) presented lower PTH values, and those with lower tertile (T1), higher serum HDL-c levels (p < 0.05). There was no statistical correlation between dietary sodium intake and 24-hour urine excretion (p-value = 0.241). Conclusion: the non-correlation between sodium obtained by 24-hour urinary excretion and dietary intake demonstrates the fragility of the estimation of sodium excretion through the dietary survey.

Palabras Clave: Dietary sodium. Chronic kidney disease. Nutrition survey.

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Bibliografía
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