Vitamin d sufficiency in hemodialysis patients and its association with nutritional and clinical parameters

Renal failure is a complicating factor in the maintenance of vitamin D adequate levels, which can interfere in the patients’ nutritional status. The aim of this study was to evaluate the association of serum 25-hydroxyvitamin D [25(OH)D] with clinical and nutritional parameters. Prevalent hemodialysis (HD) patients were submitted to a single evaluation about demographic characteristics, clinical data and laboratory measurements. Anthropometric measurements and electrical bioimpedance were performed to obtain BMI, percentage of standard MAMC (%MAMC), fat percentage (%Fat) and phase angle (PA). Deficiency was defined as a 25(OH)D level<15ng/mL, insufficiency as 15-30 ng/mL and sufficiency as>30ng/mL. Univariate models were constructed and the variables associated with 25(OH)D sufficiency were included subsequently in the multiple regression model. Statistical significance was p