Applicability of subjective global assessment and malnutrition inflammation score in the assessment of nutritional status on chronic kidney disease

Bigogno, Fernanda Guedes; Fetter, Renata; Avesani, Carla María

doi:10.5935/0101-2800.20140034

Cited by 17 publications

(12 citation statements)

References 35 publications

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“…A revised form of the SGA is the Malnutrition-Inflammation score (MIS). Additional parameters in this assessment tool include serum albumin level, total iron binding capacity and body mass index [ 45 , 46 ]. The use of the MIS for assessment of nutritional status has been recommended by KDOQI over the SGA [ 47 ].…”

Section: Biochemical and Clinical Markers Of Malnutritionmentioning

confidence: 99%

Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

et al. 2020

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The positive impact of nutritional status on the health and treatment adequacy of peritoneal dialyzed patients has been well established. Protein intake is an important factor used to stratify malnutrition, with inadequate intake leading to protein-energy wasting during the course of therapy. In this review, we discuss the recommendations made by nephrological societies regarding nutrition in this population of dialysis patients. Special attention is given to the intake of protein, and recommendations on the intake of micronutrients are also discussed. Furthermore, factors that may impair nutritional intake and balance are discussed, with mention of the innovative strategies utilized to combat them. In light of inconsistent recommendations that vary between each respective society, as well as a general lack of concise information, it is our intention to call for further research regarding nutritional recommendations in peritoneal dialysis (PD), as well as to advocate for clear and accessible information for patients.

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Section: Biochemical and Clinical Markers Of Malnutritionmentioning

confidence: 99%

Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

et al. 2020

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“…This particular condition is more commonly found in patients undergoing maintenance dialysis. In most of the cases, the CKD patients die because of the short-term consequences of malnutrition 24 . As proposed by The International Society of Renal Nutrition and Metabolism or ISRNM the diagnostic criteria for protein-energy wasting among CKD patients can be divided into 4 categories as follows : 1.…”

Section: Pg-sga In Chronic Kidney Diseasementioning

confidence: 99%

“…This modified SGA-7 point scale is recommended as the valid method to identify patients with protein-energy malnutrition by the American guide of approaches in nephrology, National Kidney Foundation or Dialysis Outcome Quality Initiative and by the European Best Practice Guidelines on Nutrition (EBPG) 24 . Several authors have studied the nutritional status of renal disease patients using different modified versions of SGA.…”

Section: Pg-sga In Chronic Kidney Diseasementioning

confidence: 99%

Patient-Generated Subjective Global Assessment (Pg-Sga): A Review

Maurya¹

2018

Int. Res. J. Pharm.

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The present investigation, Subjective Global Assessment (SGA) and its different variants are being widely used as a nutritional status or risk assessment tool in clinical and hospital practice for myriads of disease including life-threatening one such as cancer, chronic kidney diseases. SGA is based on measurement and observation of several parameters such as weight change, dietary intake change, gastrointestinal symptoms, functional capacity, co morbidities related to nutritional condition and physical examination. However, the tool is not devoid of limitation and is being constantly improved for the optimization of its use in various other diseases. Therefore, clinicians need an easy to use and interpret, low cost, reliable tool to assess nutritional status. The PG-SGA is a more sensitive tool than other versions of SGA and is successfully being used as a screening tool in diseases like cancer, tuberculosis, HIV and chronic kidney disease (CKD) etc. According to the theory of "reverse epidemiology", a patient with better nutritional status is supposed to have increased scope of survival. Therefore, it is increasingly being used patients who are at the pre-dialysis stage or being treated with dialysis. The review will summarize the basics of the nutritional assessment tool, its indications, and limitation of use in clinical practice etc. Moreover, the review will summarize the recommendations for use of PG-SGA in CKD and a brief review of existing literature to understand the scope of use and future perspective of the application of this tool for using in CKD patient population.

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“…Several studies have shown that physical examination scores like subjective global assessment (SGA), malnutrition inflammation score (MIS) and nutritional risk screening (NRS) detect prognostic of malnutrition more reliably than laboratory parameters alone [21]. It can recognize various degrees of malnutrition that may remain undetected by a single laboratory parameter [22]. SGA can be used to determine malnutrition outcome, and as such is more commonly used [23].…”

Section: Introductionmentioning

confidence: 99%

Diet in chronic kidney disease in a Mediterranean African country

et al. 2017

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BackgroundMediterranean diet is characterized by low to moderate consumption of animal protein and high consumption of fruits, vegetables, bread, beans, nuts, seeds and other cereals. It has been associated with reduced risk of cardiovascular disease. However, it is not suitable for chronic kidney disease because of high potassium intake.DiscussionTunisia is an emerging Mediterranean country with limited resources, a high prevalence of chronic hemodialysis treatment and high dialysis expenditures. In order to limit dialysis cost, primary and secondary prevention of chronic renal disease are of paramount importance. In addition to drugs, secondary prevention includes diet measures (e.g. salt diet, protein diet). The aims of diet practice in chronic kidney disease are to slow chronic renal failure progression and to prevent its complications like hyperphosphatemia and hyperkaliemiae. A few decades ago, a Tunisian diet was exclusively Mediterranean, and protein consumption was not excessive. However, today, protein consumption is more comparable to western countries. Salt consumption is also excessive. Some Tunisian diets still include food with high potassium intake, which are not suitable for patients with chronic kidney disease. Therefore, the role of the dietician is extremely important to help calculate and create a dietary regimen tailored to each of our patients.SummaryAdvice about diets should be adapted to both the patient and population habits to improve adherence rate. As such, the purpose of this article is to provide our own experience regarding medical nutrition therapy in patients with chronic kidney disease in Tunisia, with some changes in food habits. Prevention is far better than treatment. In this perspective, dietary measures must be at the core of our intervention.

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Applicability of subjective global assessment and malnutrition inflammation score in the assessment of nutritional status on chronic kidney disease

Cited by 17 publications

References 35 publications

Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

Nutritional Status in Peritoneal Dialysis: Nutritional Guidelines, Adequacy and the Management of Malnutrition

Patient-Generated Subjective Global Assessment (Pg-Sga): A Review

Diet in chronic kidney disease in a Mediterranean African country

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