Change of Nutritional Status Assessed Using Subjective Global Assessment Is Associated With All-Cause Mortality in Incident Dialysis Patients

Kwon, Young Eun; Kee, Youn Kyung; Yoon, Chang Yun; Han, In Mee; Han, Seung Gyu; Park, Kyoung Sook; Lee, Mi Jung; Park, Sun-Hee; Han, Seung Hyeok; Yoo, Tae Hyun; Kim, Yong Lim; Kim, Yon Su; Yang, Chul Woo; Kim, Nam Ho; Kang, Shin Wook

doi:10.1097/md.0000000000002714

Cited by 39 publications

(36 citation statements)

References 32 publications

(41 reference statements)

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“…Malnutrition is an important and prevalent problem affecting 16% to 70% of dialysis patients, depending on the study population and assessment procedure [1][2][3]. In dialysis patients, insufficient nutritional intake, compromised clinical well-being, comorbidity and dialysis related factors can lead to poor nutritional status [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

The screening score of Mini Nutritional Assessment (MNA) is a useful routine screening tool for malnutrition risk in patients on maintenance dialysis

et al. 2020

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Section: Introductionmentioning

confidence: 99%

The screening score of Mini Nutritional Assessment (MNA) is a useful routine screening tool for malnutrition risk in patients on maintenance dialysis

et al. 2020

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“…The proportion of patients whose nutritional status deteriorated from well-nourished to malnourished or remained as malnourished for 1 year after the start of dialysis treatment was higher in the PD group than the HD group [11]. The changes in nutritional status assessed by SGA during the first year were associated with mortality in incident ESRD patients.…”

Section: Discussionmentioning

confidence: 88%

“…The trained investigators rated each item from 1 to 7 and decided the overall SGA score. Based on the overall SGA score, the patients were categorized into three groups: well nourished (normal) = SGA score of 6-7, mildly to moderately malnourished = SGA score of 3-5, or severely malnourished = SGA score of 1-2 [11]. HGS was measured in the hand without vascular access for HD patients and in the non-dominant hand for PD patients.…”

Section: Data Collectionmentioning

confidence: 99%

“…However, although a few studies have compared the nutritional status of HD and PD patients [9][10][11], no study has assessed and compared nutrient intake by the Semi-quantitative Food Frequency Questionnaire (Semi-FFQ) and dietary behavior according to dialysis modality. Thus, in this study, we investigated whether prevalent HD and PD patients' dietary behavior and nutrient intake differed.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Hemodialysis and Peritoneal Dialysis Patients’ Dietary Behaviors

Kim¹,

Kang

Kim

et al. 2019

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Background: Nutritional factors are associated with high mortality and morbidity in dialysis patients, and protein-energy wasting is regarded as an important one. The modality of dialysis may affect patients’ dietary behavior and nutritional status, but no study has compared the dietary behavior, nutrient intake, and nutritional adequacy of hemodialysis (HD) and peritoneal dialysis (PD) patients. Methods: From December 2016 to May 2017, a dietary behavior survey and Semi-quantitative Food Frequency Questionnaire (Semi-FFQ) were conducted, and laboratory parameters were obtained. The results of prevalent HD and PD patients were then compared. Results: In the dietary behavior survey, HD patients showed more appropriate dietary behavior patterns overall than PD patients. In the dietary intake analysis with the Semi-FFQ, energy intake was significantly lower in the PD group than in the HD group due to the lower intake of carbohydrates, fat, and protein. In the nutrient intake-to-recommended allowance ratio analysis, both HD and PD patients revealed inadequate intake amounts for most major nutrients. Serum albumin and potassium levels were significantly higher in HD than in PD patients. Serum albumin concentration showed a positive correlation with dietary protein and calcium intake in the PD group. Conclusion: According to this study, the dietary behavior and nutritional intake of prevalent PD patients were worse than those of HD patients.

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“…The main variable was nutritional status, assessed with modified subjective global assessment (SGA) scores (12). Relatively, the altered subjective global assessment (SGA) marks, identified by medical history on seven main topics and also the clinical qualification for four other categories was the remarkably quantitative scoring system including seven elements with a total score ranging from 7 to 35 (7 -13: normal), (14 -23: mild to moderately malnourished) and (24 -35: severely malnourished).…”

Section: Methodsmentioning

confidence: 99%

Malnutrition in Hemodialysis Patients and Predicting Factors: A Cross-Sectional Study

et al. 2019

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Background: Protein-energy malnutrition, one of the most important risk factors for cardiovascular diseases, is common in dialysis patients. In this way, several characteristics and socio-economic factors could influence nutritional stats. The diagnosis of malnutrition and its related factors can assist the healthcare team in planning for the care of hemodialysis patients. Objectives:In this study, we are aimed to determine the nutritional status among hemodialysis patients and characteristics and also socio-economic factors. Methods:In this cross-sectional study, 312 patients were selected randomly. Modified subjective global assessment (SGA) tool was used for data collection. The data was expressed as mean ± SD and frequency. Logistic regression analysis was performed to detect predicting factors of malnutrition using SPSS software.Results: About 65.1% of hemodialysis patients suffered from mild-to-moderate malnutrition and 15% of patients were severely malnourished. Most patients were married (82.7%), low-income (63.1%), illiterate (63.8%) and employed (52.2 percent). Following the subgroup analysis, we found significant weight changes in malnourished patients (P value = 0.000). In addition, we found that severely malnourished patients were older, married or divorced, unemployed and lived in large families compared with other groups (P value < 0.05). The illiterate people were in greater risk for malnutrition (AOR = 8.14, 95% CI: 1.8 -36.89). Conclusions:Socio-economic factors such as income, education, living conditions, marital status, family size and employment affect nutritional status. Therefore, taking socio-economic factors into account can help the treatment team in the care of hemodialysis patients.

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Change of Nutritional Status Assessed Using Subjective Global Assessment Is Associated With All-Cause Mortality in Incident Dialysis Patients

Abstract: Supplemental Digital Content is available in the text

Cited by 39 publications

References 32 publications

The screening score of Mini Nutritional Assessment (MNA) is a useful routine screening tool for malnutrition risk in patients on maintenance dialysis

The screening score of Mini Nutritional Assessment (MNA) is a useful routine screening tool for malnutrition risk in patients on maintenance dialysis

Comparison of Hemodialysis and Peritoneal Dialysis Patients’ Dietary Behaviors

Malnutrition in Hemodialysis Patients and Predicting Factors: A Cross-Sectional Study

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