Correlation Between Nutritional Markers and Appetite Self-Assessments in Hemodialysis Patients

Oliveira, Cláudia Maria Costa de; Kubrusly, Marcos; Lima, André Tigre; Torres, Danielle; Cavalcante, Natasha M.R.; Jerônimo, Antônio Luiz C.; Oliveira, Thiago C.B.

doi:10.1053/j.jrn.2014.09.006

Cited by 23 publications

(21 citation statements)

References 34 publications

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“…Malnutrition is very common and associated with increased morbidity and mortality in patients with HD treatment. Previous study reported that 31.6% of the HD patients were considered malnourished according to GNRI [33]. Yamada K et al has used GNRI to nutritional screening for HD patients and shown that GNRI was the simplest and most accurate risk index compared with several other nutritional screening tools [34].…”

Section: Discussionmentioning

confidence: 99%

Association of Geriatric Nutritional Risk Index with Mortality in Hemodialysis Patients: A Meta-Analysis of Cohort Studies

Xiong

Min

Zhang

et al. 2018

Kidney Blood Press Res

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Background/Aims: Geriatric nutritional risk index (GNRI) was developed as a “nutrition-related” risk index and was reported in different populations as associated with the risk of all-cause and cardiovascular morbidity and mortality. Therefore, GNRI can be used to classify patients according to a risk of complications in relation to conditions associated with protein-energy wasting (PEW). However, not all reports pointed to the prognostic ability of the GNRI. The purpose of this study was to assess the associations of GNRI with mortality in chronic hemodialysis patients. Methods: We electronically searched original articles published in peer-reviewed journals from their inception to September 2018 in The PubMed, Embase, and the Cochrane Library databases. The primary outcome was all-cause and cardiovascular mortality. We pooled unadjusted and adjusted odds ratios (ORs) with 95% confidence intervals (95% CIs) using Review Manager 5.3 software. Results: A total of 10,739 patients from 19 cohort studies published from 2010 to 2018 were included. A significant negative association was found between the GNRI and all-cause mortality in patients with chronic hemodialysis (OR, 0.90; 95% CI, 0.84-0.97, p=0.004) (per unit increase) and (OR, 2.15; 95% CI, 1.88-2.46, p＜0.00001) (low vs. high GNRI). Moreover, there was also a significant negative association between the GNRI (per unit increase) and cardiovascular events (OR, 0.98; 95% CI, 0.97-1.00, p=0.01), as well as cardiovascular mortality (OR, 0.89; 95% CI, 0.80-0.99, p=0.03). Conclusion: Our findings supported the hypothesis that the low GNRI is associated with an increased risk of all-cause and cardiovascular mortality in chronic hemodialysis patients. Based on our literature review, GNRI has been found to be an effective tool for identifying patients with nutrition-related risk of all-cause and cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

Association of Geriatric Nutritional Risk Index with Mortality in Hemodialysis Patients: A Meta-Analysis of Cohort Studies

Xiong

Min

Zhang

et al. 2018

Kidney Blood Press Res

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“…Vários estudos têm mostrado a relação que há entre estes marcadores antropométricos e QV em pacientes em hemodiálise, inclusive, alguns utilizando itens específicos do KDQOL-SF para avaliação como, por exemplo, do apetite (OLIVEIRA et al, 2015;MASINA et al, 2016). Oliveira et al (2015) estudaram apenas o sintoma apetite do KDQOL-SF verificando que os pacientes que estavam extremamente incomodados com a falta de apetite tiveram menor concentração de creatinina sérica e IMC.…”

Section: Discussionunclassified

“…Oliveira et al (2015) estudaram apenas o sintoma apetite do KDQOL-SF verificando que os pacientes que estavam extremamente incomodados com a falta de apetite tiveram menor concentração de creatinina sérica e IMC. Já, Masina et al (2016) estudaram 22 pacientes de Malawi demonstrando, também, que os escores dos componentes mentais e físicos correlacionaram com o escore dos itens específicos (MASINA et al, 2016).…”

Section: Discussionunclassified

Avaliação da qualidade de vida em pacientes em hemodiálise e sua relação com índice de massa corporal e creatinina sérica

Soares

Lima

Venâncio

et al. 2016

R. bras. Qual. Vida

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“…Besides doctors' dietetic indications, anorexia is having an additive role in protein-energy malnutrition encountered in CKD patients. [6] Even though modern societies live in an era of over nutrition, malnutrition and protein-energy wasting have been recognized among the strongest risk factors for adverse outcomes in end-stage CKD patients and should be addressed. [7] On the other hand there is a small percent of end-stage renal disease patients, who are normo-even hypo-phosphatemics in spite of eating substantial amount of phosphate.…”

Section: Editorialmentioning

confidence: 99%

Phosphate binders, past – present – future. A critical appraisal.

Malindretos¹,

Cozzolino

2016

Expert Opinion on Pharmacotherapy

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Correlation Between Nutritional Markers and Appetite Self-Assessments in Hemodialysis Patients

Cited by 23 publications

References 34 publications

Association of Geriatric Nutritional Risk Index with Mortality in Hemodialysis Patients: A Meta-Analysis of Cohort Studies

Association of Geriatric Nutritional Risk Index with Mortality in Hemodialysis Patients: A Meta-Analysis of Cohort Studies

Avaliação da qualidade de vida em pacientes em hemodiálise e sua relação com índice de massa corporal e creatinina sérica

Phosphate binders, past – present – future. A critical appraisal.

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