Evaluation of nutritional status with anthropometric measurements and MQSGA in geriatric hemodialysis patients

Yigit, Irem Pembegul; Ulu, Ramazan; Çeli̇ker, Hüseyin; Doğukan, Ayhan

doi:10.14744/nci.2016.73383

Cited by 4 publications

(10 citation statements)

References 28 publications

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“…A direct and significant relationship was found between age and malnutrition in hemodialysis patients in this study. Many other studies have also reported that older patients tend to be more prone to nutritional deficiency than younger patients (7,11,12,15). These results indicate the necessity of assessment of nutritional status in older patients.…”

Section: Discussionmentioning

confidence: 72%

“…Another study carried out in Jordan (19) reported a significantly higher prevalence of malnutrition in women than men. These studies show the necessity of assessment of nutritional status in women undergoing hemodialysis, however Yigit et al in Turkey (7) found no relationship between gender and malnutrition in hemodialysis patients.…”

Section: Discussionmentioning

confidence: 91%

“…However, in our study low-serum albumin level (<3.5 g/dL) was measured in a small number of patients (12.6%). Many other studies also showed a significant and inverse relationship between serum albumin level and malnutrition (7,15,23). Rezeq et al also found no significant relationship between serum albumin level and malnutrition status (18).…”

Section: Discussionmentioning

confidence: 99%

“…These results are consistent with the results of other studies. BMI is known as a nutritional marker (7,12,15,20). BMI<20 kg/m 2 is an indicator of malnutrition (21), which was reported in 48.5% of patients with malnutrition.…”

Section: Discussionmentioning

confidence: 99%

“…The most important risk factor is cardiovascular disease (5,6). An important non-cardiovascular risk factor of mortality among hemodialysis patients is malnutrition (7).…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of malnutrition in hemodialysis patients

Ghorbani¹,

Hayati²,

Karandish

et al. 2020

J Renal Inj Prev

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Introduction: Malnutrition is a complex, multi-factorial and common problem in patients with end-stage renal disease (ESRD) undergoing hemodialysis that increases morbidity and mortality rate in them. Objectives: To assess the prevalence of malnutrition and associated factors in hemodialysis patients. Patients and Methods: This cross-sectional study was conducted on 239 hemodialysis patients (162 males and 77 females) referred to three dialysis centers in Ahvaz, Iran in 2018. The nutritional statuswas measured using subjective global assessment (SGA)tool. The anthropometric indices, body mass index (BMI) and biochemical parameters including albumin, triglyceride, C-reactive protein (CRP), and adequacy of dialysis (Kt/V) were also measured in all patients. Results: Based on SGA, 45 (18.8%) patients including 32 males and 13 females had mild to moderate malnutrition while 26 (10.9%) patients consisting of 11 men and 15 women had severe malnutrition. We found a significant association between patients’ gender and malnutrition status (P=0.013). In addition, a significant association was seen between age (P=0.024), BMI (P=0.0001), CRP (P=0.047) and serum albumin concentration (P=0.007) with nutritional status. However, we did not find any significant association between triglyceride, Kt/V and duration of hemodialysis per week with malnutrition (P>0.05). Moreover, BMI, patient’s gender and serum albumin were the significant predictors of severe malnutrition in hemodialysis patients (P<0.05). Conclusion: According to high prevalence of malnutrition in ESRD patients undergoing hemodialysis, periodic assessment of nutritional status is necessary for them. Moreover, female patients, CRP, serum albumin and BMI showed a significant correlation with SGA score, which are important to determine the nutritional status of hemodialysis patients (HD) patients.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The most important risk factor is cardiovascular disease (5,6). An important non-cardiovascular risk factor of mortality among hemodialysis patients is malnutrition (7).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The prevalence of malnutrition in hemodialysis patients

Ghorbani¹,

Hayati²,

Karandish

et al. 2020

J Renal Inj Prev

View full text Add to dashboard Cite

show abstract

Nutritional status in short daily hemodialysis versus conventional hemodialysis patients in China

Jiang

Ren

et al. 2018

Int Urol Nephrol

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The Relationship between Nutritional Status and Latent Tuberculosis in Routine Hemodialysis

Bandiara

Sukesi

Indrasari

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Malnutrition in chronic kidney disease (CKD) patients undergoing hemodialysis (HD) interferes with the natural and adaptive immune response, consequently, increasing the latent tuberculosis (TB) reactivation. AIM: This study therefore aims to determine the relationship between nutritional status and latent TB in routine HD, using interferon gamma release assays (IGRA), to screen for latent TB. METHODS AND STUDY DESIGN: This study has an analytical observation cross-sectional design, and was conducted on 120 CKD-HD patients aged 18 years and above, and has been undergoing HD twice weekly for over 3 months, without malignancy, human immunodeficiency virus/acquired immunodeficiency syndrome, history of TB, or radiological evidence at the HD Unit of the Dr. Hasan Sadikin Hospital, Bandung, Indonesia, between March and May 2020, and not currently receiving immunosuppressant or TB therapy. In addition, the age, gender, history of Bacille Calmette-Guerin vaccine, CKD etiology, length of HD, HD adequacy, TB contact history, number of family members, smoking status, body mass index, albumin, malnutrition inflammation score, triceps skinfold thickness (TST), biceps skinfold thickness, suprailiac skinfold thickness (SIST), mid-upper arm circumference (MAC), and normalized protein catabolic rate between positive and negative IGRA groups, of each patient, were determined. RESULTS: In this study, all the patients met the inclusion and exclusion criteria. Based on the IGRA test, 47 patients (39.17%) tested positive, and 68 (56.67%) tested negative, while the results for the remaining 5 (4.16%) were indeterminate. The malnutrition inflammation score (MIS) score with positive IGRA 23.3 (20.0–26.7) was discovered to differ insignificantly (p value of 0.252) from the negative counterpart 20.0 (16.7–28.4). Meanwhile, in the HD adequacy assessment based on urea reduction rate, a statistically significant difference (p = 0.042) occurred between the positive 70.45 (65.70–76.61) and negative 74.15 (70.71–77.33) IGRA groups. In the smoking status, the positive and negative IGRA were discovered to differ significantly (30 (63.8% vs. 28 (41.2% p = 0.017) OR 2.521 (1.172–5.425). However, in the history of contact with TB patients, the positive and negative IGRA did not differ significantly (4.3% vs. 11.8% p = 0.160). Furthermore, there was a significant difference in TST and MAC, between MIS >5 and MIS ≤5 (p < 0.05). CONCLUSION: The assessment of nutritional status level, TST, MAC, smoking status, and adequate HD is crucial for CKD patients with routine HD, as these factors present risks of latent TB.

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Evaluation of nutritional status with anthropometric measurements and MQSGA in geriatric hemodialysis patients

Cited by 4 publications

References 28 publications

The prevalence of malnutrition in hemodialysis patients

The prevalence of malnutrition in hemodialysis patients

Nutritional status in short daily hemodialysis versus conventional hemodialysis patients in China

The Relationship between Nutritional Status and Latent Tuberculosis in Routine Hemodialysis

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