Geriatric nutritional risk index in prediction of muscular strength of elderly patients undergoing hemodialysis

Nouri, Ali; Mansour-Ghanaei, Roya; Esmaeilpour-Bandboni, Mohammad; Chaboki, Bahare Gholami

doi:10.1007/s11255-021-03034-y

Cited by 6 publications

(3 citation statements)

References 38 publications

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“…GNRI is a widely used evaluation tool in clinical practice, and its value in nutritional assessment has been confirmed in numerous studies [16,20]. In this study, 385 elderly MHD patients were included, with an average GNRI of 96.26 ± 7.91 (78.92-112.56), slightly higher than that reported by Nouri et al [20]. GNRI is calculated based on factors such as serum albumin and body weight.…”

Section: Discussionmentioning

confidence: 71%

Correlation between geriatric nutritional risk index and intradialytic hypotension in elderly patients undergoing maintenance hemodialysis: a case-control study

Zhang,

Fu,

Wan

et al. 2024

J Health Popul Nutr

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Background There is a correlation between nutritional status and treatment outcomes and long-term survival in MHD patients but there is limited research on the relationship between GNRI and IDH. This case-control study aimed to investigate the correlation between Geriatric Nutritional Risk Index (GNRI) and intradialytic hypotension (IDH) in elderly patients undergoing maintenance hemodialysis (MHD). Methods This study was carried out on 129 cases of MHD patients with IDH and 258 non-IDH-controls in Ruijin Hospital, Shanghai Jiaotong University School of Medicine, China, between June 2020 and May 2022. Professional researchers collected patients’ general information on gender, primary disease, dialysis-related indicators, anthropometric measures, laboratory biochemicals, and GNRI. Logistic regression analysis was used to evaluate the correlation between GNRI and IDH. Results A total of 385 elderly MHD patients were included. Compared with GNRI Q4 group, the odds ratios for the risk of IDH in GNRI Q3 group, GNRI Q2 group, and GNRI Q1 group of elderly MHD patients were 1.227, 2.196, and 8.350, respectively, showing a significant downward trend (P-trend < 0.05). The area under the curve of GNRI for predicting IDH was 0.839 (95% CI: 0.799–0.879). Between different genders, a decrease in GNRI was closely related to an increase in IDH risk (P for trend < 0.05). Conclusions This research shows a significant association between GNRI and the incidence of IDH among elderly MHD patients and has an important warning effect. Encouraging the incorporation of GNRI assessment into the clinical assessment protocols of older patients with MHD may help to improve the nutritional status of those suffering from it and reduce the risk of IDH.

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Section: Discussionmentioning

confidence: 71%

Correlation between geriatric nutritional risk index and intradialytic hypotension in elderly patients undergoing maintenance hemodialysis: a case-control study

Zhang,

Fu,

Wan

et al. 2024

J Health Popul Nutr

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“…To prevent fatigue, three-min rest intervals were implemented between different test runs for each older adult. [ 22 ] Testing was repeated three times in the dominant hand, and the mean of obtained values was recorded as HGS. [ 23 ] Then, the HGS of the individuals was classified into weak (<16 in females and <26 in males), medium (16–20 in females and 26–32 in males), and strong (>20 in females and >32 in males).…”

Section: Methodsmentioning

confidence: 99%

Role of handgrip strength in predicting the quality of life in older adults: A cross-sectional study

Eskandarzadeh,

Mansour-Ghanaei,

Pourghane

et al. 2024

Journal of Education and Health Promotion

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BACKGROUND: Quality of life (QOL) is a vital component in assessing the standard of living for seniors. Hand grip strength (HGS) is a widely used measure to diagnose muscle strength decline that often occurs due to age-related loss of skeletal muscle mass and function. This study focuses on the HGS in predicting the QOL of older adults who are referred to retirement centers in Guilan Province. MATERIALS AND METHODS: In 2021, a cross-sectional analytical study was conducted among 115 older adults who were residing in retirement centers located in Guilan Province, Northern Iran. The participants were selected using a two-stage sampling method, where three retirement centers were randomly chosen followed by convenience sampling from each center. The selected retirement centers were situated in Langrod, Sowme’eh Sara, and Rasht cities in the east, west, and center of the province, respectively. The data were collected through a demographic information questionnaire, QOL scale (CASP-19), and HGS measurement using a dynamometer. RESULTS: Of the participants, 57.4% were male, 51.3% had middle income, and 96.5% were categorized as young elderly. The mean overall QOL score was found to be 37.026 ± 6.123, while the mean HGS level was 31.74 ± 7.45 and 18.48 ± 5.13 among males and females, respectively. There was a significant association between the level of education and QOL (P = 0.002). Moreover, there was a positive and significant correlation between HGS and QOL (r = 0.54, P = 0.001). The results of the multiple linear regression identified HGS as a predictor of QOL (Adj R2 = 0.44, βHGS = 0.79). CONCLUSION: Given that HGS has been identified as a predictor of QOL in older adults, improving this factor through exercise can lead to enhancement in their QOL. Therefore, regular sports exercises can be recommended as a means of improving HGS and subsequently enhancing the QOL of older adults.

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“…Two recent studies have shown that simultaneous assessment of the patient ‘s GNRI and modified creatinine index (mCI) can stratify the risk and improve the predictability of mortality in dialysis patients [ 42 , 43 ]. GNRI can also evaluate the muscle strength of dialysis patients and is a useful tool for screening sarcopenia in dialysis patients [ 44 , 45 ]. Therefore, GNRI is a simple and effective nutritional assessment method for long-term dialysis patients.…”

Section: Related Index Of Malnutrition In Dialysis Patientsmentioning

confidence: 99%

Progress in the study of nutritional status and selenium in dialysis patients

et al. 2023

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Malnutrition is very common in patients with chronic kidney disease, especially in those on maintenance dialysis. Malnutrition is one of the major factors affecting survival and death of dialysis patients, and reducing their activity tolerance and immunity. There are numerous and interacting risk factors for malnutrition, such as reduced nutritional intake, increased energy expenditure, hormonal disorders, and inflammation. Selenium, in the form of selenoproteins, is involved in many physiological processes in the body and plays an important role in maintaining redox homeostasis. Oxidative stress and infection are very common in dialysis patients, and selenium levels in dialysis patients are significantly lower than those in the healthy population. It has been shown that there is a correlation between selenium levels in hemodialysis patients and their nutrition-related indicators, and that selenium supplementation may improve malnutrition in patients. However, further studies are needed to support this conclusion and there is a lack of basic research to further characterize the potential mechanisms by which selenium may improve malnutrition in dialysis patients. The purpose of this review is to provide a comprehensive overview of factors associated with malnutrition in dialysis patients and to describe the progress of research on nutritional status and selenium levels in dialysis patients.

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Geriatric nutritional risk index in prediction of muscular strength of elderly patients undergoing hemodialysis

Cited by 6 publications

References 38 publications

Correlation between geriatric nutritional risk index and intradialytic hypotension in elderly patients undergoing maintenance hemodialysis: a case-control study

Correlation between geriatric nutritional risk index and intradialytic hypotension in elderly patients undergoing maintenance hemodialysis: a case-control study

Role of handgrip strength in predicting the quality of life in older adults: A cross-sectional study

Progress in the study of nutritional status and selenium in dialysis patients

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