Prevalence of low albumin, suboptimal energy, and muscle stores in Asian dialysis patients

Moretti, Heidi; Wilkens, Katy G.; Cheney, Carrie L.; Johnson, D. E.

doi:10.1016/s1051-2276(00)90005-0

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…However, a recent report from the United States suggested that Asian-American dialysis patients, particularly Asian men, are at higher risk of malnutrition than are non Asians (19). The research group investigated the prevalence of lower serum albumin levels (<3.2 g/L) and lower arm muscle area percen-tiles in patients undergoing maintenance hemodialysis (HD, n = 654) or PD (n = 63) at various centers located in the vicinity of Seattle, WA, U.S.A.…”

Section: Prevalence Of Malnutritionmentioning

confidence: 99%

Nutritional Problems of Asian Peritoneal Dialysis Patients

Kang

Choi

et al. 2003

Perit Dial Int

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Clear evidence links malnutrition with poor outcome in peritoneal dialysis (PD) patients; however, most studies have evaluated Western populations, which may have clinical and demographic characteristics different from those of Asian populations. Although Asian PD patients are generally regarded to have survival superior to that of Western patients, whether that better survival is related to better nutrition in Asian patients is not clear. Past studies suggest that the overall prevalence of protein–calorie malnutrition as assessed by subjective global assessment (SGA)—especially cases of severe malnutrition—seems to be lower in Asian PD patients than in Western patients. Less activation of systemic inflammatory reaction, less comorbidity, lower prevalence of metabolic acidosis, or better compliance may be responsible for better nutritional status in Asian PD patients. Dietary protein and calorie intake, dialysis dose, and membrane transport characteristics appear not to differ significantly between Asian and non Asian PD patients. Mechanisms that explain the lower prevalence of systemic inflammatory reaction in Asian PD patients need to be investigated, along with their possible impacts on nutrition and cardiovascular morbidity and mortality. Large-scale, prospective studies are also necessary to ascertain the exact correlation between dialysis dose and nutritional status, and to determine the dietary protein and calorie intakes that maintain a positive nitrogen balance and better outcome in Asian PD patients.

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Section: Prevalence Of Malnutritionmentioning

confidence: 99%