Prevalence of malnutrition and associated factors in hemodialysis patients

Freitas, Ana Tereza Vaz de Souza; Vaz, Inaiana Marques Filizola; Ferraz, Sanzia Francisca; Peixoto, Maria do Rosário Gondim; Campos, Marta Isabel Valente Moraes

doi:10.1590/1415-52732014000300009

Cited by 19 publications

(24 citation statements)

References 25 publications

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“…These rates were higher than the rates reported in our study. Another study in Brazil showed 4.22% mild to moderate malnutrition in their hemodialysis patients (12). The prevalence rates of malnutrition in hemodialysis patients in Spain (9), Jordan (19), Saudi Arabia (16), Iraq (17) and Palestine (18) were respectively as 41.1%, 62%, 55%, 63.5% and 47.2%.…”

Section: Discussionmentioning

confidence: 96%

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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: 96%

“…It is a high-speed, inexpensive, and easily reproducible tool that does not require specific training. It serves as a reliable screening method for malnutrition (11,12).…”

Section: Introductionmentioning

confidence: 99%

The prevalence of malnutrition in hemodialysis patients

Ghorbani¹,

Hayati²,

Karandish

et al. 2020

J Renal Inj Prev

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“…Lack of income is commonly prevalent in approximately 50% of the HD population [ 202 , 203 ]. Financial constraints were blamed for poor adherence to dietary recommendations as patients limited their access to healthy food choices on the basis of cost or these patients faced a dilemma on having to choose between spending on medicine or food [ 202 ].…”

Section: Non-iatrogenic Causes Of Malnutritionmentioning

confidence: 99%

Understanding Development of Malnutrition in Hemodialysis Patients: A Narrative Review

et al. 2020

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Hemodialysis (HD) majorly represents the global treatment option for patients with chronic kidney disease stage 5, and, despite advances in dialysis technology, these patients face a high risk of morbidity and mortality from malnutrition. We aimed to provide a novel view that malnutrition susceptibility in the global HD community is either or both of iatrogenic and of non-iatrogenic origins. This categorization of malnutrition origin clearly describes the role of each factor in contributing to malnutrition. Low dialysis adequacy resulting in uremia and metabolic acidosis and dialysis membranes and techniques, which incur greater amino-acid losses, are identified modifiable iatrogenic factors of malnutrition. Dietary inadequacy as per suboptimal energy and protein intakes due to poor appetite status, low diet quality, high diet monotony index, and/or psychosocial and financial barriers are modifiable non-iatrogenic factors implicated in malnutrition in these patients. These factors should be included in a comprehensive nutritional assessment for malnutrition risk. Leveraging the point of origin of malnutrition in dialysis patients is crucial for healthcare practitioners to enable personalized patient care, as well as determine country-specific malnutrition treatment strategies.

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“…Quanto às características da população estudada, houve prevalência do sexo feminino, diferindo dos dados da literatura 14 , enquanto a idade média foi semelhante a de outros estudos nacionais. 15,16 A DRC é mais comum com o avanço da idade, fase onde ocorre redução fisiológica da filtração glomerular e surgem lesões renais secundárias a doenças crônicas comuns da idade. 17 Além dos idosos, indivíduos hipertensos e diabéticos são considerados grupos de risco para desenvolver a DRC.…”

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Estado nutricional e qualidade de vida de pacientes em hemodiálise

Bernardo

Santos

Cavalcanti

et al. 2019

RMRP

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Introdução: Na Doença Renal Crônica Avançada, o paciente necessita de uma terapia renal substitutiva, dentre elas, a hemodiálise (HD). Apesar dos benefícios da HD, este procedimento afeta o estado nutricional e a qualidade de vida (QV) do doente. Objetivo: Correlacionar o estado nutricional ao nível de QV de pacientes em HD. Metodologia: Estudo transversal, com pacientes em HD há pelo menos 3 meses. O estado nutricional foi avaliado pelo índice de massa corporal (IMC), circunferência do braço (CB), circunferência muscular do braço (CMB), prega cutânea tricipital (PCT), albumina (Alb) e creatinina (Cr) séricas e a QV pelo Medical Outcomes Study-36 – Item Short Form Health Survey (SF-36). As pontuações geradas pelo SF-36 foram correlacionadas com os indicadores do estado nutricional através do Coeficiente de Correlação de Pearson e/ou Spearman´s. Resultados e Discussão: Participaram do estudo 37 pacientes, com idade média de 50,6 ± 13,0 anos, sendo 54,1% do sexo feminino. Segundo a avaliação do estado nutricional, houve prevalência de eutrofia (48,7%) pelo IMC e desnutrição de 37,8% evidenciada pela CB e CMB. Na avaliação bioquímica, 25,0% estavam com hipoalbuminemia e 18,9% com redução da Cr. A dimensão de QV mais comprometida foi a limitação por aspectos físicos. Na análise das correlações, parâmetros nutricionais (IMC, CB e Alb) estavam ligados à QV dos pacientes. Conclusão: IMC, CB e Alb correlacionaram-se com dimensões do SF-36, indicando que alterações no estado nutricional podem influenciar o funcionamento físico e emocional desses pacientes.

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Prevalence of malnutrition and associated factors in hemodialysis patients

Cited by 19 publications

References 25 publications

The prevalence of malnutrition in hemodialysis patients

The prevalence of malnutrition in hemodialysis patients

Understanding Development of Malnutrition in Hemodialysis Patients: A Narrative Review

Estado nutricional e qualidade de vida de pacientes em hemodiálise

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