Screening of Malnutrition Using Clinical, Dietary and Anthropometric Variables in an Indian Hemodialysis Population

Roy, Linda Grace; Shetty, Manjunath S; Urooj, Asna

doi:10.5171/2015.847823

Cited by 4 publications

(3 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Different methods are used to screen patients regarding malnutrition (13). The following nutrition evaluation methods are currently used for assessing the nutrition status of patients: anthropometric measurements, including patients' height and weight, triceps skinfold thickness (TSF), mid-arm circumference (MAC), body mass index (BMI), biochemical evaluations, including serum albumin, pre-albumin, hemoglobin, transferrin, total iron-binding capacity (TIBC), total lymphocyte count (TLC), C-reactive protein (CRP ), nitrogen balance, and routine blood testing to measure sodium, potassium, calcium, phosphor, urea, keratin, etc., and nutrition questionnaires, such as Subjective Global Assessment (SGA), Malnutrition-Inflammation Score (MIS), Dialysis Malnutrition score (DMS) (14).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Nutritional Status Based on Subjective Global Assessment and Dialysis Adequacy

et al. 2021

View full text Add to dashboard Cite

Background: Malnutrition is common in patients undergoing hemodialysis and leads to a decrease in dialysis adequacy. The evaluation of dialysis adequacy is very important. Objectives: This study was done to investigate the relationship between patients’ nutrition status based on Subjective Global Assessment (SGA) and their dialysis adequacy. Methods: This cross-sectional descriptive study was conducted in Tehran, Iran, in 2019. Three hundred qualified patients were selected by cluster sampling. Before the dialysis session, measurement of height and weight and blood sampling for albumin, total iron-binding capacity (TIBC), blood urea nitrogen (BUN), and creatinine (Cr) assessment were performed. After the dialysis session, measurement of weight and second sampling for BUN were done. SGA forms were filled by patients. Patients’ dialysis adequacy was calculated based on the DaugirdasII formula, and data were analyzed using SPSS 21. Results: From 300 patients, 128 cases (42.7%) had normal nutrition status, while 148 cases (49.3%) had mild to moderate malnutrition and 24 cases (8%) had severe malnutrition with mean dialysis adequacy of 1.07. The present study showed a significant statistical relationship between malnutrition and education (P < 0.001), body mass index (BMI) (P = 0.03), albumin (P < 0.001), TIBC (P < 0.001), and dialysis adequacy (P < 0.001). Gender, age, and dialysis duration showed no significant relationship with nutrition status based on the SGA index. Conclusions: The findings showed a high relative frequency of malnutrition and a decrease in patients’ dialysis adequacy, which emphasize the patient’s educational level, proper management of nutrition along with regular consultations by nutritionists, better implementation of the dialysis procedure, and regular follow-up of dialysis adequacy.

show abstract

Section: Introductionmentioning

confidence: 99%

The Relationship Between Nutritional Status Based on Subjective Global Assessment and Dialysis Adequacy

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The transferrin levels in the HD participants ranged between 1 g/d/L and 2 g/d/L, with the prevalence of malnutrition being substantial. Using transferrin levels we applied a group distribution based on the guideline range of 215 mg/dL to 380 mg/dL for malnutrition, with less than < 200 mg/dL corresponding with malnutrition in HD patients [ 44 , 45 ]. In the current study, only 6.3% of HD participants had transferrin levels above 200 mg/dL ( Figure 5 ).…”

Section: Discussionmentioning

confidence: 99%

Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South Africa

Benjamin,

Assounga

2024

Renal Failure

View full text Add to dashboard Cite

Introduction Malnutrition is a global phenomenon and may be contributing to the increasing size of the hemodialysis (HD) population in South Africa and is affecting morbidity and clinical outcomes. Our study assessed whether transferrin could be a possible marker for malnutrition in the HD population. Methods Clinical parameters (including skinfold thickness and mid-upper arm circumference [MUAC]) and laboratory markers (including transferrin and hemoglobin) were measured during a six-month period in a sample of 59 HD patients. Results Linear regression analysis showed that MUAC ( p = 0.027) as well as skinfold thickness ( p = 0.021) had a significant association with transferrin levels within the HD participants. There was no significant association between transferrin levels or MUAC with hemoglobin levels ( p = 0.075). Furthermore, the study found that decreased transferrin levels (< 2.15 g/dL to 3.80 g/dL) were closely related to malnutrition in the malnutrition distribution groups within the study, with 97.7% of HD participants being classified in one of the malnutrition groups. Conclusion Thus, transferrin levels are a valuable marker for malnutrition within the HD patient population and can be included along with clinical assessment parameters such as MUAC and skinfold thickness as primary indicators for malnutrition.

show abstract

“…In combination with muscle wasting, malnutrition is another problem in these patients and studies showed that hemodialysis patients consume less than the recommended daily intake of protein, which is 1 -1.2 g/kg of body weight daily (8)(9)(10)(11)(12). These factors will reduce their physical performance and activity, thus their quality of life decreases and their mortality rates will increase (13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Isometric Resistance Training and Branched-Chain Amino Acids Supplementation Can Improve Dialysis Adequacy: A Clinical Trial

Tayebi

Einollahi

et al. 2019

Nephro-Urol Mon

View full text Add to dashboard Cite

Background:The effectiveness of dialysis or dialysis adequacy is an important standard for evaluating hemodialysis patients. Also, measuring this standard is a crucial goal to all healthcare teams. Inadequate protein intake and catabolism can impact dialysis efficacy.Objectives: This study aimed to investigate the effect of intradialytic isometric resistance exercise and supplementation with BCAAs on dialysis adequacy in patients undergoing dialysis.Methods: A total of 51 patients were randomly divided into three control, exercise and BCAA (EXBCAA), and exercise only (EX) groups and the number of the subjects in each group was 17 patients. The training program consisted of an exercise for arm muscles and another exercise for thigh and core muscles. Exercise sessions were conducted twice a week for two months (24 sessions). Dialysis adequacy variables were kt/v and URR and were measured before the intervention, four weeks after the start of the intervention, and again at eight weeks, which was the end point of the intervention.Results: After the intervention, the kt/V and URR variables presented a significant difference between the two experimental groups vs the control group (P < 0.001). The group that received BCAA and performed isometric resistance exercise indicated the most effective improvements in kt/v (+20%) and URR (+12.5%). Conclusions:Results of this study showed that exercise during hemodialysis can increase dialysis adequacy of hemodialysis patients. Receiving BCAA's can improve the adequacy even more.

show abstract

Screening of Malnutrition Using Clinical, Dietary and Anthropometric Variables in an Indian Hemodialysis Population

Cited by 4 publications

References 27 publications

The Relationship Between Nutritional Status Based on Subjective Global Assessment and Dialysis Adequacy

The Relationship Between Nutritional Status Based on Subjective Global Assessment and Dialysis Adequacy

Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South Africa

Isometric Resistance Training and Branched-Chain Amino Acids Supplementation Can Improve Dialysis Adequacy: A Clinical Trial

Contact Info

Product

Resources

About