1997
DOI: 10.1093/ndt/12.11.2324
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The impact of malnutrition in morbidity and mortality in stable haemodialysis patients

Abstract: Protein-calorie malnutrition is frequent in haemodialysis patients. Fat depletion predominated in both sexes. Duration of dialysis and protein catabolic rate related to ideal body weight was the only predictor which could be influenced by a nutritional intervention. Morbidity appeared to be influenced by the comorbidity index and age was the strongest predictor of mortality. The only nutritional measurements predictive of morbidity and mortality were serum albumin and total lymphocyte count respectively. There… Show more

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Cited by 113 publications
(66 citation statements)
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References 11 publications
(18 reference statements)
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“…The positive correlation between tHcy and markers of protein-energy nutritional status in maintenance dialysis patients may partially, but not fully, explain the paradoxical association between tHcy and mortality in these individuals. Diminished nutritional status, with or without inflammation, is a strong predictor of poor outcome in these individuals (24,(45)(46)(47)(48). Similar to our results, both Suliman et al (11) and Wrone et al (12) also reported significant correlations between tHcy and such nutritional markers as nPNA and serum concentrations of albumin, prealbumin, and creatinine.…”
Section: Discussionmentioning
confidence: 99%
“…The positive correlation between tHcy and markers of protein-energy nutritional status in maintenance dialysis patients may partially, but not fully, explain the paradoxical association between tHcy and mortality in these individuals. Diminished nutritional status, with or without inflammation, is a strong predictor of poor outcome in these individuals (24,(45)(46)(47)(48). Similar to our results, both Suliman et al (11) and Wrone et al (12) also reported significant correlations between tHcy and such nutritional markers as nPNA and serum concentrations of albumin, prealbumin, and creatinine.…”
Section: Discussionmentioning
confidence: 99%
“…1 However, studies from Southern Europe had not found a significant benefit of a high BMI on survival. 13,14 Actually, there were significant variations in BMI within the 5 DOPPS I European countries, with the lowest in France and Italy (23.2 and 23.5 kg/m 2 , respectively), whereas it was higher in Germany (24.5 kg/m 2 ) ( Table 1). 5 In a large study from 9,714 patients from the United States and Europe, Leavey et al 3 have shown that the crude mortality rate decreased from 26.9 deaths per 100 patient years in the BMI Ͻ20 group to 14.1 deaths per 100 patient-years for the BMI Ն30 group.…”
Section: Body Mass Indexmentioning
confidence: 99%
“…Marcen et al 25 encontraram uma associação entre desnutrição e linfopenia em pacientes submetidos à hemodiálise. Alguns fatores, entre eles, deficiência de zinco 26 podem causar linfopenia em pacientes renais crônicos.…”
Section: Discussão E Conclusõesunclassified