NUTRITIONAL ASSESSMENT OF STAGE 5 CHRONIC KIDNEY DISEASE PATIENTS ON HEMODIALYSIS
KHALID MOHAMMED ALHASSAN SAYED ALI HUSSEIN;
Abstract
Chronic kidney disease (CKD) has become a public health problem worldwide. Its terminal stage requires renal replacement therapy – dialysis or transplantation – for the maintenance of life, resulting in high economic and social costs. (De moura, et al 2014)
Malnutrition is a common problem in patients with ESRD undergoing hemodialysis that is associated with increased morbidity and mortality (Ikizler TA 2013).
As a result of the frequency of malnutrition, periodic assessment of nutritional status should be part of the routine care of dialysis patients to permit early recognition and the institution of appropriate therapy, (wolfson et al 2014).
Aim of this inthis work is tomake a randomized, cross section study to determine the nutritional state of end stage renal disease (ESRD) patients on regular hemodialysis.
Between September 2013 to April 2014 we enrolled 104 patients with end stage renal disease, who received a hemodialysis at Alagoza hospital with a mean age of (52 ±12) years; there were 49 males (47%) and 55 females (53%).Patients suffering from acute illness, hospitalization, malignant diseases, cardiovascular diseases and on peritoneal dialysis were excluded.
Subjective Global Assessmentdemonstrated46% well nourishment, 43% mild to moderate malnourishment and 11% severely malnourished.
ByBMI:4%wereunderweight, 34%werenormal weight, and 27% were overweight and 35% were obese.
By using Prealbumin as nutritional marker we found that 34% have no risk, 60% have mild to moderate risk and 6% of the patients have severe risk of malnutrition.
SGAwaspositively correlated with creatinine (P=0.004),TSF (P=0.049) and weight changes (P=0.000)
The mean weight for the patients was 75.28 kg (SD±17.52) and BMImean was 28.04 (SD±6.42) which was positively correlated with creatinine (P=0.000), phosphorus (P=0.001),cholesterol(P=0.024), MAC (P=0.000) and TSF (P=0.001)
As regardTSF there were 38% malnourished and 62 % were well nourished. TSFwaspositively correlated with Creatinine (P=0.000),phosphorus(P=0.001) and MAC (P=0.000) but negatively correlated with duration of dialysis (0.039)
RegardingMACthere was 20% malnourished and 80% was well nourished.MACwaspositively correlated with creatinine (P=0.000),phosphorus (P=0.005),cholesterol (P=0.014),body weight (P=0.000),BMI(P=0.000) and TSF (P=0.000)
Among 104 patients 96% have low level of serum prealbumin and only 4 % have normal values. The mean was 150.94 mg/L(SD±29.47), which is positively correlated with SGA (p=0.000) and weight changes (p=0.000) but negatively correlated with hemoglobin level (p=0.033).
We suggest to use both SGA and prealbumin as nutritional assessment method in End Stage Renal diseases patients on regular Hemodialysis.
Malnutrition is a common problem in patients with ESRD undergoing hemodialysis that is associated with increased morbidity and mortality (Ikizler TA 2013).
As a result of the frequency of malnutrition, periodic assessment of nutritional status should be part of the routine care of dialysis patients to permit early recognition and the institution of appropriate therapy, (wolfson et al 2014).
Aim of this inthis work is tomake a randomized, cross section study to determine the nutritional state of end stage renal disease (ESRD) patients on regular hemodialysis.
Between September 2013 to April 2014 we enrolled 104 patients with end stage renal disease, who received a hemodialysis at Alagoza hospital with a mean age of (52 ±12) years; there were 49 males (47%) and 55 females (53%).Patients suffering from acute illness, hospitalization, malignant diseases, cardiovascular diseases and on peritoneal dialysis were excluded.
Subjective Global Assessmentdemonstrated46% well nourishment, 43% mild to moderate malnourishment and 11% severely malnourished.
ByBMI:4%wereunderweight, 34%werenormal weight, and 27% were overweight and 35% were obese.
By using Prealbumin as nutritional marker we found that 34% have no risk, 60% have mild to moderate risk and 6% of the patients have severe risk of malnutrition.
SGAwaspositively correlated with creatinine (P=0.004),TSF (P=0.049) and weight changes (P=0.000)
The mean weight for the patients was 75.28 kg (SD±17.52) and BMImean was 28.04 (SD±6.42) which was positively correlated with creatinine (P=0.000), phosphorus (P=0.001),cholesterol(P=0.024), MAC (P=0.000) and TSF (P=0.001)
As regardTSF there were 38% malnourished and 62 % were well nourished. TSFwaspositively correlated with Creatinine (P=0.000),phosphorus(P=0.001) and MAC (P=0.000) but negatively correlated with duration of dialysis (0.039)
RegardingMACthere was 20% malnourished and 80% was well nourished.MACwaspositively correlated with creatinine (P=0.000),phosphorus (P=0.005),cholesterol (P=0.014),body weight (P=0.000),BMI(P=0.000) and TSF (P=0.000)
Among 104 patients 96% have low level of serum prealbumin and only 4 % have normal values. The mean was 150.94 mg/L(SD±29.47), which is positively correlated with SGA (p=0.000) and weight changes (p=0.000) but negatively correlated with hemoglobin level (p=0.033).
We suggest to use both SGA and prealbumin as nutritional assessment method in End Stage Renal diseases patients on regular Hemodialysis.
Other data
| Title | NUTRITIONAL ASSESSMENT OF STAGE 5 CHRONIC KIDNEY DISEASE PATIENTS ON HEMODIALYSIS | Other Titles | التقييم التغذوي في مرضى المرحلة الخامسة من مرض الفشل الكلوي المزمن على غسيل الكلى الدموي | Authors | KHALID MOHAMMED ALHASSAN SAYED ALI HUSSEIN | Issue Date | 2014 |
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