| Title | Assessment of nutritional status in hemodialysis patients using patient-generated subjective global assessment. | | Author(s) | Desbrow B, Bauer J, Blum C, Kandasamy A, McDonald A, Montgomery K | | Institution | Heart Foundation Research Centre, Griffith University, Gold Coast, Queensland, Australia. b.desbrow@griffith.edu.au | | Source | J Ren Nutr 2005 Apr; 15(2):211-6. | | MeSH | Aged Body Mass Index Comparative Study Female Humans Male Malnutrition Middle Aged Nutrition Assessment Nutritional Status Questionnaires Renal Dialysis Risk Factors Sensitivity and Specificity Serum Albumin Skinfold Thickness Weight Loss
| | Abstract | OBJECTIVE: To evaluate the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in hemodialysis patients. DESIGN: A cross-sectional observational study assessing the nutritional status of hemodialysis patients. SETTING: Private tertiary Australian hospital. SUBJECTS: Sixty patients, ages 63.9 +/- 16.2 years. INTERVENTION: Scored PG-SGA questionnaire, comparison of PG-SGA score > or =9 with subjective global assessment (SGA), albumin, corrected arm muscle area, and triceps skinfold. RESULTS: According to SGA, 80% of patients were well nourished and 20% of patients were malnourished. Patients classified as well nourished (SGA-A) attained a significantly lower median PG-SGA score compared with those rated as moderately malnourished or at risk of malnutrition (SGA-B). A PG-SGA score > or =9 had a sensitivity of 83% and a specificity of 92% at predicting SGA classification. There were significant correlations between the PG-SGA score and serum albumin, PG-SGA score, and percentage weight loss over the past 6 months. There was no association between PG-SGA score and body mass index or anthropometric measurements. CONCLUSION: The scored PG-SGA is an easy-to-use nutrition assessment tool that allows quick identification of malnutrition in hemodialysis patients. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 15827894 |
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