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Assessing the prevalence of malnutrition in chronic kidney disease patients in jordan.
J Ren Nutr. 2008 Mar; 18(2):202-9.JR

Abstract

OBJECTIVE

The study objective was to validate the use of subjective global assessment (SGA) in assessing the prevalence of malnutrition among patients on hemodialysis in Jordan by comparing SGA grades with anthropometric and biochemical measurements.

DESIGN

This was a cross-sectional survey.

SETTING

The study was performed at hospital hemodialysis units.

PATIENTS

End-stage renal-failure outpatients (n = 178; 94 women and 84 men; mean age +/- SD, 43.9 +/- 14.6 years) who underwent hemodialysis were recruited from five large Jordanian hospitals. The obtained data were compared with tabulated measurements of the reference population in term of age and sex.

MAIN OUTCOME MEASURES

Subjective global assessment, anthropometric (dry weight, body mass index, fat percentage, fat mass, triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, and arm muscle area), and biochemical (albumin, total protein, hemoglobin, creatinine, urea, cholesterol, phosphorus, calcium, and potassium) measurements were assessed in all patients.

RESULTS

In this study, 56.2% of patients on hemodialysis were moderately malnourished, and 5.6% were severely malnourished. Age was inversely associated with patients' nutritional status as well as SGA grades. The findings also suggest a significant (P < .001) decrease in some anthropometric parameters (dry weight, body mass index, fat percentage, fat mass, triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, and arm muscle area) with advanced malnutrition.

CONCLUSION

A comparison of SGA grades with biochemical and anthropometric variables indicated that SGA could be used to assess nutritional status in patients on hemodialysis. Overall, about 38.2% of patients were well-nourished. Age and duration of hemodialysis appeared to be associated with nutritional status.

Authors+Show Affiliations

Department of Clinical Nutrition and Dietetics, Faculty of Allied Health Sciences, Hashemite University, Zarqa, Jordan. rtayyem@hu.edu.joNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18267213

Citation

Tayyem, Reema F., and Majd T. Mrayyan. "Assessing the Prevalence of Malnutrition in Chronic Kidney Disease Patients in Jordan." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 18, no. 2, 2008, pp. 202-9.
Tayyem RF, Mrayyan MT. Assessing the prevalence of malnutrition in chronic kidney disease patients in jordan. J Ren Nutr. 2008;18(2):202-9.
Tayyem, R. F., & Mrayyan, M. T. (2008). Assessing the prevalence of malnutrition in chronic kidney disease patients in jordan. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 18(2), 202-9. https://doi.org/10.1053/j.jrn.2007.10.001
Tayyem RF, Mrayyan MT. Assessing the Prevalence of Malnutrition in Chronic Kidney Disease Patients in Jordan. J Ren Nutr. 2008;18(2):202-9. PubMed PMID: 18267213.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessing the prevalence of malnutrition in chronic kidney disease patients in jordan. AU - Tayyem,Reema F, AU - Mrayyan,Majd T, PY - 2007/08/03/received PY - 2008/2/13/pubmed PY - 2008/3/18/medline PY - 2008/2/13/entrez SP - 202 EP - 9 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 18 IS - 2 N2 - OBJECTIVE: The study objective was to validate the use of subjective global assessment (SGA) in assessing the prevalence of malnutrition among patients on hemodialysis in Jordan by comparing SGA grades with anthropometric and biochemical measurements. DESIGN: This was a cross-sectional survey. SETTING: The study was performed at hospital hemodialysis units. PATIENTS: End-stage renal-failure outpatients (n = 178; 94 women and 84 men; mean age +/- SD, 43.9 +/- 14.6 years) who underwent hemodialysis were recruited from five large Jordanian hospitals. The obtained data were compared with tabulated measurements of the reference population in term of age and sex. MAIN OUTCOME MEASURES: Subjective global assessment, anthropometric (dry weight, body mass index, fat percentage, fat mass, triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, and arm muscle area), and biochemical (albumin, total protein, hemoglobin, creatinine, urea, cholesterol, phosphorus, calcium, and potassium) measurements were assessed in all patients. RESULTS: In this study, 56.2% of patients on hemodialysis were moderately malnourished, and 5.6% were severely malnourished. Age was inversely associated with patients' nutritional status as well as SGA grades. The findings also suggest a significant (P < .001) decrease in some anthropometric parameters (dry weight, body mass index, fat percentage, fat mass, triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, and arm muscle area) with advanced malnutrition. CONCLUSION: A comparison of SGA grades with biochemical and anthropometric variables indicated that SGA could be used to assess nutritional status in patients on hemodialysis. Overall, about 38.2% of patients were well-nourished. Age and duration of hemodialysis appeared to be associated with nutritional status. SN - 1532-8503 UR - https://www.unboundmedicine.com/medline/citation/18267213/Assessing_the_prevalence_of_malnutrition_in_chronic_kidney_disease_patients_in_jordan_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051-2276(07)00219-1 DB - PRIME DP - Unbound Medicine ER -