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Malnutrition predicting factors in hemodialysis patients.
Saudi J Kidney Dis Transpl. 2010 Sep; 21(5):846-51.SJ

Abstract

Malnutrition is a predictor of increased mortality in chronic hemodialysis (HD) patients. Various factors may contribute to malnutrition in these patients including energy and protein intake, inflammation, and comorbidity. To determine the importance of these factors in malnutrition of chronic HD patients, we studied 112 chronic HD patients in two centers was evaluated with the Dialysis Malnutrition Score (DMS) and anthropometric and biochemical indices. Seventy six (67.8%) patients were classified as malnourished. According to DMS score, poor protein intake (r= -0.34, P< 0.01), comorbidities (r= -0.24, P< 0.05), poor energy intake (r= - 0.18, P< 0.005), and inflammation (r= -0.16, P< 0.05) were significant predictors of malnutrition in descending order of importance. Multiple regression analysis showed that only poor protein intake was the explanatory variable of anthropometric measurements decline including body mass index, triceps skin fold thick-ness, mid arm circumference, mid arm muscle circumference, fat free mass, fat mass, albumin, creatinine and transferrine. None of the mentioned factors predicted the decrease of biochemical markers. We conclude that the frequency of malnutrition is high in our population and poor protein intake is the primary contributing factor for this condition. Therefore, providing enough protein may be a simple and effective way in preventing malnutrition in these patients.

Authors+Show Affiliations

Shefa Neuroscience Research Center, Tehran, Iran. Razeghi@razi.tums.ac.irNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

20814118

Citation

Jahromi, Soodeh Razeghi, et al. "Malnutrition Predicting Factors in Hemodialysis Patients." Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia, vol. 21, no. 5, 2010, pp. 846-51.
Jahromi SR, Hosseini S, Razeghi E, et al. Malnutrition predicting factors in hemodialysis patients. Saudi J Kidney Dis Transpl. 2010;21(5):846-51.
Jahromi, S. R., Hosseini, S., Razeghi, E., Meysamie, A. p., & Sadrzadeh, H. (2010). Malnutrition predicting factors in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 21(5), 846-51.
Jahromi SR, et al. Malnutrition Predicting Factors in Hemodialysis Patients. Saudi J Kidney Dis Transpl. 2010;21(5):846-51. PubMed PMID: 20814118.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Malnutrition predicting factors in hemodialysis patients. AU - Jahromi,Soodeh Razeghi, AU - Hosseini,Saeed, AU - Razeghi,Effat, AU - Meysamie,Ali pasha, AU - Sadrzadeh,Haleh, PY - 2010/9/4/entrez PY - 2010/9/4/pubmed PY - 2010/12/14/medline SP - 846 EP - 51 JF - Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia JO - Saudi J Kidney Dis Transpl VL - 21 IS - 5 N2 - Malnutrition is a predictor of increased mortality in chronic hemodialysis (HD) patients. Various factors may contribute to malnutrition in these patients including energy and protein intake, inflammation, and comorbidity. To determine the importance of these factors in malnutrition of chronic HD patients, we studied 112 chronic HD patients in two centers was evaluated with the Dialysis Malnutrition Score (DMS) and anthropometric and biochemical indices. Seventy six (67.8%) patients were classified as malnourished. According to DMS score, poor protein intake (r= -0.34, P< 0.01), comorbidities (r= -0.24, P< 0.05), poor energy intake (r= - 0.18, P< 0.005), and inflammation (r= -0.16, P< 0.05) were significant predictors of malnutrition in descending order of importance. Multiple regression analysis showed that only poor protein intake was the explanatory variable of anthropometric measurements decline including body mass index, triceps skin fold thick-ness, mid arm circumference, mid arm muscle circumference, fat free mass, fat mass, albumin, creatinine and transferrine. None of the mentioned factors predicted the decrease of biochemical markers. We conclude that the frequency of malnutrition is high in our population and poor protein intake is the primary contributing factor for this condition. Therefore, providing enough protein may be a simple and effective way in preventing malnutrition in these patients. SN - 1319-2442 UR - https://www.unboundmedicine.com/medline/citation/20814118/Malnutrition_predicting_factors_in_hemodialysis_patients_ L2 - http://www.sjkdt.org/article.asp?issn=1319-2442;year=2010;volume=21;issue=5;spage=846;epage=851;aulast=Jahromi DB - PRIME DP - Unbound Medicine ER -