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Assessment of the reliability and consistency of the "malnutrition inflammation score" (MIS) in Mexican adults with chronic kidney disease for diagnosis of protein-energy wasting syndrome (PEW).
Nutr Hosp. 2014 Oct 04; 31(3):1352-8.NH

Abstract

BACKGROUND

The protein-energy wasting syndrome (PEW) is a condition of malnutrition, inflammation, anorexia and wasting of body reserves resulting from inflammatory and non-inflammatory conditions in patients with chronic kidney disease (CKD).One way of assessing PEW, extensively described in the literature, is using the Malnutrition Inflammation Score (MIS).

OBJECTIVE

To assess the reliability and consistency of MIS for diagnosis of PEW in Mexican adults with CKD on hemodialysis (HD).

METHODS

Study of diagnostic tests. A sample of 45 adults with CKD on HD were analyzed during the period June-July 2014.The instrument was applied on 2 occasions; the test-retest reliability was calculated using the Intraclass Correlation Coefficient (ICC); the internal consistency of the questionnaire was analyzed using Cronbach's αcoefficient. A weighted Kappa test was used to estimate the validity of the instrument; the result was subsequently compared with the Bilbrey nutritional index (BNI).

RESULTS

The reliability of the questionnaires, evaluated in the patient sample, was ICC=0.829.The agreement between MIS observations was considered adequate, k= 0.585 (p <0.001); when comparing it with BNI, a value of k = 0.114 was obtained (p <0.001).In order to estimate the tendency, a correlation test was performed. The r² correlation coefficient was 0.488 (P <0.001).

CONCLUSION

MIS has adequate reliability and validity for diagnosing PEW in the population with chronic kidney disease on HD.

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Publisher Full Text (DOI)

Authors+Show Affiliations

González-Ortiz AJ
Fac. de Medicina, Universidad Nacional Autónoma de México. Departamento de Nefrología y Metabolismo Mineral, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. ailejgo@gmail.com.
Arce-Santander CV
Departamento de Nefrología y Metabolismo Mineral, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. celenestrella@hotmail.com.
Vega-Vega O
Departamento de Nefrología y Metabolismo Mineral, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. olynkavega@gmail.com.
Correa-Rotter R
Departamento de Nefrología y Metabolismo Mineral, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. correarotter@prodigy.net.mx.
Espinosa-Cuevas Mde L
Departamento de Nefrología y Metabolismo Mineral, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Departamento de Atención a la Salud, Universidad Autónoma Metropolitana-Xochimilco, México DF. México.. angeles.espinosac@quetzal.innsz.mx.

MeSH

Activities of Daily LivingAdultAgedAnorexiaAnthropometryBody WeightComorbidityFemaleGastrointestinal DiseasesHumansInflammationIronMaleMexicoMiddle AgedNutrition AssessmentProtein-Energy MalnutritionRenal DialysisRenal Insufficiency, ChronicReproducibility of ResultsSerum AlbuminSeverity of Illness IndexSurveys and QuestionnairesTransferrinWasting Syndrome

Pub Type(s)

Comparative Study
Journal Article
Validation Study

Language

eng

PubMed ID

25726233

Clinical Trial Links

The Use of Electrical Bioimpedance to Evaluate Dry Weight in Patients With Chronic Renal Failure in Hemodialysis

Citation

González-Ortiz, Ailema Janeth, et al. "Assessment of the Reliability and Consistency of the "malnutrition Inflammation Score" (MIS) in Mexican Adults With Chronic Kidney Disease for Diagnosis of Protein-energy Wasting Syndrome (PEW)." Nutricion Hospitalaria, vol. 31, no. 3, 2014, pp. 1352-8.
González-Ortiz AJ, Arce-Santander CV, Vega-Vega O, et al. Assessment of the reliability and consistency of the "malnutrition inflammation score" (MIS) in Mexican adults with chronic kidney disease for diagnosis of protein-energy wasting syndrome (PEW). Nutr Hosp. 2014;31(3):1352-8.
González-Ortiz, A. J., Arce-Santander, C. V., Vega-Vega, O., Correa-Rotter, R., & Espinosa-Cuevas, M. d. e. . L. (2014). Assessment of the reliability and consistency of the "malnutrition inflammation score" (MIS) in Mexican adults with chronic kidney disease for diagnosis of protein-energy wasting syndrome (PEW). Nutricion Hospitalaria, 31(3), 1352-8. https://doi.org/10.3305/nh.2015.31.3.8173
González-Ortiz AJ, et al. Assessment of the Reliability and Consistency of the "malnutrition Inflammation Score" (MIS) in Mexican Adults With Chronic Kidney Disease for Diagnosis of Protein-energy Wasting Syndrome (PEW). Nutr Hosp. 2014 Oct 4;31(3):1352-8. PubMed PMID: 25726233.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessment of the reliability and consistency of the "malnutrition inflammation score" (MIS) in Mexican adults with chronic kidney disease for diagnosis of protein-energy wasting syndrome (PEW). AU - González-Ortiz,Ailema Janeth, AU - Arce-Santander,Celene Viridiana, AU - Vega-Vega,Olynka, AU - Correa-Rotter,Ricardo, AU - Espinosa-Cuevas,María de Los Angeles, Y1 - 2014/10/04/ PY - 2015/3/2/entrez PY - 2014/1/1/pubmed PY - 2015/10/30/medline SP - 1352 EP - 8 JF - Nutricion hospitalaria JO - Nutr Hosp VL - 31 IS - 3 N2 - BACKGROUND: The protein-energy wasting syndrome (PEW) is a condition of malnutrition, inflammation, anorexia and wasting of body reserves resulting from inflammatory and non-inflammatory conditions in patients with chronic kidney disease (CKD).One way of assessing PEW, extensively described in the literature, is using the Malnutrition Inflammation Score (MIS). OBJECTIVE: To assess the reliability and consistency of MIS for diagnosis of PEW in Mexican adults with CKD on hemodialysis (HD). METHODS: Study of diagnostic tests. A sample of 45 adults with CKD on HD were analyzed during the period June-July 2014.The instrument was applied on 2 occasions; the test-retest reliability was calculated using the Intraclass Correlation Coefficient (ICC); the internal consistency of the questionnaire was analyzed using Cronbach's αcoefficient. A weighted Kappa test was used to estimate the validity of the instrument; the result was subsequently compared with the Bilbrey nutritional index (BNI). RESULTS: The reliability of the questionnaires, evaluated in the patient sample, was ICC=0.829.The agreement between MIS observations was considered adequate, k= 0.585 (p <0.001); when comparing it with BNI, a value of k = 0.114 was obtained (p <0.001).In order to estimate the tendency, a correlation test was performed. The r² correlation coefficient was 0.488 (P <0.001). CONCLUSION: MIS has adequate reliability and validity for diagnosing PEW in the population with chronic kidney disease on HD. SN - 1699-5198 UR - https://www.unboundmedicine.com/medline/citation/25726233/Assessment_of_the_reliability_and_consistency_of_the_"malnutrition_inflammation_score"__MIS__in_Mexican_adults_with_chronic_kidney_disease_for_diagnosis_of_protein_energy_wasting_syndrome__PEW__ DB - PRIME DP - Unbound Medicine ER -