Nutritional Staus of Patients on Maintenance Hd

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Nutritional status assessment of patients on maintenance hemodialysis in Premiere Medical Center

Authors: Jo-Ann Rene V. Boado MD2, Divina Cristy Redondo1, MD, Jovi Flauta-Orio MD2, , Ma. Lourdes M. Gomez MD2, Aurora Valencia, RND1, Michelle Joy Ingalla , RND1, Ronile M. Ferrer, RND1

1 Medical Nutrition and Weight Management Center, Premiere Medical Center, Nuevea Ecija Philippines
2 Department of Medicine, Premiere Medical Center, Nueva Ecija Philippines

Abstract- Malnutrition is common among maintenance hemodialysis (MHD) patients, a common factor of increased death risk in these population. This study aimed to determine the prevalence of malnutrition of MHD patients at a dialysis center in a provincial hospital in the Philippines using the Dialysis Malnutrition Score (DMS), a modified Subjective Global Assessment (SGA). It also aimed to analyze possible correlation between modified SGA and different techniques of nutritional assessment including food intake and anthropometric measurement. This is a prospective observational study in which the MHD patients were assessed by modified SGA, food intake recall and anthropometry. Results showed that 45% have moderate malnutrition and 36% have severe malnutrition. The severity of malnutrition was not associated with age, and duration of dialysis while food intake and anthropometric variables are all weakly negatively correlated. We conclude that a more comparative, longitudinal studies with larger population is needed to further validate the reliability of DMS.

Key words: anthropometric measurements; dialysis; malnutrition score; subjective global assessment

Introduction:

Malnutrition is common among patients on maintenance hemodialysis. A 40% prevalence of malnutrition was found in patients with advanced renal failure at the beginning of dialysis treatment (1). If not yet malnourished at the time of examination, end-stage renal disease (ESRD) patients treated by maintence



References: 5. Held,PJ,Brunner,FB,Odaka,M,Garcia,JR,Port,FK,Gaylin,DS: Five-year survival for end-stage renal disease patients in the United States, Europe, and Japan, 1982 to 1987. Am J Kidney dis 1990 15: 451-457,/pubmed/ISI/Chemport/ 6 16. US Renal Data System. USRDS 1996 Annual Data Report. The National Institute of Health; National Institute of Diabetes and Digestive and Kidney Diseases; Bethesda, MD, 1996 17 29. Kalantar-Zadeh K, Ikizler TA, Block G, Avram MM, Kopple JD. Malnutrition-inflammation complex syndrome in dialysis patients: causes and consequences. Am J Kidney Dis. 2003 Nov; 42 (5): 864-81 30

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