Nutritional Staus of Patients on Maintenance Hd
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
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
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