Assessment of Malnutrition Status in Hemodialysis Patients
Year: 2019
Type: article
Study design: Observational Study
Abstract: Background: Malnutrition in hemodialysis (HD) patients is prevalent worldwide. However, data regarding the nutritional status of those patients among Arab countries is insufficient. Objectives: The purpose of this study was to estimate the prevalence of malnutrition among adult HD patients in Cairo, Egypt and to investigate the possible factors correlating with malnutrition in those patients. Patients and methods: This was a prospective cross-sectional observational study that conducted at 2 dialysis units in Cairo, Egypt. Patients were evaluated for the nutritional status by using modified subjective global assessment (mSGA). Biochemical and hematological parameters were collected pre-dialysis. Results: A total of 100 patients with ESRD on regular HD for more than 6 months (64% males and 36% females) were included in the study. Their mean age was 50.2 ± 12.5 years and the primary cause of ESRD was hypertension in 45% and diabetes in 34%. The prevalence of malnutrition was 67% according to the reference standard mSGA; either mildly-moderately malnourished (50%) or severely malnourished (17%). The mSGA score was positively correlated to age, duration of HD, and CRP and negatively correlated with albumin in HD patients. Conclusion: Malnutrition was highly prevalent among HD patients in Cairo, Egypt. Therefore, there is a need for adequate nutritional assessment early in starting of hemodialysis and tailored nutritional plan to minimize the consequences of malnutrition on the patients and health care system.
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2936760584