Assessing the prevalence of protein-energy wasting in haemodialysis patients: A cross-sectional monocentric study
| Autor: | Rajaa Essadik, Anass Kettani, El Hassane Tahri, Rajaa Msaad, Hassan Taki, Halima Lebrazi, Rachid Saile, Ghizlane Madkouri, Benyounes Ramdani |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Nephrology medicine.medical_specialty 030232 urology & nephrology Serum albumin Nutritional Status Protein-Energy Malnutrition 03 medical and health sciences 0302 clinical medicine Renal Dialysis Risk Factors Internal medicine Electric Impedance Prevalence medicine Humans Prealbumin 030212 general & internal medicine Intensive care medicine Wasting Serum Albumin Receiver operating characteristic biology business.industry Albumin Middle Aged Anthropometry medicine.disease Morocco Malnutrition Cross-Sectional Studies Nutrition Assessment Area Under Curve biology.protein Kidney Failure Chronic Female medicine.symptom business Bioelectrical impedance analysis Biomarkers |
| Zdroj: | Néphrologie & Thérapeutique. 13:537-543 |
| ISSN: | 1769-7255 |
| DOI: | 10.1016/j.nephro.2017.02.013 |
| Popis: | Introduction Protein-energy wasting (PEW) is a strong predictive factor for morbidity and mortality in haemodialysis (HD) patients. However, there is no consensus for its assessment. The present study aimed to assess the nutritional status of patients on chronic HD by use of different nutritional assessment parameters, and at verifying which can identify the greatest number of HD patients with PEW. Also, to investigate predictors of nutritional status in a haemodialysis center in Morocco. Patients and methods This is a cross-sectional analysis performed on 126 patients aged 44.82 ± 14.01 years, undergoing maintenance HD in the Department of nephrology of the university hospital centre of Casablanca, Morocco. Energy and nutrients intake assessment was obtained by a three-day period food recall. Biochemical parameters, bioelectric impedance analysis, and subjective global assessment (SGA), have been performed to assess nutritional status. Results According to SGA the prevalence of PEW was 74.62%. However, when using the ISRMN malnutrition criteria only 36.50% of the patients were diagnosed with PEW. Pearson correlation showed a negative association between the degree of malnutrition evaluated by SGA and serum prealbumin (r = −0.54; P = 0.0001), serum albumin (r = −0.50; P = 0.001), energy (r = −0.34; P = 0.002), protein intake (r = −0.41; P = 0.0001), and a significant positive correlation with CRP (r = 0.65; P = 0.0001) was determined, but not with anthropometric measurements nor lipids profile. The areas under the receiver operating characteristic curve were 0.841 (95% CI: 0.751–0.932) for serum prealbumin, and 0.737 (95% CI: 0.634–0.840) for serum albumin. Conclusion Our results showed a high prevalence of PEW among Haemodialysis patients. Also, our findings suggest that SGA, serum albumin and prealbumin may be relative appropriate and practical markers for assessing nutritional status in HD patients. |
| Databáze: | OpenAIRE |
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