Assessment of malnutrition in patients with chronic kidney disease undergoing hemodialysis

A. Racha, Mahija Kanthala, Shravani Komuravelly, V. Eggadi, S. Bandaru, R. Prasad
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引用次数: 1

Abstract

Background Malnutrition is the utmost predominant problem that arises in patients undergoing hemodialysis. Muscle wasting arises as a prevailing case, and so, it acts as a crucial indicator of morbidity and mortality in hemodialysis patients. Patients and methods This study encompasses 175 participants for a period of 6 months. Graded questionnaires and clinical findings were used to assess nutritional status. Results The mean age was 49.26±13.35 years, and 73% were males. Mean serum albumin and hemoglobin levels were 2.78±0.75 and 9.01±1.60 g/dl, respectively. According to the National Kidney Foundation, 49.71% of participants were malnourished whose BMI was less than 20. The results of mini-nutritional assessment scores revealed that a greater number of patients were at risk of malnutrition (56.5%) and subjective global assessment scores showed a moderate risk (63.4%). On assessing the clinical findings, 96% were anemic, 90.2% were fatigue, 62.8% complained of headache, and 69.1% had anorexia. Conclusion It is necessary to have the right amount of nutrition each day as it boosts the quality of life and further research should pinpoint the management strategies to control malnutrition in patients with chronic kidney disease.
慢性肾病血液透析患者营养不良的评估
背景:营养不良是血液透析患者最主要的问题。肌肉萎缩作为一种普遍的病例出现,因此,它是血液透析患者发病率和死亡率的重要指标。患者和方法本研究包括175名参与者,为期6个月。采用分级问卷和临床结果来评估营养状况。结果患者平均年龄49.26±13.35岁,男性占73%。平均血清白蛋白和血红蛋白水平分别为2.78±0.75和9.01±1.60 g/dl。根据国家肾脏基金会的数据,49.71%的参与者营养不良,体重指数低于20。微营养评估评分结果显示,存在营养不良风险的患者较多(56.5%),主观整体评估评分显示存在中等风险(63.4%)。在评估临床表现时,96%的患者出现贫血,90.2%的患者出现疲劳,62.8%的患者出现头痛,69.1%的患者出现厌食。结论每天摄入适量营养是提高生活质量的必要条件,进一步研究应明确控制慢性肾病患者营养不良的管理策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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