Geriatric nutritional risk index and quality of life among elderly hemodialysis patients: a cross-sectional study

Ali Nouri, Roya Mansour-Ghanaei, Mohammad Esmaeilpour-Bandboni, Bahare Gholami Chaboki
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Abstract

Nutritional problems are considered one of the main complications of hemodialysis, and the geriatric nutritional risk index (GNRI) is a new instrument for assessing geriatric nutritional status. The present study sought to evaluate the relationship between the GNRI and quality of life (QOL) among elderly hemodialysis patients. In the present analytical cross-sectional study, 110 hemodialysis individuals were selected by applying a simple random sampling method, among whom 57 and 53 were males and females, respectively (mean: 70.3±6.93 years). Demographic characteristics, GNRI, and QOL status were determined. The data were analyzed using SPSS 20 software and descriptive statistics, Pearson’s correlation, ANOVA, independent sample t-tests, and multiple linear regression analysis. The mean GNRI and mean total QOL were respectively obtained 93.903±11.067 and 20.95 ± 4.89. Among females, a significant direct relationship was observed between GNRI and total QOL (P = 0.010, r = 0.352), autonomy (P = 0.004, r = 0.389), and pleasure (P = 0.015, r = 0.333), while GNRI was not directly and significantly related to QOL in males (P = 0.161, r = 0.188). Due to the presence of a significant association between Geriatric GNRI and QOL among elderly hemodialysis patients, particularly among females, highlighting the importance of addressing nutritional status in optimizing well-being.
老年营养风险指数与老年血液透析患者的生活质量:一项横断面研究
营养问题被认为是血液透析的主要并发症之一,而老年营养风险指数(GNRI)是评估老年营养状况的一种新工具。本研究旨在评估老年血液透析患者的营养风险指数与生活质量(QOL)之间的关系。 在本分析性横断面研究中,采用简单随机抽样方法选取了 110 名血液透析患者,其中男性和女性分别为 57 人和 53 人(平均年龄:70.3±6.93 岁)。调查对象的人口统计学特征、GNRI 和 QOL 状况。数据采用 SPSS 20 软件进行分析,包括描述性统计、皮尔逊相关、方差分析、独立样本 t 检验和多元线性回归分析。 结果表明,平均 GNRI 为(93.903±11.067),平均总 QOL 为(20.95±4.89)。在女性中,观察到 GNRI 与总 QOL(P = 0.010,r = 0.352)、自主性(P = 0.004,r = 0.389)和愉悦感(P = 0.015,r = 0.333)之间存在显著的直接关系,而在男性中,GNRI 与 QOL 没有显著的直接关系(P = 0.161,r = 0.188)。 由于老年血液透析患者,尤其是女性老年血液透析患者的老年 GNRI 与 QOL 之间存在明显的关联,突出了解决营养状况对优化幸福感的重要性。
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