Assessment of nutritional status and associated factors among hemodialysis patients in Isfahan, Iran.

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Journal of Research in Medical Sciences Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI:10.4103/jrms.jrms_26_25

Elham Kabiri Naeini, Elahe Zakizade, Milad Maghsoudi, Mohammad Javad Tarrahi, Shirin Meshkinfar, Zahra Iraj, Narges Heydari

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Abstract

Background: This study aims to evaluate the nutritional condition of individuals undergoing hemodialysis (HD) in Isfahan, Iran.

Materials and methods: This cross-sectional study involved 201 HD patients. The modified quantitative subjective global assessment was employed to evaluate nutritional status, along with the collection of sociodemographic data, anthropometric measurements, and biochemical tests.

Results: The participants had a mean age of 60.2 ± 16.24 years, with 70 (34.83%) being female. The prevalence of malnutrition was 63.18%, with 60.2% classified as mild-moderately malnutrition and 2.98% identified as severely malnutrition. The participants had a mean body mass index (BMI) of 24.6 ± 5.0 (kg/m²), while 7.96% of patients had a BMI below the normal range. Compared to patients who underwent HD for <5 years, patients who had been on dialysis for >5 years demonstrated 2.5 times higher odds of malnutrition (odds ratio: 2.47, 95% confidence interval: 1.25-4.9). Age, mid-arm circumference, education level, and comorbid diabetes mellitus were significantly associated with malnutrition. In addition, malnourished patients showed lower levels of serum albumin (Alb) (P < 0.001) and serum creatinine (Cr) (P < 0.001). Multivariate logistic regression demonstrated age, dialysis duration, upper diploma educational level, lower serum Alb, and lower serum Cr may independently be associated with malnutrition in HD patients.

Conclusion: Malnutrition is prevalent among HD patients. Regular assessment of nutritional status may enhance nutritional outcomes and overall well-being in this patient population.

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伊朗伊斯法罕血液透析患者营养状况及相关因素评估

背景：本研究旨在评估伊朗伊斯法罕血液透析（HD）患者的营养状况。材料和方法：本横断面研究纳入201例HD患者。采用改良的定量主观整体评估法评估营养状况，同时收集社会人口统计数据、人体测量数据和生化测试。结果：参与者平均年龄60.2±16.24岁，其中女性70例（34.83%）。营养不良患病率为63.18%，其中轻中度营养不良发生率为60.2%，重度营养不良发生率为2.98%。参与者的平均体重指数（BMI）为24.6±5.0 (kg/m2)，而7.96%的患者BMI低于正常范围。与接受HD治疗5年的患者相比，营养不良的几率高出2.5倍（优势比：2.47,95%可信区间：1.25-4.9）。年龄、中臂围、受教育程度和合并糖尿病与营养不良显著相关。此外，营养不良患者血清白蛋白（Alb）（P < 0.001）和血清肌酐（Cr）（P < 0.001）水平较低。多因素logistic回归表明，年龄、透析时间、高学历教育水平、低血清白蛋白和低血清Cr可能与HD患者营养不良独立相关。结论：营养不良在HD患者中普遍存在。定期评估营养状况可以提高患者的营养结局和整体健康状况。

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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来源期刊

Journal of Research in Medical Sciences MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

6.20%

发文量

审稿时长

3-6 weeks

期刊介绍： Journal of Research in Medical Sciences, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online continuous journal with print on demand compilation of issues published. The journal’s full text is available online at http://www.jmsjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository.