Components of geriatric assessment and degree of sarcopenia on maintenance hemodialysis patients.

Abstract

Background: Sarcopenia is a serious public health problem because of its impact on human health and health care system. The prevalence of sarcopenia in elderly undergoing maintenance hemodialysis is increasing, with various components underlying the geriatric assessment.

Methods: This research used a cross-sectional study approach involving 40 samples taken by total sampling according to inclusion and exclusion criteria. The study population was the entire population aged ≥60 years, male dan female, who routinely undergo hemodialysis at the HD installation at Dr. Soetomo Hospital Surabaya. Data analysis was performed using SPSS Version 25.0.

Results: The research subjects were dominated by 62.5% male elderly with a median age of 64 years (60-93 years). The median duration of hemodialysis was 4 years (0.5-21). The proportion of sarcopenia was 82.5%. From the results of bivariate analysis, it was found that nutritional status as measured by MNA was the only component of CGA associated with sarcopenia p=0,002 (OR 25; IK 95% 3,302-189,259).

Conclusion: Nutritional status is an independent predictor of the incidence of sarcopenia to severe sarcopenia in geriatric patients with chronic kidney disease undergoing maintenance hemodialysis.