Journal of Renal Nutrition最新文献

{"title":"Efficacy of Lemon Mouthwash in Improving Dry Mouth Symptoms and Salivary Flow in Hemodialysis Patients.","authors":"I-Chen Yu, Ji-Tseng Fang","doi":"10.1053/j.jrn.2024.07.007","DOIUrl":"10.1053/j.jrn.2024.07.007","url":null,"abstract":"<p><strong>Objectives: </strong>Gargling mouthwash is a safe and convenient oral care intervention; it rinses the mouth and increases salivary flow rate. The effectiveness of lemon mouthwash in relieving xerostomia and increasing the salivary flow rate among hemodialysis patients has not been studied. Our study sought to analyze the effectiveness of varying concentrations of lemon in mouthwash solutions on xerostomia and salivary flow rate.</p><p><strong>Methods: </strong>A multi-concentration test was used to assess lemon mouthwash at 20%, 15%, 10%, 5%, and 2.5% concentrations to determine the optimal concentration for relieving dry mouth and increasing salivary flow rate. Generalized estimating equations were used to analyze the differences between various concentrations of lemon mouthwash and baseline values.</p><p><strong>Results: </strong>In total, 44 patients were recruited. The 10% lemon concentration mouthwash was the most effective for increasing salivary flow rate, but the 5% and 2.5% were better accepted by the participants. Our findings can help establish intervention guidelines to relieve xerostomia among hemodialysis patients.</p><p><strong>Conclusion: </strong>Our findings can help establish intervention guidelines to relieve xerostomia among hemodialysis patients.</p>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phosphorus Content of Several Plant-Based Yogurts.","authors":"John S Babich, Jason Patel, Léonie Dupuis, David S Goldfarb, Stacy Loeb, James Borin, Shivam Joshi","doi":"10.1053/j.jrn.2024.07.004","DOIUrl":"10.1053/j.jrn.2024.07.004","url":null,"abstract":"<p><strong>Objective: </strong>In people with chronic kidney disease (CKD), hyperphosphatemia is a risk factor for mortality. Though unproven, dietary phosphorus control is considered essential in CKD. Although dietary and serum phosphorus are correlated, phosphorus from plant foods rich in phytate is less bioavailable than from animal and processed foods. Yogurt, valued for its low phosphorus and high protein, may be detrimental in CKD due to animal protein content. Plant-based yogurts (PBYs) might offer similar benefits without the downsides of animal protein, but little is known about their phosphorus content.</p><p><strong>Design and methods: </strong>Protein contents and phosphorus additives were gathered from nutrition labels of several PBYs, including almond, cashew, oat, coconut, and soy substrates. Phosphorus content was measured via emission spectrometry by Eurofins (Madison, WI), and the phosphorus-to-protein ratio (PPR) was calculated for each PBY.</p><p><strong>Results: </strong>Phosphorus content was highest in Silk Soy Strawberry, Silk Almond Strawberry, and Siggi's Coconut Mixed Berries, while it was lowest in So Delicious Coconut Strawberry, Oatly Oat Strawberry, Forager Cashew Strawberry, and Kite Hill Almond Strawberry. Ingredient labels revealed that Silk Soy Strawberry, Silk Almond Strawberry, and Oatly Oat Strawberry contained phosphorus additives, and Siggi's Coconut Mixed Berries contained pea protein additives. Though from the same substrate class, So Delicious Coconut Strawberry and Siggi's Coconut Mixed Berries showed significant differences in phosphorus and protein contents. All seven PBYs had higher PPR ratios than dairy yogurts like Stonyfield Organic Oikos Strawberry, Chobani Nonfat Strawberry, and Yoplait Greek Strawberry.</p><p><strong>Conclusion: </strong>Low-PPR foods are important for CKD patients. Siggi's Coconut Mixed Berries had the lowest PPR, making it potentially the most desirable for CKD patients. However, there is high variability in PPR among PBYs with the same substrate; therefore, Delicious Coconut Strawberry had the highest PPR, highlighting the importance of product selection for patients with CKD.</p>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practical Use of Patient-Reported Outcome Measures in Chronic Kidney Disease-Associated Pruritus","authors":"Rachael R. Majorowicz RDN, CSR, LD, FNKF ,&nbsp;Kamyar Kalantar-Zadeh MD, MPH, PhD","doi":"10.1053/j.jrn.2024.01.002","DOIUrl":"10.1053/j.jrn.2024.01.002","url":null,"abstract":"<div><p>Regulatory and clinical stakeholders are increasingly advocating for the use of patient-reported outcome (PRO) measures; however, the use of PROs is still not widespread. Patient reports are often the best ways to diagnose and monitor the effect of treatment on symptoms when the symptoms are subjective, as with pruritus. While many PRO tools are available to assess the severity of pruritus and its impact on quality of life (e.g., sleep), these are not used in a consistent manner and their results may not translate into clinical action. In this article, we present an introduction to PROs and their use in the assessment of chronic kidney disease-associated pruritus, as well as a practical guide to some of the PRO tools currently available, to empower all members of the nephrology patient care team to use these tools appropriately for the benefit of the patient.</p></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1051227624000062/pdfft?md5=0686ddd0aaa0ca981d0efababad624fe&pid=1-s2.0-S1051227624000062-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Dietary Acid Load on Progression of Estimated Glomerular Filtration Rate Among Individuals Diagnosed With Chronic Kidney Disease","authors":"Christina Nina Poyourow MS, RDN, LDN ,&nbsp;Kristin Leonberg MS, RD, CSR, LD/N, CDE ,&nbsp;Mina Ghajar MLS ,&nbsp;Mei Chung PhD ,&nbsp;Laura Byham-Gray PhD, RDN, FNKF","doi":"10.1053/j.jrn.2024.03.001","DOIUrl":"10.1053/j.jrn.2024.03.001","url":null,"abstract":"<div><h3>Objective</h3><p>Individuals with chronic kidney disease (CKD) are at an increased risk for developing metabolic acidosis. Metabolic acidosis has been shown to worsen kidney function and exacerbate systemic inflammation. Diets high in protein foods can exacerbate metabolic acidosis as protein foods tend to be more acidic, while fruits and vegetables are more alkalotic. The main objective of this systematic review was to determine if higher consumption of fruits and vegetables in adults with CKD stages 1-5 reduces the rate of decline of estimated glomerular filtration rate.</p></div><div><h3>Methods</h3><p>Searches of Cumulated Index to Nursing and Allied Health Literature (CINAHL -Elton B. Stephens Company [EBSCO]), Cochrane Library (Wiley), Dissertation &amp; Thesis Global (ProQuest), Embase (Elsevier), Medline (OVID), PubMed (National Library of Medicine), Scopus (Elsevier), and Web of Sciences (Clarivate) identified 1,451 articles published between January 2015 and June 2023.</p></div><div><h3>Results</h3><p>After independent review, 7 total studies were included. Six of the studies found an association between dietary acid load and progression of CKD.</p></div><div><h3>Conclusions</h3><p>Dietary counseling focusing on decreasing dietary acid load may be beneficial for individuals with CKD.</p></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"July 2024 Meeting Announcements","authors":"","doi":"10.1053/j.jrn.2024.05.002","DOIUrl":"https://doi.org/10.1053/j.jrn.2024.05.002","url":null,"abstract":"","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S105122762400089X/pdfft?md5=57045547077247e31938d58ff6cc1e97&pid=1-s2.0-S105122762400089X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Postexercise Vagal Dysfunction With Protein-Energy Wasting and Noncardiovascular Outcomes in Patients Receiving Hemodialysis: A Retrospective Cohort Study","authors":"Naoto Usui RPT, MSc ,&nbsp;Junichiro Nakata MD, PhD ,&nbsp;Akimi Uehata MD, PhD ,&nbsp;Sho Kojima RPT, MSc ,&nbsp;Hideki Hisadome MD ,&nbsp;Shuji Ando PhD ,&nbsp;Masakazu Saitoh RPT, PhD ,&nbsp;Akihito Inatsu MD, PhD ,&nbsp;Takahiko Tsuchiya MD ,&nbsp;Takayuki Mawatari MD ,&nbsp;Yusuke Suzuki MD, PhD","doi":"10.1053/j.jrn.2023.11.005","DOIUrl":"10.1053/j.jrn.2023.11.005","url":null,"abstract":"<div><h3>Objective</h3><p>Postexercise vagal dysfunction is linked to noncardiovascular mortality in hemodialysis patients, but the mechanism is unknown. This study aimed to determine the association of cardiovagal neuropathy with systemic inflammation, protein-energy wasting, and noncardiovascular hospitalization.</p></div><div><h3>Methods</h3><p>This 2-center retrospective cohort study analyzed data from 280 hemodialysis patients who underwent exercise test. Patients were assessed for heart rate (HR) recovery (bpm) for 1 minute after exercise, a marker of vagal function, and were divided into 3 categories (Low: ≤ 6, Mid: 7-11, High: ≥ 12 bpm). We followed 1-year changes in the systemic inflammation-based prognostic score (Glasgow Prognostic Score [GPS]), body weight, and creatinine generation rate (CGR), an indicator of muscle mass, as well as 2-year hospitalization.</p></div><div><h3>Results</h3><p>The HR recovery category was associated with serum C-reactive protein and albumin levels and GPS. After 1 year, the low HR recovery category was associated with worsening in GPS (low, 0 [0-0.5]; mid, 0 [0-1]; high, 0 [0-0]), weight (low, 100.0 [96.1-102.5]; mid, 101.3 [98.9-105.0]; high, 100.5 [98.2-102.9]%), and CGR (low, 97.0 [88.5-111.4]; mid, 110.2 [90.9-124.8]; high, 106.2 [95.5-115.5]%), and the correlations with GPS and CGR remained consistent after adjusting for confounders such as exercise capacity and hospitalization during the follow-up period. There were 117 patients hospitalized. Compared to the high HR recovery category, the mid (hazard ratio: 1.8, 95% confidence interval [CI]: 1.1-3.1, <em>P</em> = .02) and low (hazard ratio: 2.4, 95% CI: 1.5-4.0, <em>P</em> = .001) categories were independently associated with an increased risk of all-cause hospitalization. For noncardiovascular disease hospitalization, the low HR recovery category was independently associated with increased risk of hospitalization (hazard ratio: 2.1, 95% CI: 1.2-3.7, <em>P</em> = .007).</p></div><div><h3>Conclusions</h3><p>Vagal neuropathy in this population can contribute to adverse outcomes associated with systemic inflammation and protein-energy wasting.</p></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and Frequency of Physical Activity and Exercise-Related Side Effects in People Receiving Peritoneal Dialysis","authors":"Brett Tarca PhD ,&nbsp;Shilpanjali Jesudason MD, PhD ,&nbsp;Paul N. Bennett PhD ,&nbsp;Thomas P. Wycherley PhD ,&nbsp;Katia E. Ferrar PhD","doi":"10.1053/j.jrn.2023.12.003","DOIUrl":"10.1053/j.jrn.2023.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>People receiving peritoneal dialysis<span> may receive health benefits from physical activity or exercise. However, on-going uncertainty and fear regarding safety may result in this population missing out on the health benefits of participation. The aim of this study was to explore the characteristics and frequency of physical activity and/or exercise-related side effects (e.g., symptoms such as pain or shortness of breath) and negative health events (e.g., stroke or hyper/hypoglycemia) experienced by people receiving peritoneal dialysis.</span></p></div><div><h3>Methods</h3><p>An international online survey involving adults receiving peritoneal dialysis was conducted with questions related to nature, occurrence, and impact of side effects and/or negative health events experienced during or soon after participation in physical activity or exercise.</p></div><div><h3>Results</h3><p>Fifty-two people completed the survey reporting 151 side effects that were related to physical activity and exercise and 67 that were possibly related. Fatigue (58% of respondents), muscle/joint soreness or pain (54%), and dizziness<span> (43%) were the most frequently reported side-effect types. The majority occurred occasionally (58% of all side effects), if not rarely (24%) and participation in on-going physical activity or exercise was typically prevented only occasionally (39%) or not at all (31%). Side effects were mainly self-managed (54% of all side effects) or did not require treatment (19%) and had low (38%) or no effect (30%) on ability to do daily activities.</span></p></div><div><h3>Conclusions</h3><p>People receiving peritoneal dialysis generally experience side effects that can be considered a normal response to physical activity or exercise engagement. Furthermore, the risk of serious or peritoneal dialysis-specific side effects as a result of physical activity or exercise appears to be low. The results add to the emerging evidence suggesting physical activity and exercise appear to be safe for people receiving peritoneal dialysis.</p></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138818797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the Nutritional Intake and Diet Quality of Children With Chronic Kidney Disease Differ From Healthy Controls? A Comprehensive Evaluation","authors":"Rachel Lindeback BND Hons ,&nbsp;Rasha Abdo MND, B Nutr Sci ,&nbsp;Lyndal Schnabel MND, B Nutr Sci ,&nbsp;Renee Le Jambre BND ,&nbsp;Sean E. Kennedy MBBS, PhD ,&nbsp;Tamarah Katz MSc, Nutr and Diet ,&nbsp;Chee Y. Ooi MBBS, Dip Paeds, PhD ,&nbsp;Kelly Lambert Adv APD, PhD, BSci, MSc, Grad Cert Mgmt, Grad Cert Health Economics","doi":"10.1053/j.jrn.2023.12.002","DOIUrl":"10.1053/j.jrn.2023.12.002","url":null,"abstract":"<div><h3>Objective</h3><p>Children with chronic kidney disease (CKD) experience many obstacles to achieving optimal dietary intake. Dietary intake patterns remain unexplored or poorly described. This study compares nutritional intake and diet quality of Australian children with CKD to controls.</p></div><div><h3>Methods</h3><p>A food frequency questionnaire captured intake data and was compared to controls. Nutritional intake was determined using individualized nutrient reference values, and diet quality described using the Australian Guide to Healthy Eating and the Australian Child and Adolescent Recommended Food Score.</p></div><div><h3>Results</h3><p>Children with CKD (n = 36) and controls (n = 82) were studied. Children with CKD had lower weight and height z scores, but higher body mass index (<em>P</em> &lt; .0001 for all parameters). Children with CKD had adequate energy intake, and excessive protein and sodium intake (336% and 569%). They were significantly less likely to meet requirements for vitamin A (<em>P</em> &lt; .001), thiamine (<em>P</em> = .006), folate (<em>P</em> = .01), vitamin C (<em>P</em> = .008), calcium (<em>P</em> &lt; .0001), iron (<em>P</em> = .01), magnesium (<em>P</em> = .0009), and potassium (<em>P</em> = .002). No child met recommended vegetable intake; however, less than half of children with CKD met fruit (44%), grains (31%), and dairy serves (31%). They were also less likely to meet recommended fruit and dairy serves (<em>P</em> = .04 and <em>P</em> = .01, respectively). Non-core foods provided 36% of energy, and although comparable to controls, was contributed more by takeaway foods (<em>P</em> = .01).</p></div><div><h3>Conclusion</h3><p>Children with CKD have reduced nutritional intake of key nutrients and consume more takeaways than controls. Attention to increasing core foods, limiting sodium intake, and managing restrictions while promoting nutrient density appears necessary.</p></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1051227623002297/pdfft?md5=2cba3846729aacbf3ff6e2854082d078&pid=1-s2.0-S1051227623002297-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138818817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equations for Prediction of Body Adiposity in Patients With Chronic Kidney Disease Undergoing Hemodialysis","authors":"Alana Caroline Amorim de Miranda Guimarães Msc ,&nbsp;Dejane de Almeida Melo Msc ,&nbsp;Victor Nogueira da Cruz Nogueira da Cruz Silveira Msc ,&nbsp;Marcos Adriano Garcia Campos MD ,&nbsp;Elisângela Milhomem dos Santos PhD ,&nbsp;Ana Karina Teixeira da Cunha França PhD ,&nbsp;Alcione Miranda dos Santos PhD","doi":"10.1053/j.jrn.2023.12.007","DOIUrl":"10.1053/j.jrn.2023.12.007","url":null,"abstract":"<div><h3>Objectives</h3><p>The prevalence of obesity in the population has increased and excess body adiposity is one of the main nutritional disorders in patients with chronic kidney disease (CKD) on hemodialysis (HD). The objective of this study was to develop equations using anthropometric measurements to predict the total and abdominal body adiposity of patients with CKD on HD.</p></div><div><h3>Methods</h3><p>This is a cross-sectional study evaluating 323 patients with CKD on HD in city in northeastern Brazil. Measurements and anthropometric indicators were correlated with percentage of body fat (%BF) and visceral fat (VF, in kg) measured by dual energy X-ray absorptiometry. Multiple linear regression models based on different combinations of anthropometric measurements were adjusted to develop the equations, with subsequent cross-validation.</p></div><div><h3>Results</h3><p>Of the 323 patients, 62.2% were male and 46.5% were aged between 40 and 59 years. The equation selected to estimate %BF included weight, height, waist and hip circumferences, and triceps and suprailiac skin folds, presenting high predictive capacity (R² = 0.771). The equation selected to estimate VF included weight, height, waist circumference, hip circumference, and sum of skin folds (R2² = 0.796).</p></div><div><h3>Conclusions</h3><p>The proposed equations efficiently predicted the %BF and VF (kg) of patients with CKD on HD, thereby serving as viable indicators in clinical practice.</p></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139583100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Muscle Ultrasonography to Diagnose Malnutrition and Sarcopenia in Maintenance Hemodialysis","authors":"Merve Güner MD ,&nbsp;Sinem Girgin MD ,&nbsp;Serdar Ceylan MD ,&nbsp;Berşan Özcan MD ,&nbsp;Yelda Öztürk MD ,&nbsp;Arzu Okyar Baş MD ,&nbsp;Meltem Koca MD ,&nbsp;Cafer Balcı ,&nbsp;Burcu Balam Doğu ,&nbsp;Mustafa Cankurtaran ,&nbsp;Tolga Yıldırım ,&nbsp;Meltem Halil","doi":"10.1053/j.jrn.2023.12.001","DOIUrl":"10.1053/j.jrn.2023.12.001","url":null,"abstract":"<div><h3>Background</h3><p>Sarcopenia<span><span><span> and malnutrition are commonly seen and fundamental indicators of prognosis and are directly associated with increased mortality in maintenance hemodialysis (MHD) patients. We aimed to reveal the frequency of malnutrition and sarcopenia </span>in patients undergoing MHD and investigate the role of </span>muscle ultrasound (US) parameters to predict sarcopenia and malnutrition.</span></p></div><div><h3>Methods</h3><p>A total of 45 patients who have undertaken MHD for more than 6 months three times a week were evaluated for the present study. The US measurement was performed on gastrocnemius medialis, rectus femoris (RF), and abdominal muscles, including rectus abdominis, external oblique abdominalis, internal oblique abdominalis, and transversus abdominis. Nutritional status of the participants was assessed by mini-nutritional assessment short-form (MNA-SF).</p></div><div><h3>Results</h3><p>The prevalence of probable and confirmed sarcopenia was 51.1% (n = 23) and 35.6% (n = 16), respectively. The malnutrition and risk of malnutrition were observed in 31.1% of the whole study population (n = 14). All muscle US measurements were lower in the sarcopenic group; however, the difference is meaningful only for RF cross-sectional area (CSA) (<em>P</em><span> = .046). The malnourished group had substantially lower muscle thickness and CSA, except for the gastrocnemius muscle thickness. The value of RFCSA to predict sarcopenia and malnutrition was observed as 4.61 cm</span>², respectively (<em>P</em> &lt; .05). RFCSA was independently associated with sarcopenia (odds ratio: 0.37; 95% confidence interval: 0.17-0.79; <em>P</em> = .011) and malnutrition (odds ratio: 0.45; 95% confidence interval: 0.23-0.87; <em>P</em> = .017).</p></div><div><h3>Conclusion</h3><p>RFCSA may be a useful and simple predictor for predicting patients undergoing hemodialysis who are at risk of sarcopenia and malnutrition.</p></div>","PeriodicalId":50066,"journal":{"name":"Journal of Renal Nutrition","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138818868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}