The development of malnutrition is not dependent on its traditional contributing factors in patients on maintenance hemodialysis in developing countries
Joint Authors
Bukhari, Sayyid Radwan Ali
Ali, Mirza Amir Faizan
Khalid, Sayyid Arsalan
Iftikhar, Bushra
Ahmad, Hafiz Ijaz
Husayn, Ahlam Safdar
Yaqub, Uthman
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 29, Issue 2 (30 Apr. 2018), pp.351-360, 10 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2018-04-30
Country of Publication
Saudi Arabia
No. of Pages
10
Main Subjects
Abstract EN
Malnutrition in dialysis population is associated with significant morbidity and mortality.
Nutritional assessment is a neglected area in hemodialysis (HD) patients in developing countries.
The aim of the study was to find out whether any traditional parameters have statistically significant correlation with malnutrition.
All 58 end-stage renal disease patients on maintenance HD in our dialysis unit were enrolled in this cross-sectional study.
The nutritional status was assessed by a predesigned questionnaire including subjective global assessment (SGA).
Anthropometric measurements, peripheral neuropathy, and pertinent laboratory parameters were checked.
The duration of HD ranged between three months to 10 years (mean 4 ± 1.5 years).
Of these 49 patients, 26 (53%) were males with a median age 45 (25–76) years.
Fifteen patients (31%) were well nourished and 34 (69%) were undernourished including nine (19%) patients classified as severely malnourished according to SGA.
Malnutrition appeared more prevalent in males, however, statistically not significant (P = 0.063).
On univariate and multivariate analysis, no significance was found across well-nourished and malnourished patients in terms of age, body mass index, calorie count, duration and frequency of dialysis, dry weight, interdialytic weight loss or gain in the past six months, body fat percentage, serum albumin, blood pressure, intradialytic hypotension, urea reduction ration, Kt/Vurea, peripheral neuropathy, and comorbidities.
Psychosocial factors were identified in 24 (49%) patients with 19 (79%) having some degrees of malnutrition, but the finding did not reach the statistical significance.
Surprisingly, the traditional factors studied in previous trials have not shown any significant association to malnutrition in our study based on the statistical analysis.
American Psychological Association (APA)
Bukhari, Sayyid Radwan Ali& Ali, Mirza Amir Faizan& Khalid, Sayyid Arsalan& Iftikhar, Bushra& Ahmad, Hafiz Ijaz& Husayn, Ahlam Safdar…[et al.]. 2018. The development of malnutrition is not dependent on its traditional contributing factors in patients on maintenance hemodialysis in developing countries. Saudi Journal of Kidney Diseases and Transplantation،Vol. 29, no. 2, pp.351-360.
https://search.emarefa.net/detail/BIM-838523
Modern Language Association (MLA)
Bukhari, Sayyid Radwan Ali…[et al.]. The development of malnutrition is not dependent on its traditional contributing factors in patients on maintenance hemodialysis in developing countries. Saudi Journal of Kidney Diseases and Transplantation Vol. 29, no. 2 (Mar. / Apr. 2018), pp.351-360.
https://search.emarefa.net/detail/BIM-838523
American Medical Association (AMA)
Bukhari, Sayyid Radwan Ali& Ali, Mirza Amir Faizan& Khalid, Sayyid Arsalan& Iftikhar, Bushra& Ahmad, Hafiz Ijaz& Husayn, Ahlam Safdar…[et al.]. The development of malnutrition is not dependent on its traditional contributing factors in patients on maintenance hemodialysis in developing countries. Saudi Journal of Kidney Diseases and Transplantation. 2018. Vol. 29, no. 2, pp.351-360.
https://search.emarefa.net/detail/BIM-838523
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 359-360
Record ID
BIM-838523