The predictive value of composite methods of nutritional assessment on mortality among haemodialysis patients

Clinical Nutrition ESPEN
Letícia Maria FührMonique Ferreira Garcia

Abstract

Several parameters might indicate protein-energy wasting in patients undergoing haemodialysis (HD), and such depletion has been associated with the survival of these patients. Our aim was to identify the parameters that are associated with an increased risk of death among HD patients. This was a prospective study with at least 13 months follow-up three times per week of 138 HD patients; 61.6% of the patients were men, 28.9% had diabetes mellitus, and 81.9% had hypertension. The associations of the survival rates based on by Kaplan-Meier analysis with the following nutritional parameters were verified: albumin, lymphocytes, % fat mass (% FM), mid-arm muscle circumference (MAMC), subjective global assessment (SGA), malnutrition-inflammation score (MIS), and nutritional risk screening 2002 (NRS 2002). Cox proportional hazard analysis was used to identify the patients' risk of death (hazard proportional ratio - HR). The nutritional parameters of lymphocytes and % FM were not associated with the risk of patient death. The patients who were classified as malnourished based on MAMC had a greater risk of death than did those considered nourished, but this difference was not statistically significant. The parameters of serum albumin, SG...Continue Reading

Citations

Apr 10, 2021·Jornal brasileiro de nefrologia : ʹorgão oficial de Sociedades Brasileira e Latino-Americana de Nefrologia·Cristina MartinsMarcia Samia Pinheiro Fidelix

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cachexia & Brown Fat

Cachexia is a condition associated with progressive weight loss due to severe illness. In cancer patients, it is proposed to occur as a result of tumor-induced energy wasting. Several proteins have been implicated in browning and depletion of white adipose tissue. Here is the latest research on cachexia and brown fat.

Cardiac Cachexia

Cardiac cachexia is a syndrome associated with the progressive loss of muscle and fat mass. It most commonly affects patients with heart failure and can significantly decrease the quality of life and survival in these patients. Here is the latest research on cardiac cachexia.

Related Papers

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Mehdi RambodKamyar Kalantar-Zadeh
Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation
Barbara Perez Vogt, Jacqueline Costa Teixeira Caramori
Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Ilia BeberashviliJoshua Weissgarten
Journal of the American Society of Nephrology : JASN
Abdul Rashid QureshiJ Bergstrom
© 2022 Meta ULC. All rights reserved