Volume 27, Issue 2 (Iran South Med J 2024)                   Iran South Med J 2024, 27(2): 159-170 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ghasemifard A, Arian A, Hoseinzadeh-Chahkandak F, Riahi S M, Soleimani Moghaddam R. An Assessment of the Prevalence of Malnutri-tion in Individuals with End- Stage Chronic kidney Disease; Descriptive Study. Iran South Med J 2024; 27 (2) :159-170
URL: http://ismj.bpums.ac.ir/article-1-2014-en.html
1- Student of General Medicine, Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran
2- Department of Internal Medicine, School of Medicine Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
3- Department of Public Health, School of Health, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
4- Department of Family and Community Medicine, School of Medicine, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
5- Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran , rasool.solaimani@yahoo.com
Abstract:   (746 Views)
Background: Given the medical conditions of hemodialysis patients, nutritional problems in these patients can impact their quality of life and mortality. This study aimed to investigate the prevalence of malnutrition in hemodialysis patients in Birjand.
Materials and Methods: The study was conducted in 2022 using a descriptive-analytical approach. A total of 115 hemodialysis patients from Birjand were recruited via purposive sampling. A demographic characteristics form, as well as the Subjective Global Assessment-Dialysis Malnutrition Score (SGA-DMS), were used to collect data in this study. Additionally, the patients’ anthropometric and biochemical measurements were made, and their connection to nutritional status was established.
Results: Overall, 80 (69.6%) of the patients had normal nutritional status, while 35 (30.4%) had mild to moderate malnutrition. Patients with normal nutrition had higher levels of BUN, albumin, and CRP prior to hemodialysis than those with mild to moderate malnutrition. Moreover, in the patients with normal nutrition, the cholesterol level was lower. Patients with mild to moderate malnutrition exhibited lower levels of creatinine before and after hemodialysis and lower BUN after hemodialysis compared to the patients with normal nutrition.
Conclusion: The study indicates a lower prevalence of malnutrition compared to some other studies. However, the high prevalence of malnutrition underscores the importance of routine assessments and nutritional interventions by nutritionists for these patients.
 
Full-Text [PDF 365 kb]   (271 Downloads)    
Type of Study: Original | Subject: Science and nutrition
Received: 2024/05/11 | Accepted: 2024/10/8 | Published: 2024/12/7

References
1. Tahir HB, Khan MNA, Tariq R & et al. Assessment of Nutritional Status of Patients on the Maintenance Hemodialysis at Tertiary Care Hospital using Malnutrition Inflammatory Score. Pakistan Arm Forc Med J 2022; 72(6): 2006-09. [DOI]
2. Leilami K, Sohrabi Z. Comparing Methods for Assessment of Nutritional Status in Hemodialysis Patients: A Review. Intern J Nutr Sci 2021; 6(2): 65-9. [DOI]
3. Saad MEN, Ragab U, Salah AM & et al. Study of nutritional status among end stage renal disease patients on regular hemodialysis in Zagazig University Hospitals. Egypt J Hospital Med 2022; 87(1): 1407-13. [DOI]
4. Holvoet E, Vanden Wyngaert K, Van Craenenbroeck AH & et al. The screening score of Mini Nutritional Assessment (MNA) is a useful routine screening tool for malnutrition risk in patients on maintenance dialysis. PloS One 2020; 15(3): e0229722. [DOI]
5. Rizvi N, Baig M. Nutritional Status of Patients on Maintenance Hemodialysis as Assessed by Mini Nutritional Assessment Survey-Short Form and Anthropometric Measurements. Pakistan J Kidney Dis 2020; 4(2). [DOI]
6. Bramania P, Ruggajo P, Bramania R & et al. Nutritional status of patients on maintenance hemodialysis at Muhimbili National Hospital in Dar es Salaam, Tanzania: a cross-sectional study. J Nutr Metabol 2021; 1-7. [DOI]
7. Arshad AR, Jamal Sh, Amanullah K. Agreement Between Two Nutritional Assessment Scores as Markers of Malnutrition in Patients with End-stage Renal Disease. Cureus 2020; 12(3): e7429. [DOI]
8. Syed F, Bashir S, Jabeen S & et al. Assessment of nutritional status of haemodialysis patients. Asian Journal of Allied Health Sciences (AJAHS) 2020; 33-8. [Article]
9. Bagherniya M, Navab FS ,Kiani Z & et al. The Prevalence of Malnutrition Based on the Anthropometric Variables in Patients Undergoing Hemodialysis in Isfahan, Iran. J Health System Res 2023; 19(2): 111-16. [DOI]
10. Xi W-z, Wu C, Liang Y-l, Wang L-L and Cao Y-h. Analysis of malnutrition factors for inpatients with chronic kidney disease. Front. Nutr.2023; 9: 1002498. [DOI]
11. Güzel S, Keser A, Bayram İK. Risk of malnutrition in general surgical patients. J Health Sci Med 2021; 4(1): 55-62. [DOI]
12. Ashabi A, Hejazi S, Mofidi-Nejad M, et al. Evaluation of nutritional status of hemodialysis patients by hand grip strength. Koomesh 2022; 24(4): 496- 503. [Article]
13. Akhlaghi Z, Sharifipour F, Nematy M & et al. Assessment of nutritional status in maintenance hemodialysis patients: A multicenter cross‐sectional study in Iran. Semin Dial 2021; 34(1): 77-82. [DOI]
14. Yılmaz SK, Rakıcıoğlu N. Assessment of Relationship Between Nutritional Status and Handgrip Strength in Hemodialysis Patients. Galician Med J 2020; 27(3): E202034. [DOI]
15. Kirushnan B, Rao BS, Annigeri R, et al. Impact of malnutrition, inflammation, and atherosclerosis on the outcome in hemodialysis patients. Indian J Nephrol 2017; 27(4): 277-283. [DOI]
16. Sohrabi Z, Kohansal A, Mirzahosseini H & et al. Comparison of the nutritional status assessment methods for hemodialysis patients. Clin Nutr Res 2021; 10(3): 219-229. [DOI]
17. da Cunha Bandeira SB, Cansanção K, de Paula TP, et al. Evaluation of the prognostic significance of the malnutrition inflammation score in hemodialysis patients. Clinical nutrition ESPEN 2020; 35: 109-115. [DOI]
18. Lin Y-L, Hsu B-G. Assessment of uremic sarcopenia in dialysis patients: An update. Tzu Chi Med J 2021; 34(2): 182-191. [DOI]
19. Kono K, Moriyama Y, Yabe H & et al. Relationship between malnutrition and possible sarcopenia in the AWGS 2019 consensus affecting mortality in hemodialysis patients: a prospective cohort study. BMC nephrology 2021; 22(1): 378. [DOI]
20. Rimsevicius L, Gincaite A, Vicka V & et al. Malnutrition assessment in hemodialysis patients: role of bioelectrical impedance analysis phase angle. J Renal Nutr 2016; 26(6): 391-5. [DOI]
21. Omari AM, Omari LS, Dagash HH & et al. Assessment of nutritional status in the maintenance of haemodialysis patients: a cross-sectional study from Palestine. BMC nephrology 2019; 20(1): 92. [DOI]
22. Rezeq HA, Khdair LN, Hamdan ZI & et al. Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine. Saudi J Kidney Dis Transpl 2018; 29(2): 332-40. [DOI]
23. Gencer F, Yıldıran H, Erten Y. Association of malnutrition inflammation score with anthropometric parameters, depression, and quality of life in hemodialysis patients. J Am Coll Nutr 2019; 38(5): 457-62. [DOI]
24. Leij-Halfwerk S, Verwijs MH, van Houdt S & et al. Prevalence of protein-energy malnutrition risk in European older adults in community, residential and hospital settings, according to 22 malnutrition screening tools validated for use in adults≥ 65 years: a systematic review and meta-analysis. Maturitas 2019; 126: 80-9. [DOI]
25. Lan APT, Thanh AT, Ngoc QL & et al. Prevalence and factors associated with malnutrition among hemodialysis patients in a single hemodialysis center in Vietnam: A cross-sectional study. Medicine (Baltimore) 2024; 103(14): e37679. [DOI]
26. Peng H, Aoieong Ch, Tou T & et al. Clinical assessment of nutritional status using the modified quantified subjective global assessment and anthropometric and biochemical parameters in patients undergoing hemodialysis in Macao. J Intern Med Res 2021; 49(9): 03000605211045517. [DOI]
27. Ghorbani A, Hayati F, Karandish M & et al. The prevalence of malnutrition in hemodialysis patients. J Renal Inj Prev 2020; 9(2): e15. 10.34172/jrip.2020.15 28.Yigit IP, Ulu R, Celiker H & et al. Evaluation of nutritional status using anthropometric measurements and MQSGA in geriatric hemodialysis patients .North clin Istanb 2016; 3(2): 124-30. [DOI]
28. Azzeh FS, Turkistani WM, Ghaith MM & et al. Factors associated with the prevalence of malnutrition among adult hemodialytic patients: A twocenter study in the Jeddah region, Saudi Arabia. Medicine 2022; 101(40): e30757. [DOI]
29. Naini AE, Karbalaie A, Abedini M & et al. Comparison of malnutrition in hemodialysis and peritoneal dialysis patients and its relationship with echocardiographic findings. J Res Med Sci 2016; 21. [DOI]
30. Naini AE, Karbalaie A, Abedini M & et al. Comparison of malnutrition in hemodialysis and peritoneal dialysis patients and its relationship with echocardiographic findings. J Res Med Sci 2016; 21. [DOI]

Send email to the article author


Rights and Permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Iranian South Medical Journal

Designed & Developed by: Yektaweb