fa ارزیابی شیوع سوء تغذیه در افراد دارای بیماری مزمن کلیوی مرحله انتهایی؛ مطالعه توصیفی علوم و تغذیه Science and nutrition پژوهشي Original <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">زمینه: </span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">با توجه به شرایط بیماران همودیالیزی، وجود مشکلات تغذیه‌ای در این بیماران می‌تواند بر کیفیت زندگی و مرگ و میر آن&shy;ها تأثیر بگذارد. این مطالعه با هدف ارزیابی شیوع سوء تغذیه در بیماران تحت همودیالیز بیرجند انجام گردید.</span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79"><span style="letter-spacing:-.1pt">مواد و روش‌ها</span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">: در این مطالعه توصیفی- تحلیلی که در سال 1401، بر روی 115 نفر از بیماران تحت همودیالیز شهر بیرجند، که به روش نمونه‌گیری هدفمند انتخاب شدند، انجام گردید. ابزار جمع‌آوری اطلاعات در این مطالعه شامل پرسشنامه اطلاعات دموگرافیک، پرسشنامه سوء تغذیه</span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">-</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> دیالیز (</span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">SGA-DMS</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">) بود و مقادیر آنتروپومتریک و بیوشیمیایی بیماران تعیین و ارتباط آن با وضعیت تغذیه سنجیده شد.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">یافته‌ها</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">: <span style="letter-spacing:-.1pt">80 بیمار (</span></span></span></span></span></span></span></span></span></span><span dir="RTL" style="font-size:10.0pt"><span style="line-height:107%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">&nbsp;69/6</span></span></span></span></span><span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> درصد) وضعیت تغذیه&shy;ای طبیعی و 35 بیمار (30/4 درصد) سوء تغذیه خفیف تا متوسط داشتند. میزان </span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">BUN</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">، سطح آلبومین، </span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">CRP</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">، قبل از همودیالیز در بیمارانی که تغذیه طبیعی داشتند از بیماران با سوء تغذیه خفیف تا متوسط بیش&shy;تر بود و میزان کلسترول در بیمارانی که تغذیه طبیعی داشتند کم&shy;تر بود، در حالی که بیماران با سوء تغذیه خفیف تا متوسط کراتینین قبل و بعد، </span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt">BUN</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.1pt"> بعد از همودیالیز کمتری نسبت به بیماران با تغذیه طبیعی داشتند.</span></span></span></span></span><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"></span></span></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">نتیجه‌گیری:</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> اگرچه در این مطالعه شیوع سوء تغذیه نسبت به برخی مطالعات انجام شده، کمتر مشاهده شد؛ ولی شیوع بالای سوء تغذیه، لزوم بررسی‌های منظم و مداخلات تغذیه‌ای توسط متخصصان تغذیه را در این بیماران کاملاً آشکار می‌کند.</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"></span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Background:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">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 </span></span></span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">the prevalence of </span></span></span></span><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">malnutrition in hemodialysis patients in Birjand.</span></span></span></span><span style="font-size:10.0pt"><span style="background:white"><span style="line-height:115%"></span></span></span></span></span></span> <div style="text-align: justify;"><span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060"><span style="letter-spacing:-.1pt">Materials and Methods:</span></span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:-.1pt">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&rsquo; anthropometric and biochemical measurements were made, and their connection to nutritional status was established.</span></span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060"><span style="letter-spacing:-.1pt">Results:</span></span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"><span style="letter-spacing:-.1pt">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.</span></span></span></span></span></span></span></span></div> <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Conclusion: </span></span></span></span></b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">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.</span></span></span></span><span style="font-size:4.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040"></span></span></span></span></span></span></span><br> &nbsp; همودیالیز, سوء تغذیه, بیماری مزمن کلیه , مرحله نهایی بیماری کلیوی, ارزیابی ذهنی جهانی, ارزیابی تغذیه hemodialysis, malnutrition, chronic kidney disease, End-stage renal disease, Subjective global assessment, Nutrition assessment 159 170 http://ismj.bpums.ac.ir/browse.php?a_code=A-10-1115-20&slc_lang=fa&sid=1 ali Ghasemifard علی قاسمی‌فرد 5700319475328460016333 0009-0009-4778-132X No Student of General Medicine, Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی بیرجند، بیرجند، ایران anahita Arian آناهیتا آرین 5700319475328460016334 5700319475328460016334 No Department of Internal Medicine, School of Medicine Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran گروه پزشکی داخلی، دانشکده پزشکی، مرکز تحقیقات بیماری‌های قلب و عروق، دانشگاه علوم پزشکی بیرجند، بیرجند، ایران fatemeh Hoseinzadeh-Chahkandak فاطمه حسین‎‌زاده چهکندک 5700319475328460016335 5700319475328460016335 No Department of Public Health, School of Health, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran گروه بهداشت عمومی، دانشکده بهداشت، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی بیرجند، بیرجند، ایران seyed mahmad Riahi سید محمد ریاحی 5700319475328460016336 5700319475328460016336 No Department of Family and Community Medicine, School of Medicine, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran rasol Soleimani Moghaddam رسول سلیمانی مقدم rasool.solaimani@yahoo.com 5700319475328460016337 5700319475328460016337 Yes Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran مرکز تحقیقات عوامل اجتماعی موثر بر سلامت، دانشگاه علوم پزشکی بیرجند، بیرجند، ایران