CORRELATION BETWEEN ANTHROPOMETRY, BIOCHEMICAL MARKERS AND SUBJECTIVE GLOBAL ASSESSMENT – DIALYSIS MALNUTRITION SCORE AS PREDICTORS OF NUTRITIONAL STATUS OF THE MAINTENANCE HEMODIALYSIS PATIENTS
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2015, Vol 4, Issue 4
Abstract
Background: Protein energy malnutrition is the major cause of poor prognostic outcome in patients on maintenance hemodialysis (MHD). The assessment of nutritional status in patients on maintenance hemodialysis should be done both subjectively and objectively by integrating clinical, biochemical and anthropometric measurements. A study was conducted to assess the possible correlations between the subjective global assessment-dialysis malnutrition score (SGA-DMS), anthropometric measurements, and biochemical parameters in hemodialysis patients. Methods: The study included 90 patients (55 males and 35 females; age range of 25 to 73 years; mean age 52.62 ± 11.7 years) undergoing twice/thrice weekly maintenance hemodialysis for six months and above in the dialysis unit of a tertiary care teaching hospital. The MHD patients were assessed by SGA -DMS, anthropometry and biochemical indicators (serum albumin, iron, ferritin and transferrin) of nutritional status. Results: According to the SGA-DMS 54.4 % were moderate to severely malnourished, 31% were mild to moderately nourished and 14.4% were well nourished. There was a highly significant negative correlation between SGA –DMS and serum albumin, iron, transferrin; positive correlation between SGA-DMS and ferritin (P<0.0001). Body mass index, upper arm circumferences, and skin fold thickness had a highly significant negative correlation with SGA-DMS (P<0.001), where as the lean body mass, total body water and the fat free mass had a significant negative correlation (P<0.05). Conclusion: SGA-DMS correlated with anthropometric and biochemical parameters that are indicative of nutritional status. SGA –DMS used in conjunction with other objective nutritional assessment methods may be of greater impact in determining nutritional status of hemodialysis patients.
Authors and Affiliations
Vanitha Rani N| Lecturer, Department of Pharmacy Practice, Faculty of Pharmacy, Sri Ramachandra University Chennai, Tamilnadu, India, Email: vanithak9@rediffmail.com, S. Kavimani| Professor & Head, Department of Pharmacology, Mother Theresa Post Graduate and Research Institute of Health Sciences, Pondicherry, Soundararajan P| Professor & Head, Department of Nephrology, Sri Ramachandra Medical Center, Chennai, Chamundeeswari D| Principal, Faculty of Pharmacy, Sri Ramachandra University Chennai, Tamilnadu, India, Kannan Gopal| Professor & Head, Department of Pharmacy Practice, Saastra College of Pharmaceutical Education and Research, Nellore
Keywords
Related Articles
- EP ID EP11529
- DOI 10.5958/2319-5886.2015.00169.1
- Views 315
- Downloads 12
Nurses’ lived experience of Strategies for tackling with moral challenges in caring for comatose patients: A phenomenological study
Comatose patients deal with numerous moral challenges at ICU. The nurses have a significant role in recognizing these challenges and the approach to deal with them. Thus, the present study aims at clarifying nurses’ l...
The Effect of Sexual Satisfaction on the Quality of Life on Patients with Cardiovascular Disease
Objective: This study is aimed to assessment the relationship between sexual satisfaction and quality of life(QQL) in patients with cardiovascular disease at the city of Ilam. Background: Heart disease is a leading caus...
Emergency preparedness of hospitals in Tehran and its relation with crisis management measures
Hospital disaster preparedness is essential for being responsive against internal and external risks. This study tried to assess the level of emergency preparedness of Tehran hospitals and its relation with crisis manag...
A STUDY ON BEHAVIOURAL CHANGES INDUCED BY COLD WATER STRESS IN SWISS ALBINO MICE
Introduction: Stressful condition induces physiological and behavioral changes in an organism to maintain the normal homeostasis. The response to stress is regarded as a positive adaptive process of an organism, which...
Identifying Factors Influencing the Establishment of a Health System Reform Plan in Iran's Public Hospitals
In today's world, health views have found a wider perspective in which non-medical expectations are particularly catered to. The health system reform plan seeks to improve society's health, decrease treatment costs, and...