PMID- 21743213
OWN - NLM
STAT- MEDLINE
DCOM- 20110913
LR  - 20110711
IS  - 1319-2442 (Print)
IS  - 1319-2442 (Linking)
VI  - 22
IP  - 4
DP  - 2011 Jul
TI  - Factors predicting malnutrition in hemodialysis patients.
PG  - 695-704
AB  - Signs of protein-energy malnutrition are common in maintenance hemodialyis (HD) 
      patients and are associated with increased morbidity and mortality. To evaluate 
      the nutritional status and relationship between various parameters used for 
      assessing malnutrition, we performed a cross-sectional study in 37 HD patients 
      treated with thrice weekly sessions for at least two weeks. Global nutritional 
      status was evaluated by the dual-energy X-ray absorptiometry (DEXA) scan. Body 
      weight and several laboratory values, including serum albumin (Salb), serum 
      prealbumin, bicarbonate, cholesterol, serum C-reactive protein (SCRP), and 
      hemoglobin, were recorded. Dose of dialysis was evaluated by urea kinetic 
      modeling. The patients were subdivided into two groups based on body mass index: 
      group I, normal nutritional status (71%) and group II, malnutrition (29%). The 
      clinical factors associated with malnutrition included advanced age and 
      cardio-vascular diseases (CVD), decreased fat mass (FM) measured by DEXA, low 
      Salb and prealbumin, and severe anemia. The Salb level was not only a predictor 
      of nutritional status, but also was independently influenced by age and SCRP, 
      which was more common in malnourished patients than in patients with normal 
      nutritional status. Both low Kt/V and less weekly dialysis time were associated 
      with malnutrition. The FM and lean body mass (LBM) calculated by DEXA correlated 
      with CVD and other markers of malnutrition (Salb, total cholesterol).
FAU - Kadiri, Moncef El M'barki
AU  - Kadiri Mel M
AD  - Department of Nephrology, Dialysis and Transplantation, Military Hospital 
      Mohammed V, Rabat, Morocco. monkadiri@yahoo.fr
FAU - Nechba, Rhita Bennis
AU  - Nechba RB
FAU - Oualim, Zouhir
AU  - Oualim Z
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Saudi Arabia
TA  - Saudi J Kidney Dis Transpl
JT  - Saudi journal of kidney diseases and transplantation : an official publication of 
      the Saudi Center for Organ Transplantation, Saudi Arabia
JID - 9436968
RN  - 0 (Serum Albumin)
RN  - 9007-41-4 (C-Reactive Protein)
SB  - IM
MH  - Absorptiometry, Photon
MH  - Adult
MH  - Aged
MH  - Body Mass Index
MH  - C-Reactive Protein/*metabolism
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Incidence
MH  - Kidney Failure, Chronic/*therapy
MH  - Male
MH  - Middle Aged
MH  - Morocco/epidemiology
MH  - *Nutritional Status
MH  - Prognosis
MH  - Protein-Energy Malnutrition/blood/epidemiology/*etiology
MH  - Renal Dialysis/*adverse effects
MH  - Risk Factors
MH  - Serum Albumin/*metabolism
MH  - Young Adult
EDAT- 2011/07/12 06:00
MHDA- 2011/09/14 06:00
CRDT- 2011/07/12 06:00
PHST- 2011/07/12 06:00 [entrez]
PHST- 2011/07/12 06:00 [pubmed]
PHST- 2011/09/14 06:00 [medline]
AID - SaudiJKidneyDisTranspl_2011_22_4_695_82646 [pii]
PST - ppublish
SO  - Saudi J Kidney Dis Transpl. 2011 Jul;22(4):695-704.