Publications Scientifiques

[ Article ] Assessing the Nutritional Status of Hemodialysis Patients in a Sub-Saharan Country

Date de soumission: 27-01-2018
Année de Publication: 2017
Entité/Laboratoire Unité de Médécine Interne (UMI)
Document type : Article
Discipline(s) : Urologie & Néphrologie
Titre Assessing the Nutritional Status of Hemodialysis Patients in a Sub-Saharan Country
Journal: Journal of Kidney
Catégorie Journal: Internationale
Impact factor: 0
Volume Journal: 3
DOI: DOI: 10.4172/2472-1220.1000145
Resume Objective: Identifying which of the three scores (MNA, SGA and ISRNM) would better assess the nutritional status of chronic hemodialysis patients in Benin Patients and Methods: We conducted a cross-sectional, descriptive and analytical study. It was carried out over a three-month period, from 1st July to 31st September 2015. The study participants included patients who have been on hemodialysis for at least the past 6 months, non-admitted in the past 4 weeks and having given their consent to participate in the study. All patients were subject to anthropometric parameters and checkups in order to apply the three nutritional scores: Mini Nutritional Assessment (MNA); Suggestive Global Assessment (SGA); International Society of Renal Nutrition and Metabolism (ISRNM criteria). Statistical analysis was performed through EpiData Ver 3.1. Outcomes: 149 patients were selected including 38.93% of women and 61.07% of men. Age ranged from 19 to 79 years with 48 ± 12.88 as mean age. The prevalence of overall malnutrition was respectively 42.75%; 36.24% and 14.09% based on MNA, SGA and ISRNM scores. There was poor protein intake in 85.19% of cases, body mass index (BMI) was below 23 kg/m² in 68.46% of cases, hypoalbuminemia and pre-dialysis hypocreatininemia were recorded in respectively 29.53% and 52.38% of cases. Conclusion: SGA score seems to be a more objective score as it uses both history and clinical data. BMI and protein intake when considered distinctly, have a better predictive value of our patients nutritional status.
Mots clés Malnutrition; Hemodialysis patients; Prevalence; Nutritional score
Pages 145 - 149
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