Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine

Only a few studies have been published on the nutritional status of hemodialysis (HD) patients in Arab countries. The aim of this study was to determine the nutritional status and prevalence of malnutrition and its predictors among HD patients at An-Najah National University Hospital, Nablus, Palest...

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Main Authors: Hinar Abu Rezeq, Lubna N Khdair, Zakaria I Hamdan, Waleed M Sweileh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2018;volume=29;issue=2;spage=332;epage=340;aulast=Rezeq
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author Hinar Abu Rezeq
Lubna N Khdair
Zakaria I Hamdan
Waleed M Sweileh
author_facet Hinar Abu Rezeq
Lubna N Khdair
Zakaria I Hamdan
Waleed M Sweileh
author_sort Hinar Abu Rezeq
collection DOAJ
description Only a few studies have been published on the nutritional status of hemodialysis (HD) patients in Arab countries. The aim of this study was to determine the nutritional status and prevalence of malnutrition and its predictors among HD patients at An-Najah National University Hospital, Nablus, Palestine. A cross-sectional study was carried out on HD patients in this hospital. Seven-Point Subjective Global Assessment (7-point SGA) was used to assess the nutritional state of HD patients. Biochemical tests were obtained during the study period from medical files of the studied patients. A total of 106 HD patients were recruited for this study and assessed for nutritional status. More than half (60, 56.6%) of the recruited patients were males. The majority of the patients (86.8%) were above 45 years of age. Hypertension (65, 61.3%) was the most common comorbid conditions followed by diabetes mellitus (51, 48.1%). The median SGA score was 5.57 (5–6). More than half of the HD patients (56; 52.8%) were well-nourished while the remaining (50, 47.2%) had mild-to-moderate malnourishment. Univariate analysis indicated that SGA score was significantly higher in HD patients with college education (P = 0.026), nondiabetic (P = 0.044), nonhypertensive (P = 0.037), and those with current occupation (P = 0.025). No significant correlation was found between SGA score and potassium level (P = 0.134), calcium level (P = 0.883), albumin (P = 0.282), and phosphate level (P = 0.419). However, significant positive correlation was found between SGA core and hemoglobin level (P = 0.019; r = 0.227). Multivariate analysis showed no significant predictors of SGA score. In this pilot single-center study, malnutrition was detected in almost half of HD patients using SGA scale. Development of nutritional assessment protocols for HD is an important issue and needs to be followed up by health-care teams in HD centers.
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spelling doaj.art-6a4834a143504ff4a62e63d8b74b5e362022-12-22T01:59:44ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422018-01-0129233234010.4103/1319-2442.229264Prevalence of malnutrition in hemodialysis patients: A single-center study in PalestineHinar Abu RezeqLubna N KhdairZakaria I HamdanWaleed M SweilehOnly a few studies have been published on the nutritional status of hemodialysis (HD) patients in Arab countries. The aim of this study was to determine the nutritional status and prevalence of malnutrition and its predictors among HD patients at An-Najah National University Hospital, Nablus, Palestine. A cross-sectional study was carried out on HD patients in this hospital. Seven-Point Subjective Global Assessment (7-point SGA) was used to assess the nutritional state of HD patients. Biochemical tests were obtained during the study period from medical files of the studied patients. A total of 106 HD patients were recruited for this study and assessed for nutritional status. More than half (60, 56.6%) of the recruited patients were males. The majority of the patients (86.8%) were above 45 years of age. Hypertension (65, 61.3%) was the most common comorbid conditions followed by diabetes mellitus (51, 48.1%). The median SGA score was 5.57 (5–6). More than half of the HD patients (56; 52.8%) were well-nourished while the remaining (50, 47.2%) had mild-to-moderate malnourishment. Univariate analysis indicated that SGA score was significantly higher in HD patients with college education (P = 0.026), nondiabetic (P = 0.044), nonhypertensive (P = 0.037), and those with current occupation (P = 0.025). No significant correlation was found between SGA score and potassium level (P = 0.134), calcium level (P = 0.883), albumin (P = 0.282), and phosphate level (P = 0.419). However, significant positive correlation was found between SGA core and hemoglobin level (P = 0.019; r = 0.227). Multivariate analysis showed no significant predictors of SGA score. In this pilot single-center study, malnutrition was detected in almost half of HD patients using SGA scale. Development of nutritional assessment protocols for HD is an important issue and needs to be followed up by health-care teams in HD centers.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2018;volume=29;issue=2;spage=332;epage=340;aulast=Rezeq
spellingShingle Hinar Abu Rezeq
Lubna N Khdair
Zakaria I Hamdan
Waleed M Sweileh
Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine
Saudi Journal of Kidney Diseases and Transplantation
title Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine
title_full Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine
title_fullStr Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine
title_full_unstemmed Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine
title_short Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine
title_sort prevalence of malnutrition in hemodialysis patients a single center study in palestine
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=2018;volume=29;issue=2;spage=332;epage=340;aulast=Rezeq
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AT lubnankhdair prevalenceofmalnutritioninhemodialysispatientsasinglecenterstudyinpalestine
AT zakariaihamdan prevalenceofmalnutritioninhemodialysispatientsasinglecenterstudyinpalestine
AT waleedmsweileh prevalenceofmalnutritioninhemodialysispatientsasinglecenterstudyinpalestine