Comparing Methods for Assessment of Nutritional Status in Hemodialysis Patients: A Review

The global number of hemodialysis patients has an increasing trend and is still one of the most important protein-energy malnutrition with high morbidity and mortality. Therefore, proper assessment of nutritional status of these patients seems essential. In this review, we compared several methods o...

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Main Authors: Kimia Leilami, Zahra Sohrabi
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2021-06-01
Series:International Journal of Nutrition Sciences
Subjects:
Online Access:https://ijns.sums.ac.ir/article_47477_fc03a1a8a304266ed4ebcf3a3cd41ebc.pdf
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author Kimia Leilami
Zahra Sohrabi
author_facet Kimia Leilami
Zahra Sohrabi
author_sort Kimia Leilami
collection DOAJ
description The global number of hemodialysis patients has an increasing trend and is still one of the most important protein-energy malnutrition with high morbidity and mortality. Therefore, proper assessment of nutritional status of these patients seems essential. In this review, we compared several methods of nutritional assessment in these patients. It was shown that subjective methods such as subjective global assessment (SGA) were widely used with good validity and accuracy. Malnutrition-inflammation score (MIS) as another common method evaluated the patient’s physical and mental condition based on the level of inflammation. Mini Nutrition Assessment (MNA) as another method assessed the nutritional status of elderly hemodialysis patients, but the interpretation of the results is based on the specific conditions of renal patients. Assessment of body composition by bioelectrical impedance has been one of the most accurate nutritional assessment methods predicting the risk of malnutrition based on the amount of lean tissue loss in the body, but it requires advanced equipment and high financial cost. There are other assessment methods, such as normalized protein catabolic ratio (nPCR) that tries to determine malnutrition based on the amount of dietary protein intake, which is nearly the metabolized protein in the body. Using them alone or in combination with other methods was demonstrated to be beneficial.
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spelling doaj.art-948e8b65f5f747bb9a68e8673421140a2022-12-21T18:31:12ZengShiraz University of Medical SciencesInternational Journal of Nutrition Sciences2538-18732538-28292021-06-0162656910.30476/ijns.2021.88600.110147477Comparing Methods for Assessment of Nutritional Status in Hemodialysis Patients: A ReviewKimia Leilami0Zahra Sohrabi1Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, IranNutrition Research Center, Shiraz University of Medical Sciences, Shiraz, IranThe global number of hemodialysis patients has an increasing trend and is still one of the most important protein-energy malnutrition with high morbidity and mortality. Therefore, proper assessment of nutritional status of these patients seems essential. In this review, we compared several methods of nutritional assessment in these patients. It was shown that subjective methods such as subjective global assessment (SGA) were widely used with good validity and accuracy. Malnutrition-inflammation score (MIS) as another common method evaluated the patient’s physical and mental condition based on the level of inflammation. Mini Nutrition Assessment (MNA) as another method assessed the nutritional status of elderly hemodialysis patients, but the interpretation of the results is based on the specific conditions of renal patients. Assessment of body composition by bioelectrical impedance has been one of the most accurate nutritional assessment methods predicting the risk of malnutrition based on the amount of lean tissue loss in the body, but it requires advanced equipment and high financial cost. There are other assessment methods, such as normalized protein catabolic ratio (nPCR) that tries to determine malnutrition based on the amount of dietary protein intake, which is nearly the metabolized protein in the body. Using them alone or in combination with other methods was demonstrated to be beneficial.https://ijns.sums.ac.ir/article_47477_fc03a1a8a304266ed4ebcf3a3cd41ebc.pdfnutritional statusrenal failurehemodialysisassessment methods
spellingShingle Kimia Leilami
Zahra Sohrabi
Comparing Methods for Assessment of Nutritional Status in Hemodialysis Patients: A Review
International Journal of Nutrition Sciences
nutritional status
renal failure
hemodialysis
assessment methods
title Comparing Methods for Assessment of Nutritional Status in Hemodialysis Patients: A Review
title_full Comparing Methods for Assessment of Nutritional Status in Hemodialysis Patients: A Review
title_fullStr Comparing Methods for Assessment of Nutritional Status in Hemodialysis Patients: A Review
title_full_unstemmed Comparing Methods for Assessment of Nutritional Status in Hemodialysis Patients: A Review
title_short Comparing Methods for Assessment of Nutritional Status in Hemodialysis Patients: A Review
title_sort comparing methods for assessment of nutritional status in hemodialysis patients a review
topic nutritional status
renal failure
hemodialysis
assessment methods
url https://ijns.sums.ac.ir/article_47477_fc03a1a8a304266ed4ebcf3a3cd41ebc.pdf
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