Subjective Global Assessment of Nutritional Status among Chronic Kidney Disease Dialysis Patients: A Cross-sectional Study
Introduction: Nutritional status is compromised in End-Stage Renal Disease (ESRD) patients on dialysis. In order to predict the clinical outcomes of these patients, the diagnosis of nutritional status becomes extremely important. However, data related to parameters assessing nutritional status a...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18293/60016_CE[Ra1]_F(IS)_PF1(AKA_KM_OM)_QC(SHK_RDW_IS)_PFA(AKA_KM)_PN(KM).pdf |
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| author | Nagisetty Sindhura Sreenivasulu J Naga MSN Murty |
| author_facet | Nagisetty Sindhura Sreenivasulu J Naga MSN Murty |
| author_sort | Nagisetty Sindhura |
| collection | DOAJ |
| description | Introduction: Nutritional status is compromised in End-Stage
Renal Disease (ESRD) patients on dialysis. In order to predict the
clinical outcomes of these patients, the diagnosis of nutritional
status becomes extremely important. However, data related to
parameters assessing nutritional status are limited.
Aim: The aim of this study was to assess the nutritional status
of dialysis patients with ESRD at the renal care unit of a tertiary
care hospital.
Materials and Methods:A cross-sectional study was conducted
at the renal care unit of a tertiary care hospital from January
2016 to July 2016. Fifty individuals were divided into two groups:
30 stable ESRD patients on Haemodialysis (HD) and 20 stable
ESRD patients on Continuous Ambulatory Peritoneal Dialysis
(CAPD). Data were collected using a questionnaire regarding
nutritional assessment, which comprised medical history, food
intake history, anthropometry, biochemical investigations,
and Subjective Global Assessment (SGA). Based on the SGA
analysis of nutritional status, the patients were divided into
Categories A, B, and C. Data were analysed using the Statistical
Package for Social Sciences (SPSS) version 22.0.
Results: A total of 50 subjects were included in the final analysis -
30 patients in the renal dialysis group and 20 patients in the CAPD
group. Body Mass Index (BMI) was significantly higher in the HD
group (21.78±2.86 kg/m2
) than in the CAPD group (20.87±2.63
kg/m2
). In the HD group, the majority were in Category B (60%).
In the CAPD group, the majority were in Category B (70%). The
mean anthropometric measurements were significantly higher
in Category A, followed by B and C (p<0.001). There was no
significant difference across groups in biochemical parameters,
except for serum albumin levels, which were significant. Serum
albumin levels were highest in Category A, followed by Category
B, and Category C in reverse for S. Prealbumin (mg/dl).
Conclusion: There is a significant number of ESRD patients
who have malnutrition as an additional burden. These results
suggest that low BMI and low calorie intake are harmful to
ESRD patients on HD, causing severe malnutrition. Optimal
calorie intake could reduce malnutrition in these patients. |
| first_indexed | 2024-03-12T01:28:34Z |
| format | Article |
| id | doaj.art-aa3df40a10c5404ea5dd3143c8b53f52 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-12T01:28:34Z |
| publishDate | 2023-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-aa3df40a10c5404ea5dd3143c8b53f522023-09-12T11:26:25ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-08-01178010510.7860/JCDR/2023/60016.18293Subjective Global Assessment of Nutritional Status among Chronic Kidney Disease Dialysis Patients: A Cross-sectional StudyNagisetty Sindhura0 Sreenivasulu J Naga1MSN Murty2Associate Professor, Department of Pharmacology, Gitam Institute of Medical Sciences and Research, Visakhapatnam, Andhra Pradesh, India. Assistant Professor, Department of General Medicine, Gitam institute of Medical Sciences and Research, Visakhapatnam, Andhra Pradesh, India.Professor, Department of General Medicine, Gitam Institute of Medical Sciences and Research, Visakhapatnam, Andhra Pradesh, India.Introduction: Nutritional status is compromised in End-Stage Renal Disease (ESRD) patients on dialysis. In order to predict the clinical outcomes of these patients, the diagnosis of nutritional status becomes extremely important. However, data related to parameters assessing nutritional status are limited. Aim: The aim of this study was to assess the nutritional status of dialysis patients with ESRD at the renal care unit of a tertiary care hospital. Materials and Methods:A cross-sectional study was conducted at the renal care unit of a tertiary care hospital from January 2016 to July 2016. Fifty individuals were divided into two groups: 30 stable ESRD patients on Haemodialysis (HD) and 20 stable ESRD patients on Continuous Ambulatory Peritoneal Dialysis (CAPD). Data were collected using a questionnaire regarding nutritional assessment, which comprised medical history, food intake history, anthropometry, biochemical investigations, and Subjective Global Assessment (SGA). Based on the SGA analysis of nutritional status, the patients were divided into Categories A, B, and C. Data were analysed using the Statistical Package for Social Sciences (SPSS) version 22.0. Results: A total of 50 subjects were included in the final analysis - 30 patients in the renal dialysis group and 20 patients in the CAPD group. Body Mass Index (BMI) was significantly higher in the HD group (21.78±2.86 kg/m2 ) than in the CAPD group (20.87±2.63 kg/m2 ). In the HD group, the majority were in Category B (60%). In the CAPD group, the majority were in Category B (70%). The mean anthropometric measurements were significantly higher in Category A, followed by B and C (p<0.001). There was no significant difference across groups in biochemical parameters, except for serum albumin levels, which were significant. Serum albumin levels were highest in Category A, followed by Category B, and Category C in reverse for S. Prealbumin (mg/dl). Conclusion: There is a significant number of ESRD patients who have malnutrition as an additional burden. These results suggest that low BMI and low calorie intake are harmful to ESRD patients on HD, causing severe malnutrition. Optimal calorie intake could reduce malnutrition in these patients.https://www.jcdr.net/articles/PDF/18293/60016_CE[Ra1]_F(IS)_PF1(AKA_KM_OM)_QC(SHK_RDW_IS)_PFA(AKA_KM)_PN(KM).pdfbody mass indexdiabetes mellitusend stage renal diseasenephrologyrenal dialysis |
| spellingShingle | Nagisetty Sindhura Sreenivasulu J Naga MSN Murty Subjective Global Assessment of Nutritional Status among Chronic Kidney Disease Dialysis Patients: A Cross-sectional Study Journal of Clinical and Diagnostic Research body mass index diabetes mellitus end stage renal disease nephrology renal dialysis |
| title | Subjective Global Assessment of Nutritional Status among Chronic Kidney Disease Dialysis Patients: A Cross-sectional Study |
| title_full | Subjective Global Assessment of Nutritional Status among Chronic Kidney Disease Dialysis Patients: A Cross-sectional Study |
| title_fullStr | Subjective Global Assessment of Nutritional Status among Chronic Kidney Disease Dialysis Patients: A Cross-sectional Study |
| title_full_unstemmed | Subjective Global Assessment of Nutritional Status among Chronic Kidney Disease Dialysis Patients: A Cross-sectional Study |
| title_short | Subjective Global Assessment of Nutritional Status among Chronic Kidney Disease Dialysis Patients: A Cross-sectional Study |
| title_sort | subjective global assessment of nutritional status among chronic kidney disease dialysis patients a cross sectional study |
| topic | body mass index diabetes mellitus end stage renal disease nephrology renal dialysis |
| url | https://www.jcdr.net/articles/PDF/18293/60016_CE[Ra1]_F(IS)_PF1(AKA_KM_OM)_QC(SHK_RDW_IS)_PFA(AKA_KM)_PN(KM).pdf |
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