Malnutrition is prevalent among hemodialysis patients in Jeddah, Saudi Arabia

Saudi Journal of Kidney Diseases and Transplantation. 2012;23(3):598-608 DOI 10.4103/1319-2442.95856

 

Journal Homepage

Journal Title: Saudi Journal of Kidney Diseases and Transplantation

ISSN: 1319-2442 (Print); 2320-3838 (Online)

Publisher: Wolters Kluwer Medknow Publications

Society/Institution: Saudi Center for Organ Transplantation

LCC Subject Category: Medicine

Country of publisher: India

Language of fulltext: English

Full-text formats available: PDF, HTML, ePUB

 

AUTHORS


Khadija Alharbi

Evelyn B Enrione

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 53 weeks

 

Abstract | Full Text

Malnutrition (MN) in hemodialysis patients (HDP) is prevalent worldwide. How-ever, data regarding the nutritional status among HDP living in Jeddah, Saudi Arabia, is lacking. The purpose of this study was to detect MN in HDP at the Jeddah Kidney Center, with an inexpensive nutritional assessment protocol consisting of anthropometric body mass index (BMI), triceps skin fold (TSF), mid-arm muscle circumference (MAMC) and biochemical (albumin) blood measurements and the seven-point subjective global assessment (SGA). A cross-sectional study assessed 269 HDP for MN through a questionnaire, SGA and anthropometric and biochemical measurements. Spearman′s rank correlation coefficients were determined between SGA and anthropometric and biochemical measurements as well as the relative odds of MN. Statistical significance was P <0.05. These HDP were 48.7% moderately and 6.3% severely malnourished. Albumin, BMI, TSF and MAMC correlated positively with the seven-point SGA (r s = 0.16, P = 0.007; r s = 0.33, P <0.001; r s = 0.29, P <0.001; and r s = 0.34, P <0.001, respectively). Those HDP who were female (Odds ratio [OR] = 2.04, P = 0.036), older (≥55 years) (OR = 1.70, P = 0.087), uneducated (OR = 1.80, P = 0.072), with a lower BMI (<18 kg/m 2) (OR = 2.00, P = 0.077) and thinner TSF (OR = 1.45, P = 0.041) had a greater risk of MN. The high prevalence of MN was detected with an inexpensive protocol. Women with thinner TSF were more likely to be malnou-rished. The implementation of this protocol is warranted along with dietary education and counseling to decrease MN in HDP.