Association between nutritional status and biochemical markers among hematopoietic stem cell transplant candidates: a cross-sectional study
Hoda Zahedi,
Sayeh Parkhideh,
Omid Sadeghi,
Mahshid Mehdizadeh,
Elham Roshandel,
Makan Cheraghpour,
Abbas Hajifathali,
Mahdi Shadnoush
Affiliations
Hoda Zahedi
Hematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences
Sayeh Parkhideh
Hematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences
Omid Sadeghi
Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences
Mahshid Mehdizadeh
Hematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences
Elham Roshandel
Hematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences
Makan Cheraghpour
Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences
Abbas Hajifathali
Hematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences
Mahdi Shadnoush
Department of Clinical Nutrition and Dietetics, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences
Abstract Aim Candidates of Hematopoietic Stem Cell Transplantation (HSCT) may be at nutritional risk due to decreased oral intake, high nutritional requirements and nutrient malabsorption. The aim of this study was to evaluate the association between nutritional status and blood biomarkers in candidates of HSCT. Methods A total of 278 patients aged 18–65 years old were recruited and their baseline demographic and clinical characteristics were recorded. All subjects underwent nutritional status analysis using Nutritional Risk Screening (NRS-2002). Blood biomarkers including C-reactive protein (CRP), Erythrocyte Sedimentation Rate (ESR), hemoglobin, albumin and total protein as well as CRP-albumin ratio (CAR) and Body Mass Index (BMI) were measured and compared between two groups based on Nutritional Risk Screening (NRS-2002) within 24 h of admission in Bone Marrow Transplant ward. Results The results showed that undernourished patients (NRS ≥ 3) had significantly higher inflammatory markers including ESR, CRP and CAR as well as lower BMI and serum albumin and hemoglobin concentrations (P 0.05). Conclusions This study revealed that BMI combined with biochemical markers are the appropriate parameters for assessment of nutritional status in HSCT candidates. Furthermore, the nutritional status was verified to be significantly associated with systematic inflammation.
