Document Detail


Changes in nutritional status on follow-up of an incident cohort of continuous ambulatory peritoneal dialysis patients.
MedLine Citation:
PMID:  18267212     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVE: The prevalence of malnutrition in continuous ambulatory peritoneal dialysis (CAPD) patients in India has not been studied in much detail. We studied various nutritional indices of end-stage renal disease patients at the initiation of therapy. METHOD: Two hundred and eighty-three CAPD patients (204 were male; mean +/- SD age, 50 +/- 14 years) were assessed for their nutritional status at the initiation of therapy. Nutritional status was assessed by anthropometry, dietary diary, subjective global assessment (SGA), and serum albumin. The patients were categorized into different grades of malnutrition, based on their nutritional indices: (1) normal nutritional status, (2) mild-moderate malnutrition, and (3) severe malnutrition. RESULT: Based on SGA, 71/283 (25.08%) had a normal nutritional status, 192/283 (67.84%) had mild-moderate malnutrition, and 20/283 (7.07%) had severe malnutrition. However, on categorizing patients in different grades of malnutrition based on serum albumin, 103/283 (36.4%) had a normal nutritional status, 175/283(61.84%) had mild-moderate malnutrition, and (5/283) 1.77% had severe malnutrition. Their mean calorie and protein intake was significantly lower than recommended (National Kidney Foundation Dialysis Outcome and Quality Initiative guidelines). Individual dietary counseling was performed, an individual diet chart was given to each patient, and counseling was repeated. There was a significant increase in nutrient intake and in grades of malnutrition of these patients during follow-up. CONCLUSION: We conclude that the majority of the patients were already malnourished at the initiation of CAPD, and that nutrient intake and nutritional parameters improved during the follow-up of these patients.
Authors:
Narayan Prasad; Amit Gupta; Archana Sinha; Raj Kumar Sharma; Alok Kumar; Ramesh Kumar
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation     Volume:  18     ISSN:  1532-8503     ISO Abbreviation:  J Ren Nutr     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-12     Completed Date:  2008-03-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9112938     Medline TA:  J Ren Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  195-201     Citation Subset:  IM    
Affiliation:
Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. narayan@sgpgi.ac.in
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MeSH Terms
Descriptor/Qualifier:
Anthropometry
Cohort Studies
Counseling
Diet / standards*
Dietary Proteins / administration & dosage
Energy Intake / physiology
Female
Follow-Up Studies
Humans
Kidney Failure, Chronic / complications,  therapy*
Male
Malnutrition / diet therapy,  epidemiology*,  etiology
Middle Aged
Nutrition Assessment*
Nutritional Requirements
Nutritional Status*
Peritoneal Dialysis* / adverse effects,  methods
Prevalence
Serum Albumin / metabolism
Chemical
Reg. No./Substance:
0/Dietary Proteins; 0/Serum Albumin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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