| Changes in nutritional status on follow-up of an incident cohort of continuous ambulatory peritoneal dialysis patients. | |
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MedLine Citation:
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PMID: 18267212 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Narayan Prasad; Amit Gupta; Archana Sinha; Raj Kumar Sharma; Alok Kumar; Ramesh Kumar |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2008-02-12 Completed Date: 2008-03-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9112938 Medline TA: J Ren Nutr Country: United States |
Other Details:
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Languages: eng Pagination: 195-201 Citation Subset: IM |
Affiliation:
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Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. narayan@sgpgi.ac.in |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Dietary Proteins; 0/Serum Albumin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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