Assessment of the Nutritional Status of the Hemodialysis Patients by Anthropometric Measurements

Abstract

This study assessed the nutritional status of end-stage renal disease (ESRD) patients on maintenance hemodialysis (MHD) by utilizing bedside anthropometric measurements. MethodsThis prospective cross-sectional study was done from November 2020 till April 2021 on ESRD patients three times a week MHD at our centre. Anthropometric measurements including body mass index (BMI), triceps skinfold thickness (TSFT), mid-arm circumference (MAC), calf circumference (CC) and handgrip strength (HGS) were measured mid-arm muscle circumference (MAMC) was calculated, and nutritional status was determined. ResultsOut of 195 patients recruited in our study, 127 (65.1%) were male. The mean age was 51.2 ± 14.8 years with a minimum of 20 and a maximum of 90 years, while the mean duration of HD was 4.6 ± 4.1 years. The majority of our patients had TSFT of 60 % to 90% 93 (47.7%), indicating mild to moderate depletion of fat stores and MAMC of >90 % 128 (65.6%), indicating good protein stores. Among all anthropometric measures, BMI was strongly associated with age (<0.001), while gender and duration of MHD were associated with TSFT (p <0.001). ConclusionAnthropometric measurements are easy and inexpensive bedside methods for assessing the nutritional status of ESRD patients on MHD. Our study concluded that our MHD patients have overall good nutritional status, though our young patients have low BMI and old have obesity. Male patients have weaker HGS. With the increased number of years on MHD, malnutrition increases. Our study will help to treat physicians and nutritionists for proper nutritional planning and implementation to prevent malnutrition.

Mini Nutritional Assessment (MNA) as a Reliable Tool for Nutritional Assessment of Hemodialysis Patients: A Single-Center Observation

“…Similar to BMI, anthropometric measurements showed a strong association with MNA (MAC, p=0.036; CC, p<0.001; MAMC, p=0.016). As compared to our previous study [13], MNA showed comparative effectiveness to anthropometric measurements alone in this study. Occupation, socioeconomic status and presence of diabetes mellitus did not show any association with MNA in our study.…”

“…Most of these tools are less reliable for comparing nutritional status and mortality in MHD patients and some like BMI shows reverse epidemiological correlation as compared to the general population [16]. Previously we did a study of nutritional assessment in which we did bedside anthropometric measurements only [13]. In this study, we evaluated nutritional status of MHD patients using MNA and compared it with anthropometric measurements.…”

“…In a few studies, it was used for nutritional assessment in elderly MHD patients and was found to be reliable [11,12]. Previously we did a study on nutritional assessment using bedside anthropometric measurements [13].…”

Malnutrition, Cancer Stage and Gastrostomy Timing as Markers of Poor Outcomes in Gastrostomy-Fed Head and Neck Cancer Patients

“…For each patient, MUAC, MAMC, and TSF were compared with reference values of the National Health and Nutrition Examination Survey (NHANES), through the comparison with the Frisancho reference tables [ 31 , 32 , 33 , 34 ].…”

The Effects of an Intensive Rehabilitation Program on the Nutritional and Functional Status of Post-COVID-19 Pneumonia Patients

“…Although nutritional evaluation could benefit from sophisticated devices for measuring body composition, such as bioelectrical impedance analysis (BIA) or CT Scan analysis, those devices were unavailable in all the centers included in this multicentric study. Although less precise, BMI and anthropometry are inexpensive and very widespread nutritional evaluation tools, classically used as an approach to the evaluation of fat/lean mass [22] and available everywhere, even in institutions with scarce resources.…”