Links between hemodialysis patients' geriatric nutritional risk index (GNRI) and various parameters

Abstract

OHdG 〈Abstract〉 Objectives：Hemodialysis patients are at risk of malnutrition, inflammation, and atherosclerosis, which make up MIA syndrome. Here, we assessed the geriatric nutritional risk indexes(GNRI)of patients undergoing maintenance dialysis, then measured various parameters such as serum CPR, plasma IL-6, Fetuin-A, and 8-OHdG to investigate the nutritional status, and investigated correlations between these. Subjects：One hundred and thirty-eight patients were undergoing stable maintenance hemodialysis at this institution. Of these, 95 were men and 43 women. The mean age was 69±11 years(38 to 88 years), and the mean dialysis time was 58±60 months(3 to 390 months). Methods：GNRI was that proposed by Bouillanne et al., calculated using a formula 樋口 輝美 博鳳会敬愛病院腎臓内科 〒 173-0036 東京都板橋区向原 3-10-23 Terumi Higuchi Tel：03-3973-3811 Fax：03-3530-3030 E

Renin-Angiotensin-Aldosterone System (RAS) Inhibitors May Suppress the Prevalence of Peripheral Arterial Disease (PAD) in Elderly, Chronic Hemodialysis Patients

“…The patient’s age and duration of dialysis were investigated in terms of continuous variables and the percentage of patients older than 75 years and the percentage of patients who had undergone dialysis for more than five years. In addition, the following clinical indicators were measured: blood pressure at the start of dialysis, mean blood pressure and pulse pressure (mean blood pressure at the start of dialysis), height, weight (dry weight), body mass index (BMI), geriatric nutrition risk index (GNRI) [ 13 - 14 ], and estimated salt intake, as calculated from pre and post-dialysis blood samples [ 15 - 16 ]. For blood test data, the following monthly serum concentrations recommended by the Japanese Society for Dialysis Therapy were measured.…”