Malnutrition Risk in Hemodialysis Patients in Israel: Results of the Status of Nutrition In Hemodialysis Patients Survey Study

Boaz, Mona; Azoulay, Odile; Schwartz, Idit F.; Schwartz, Doron; Assady, Suhair; Kristal, Batya; Benshitrit, Sydney; Yanai, Noa Berar; Weinstein, Talia

doi:10.1159/000495150

Cited by 9 publications

(14 citation statements)

References 49 publications

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“…We thus categorized malnutrition risk into the following four categories: “minimal” if BMI ≥23 kg/m 2 and serum albumin ≥38 mmol/L; “mild” if BMI <23 kg/m 2 and serum albumin ≥38 mmol/L; “moderate” if BMI ≥23 kg/m 2 and serum albumin <38 mmol/L; and “severe” if BMI<23 k/m 2 and serum albumin <38 mmol/L. This definition identified elevated malnutrition risk in almost 50% of individuals on haemodialysis, including those with normal or elevated BMI 5 …”

Section: Methodsmentioning

confidence: 99%

“…The Status of Nutrition In Hemodialysis Patients Survey (SNIPS), a large, representative sample of Israelis on haemodialysis, identified elevated malnutrition risk in more than 40% of the study population. Elevated malnutrition risk was associated with the presence of major comorbidities; reduced haemoglobin; elevated C‐reactive protein; and need for feeding assistance 5 . In that study, malnutrition risk was defined as BMI <23 kg/m 2 and/or serum albumin <3.8 g/L, thus capturing depletion of both somatic and visceral protein stores and permitting the inclusion of heavier individuals, many of whom have diabetes, a group previously excluded from the malnutrition risk definition 6 .…”

Section: Introductionmentioning

confidence: 99%

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Status of Nutrition In Hemodialysis Patients Survey (SNIPS): Malnutrition risk by diabetes status

2021

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Background Increased malnutrition risk has been observed in more than 40% people on haemodialysis in Israel. It is not clear that this risk is homogeneously distributed among people with versus without diabetes. Objectives To examine the influence of diabetes on malnutrition risk among people on haemodialysis. Methods This cross‐sectional study included a representative sample of 375 individuals on haemodialysis treated in hospital dialysis centres throughout Israel. Of these, 126 had diabetes. Dietary intake, biochemistry, anthropometric and hemodynamic measures were recorded. Malnutrition risk categories were defined: “minimal”: body mass index (BMI) ≥23 kg/m2 and serum albumin ≥38 mmol/L; “mild”: BMI <23 kg/m2 and albumin ≥38 mmol/L; “moderate”: BMI ≥23 kg/m2 and albumin <38 mmol/L; “severe”: BMI<23 k/m2 and serum albumin <38 mmol/L. These categories were dichotomized to “minimal” versus elevated malnutrition risk. Results Despite greater BMI, elevated malnutrition risk was identified in 58.8% of individuals with versus 39.3% without diabetes. Adherence to International Society for Renal Nutrition and Metabolism nutrition guidelines was poor regardless of diabetes status. In multivariable logistic regression analysis, diabetes: OR 2.15; C‐reactive protein (nmol/L): OR 1.02; delivered dialysis dose (Kt/V): OR 6.07; and haemoglobin (g/L): OR 0.79, predicted elevated malnutrition risk, even after controlling for age, sex and years on haemodialysis. Discussion Individuals on haemodialysis who have diabetes have elevated malnutrition risk compared to those without diabetes despite greater BMI.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Status of Nutrition In Hemodialysis Patients Survey (SNIPS): Malnutrition risk by diabetes status

2021

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“…Inflamed kidney has a reduced ability for adequate erythropoietin production [2] in addition; inflammatory mediators and markers such as Creactive protein and hepcidin were found to antagonize the response to erythropoietin [19].…”

Section: Disscussionmentioning

confidence: 99%

Fetuin A effect on iron status and hepcidin level in adenine induced chronic kidney disease male rat model

nouwairy

ali

Ashour³

et al. 2022

Zagazig University Medical Journal

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Background: Chronic kidney disease describes loss of kidney function gradually; it may not become apparent in early stages until chronic kidney disease reaches an advanced stage that lead to accumulation of fluid, electrolytes and wastes and development of anemia Aim of study: The aim of this study was to investigate the possible role of fetuin A in improving anemia resulting from adenine induced chronic kidney disease in male rat. methods: Group A: rats feed normal diet for 21 days. Group B: rats feed normal diet with adenine for 21 days. Group C: rats feed normal diet with adenine for 21 days after that intraperitoneal administration of fetuin A every other day for 2 weeks. Serum samples were assayed for: creatinine, urea, iron , total iron binding capacity, ferritin, tumor necrosis factor, hepcidin. Hemoglobin content, blood indices were determined, and estimated Glomerular filtration rate was measured in addition, histopathology of the kidney was done Results: In group B: there was significant increase in serum creatinine, urea and ferritin decrease in serum iron, total iron binding capacity, hemoglobin content and estimated Glomerular filtration rate and no significant change in blood indices .Regarding inflammatory markers significant increase .Regarding renal histopathology there was moderate tubular necrosis, tubular dilatation, and mononuclear leucocytes infiltration. In group C we observed that fetuin A ameliorated these changes. . Conclusion: Fetuin A improve anemia in chronic renal failure in rat model, may be due to reduction of hepcidin or it is anti-inflammatory and anti fibrotic effect.

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“…Sarcopenia, which is characterized by a reduction in skeletal muscle, is a progressive and widespread condition that mainly manifests as an accelerated loss of muscle mass and function (Boaz et al., 2019 ). The main cause of sarcopenia in the older population on dialysis is malnutrition.…”

Section: Introductionmentioning

confidence: 99%

Study on the relationship between sarcopenia and its components and anorexia in elderly maintenance haemodialysis patients

Chen

et al. 2021

Nursing Open

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The global population is ageing, and the average age of patients with kidney disease is increasing. Surveys in Western countries showed that people over the age of 75 years have the highest incidence of end-stage kidney disease (Evans et al., 2018;Saran et al., 2019).After chronic kidney disease progresses to end-stage kidney disease, most patients choose to be treated with haemodialysis. The prevalence of sarcopenia in elderly patients on maintenance haemodialysis (MHD) is elevated due to the reduced muscle mass and physical activity caused by age and factors related to treatment (Lou et al., 2019). Previous studies have shown that the prevalence of sarcopenia in elderly MHD patients is 33.7%~37% (Giglio et al., 2018;Kim et al., 2014). | BackgroundSarcopenia, which is characterized by a reduction in skeletal muscle, is a progressive and widespread condition that mainly

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Malnutrition Risk in Hemodialysis Patients in Israel: Results of the Status of Nutrition In Hemodialysis Patients Survey Study

Cited by 9 publications

References 49 publications

Status of Nutrition In Hemodialysis Patients Survey (SNIPS): Malnutrition risk by diabetes status

Status of Nutrition In Hemodialysis Patients Survey (SNIPS): Malnutrition risk by diabetes status

Fetuin A effect on iron status and hepcidin level in adenine induced chronic kidney disease male rat model

Study on the relationship between sarcopenia and its components and anorexia in elderly maintenance haemodialysis patients

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