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

Abstract

In this study, we evaluated mini nutritional assessment (MNA) as a tool for the assessment of the nutritional status of end-stage renal disease (ESRD) patients on maintenance hemodialysis (MHD). MethodsThis prospective cross-sectional study was done from February 2021 till August 2021 on ESRD patients on MHD at our center. Nutritional status was assessed by using MNA score which evaluates four different aspects: anthropometric measures (body mass index [BMI], weight loss, mid-arm and mid-calf circumferences); general assessment (lifestyle, medications, mobility, and signs of depression); short dietary assessment (number of meals, food, and fluid intake) and subjective assessment (self-perception of food and nutrition). ResultsOut of 195 study subjects, 127 (65.1%) were males and 68 (34.9%) were females. Most women were stay-athome mothers (57, 29.2% overall and 83.8% among all women), while most men owned their own businesses (44, 22.6% overall). The mean age was 51.2±14 years and the mean duration of hemodialysis was 4.6±4.1 years. Most of our patients belonged to the middle socioeconomic group (110, 56.6%). By using MNA, we found that most are at risk of developing malnutrition (112, 57.4%); however, only 9 (4.6%) patients are malnourished. In our study group, most malnourished patients belonged to the age group of >65 years (5, 56.6%). BMI was found to be significantly associated with MNA (p <0.001). ConclusionMNA is an easy and reliable bedside tool that can be used in ESRD patients on MHD for nutritional assessment. This is helpful in nutritional planning and the prevention of malnutrition.

تقييم الحالة الغذائية لمرضي الغسيل الدموي الخارجين والمترددين على مستشفي الشرطة

“…Table (1) showed that there were significant differences (p ≤ 0.03 and JHE, Volume, 34, April (2), Copyrights @ Faculty of Home Economics Menoufia University, Shibin El Kom, Egypt 0.003) among all groups in age and weight, while there was no significant difference (p>0.05) between groups in height (cm). Besides that, there was no significant difference (P> 0.05) between overweight and obese patient in age.…”

Knowledge, Adherence, and Perception of Patients on Maintenance Hemodialysis to Treatment Regimens at a Tertiary Care Hospital in Pakistan

“…CKD is a significant global health issue that affects more than 109.9 million individuals in developed countries and 387.5 million people in the developing world. This number is expected to rise further in the coming years [ 2 ]. Worldwide, it contributed to 956,000 fatalities in 2013, up from 409,000 in 1990 [ 3 ].…”