Nutritional assessment  of patients with end-stage renal disease using the MNA scale

Rogowski, Łukasz; Kusztal, Mariusz; Gołębiowski, Tomasz; Bulińska, Katarzyna; Zembroń-Łacny, Agnieszka; Wyka, Joanna; Klinger, Marian; Woźniewski, Marek; Dziubek, Wioletta

doi:10.17219/acem/75604

Cited by 16 publications

(14 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Agboton, et al documented adequate nutritional status in a little more than half of their West African patients [12]. Similarly, nearly 70% of HD-dependent patients were reported to have a good nutritional status in a study from Poland [13]. Our statistics are difficult to compare with other studies because of differences in demographic characteristics such as age, gender distribution, and HD vintage.…”

Section: Discussionmentioning

confidence: 66%

Agreement Between Two Nutritional Assessment Scores as Markers of Malnutrition in Patients with End-stage Renal Disease

Arshad¹,

Jamal²,

Amanullah³

2020

Cureus

View full text Add to dashboard Cite

Background Malnutrition is directly related to morbidity and mortality in end-stage renal disease. This should be picked up using simple techniques. Methods Adult patients on maintenance haemodialysis were included using a consecutive sampling technique. Compliance was assessed from attendance register (minimum 75% attendance for good compliance). Hypoalbuminemia signified malnutrition. Blood samples for measurement of haemoglobin, serum albumin, calcium and phosphate levels were drawn from the dialyser tubing at the start of the first of the two haemodialysis sessions for each patient. Height and weight were recorded at the end of the first haemodialysis session for each patient. Mini Nutritional Assessment Questionnaire and Council on Nutrition Appetite Questionnaire were administered in direct face-to-face interviews during two consecutive dialysis sessions. Results There were 116 patients aged 53.46± 14.39 years. Majority were males (83.6%) and on twice a week haemodialysis (69.0%). Malnutrition was present in 30 (25.9%) patients. Serum albumin had a significant relationship with both haemoglobin (R = 0.399; p < 0.001) and serum phosphate levels (R = 0.253; p = 0.006) but not body mass index (R = 0.028; p = 0.769). Mean Mini Nutritional Assessment and Council on Nutrition Appetite scores were 19.45± 5.10 and 26.76± 6.28, respectively. Based on Mini Nutritional Assessment scores, 31 (26.7%) patients were malnourished, 59 (50.9%) were at risk of malnutrition, and 26 (22.4%) had normal nutritional status. Council on Nutrition Appetite scores were low in 65 (56.0%) patients, indicating risk of weight loss in next six months. Serum albumin had significant correlation with Mini Nutritional Assessment scores (R = 0.381; p < 0.001) and Council on Nutrition Appetite scores (R = 0.290; p = 0.002). Slopes of linear regression for Mini Nutritional Assessment and Council on Nutrition Appetite scores were not statistically different (p = 0.202). Conclusions Mini Nutritional Assessment and Council on Nutrition Appetite scores had a similar correlation with serum albumin levels. Either of the two could be used for evaluation of malnutrition in end-stage renal disease.

show abstract

Section: Discussionmentioning

confidence: 66%

Agreement Between Two Nutritional Assessment Scores as Markers of Malnutrition in Patients with End-stage Renal Disease

Arshad¹,

Jamal²,

Amanullah³

2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Based on the results of MNA, nutritional status was significantly improved in the PJ and worsened in the control condition. Although less common and valid than subjective global assessment and malnutrition inflammation score methods, MNA has been successfully used for assessment of nutritional status in CKD patients . A cross‐sectional study on hemodialysis patients documented positive correlations between MNA and serum albumin, fat and muscle mass and BMI, as well as a negative correlation with C‐reactive protein levels .…”

Section: Discussionmentioning

confidence: 99%

“…Although less common and valid than subjective global assessment and malnutrition inflammation score methods, 50 MNA has been successfully used for assessment of nutritional status in CKD patients. [50][51][52][53] A cross-sectional study on hemodialysis patients documented positive correlations between MNA and serum albumin, fat and muscle mass and BMI, as well as a negative correlation with C-reactive protein levels. 51 Nevertheless, no consistency was found in this study between MNA scores and anthropometric characteristics which could be due to the relatively short duration of the intervention which did not allow remarkable changes in anthropometric measures.…”

Section: Discussionmentioning

confidence: 99%

Pomegranate juice improves cardiometabolic risk factors, biomarkers of oxidative stress and inflammation in hemodialysis patients: a randomized crossover trial

et al. 2019

View full text Add to dashboard Cite

BACKGROUND Pomegranate has antioxidant, cardioprotective and anti‐inflammatory properties. We designed a crossover study aimed at determining if consumption of pomegranate juice (PJ) improves lipid profile and oxidative and inflammatory biomarkers of hemodialysis patients. Forty‐one hemodialysis patients were randomly assigned to one of two groups: PJ‐treated group receiving 100 mL of natural PJ immediately after their dialysis session three times a week and the control group receiving the usual care. After 8 weeks, a 4‐week washout period was established and then the role of the groups was exchanged. Lipid profile, blood pressure and oxidative and inflammatory biomarkers were measured before and after each sequence. RESULTS Based on the results of intention‐to‐treat analysis, triglycerides were decreased in PJ condition and increased in the controls. Conversely, high‐density lipoprotein cholesterol was increased in PJ and decreased in the control group. Total and low‐density lipoprotein cholesterol did not significantly change in either condition. Systolic and diastolic blood pressure significantly decreased in PJ condition. Total antioxidant capacity increased in PJ condition (P < 0.001) and decreased in the controls (P < 0.001). Conversely, malondialdehyde and interleukin‐6 decreased in PJ (P < 0.001) and increased in the control group (P ≤ 0.001). The changes of these biomarkers were significantly different between the two conditions. CONCLUSIONS Eight‐week PJ consumption showed beneficial effects on blood pressure, serum triglycerides, high‐density lipoprotein cholesterol, oxidative stress and inflammation in hemodialysis patients. © 2019 Society of Chemical Industry

show abstract

“… Moderately correlated with percentage weight loss ( r = 0.53), global quality of life at the baseline ( r = − 0.66), and after 4 weeks of radiotherapy ( r = − 0.61) Live failure [ 47 ]: Moderately correlated with hand grip strength ( r = 0.63) and albumin ( r = 0.55) Cancer inpatient [ 35 ]: Cancer [ 48 ]: Mild correlation with weight loss in the past 6 months ( r = 0.56) Highly correlated with PG-SGA at the baseline ( r = − 0.76), at the 4–6 weeks follow up ( r = − 0.73) and at the 8–12 weeks follow up ( r = − 0.83). Hemodialysis [ 41 ]: Moderately correlated with percentage weight loss in the past 6 months ( r = 0.56) Parkinson’s disease [ 33 ]: Mildly correlated with weight ( r = 0.43), BMI ( r = 0.35), mid-arm circumference ( r = 0.268), calf circumference ( r = 0.29) Stroke [ 32 ]:Mildly correlated with quality of life ( r = 0.32) Predictive validity Dialysis [ 44 ]: Digestive disease [ 45 ]: Cancer inpatient [ 35 ]: Moderately correlated with the duration of dialysis ( r = − 0.53) Weak correlation with the length of hospital stays ( r = 0.29) Weak correlation with the length of stays ( r = 0.36) Post-appendectomy surgery [ 38 ]: Weak predictive validity for the length of stays ( r = 0.38) Responsiveness to change and minimal detectable change (MDC) Stroke [ 32 ]: None Patient with cancer had undergone radiotherapy [ 46 ]: MDC = 2.1 a moderate correlation between the change in PG-SGA score and change in global ...…”

Section: Resultsmentioning

confidence: 99%

Clinical measurement properties of malnutrition assessment tools for use with patients in hospitals: a systematic review

Vincent

2020

Nutr J

View full text Add to dashboard Cite

Background The use of malnutrition outcome measures (OM) by registered dietitians (RD) with inpatients in hospitals has increased promoting the achievement of nutritional care goals and supporting decision-making for the allocation of nutritional care resources in hospitals. There are 3 commonly used OMs: Subjective Global Assessment (SGA), Patient Generated-Subjective Global Assessment (PG-SGA) and Mini Nutritional Assessment (MNA). The purpose of this current study was to systematically review the evidence of the clinical measurement properties of malnutrition assessment tools for use with patients admitted in hospitals. Methods MEDLINE, Cinahl, EMBASE, and PubMed were searched for articles published between 2000 and 2019. Research articles were selected if they established reliability, validity, and responsiveness to change properties of the SGA, PG-SGA and MNA tools, were written in English, and used any of these OMs as an outcome measure. Abstracts were not considered. The risk of bias within studies was assessed using the Quality Appraisal for Clinical Measurement Study (QA-CMS). Results Five hundred five studies were identified, of which 34 articles were included in the final review: SGA (n = 8), PG-SGA (n = 13), and MNA (n = 13). Of the 34 studies, 8 had a quality score greater than 75%; 23 had a quality score of 40–75% and 3 studies had a quality score of less than 40%. PG-SGA was found to have excellentdiagnostic accuracy (ROC: 0.92–0.975; Sensitivity: 88.6–98%; Specificity: 82–100%), sufficient internal consistency (Cronbach’s alpha: 0.722–0.73), and strong test-retest reliability (r = 0.866). There was insufficient evidence to suggest adequate diagnostic accuracy and good inter-rater reliability for SGA. Only one study examined the minimum detectable change of MNA (MDC = 2.1). Conclusions The evidence of validity for the existing malnutrition assessment tools supports the use of these tools, but more studies with sound methodological quality are needed to assess the responsiveness of these OMs to detect the change in nutritional status.

show abstract

Nutritional assessment of patients with end-stage renal disease using the MNA scale

Cited by 16 publications

References 31 publications

Agreement Between Two Nutritional Assessment Scores as Markers of Malnutrition in Patients with End-stage Renal Disease

Agreement Between Two Nutritional Assessment Scores as Markers of Malnutrition in Patients with End-stage Renal Disease

Pomegranate juice improves cardiometabolic risk factors, biomarkers of oxidative stress and inflammation in hemodialysis patients: a randomized crossover trial

Clinical measurement properties of malnutrition assessment tools for use with patients in hospitals: a systematic review

Contact Info

Product

Resources

About