Reliability of Bioelectrical Impedance Analysis in the Evaluation of the Nutritional Status of Hemodialysis Patients — A Comparison With Mini Nutritional Assessment

Erdoğan, Elçin; Tutal, Emre; Uyar, Mehtap Erkmen; Bal, Zeynep; Demirci, Bahar Gürlek; Sayın, Burak; Sezer, Sıren

doi:10.1016/j.transproceed.2013.08.096

Cited by 19 publications

(21 citation statements)

References 17 publications

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“…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%

“…[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. In addition, the incongruence between MNA and fat or muscle mass results may be due to low accuracy of BIA in the diagnosis of malnutrition.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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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

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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“…Based on the results of MNA, nutritional status was significantly improved in PJ and worsened in control condition. Although less common and valid than subjective global assessment and malnutrition inflammation score methods [45], MNA has been successfully used for assessment of nutritional status in CKD patients [45][46][47][48]. A cross-sectional study on hemodialysis patients documented positive correlations between MNA and serum albumin, fat and muscle mass, and BMI and a negative correlation with C reactive protein levels [47].…”

Section: Discussionmentioning

confidence: 99%

“…Although less common and valid than subjective global assessment and malnutrition inflammation score methods [45], MNA has been successfully used for assessment of nutritional status in CKD patients [45][46][47][48]. A cross-sectional study on hemodialysis patients documented positive correlations between MNA and serum albumin, fat and muscle mass, and BMI and a negative correlation with C reactive protein levels [47]. Nevertheless, no consistency was found in this study between MNA scores and anthropometric characteristics which could be because of relatively short duration of the intervention that did not allow remarkable change in anthropometric measures.…”

Section: Discussionmentioning

confidence: 99%

Effects of pomegranate juice on cardiometabolic risk factors and biomarkers of oxidative stress and inflammation in hemodialysis patients, a crossover controlled trial

Barati‐Boldaji

Akhlaghi

Sagheb

et al. 2019

Preprint

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Background: Pomegranate has antioxidant, cardioprotective, and anti-inflammatory properties. We questioned if pomegranate juice (PJ) benefits lipid profile and oxidative and inflammatory biomarkers of hemodialysis patients. Methods: The study had a crossover design. Hemodialysis patients (n=41) were divided into two groups: PJ-treated group who received 100 ml natural PJ immediately after their dialysis session three times a week and the control group who received the usual care. After 8 weeks, a 4-week washout period was established and afterwards the role of the groups was exchanged. Lipid profile, blood pressure, and oxidative and inflammatory biomarkers were measured before and after each sequence. Comparisons between the two conditions were performed by ANCOVA with adjustments for potential confounders. Results: Based on results of intention-to-treat analysis, triglycerides were decreased in PJ condition and increased in the control. Conversely, high-density lipoprotein (HDL)-cholesterol was increased in PJ and decreased in control. There was a significant between-condition difference for both triglycerides and HDL-cholesterol (P<0.001). Total and low-density lipoprotein (LDL)-cholesterol did not significantly change in either condition. Systolic and diastolic blood pressure significantly decreased in PJ condition and caused a significant difference between two conditions (P<0.001). Total antioxidant capacity increased in PJ condition (P<0.001) and decreased in control (P<0.001). Conversely, malondialdehyde and interleukin-6 decreased in PJ (P<0.001) and increased in the control (P≤0.001). The changes of these biomarkers were significantly different between two conditions. Conclusions: In conclusion, 8-week PJ consumption showed beneficial effects on blood pressure, serum triglycerides, HDL cholesterol, oxidative stress, and inflammation in hemodialysis patients. The trial was registered at Iranian Registry of Clinical Trials (ID number: IRCT 2016070428797N1). Keywords: Pomegranate, hemodialysis, hypertension, oxidative stress, inflammation, lipid profile.

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Are we overfeeding hemodialysis patients with protein? Exploring an alternative method to estimate protein needs

Dam

Hartman

Kruizenga

et al. 2021

Clinical Nutrition ESPEN

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Background & aims: Sufficient protein intake is of great importance in hemodialysis (HD) patients, especially for maintaining muscle mass. Daily protein needs are generally estimated using bodyweight (BW), in which individual differences in body composition are not accounted for. As body protein mass is best represented by fat free mass (FFM), there is a rationale to apply FFM instead of BW. The agreement between both estimations is unclear. Therefore, the aim of this study is to compare protein needs based on either FFM or BW in HD patients. Methods: Protein needs were estimated in 115 HD patients by three different equations; FFM, BW and BW adjusted for low or high BMI. FFM was measured by multi-frequency bioelectrical impedance spectroscopy and considered the reference method. Estimations of FFM x 1.5 g/kg and FFM x 1.9 g/kg were compared with (adjusted)BW x 1.2 and x 1.5, respectively. Differences were assessed with repeated measures ANOVA and BlandeAltman plots. Results: Mean protein needs estimated by (adjusted)BW were higher compared to those based on FFM, across all BMI categories (P < 0.01) and most explicitly in obese patients. In females with BMI >30, protein needs were 69 ± 17.4 g/day higher based on BW and 45 ± 9.3 g/day higher based on BMI adjusted BW, compared to FFM. In males with BMI >30, protein needs were 51 ± 20.4 g/day and 23 ± 20.9 g/day higher compared to FFM, respectively. Conclusions: Our data show large differences and possible overestimations of protein needs when comparing BW to FFM. We emphasize the importance of more research and discussion on this topic.

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Reliability of Bioelectrical Impedance Analysis in the Evaluation of the Nutritional Status of Hemodialysis Patients — A Comparison With Mini Nutritional Assessment

Cited by 19 publications

References 17 publications

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

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

Effects of pomegranate juice on cardiometabolic risk factors and biomarkers of oxidative stress and inflammation in hemodialysis patients, a crossover controlled trial

Are we overfeeding hemodialysis patients with protein? Exploring an alternative method to estimate protein needs

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