The Relationship Between Hand Grip Strength and Nutritional Status Determined by Malnutrition Inflammation Score and Biochemical Parameters in Hemodialysis Patients

Bakkal, Hasan; Dizdar, Oğuzhan Sıtkı; Erdem, Selahattin; Kulakoglu, Sinan; Akcakaya, Berkan; Katırcılar, Yavuz; Uludag, Koray

doi:10.1053/j.jrn.2020.01.026

Cited by 20 publications

(16 citation statements)

References 29 publications

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“…In another study, handgrip strength lower than 10 kg at the time of discharge and lower than 15 kg one month after hospital discharge were associated with the risk of death [74]. In patients with KF on hemodialysis, handgrip strength correlates with the number of comorbidities and the malnutrition inflammation score [92,103]. Despite these promising applications, we do not recommend handgrip strength to be used in isolation as it also has some limitations.…”

Section: Recommendationmentioning

confidence: 99%

Urinary magnesium predicts risk of cardiovascular disease in Chronic Kidney Disease stage 1–4 patients

et al. 2021

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Section: Recommendationmentioning

confidence: 99%

Urinary magnesium predicts risk of cardiovascular disease in Chronic Kidney Disease stage 1–4 patients

et al. 2021

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“…There are various existing approaches for the assessment of the nutritional status of patients undergoing hemodialysis, and each has its own drawbacks. 22 We and others 23,24 have shown that serum creatinine is a strong predictor of nutritional status.…”

Section: Discussionmentioning

confidence: 97%

Clinical assessment of nutritional status using the modified quantified subjective global assessment and anthropometric and biochemical parameters in patients undergoing hemodialysis in Macao

et al. 2021

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Objective Malnutrition is widespread among patients undergoing hemodialysis and is linked to high morbidity and mortality rates. We evaluated the nutritional status and malnutrition markers in patients undergoing hemodialysis in Macao. Methods We performed a cross-sectional analysis of 360 patients in a hemodialysis center. The modified quantitative subjective global assessment (MQSGA), anthropometric indices and related biochemical test data were used to evaluate nutritional status. Results The sample's mean age was 63.47 ± 13.95 years. There were 210 well-nourished (58.3%), 139 mild-to-moderately malnourished (38.6%) and 11 severely malnourished (3.1%) patients. Older patients had a higher incidence of severe malnutrition, but there were no significant differences between diabetic and non-diabetic patients. Mid-arm circumference (MAC); mid-arm muscle circumference; body mass index; triceps skin fold thickness; serum albumin, creatinine and urea; and hemoglobin were all valid for assessing nutritional status. MAC and the serum albumin and creatinine concentrations significantly negatively correlated with MQSGA. Conclusions Malnutrition is commonplace in patients undergoing hemodialysis in Macao, but their nutritional status is not affected by diabetes. Serum creatinine, serum albumin and MAC, and especially pre-dialysis creatinine concentration, represent effective, readily available, and easily remembered screening measures of nutritional status for patients undergoing maintenance dialysis.

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“…14 Having predialysis serum albumin of less than 2.9 g/dl increases the risk of left ventricular hypertrophy. 15 Similarly, having a BMI of less than 20kg/m 2 have been shown to be a predictor of mortality as well. 16,17 The subjective global assessment (SGA) score is based on features from the patient's history and physical examination.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Malnutrition in Patients having Chronic Kidney Disease at A Tertiary Care Center in Karachi Pakistan

Ahmed

Khurram

Daniyal

et al. 2020

APMC

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Background: Chronic kidney disease and associated malnutrition is major health problem in developing countries like Pakistan. CKD patient have been related with body wasting and malnutrition. In this study we assess the prevalence of Malnutrition in chronic kidney disease patients. Objective: To determine the prevalence of malnutrition in patients with chronic kidney disease. Study Design: The type of study is a cross-sectional study. Settings: Dialysis and kidney care center in Karachi-Pakistan. Duration: 6 months from December 2017 to May 2018. Methodology: Patients with chronic kidney disease (CKD) were included and patients with severe comorbid conditions were excluded from the study. Diagnosis of CKD was made via detailed history and clinical examination and relevant laboratory investigations. Patients were classified into 3 SGA grades. Data was collected in a pre-designed proforma. Results: 150 patients were included in the study. The mean age of patients was 58.4 ± 5.86 years. There were n= 93 (62%) males and n= 57 (38%) females. The frequency of malnutrition was n= 63 (42%) were moderately malnourished and n= 32 (21.33%) were severely malnourished. None of the patients under the age of 50 years showed signs of malnutrition. The most common etiology for CKD was diabetes mellitus in n= 75 (50%). The mean BMI of 27.6 ± 5.1 kg/m2, Triceps skin fold thickness was 18.2 ± 7.1 mm and a mean mid upper arm circumference of 23.2 ± 3.9 mm2 respectively. Chi-square test shows a significant association between the incidence of malnutrition and undialysed patients suffering from chronic kidney disease. Having a p-value of <0.001. Conclusion: The frequency of malnutrition in undialyzed patients with CKD was very high, mild to moderate malnutrition was more prevalent than severe malnutrition.

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The Relationship Between Hand Grip Strength and Nutritional Status Determined by Malnutrition Inflammation Score and Biochemical Parameters in Hemodialysis Patients

Cited by 20 publications

References 29 publications

Urinary magnesium predicts risk of cardiovascular disease in Chronic Kidney Disease stage 1–4 patients

Urinary magnesium predicts risk of cardiovascular disease in Chronic Kidney Disease stage 1–4 patients

Clinical assessment of nutritional status using the modified quantified subjective global assessment and anthropometric and biochemical parameters in patients undergoing hemodialysis in Macao

The Prevalence of Malnutrition in Patients having Chronic Kidney Disease at A Tertiary Care Center in Karachi Pakistan

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