Al Saran Khalid, Elsayed Sameh, Molhem Azeb, Aldrees Areej, Alzara Huda
Prince Salman Center for Kidney Diseases, Riyadh, Saudi Arabia.
Saudi J Kidney Dis Transpl. 2011 Jul;22(4):675-81.
Management of the nutritional aspects of chronic kidney disease (CKD) presents a number of challenges. This study was performed to assess the nutritional status among patients on maintenance hemodialysis at the Prince Salman Center for Kidney Diseases, Riyadh, Saudi Arabia. The study included 200 patients with a mean age of 50 ± 16 years; there were 108 males (54%) and 92 females (46%). Nutritional assessment was made by the Subjective Global Assessment (SGA) score. In the present study, 4% of the patients were found to be underweight, 49% had average weight, 27.5% were overweight, 14% were obese, and 5.5% had morbid obesity. Severe malnutrition by SGA significantly correlated with duration on dialysis, functional capacity, and associated co-morbid diseases. The number of patients included in this study was small and we recommend multi-center studies with a larger number of patients for better evaluation. Also, we recommend a survival trial to evaluate the relationship between low serum albumin and patient survival in the Saudi population.
慢性肾脏病（CKD）营养方面的管理存在诸多挑战。本研究旨在评估沙特阿拉伯利雅得王子萨勒曼肾脏病中心接受维持性血液透析患者的营养状况。该研究纳入了200例患者，平均年龄为50±16岁；其中男性108例（54%），女性92例（46%）。通过主观全面评定法（SGA）评分进行营养评估。在本研究中，发现4%的患者体重过轻，49%体重正常，27.5%超重，14%肥胖，5.5%患有病态肥胖。SGA评定的严重营养不良与透析时间、功能能力及相关合并症显著相关。本研究纳入的患者数量较少，我们建议开展多中心研究，纳入更多患者以进行更好的评估。此外，我们建议进行一项生存试验，以评估沙特人群中低血清白蛋白与患者生存之间的关系。
