Rezeq Hinar Abu, Khdair Lubna N, Hamdan Zakaria I, Sweileh Waleed M
Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Department of Nephrology, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Saudi J Kidney Dis Transpl. 2018 Mar-Apr;29(2):332-340. doi: 10.4103/1319-2442.229264.
Only a few studies have been published on the nutritional status of hemodialysis (HD) patients in Arab countries. The aim of this study was to determine the nutritional status and prevalence of malnutrition and its predictors among HD patients at An-Najah National University Hospital, Nablus, Palestine. A cross-sectional study was carried out on HD patients in this hospital. Seven-Point Subjective Global Assessment (7-point SGA) was used to assess the nutritional state of HD patients. Biochemical tests were obtained during the study period from medical files of the studied patients. A total of 106 HD patients were recruited for this study and assessed for nutritional status. More than half (60, 56.6%) of the recruited patients were males. The majority of the patients (86.8%) were above 45 years of age. Hypertension (65, 61.3%) was the most common comorbid conditions followed by diabetes mellitus (51, 48.1%). The median SGA score was 5.57 (5-6). More than half of the HD patients (56; 52.8%) were well-nourished while the remaining (50, 47.2%) had mild-to-moderate malnourishment. Univariate analysis indicated that SGA score was significantly higher in HD patients with college education (P = 0.026), nondiabetic (P = 0.044), nonhypertensive (P = 0.037), and those with current occupation (P = 0.025). No significant correlation was found between SGA score and potassium level (P = 0.134), calcium level (P = 0.883), albumin (P = 0.282), and phosphate level (P = 0.419). However, significant positive correlation was found between SGA core and hemoglobin level (P = 0.019; r = 0.227). Multivariate analysis showed no significant predictors of SGA score. In this pilot single-center study, malnutrition was detected in almost half of HD patients using SGA scale. Development of nutritional assessment protocols for HD is an important issue and needs to be followed up by health-care teams in HD centers.
关于阿拉伯国家血液透析（HD）患者营养状况的研究仅有少数发表。本研究的目的是确定巴勒斯坦纳布卢斯安纳贾国立大学医院HD患者的营养状况、营养不良的患病率及其预测因素。对该医院的HD患者进行了一项横断面研究。采用七点主观全面评定法（7分SGA）评估HD患者的营养状况。在研究期间从所研究患者的医疗档案中获取生化检测结果。本研究共招募了106例HD患者并对其营养状况进行评估。超过半数（60例，56.6%）的招募患者为男性。大多数患者（86.8%）年龄在45岁以上。高血压（65例，61.3%）是最常见的合并症，其次是糖尿病（51例，48.1%）。SGA评分中位数为5.57（5 - 6）。超过半数的HD患者（56例，52.8%）营养良好，而其余患者（50例，47.2%）有轻度至中度营养不良。单因素分析表明，接受大学教育的HD患者（P = 0.026）、非糖尿病患者（P = 0.044）、非高血压患者（P = 0.037）以及有当前职业的患者（P = 0.025）的SGA评分显著更高。未发现SGA评分与血钾水平（P = 0.134）、血钙水平（P = 0.883）、白蛋白（P = 0.282）和血磷水平（P = 0.419）之间存在显著相关性。然而，发现SGA评分与血红蛋白水平之间存在显著正相关（P = 0.019；r = 0.227）。多因素分析显示没有SGA评分的显著预测因素。在这项单中心试点研究中，使用SGA量表在几乎半数的HD患者中检测到营养不良。制定HD营养评估方案是一个重要问题，需要HD中心的医疗团队进行跟进。
