Rogowski Łukasz, Kusztal Mariusz, Gołębiowski Tomasz, Bulińska Katarzyna, Zembroń-Łacny Agnieszka, Wyka Joanna, Klinger Marian, Woźniewski Marek, Dziubek Wioletta
Nonpublic Medical College, Wrocław, Poland.
Department and Clinic of Nephrology and Transplantation Medicine, Faculty of Medicine, Wroclaw Medical University, Poland.
Adv Clin Exp Med. 2018 Aug;27(8):1117-1123. doi: 10.17219/acem/75604.
Patient malnutrition is a significant problem in the process of rehabilitation and treatment. One of the tools that can reveal the risk of malnutrition is a series of standardized nutritional questionnaires.
The aim of the study was to assess the nutritional status of patients with end-stage renal disease (ESRD) by means of the minimal nutritional assessment (MNA) scale.
The study group included respondents suffering from ESRD who were patients of the Dialysis Center at the Clinic of Nephrology and Transplantation Medicine at the University Clinical Hospital in Wrocław. The study was conducted in 47 dialysis patients (22 women and 25 men), mean age 69.68 ±8.95 years. A standardized MNA scale was used to evaluate the nutritional status of the patients.
In the study group, women had a significantly lower score on the MNA scale than men (23.95 vs 25.26 points). Using the MNA scale, the risk of malnutrition was found in 13 patients, while malnutrition was found in 1 patient. Among females, the mean body mass index (BMI) was 27.28, and it was significantly correlated with the MNA score. In males, the mean BMI was 29.61, but it did not correlate with the MNA score. The time spent undergoing renal replacement therapy was 7.63 years for women and 7.24 years for men. This correlated significantly with the MNA score only in the case of men. Significant correlations were established between eating habits and MNA scores in both groups.
The results obtained using the MNA scale showed a significant risk of malnutrition in patients with ESRD. In women only, a low score on the MNA scale significantly correlated with the BMI. The time of renal replacement therapy had a significant impact on the MNA scale only in the case of men. An influence of comorbidities on the MNA scores recorded by men and women was not observed. Major health incidents and other stressful situations significantly affected the nutritional status in men.
患者营养不良是康复和治疗过程中的一个重大问题。一系列标准化营养问卷是能够揭示营养不良风险的工具之一。
本研究旨在通过微型营养评定（MNA）量表评估终末期肾病（ESRD）患者的营养状况。
研究组包括来自弗罗茨瓦夫大学临床医院肾脏病与移植医学诊所透析中心的ESRD患者。该研究纳入了47例透析患者（22名女性和25名男性），平均年龄69.68±8.95岁。采用标准化MNA量表评估患者的营养状况。
在研究组中，女性的MNA量表得分显著低于男性（23.95分对25.26分）。使用MNA量表，发现13例患者存在营养不良风险，1例患者存在营养不良。女性的平均体重指数（BMI）为27.28，且与MNA得分显著相关。男性的平均BMI为29.61，但与MNA得分无相关性。女性接受肾脏替代治疗的时间为7.63年，男性为7.24年。仅在男性中，这与MNA得分显著相关。两组的饮食习惯与MNA得分之间均建立了显著相关性。
使用MNA量表获得的结果显示ESRD患者存在显著的营养不良风险。仅在女性中，MNA量表得分低与BMI显著相关。肾脏替代治疗时间仅在男性中对MNA量表有显著影响。未观察到合并症对男性和女性记录的MNA得分有影响。重大健康事件和其他压力情况显著影响男性的营养状况。
