Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, India.
Department of Nephrology, Madras Medical Mission, Chennai; Department of General Medicine, Pondicherry Institute of Medical Sciences, Pondicherry, India.
Saudi J Kidney Dis Transpl. 2020 May-Jun;31(3):614-623. doi: 10.4103/1319-2442.289448.
There is a paucity of data on malnutrition in different socioeconomic status in chronic kidney disease (CKD) patients. Hence, this cross-sectional study was undertaken in CKD-ND and CKD-D. The aim of the study was to assess the prevalence of malnutrition in the various stages of CKD among the various socioeconomic groups, namely the low-income groups and the upper-middle-income groups. This is a cross-sectional study conducted among 394 patients. The patient data were obtained from three institutions: Institution 1, Institution 2, and Institution 3. Patients were predominantly from the South Indian population and were between the age groups of 18 and 80 years. Measurements: malnutrition was assessed using anthropometry, body composition monitor, biochemical parameters, and dietary recall. Subjective Global Assessment Scale for nondialyzed patients and Malnutrition-Inflammation Score for dialyzed patients were also collected . As per the CKD stages, we found the percentage of malnutrition to be 7% in Stage III, 14% in Stage IV, 18% in Stage V, and 68% in Stage V-D in the upper-middle-income group, whereas it was 10% in Stage III, 26% in Stage IV, 40% in Stage V, and 93% in Stage V-D in the low-income group. The severity of malnutrition was stratified according to the stages of CKD, and it was found to be higher in progressive stages of CKD among the low-income groups as compared to the high-income groups.
在慢性肾脏病（CKD）患者的不同社会经济地位中，营养不良的数据很少。因此，在 CKD-ND 和 CKD-D 中进行了这项横断面研究。本研究的目的是评估不同社会经济群体中 CKD 各阶段的营养不良患病率，即低收入群体和中上收入群体。这是一项在 394 名患者中进行的横断面研究。患者数据来自三个机构：机构 1、机构 2 和机构 3。患者主要来自印度南部人口，年龄在 18 岁至 80 岁之间。测量：使用人体测量学、身体成分监测仪、生化参数和膳食回忆评估营养不良。还收集了非透析患者的主观整体评估量表和透析患者的营养不良-炎症评分。根据 CKD 分期，我们发现中上收入组中，在 CKDIII 期营养不良的比例为 7%，在 CKDIV 期为 14%，在 CKDV 期为 18%，在 CKDV-D 期为 68%；而在 CKDIII 期为 10%，在 CKDIV 期为 26%，在 CKDV 期为 40%，在 CKDV-D 期为 93%。根据 CKD 分期对营养不良的严重程度进行分层，发现低收入组中 CKD 进展阶段的营养不良程度比高收入组更高。
