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毛里求斯一家三级医院血液透析患者营养不良的患病率及相关风险因素。

Prevalence and risk factors of malnutrition among patients receiving hemodialysis in a tertiary level hospital in Mauritius.

机构信息

Dr A G Jeetoo Hospital, Port Louis, Mauritius.

Faculty of Medicine and Health Sciences, University of Mauritius, Mauritius.

出版信息

J Int Med Res. 2024 Nov;52(11):3000605241300008. doi: 10.1177/03000605241300008.

Abstract

OBJECTIVE

In this study, we aimed to determine the prevalence of malnutrition and its associated risk factors among patients undergoing hemodialysis in a tertiary hospital in Mauritius.

METHODS

We enrolled 250 participants in this cross-sectional single-center study. A modified Malnutrition-Inflammation Score (MIS) questionnaire was used. We collected and analyzed data pertaining to patients' medical and hemodialysis details.

RESULTS

Among the 250 enrolled participants, 136 (54.4%) were male patients. Participants had been undergoing hemodialysis for a mean duration of 5.67 ± 4.66 years. Malnutrition was present in 108 (43.2%) participants, and 176 patients (70.4%) had diabetes mellitus, which was found to be a significant predictor of malnutrition. There was a significant correlation between malnutrition and the number of years a participant had been under hemodialysis, as well as female sex. A significant variation in MIS values was found among different age groups. Participants with malnutrition had lower body mass index and hyponatremia.

CONCLUSIONS

Malnutrition is an important issue, particularly among women, patients who have been on hemodialysis for an extended period, those with older age, and patients with diabetes mellitus.

摘要

目的

本研究旨在确定毛里求斯一家三级医院接受血液透析患者的营养不良患病率及其相关危险因素。

方法

我们对 250 名参与者进行了这项横断面单中心研究。使用改良的营养不良-炎症评分(MIS)问卷。我们收集并分析了与患者医疗和血液透析细节相关的数据。

结果

在 250 名入组的参与者中,有 136 名(54.4%)为男性患者。参与者接受血液透析的平均时间为 5.67±4.66 年。108 名(43.2%)参与者存在营养不良,176 名患者(70.4%)患有糖尿病,这被发现是营养不良的一个重要预测因素。营养不良与参与者接受血液透析的年限以及女性性别之间存在显著相关性。不同年龄组的 MIS 值存在显著差异。营养不良的参与者体重指数和低钠血症更低。

结论

营养不良是一个重要问题,特别是在女性、接受血液透析时间较长的患者、年龄较大的患者和患有糖尿病的患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f5d/11693847/fa94a1d52f5d/10.1177_03000605241300008-fig1.jpg

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