Document Type
Thesis
Degree
Master of Science
Department
Dietetics and Nutrition
Advisor's Name
Dr. Evelyn Enrione
Advisor's Title
Committee Chair
Advisor's Name
Adriana Campa
Advisor's Name
Victoria Castellanos
Keywords
Malnutrition, Hemodialysis, Nutritional assessment, Subjective Global Assessment
Date of Defense
3-26-2010
Abstract
Malnutrition (MN) is prevalent worldwide in hemodialysis patients (HDP); however it has not been assessed in HDP living in Jeddah, Saudi Arabia. The purpose of this study was to estimate the prevalence of MN in HDP at the Jeddah Kidney Center as well as to determine if the 7-point subjective global assessment (SGA) correlates with anthropometric [Body Mass Index (BMI), Tricep Skinfold Thickness (TSF), Mid-Arm Muscle Circumference (MAMC)], or biochemical (albumin) measurements. In a cross sectional, descriptive study, 270 HDP were assessed for MN. Over half of the HDP were malnourished, with 47.8% moderately and 6.3% severely malnourished. Fifty-eight percent of HDP did not adhere to their diet prescription. As albumin, BMI, TSF, and MAMC decreased, malnutrition became more severe (p < .01). Patients who were female (OR=.43, p=.001), older (OR=.45, p=.001), with no education (OR=3.10, p=.001), underweight (OR=3.56, p<.001), small TSF (OR=1.12, p=.001), and small MAMC (OR=1.15, p=.001) were more likely to be malnourished. The prevalence of MN is high in these HDP. A consistent nutritional assessment protocol is warranted and should be implemented to decrease MN in Saudi HDP.
Recommended Citation
Alharbi, Khadija A., "Assessment of nutritional status of patients on hemodilaysis: a single center study from Jeddah, Saudi Arabia." (2010). FIU Electronic Theses and Dissertations. Paper 178.
http://digitalcommons.fiu.edu/etd/178