Association among malnutrition, anemia and serum C-reactive protein in elderly maintenance hemodialysis patients

VernacularTitle:C-反应蛋白水平与维持性血液透析老年患者营养状态及贫血的关系
Author: Yuping CHEN ; Jingquan WU ; Hantong LI ; Yujing HUANG ; Li HUANG ; Hanying LIN
Publication Type:Journal Article
Keywords: Hemodialysis; C-reactive protein; Malnutrition; Anemia; Aged
From: Chinese Journal of Primary Medicine and Pharmacy 2009;16(7):1206-1207
CountryChina
Language:Chinese
Abstract: Objective To evaluate serum C-reactive protein (CRP) level and its correlation with malnutri-tion,anemia. Methods Thirty-eight elderly and 42 young maintenance hemodialysis patients were studied. Blood samples were collected at the day on hemodialysis for the determination of red blood cell(RBC), hemoglobin(Hgb), hematocrit (Hct), transferrin (TF), serum albumin (Alb), serum creatinine (SCr), blood urea nitrogen (BUN) and CRP; and triceps skinfold (TSF), arm circumference (AC), arm muscle circumference (AMC) were measured. Results The levels of TSF、AC、AMC、RBC、Hgb、Hct、TF、BUN、SCr、Alb in elderly maintenance hemodialysis pa-tients were lower than those of young patients; but serum CRP was higher( P < 0.05 or P < 0.01), The serum-CRP is negatively correlated with hemoglobin(Hgh), hematocrit (Hct) and serum albumin(P <0.01, P <0.01, P <0.05) in elderly maintenance hemodialysis patients. Conclusion Serum CRP is the sensitive index which reflecting early malnutrition and micro-inflammation.