Factors Associated With Poor Nutritional Status Among Hemodialysis Patients in Malaysia
- Author:
Mun Chan Yoke
1
Author Information
1. Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Malaysia
- Collective Name:Chan Yoke Mun; Zalilah Mohd Shariff; Christopher Lim Thiam Seong; Goh Bak Leong
- Publication Type:Journal Article
- Keywords:
Hemodialysis patients;
Malnutrition Inflammation Score;
Inflammation;
Modifiable determinants;
Nutritional status
- MeSH:
Hemodialysis
- From:Malaysian Journal of Medicine and Health Sciences
2019;15(SP1):77-83
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Poor nutritional status is prevalent among hemodialysis patients, with limited studies available on how it is being influenced by other factors in the local context. The current study aimed to determine the nutritional status and its associated factors among hemodialysis patients. Methods: This was a study undertaken in a total of 455 hemodialysis patients (256 men and 199 women). The main outcome measure was Malnutrition Inflammation Score (MIS), which was utilized to identify nutritional and inflammatory status of the hemodialysis patients. Other evaluation tools included anthropometry and biochemical measurements as well as dietary assessment. Results: A high proportion of hemodialysis patients were malnourished (64.4%) and presented with inflammation (67.5%). Using multiple linear regression analysis, factors contributing to malnutrition were older age, lower lean body mass, higher interdialytic weight gain (IDWG), inadequate intakes of energy and protein, as well as presence of comorbidities and inflammation. Conclusion: The presence of malnutrition and inflammation were prevalent among hemodialysis patients. Several determinants of poor nutritional status of hemodialysis patients were modifiable and should be recognized while formulating and implementing appropriate intervention plans for this vulnerable group.
- Full text:11.2019my0364.pdf
