대한신장학회

논문분류	춘계학술대회 초록집
제목	SUBJECTIVE GLOBAL ASSESSMENT AND DIALYSIS MALNUTRITION SCORE IN EVALUATION OF NUTRITION STATUS OF DIALYSIS PATIENTS IN KAZAKHSTAN
저자	Abduzhappar Gaipov*, Dmitriy Malykh, Dinara Ismailova, Kanat Aushakimov, Marat Aubakirov, Miklos Z Molnar, Saltanat Tuganbekova
출판정보	2016; 2016(1):
키워드	DIALYSIS MALNUTRITION SCORE IN EVALUATION, NUTRITION, SUBJECTIVE GLOBAL ASSESSMENT
초록	Background: Malnutrition remains a critical risk factor for poor outcome in patients receiving hemodialysis. Kazakhstan has not implemented screening scores which assessing the nutritional status of the patients. We aimed to adapt for using Subjective Global Assessment of Nutritional Status (SGA) and Dialysis malnutrition scores (DMS) in our country. Methods: This study included 51 patients undergoing hemodialysis. SGA score DMS scale were evaluated. Anthropometric parameters (mid-arm circumference (MAC), triceps skinfold thickness (TSF), arm-muscle circumference (AMC), body mass index and laboratory parameters were also recorded. Patients were divided to two groups according to dialysis vintage (up to and more than 24 months). Results: The mean age of patients was 48,7±14,1 years, 54.9% male. The total score on a scale of SGA and DMS were 42,0±5,09 and 10,7±2,75 respectively. Of these, well nourished (SGA-A) - 35 patients (68.6%), moderately undernourished (SGA-B) - 15 patients (29.4%) and was identified only 1 (2.0%) patient (severely undernourished – SGA-C). On a scale of DMS, malnutrition score was normal in 29 (56.7%) patients, which is less than the result obtained in the evaluation on a scale of SGA. Moderate malnutrition was detected in 20 (39.2%) patient and the evaluation scale DMS was also identified 1 patient with severe malnutrition. Comparison of nutritional status of patients: according to the duration of dialysis presented in Table-1. SGA and DMS scores significantly correlated with MAC (r=0.29; p=0.039 and r=-0.36; p=0.011, respectively), TFS (r=0.39; p=0.006 and r=-0.29; p=0.041, respectively) and percentage of weight loss (r=0.71; p<0.001). Conclusion: Majority of patients (98%) undergoing maintained hemodialysis had a low or medium risk of violating nutritional status. SGA and DMS scores should be validated for Kazakhstani patients and their nutritional status should be considered to improve the quality and duration of life on dialysis. Table:
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