Comparison of malnutrition prevalence between haemodialysis and continuous ambulatory peritoneal dialysis patients: A cross-sectional study

G. S. Harvinder, Winnie Siew Swee Chee, Tilakavati Karupaiah, S. Sahathevan, K. Chinna, A. Ghazali, S. Bavanandan, B. L. Goh

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: Malnutrition is a serious unresolved nutritional problem amongst dialysis patients associated with increased mortality and morbidity and prevalence differs according to dialysis modalities. This study compared protein-energy malnutrition (PEM) prevalence in haemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) patients. Methods: A total of 155 HD and 90 CAPD patients were enrolled. PEM prevalence was determined using body mass index (BMI)/ serum albumin, Dialysis Malnutrition Score (DMS) and dietary intake. Results: CAPD patients had significantly higher BMI (24.1 ± 4.8 kg/m2 vs. 22.7 ± 4.8 kg/m2; p=0.024) and mid-arm muscle area (32.1 ± 12.4 cm2 vs. 29.5 ± 15.9 cm2; p=0.044) than HD patients. They also had significantly lower serum albumin (31 + 5 g/L vs. 35 + 6 g/L; p<0.001) and dietary protein intake (0.82 + 0.37 g/kg/day vs. 1.07 + 0.47 g/kg/day; p<0.001) compared to the HD patients. PEM was more prevalent in CAPD patients compared to HD patients based on serum albumin <40 g/L (97% vs. 81%) and dietary protein intake <1.2 g/kg/day (79% vs. 67%). However, based on DMS scores (74% vs. 71%) and dietary energy intake <30 kcal/kg/day (84% vs. 77%), the HD and CAPD patients had equally high PEM risks. BMI of <18.5 kg/m2, serum albumin of <40 g/L and dialysis duration of >5 years were independent risk factors of PEM in dialysis patients. Conclusion: Periodic nutritional assessments, education and dietary counseling should be emphasised in these patients as a preventive measure of PEM.

Original languageEnglish
Pages (from-to)271-283
Number of pages13
JournalMalaysian Journal of Nutrition
Volume19
Issue number3
Publication statusPublished - 2013

Fingerprint

hemodialysis
Continuous Ambulatory Peritoneal Dialysis
dialysis
cross-sectional studies
Malnutrition
malnutrition
Renal Dialysis
Cross-Sectional Studies
Protein-Energy Malnutrition
protein energy malnutrition
Dialysis
serum albumin
Serum Albumin
body mass index
Body Mass Index
diet counseling
Nutrition Assessment
nutrition assessment
morbidity
Counseling

Keywords

  • Dialysis
  • Malnutrition
  • Nutritional assessment
  • Nutritional status

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Food Science

Cite this

Comparison of malnutrition prevalence between haemodialysis and continuous ambulatory peritoneal dialysis patients : A cross-sectional study. / Harvinder, G. S.; Chee, Winnie Siew Swee; Karupaiah, Tilakavati; Sahathevan, S.; Chinna, K.; Ghazali, A.; Bavanandan, S.; Goh, B. L.

In: Malaysian Journal of Nutrition, Vol. 19, No. 3, 2013, p. 271-283.

Research output: Contribution to journalArticle

Harvinder, GS, Chee, WSS, Karupaiah, T, Sahathevan, S, Chinna, K, Ghazali, A, Bavanandan, S & Goh, BL 2013, 'Comparison of malnutrition prevalence between haemodialysis and continuous ambulatory peritoneal dialysis patients: A cross-sectional study', Malaysian Journal of Nutrition, vol. 19, no. 3, pp. 271-283.
Harvinder, G. S. ; Chee, Winnie Siew Swee ; Karupaiah, Tilakavati ; Sahathevan, S. ; Chinna, K. ; Ghazali, A. ; Bavanandan, S. ; Goh, B. L. / Comparison of malnutrition prevalence between haemodialysis and continuous ambulatory peritoneal dialysis patients : A cross-sectional study. In: Malaysian Journal of Nutrition. 2013 ; Vol. 19, No. 3. pp. 271-283.
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abstract = "Introduction: Malnutrition is a serious unresolved nutritional problem amongst dialysis patients associated with increased mortality and morbidity and prevalence differs according to dialysis modalities. This study compared protein-energy malnutrition (PEM) prevalence in haemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) patients. Methods: A total of 155 HD and 90 CAPD patients were enrolled. PEM prevalence was determined using body mass index (BMI)/ serum albumin, Dialysis Malnutrition Score (DMS) and dietary intake. Results: CAPD patients had significantly higher BMI (24.1 ± 4.8 kg/m2 vs. 22.7 ± 4.8 kg/m2; p=0.024) and mid-arm muscle area (32.1 ± 12.4 cm2 vs. 29.5 ± 15.9 cm2; p=0.044) than HD patients. They also had significantly lower serum albumin (31 + 5 g/L vs. 35 + 6 g/L; p<0.001) and dietary protein intake (0.82 + 0.37 g/kg/day vs. 1.07 + 0.47 g/kg/day; p<0.001) compared to the HD patients. PEM was more prevalent in CAPD patients compared to HD patients based on serum albumin <40 g/L (97{\%} vs. 81{\%}) and dietary protein intake <1.2 g/kg/day (79{\%} vs. 67{\%}). However, based on DMS scores (74{\%} vs. 71{\%}) and dietary energy intake <30 kcal/kg/day (84{\%} vs. 77{\%}), the HD and CAPD patients had equally high PEM risks. BMI of <18.5 kg/m2, serum albumin of <40 g/L and dialysis duration of >5 years were independent risk factors of PEM in dialysis patients. Conclusion: Periodic nutritional assessments, education and dietary counseling should be emphasised in these patients as a preventive measure of PEM.",
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AU - Chee, Winnie Siew Swee

AU - Karupaiah, Tilakavati

AU - Sahathevan, S.

AU - Chinna, K.

AU - Ghazali, A.

AU - Bavanandan, S.

AU - Goh, B. L.

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N2 - Introduction: Malnutrition is a serious unresolved nutritional problem amongst dialysis patients associated with increased mortality and morbidity and prevalence differs according to dialysis modalities. This study compared protein-energy malnutrition (PEM) prevalence in haemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) patients. Methods: A total of 155 HD and 90 CAPD patients were enrolled. PEM prevalence was determined using body mass index (BMI)/ serum albumin, Dialysis Malnutrition Score (DMS) and dietary intake. Results: CAPD patients had significantly higher BMI (24.1 ± 4.8 kg/m2 vs. 22.7 ± 4.8 kg/m2; p=0.024) and mid-arm muscle area (32.1 ± 12.4 cm2 vs. 29.5 ± 15.9 cm2; p=0.044) than HD patients. They also had significantly lower serum albumin (31 + 5 g/L vs. 35 + 6 g/L; p<0.001) and dietary protein intake (0.82 + 0.37 g/kg/day vs. 1.07 + 0.47 g/kg/day; p<0.001) compared to the HD patients. PEM was more prevalent in CAPD patients compared to HD patients based on serum albumin <40 g/L (97% vs. 81%) and dietary protein intake <1.2 g/kg/day (79% vs. 67%). However, based on DMS scores (74% vs. 71%) and dietary energy intake <30 kcal/kg/day (84% vs. 77%), the HD and CAPD patients had equally high PEM risks. BMI of <18.5 kg/m2, serum albumin of <40 g/L and dialysis duration of >5 years were independent risk factors of PEM in dialysis patients. Conclusion: Periodic nutritional assessments, education and dietary counseling should be emphasised in these patients as a preventive measure of PEM.

AB - Introduction: Malnutrition is a serious unresolved nutritional problem amongst dialysis patients associated with increased mortality and morbidity and prevalence differs according to dialysis modalities. This study compared protein-energy malnutrition (PEM) prevalence in haemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) patients. Methods: A total of 155 HD and 90 CAPD patients were enrolled. PEM prevalence was determined using body mass index (BMI)/ serum albumin, Dialysis Malnutrition Score (DMS) and dietary intake. Results: CAPD patients had significantly higher BMI (24.1 ± 4.8 kg/m2 vs. 22.7 ± 4.8 kg/m2; p=0.024) and mid-arm muscle area (32.1 ± 12.4 cm2 vs. 29.5 ± 15.9 cm2; p=0.044) than HD patients. They also had significantly lower serum albumin (31 + 5 g/L vs. 35 + 6 g/L; p<0.001) and dietary protein intake (0.82 + 0.37 g/kg/day vs. 1.07 + 0.47 g/kg/day; p<0.001) compared to the HD patients. PEM was more prevalent in CAPD patients compared to HD patients based on serum albumin <40 g/L (97% vs. 81%) and dietary protein intake <1.2 g/kg/day (79% vs. 67%). However, based on DMS scores (74% vs. 71%) and dietary energy intake <30 kcal/kg/day (84% vs. 77%), the HD and CAPD patients had equally high PEM risks. BMI of <18.5 kg/m2, serum albumin of <40 g/L and dialysis duration of >5 years were independent risk factors of PEM in dialysis patients. Conclusion: Periodic nutritional assessments, education and dietary counseling should be emphasised in these patients as a preventive measure of PEM.

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