Publication details

Title
Validation of mini nutritional assessment scale in peritoneal dialysis patients.
Authors
Brzosko,S.;Hryszko,T.;Klopotowski,M.;Mysliwiec,M.
Publication Year
2013
Abstract
Introduction: Malnutrition is a negative predictive factor for survival in end stage renal disease (ESRD) patients. Coincidence of malnutrition, inflammation and atherosclerosis (MIA syndrome) in the dialysis population is an exceptionally poor outcome event. Due to flexibility, ease of performance and reproducibility, clinical scales are of particular value in assessment of nutritional status in ESRD patients. The aim of the present study was to evaluate the clinical value of Mini Nutritional Assessment (MNA) in peritoneal dialysis (PD) patients. Material and methods: Nutritional status was assessed in 41 peritoneal dialysis patients by means of the MNA scale and malnutrition inflammation score (MIS). Some other clinical and laboratory parameters associated with nutritional status were analyzed. Patients were followed up for 30 months. Results: In the analyzed group of patients a good nutritional state was diagnosed in 22 patients (54%), risk of malnutrition in 17 (41%) and malnutrition in 2 patients (5%) based on the MNA scale. A strong correlation between MNA based nutritional status and MIS was found (r = -0.85, p < 0.01, ANOVA, p < 0.01). Differences in time on dialysis, body mass index, concentration of albumin, cholesterol and triglycerides were noted between at risk/malnourished and well-nourished (according to MNA) patients. Statistically significant factors determining survival of patients by Cox proportional hazard analysis were age (HR 1.07), being at risk/malnourished according to MNA (HR 5.7), MIS (HR 1.2), and albumin (HR 0.13). Conclusions: The MNA scale is a valuable, clinically suitable tool for assessment of nutritional status in peritoneal dialysis patients. Risk of malnutrition and malnutrition diagnosed by MNA identifies patients at high mortality risk. Copyright (copyright) 2013 Termedia & Banach.
Journals
Arch Med Sci.
Volume
9
Issue
4
Startpage
669-
Endpage
676
Booktitle
Editors
City
Publisher
Issnisbn
1734-1922
Reflist
0
Doi
doi:10.5114/aoms.2012.31386
Pmid
PMID: 24049527
Keywords
albumin;cholesterol;triacylglycerol;adult;albumin blood level;article;body mass;cholesterol blood level;clinical article;clinical assessment tool;female;follow up;hemodialysis patient;human;hypoalbuminemia;kidney failure;male;malnutrition;mini nutritional????
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