Assessment of Nutritional Status of Patients on the Maintenance Hemodialysis at Tertiary Care Hospital using Malnutrition Inflammatory Score

• Published in: Pakistan Armed Forces medical journal Vol. 72; no. 6; pp. 2006 - 9
• Main Authors: Tahir, Hasham Bin, Khan, Malik Nadeem Azam, Tariq, Rabia, Khan, Raheel, Ahmed, Bilal, Khan, Hafiz Waleed
• Format: Journal Article
• Language: English
• Published: Rawalpindi Knowledge Bylanes 31.12.2022; AsiaNet Pakistan (Pvt) Ltd; Army Medical College Rawalpindi
• Subjects: Age; Analysis; Body mass index; Cardiovascular disease; Chronic kidney failure; Comorbidity; Diabetes; End-stage renal disease (ESRD); Energy; Gender; Hemodialysis; Hospitals; Hypertension; Kidney diseases; Malnutrition; Malnutrition inflammatory Score (MIS); Metabolism; Mortality; Nutrition; Nutritional status; Overweight; Patients; Product/Service Evaluations; Protein energy wasting (PEW); Proteins; Risk factors; Socioeconomic factors
• ISSN: 0030-9648; 2411-8842
• DOI: 10.51253/pafmj.v72i6.4442

Objective: To determine the frequency of protein energy wasting among end stage renal disease patients on maintenance hemodialysis. Study Design: Cross-sectional analytical study. Place and Duration of Study: Department of Nephrology, Pak Emirates Military Hospital, Rawalpindi Pakistan, from May 2019 to Mar 2020. Methodology: Two hundered patients diagnosed with end-stage renal disease on maintenance hemodialysis were included in the study. Protein-energy wasting was assessed using the Malnutrition inflammatory score comprising four x components: medical history, physical examination, laboratory parameters and body mass index. Malnutrition inflammatory score was used to categorize protein-energy wasting. Results: Out of 200 patients with ESRD on maintenance hemodialysis, 73(36.5%) patients had mild, 120(60.0 %) patients had moderate, and 7(3.5%) patients had severe protein-energy wasting. The advanced age group, multiple comorbid (diabetes mellitus, hypertension, ischemic heart disease), and duration of hemodialysis (> 2 years) had a statistically significant association with the protein energy wasting (p-value < 0.05). Protein-energy wasting was also more prevalent in patients with low monthly income (p-value 0.04). Conclusion: Protein-energy wasting is common among patients with end stage renal disease on maintenance hemodialysis.Old age group, multiple comorbid, and duration of hemodialysis are important risk factors.