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December 2, 2016
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December 2, 2016
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Abstract

Introduction: The patient on dialysis will suffer from protein-caloric malnutrition, with different factors involved in its onset, which is associated with very high cardiovascular morbidity and mortality. A prevalence of malnutrition in the hemodialysis population of 18- 75% has been estimated, being therefore a problem of special relevance in this type of patients.


Objective: A literature review of the existing scientific articles on the variables involved in malnutrition of patients on dialysis was carried out.


Methods: A bibliographic review has been done using the PubMed, Scielo, ProQuest databases. The search used Mesh terms, with an age of no more than 5 years and with different keywords.


Results: Nineteen articles were reviewed. Most articles were observational and review studies. The factors that are associated with malnutrition are age, loss of muscle mass, low physical activity and diet deficient in micronutrients. Another very important factor is inflammation. Regarding the diagnostic methods are varied and different, due to the large number of variables that influence malnutrition.


Conclusions: Malnutrition in dialysis patients depends on different variables and not only on the diet. The factors that are associated with malnutrition are older age, loss of muscle mass, low physical activity and diet deficient in micronutrients. In addition, we should add the dual role of inflammation in this process as it can be both a consequence and a predisposing factor to malnutrition.

Keywords

MALNUTRITION DIALYSIS HEMODIALYSIS PERITONEAL DIALYSIS INFLAMMATION PROTEIN-ENERGY DEPLETION

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Garrido Pérez L, Sanz Turrado M, Caro Domínguez C. Variables of malnutrition in dialysis patients. Enferm Nefrol [Internet]. 2016 [cited 2025 Apr 30];19(4):[about 10 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/4133
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References

  1. Fouque D, Vennegoor M, ter Wee P, Wanner C, Basci A, Canaud B, et al. EBPG guideline on nutrition. Nephrol Dial Transplant 2007;22 Suppl 2:ii45-87.
  2. Stenvinkel P, Heimburger O, Paultre F, Diczfalusy U, Wang T, Berglund L, et al. Strong association between malnutrition, inflammation, and atherosclerosis in chronic renal failure. Kidney Int 1999;55(5):1899-911.
  3. Kalantar-Zadeh K, Kopple JD, Humphreys MH, Block G. Comparing outcome predictability of markers of malnutrition-inflammation complex syndrome in haemodialysis patients. Nephrol Dial Transplant 2004;19:1507-19.
  4. Dukkipati R, Kopple JD. Causes and prevention of protein-energy wasting in chronic kidney failure. Semin Nephrol 2009;29:39-49.
  5. Chan M, Kelly J, Batterham M, Tapsell L. Malnutrition (subjective global assessment) scores and serum albumin levels, but not body mass index values, at initiation of dialysis are independent predictors of mortality: a 10-year clinical cohort study. J Ren Nutr 2012;22(6):547-57.
  6. Leinig CE, Moraes T, Ribeiro S, Riella MC, Olandoski M, Martins C, et al. Predictive value of malnutrition markers for mortality in peritoneal dialysis patients. J Ren Nutr 2011;21:176-83.
  7. Luis de D, Bustamante J. Aspectos nutricionales en la insuficiencia renal. Nefrología 2008;28(3):339- 48.
  8. Pérez VO, Hernández EB, Bustillo GG, Penié JB, Porbén SS, Borrás AE et al. Nutritional status in chronic renal failure patients assisted at the hemodialysis program of the «Hermanos Ameijeiras» Hospital. Nutr Hosp 2007; 22:677-94.
  9. Carrero JJ, Stenvinkel P, Cuppari L, Ikizler TA, Kalantar-Zadeh K, Kaysen G, et al. Etiology of the protein-energy wasting syndrome in chronic kidney disease: a consensus statement from the International Society of Renal Nutrition and Metabolism (ISRNM). J Ren Nutr 2013;23:77-90.
  10. Gracia-Iguacel C, González-Parra E, Barril- Cuadrado G, Sánchez R, Egido J, Ortiz-Arduán A, Carrero JJ. Definiendo el síndrome de desgaste proteico energético en la enfermedad renal crónica: prevalencia e implicaciones clínicas Nefrología 2014;34(4):507-19. doi:10.3265/Nefrologia. pre2014.Apr.12522.
  11. Carrero JJ, Park SH, Axelsson J, Lindholm B, Stenvinkel P. Cytokines, atherogenesis, and hypercatabolism in chronic kidney disease: a dreadful triad. Semin Dial 2009;22:381-6.
  12. Kalantar-Zadeh K, Block G, McAllister CJ, Humphreys MH, Kopple JD. Appetite and inflammation, nutrition, anemia, and clinical outcome in hemodialysis patients. Am J Clin Nutr 2004;80:299-307
  13. Kalantar-Zadeh K, Ikizler TA, Block G, Avram MM, Kopple JD. Malnutrition-inflammation complex syndrome in dialysis patients: causes and consequences. Am J Kidney Dis 2003;42:864-81.
  14. Ikizler TA, Wingar RL, Harvell J, Shyr Y, Hakim RM. Association of morbidity with markers of nutrition and inflammation in chronic hemodialysis patients: A prospective study. Kidney Int 1999;55:1945-51.
  15. Stenvinkel P, Heimbürger O, Lindholm B. Wasting, but not malnutrition, predicts cardiovascular mortality in end stage renal disease. Nephrol Dial Transplant 2004;19:2181-3.
  16. Fouque D, Pelletier S, Mafra D, Chauveau P. Nutrition and chronic kidney disease. Kidney Int 2011 08;80(4):348-57. doi:10.1038/ki.2011.118
  17. Hasheminejad N, Namdari M, Mahmoodi MR, Bahrampour A, Azmandian J. Association of Handgrip Strength With Malnutrition-Inflammation Score as an Assessment of Nutritional Status in Hemodialysis Patients. Iran J Kidney Dis. enero de 2016;10(1):30-5.
  18. Gracia-Iguacel C, González-Parra E, Pérez-Gómez MV, Mahíllo I, Egido J, Ortiz A, et al. Prevalencia del síndrome de desgaste proteico-energético y su asociación con mortalidad en pacientes en hemodiálisis en un centro en España. Nefrología (Madrid). 2013;33(4):495-505. doi:10.3265/ Nefrologia.pre2013.Apr.11979
  19. As’habi A, Tabibi H, Nozary-heshmati B, Mahdavimazdeh M, Hedayati M. Comparison of various scoring methods for the diagnosis of protein-energy wasting in hemodialysis patients. Int Urol Nephrol 2014;46(5):999-1004. doi 10.1007/s11255-013- 0638-1.
  20. Chen J, Peng H, Xiao L, Zhang K, Yuan Z, Chen J, et al. Inflammation but not dietary macronutrients insufficiency associated with the malnutritioninflammation score in hemodialysis population. PLoS ONE. 2013;8(12):e83233. doi:10.1371/ journal.pone.0083233.
  21. Koor BE, Nakhaie MR, Babaie S. Nutritional assessment and its correlation with anthropometric measurements in hemodialysis patients. Saudi J Kidney Dis Transpl. agosto de 2015;26(4):697- 701.
  22. Martín-del-Campo F, Batis-Ruvalcaba C, González- Espinoza L, Rojas-Campos E, Ángel JR, Ruiz N, González J, Pazarín L, Cueto-Manzano AM. Dietary micronutrient intake in peritoneal dialysis patients:relationship with nutrition and inflammation status. Perit Dial Int. 2012 03;32(2): 183-91. doi: 10.3747/pdi.2010.00245.
  23. Carrero JJ, Stenvinkel P, Cuppari L, Ikizler TA, Kalantar-Zadeh K, Kaysen G, et al. Etiology of the protein-energy wasting syndrome in chronic kidney disease: a consensus statement from the International Society of Renal Nutrition and Metabolism (ISRNM). J Ren Nutr. marzo de 2013;23(2):77-90.
  24. Ikizler TA, Cano NJ, Franch H, Fouque D, Himmelfarb J, Kalantar-zadeh K, et al. Prevention and treatment of protein energy wasting in chronic kidney disease patients: a consensus statement by the International Society of Renal Nutrition and Metabolism. Kidney Int 2013 12;84(6):1096-107. doi:10.1038/ki.2013.147.
  25. Rattanasompattikul M, Molnar MZ, Zaritsky JJ, Hatamizadeh P, Jing J, Norris KC, Kovesdy CP, Kalantar-Zadeh K. Association of malnutritioninflammation complex and responsiveness to erythropoiesis-stimulating agents in long-term hemodialysis patients. Nephrol Dial Transplant 2013 07;28(7):1936-45 doi: 10.1093/ndt/gfs368.
  26. Quero A, Fernández R, Fernández R, Gómez FJ. Estudio de la albúmina sérica y del índice de masa corporal como marcadores nutricionales en pacientes en hemodiálisis. Nutr. Hosp. 2015;31(3):1317-22 doi:10.3305/nh.2015.31.3.8084.
  27. Demirci MS, Demirci C, Ozdogan O, Kircelli F, Akcicek F, Basci A, et al. Relations between malnutrition-inflammation-atherosclerosis and volume status. The usefulness of bioimpedance analysis in peritoneal dialysis patients. Nephrol Dial Transplant. mayo de 2011;26(5):1708-16. doi: 10.1093/ndt/gfq588.
  28. Kovesdy CP, Kalantar-Zadeh K. Accuracy and limitations of the diagnosis of malnutrition in dialysis patients. Semin Dial. julio de 2012;25(4):423-7. doi:10.1111/j.1525-139X.2012.01097.x.
  29. Toledo FR, Antunes AA, Vannini FC, D., Silveira LV, A., et al. Validity of malnutrition scores for predicting mortality in chronic hemodialysis patients. Int Urol Nephrol 2013;45(6):1747-52. doi 10.1007/s11255-013-0482-3.
  30. Anand S, Chertow GM, Johansen KL, Grimes B, Kurella Tamura M, Dalrymple LS, et al. Association of self-reported physical activity with laboratory markers of nutrition and inflammation: the Comprehensive Dialysis Study. J Ren Nutr. noviembre de 2011;21(6):429-37 doi:10.1053/j. jrn.2010.09.007.
  31. Sezer S, Bal Z, Tutal E, Uyar ME, Acar NO. Longterm oral nutrition supplementation improves outcomes in malnourished patients with chronic kidney disease on hemodialysis. JPEN J Parenter Enteral Nutr. noviembre de 2014;38(8):960-5.
  32. Chen J, Peng H, Zhang K, Xiao L, Yuan Z, Chen J, et al. The insufficiency intake of dietary micronutrients associated with malnutritioninflammation score in hemodialysis population. PLoS ONE. 2013;8(6):e66841. doi:10.1371/ journal.pone.0066841.
  33. Beberashvili I, Azar A, Sinuani I, Kadoshi H, Shapiro G, Feldman L, Averbukh Z, Weissgarten J. Comparison analysis of nutritional scores for serial monitoring of nutritional status in hemodialysis patients. Clin J Am Soc Neprhol 2013 03;8(3):443- 51 doi:10.2215/CJN.04980512.
  34. Streja E, Kovesdy CP, Molnar MZ, Norris KC, Greenland S, Nissenson AR, et al. Role of nutritional status and inflammation in higher survival of African American and Hispanic hemodialysis patients. Am J Kidney Dis. junio de 2011;57(6):883-93. doi:10.1053/j.ajkd.2010.10.050.

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