Article Sidebar
Views PDF: 221
PREVALENCE OF PROTEIN-ENERGY WASTING AND SOME RELATED FACTORS IN END-STAGE KIDNEY DISEASE PATIENTS
Main Article Content
Abstract
Background: Protein-energy wasting (PEW) in end-stage kidney disease (ESKD) patients has increased in recent years, and affects mortality, functional activity, and quality of life of patients. Objectives: we aim to determine the rate of PEW and some related factors in ESKD patients on hemodialysis at Can Tho General Hospital. Materials and methods: A cross-sectional descriptive study was performed on a total of 329 participants with ESKD undergoing hemodialysis at Can Tho General Hospital in 2023. Results: The prevalence of PEW in ESKD patients was 31.9%. BMI, SGA, number of comorbidities, interdialytic weight gain ≥5% were associated with the prevalence of PEW in univariate analysis. In multivariable logistic analysis, BMI, SGA, number of comorbidities, interdialytic weight gain ≥5% were independent risk factors for PEW in ESKD patients on maintenance hemodialysis. BMI are inversely related to PEW. Conclusion: The rate of PEW in ESKD patients on maintenance hemodialysis was high; number of comorbidities, interdialytic weight gain ≥5%, low BMI, poor nutritional status according to SGA were independent risk factors for PEW.
Article Details
Keywords
end-stage kidney disease, protein-energy wasting, hemodialysis, related factors
References
2. Arias-Guillén M., Collado S., Coll E., Carreras J., Betancourt L., et al. Prevalence of ProteinEnergy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study. Nutrients. 2022. 14(16), 3375, doi: 10.3390/nu14163375.
3. Hanna R. M., Ghobry L., Wassef O., Rhee C. M., Kalantar-Zadeh K. A Practical Approach to Nutrition, Protein-Energy Wasting, Sarcopenia, and Cachexia in Patients with Chronic Kidney Disease. Blood Purif. 2020. 49(1-2), 202–211, doi: 10.1159/000504240.
4. Đoàn Duy Tân, Huỳnh Minh Truyền, Phạm Thị Lan Anh. Tỷ lệ suy mòn và các yếu tố liên quan ở bệnh nhân bệnh suy thận mạn lọc máu tại bệnh viện Nguyễn Tri Phương. Tạp chí y học dự phòng. 2020. 30(3), 41-48, doi.org/10.51403/0868-2836/2020/133.
5. Fouque D., Kalantar-Zadeh K., Kopple J., Cano N., Chauveau P., et al. A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease. Kidney Int. 2008. 73(4), 391-398, doi: 10.1038/sj.ki.5002585.
6. Hoàng Hạ Vi, Đoàn Thị Mỹ Hạnh, Đặng Thị Thùy Trang và cộng sự. Tình trạng dinh dưỡng của bệnh nhân chạy thận nhân tạo dưới 70 tuổi đang được quản lý tại bệnh viện đa khoa Hà Đông năm 2022. Tạp chí Dinh dưỡng & Thực phẩm. 2022. 18(3+4), 57-62, doi.org/10.56283/1859-0381/306.
7. Lưu Xuân Ninh, Nguyễn Quang Dũng, Phan Thạch Khuê. Tình trạng dinh dưỡng bệnh nhân bệnh thận mạn lọc máu chu kỳ tại bệnh viện đa khoa Lâm Đồng năm 2020-2021. Tạp chí Dinh dưỡng và thực phẩm. 2021. 17(2), 18-26, doi.org/10.56283/1859-0381/71.
8. Merga C., Girma M., Teshome M. S. Protein-Energy Wasting and Associated Factors Among Chronic Kidney Disease Patients at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Int J Nephrol Renovasc Dis. 2020. 13, 307-318, doi:10.2147/IJNRD.S273874.
9. Yasui S., Shirai Y., Tanimura M, Matsuura S., Saito Y., et al. Prevalence of protein-energy wasting (PEW) and evaluation of diagnostic criteria in Japanese maintenance hemodialysis patients. Asia Pac J Clin Nutr. 2016. 25(2), 292-299, doi: 10.6133/apjcn.2016.25.2.10.