Evaluation of Nutritional Status Using Anthropometric Measurements and MQSGA in Geriatric Hemodialysis Patients

Overview

Journal North Clin Istanb

Publisher Kare Publishing

Specialty General Medicine

Date 2017 Jan 7

PMID 28058399

Citations 1

Authors

Irem Pembegul Yigit

Ramazan Ulu

Huseyin Celiker

Ayhan Dogukan

Affiliations

Soon will be listed here.

Abstract

Objective: Malnutrition is common among hemodialysis patients and is associated with higher rates of morbidity and mortality. The aim of this study was to evaluate nutritional status of geriatric hemodialysis patients.

Methods: Total of 163 hemodialysis patients were initially screened, and 55 patients (28 males, 27 females; mean age: 72.9±8.4 years) met the criteria for inclusion. Patients were divided into 3 groups according to modified quantitative subjective global assessment (MQSGA) scores: Group I (n=22) normal nutrition, Group II (n=20) mild-to-moderate malnutrition, and Group III (n=13) severe malnutrition.

Results: When we assessed the correlation between MQSGA nutrition score and data of malnourished patients (n=33), positive significant correlation was found between age, C-reactive protein level, and malnutrition-inflammation score. Negative significant correlation was found between body mass index, bicep skinfold, tricep skinfold, mid-arm circumference, mid-arm muscle circumference, and phosphate and albumin levels.

Conclusion: Malnutrition is very common and increasing with aging in geriatric hemodialysis patients. MQSGA score and anthropometric measurements can be used to assess nutritional status in geriatric hemodialysis patients.

Citing Articles

Protein-energy wasting risk in end-stage renal disease patients undergoing haemodialysis and patients' adherence to dietary recommendations in Jordan: a cross-sectional study.

Farrah D, Hammad S, Awwad A, Alnadi S, Al-Btoush A BMJ Open. 2025; 15(3):e094530.

PMID: 40037676 PMC: 11881176. DOI: 10.1136/bmjopen-2024-094530.

The impact of predialytic oral protein-based supplements on nutritional status and quality of life in hemodialysis patients: a randomized clinical trial.

Elsayed M, Abdelkader M, ElKazaz A, Elgohary I BMC Nephrol. 2025; 26(1):103.

PMID: 40011815 PMC: 11866819. DOI: 10.1186/s12882-025-03999-3.

Nutritional status in short daily hemodialysis versus conventional hemodialysis patients in China.

Jiang J, Ni L, Ren W, Zhou X, Su K, Wang L Int Urol Nephrol. 2018; 50(4):755-762.

PMID: 29404929 DOI: 10.1007/s11255-018-1804-2.

References

Fouque D, Vennegoor M, Ter Wee P, Wanner C, Basci A, Canaud B . EBPG guideline on nutrition. Nephrol Dial Transplant. 2007; 22 Suppl 2:ii45-87. DOI: 10.1093/ndt/gfm020. View

Basaleem H, Alwan S, Ahmed A, Al-Sakkaf K . Assessment of the nutritional status of end-stage renal disease patients on maintenance hemodialysis. Saudi J Kidney Dis Transpl. 2007; 15(4):455-62. View

Meuwese C, Carrero J, Stenvinkel P . Recent insights in inflammation-associated wasting in patients with chronic kidney disease. Contrib Nephrol. 2011; 171:120-126. DOI: 10.1159/000327228. View

Espahbodi F, Khoddad T, Esmaeili L . Evaluation of malnutrition and its association with biochemical parameters in patients with end stage renal disease undergoing hemodialysis using subjective global assessment. Nephrourol Mon. 2014; 6(3):e16385. PMC: 4090668. DOI: 10.5812/numonthly.16385. View

Azar A, Wahba K, Mohamed A, Massoud W . Association between dialysis dose improvement and nutritional status among hemodialysis patients. Am J Nephrol. 2007; 27(2):113-9. DOI: 10.1159/000099836. View

Kim J, Kalantar-Zadeh K, Kopple J . Frailty and protein-energy wasting in elderly patients with end stage kidney disease. J Am Soc Nephrol. 2012; 24(3):337-51. DOI: 10.1681/ASN.2012010047. View

Goodkin D, Bragg-Gresham J, Koenig K, Wolfe R, Akiba T, Andreucci V . Association of comorbid conditions and mortality in hemodialysis patients in Europe, Japan, and the United States: the Dialysis Outcomes and Practice Patterns Study (DOPPS). J Am Soc Nephrol. 2003; 14(12):3270-7. DOI: 10.1097/01.asn.0000100127.54107.57. View

Jialin W, Yi Z, Weijie Y . Relationship between body mass index and mortality in hemodialysis patients: a meta-analysis. Nephron Clin Pract. 2012; 121(3-4):c102-11. DOI: 10.1159/000345159. View

Chen J, Peng H, Yuan Z, Zhang K, Xiao L, Huang J . Combination with anthropometric measurements and MQSGA to assess nutritional status in Chinese hemodialysis population. Int J Med Sci. 2013; 10(8):974-80. PMC: 3691795. DOI: 10.7150/ijms.5811. View

10.

Jones C, Wolfenden R, Wells L . Is subjective global assessment a reliable measure of nutritional status in hemodialysis?. J Ren Nutr. 2004; 14(1):26-30. DOI: 10.1053/j.jrn.2003.09.006. View

11.

Zhang K, Cheng G, Cai X, Chen J, Jiang Y, Wang T . Malnutrition, a new inducer for arterial calcification in hemodialysis patients?. J Transl Med. 2013; 11:66. PMC: 3608064. DOI: 10.1186/1479-5876-11-66. View

12.

Canaud B, Tong L, Tentori F, Akiba T, Karaboyas A, Gillespie B . Clinical practices and outcomes in elderly hemodialysis patients: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Clin J Am Soc Nephrol. 2011; 6(7):1651-62. PMC: 4204107. DOI: 10.2215/CJN.03530410. View

13.

Santin F, Bigogno F, Dias Rodrigues J, Cuppari L, Avesani C . Concurrent and Predictive Validity of Composite Methods to Assess Nutritional Status in Older Adults on Hemodialysis. J Ren Nutr. 2015; 26(1):18-25. DOI: 10.1053/j.jrn.2015.07.002. View

14.

Fouque D, Pelletier S, Mafra D, Chauveau P . Nutrition and chronic kidney disease. Kidney Int. 2011; 80(4):348-57. DOI: 10.1038/ki.2011.118. View

15.

Cano N, Roth H, Aparicio M, Azar R, Canaud B, Chauveau P . Malnutrition in hemodialysis diabetic patients: evaluation and prognostic influence. Kidney Int. 2002; 62(2):593-601. DOI: 10.1046/j.1523-1755.2002.00457.x. View

16.

Pupim L, Flakoll P, Majchrzak K, Guy D, Stenvinkel P, Ikizler T . Increased muscle protein breakdown in chronic hemodialysis patients with type 2 diabetes mellitus. Kidney Int. 2005; 68(4):1857-65. DOI: 10.1111/j.1523-1755.2005.00605.x. View

17.

Kalantar-Zadeh K, Kopple J, Block G, HUMPHREYS M . A malnutrition-inflammation score is correlated with morbidity and mortality in maintenance hemodialysis patients. Am J Kidney Dis. 2001; 38(6):1251-63. DOI: 10.1053/ajkd.2001.29222. View

18.

Foley R, Parfrey P, Harnett J, Kent G, Murray D, Barre P . Hypoalbuminemia, cardiac morbidity, and mortality in end-stage renal disease. J Am Soc Nephrol. 1996; 7(5):728-36. DOI: 10.1681/ASN.V75728. View

19.

. Clinical practice guidelines for nutrition in chronic renal failure. K/DOQI, National Kidney Foundation. Am J Kidney Dis. 2000; 35(6 Suppl 2):S17-S104. DOI: 10.1053/ajkd.2000.v35.aajkd03517. View

20.

Dukkipati R, Kopple J . Causes and prevention of protein-energy wasting in chronic kidney failure. Semin Nephrol. 2009; 29(1):39-49. DOI: 10.1016/j.semnephrol.2008.10.006. View