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PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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Submitted Abstracts

PENSA 2017 Congress

Submitted: June 30, 2017

Abstract ID = 65 | Classification: (4) - Disease specific nutrition issues

Title: Evaluation of protein energy wasting among patients on maintenance hemodialysis at the Renal Care Services of Makati Medical Center using subjective global assessment and ISRNM criteria

Author(s): Mortel, S.R. (a), Bisquera, M.R., MD (b), Reyes, I.B., RND (c)

Institution where study was conducted:

(a) Section of Nephrology, Department of Medicine, Makati Medical Center;

(b) Active consultant, Section of Nephrology, Department of Medicine, Makati Medical Center;

(c) Clinical dietitian, Nutrition and Dietetics Department, Makati Medical Center

Keywords: Protein Energy Wasting; Chronic Kidney Disease; Hemodialysis; Nutritional Tool

Background: Protein Energy Wasting (PEW) is common and occurs in 18 to 75% patients on maintenance dialysis. This is a major concern because it is a strong predictor of morbidity and mortality. However, there is no gold standard capable of assessing the nutritional status of CKD patients.

Objectives: To determine the incidence of PEW among patients on maintenance dialysis at the Renal Care Services of the Makati Medical Center using Subjective Global Assessment and criteria proposed by the International Society for Renal Nutrition and Metabolism (ISRNM).

Methods: Patients were enrolled based on inclusion and exclusion criteria. Demographics, clinical and laboratory data were obtained from chart review. Anthropometric and a 3-day food diary were done. Nutritional status was assessed using Subjective Global Assessment and ISRNM criteria.

Results: Out of 124 patients, 52 completed the study. Nine (17.3%) using ISRNM and 12(23.1%) using SGA were assessed to have PEW. Ninety percent (90.2%) had low energy intake and 82.4% had low protein intake. Anthropometrics (weight, BMI and MAC) and laboratory (albumin and total lymphocyte count) showed significant difference between patients assessed with or without PEW using both nutritional tools. The Cohen Kappa agreement between the two nutritional tools was fair (Kappa 0.373, p-value 0.0186).

Conclusion: Protein Energy Wasting (PEW) is common in patients on maintenance hemodialysis at the Renal Care Services of the Makati Medical Center. The use of either SGA or ISRNM criteria provides the best approach in diagnosing PEW, leading to prevention and early intervention.

Email: sharonrose10@yahoo.com

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