Kidney Week

Abstract: PUB187

Are Poor Patients on Maintenance Haemodialysis Malnourished? A Study from India

Session Information

• Publication Only

Category: Health Maintenance, Nutrition, and Metabolism

• 1500 Health Maintenance, Nutrition, and Metabolism

Authors

• Jayaraman, Gayatri Veeramani, TamilNad Kidney Research ( TANKER) Foundation, Chennai, India

Gayatri Veeramani Jayaraman, MD, FASN

• Alex, Merina Elizabeth, The Madras Medical Mission Institute of Kidney Diseases Urology & Organ Transplantation, Chennai, India

Merina Elizabeth Alex

• Abraham, Georgi, TamilNad Kidney Research ( TANKER) Foundation, Chennai, India

Georgi Abraham, MD, MBBS

• Haridas A, Priya, TamilNad Kidney Research ( TANKER) Foundation, Chennai, India

Priya Haridas A, MD, MBBS, DM

• Mathew, Milly, TamilNad Kidney Research ( TANKER) Foundation, Chennai, India

Milly Mathew, MD

• Kumaraswami, Latha A., TamilNad Kidney Research ( TANKER) Foundation, Chennai, India

Latha A. Kumaraswami

• Vijayakumar, Jayanth, TamilNad Kidney Research ( TANKER) Foundation, Chennai, India

Jayanth Vijayakumar, MD

Background

Malnutrition is widely prevalent in Indian Maintenance Haemodialysis (MHD) patients from economically disadvantaged backgrounds. This study elicits 12 months of follow up.

Methods

838 adult MHD patients were enrolled after informed consent and ethical approval. The tabulated parameters were assessed at baseline and every 3 months for 12 months. In addition,3-day dietary recall, anthropometry with weight, height, mid-arm circumference, skin fold thickness, BCM and biochemical analysis was also performed. Statistics done with paired t-tests and repeated-measures were analysed by Mauchly’s test of sphericity.

Results

Results are shown in Table 1 and 2. This shows that malnutrition increased from 56% to 67% at the end of one year.

Conclusion

1. Both the visceral and somatic protein loss with functional decline indicates high prevalence of PEW and Sarcopenia.
2. 56% were malnourished at baseline with suboptimal caloric and protein intake which increased to 67% at the end of one year. This highlights importance of nutrition counselling and suggesting and implementing nutritional therapy.

BCM and Biochemical Assessment over 12 months

Figure 1: Anthropometry over 12 months