Resumen

MANZANO ANGUA, Juan Manuel; NIETO GRANADOS, María Dolores  y  SANCHEZ CORNEJO, María del Carmen. Nutritional assessment of patients undergoing dialysis treatment in a peripheral clinic. Rev Soc Esp Enferm Nefrol [online]. 2004, vol.7, n.1, pp.10-18. ISSN 1139-1375.

The objective of this study was to describe the state of nutrition of our patients and analyse somerisk factors of malnutrition. The sample for the study was made up of 47 patients. The data recorded were: anthropometric measurements, biochemical nutritional scores, ot-her clinical parameters, demographic data and risk factors. The patients presented a slight caloric malnutrition, a normal state of protein and a normal distribution of fat according to the measurements ofthe subscapular fold, the arm circumference and the Quetelet index. The biochemical scores reflected malnutrition apart from cholesterol and the dose ofdialysis. With the exception of the rate of urea production, all the clinical parameters were within thenormal range. With respect to risk factors, the highpercentage of patients with infected processes previous to the study, was highlighted. Significant correlations were emphasized amongthe anthropometric measurements, the time indialysis and the rate of protein catabolism, the Quetelet index with the age and the inverse correlation between the arm circumference and dose of dialysis. The albumin had no correlation. Among the conclusions we pointed out: caloricmal nutrition is most frequent and is followed by protein malnutrition according to the anthropometric measurements. The most influential riskfactor in malnutrition was infection. Younger patients had more tendency towards malnutrition. Our patients accumulated fat with age and the albumin proved to be an unspecific measure of thestate of nutrition.

Palabras clave : Hemodialysis; Malnutrition; Amthropometrics; Biochemical parameters; Risk factors.

        · resumen en Español     · texto en Español     · Español ( pdf )