CHARACTERISTICS OF SOME NUTRITIONAL INDEX ACCORDING TO THE STANDARDS OF THE INTERNATIONAL SOCIETY OF RENAL NUTRITION AND METABOLISM IN PATIENTS WITH CHRONIC KIDNEY DISEASE STAGES 3–5 TREATED AT THAI BINH GENERAL HOSPITAL
Main Article Content
Abstract
Aims: To identify the prevalence and characteristics of some nutritional indicators according to the standards of the International Society of Renal Nutrition and Metabolism in patients with chronic kidney disease stages 3–5 treated at Thai Binh Provincial General Hospital.
Methods: A cross-sectional study was conducted on 130 patients with chronic kidney disease stage 3-5. The protein-energy wasting syndrome (PEWS) was classifid using criteria of the International Society of Renal Nutrition & Metabolism.
Results: The rate of PEWS was 71.5%. The PEWS patients presented from 1 to 4 main criteria, in which subjects with 2 criteria met with the highest rate (55.9%), and those with 4 criteria met with the lowest rate (3.2%). The PEWS rate gradually decreased from moderate to severe and mild. Reducing BMI met the diagnostic criteria for PEWS with the highest rate (61.5%); total blood protein decreased with the lowest rate (12.3%). Several sub-criteria to diagnose PEWS met with different rates: decrease in lymphocyte count: 52.3%; anorexia: 40.8%; increased triglyceride: 27.7%; hypokalemia: 18.4%.
Conclusion: Chronic disease patients in stage 3-5 had a high rate of PEWS. They need to be paied more attention to evaluate the nutritional status and give an appropritate treatment of nutrition in clinical practice.
Article Details
Keywords
Protein-energy wasting syndrome, chronic kidney disease, Thai Binh General Hospital
References
2. Foque D, Kalantar-Zadeh K, Kopple J, Cano N, Chauvea P, Cuppari L, et al. A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease. Kidney Int. 2008;73(4):391–8.
3. 2.Obi Y, Qader H, Kovesdy CP, Kalantar-Zadeh K. Latest consensus and update on protein-energy wasting in chronic kidney disease. Curr Opin Clin Nutr Metab Care. 2015;18(3):254–62
4. Kovesdy C and Zadeh KK. Protein-energy wasting as a risk factor of morbidity and mortality in chronic kidney disease. Nutritional Management of Renal Disease. 2013; chapter 12, pp.171-195.
5. KDIGO. Definition and classification of CKD. Kidney International Supplements. 2013;3(1):19-62.
6. Iguacel CG and Parra EG. Defining protein-energy wasting syndrome in chronic kidney disease: prevalence and clinical implications. Nefrologia. 2014;34(4):507-519.
7. Phan Xuân Tước. Nghiên cứu một số chỉ số liên quan đến dinh dưỡng - năng lượng ở bệnh nhân lọc máu chu kỳ điều trị tại bệnh viện Nguyễn Trãi Thành Phố Hồ Chí Minh. Luận văn Bác sĩ Chuyên khoa II, Học viện Quân Y, 2017.
8. Foucan L, Meralult H, Line F, et al. (2015). Impact of protein energy wasting status on survival among Afro-Caribean hemodialysis patients: a 3 years prospective study. Springer Plus. 2015;4:452.
9. Larumbe MCT, Soto CC, Sagrado MG, et al. Sun-116: prevalence and severity of protein energy wasting (PEW) syndrome in maintenance hemodialysis patients. Evaluation of diagnostic criteria. Clinical Nutrition. 2016;35(1):s87.
Similar Articles
- Khac Tuan Anh HOANG, Thi Van Anh TRAN, Thi Dzung PHAM, Duc Cuong LE, NUTRITIONAL STATUS IN TUBERCULOSIS PATIENTS HOSPITALIZED IN THAI BINH LUNG HOSPITAL IN 2017 , Vietnam Journal of Nutrition & Food: Vol. 14 No. 4 (2018)
You may also start an advanced similarity search for this article.