Assessing the Nutritional Status of Hemodialysis Patients in a Sub-Saharan CountryAgboton BL1*, Agueh VD2, Vigan J1, Sourou BA1, Ahoui S3, Agboton CG4 and Djrolo F5
- Corresponding Author:
- Bruno Léopold Agboton
Nephrology and Hemodialysis Department
CNHU-HKM Cotonou: National University Hospital Center, Benin
E-mail: [email protected]
Received Date: May 23, 2017; Accepted Date: June 26, 2017; Published Date: June 27, 2017
Citation: Agboton BL, Agueh VD, Vigan J, Sourou BA, Ahoui S, et al. (2017) Assessing the Nutritional Status of Hemodialysis Patients in a Sub-Saharan Country. J Kidney 3:145. doi:10.4172/2472-1220.1000145
Copyright: © 2017 Agboton BL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: Identifying which of the three scores (MNA, SGA and ISRNM) would better assess the nutritional status of chronic hemodialysis patients in Benin
Patients and Methods: We conducted a cross-sectional, descriptive and analytical study. It was carried out over a three-month period, from 1st July to 31st September 2015. The study participants included patients who have been on hemodialysis for at least the past 6 months, non-admitted in the past 4 weeks and having given their consent to participate in the study. All patients were subject to anthropometric parameters and checkups in order to apply the three nutritional scores: Mini Nutritional Assessment (MNA); Suggestive Global Assessment (SGA); International Society of Renal Nutrition and Metabolism (ISRNM criteria). Statistical analysis was performed through EpiData Ver 3.1.
Outcomes: 149 patients were selected including 38.93% of women and 61.07% of men. Age ranged from 19 to 79 years with 48 ± 12.88 as mean age. The prevalence of overall malnutrition was respectively 42.75%; 36.24% and 14.09% based on MNA, SGA and ISRNM scores. There was poor protein intake in 85.19% of cases, body mass index (BMI) was below 23 kg/m² in 68.46% of cases, hypoalbuminemia and pre-dialysis hypocreatininemia were recorded in respectively 29.53% and 52.38% of cases.
Conclusion: SGA score seems to be a more objective score as it uses both history and clinical data. BMI and protein intake when considered distinctly, have a better predictive value of our patients nutritional status.