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Azzeh FS, Turkistani WM, Ghaith MM, Bahubaish LA, Kensara OA, Almasmoum HA, Aldairi AF, Khan AA, Alghamdi AA, Shamlan G, Alhussain MH, Algheshairy RM, AlShahrani AM, Qutob MS, Alazzeh AY, Qutob HM. Factors associated with the prevalence of malnutrition among adult hemodialytic patients: A two-center study in the Jeddah region, Saudi Arabia. Medicine (Baltimore) 2022; 101:e30757. [PMID: 36221328 PMCID: PMC9542565 DOI: 10.1097/md.0000000000030757] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
Chronic kidney disease, one of the most common diseases in the world, is characterized by irreversible impairment of the kidney's metabolic, excretory, and endocrine functions. During end-stage renal disease, patients require renal replacement therapy, such as hemodialysis (HD). Protein-energy wasting is a common health problem among HD patients. This study aims to assess the nutritional status of HD patients at two HD centers in Jeddah, Saudi Arabia, and to determine its associated factors. A cross-sectional study was conducted at two different dialysis centers in Jeddah, Saudi Arabia; 211 female and male HD patients. Malnutrition was recognized using the modified-subjective global assessment (M-SGA) comprising two parts: medical history and physical examination. Sociodemographic and health status for all patients were also determined. Patients were classified based on their M-SGA score into two groups: normal and malnourished. Overall, 54.5% of the participants showed malnutrition. Unemployment, low muscle strength and mass, high level of medication use, and high dialysis vintage were positively (P < .05) associated with malnutrition. In conclusion, the M-SGA score indicates a high prevalence of malnutrition among HD patients. These results show the importance of regular assessment and follow-ups for HD patients ensuring better health and nutritional status.
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Affiliation(s)
- Firas S. Azzeh
- Clinical Nutrition Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
- *Correspondence: Firas Azzeh, Clinical Nutrition Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah 24231, Saudi Arabia (e-mail: )
| | - Waad M. Turkistani
- Clinical Nutrition Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
- Clinical Nutrition Department, Diaverum A.B. Prince Abdulmajeed Dialysis Center, Jeddah, Saudi Arabia
| | - Mazen M. Ghaith
- Laboratory Medicine Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Lujain A. Bahubaish
- Clinical Nutrition Department, Diaverum A.B. North Jeddah, Jeddah, Saudi Arabia
| | - Osama A. Kensara
- Clinical Nutrition Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
- Medicine Program, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Hussain A. Almasmoum
- Laboratory Medicine Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Abdullah F. Aldairi
- Laboratory Medicine Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Anmar A. Khan
- Laboratory Medicine Department, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Ahmad A. Alghamdi
- Department of Clinical Laboratories Sciences, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
| | - Ghalia Shamlan
- Department of Food Science and Nutrition, College of Food and Agriculture Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Maha H. Alhussain
- Department of Food Science and Nutrition, College of Food and Agriculture Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Reham M. Algheshairy
- Department of Food Science and Human Nutrition, College of Agriculture and Veterinary Medicine, Qassim University, Saudi Arabia
| | - Abdullah M. AlShahrani
- Department of Basic Medical Sciences, College of Applied Medical Sciences, Khamis Mushayt, King Khalid University, Abha, Saudi Arabia
| | - Maysoun S. Qutob
- Clinical Nutrition and Dietetics Department, Faculty of Pharmacy, Applied Science Private University, Amman, Jordan
| | - Awfa Y. Alazzeh
- Department of Clinical Nutrition, College of Applied Medical Sciences, University of Ha’il, Ha’il, Saudi Arabia
| | - Haitham M.H. Qutob
- Faculty of Applied Medical Sciences, Department of Medical Laboratory Technology - Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia
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