Hemodialyse, malnutrition proteino-calorique haemodialysis, protein energy malnutrition

摘要

Introduction: Protein calorie malnutrition is frequent in chronic haemodialysis patients. The real prevalence is controversial due to variation in the tools used in its evaluation. Aim of study: To determine the nutritional status using the scale SGA in chronic haemodialysis patients at Rabat University Hospital and identify malnutrition risk factors associated Patients et methods: Transversal study was performed, during Octobre and Novembre , determining nutritional study in 61 patients on maintenance haemodialysis. We evaluated nutritional status by the subjective global assessment score (SGA) and biological parameters (albumin, transferrin, bicarbonates, cholesterol, haemoglobin, CRP, npcr), anthropometric (body mass index or BMI), quality of dialysis (KT/V and weekly dialysis time). Results: The mean age of patients was 43+/-12,2 years, sex ratio of 0,79, mean haemodialysis duration of 142,18+/-66,87 months. The mean body mass index was 21,76+/-3,46Kg/m^2. In our study in patients undergoing maintenance haemodialysis, 17 patients (28%) were malnourish according to SGA against only 19% considering BMI as the mean criterion for malnutrition. Comparing the different parameters studied was used to determine risk factors associated with the MPC statistically significant in univariate analysis: high morbidity, intestinal symptoms, a low protein intake, hypoalbuminemia, anemia (p=0.001, 0.023, 0.001, 0 , 0001, 0.001, 0.04, 0.001 respectively). Conclusion: Protein caloric malnutrition is frequent in our patients on maintenance haemodialysis. Early recognition and treatment of malnutrition is essential to improve the outcome of these patients.