Concurrent and predictive validity of composite methods to assess nutritional status in older adults on hemodialysis

Concurrent and predictive validity of composite methods to assess nutritional status in older adults on hemodialysis

Author de Oliveira Santin, Fernanda Galvao Google Scholar
Bigogno, Fernanda Guedes Google Scholar
Dias Rodrigues, Juliana Cordeiro Google Scholar
Cuppari, Lilian Autor UNIFESP Google Scholar
Avesani, Carla Maria Google Scholar
Abstract Objective: To assess the performance of subjective global assessment (SGA), malnutrition inflammation score (MIS), and mini nutritional assessment short-form (MNA-SF) in older adults on hemodialysis (HD) by evaluating their concurrent and predictive validity. Design: An observational and prospective study including older adults on HD. Setting: Six dialysis units. Subjects: We assessed 137 HD patients aged >= 60 years (71.7% male, 70.2 +/- 7.2 years). Main Outcome Measures: The nutritional status was assessed by 7-point SGA, MIS and MNA-SF, and by objective methods. Patients were followed up for 14.5 (8

26.3) months (median and interquartile) to assess survival. Results: Protein energy wasting (PEW) was present in 63% of the patients when assessed by SGA, in 77% by MIS, and in 26% by MNA-SF. Most objective parameters of patients classified with PEW were lower (P < .05) than those from patients classified as well-nourished by SGA, MIS, and MNA-SF. In addition, the hazard of death was higher for patients classified as PEW by SGA (hazard ratio 2.63 [95% confidence interval 1.14-6.00]), MIS (5.13 [1.19-13.7]), and MNA-SF (2.53 [1.34-4.77]) in comparison to well-nourished patients. Conclusions: The prevalence of PEW varied depending on the tool applied. SGA, MIS, and MNA-SF had good concurrent and predictive validity for the assessment of nutritional status, but SGA and MIS were likely to perform better than MNA-SF. (C) 2016 by the National Kidney Foundation, Inc. All rights reserved.
Keywords Subjective Global Assessment
Chronic Kidney-Disease
Malnutrition-Inflammation Score
Peritoneal-Dialysis Patients
Stage Renal-Disease
Maintenance Hemodialysis
Language English
Sponsor Fundacao Carlos Chagas Filho de Amparo a Pesquisa do Estado do Rio de Janeiro (FAPERJ) [E-26/111.653/2010, E-26/103.209/2011]
Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
Grant number FAPERJ: E-26/111.653/2010
FAPERJ: E-26/103.209/2011
Date 2016
Published in Journal Of Renal Nutrition. Philadelphia, v. 26, n. 1, p. 18-25, 2016.
ISSN 1051-2276 (Sherpa/Romeo, impact factor)
Publisher W b saunders co-elsevier inc
Extent 18-25
Access rights Closed access
Type Article
Web of Science ID WOS:000372010300004

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