Ho, Lina Ling Ling (2014) Correlations between modified subjective global assessment with anthropometric measurements, biochemical, indicators and adequacy of dietary intakes among hemodialysis patients at SJAM-KPS Dialysis Center Sibu, Sarawak. [Project Paper] (Submitted)
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Abstract
The purpose of this cross-sectional study was to determine the correlations between modified Subjective Global Assessment with anthropometric measurements, biochemical indicators and adequacy of dietary intakes among hemodialysis patients in Sibu, Sarawak. A total of 55 subjects (41 males, 14 females) were recruited with informed consent from SJAM-KPS Dialysis Center, Sibu, Sarawak. Subjects were predominantly Chinese (58.2%) with a mean age of 53.0± 12.2 years. A set of questionnaire was used to obtain socio-demographic, clinical, biochemical data and modified Subjective Global Assessment (m-SGA) score (adapted from Kalantar-Zadeh et al., 1999) of the subjects. Anthropometry and biochemical data of the subjects were obtained from medical record and appropriate techniques. Dietary intake of the subjects was assessed via 24-hour dietary recall on non-dialysis day. Data was analyzed using Statistical Package for Social Sciences (SPSS), version 21.0 while dietary data was analyzed using Nutritionist Pro software. More than 60% and 30% of the subjects had body mass index (BMI) less than 25 kg m-² and mid-upper arm circumference (MUAC) less than 50th percentile, respectively. There was 41.8% of the subjects did not achieve the recommended interdialytic weight gain. Mean interdialytic weight gain was significantly different between male and female (t=2.180, p = 0.034). Mean m-SGA score (11.85 ± 2.26) was low, indicating a lower tendency towards malnutrition. Mean dietary intakes for energy, protein, sodium, potassium, and phosphate were low, with only 9.1%, 3.6%, 9.l%, 1.8%, and 10.9% of the subjects achieved the recommendations, respectively. Pearson product-moment correlation coefficient analysis showed significant positive correlations between m-SGA score with age (r = 0.337, p = 0.012) and duration of hemodialysis treatment (r = 0.403, p = 0.002). Meanwhile, mean BMI (r=-0.459. p < 0.01), MUAC (r = -0.520, p < 0.01), and serum albumin (r =-0.284 , r=0.036) were negatively correlated with m-SGA. In conclusion, there were signiticant correlations between m-SGA with anthropometric and biochemical parameters. but not with dietary intakes. Nutrients intake of the subjects were inadequate especially for energy and protein. Therefore. intervention programs as well as dietary education and nutrition counseling are needed to improve the nutritional status of hemodialysis patients.
| Item Type: | Project Paper |
|---|---|
| Faculty: | Faculty of Medicine and Health Science |
| Depositing User: | Mr Muhamad Fazril Awang |
| Date Deposited: | 22 Nov 2022 07:43 |
| Last Modified: | 22 Nov 2022 07:43 |
| URI: | http://psaspb.upm.edu.my/id/eprint/256 |
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