Changes in nutritional status on follow-up of an incident cohort of continuous ambulatory peritoneal dialysis patients.

Changes in nutritional status on follow-up of an incident cohort of continuous ambulatory peritoneal dialysis patients. Research Abstract Details 

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Changes in nutritional status on follow-up of an incident cohort of continuous ambulatory peritoneal dialysis patients. Abstract Text:

Narayan Prasad,Amit Gupta,Archana Sinha,Raj Kumar Sharma,Alok Kumar,Ramesh Kumar,Narayan Prasad,Amit Gupta,Archana Sinha,Raj Kumar Sharma,Alok Kumar,Ramesh Kumar,

BACKGROUND AND OBJECTIVE: The prevalence of malnutrition in continuous ambulatory peritoneal dialysis (CAPD) patients in India has not been studied in much detail. We studied various nutritional indices of end-stage renal disease patients at the initiation of therapy. METHOD: Two hundred and eighty-three CAPD patients (204 were male; mean +/- SD age, 50 +/- 14 years) were assessed for their nutritional status at the initiation of therapy. Nutritional status was assessed by anthropometry, dietary diary, subjective global assessment (SGA), and serum albumin. The patients were categorized into different grades of malnutrition, based on their nutritional indices: (1) normal nutritional status, (2) mild-moderate malnutrition, and (3) severe malnutrition. RESULT: Based on SGA, 71/283 (25.08%) had a normal nutritional status, 192/283 (67.84%) had mild-moderate malnutrition, and 20/283 (7.07%) had severe malnutrition. However, on categorizing patients in different grades of malnutrition based on serum albumin, 103/283 (36.4%) had a normal nutritional status, 175/283(61.84%) had mild-moderate malnutrition, and (5/283) 1.77% had severe malnutrition. Their mean calorie and protein intake was significantly lower than recommended (National Kidney Foundation Dialysis Outcome and Quality Initiative guidelines). Individual dietary counseling was performed, an individual diet chart was given to each patient, and counseling was repeated. There was a significant increase in nutrient intake and in grades of malnutrition of these patients during follow-up. CONCLUSION: We conclude that the majority of the patients were already malnourished at the initiation of CAPD, and that nutrient intake and nutritional parameters improved during the follow-up of these patients.

Changes in nutritional status on follow-up of an incident cohort of continuous ambulatory peritoneal dialysis patients. Publishing Authors By Initials

N Prasad,A Gupta,A Sinha,RK Sharma,A Kumar,R Kumar,N Prasad,A Gupta,A Sinha,RK Sharma,A Kumar,R Kumar,

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Changes in nutritional status on follow-up of an incident cohort of continuous ambulatory peritoneal dialysis patients. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of renal nutrition : the official journal

VOLUME: 18

Page Numbers: 195-201

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ISSN: 1532-8503

DAY: 12

MONTH: Mar

YEAR: 2008

Changes in nutritional status on follow-up of an incident cohort of continuous ambulatory peritoneal dialysis patients. Information

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LANGUAGE: eng

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AFFILIATION: Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Country: United States

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MEDLINETA: J Ren Nutr

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