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学科主题: 临床医学
题名:
IS SUBJECTIVE GLOBAL ASSESSMENT A GOOD INDEX OF NUTRITION IN PERITONEAL DIALYSIS PATIENTS WITH GASTROINTESTINAL SYMPTOMS?
作者: Li, Yanjun; Dong, Jie1; Zuo, Li
关键词: Nutrition ; subjective global assessment ; gastrointestinal symptoms
刊名: PERITONEAL DIALYSIS INTERNATIONAL
发表日期: 2009-02-01
卷: 29, 页:S78-S82
收录类别: SCI ; ISTP
文章类型: Proceedings Paper
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
关键词[WOS]: CHRONIC-RENAL-FAILURE ; IRRITABLE-BOWEL-SYNDROME ; HEMODIALYSIS-PATIENTS ; RATING-SCALE ; DISEASE ; VALIDITY ; MALNUTRITION ; RELIABILITY ; ASSOCIATION ; PREVALENCE
英文摘要:

Objective: We investigated whether patients with gastrointestinal (GI) symptoms were prone to be diagnosed as malnourished by subjective global assessment (SGA) by simultaneously evaluating SGA and other indices of nutrition in a cross-sectional survey of peritoneal dialysis (PD) patients.

Patients and Method: From June 2006 to June 2007, 214 PD patients were involved in the study. We recorded results of a GI symptoms questionnaire (GSQ) and SGA. Other indices of nutrition included dietary intake, chemistry examination, anthropometry, handgrip strength, and lean body mass measured by creatinine kinetics.

Results: Mean age of the 214 PD patients enrolled in the study was 60.22 +/- 14.02 years, and mean dialysis duration was 60.22 +/- 14.02 months. Of the 214 patients, 56 (27.16%) were diagnosed as malnourished by SGA. The mean GSQ scores were 9.37 +/- 1.71 (range: 8-17). There were 90 patients with GSQ scores of 8 (group 1), 80 patients with scores of 9 or 10 (group 2), 44 patients with scores of 11 or more (group 3). The prevalence of malnutrition diagnosed by SGA was significantly different in the three groups: 15.56% in group 1, 27.5% in group 2, and 45.45% in group 3 (p = 0.02). However, we observed no difference between the three groups in mid-arm circumference, skinfold thickness (biceps, triceps, subscapular, and suprailiac), daily protein and energy intake, handgrip strength, lean body mass, and serum albumin and prealbumin levels (p > 0.05).

Conclusions: Our results showed that the reliability of SGA in PD patients with GI symptoms remains worth exploring. These patients are possibly diagnosed as malnourished by SGA, although many other indices of nutrition are not necessarily bad.

语种: 英语
WOS记录号: WOS:000263937100015
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59856
Appears in Collections:北京大学第一临床医学院_肾脏内科_期刊论文

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作者单位: 1.Peking Univ, Div Renal, Hosp 1, Dept Med, Beijing 100034, Peoples R China
2.Peking Univ, Inst Nephrol, Beijing 100034, Peoples R China
3.Minist Hlth China, Key Lab Renal Dis, Beijing, Peoples R China

Recommended Citation:
Li, Yanjun,Dong, Jie,Zuo, Li. IS SUBJECTIVE GLOBAL ASSESSMENT A GOOD INDEX OF NUTRITION IN PERITONEAL DIALYSIS PATIENTS WITH GASTROINTESTINAL SYMPTOMS?[J]. PERITONEAL DIALYSIS INTERNATIONAL,2009,29:S78-S82.
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