Pakistan Journal of Medical Sciences

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ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 25

April - June 2009 (Part-I)

Number  2


 

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Is there a correlation between subjective global assessment
and food intake, anthropometric measurement and
biochemical parameters in nutritional assessment
of haemodialysis patients?

Habibe Sahin1, Neriman İnanç2, Dilek Katrancı3, Nurse Özlem Aslan4

ABSTRACT

Objective: Subjective Global Assessment (SGA), a semi-quantitative method of evaluation for nutritional status, has a widespread use among haemodialysis patients both in research studies and in clinical practice. This study was performed to analyze possible correlations between SGA and food intake, anthropometric measurements, bioelectrical impedance (BIA) and biochemical parameters in haemodialysis patients.

Methodology: The cross-sectional study was conducted on 150 Haemodialysis (HD) patients. HD patients were assessed by SGA, 3-day food intake, anthropometry, and some biochemical parameters.

Results: According to the SGA 47.3% of patients were well nourished (SGA-A), 37.4% were moderately malnourished (SGA-B) and 15.3% were severely malnourished (SGA-C). While there was a negative correlation between energy, fat intake and SGA score (p=0.025 and p=0.003, respectively), a correlation between carbohydrate, protein intake and SGA score was not found. There were a negative correlation between SGA and serum total protein (p=0.035), albumin (p=0.024) and haemoglobin levels (p=0.001) and a positive correlation between C Reactive Protein (CRP) (p=0.001).

Conclusions: Subjective Global Assessment (SGA) was correlated with energy and fat intake and some biochemical parameters, but not with anthropometric measurements. Therefore, we conclude that further studies in which SGA with objective methods are used may be of value in determining nutritional status of haemodialysis patients.

KEY WORDS: Bioelectrical Impedance, Haemodialysis patients, Subjective Global Assessment.

Pak J Med Sci    April - June 2009    Vol. 25 No. 2    201-206

How to cite this article:

Sahin H, İnanç N, Katrancı D, Aslan NO. Is there a correlation between subjective global assessment and food intake, anthropometric measurement and biochemical parameters in nutritional assessment of haemodialysis patients?. Pak J Med Sci 2009;25(2):201-206.


1. Habibe Şahin,
Assistant Professor,
2. Prof. Dr. Neriman İnanç,
Head of School,
3. Dilek Katrancı,
Research Assistant,
1-3: Department of Nutrition and Dietetics,
Atatürk Health School,
University of Erciyes,
Kayseri, 38039, Turkey
4. Nurse Özlem Aslan, PhD,
Navy Major, Turkish Naval Forces Department of Health,
Bakanliklar/Ankara, 06100, Turkey.

Correspondence

Habibe Sahin,
Assistant Professor,
Department of Nutrition and Dietetics,
Atatürk Health School, University of Erciyes,
Kayseri, 38039, Turkey.
E mail: habibesahin@hotmail.com
habibe@erciyes.edu.tr

* Received for Publication: November 19, 2008
* Accpeted: February 16, 2009



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