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ORIGINAL ARTICLE
Year : 2020  |  Volume : 6  |  Issue : 4  |  Page : 89-96

Nutritional status of Iraqi adults on maintenance hemodialysis: A multicenter study


1 Department of Public Health, Al-Karkh Health Directorate, The Medical City, Baghdad, Iraq
2 Department of Public Health, Ministry of Health and Environment, The Medical City, Baghdad, Iraq
3 Nephrology and Renal Transplantation Centre, The Medical City, Baghdad, Iraq

Correspondence Address:
Dr. Ala Sh Ali
Nephrology and Renal Transplantation Centre, The Medical City, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrnm.jrnm_9_21

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Objective: The objective is to assess the prevalence of malnutrition and its associated factors in adult patients on hemodialysis (HD). Patients and Methods: A total of 271 participants (149 males and 122 females) from four major dialysis units were included in this descriptive cross-sectional study conducted from October 2020 to March 2021. Nutritional status was measured using a subjective global assessment tool. The anthropometric indices, body mass index (BMI), and biochemical parameters, including albumin and electrolytes, were also measured in all patients. Results: The overall prevalence of estimated nutritional status was as follows: 50.2% were well-nourished, 42.4% were mildly/moderately malnourished, and 7.4% were severely malnourished. The primary etiology of kidney disease was mostly due to hypertension (38.7%) and diabetes (32.8%). No significant association was detected with regard to age, sex, residence, marital status, occupation, and cause of kidney disease (P > 0.05). Higher educational level, lower BMI, and serum albumin were significantly associated with malnutrition (P < 0.02, <0.005, and <0.02, respectively). Conclusion: Approximately 50% of the adults on HD had variable degrees of malnutrition. BMI and serum albumin levels were significantly associated with the state of malnutrition. Comprehensive clinical nutrition services and counseling should be incorporated into the structure of HD units under the care of a dedicated nutritionist.


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