title: Comparison of different assessments for evaluating malnutrition in Chinese patients with end-stage renal disease with maintenance hemodialysis.
abstract: Nutritional status can be evaluated by the malnutrition-inflammation score (MIS), bioelectrical impedance analysis (BIA), and modified quantitative subjective global assessment (MQSGA). This study sought to determine the value of these methods for detecting malnutrition in patients with end-stage renal disease (ESRD) who were undergoing maintenance hemodialysis. A total of 84 patients with ESRD with maintenance hemodialysis were recruited for the evaluation of their nutritional states by MQSGA, MIS, and BIA. The potential correlation among these methods was analyzed, and there was a significant difference in the percentage of patients with malnutrition as determined by these methods. Although only 1 of 84 patients had a body fat percentage that was below normal, based on the BIA, all of the patients displayed malnutrition as analyzed by MIS, and 56 of 84 patients had malnutrition as determined by MQSGA. Importantly, the MQSGA scores were positively correlated with the MIS scores (r = 0.924, r² = 0.855, P < .05), whereas no close association was found in results obtained by MQSGA score and BIA (r = -0.169, r² = 0.029, P > .05) in this population. Our data indicate that MIS, not BIA, is a sensitive method for the evaluation of malnutrition in Chinese patients with ESRD with maintenance hemodialysis.
authors.affiliation: Department of Nephrology, First Hospital of Jilin University, Changchun, Jilin 130021, China.
authors.forename: Yue
authors.initials: Y
authors.lastname: Hou
authors.forename: Xiujiang
authors.initials: X
authors.lastname: Li
authors.forename: Dongxu
authors.initials: D
authors.lastname: Hong
authors.forename: Hongbin
authors.initials: H
authors.lastname: Zou
authors.forename: Lizhi
authors.initials: L
authors.lastname: Yang
authors.forename: Yan
authors.initials: Y
authors.lastname: Chen
authors.forename: Haichuan
authors.initials: H
authors.lastname: Dou
authors.forename: Yujun
authors.initials: Y
authors.lastname: Du
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D044466:Asian People; D001823:Body Composition; D015992:Body Mass Index; D017097:Electric Impedance; D005260:Female; D006801:Humans; D007249:Inflammation / Q000175:diagnosis / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000150:complications / Q000503:physiopathology*; D016015:Logistic Models; D008297:Male; D044342:Malnutrition / Q000175:diagnosis* / Q000453:epidemiology* / Q000209:etiology / Q000503:physiopathology; D008875:Middle Aged; D015596:Nutrition Assessment; D009752:Nutritional Status; D006435:Renal Dialysis; D055815:Young Adult