title: The nutritional status of patients starting specialized predialysis care.
abstract: OBJECTIVE
  To examine the prevalence of and risk factors for malnutrition at the start of specialized predialysis care.
  
  
  METHODS
  The present analysis was performed on cross-sectional data collected at inclusion in the study. The study included 25 outpatient clinics delivering specialized predialysis care in the Netherlands.
  
  
  METHODS
  Three hundred seventy-six incident patients with advanced chronic kidney disease attending one of the participating outpatient clinics.
  
  
  METHODS
  Subjective global assessment (SGA) of nutritional status.
  
  
  RESULTS
  At the start of specialized predialysis care, 11% of patients suffer from moderate protein-energy wasting as measured by SGA. Independent risk factors are age >75 years (Odds ratio [OR], 3.88 [1.74-8.66]), female gender (OR, 2.95 [1.37-6.32]), and having a body mass index <25 kg/m(2) (OR, 2.56 [1.19-5.49]). Estimated glomerular filtration rate was not significantly associated with SGA (OR, 1.63 [0.76-3.48]).
  
  
  CONCLUSIONS
  Eleven percent of patients started on specialized predialysis care suffer from moderate protein-energy wasting; risk factors are age >75 years, female gender, and BMI <25 kg/m(2).
authors.affiliation: Department of Internal Medicine, Kennemer Gasthuis, Haarlem, The Netherlands; Department of Internal Medicine, Tergooi, Hilversum, The Netherlands. Electronic address: gjaltjeen@gmail.com.
authors.forename: Gjalt J
authors.initials: GJ
authors.lastname: Westland
authors.affiliation: Linnaeus Research Institute, Kennemer Gasthuis, Haarlem, The Netherlands; Landsteiner Institute, Medical Center Haaglanden, The Hague, The Netherlands.
authors.forename: Diana C
authors.initials: DC
authors.lastname: Grootendorst
authors.affiliation: Centre for Population Health Sciences, University of Edinburgh, United Kingdom.
authors.forename: Nynke
authors.initials: N
authors.lastname: Halbesma
authors.affiliation: Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Friedo W
authors.initials: FW
authors.lastname: Dekker
authors.affiliation: Department of Internal Medicine, Kennemer Gasthuis, Haarlem, The Netherlands.
authors.forename: Cornelis A
authors.initials: CA
authors.lastname: Verburgh
mesh_terms: D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D009752:Nutritional Status; D016017:Odds Ratio; D011502:Protein-Energy Malnutrition / Q000150:complications / Q000453:epidemiology; D006435:Renal Dialysis / Q000379:methods*; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000628:therapy*; D012307:Risk Factors; D012737:Sex Factors; D019282:Wasting Syndrome / Q000150:complications / Q000453:epidemiology