[Study of serum albumin and BMI as nutritional markers in hemodialysis patients].
BACKGROUND
Protein calorie malnutrition as well as systemic inflammation and metabolic disorders are common among patients with chronic renal failure undergoing renal replacement therapy (haemodialysis), which contributes to its morbidity and mortality.


OBJECTIVE
The aims of this work was to evaluate the nutritional status of patients in a hemodialysis treatment through the assessment of biochemical parameters nutritional as albumin, and anthropometric parameters of body mass index during ten years of follow up.


METHODS
In this work has been followed 90 patients of both sexes with chronic kidney disease who were treated with hemodialysis regularly on our unit for ten years. All patients were conducted quarterly measurements of plasma albumin (Alb), and other biochemical determinations, and anthropometric measurements of height, weight and body mass index calculated by the formula weight/height², grouped n BMI < 23 kg/m² and albumin levels <3.8 g/dl according to the consensus of the panel of experts of the International Society for renal Nutrition and metabolism.


RESULTS
During the 10 years all patients showed a significant decline in the biochemical parameters and the albumin, change in BMI does not presented significant changes in relation to malnutrition.


CONCLUSIONS
Malnutrition in patients on dialysis is a fact patent, BMI does not correspond with the biochemical parameters were observed, for what nutritional impairment in these patients is mainly expressed by serum albumin.
Universidad de Granada. Facultad de Ciencias de la Salud. Campus de Ceuta.. quero@ugr.es.
Angel I
AI
Quero Alfonso
Universidad de Granada. Facultad de Ciencias de la Salud. Campus de Ceuta.. rafaelfernandez@ugr.es.
Rafael
R
Fernández Castillo
Servicio de Nefrología Unidad de Hemodiálisis. Hospital Universitario Virgen de las Nieves. Granada. España.. ruthfg@telefonica.net.
Ruth
R
Fernández Gallegos
Universidad de Granada. Facultad de Ciencias de la Salud. Campus de Ceuta.. fgomez@ugr.es.
Francisco Javier
FJ
Gomez Jimenez
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015415:Biomarkers; D015992:Body Mass Index; D002097:C-Reactive Protein / Q000032:analysis; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006710:Homocysteine / Q000097:blood; D006801:Humans; D053208:Kaplan-Meier Estimate; D008055:Lipids / Q000097:blood; D008297:Male; D044342:Malnutrition / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D009752:Nutritional Status; D011502:Protein-Energy Malnutrition / Q000175:diagnosis / Q000209:etiology; D006435:Renal Dialysis / Q000009:adverse effects; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000628:therapy*; D012494:Sampling Studies; D012709:Serum Albumin / Q000032:analysis*
D015415:Biomarkers; D008055:Lipids; D012709:Serum Albumin; D006710:Homocysteine; D002097:C-Reactive Protein