title: [ASSOCIATION OF SERUM ALBUMIN AND SUBJECTIVE GLOBAL ASSESSMENT ON INCIDENT PERITONEAL DIALYSIS PATIENTS].
abstract: BACKGROUND
  serum albumin the biomarker most frequently used as one of three biochemical criteria for diagnosis of protein energy wasting (PEW). However, as a nutritional parameter it's unreliable in chronic kidney disease (CKD). The subjective global assessment (SGA) has been recommended for nutritional evaluation and the PEW in CKD.
  
  
  OBJECTIVE
  determine association between the levels of serum albumin and SGA in patients with end stage renal disease (ESRD) who started peritoneal dialysis (PD).
  
  
  METHODS
  a cross-sectional study in patients with ESRD were evaluated prior to starting PD. Levels of serum albumin were determined and nutritional assessment was performed by SGA.
  
  
  RESULTS
  69 patients, 46 (67%) men and 23 (33%) women, average age 39.97 ± 18.30 years old, serum albumin 2.75 ± 0.65 g/dl, creatinine 18.91 ± 10.98 mg/dl, urea 314.80 ± 152.74 mg/dl and BMI 23.37 ± 3.79 kg/m2, median of GFR 3 (1-12) mL/min/1.73m2. The SGA showed that 34.8% was well nourished, 40.6% had risk of moderate PEW and the 24.6% had severe PEW. There was no association (p = ns) between the levels of serum albumin and SGA.
  
  
  CONCLUSIONS
  the present study shows hypoalbuminemia and PEW are very frequent. The identification of levels of serum albumin and SGA at the beginning of PD in our population could be predictors of mortality. Serum albumin is not a useful tool for nutritional assessment in patients with ERSD who initiate PD.
authors.affiliation: Servicio de Nefrología, Hospital Civil de Guadalajara Dr. Juan I Menchaca.. fyanowsky@hotmail.com.
authors.forename: Francisco Gerardo
authors.initials: FG
authors.lastname: Yanowsky-Escatell
authors.affiliation: Servicio de Nefrología, Hospital Civil de Guadalajara Dr. Juan I Menchaca.. miguelzambrano@live.com.mx.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Pazarín-Villaseñor
authors.affiliation: Servicio de Nefrología, Hospital Civil de Guadalajara Dr. Juan I Menchaca.. miguelzambrano@live.com.mx.
authors.forename: Jorge
authors.initials: J
authors.lastname: Andrade-Sierra
authors.affiliation: Subdirección Médica, Hospital Civil de Guadalajara Dr. Juan I Menchaca.. miguelzambrano@live.com.mx.
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Zambrano-Velarde
authors.affiliation: Dirección, Hospital Civil de Guadalajara Dr. Juan I Menchaca.. miguelzambrano@live.com.mx.
authors.forename: Francisco Martin
authors.initials: FM
authors.lastname: Preciado-Figueroa
authors.affiliation: Servicio de Cirugía Nutrición Clínica, Hospital Civil de Guadalajara Dr. Juan I Menchaca. Guadalajara, Jalisco, México.. miguelzambrano@live.com.mx.
authors.forename: Christian Jesús
authors.initials: CJ
authors.lastname: Santana-Arciniega
authors.affiliation: Servicio de Cirugía Nutrición Clínica, Hospital Civil de Guadalajara Dr. Juan I Menchaca. Guadalajara, Jalisco, México.. miguelzambrano@live.com.mx.
authors.forename: Rogelio Ignacio
authors.initials: RI
authors.lastname: Galeno-Sánchez
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D010530:Peritoneal Dialysis; D011502:Protein-Energy Malnutrition / Q000378:metabolism; D012709:Serum Albumin / Q000032:analysis*
chemical_list: D015415:Biomarkers; D012709:Serum Albumin