title: Relationship between the target dose for hemodialysis adequacy and nutritional assessment.
abstract: BACKGROUND
  Some studies have shown an increased relative risk of death for patients with higher levels of Kt/V, which may be associated with marked malnutrition.
  
  
  OBJECTIVE
  The aim of this study was to investigate the relationship between the target dose for hemodialysis adequacy, as measured by Kt/V, and various nutritional parameters in hemodialysis patients.
  
  
  METHODS
  Cross-sectional.
  
  
  METHODS
  Sakarya University Faculty of Medicine, Turkey between February 2014 and March 2014.
  
  
  METHODS
  For consecutive patients who met criteria, the following were recorded: nutritional status, dialysis malnutrition score (DMS), the geriatric nutritional risk index (GNRI), serum albumin level, anthropometric measurements, and bioelectrical impedance analysis. Patients were classified into two groups according to the target hemodialysis dose for single-pool Kt/V: patients with spKt/V >=1.4 and patients with spKt/V < 1.4.
  
  
  METHODS
  Association of hemodialysis adequacy by nutritional assessment.
  
  
  RESULTS
  The prevalence of malnutrition in 286 patients with target dose hemodialysis (spKt/V >=1.4) was significantly higher according to body mass index (BMI), DMS, and GDRI (P=.001, P=.006, and P=.004, respectively) compared with patients with a lower target dose (spKt/V < 1.4). BMI, biceps skinfolds, mid-arm circumference, calf circumference, fat free mass, and total body water were statistically significantly lower in patients at a higher target dose (spKt/V >= 1.4) (P < .001, P=.034, P=.010, P < .001, P < .001, and P < .001 respectively).
  
  
  CONCLUSIONS
  Malnutrition was more frequent in chronic hemodialysis patients who received the target hemodialysis. Evaluation of nutritional status in patients at the target hemodialysis dose should be considered.
  
  
  CONCLUSIONS
  Data collected from a single region; small sample size; cross-sectional design is disadvantageous.
authors.affiliation: Dr. Tezcan Kaya, Department of Internal Medicine,, Faculty of Medicine,, Sakarya University, Sakarya, 54100,, Turkey, T: +90 264 2956630, F: 90 264 2956629, tezcankaya@gmail.com.
authors.forename: Tezcan
authors.initials: T
authors.lastname: Kaya
authors.forename: Savas
authors.initials: S
authors.lastname: Sipahi
authors.forename: Hakan
authors.initials: H
authors.lastname: Cinemre
authors.forename: Cengiz
authors.initials: C
authors.lastname: Karacaer
authors.forename: Ceyhun
authors.initials: C
authors.lastname: Varim
authors.forename: Ahmet
authors.initials: A
authors.lastname: Nalbant
authors.forename: Ali
authors.initials: A
authors.lastname: Tamer
mesh_terms: D000368:Aged; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000453:epidemiology*; D008875:Middle Aged; D015596:Nutrition Assessment; D009752:Nutritional Status; D015995:Prevalence; D006435:Renal Dialysis / Q000379:methods*; D012709:Serum Albumin / Q000378:metabolism; D014421:Turkey
chemical_list: D012709:Serum Albumin