TITLE:
Assessing the Nutritional Status of Hemodialysis Patients in Sub-Saharan Africa: Experience of Two Hemodialysis Centers in Niger
AUTHORS:
Hassan Diongole Moussa, Zeinabou Maiga Moussa Tondi, Yaya Kane, Mahamane Aminou Mahamane Sani, Ide Abdou, Illiassou Touré, Aichatou Illa, Adehossi Eric Omar
KEYWORDS:
Nutrition, Hemodialysis, Niger
JOURNAL NAME:
Open Journal of Nephrology,
Vol.6 No.4,
December
28,
2016
ABSTRACT: Introduction: Patients with end-stage chronic renal failure (ESKD) have a significant impairment in their nutritional status. Our study is aiming
at evaluating the nutritional status based on
clinical and biological parameters. Patient and method: This is a
prospective, cross-sectional, descriptive and analytical study carried out in
two departments of nephrology/dialysis in Niger from 1 December 2014 to 31
March 2015. The assessment of nutritional
status relied on the Body Mass Index (BMI), albuminemia, serum phosphate, hemoglobin, CRP, urea, creatinine levels.
Results: Sixty-five patients were
involved in the study. The mean age was 44.35 ± 13 years with a sex
ratio of 2.09 in favor of men and an average dialysis duration of 43.47 ± 36.55
months. The mean BMI was 21.60 ± 4.47 kg/m2. Undernutrition was noted in 19
patients (29.23%), hypoalbuminemia was found in 13 patients, C-reactive protein (CRP) level was high in 11 patients. In comparative analysis according to the BMI, several parameters were significantly related to undernutrition: hypo-albuminemia, hyperphosphatemia,
high CRP, hyperazotemia, anorexia, MUAC, comorbidities, central venous catheter. Conclusion: The
prognostic value of undernutrition in chronic hemodialysis patients fosters early recognition and management of all
nutritional disturbances in these patients. Assessment and
monitoring of nutritional status in chronic hemodialysis require the simultaneous determination of several
markers in order to weight the limits of each of the criteria taken in isolation.