Nephro-Urology Monthly

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Evaluation of Malnutrition and Its Association With Biochemical Parameters in Patients With End Stage Renal Disease Undergoing Hemodialysis Using Subjective Global Assessment

Fatemeh Espahbodi 1 , Talayeh Khoddad 1 , * and Leila Esmaeili 1
Authors Information
1 Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, IR Iran
Article information
  • Nephro-Urology Monthly: May 01, 2014, 6 (3); e16385
  • Published Online: May 15, 2014
  • Article Type: Research Article
  • Received: November 25, 2013
  • Revised: December 21, 2013
  • Accepted: January 11, 2014
  • DOI: 10.5812/numonthly.16385

To Cite: Espahbodi F, Khoddad T, Esmaeili L. Evaluation of Malnutrition and Its Association With Biochemical Parameters in Patients With End Stage Renal Disease Undergoing Hemodialysis Using Subjective Global Assessment, Nephro-Urol Mon. 2014 ; 6(3):e16385. doi: 10.5812/numonthly.16385.

Copyright © 2014, Nephrology and Urology Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Dwyer JT, Larive B, Leung J, Rocco M, Burrowes JD, Chumlea WC, et al. Nutritional status affects quality of life in Hemodialysis (HEMO) Study patients at baseline. J Ren Nutr. 2002; 12(4): 213-23[PubMed]
  • 2. Kalantar-Zadeh K, Kopple JD, Block G, Humphreys MH. A malnutrition-inflammation score is correlated with morbidity and mortality in maintenance hemodialysis patients. Am J Kidney Dis. 2001; 38(6): 1251-63[DOI][PubMed]
  • 3. Kopple JD, Greene T, Chumlea WC, Hollinger D, Maroni BJ, Merrill D, et al. Relationship between nutritional status and the glomerular filtration rate: results from the MDRD study. Kidney Int. 2000; 57(4): 1688-703[DOI][PubMed]
  • 4. Qureshi AR, Alvestrand A, Danielsson A, Divino-Filho JC, Gutierrez A, Lindholm B, et al. Factors predicting malnutrition in hemodialysis patients: a cross-sectional study. Kidney Int. 1998; 53(3): 773-82[DOI][PubMed]
  • 5. Kopple JD. Effect of nutrition on morbidity and mortality in maintenance dialysis patients. Am J Kidney Dis. 1994; 24(6): 1002-9[PubMed]
  • 6. Asgarani F, Mahdavi-Mazdeh M, Lessan-Pezeshki M, Makhdoomi K, Nafar M. correlation between modified subjective global assessment with anthropometric measurements and laboratory parameters. Acta medica Iranica. 2004; 42(5): 332-7
  • 7. Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr. 1987; 11(1): 8-13[PubMed]
  • 8. Adequacy of dialysis and nutrition in continuous peritoneal dialysis: association with clinical outcomes. Canada-USA (CANUSA) Peritoneal Dialysis Study Group. J Am Soc Nephrol. 1996; 7(2): 198-207[PubMed]
  • 9. Jones CH, Wolfenden RC, Wells LM. Is subjective global assessment a reliable measure of nutritional status in hemodialysis? J Ren Nutr. 2004; 14(1): 26-30[PubMed]
  • 10. Visser R, Dekker FW, Boeschoten EW, Stevens P, Krediet RT. Reliability of the 7-point subjective global assessment scale in assessing nutritional status of dialysis patients. Adv Perit Dial. 1999; 15: 222-5[PubMed]
  • 11. Clinical practice guidelines for nutrition in chronic renal failure. K/DOQI, National Kidney Foundation. Am J Kidney Dis. 2000; 35(6 Suppl 2)-140[PubMed]
  • 12. Kalantar-Zadeh K, Kleiner M, Dunne E, Lee GH, Luft FC. A modified quantitative subjective global assessment of nutrition for dialysis patients. Nephrol Dial Transplant. 1999; 14(7): 1732-8[PubMed]
  • 13. Blumenkrantz MJ, Kopple JD, Gutman RA, Chan YK, Barbour GL, Roberts C, et al. Methods for assessing nutritional status of patients with renal failure. Am J Clin Nutr. 1980; 33(7): 1567-85[PubMed]
  • 14. Evaluation of Protein-Energy Nutritional Status Am J Kidney Dis. 2000; 35-21
  • 15. Janardhan V, Soundararajan P, Rani NV, Kannan G, Thennarasu P, Chacko RA, et al. Prediction of Malnutrition Using Modified Subjective Global Assessment-dialysis Malnutrition Score in Patients on Hemodialysis. Indian J Pharm Sci. 2011; 73(1): 38-45[DOI][PubMed]
  • 16. Tayyem RF, Mrayyan MT. Assessing the prevalence of malnutrition in chronic kidney disease patients in jordan. J Ren Nutr. 2008; 18(2): 202-9[DOI][PubMed]
  • 17. Afshar R, Sanavi S, Izadi-Khah A. Assessment of nutritional status in patients undergoing maintenance hemodialysis: a single-center study from Iran. Saudi J Kidney Dis Transpl. 2007; 18(3): 397-404[PubMed]
  • 18. Farrokhi R, Majdzadeh N, Dehghani M. [Assessing Protein Intake through Urea Production Rate in Chronic Hemodialysis Patients of Kerman in 2001]. J Kerman Univ Med Sci. 2004; 11(1): 188-96
  • 19. Gurreebun F, Hartley GH, Brown AL, Ward MC, Goodship TH. Nutritional screening in patients on hemodialysis: is subjective global assessment an appropriate tool? J Ren Nutr. 2007; 17(2): 114-7[DOI][PubMed]
  • 20. Tapiawala S, Vora H, Patel Z, Badve S, Shah B. Subjective global assessment of nutritional status of patients with chronic renal insufficiency and end stage renal disease on dialysis. J Assoc Physicians India. 2006; 54: 923-6[PubMed]
  • 21. Eustace JA, Coresh J, Kutchey C, Te PL, Gimenez LF, Scheel PJ, et al. Randomized double-blind trial of oral essential amino acids for dialysis-associated hypoalbuminemia. Kidney Int. 2000; 57(6): 2527-38[DOI][PubMed]
  • 22. Kaysen GA, Dubin JA, Muller HG, Rosales L, Levin NW, Mitch WE, et al. Inflammation and reduced albumin synthesis associated with stable decline in serum albumin in hemodialysis patients. Kidney Int. 2004; 65(4): 1408-15[DOI][PubMed]
  • 23. Afsar B, Sezer S, Arat Z, Tutal E, Ozdemir FN, Haberal M. Reliability of mini nutritional assessment in hemodialysis compared with subjective global assessment. J Ren Nutr. 2006; 16(3): 277-82[DOI][PubMed]
  • 24. Druml W. Malnutrition is bad, but how can one detect malnutrition? Nephrol Dial Transplant. 1997; 12(11): 2225-7[PubMed]
  • 25. Chmielewski M, Verduijn M, Drechsler C, Lindholm B, Stenvinkel P, Rutkowski B, et al. Low cholesterol in dialysis patients--causal factor for mortality or an effect of confounding? Nephrol Dial Transplant. 2011; 26(10): 3325-31[DOI][PubMed]
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