Comparison of Protein Energy Wasting Assessment on Quality of Life Regular Hemodialysis Patients

Authors

  • Ni Wayan Sri Wardani Departement of Internal Medicine, Medical Faculty and Health Science Warmadewa University, Sanjiwani Gianyar Hospital Bali, Gianyar, Indonesia
  • Dewa Gde Agung Budiasa Departement of Internal Medicine, Medical Faculty and Health Science Warmadewa University, Sanjiwani Gianyar Hospital Bali, Gianyar, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v11i2.1075

Keywords:

Protein Energy Malnutrition, Hemodialysis, Children with cancer, Fatigue, Quality Of Life, Treatment.

Abstract

Background. Protein energy wasting (PEW) is one of several markers of the quality of hemodialysis (HD) services in Indonesia, however not many studies conducted PEW assessement with quality of life (QoL) domain of regular HD patients.

Aim: To determine comparison of PEW assessment with QoL domains in regular HD patients.

Method: A Cross-sectional study with total sampling of 105 regular HD patients at Sanjiwani Gianyar General Hospital, on June to July 2022, The PEW assessments: body mass index (BMI), serum albumin, subjective global assessment (SGA), malnutrition inflammation score (MIS), and the International Society of Renal Nutrition and Malnutrition (ISRNM) with QoL domains by KDQOL-SF (Kidney Disease Quality of Life Short Form).

Results.  Most of the subjects were men (54.2%), the mean age was51.66 years and mean duration of HD was 50.28 months. The mean of BMI, serum creatinine, and serum albumin were 23.46 kg/m2, 9.70 mg/dL, and 3.86 mg/dL respectively, and median MIS 5. This study obtained significant correlation of BMI and QoL domains: work status, physical functioning, role of physics, energy/fatigue, and SF 12 physical composite. The MIS also significantly correlated with emotional well-being, sleep, and burden of disease. And ISRNM significantly correlated with energy/fatigue, and sexual function, On logistic regression analysis, this study obtained that albumin was significantly related to general health, emotional well-being, and energy/fatigue,

Conclusion: Assessment of PEW (BMI, serum albumin, MIS, SGA, and ISRNM ) were related to several domains of QoL.

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References

1. Prasad N, Jha V. Hemodialysis in Asia. Kidney Dis. 2015;1(3):165–77.

2. PERNEFRI. 11th Report Of Indonesian Renal Registry 2018. Irr [Internet]. 2018;1–46. Available from: https://www.indonesianrenalregistry.org/data/IRR 2018.pdf

3. Carrero JJ, Stenvinkel P, Cuppari L, Ikizler TA, Kalantar-Zadeh K, Kaysen G, et al. Etiology of the Protein-Energy Wasting Syndrome in Chronic Kidney Disease: A Consensus Statement From the International Society of Renal Nutrition and Metabolism (ISRNM). J Ren Nutr. 2013;23(2):77–90.

4. Carrero JJ, Thomas F, Nagy K, Arogundade F, Avesani CM, Chan M, et al. Global Prevalence of Protein-Energy Wasting in Kidney Disease: A Meta-analysis of Contemporary Observational Studies From the International Society of Renal Nutrition and Metabolism. J Ren Nutr. 2018;28(6):380–92.

5. Wardani NWS, Budiyasa DGA, Sudhana IW, Widiana IGR. Nutritional status using ISRNM criteria and MIS of chronic haemodialysis patients at Sanjiwani Gianyar General Hospital. J Phys Conf Ser. 2019;1157(4).

6. M R, T I. Nutrition. In: JT D, PG B, Ing TS, editors. Hand Book of Dialysis. Fifth. Philadelphia: Wolters Kluwer Health; 2015. p. 535–54.

7. Hanna RM, Ghobry L, Wassef O, Rhee CM, Kalantar-Zadeh K. A Practical Approach to Nutrition, Protein-Energy Wasting, Sarcopenia, and Cachexia in Patients with Chronic Kidney Disease. Blood Purif. 2020;49(1–2):202–11.

8. Zuijdewijn CLM de R van, Bots MPCGML, Blankestijn PJ, Dorpel MA van den, Menso J. Nubé PM ter W. comparing multi assesment of PEW and QOL. 2015.

9. El-Habashi AF, El-Agroudy AE, Jaradat A, Alnasser ZH, Almajrafi H, R H. Alharbi, Asma Alanzy2 AMA. Quality of Life and its Determinants among Hemodialysis Patients: A Single-Center Study. Saudi J Kidney Dis Transpl. 2020;31(2):460–72.

10. Merga C, Girma M, Teshome MS. Protein-energy wasting and associated factors among chronic kidney disease patients at st. Paul’s hospital millennium medical college, addis ababa, ethiopia. Int J Nephrol Renovasc Dis. 2020;13:307–18.

11. Harvinder GS, Swee WCS, Karupaiah T, Sahathevan S, Chinna K, Ahmad G, et al. Dialysis malnutrition and malnutrition inflammation scores: Screening tools for prediction of dialysis - related protein-energy wasting in Malaysia. Asia Pac J Clin Nutr. 2016;25(1):26–33.

12. Wardani NWS, Widiana IGR, Kandarini Y. Role of malnutrition inflammation score and interleukin-6 on quality of life of regular hemodialysis patients. Bali Med J. 2022;11(1):545–50.

13. Bilgic A, Akgul A, Sezer S, Arat Z, Ozdemir FN, Haberal M. Nutritional Status and Depression, Sleep Disorder, and Quality of Life in Hemodialysis Patients. J Ren Nutr. 2007;17(6):381–8.

13. Visiedo L, Rey L, Rivas F, López F, Tortajada B, Giménez R, et al. The impact of nutritional status on health-related quality of life in hemodialysis patients. Sci Rep [Internet]. 2022;12(1):1–8. Available from: https://doi.org/10.1038/s41598-022-07055-0

14. Nurulain T. Zaveri. Neonatal Mouse Heart Extract. HHS Public Access. Physiology & Behavior [Internet]. 2016;176(10):139–48.

15. Apple R, Samuels LR, Fonnesbeck C, Schlundt D, Mulvaney S, Hargreaves M, et al. Body mass index and health-related quality of life. Obes Sci Pract. 2018;4(5):417–26.

16. Cabezas-Rodriguez I, Carrero JJ, Zoccali C, Qureshi AR, Ketteler M, Floege J, et al. Influence of body mass index on the association of weight changes with mortality in hemodialysis patients. Clin J Am Soc Nephrol. 2013;8(10):1725–33.

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Published

2024-07-31

How to Cite

1.
Sri Wardani NW, Budiasa DGA. Comparison of Protein Energy Wasting Assessment on Quality of Life Regular Hemodialysis Patients. Medica Hospitalia J. Clin. Med. [Internet]. 2024 Jul. 31 [cited 2024 Dec. 12];11(2):138-43. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/1075

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