Analysis of Nutritional Status in Patients with Chronic Kidney Disease from Stage 1 to 4_West China Medical Journal

Authors：

 DiaoYongshu ¹ , MaDengyan ¹ , ChenYi ¹ , LiuYuan ²

1. Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Nutrition;West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

Chronic kidney disease; Nutrition; Body composition analysis; Body mass index

DOI：

10.7507/1002-0179.20160018

Video：

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Objective To collect the nutrition data in patients with chronic kidney disease (CKD) from stage 1 to 4 and provide the basis for further intervention by analyzing the specific problems of the patients. Methods A total of 132 CKD patients from stage 1 to 4 were enrolled between December 2012 and December 2013. Nutritionists used inbodyS10ww as a body composition analyzer to test the patients. The data from inbodyS10ww and laboratory indexes were analyzed on marasmus, overweight and obesity, risk of malnutrition, malnutrition, anemia and hypoalbuminemia. Results The percentage of marasmus in those CKD patients was 3.0%, overweight and obesity was 39.4%, the risk of malnutrition was 22.7%, malnutrition was 19.7%, anemia was 34.1%, and hypoalbuminemia was 9.8%. Conclusion Our search shows that combining the application of anthropometry and laboratory indexes can evaluate the nutritional status of patients with CKD. The most common nutritional problems in CKD patients include malnutrition, overweight and obesity, risk of malnutrition, and anemia. As for hypoalbuminemia, it is low in early CKD patients.

Citation： DiaoYongshu, MaDengyan, ChenYi, LiuYuan. Analysis of Nutritional Status in Patients with Chronic Kidney Disease from Stage 1 to 4. West China Medical Journal, 2016, 31(1): 72-74. doi: 10.7507/1002-0179.20160018 Copy

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1. 顧勇. 慢性腎臟病患者高血壓的控制[J]. 中華內科雜志, 2011, 50(7):537-538.
2. 邵春海, 朱云, 劉景芳, 等. 低蛋白飲食對3/4期慢性腎臟病患者腎功能及營養狀況的影響[J]. 中華臨床營養雜志, 2009, 17(6): 339-342.
3. 任偉, 王艷. 慢性腎臟病患者高血壓的治療[J]. 安徽醫學, 2012, 33(3):366-367.
4. 婁探奇, 葉增純. 從臨床指南的演變看慢性腎臟病患者的血壓管理[J]. 中華高血壓雜志, 2012, 20(7):613-615.
5. 周蓉, 蔣更如. 慢性腎臟病患者營養狀態分析[J]. 中國基層醫藥, 2010, 17(2):179-181.
6. Kopple JD, Greene T, Chumlea WC, et al. Relationship between nutritional status and the glomerular filtration rate:results from the MDRD Study[J]. Kidney Int, 2000, 57(4):1688-1703.
7. 湯曉靜, 陳偉. 慢性腎臟病營養治療的實施和監控[J]. 臨床腎臟病雜志, 2010, 10(12):538-540.
8. Levey AS, Eckardt K, Tsukamoto Y, et al. Definition and classification of chronic kidney disease:a position statement from Kidney Disease:Improving Global Outcomes (KDIG)[J]. Kidney Int, 2005, 67(6):2089-2100.
9. α酮酸制劑在腎內科應用專家協作組. 慢性腎臟病蛋白營養治療共識[J]. 中華腎臟病雜志, 2005, 21(7):3.
10. 中國肥胖問題工作組. 中國成人超重和肥胖癥預防與控制指南(節錄)[J]. 營養學報, 2004, 26(1):1-4.
11. 蔣朱明, 陳偉, 朱賽楠, 等. 我國東、中、西部大城市三甲醫院營養不良(不足)、營養風險發生率及營養支持應用狀況調查[J]. 中國臨床營養雜志, 2008, 16(6):335-337.
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14. Cooper BA, Bartlety LH, Aslani A, et al. Validity of subjection global assessment as a nutritional marker in end-stage renal disease[J]. Am J Kidney Dis, 2002, 40(1):126-132.
15. 連璐, 王潔, 蔡東聯. 不同營養評價方法的比較[J]. 中國中醫藥資訊, 2010, 2(7):60-62.
16. 鄭法雷, 劉燕萍. 慢性腎臟病營養治療:共識與問題[J]. 臨床腎臟病雜志, 2010, 10(12):532-533.
17. 沈雯雯, 劉志紅, 陳慧梅, 等. 肥胖相關性腎病:體重指數與蛋白尿的關系[J]. 腎臟病與透析腎移植雜志, 2009, 18(6):504-512, 547.
18. 方仕, 麥海妍, 盧味, 等. 868例住院患者營養風險篩查及營養支持應用狀況[J]. 中國公共衛生, 2010, 26(5):574-575.
19. 蔣朱明, 于康, 朱賽楠, 等. 我國東、中、西部中小醫院住院患者營養不良(不足)、營養風險、超重和肥胖發生率及營養支持應用狀況調查(中期小結)[J]. 中國臨床營養雜志, 2008, 16(6): 338-340.
20. 路凌, 陳強, 武軍. 147例維持性血液透析患者營養狀況的調查及評估[J]. 吉林醫學, 2011, 32(5):910-912.

West China Medical Journal

Analysis of Nutritional Status in Patients with Chronic Kidney Disease from Stage 1 to 4

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