Reliability of mini nutritional assessment in hemodialysis compared with subjective global assessment.
Reliability of mini nutritional assessment in hemodialysis compared with subjective global assessment.
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血液透析中迷你营养评估与主观整体评估相比的可靠性。
DOI：
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发表时间：
2006
影响因子：
3.2
通讯作者：
M. Haberal
中科院分区：
文献类型：
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作者：
B. Afşar;S. Sezer;Z. Arat;E. Tutal;F. Ozdemir;M. Haberal
蛋白质能量营养不良（PEM）在血液透析患者中很常见。主观总体评估 (SGA) 和迷你营养评估 (MNA) 是监测 PEM 的两种工具。我们的目的是确定 MNA 与 SGA 相比在检测血液透析患者营养不良方面的可靠性。研究人群由 137 名患有纯 PEM 且没有慢性炎症迹象的患者组成。同时通过 SGA 和 MNA 评估患者的营养状况。 92 名患者属于 SGA-A，40 名患者属于 SGA-B，5 名患者属于 SGA-C。 47 名患者属于 MNA-1，77 名患者属于 MNA-2，13 名患者属于 MNA-3。 SGA 组之间的白蛋白 (P = .0001)、前白蛋白 (P = .0001)、体重指数 (P = .01)、肌酐 (P = .0001) 和 nPNA (P = .04) 存在统计学差异。 MNA 组之间的肌酐 (P = .001)、血尿素氮 (P = .017)、白蛋白 (P = .001)、前白蛋白 (P = .005)、体重指数 (P = .0001) 和 nPNA (P = .005) 存在统计学差异。根据 SGA 没有营养不良证据的 52 名患者根据 MNA 被定义为中度营养不良。 7 名经 SGA 确定为中度营养不良的患者，根据 MNA 的营养状况良好。 SGA 确定 8 名患者为中度营养不良； MNA 中将同一患者定义为严重营养不良。我们的结果表明，MNA 可能低估了未处于炎症状态的血液透析患者的营养状况，与 SGA 相比，MNA 可能不是检测中度营养不良的可靠方法。
Protein-energy malnutrition (PEM) is common in hemodialysis patients. Subjective Global Assesment (SGA) and Mini Nutritional Assessment (MNA) are two tools for monitoring PEM. Our aim was to determine reliability of MNA in detecting malnutrition in hemodialysis patients in comparison with SGA. The study population consisted of 137 patients with pure PEM with no signs of chronic inflammation. Nutritional statuses of patients were assessed concomitantly by SGA and MNA. Ninety-two patients were in SGA-A, 40 patients were in SGA-B, and 5 patients were in SGA-C. Forty-seven patients were in MNA-1, 77 patients were in MNA-2, and 13 patients were in MNA-3. Albumin (P = .0001), prealbumin (P = .0001), body mass index (P = .01), creatinine (P = .0001), and nPNA (P = .04) were statistically different between SGA groups. Creatinine (P = .001), blood urea nitrogen (P = .017), albumin (P = .001), prealbumin (P = .005), body mass index (P = .0001), and nPNA (P = .005) were statistically different between MNA groups. Fifty-two patients who had no evidence of malnutrition according to SGA were defined as having moderate malnutrition according to MNA. Seven patients who were in a state of moderate malnutrition determined by SGA were in good nutritional status according to MNA. SGA identified 8 patients as moderately malnourished; the same patients were defined as having severe malnutrition in MNA. Our results suggest that MNA might underestimate the nutritional status of hemodialysis patients who are not in an inflammatory state and may not be a reliable method for detecting moderate malnutrition when compared with SGA.