Lorena Honović

Renat Mujagić

Slavica Crnokrak

Croatian

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40Kongresni sažetciCongress abstractsNUTRIOTIONAL STATUS ASSESSMENT IN PATIENTS UNDERGOING HEMODIALYSISCrnokrak S, Mujagić R, Honović LGeneral Hospital Pula, Clinical laboratory, Pula, CroatiaIntroduction: Approximately 40 to 70 percent of patients with end-stage renal disease are malnourished. The assess-ment of nutritional status should be a routine care of dialysis patients to permit early recognition and the institution of appropriate therapy. Most of the standard methods of as-sessing nutritional status can be applied to patients with re-nal failure; however, some of these parameters are altered by uremia. There is no single measurement that can be used to determine the presence of malnutrition.Materials and methods: Seventy male hemodialysis pa-tients were included in this study. Nutritional parameters (body mass index, cholesterol, triglyceride, transfferin, al-bumin, pseudocholinesterase, uric acid, blood lymphocyte count) were measured by standard biochemical tests. Re-sults were evaluated by a Forward stepwise multiple linear regression method.Results: There were revealed an standard equation; body mass index (kg/m2) = 1.795 x cholesterol (mmol/L) + 2.657 x transferrin (g/L); that shows a significant association of body mass index especially with cholesterol and transferrin (multiple R = 0.675; P < 0.001). However, body mass index were not correlated (P > 0.05) with zinc, albumin and pseu-docholinesterase in serum and blood phocyte count. There-after, there were revealed an improved equation; body mass index (kg/m2) = 0.016 x uric acid (μmol/L) + 0.756 x trig-lyceride (mmol/L) + 0.955 x cholesterol (mmol/L) + 1.875 x transferrin (g/L); that shows a higher correlation of body mass index (multiple R = 0.727; P < 0.001) with uric acid, triglyceride, cholesterol and transferrin.Conclusion: We were suggested equation that may confi-dentially predict the nutritional status in patients undergo-ing hemodialysis.

NUTRIOTIONAL STATUS ASSESSMENT IN PATIENTS UNDERGOING HEMODIALYSIS

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