Malnutrition-Inflammation Score in Hemodialysis Patients

authors:

avatar Abdolhamed YapGharavian 1 , avatar Atamohammad Dorri 2 , avatar Behrooz Ebrahimzadehkor 3 , *

Department of Statistics, Gonbad-e-Kavoos Health Center, Golestan University of Medical Sciences, Golestan, Iran
Department of Control of Disease, Gonbad-e-Kavoos Health Cent er, Golestan University of Medical Science, Golestan, Iran
Nursing Research Center, Research a nd Technology Deputy, Golestan Univers ity of Medical Sciences, Gorgan, Iran
Zahedan Journal of Research in Medical Sciences: Vol.16, issue 8
published online: November 14, 2012
article type: Research Article
received: June 11, 2011
accepted: August 04, 2011

how to cite: YapGharavian A, Dorri A , Ebrahimzadehkor B . Malnutrition-Inflammation Score in Hemodialysis Patients. Zahedan J Res Med Sci. 2014;16(8): -. 

Abstract

Background: Malnutrition is a prevalent complication in patients on maintenance hemodialysis. Malnutrition-inflammation score (MIS), comprehensive nutritional assessment tool, as the reference standard was used to examine protein-energy wasting (PEW) and inflammation in hemodialysis patients.
Materials and Methods: In this descriptive- analytical study, 48 hemodialysis patients were selected with random sampling. All the patients were interviewed and the MIS of the patients was recorded. This new comprehensive Malnutrition-Inflammation Score (MIS) which involves 7 components from the SGA and the 3 additional non-SGA components of body mass index, serum albumin, and total iron-binding capacity (TIBC) has 10 components, each with four levels of severity, from 0 (normal) to 3 (very severe). These scores were compared with anthropometric measurements; laboratory measures. Data was analyzed with Chi-square and t-tests and Pearson correlation coefficiant.
Results: In this study 25% of patients on hemodialysis were normal nourished, 54.3% of patients were mild malnourished, 20.8% were moderately malnourished and no one of them were not sever malnurished. Pearson correlation coefficients between MIS score and age (r=+0.332) was significant. There was no correlation between the malnutrition score and sex Chi-square test showed significant correlation between MIS score and dialysis period ≥50 months (χ²=9.09)..
Conclusion: In this study, no one of patients has severed malnutrition, and most of them were assigned to the mildly/moderately malnourished rating. On other hand, most of patients are the well-nourished. Correlation between MIS score and age and dialysis period was significant.

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