NUTRITIONAL ASSESSMENT OF MAINTENANCE HEMODIALYSIS (MHD) UNDERPRIVILEGED COHORT 0 A LONGITUDINAL STUDY.

7 Feb 2025 12 a.m. 12 a.m.
WCN25-AB-3380, Poster Board= FRI-591

Introduction:

Chronic kidney disease (CKD) in India is 17.2% and  nearly 2.75 lakhs patients are on MHD. Malnutrition is an enormous problem and a major contributor to morbidity and mortality across the globe.

Objective : To look at the prevalence of malnutrition and sarcopenia in a cohort with MHD at below poverty line.

Methods:

Materials and Method: A cross-sectional study was conducted in  838 CKD patients from  free-standing charity hemo-dialysis (HD) units across Tamilnadu, India. Dietary recall for 3 days, anthropometry, body composition (BCM), Subjective Global Assessment (SGA), and their biochemical parameters were used for Nutritional Assessment.

Results:

Results showed highly significant differences between the baseline and follow up measures of the lean tissue mass(LTM), Lean tissue index(LTI), Adipose tissue mass (ATM),fat tissue mass(FTM), Fat tissue index(FTI) as in table 1.

Table 1 . Body Composition Analysis  – Longitudinal assessment

Body composition

Values

Baseline 

Follow up 1

Follow up 2

Follow up 3

F – Value 

P- Value

Pre LTM

Mean

32.3925

32.7994

29.1304

28.4605

15.781

.000**

Std.Deviation

9.9054

11.4252

9.6074

9.73417

Post_LTM

Mean

33.1244

33.3574

29.0138

28.6904

21.337

.000**

Std.Deviation

11.69793

11.8834

9.81343

9.98761

Pre_LTI

Mean

11.7747

12.0181

13.1742

13.1742

13.492

.000**

Std.Deviation

5.5371

5.3562

4.8823

4.75354

Post_LTI

Mean

13.1742

12.612

12.0181

11.256

7.824

.006*

Std.Deviation

4.7535

5.7138

5.3562

4.4883

Pre_ATM

Mean

30.0608

29.6721

29.324

28.9245

11.354

.000**

Std.Deviation

13.9925

15.3474

14.5628

14.2873

Post_ATM

Mean

28.6326

28.5322

27.3334

26.9872

11.783

.000**

Std.Deviation

15.8465

14.4534

14.2341

14.9785

Pre_FTM

Mean

22.1572

2.3642

2.4321

2.6572

17.734

.000**

Std.Deviation

10.4006

10.9892

10.9812

10.2401

Post_FTM.

Mean

21.8145

21.4516

18.8255

18.9253

17.734

.000**

Std.Deviation

10.5069

10.3655

11.1898

9.6669

Pre_FTI

Mean

11.8226

11.037

9.1097

9.8287

7.824

.000**

Std.Deviation

8.7957

5.7254

5.3112

5.449

Post _FTI

Mean

11.7974

11.4825

11.3456

11.1342

7.458

0.000**

Std.Deviation

6.1752

5.6464

5.5589

5.5541

Conclusions:

The study showed sarcopenia nutritional status in MHD. A concerted effort should be put in to tackle this to improve the outcome of the problem.

I have no potential conflict of interest to disclose.

I did not use generative AI and AI-assisted technologies in the writing process.