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Nutritional Assessment of Omani Patients with diabetes and Chronic Kidney Disease a case control study
Author(s) -
Waly Mostafa,
Ali Amanat,
Al-Kalbani Shabib,
Al-Maskari Masoud
Publication year - 2012
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.26.1_supplement.626.10
Subject(s) - medicine , underweight , kidney disease , hemodialysis , type 2 diabetes mellitus , body mass index , diabetes mellitus , dialysis , malnutrition , overweight , endocrinology
Background Chronic kidney disease (CKD) is a serious complication in patients with chronic uncontrolled type 2 diabetes mellitus (T2DM). Objective This study aimed to evaluate the nutritional status of T2DM patients undergoing hemodialysis. Materials and Methods A cross‐sectional study conducted in the main Renal Dialysis Center, Muscat, Oman. The subjects were 96 Omani adults undergoing hemodialysis (48 with T2DM and 48 with no T2DM diagnosis). Results The study subjects (62% male and 38% female) had a comparable mean age of 51± 8 years. As judged by body mass index, 86% of patients were underweight and 14% were average weight. Base line laboratory tests were comparable for all patients with the exception of fasting glucose and glycosylated hemoglobin (HbA1C) that were higher among T2DM patients. Nutritional status was assessed using the subjective global assessment score (SGA) that revealed that in T2DM patients 22% were severely malnourished, 25% were mild to moderately malnourished and 36% were normal as compared to the other group without T2DM (8% severely malnourished, 25% mild to moderately malnourished and 67% normal). Conclusion Nutritional status was well controlled in CKD patients without T2DM and it deteriorated in CKD patients with T2DM. It is suggested that an appropriate intervention program must be introduced to improve the nutritional status of CKD patients with T2DM.