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Factors associated with nutritional risk in patients receiving haemodialysis assessed by Nutritional Risk Screening 2002 (NRS2002)
Author(s) -
Dahl Helene,
Warz SinaIsabel,
Welland Natasha L.,
Arnesen Iselin,
Marti HansPeter,
Dierkes Jutta
Publication year - 2022
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/jorc.12374
Subject(s) - medicine , anthropometry , malnutrition , dialysis , diabetes mellitus , risk assessment , hemodialysis , kidney disease , risk factor , intensive care medicine , environmental health , endocrinology , computer security , computer science
Abstract Background Nutritional Risk Screening 2002 is recommended as a screening tool to identify patients at risk of undernutrition for all patients in hospitals by the European Society of Clinical Nutrition and Metabolism. Nutritional risk is associated with increased morbidity and mortality in patients, and it is common among patients on haemodialysis. Factors associated with nutritional risk that could facilitate the screening/diagnostic procedures are warranted. Objectives Identification of factors that are associated with nutritional risk in patients with end‐stage renal disease treated with haemodialysis. Design and Participant s Single‐centre, cross‐sectional study in patients receiving haemodialysis ( n = 53) were screened for nutritional risk using Nutritional Risk Screening 2002. Associations were made with data on dietary intake by 24‐h dietary recall, and measurement of body composition, anthropometric measurements and biochemical variables. Results Nutritional risk was common among patients on haemodialysis (26%), and was associated with low energy and protein intake, and low pre‐albumin concentrations also after adjustments for age and sex. Nutritional risk was neither associated with diabetes nor duration of dialysis treatment. Conclusion Measurement of pre‐albumin and dietary assessment using a 24‐h dietary recall can support the identification of patients receiving haemodialysis at nutritional risk.