Anthropometric Evaluation of Nutritional Status for Patients with End-Stage Renal Disease in Sudanese Patients

Abstract

Background: Malnutrition affecting 40 to 70% of patients with end-stage renal disease. Cause of malnutrition in patients with chronic renal disease include of a lower food intake, decreased intestinal absorption and digestion, and metabolic acidosis. The presence of malnutrition is usually
suspected from anthropometry or the presence of hypoalbuminemia or decreased creatinine production. Anthropometric measurements provide a rapid, noninvasive, easy, and reproducible method for evaluating body fat and muscle mass.
Objective: The objective of the study is to assess the nutritional status of patients with ESRD on
regular hemodialysis using anthropometric measurements.

Methodology: Prospective, cross-sectional, study was conducted in Gezira Hospital for Renal Diseases and Surgery on June 2010. 202 patients were joined in this study. Body mass index (BMI), triceps skinfold thickness, subscapular skinfold thickness and mid-arm circumference (MAC) were measured.

Results: 70.79% of the patients were having normal or high BMI while other anthropometric measurements were below the standard values in 66.83% of the patients. This result could be attributed to fluid retention.
Conclusion: Anthropometric measurements could be useful way for early detection malnutrition and follow up of nutritional status for patients on end-stage renal disease particularly in developing country.