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.
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