Abstract: FR-PO811
Dialysis Malnutrition Score and Handgrip Strength with Quality of Life Among Patients on Maintenance Hemodialysis in Cebu City, Philippines
Session Information
- Health Maintenance, Nutrition, Metabolism - II
November 03, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Health Maintenance, Nutrition, and Metabolism
- 1500 Health Maintenance, Nutrition, and Metabolism
Authors
- Empinado, Jan Roslyn Torres, Cebu Doctors' University Hospital, Cebu City, Cebu, Philippines
- Tan, Alexander Uy, Cebu Doctors' University Hospital, Cebu City, Cebu, Philippines
Background
Malnutrition is common in hemodialysis patients and is a powerful predictor of morbidity and mortality. End stage renal disease (ESRD) has been shown to negatively affect the Quality of Life (QoL) of patients. Among Chronic Kidney Disease (CKD) patients on maintenance hemodialysis, there is a considerable effect on the functional state and QoL. Malnutrition in CKD patients is one of the factors that afflicts QoL.
Methods
One hundred eight (108) patients on maintenance hemodialysis in a tertiary hospital were assessed nutritionally by DMS and HGS while the overall perception QoL and health was assessed using World Health Organization Quality of Life - BREF (WHOQoL-BREF) questionnaire. Kendall’s tau was used to determine whether there is a correlation between DMS and HGS with quality of life scores. A p-value of <0.05 will be considered as statistically significant.
Results
Based on DMS, 87% of patients had mild to moderate malnutrition and 64.8% had renal cachexia based on HGS. Those with poor nutritional status in DMS showed significant decrease in overall perception of their quality of life p = 0.003, quality of health p = 0.026, physical p = 0.013 and environmental domains p = 0.044 of WHOQoL. Handgrip score however did not have any correlation with the overall QoL, perception of general health and on the four domains.
Conclusion
DMS and HGS are simple and accessible nutritional assessment tools to detect malnutrition among hemodialysis patients. DMS correlates with QoL with higher DMS reflecting malnutrition and the overall quality of life decreases. Early detection of malnutrition can prevent further health deterioration with nutritional interventions and therefore improve QoL in the aspects they are most affected.
Table 1. DMS and HGS on Quality of Life