Kidney Week

Abstract: PUB166

Prevalence of Protein-Energy Wasting in Patients with CKD on Hemodialysis in Mexico

Session Information

• Publication Only

Category: Dialysis

• 801 Dialysis: Hemodialysis and Frequent Dialysis

Authors

• Luna, Gabriela, Médica Santa Carmen, Querétaro, Mexico

Gabriela Luna, RD

• Solis, Edgar, Médica Santa Carmen, Querétaro, Mexico

Edgar Solis, MD

• Martin-Alemañy, Geovana, University of Arizona, Nutritional Sciences and Wellness, Tucson, Arizona, United States

Geovana Martin-Alemañy, PhD

• Davalos, Karla, Médica Santa Carmen, Querétaro, Mexico

Karla Davalos, RD

• Muñoz, Alondra, Médica Santa Carmen, Querétaro, Mexico

Alondra Muñoz, RD

• Escobar, María, Médica Santa Carmen, Querétaro, Mexico

María Escobar, RD

• Lagunes, Laura, Médica Santa Carmen, Querétaro, Mexico

Laura Lagunes, RD

• Sepúlveda, Tania, Médica Santa Carmen, Querétaro, Mexico

Tania Sepúlveda, RD

• Flores, Diana, Médica Santa Carmen, Querétaro, Mexico

Diana Flores, RD

• Piña, Luz, Médica Santa Carmen, Querétaro, Mexico

Luz Piña, RD

• Diez, Ingrid, Médica Santa Carmen, Querétaro, Mexico

Ingrid Diez, RD

• Romero, Ludwig, Médica Santa Carmen, Querétaro, Mexico

Ludwig Romero, RD

• Navarro, Jorge, Médica Santa Carmen, Querétaro, Mexico

Jorge Navarro

• Ardavin Ituarte, Juan M., Médica Santa Carmen, Querétaro, Mexico

Juan M. Ardavin Ituarte, MD

• Hernández-Estrada, Sergio, Médica Santa Carmen, Querétaro, Mexico

Sergio Hernández-Estrada, MD

Background

The protein energy wasting (PEW) contributes to increasing the high rates of morbidity and mortality known in patients with chronic kidney disease. The objective of the study was to know the prevalence of PEW using the Malnutrition Inflammation Score (MIS).

Methods

In this multicenter cross-sectional study in adults hemodialysis (HD) patients the prevalence of PEW was calculated using the MIS tool for its diagnosis, its clinical and nutritional characteristics were described. Generalized linear model analysis was applied to evaluate the associations with different risk factors.

Results

3347 adult HD patients were evaluated from September 2020 to December 2023 from 11 kidney health facilities in Mexico. Prevalence of PEW was 35.5% (95% CI: 33.9% to 37.2%). It was observed that an increase in the triceps skinfold (OR: 0.95 95% CI 0.93-0.96), in the mid-arm muscle circumference (OR: 0.98 CI 95% 0.98-0.99) and serum creatinine (OR: 0.90 95% CI 0.87-0.93) were associated with a decrease in the probability of being diagnosed with PEW (p= 0.000).

Conclusion

We found a prevalence of PEW of 35.5% in patients on HD, these results are in line with what is reported in the literature where a worldwide prevalence has been calculated 28-54%.