Nutritional status assessment: a neglected biomarker in persons with end- stage kidney disease

Viramontes-H�rner, Daniela; Taal, Maarten W.

Abstract

Purpose of review: Malnutrition is a frequent complication and risk factor for adverse outcomes in the dialysis population that is often underrecognized and neglected. This article reviews published literature on the associations between malnutrition, mortality, quality of life and hospitalisations in persons on dialysis in order to raise awareness of the importance of preventing and treating it.

Recent findings: All methods of nutritional assessment namely serum biochemistry, body composition, dietary intake, handgrip strength and nutritional scoring tools are independently associated with increased mortality in dialysis populations. Malnutrition severely affects physical and mental measures of quality of life and increases the number and length of hospitalisations in persons receiving dialysis, resulting in increased healthcare costs. Worsening of nutritional status is also associated with poor survival and higher rates of hospitalisations in this patient population.

Summary: Malnutrition is an unacceptably common complication in dialysis patients that is substantially associated with adverse outcomes and higher hospital costs. Further interventional studies assessing the impact of preventing and treating malnutrition on clinical outcomes are warranted and should be considered a priority.

Citation

Viramontes-Hörner, D., & Taal, M. W. (2020). Nutritional status assessment: a neglected biomarker in persons with end- stage kidney disease. Current Opinion in Nephrology and Hypertension, 29(6), 547-554. https://doi.org/10.1097/MNH.0000000000000651

• Journal Article Type: Article
• Acceptance Date: Aug 24, 2020
• Online Publication Date: Sep 10, 2020
• Publication Date: 2020-11
• Deposit Date: Sep 4, 2020
• Publicly Available Date: Sep 11, 2021
• Journal: Current Opinion in Nephrology and Hypertension
• Print ISSN: 1062-4821
• Electronic ISSN: 1473-6543
• Publisher: Lippincott, Williams & Wilkins
• Peer Reviewed: Peer Reviewed
• Volume: 29
• Issue: 6
• Pages: 547-554
• DOI: https://doi.org/10.1097/MNH.0000000000000651
• Keywords: adverse outcomes, end-stage kidney disease, dialysis, malnutrition, nutritional status assessment.
• Public URL: https://nottingham-repository.worktribe.com/output/4881324
• Publisher URL: https://journals.lww.com/co-nephrolhypertens/Abstract/2020/11000/Nutritional_status_assessment__a_neglected.2.aspx
• Additional Information: Not final published version.