Is the Bioimpedance Method Sufficient in Evaluating the Nutritional Status of Patients Receiving Hemodialysis Treatment?

Pınar Arpacı; Özden Dedeli Çaydam

doi:10.38079/igusabder.1084084

Araştırma Makalesi

Hemodiyaliz Tedavisi Alan Hastaların Beslenme Durumlarının Değerlendirilmesinde Biyoempedans Yöntemi Yeterli Midir?

Yıl 2024, Sayı: 22, 40 - 61, 30.04.2024

Pınar Arpacı Özden Dedeli Çaydam

https://doi.org/10.38079/igusabder.1084084

Öz

Amaç: Bu çalışmada amaç, biyoempedans analiz (BIA) yönteminin hemodiyaliz tedavisi alan hastaların beslenme durumlarının değerlendirilmesinde güvenilirliğinin test edilmesidir.
Yöntem: Kesitsel tipteki bu çalışma, iki devlet hastanesi ve bir özel hemodiyaliz merkezinde hemodiyaliz tedavisi alan 166 hasta ile yürütüldü. Araştırmada veriler, hasta tanıtım formu, Malnutrisyon Inflamasyon Skoru (MIS) ve biyoempedans temeline dayalı Çoklu Vucüt Analiz Cihazı ile toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel analizler, t testi, Mann-Whitney U, ki kare, Wilcoxon, ROC analizi ve ikili logistik regresyon analizleri yapıldı.
Bulgular: Araştırmaya katılan hastaların yaş ortalaması 51,57±13,01 (21-66) yıl olup büyük çoğunluğu (%53,6) erkek idi. Hastalarının beden kütle indeksi (BKI) ortalaması 24,4 kg/m2 olup %54,8’nin beslenme durumunun iyi olduğu belirlendi. Erkek hastaların albümin, kas kütlesi ve BKI’leri kadın hastalardan daha yüksek bulundu. Beslenme durumu iyi olan hastalar ile malnutre olan hastalar arasında hemoglobin, albümin, demir bağlama, tanita yağ yüzdesi, tanita yağ kütlesi, tanita kas kütlesi ve beden kütle indeksi ölçümleri açısından istatistiksel olarak anlamlı fark olduğu belirlendi (p˂0,05).
Sonuç: MIS değerleri ile BIA ölçüm parametreleri arasında yapılan logistik regresyon analizi sonucunda tanı testi performansı istatistiksel olarak anlamlı bulundu. Araştırma sonuçları BİA parametrelerinin malnutrisyonu öngörmede tanısal karar verdirici olduğunu gösterdi. Buna göre; BIA yönteminin hemodiyaliz tedavisi alan hastalarda beslenme durumlarının değerlendirilmesinde kullanılması önerilebilir.

Anahtar Kelimeler

Beslenme durumu, malnutrisyon, beslenme değerlendirmesi

Destekleyen Kurum

Manisa Celal Bayar Üniversite Bilimsel Araştırma Proje (BAP) Koordinasyon Birimi

Proje Numarası

2018-237

Kaynakça

1. Caydam Dedeli O, Cınar Pakyüz S. Chronic complications and care of hemodialysis. Journal of Nephrology Nursing. 2016;11(1):60-72.
2. Karadakovan A, Aslan FE. Care in Internal and Surgical Diseases. Adana: Nobel Bookstore; 2010.
3. Elmas A, Saral EE, Tugrul A, Sengul E, Bulbul F. The relationship between nutritional knowledge and clinical and laboratory findings in hemodialysis patients. Kocaeli Medical Journal. 2012;3:23-26.
4. Locatelli F, Fouque D, Heimburger O, et al. Nutritional status in dialysis patients: A European consensus. Nephrol Dial Transplant. 2002;17:563‑72. doi: 10.1093/ndt/17.4.563.
5. Pifer TB, McCullough KP, Port FK, et al. Mortality risk in hemodialysis patients and changes in nutritional indicators: DOPPS. Kidney Int. 2002;62:2238–2245.
6. Lopes AA, Bragg-Gresham JL, Elder SJ, et al. Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the dialysis outcomes and practice patterns study (DOPPS). Journal of Renal Nutrition. 2010;20:224–234.
7. Chitra U, Premalatha KS. Nutritional management of renal transplant patients. Indian Journal of Transplantation. 2013;7(3):88-93.
8. Stenvinkel P, Heimburger O, Lindholm B, Kaysen GA, Bergström J. Are there two types of malnutrition in chronic renal failure? Evidence for relationships between malnutrition, inflammation and atherosclerosis (MIA syndrome). Nephrology Dialysis Transplantation. 2000;15(7):953-960.
9. Kalantar-Zadeh K, Kopple JD, Block G, Humphreys MH. Association among SF36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. Journal of the American Society of Nephrology. 2001;12(12):2797-2806. doi: 10.1681/ASN.V12122797.
10. Kagansky N, Berner Y, Koren-Morag N, Perelman L, Knobler H, Levy S. Poor nutritional habits are predictors of poor outcome in very old hospitalized patients. The American Journal of Clinical Nutrition. 2005;82(4):784-791. doi: 10.1093/ajcn/82.4.784.
11. Atik D, Cosar AA, Cinar S. Metabolic syndrome and physical in hemodialysis patients activity. Journal of Contemporary Medicine. 2014;4(2):69-75.
12. Yakar B, Demir M, Canpolat O. Nutritional information of hemodialysis patients effect of nutritional levels. Konuralp Medical Journal. 2019;1(3):384- 391. doi: 10.18521/ktd.539350.
13. Kılıc SP, Ozer S, ed. Internal Medicine Nursing with Case Scenarios. 1st Edition. İstanbul: Istanbul Medical Bookstore; 2019.
14. Kopple JD, Zhu X, Lew NL Lowric EG. Body weight-for-height relationships predict mortality in maintaince hemodialysis patients. Kidney International. 1999;56:1136-48. doi: 10.1046/j.1523-1755.1999.00615x.
15. Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW Jr. Body mass index and mortality in a prospective cohort of U:S: adults. The New England Journal of Medicine. 1999;341:1097-105. doi: 10.1056/NEJM199910073411501.
16. Cinar S. Prevention from chronic kidney diseases: Early diagnosis, precautions and nursing care. Journal of Nephrology Nursing. 2007;1(1):1-8.
17. Chazot C, Laurent G, Charra B, et al. Malnutrition in long-term haemodialysis survivors. Nephrol Dial Transplant. 2001;16:61. doi: 10.1093/ndt/16.1.61.
18. Baz S, Ardahan M. Malnutrition and nursing approaches in the elderly. Balikesir Journal of Health Sciences. 2016;5(3):147-153. doi: 10.5505/BSBD.2016.97820.
19. Kopple JD. The National Kidney Foundation K/DOQI clinical practice guidelines for dietary protein intake for chronic dialysis patients. American Journal of Kidney diseases. 2001;38(4):68-73. doi: 10.1053/ajkd.2001.27578.
20. Yentür E. Evaluation of nutritional status. Clinical Development. 2011;24:1-4.
21. Oguz EG, Erek M, Dede F. Nutrition and nutrition in programmed hemodialysis patients malnutrition. Journal of Internal Medicine. 2013;20:121-127.
22. Sifil A, Cavdar C, Celik A, et al. Dual-Energy X-Ray Absorptiometry and bioelectrical impedance to detect body composition changes; a hemodialysis Comparative analysis of two methods to determine the effect of the session. Turkish Journal of Nephrology Dialysis and Transplantation. 2001;10(4):244-248.
23. Hur E, Ozışık M, Ural C, et al. Fluid and nutrition measured by the bioimpedance method his condition is affected by body position. Turkish Journal of Nephrology Dialysis and Transplantation. 2014;23(1):26-32. doi: 10.5262/tndt.2014.1001.06.
24. Celik G, Tanyemez DG. Bioimpedance parameters and life quality. Turkey Clinics J Nephrology-Special Topics. 2015;8(3):23-9.
25. Mamat R, Kong CTN, Ba’in A, et al. Assessment of body fluid status in hemodialysis patients using the body composition monitor measurement technique. Journal of Clinical Nursing. 2012;21:2879–85. doi: 10.1111/j.1365-2702.2012.04091.x.
26. Seyah N, Ateş K, Süleymanlar, G. Current status of renal replacement therapy in Turkey: A summary of the Turkish Society of Nephrology Registry Report.Current status of renal replacement therapy in Turkey. Turk J Nephrol. 2021;29(1):6-11.
27. Kalantar-Zadeh K, Kleiner M, Dunne E, Lee GH, Luft FC. A modified quantitative subjective global assessment of nutrition for dialysis patients. Nephrol Dial Transplant. 1999;14(7):1732-8. doi: 10.1093/ndt/14.7.1732.
28. Bigogno FG, Fetter RL, Avesani CM. Applicability of subjective global assessment and malnutrition inflammation score in the assessment of nutritional status on chronic kidney disease. J Bras Nefrol. 2014;36(2):236-240. doi: 10.5935/0101-2800.20140034.
29. Demir M, Kucuk A, Sezer MT, Altuntas A, Kaya S. Malnutrition- inflammation score and endothelial dysfunction in hemodialysis patients. Journal of Renal Nutrition. 2010;20(6):377-83. doi: 10.1053/j.jrn.2010.03.002.
30. Kaya T, Sipahi S, Karacaer C, et al. Malnutrition-inflammation score, anthropometric indices, and erythropoietin requirement in geriatric hemodialysis patients. Turkish Journal of Geriatrics. 2015;18(1):3-9.
31. Hayran M, Hayran M. Basic Statistics for Health Research. Ankara: Art Offset Publishing Organization Ltd. Sti; 2011.
32. Celik Y. Biostatistics Scientific Research SPSS. 1. Baskı. Ankara: 2011.
33. Karaagaoglu E, Karakaya J, Kılıckap M. In the Evaluation of Diagnostic Tests Statistical Methods. Ankara: Detay Publishing,2016.
34. Mushnick R, Feın PA, Mittman N, Goel N, Chattopadhyay J, Avram MM. Relationship of bioelectrical impedance parameters to nutrition and survival in peritoneal dialysis patients. Kidney International. 2003;64:53-56. doi: 10.1046/j.1523-1755.64.s87.22.x.
35. Ozcelik O, Dogukan A, Kaya H. Bioelectrical impedance in hemodialysis patients the effectiveness of the analysis method in determining the body composition. Fırat Medical Journal. 2005;10(2):50-53.
36. Atasoyu EM, Ünver S, Evrenkaya TR, Tülbek MY. Subjective global assessment tt is not a reliable measure for evaluating nutritional status in hemodialysis patients. Turkish Journal of Nephrology Dialysis and Transplantation. 2003;12(3):134-140.
37. Hur E, Gungor O, Ascı G, et al. Hypervolemia in hemodialysis patients the role of bioimpedance spectroscopy in the demonstration. Turkish Journal of Nephrology Dialysis and Transplantation. 2011;20(3):235-240.
38. Tan RS, Liang DH, Liu Y, Zhong XS, Zhang DS, Ma J. Bioelectrical impedance analysis- derived phase angle predicts proein-energy wasting in maintenance hemodialysis patients. Journal of Renal Nutrition. 2019;29(4):295-301. doi: 10.1053/j.jrn.2018.09.001.
39. Chertow GM, Lowrie EG, Wilmore DW, et al. Nutritional assessment with bioeletrical impedance analysis in maintenance hemodialysis patients. Journal of the American Society of Nefrology. 1995;6(1):75-81. doi: 10.1681/ASN.V6175.
40. Lopez-Gomez JM. Evolution and applications of bioimpedance in managing chronic kidney disease. Nefrologia. 2011;31(6):630-634. doi: 10.3265/Nefrologia.pre2011.Oct.11015.
41. Wi JW, Kim NH. Assesment of malnutrition of dialysis patients and comparison of nutrition parameters of capd and hemodialysis patienst. Biomedical Science Letters. 2017;23(3):185-193. doi:10.15616/BSL.2017.23.3.185.
42. Rezeq HA, Khdair LN, Hamdan ZI, Sweileh WM. Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine. Saudi Journal of Kidney Disases Transplantation. 2018;29:332-40. doi: 10.4103/1319-2442.229264.
43. Ghorbani A, Hayati F, Karandish M, Sabzali S. The prevalence of malnutrition in hemodialysis patients. Journal of Renal Injury Prevention. 2020;9(2):1-6. doi: 10.34172/jrip.2020.15.
44. Tayyem RF, Mrayyan MT, Heath DD, Bawadi HA. Assessment of nutritional status among ESRD patients in Jordanian hospitals. Journal of Renal Nutrition. 2008;18:281-7. doi: 10.1053/j.jrn.2007.12.001.
45. Al Saran K, Elsayed S, Molhem A, AlDrees A, Alzara H. Nutritional assessment of patients on hemodialysis in a large dialysis center. Saudi Journal Kidney Diseases Transplation. 2011;22(4):675-81.
46. Al-Saedy AJ, Al-Kahichy HR. The current status of hemodialysis in Baghdad. Saudi Journal Kidney Diseases Transplation. 2011;22:362-7.
47. Alharbi K, Enrione EB. Malnutrition is prevalent among hemodialysis patients in Jeddah, Saudi Arabia. Saudi Journal Kidney Diseases Transplation. 2012;23:598-608.
48. Kara B. The validity and validity of the scale of non-compliance with dialysis diet and fluid restriction reliability study. Journal of Atatürk University School of Nursing. 2009;12:3.
49. Kurt YT, Erdem E, Kaya C, Karatas A, Arık N. Given to hemodialysis patients the effect of education on blood pressure and weight gain. Turkish Nephrology Dialysis and Transplantation Journal. 2012;21(1):39-44. doi: 10.5262/tndt.2012.1001.07
50. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. American Journal Kidney Diseases. 2002;39(2 Suppl 1):S1-266.
51. Fouque D, Vennegoor M, ter Wee P, et al. EBPG guideline on nutrition. Nephrology Dialysis Transplantion. 2007;22(2):5-87. doi: 10.1093/ndt/gfm020.
52. Stosovic MD, Naumovic RT, Stanojevic MLj, et al. Could the level of serum albumin be a method for assessing malnutrition in hemodialysis patients? Nutr Clin Pract. 2011;26:607-13. doi: 10.1177/0884533611419665.
53. Ryu H, Park HC, Kim H, et al. Bioelectrical impedance analysis as a nutritional assessment tool in autosomal dominant polycystic kidney diseases. Plos One. 2019;14(4):1-18. doi: 10.1371/journal.pone.0214912.
54. Varan HD, Bolayir B, Kara O, et al. Phase angle assessment by bioelectrical impedance analysis and its predictive value for malnutrition risk in hospitalized geriatric patients. Aging Clinic Exp. Res. 2016;28:1121-1126. doi: 10.1007/s40520-015-0528-8.

Is the Bioimpedance Method Sufficient in Evaluating the Nutritional Status of Patients Receiving Hemodialysis Treatment?

Yıl 2024, Sayı: 22, 40 - 61, 30.04.2024

Pınar Arpacı Özden Dedeli Çaydam

https://doi.org/10.38079/igusabder.1084084

Öz

Aim: The purpose of this study was to test validity of bioelectrical impedance (BIA) analysis in the nutritional assessment among patients with receiving hemodialysis.
Method: This study which was cross-sectional was conducted with 166 patients with hemodialysis at the hemodialysis units in two state hospital and a private hospital. The data were collected by means of patient information form, Malnutrition Inflammation Score (MIS) and Body Composition Analyzer. Descriptive, t test, Mann-Whitney U, chi-square, Wilcoxon, ROC analysis and logistic regresyon analysis were used in statistical analysis.
Results: The average ages of patients were 51.57±13.01 (21-66) years. Of the patients, 53.6% were male. Mean body mass index (BMI) was 24.4±4.98 kg/m2 of whom (%54.8) were well-nourished. Male patients had higher albumin, muscule mass, and BMI than female patients and these values were statistical difference in according to gender. A significant difference was found to hemoglobin, albümin, iron binding, tanita fat ratio, fat mass, and BMI between the well-nourished and malnourished patients. The findings of logistic regretion analysis among MIS and BIA parameters shown that performance of BIA was statistical significantly.
Conclusion: The results of study indicated that bioelectrical impedance analysis was shown to identify the most suitable BIA parameters for predicting presence of malnutrition. It could be suggested that BIA method may use for assess to nutritional status among patients receiving hemodialysis.

Anahtar Kelimeler

Nutritional status, malnutrition, nutrition assessment

Proje Numarası

2018-237

Kaynakça

1. Caydam Dedeli O, Cınar Pakyüz S. Chronic complications and care of hemodialysis. Journal of Nephrology Nursing. 2016;11(1):60-72.
2. Karadakovan A, Aslan FE. Care in Internal and Surgical Diseases. Adana: Nobel Bookstore; 2010.
3. Elmas A, Saral EE, Tugrul A, Sengul E, Bulbul F. The relationship between nutritional knowledge and clinical and laboratory findings in hemodialysis patients. Kocaeli Medical Journal. 2012;3:23-26.
4. Locatelli F, Fouque D, Heimburger O, et al. Nutritional status in dialysis patients: A European consensus. Nephrol Dial Transplant. 2002;17:563‑72. doi: 10.1093/ndt/17.4.563.
5. Pifer TB, McCullough KP, Port FK, et al. Mortality risk in hemodialysis patients and changes in nutritional indicators: DOPPS. Kidney Int. 2002;62:2238–2245.
6. Lopes AA, Bragg-Gresham JL, Elder SJ, et al. Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the dialysis outcomes and practice patterns study (DOPPS). Journal of Renal Nutrition. 2010;20:224–234.
7. Chitra U, Premalatha KS. Nutritional management of renal transplant patients. Indian Journal of Transplantation. 2013;7(3):88-93.
8. Stenvinkel P, Heimburger O, Lindholm B, Kaysen GA, Bergström J. Are there two types of malnutrition in chronic renal failure? Evidence for relationships between malnutrition, inflammation and atherosclerosis (MIA syndrome). Nephrology Dialysis Transplantation. 2000;15(7):953-960.
9. Kalantar-Zadeh K, Kopple JD, Block G, Humphreys MH. Association among SF36 quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. Journal of the American Society of Nephrology. 2001;12(12):2797-2806. doi: 10.1681/ASN.V12122797.
10. Kagansky N, Berner Y, Koren-Morag N, Perelman L, Knobler H, Levy S. Poor nutritional habits are predictors of poor outcome in very old hospitalized patients. The American Journal of Clinical Nutrition. 2005;82(4):784-791. doi: 10.1093/ajcn/82.4.784.
11. Atik D, Cosar AA, Cinar S. Metabolic syndrome and physical in hemodialysis patients activity. Journal of Contemporary Medicine. 2014;4(2):69-75.
12. Yakar B, Demir M, Canpolat O. Nutritional information of hemodialysis patients effect of nutritional levels. Konuralp Medical Journal. 2019;1(3):384- 391. doi: 10.18521/ktd.539350.
13. Kılıc SP, Ozer S, ed. Internal Medicine Nursing with Case Scenarios. 1st Edition. İstanbul: Istanbul Medical Bookstore; 2019.
14. Kopple JD, Zhu X, Lew NL Lowric EG. Body weight-for-height relationships predict mortality in maintaince hemodialysis patients. Kidney International. 1999;56:1136-48. doi: 10.1046/j.1523-1755.1999.00615x.
15. Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW Jr. Body mass index and mortality in a prospective cohort of U:S: adults. The New England Journal of Medicine. 1999;341:1097-105. doi: 10.1056/NEJM199910073411501.
16. Cinar S. Prevention from chronic kidney diseases: Early diagnosis, precautions and nursing care. Journal of Nephrology Nursing. 2007;1(1):1-8.
17. Chazot C, Laurent G, Charra B, et al. Malnutrition in long-term haemodialysis survivors. Nephrol Dial Transplant. 2001;16:61. doi: 10.1093/ndt/16.1.61.
18. Baz S, Ardahan M. Malnutrition and nursing approaches in the elderly. Balikesir Journal of Health Sciences. 2016;5(3):147-153. doi: 10.5505/BSBD.2016.97820.
19. Kopple JD. The National Kidney Foundation K/DOQI clinical practice guidelines for dietary protein intake for chronic dialysis patients. American Journal of Kidney diseases. 2001;38(4):68-73. doi: 10.1053/ajkd.2001.27578.
20. Yentür E. Evaluation of nutritional status. Clinical Development. 2011;24:1-4.
21. Oguz EG, Erek M, Dede F. Nutrition and nutrition in programmed hemodialysis patients malnutrition. Journal of Internal Medicine. 2013;20:121-127.
22. Sifil A, Cavdar C, Celik A, et al. Dual-Energy X-Ray Absorptiometry and bioelectrical impedance to detect body composition changes; a hemodialysis Comparative analysis of two methods to determine the effect of the session. Turkish Journal of Nephrology Dialysis and Transplantation. 2001;10(4):244-248.
23. Hur E, Ozışık M, Ural C, et al. Fluid and nutrition measured by the bioimpedance method his condition is affected by body position. Turkish Journal of Nephrology Dialysis and Transplantation. 2014;23(1):26-32. doi: 10.5262/tndt.2014.1001.06.
24. Celik G, Tanyemez DG. Bioimpedance parameters and life quality. Turkey Clinics J Nephrology-Special Topics. 2015;8(3):23-9.
25. Mamat R, Kong CTN, Ba’in A, et al. Assessment of body fluid status in hemodialysis patients using the body composition monitor measurement technique. Journal of Clinical Nursing. 2012;21:2879–85. doi: 10.1111/j.1365-2702.2012.04091.x.
26. Seyah N, Ateş K, Süleymanlar, G. Current status of renal replacement therapy in Turkey: A summary of the Turkish Society of Nephrology Registry Report.Current status of renal replacement therapy in Turkey. Turk J Nephrol. 2021;29(1):6-11.
27. Kalantar-Zadeh K, Kleiner M, Dunne E, Lee GH, Luft FC. A modified quantitative subjective global assessment of nutrition for dialysis patients. Nephrol Dial Transplant. 1999;14(7):1732-8. doi: 10.1093/ndt/14.7.1732.
28. Bigogno FG, Fetter RL, Avesani CM. Applicability of subjective global assessment and malnutrition inflammation score in the assessment of nutritional status on chronic kidney disease. J Bras Nefrol. 2014;36(2):236-240. doi: 10.5935/0101-2800.20140034.
29. Demir M, Kucuk A, Sezer MT, Altuntas A, Kaya S. Malnutrition- inflammation score and endothelial dysfunction in hemodialysis patients. Journal of Renal Nutrition. 2010;20(6):377-83. doi: 10.1053/j.jrn.2010.03.002.
30. Kaya T, Sipahi S, Karacaer C, et al. Malnutrition-inflammation score, anthropometric indices, and erythropoietin requirement in geriatric hemodialysis patients. Turkish Journal of Geriatrics. 2015;18(1):3-9.
31. Hayran M, Hayran M. Basic Statistics for Health Research. Ankara: Art Offset Publishing Organization Ltd. Sti; 2011.
32. Celik Y. Biostatistics Scientific Research SPSS. 1. Baskı. Ankara: 2011.
33. Karaagaoglu E, Karakaya J, Kılıckap M. In the Evaluation of Diagnostic Tests Statistical Methods. Ankara: Detay Publishing,2016.
34. Mushnick R, Feın PA, Mittman N, Goel N, Chattopadhyay J, Avram MM. Relationship of bioelectrical impedance parameters to nutrition and survival in peritoneal dialysis patients. Kidney International. 2003;64:53-56. doi: 10.1046/j.1523-1755.64.s87.22.x.
35. Ozcelik O, Dogukan A, Kaya H. Bioelectrical impedance in hemodialysis patients the effectiveness of the analysis method in determining the body composition. Fırat Medical Journal. 2005;10(2):50-53.
36. Atasoyu EM, Ünver S, Evrenkaya TR, Tülbek MY. Subjective global assessment tt is not a reliable measure for evaluating nutritional status in hemodialysis patients. Turkish Journal of Nephrology Dialysis and Transplantation. 2003;12(3):134-140.
37. Hur E, Gungor O, Ascı G, et al. Hypervolemia in hemodialysis patients the role of bioimpedance spectroscopy in the demonstration. Turkish Journal of Nephrology Dialysis and Transplantation. 2011;20(3):235-240.
38. Tan RS, Liang DH, Liu Y, Zhong XS, Zhang DS, Ma J. Bioelectrical impedance analysis- derived phase angle predicts proein-energy wasting in maintenance hemodialysis patients. Journal of Renal Nutrition. 2019;29(4):295-301. doi: 10.1053/j.jrn.2018.09.001.
39. Chertow GM, Lowrie EG, Wilmore DW, et al. Nutritional assessment with bioeletrical impedance analysis in maintenance hemodialysis patients. Journal of the American Society of Nefrology. 1995;6(1):75-81. doi: 10.1681/ASN.V6175.
40. Lopez-Gomez JM. Evolution and applications of bioimpedance in managing chronic kidney disease. Nefrologia. 2011;31(6):630-634. doi: 10.3265/Nefrologia.pre2011.Oct.11015.
41. Wi JW, Kim NH. Assesment of malnutrition of dialysis patients and comparison of nutrition parameters of capd and hemodialysis patienst. Biomedical Science Letters. 2017;23(3):185-193. doi:10.15616/BSL.2017.23.3.185.
42. Rezeq HA, Khdair LN, Hamdan ZI, Sweileh WM. Prevalence of malnutrition in hemodialysis patients: A single-center study in Palestine. Saudi Journal of Kidney Disases Transplantation. 2018;29:332-40. doi: 10.4103/1319-2442.229264.
43. Ghorbani A, Hayati F, Karandish M, Sabzali S. The prevalence of malnutrition in hemodialysis patients. Journal of Renal Injury Prevention. 2020;9(2):1-6. doi: 10.34172/jrip.2020.15.
44. Tayyem RF, Mrayyan MT, Heath DD, Bawadi HA. Assessment of nutritional status among ESRD patients in Jordanian hospitals. Journal of Renal Nutrition. 2008;18:281-7. doi: 10.1053/j.jrn.2007.12.001.
45. Al Saran K, Elsayed S, Molhem A, AlDrees A, Alzara H. Nutritional assessment of patients on hemodialysis in a large dialysis center. Saudi Journal Kidney Diseases Transplation. 2011;22(4):675-81.
46. Al-Saedy AJ, Al-Kahichy HR. The current status of hemodialysis in Baghdad. Saudi Journal Kidney Diseases Transplation. 2011;22:362-7.
47. Alharbi K, Enrione EB. Malnutrition is prevalent among hemodialysis patients in Jeddah, Saudi Arabia. Saudi Journal Kidney Diseases Transplation. 2012;23:598-608.
48. Kara B. The validity and validity of the scale of non-compliance with dialysis diet and fluid restriction reliability study. Journal of Atatürk University School of Nursing. 2009;12:3.
49. Kurt YT, Erdem E, Kaya C, Karatas A, Arık N. Given to hemodialysis patients the effect of education on blood pressure and weight gain. Turkish Nephrology Dialysis and Transplantation Journal. 2012;21(1):39-44. doi: 10.5262/tndt.2012.1001.07
50. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. American Journal Kidney Diseases. 2002;39(2 Suppl 1):S1-266.
51. Fouque D, Vennegoor M, ter Wee P, et al. EBPG guideline on nutrition. Nephrology Dialysis Transplantion. 2007;22(2):5-87. doi: 10.1093/ndt/gfm020.
52. Stosovic MD, Naumovic RT, Stanojevic MLj, et al. Could the level of serum albumin be a method for assessing malnutrition in hemodialysis patients? Nutr Clin Pract. 2011;26:607-13. doi: 10.1177/0884533611419665.
53. Ryu H, Park HC, Kim H, et al. Bioelectrical impedance analysis as a nutritional assessment tool in autosomal dominant polycystic kidney diseases. Plos One. 2019;14(4):1-18. doi: 10.1371/journal.pone.0214912.
54. Varan HD, Bolayir B, Kara O, et al. Phase angle assessment by bioelectrical impedance analysis and its predictive value for malnutrition risk in hospitalized geriatric patients. Aging Clinic Exp. Res. 2016;28:1121-1126. doi: 10.1007/s40520-015-0528-8.

Toplam 54 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Klinik Tıp Bilimleri
Bölüm	Makaleler
Yazarlar	Pınar Arpacı 0000-0003-3913-1078 Özden Dedeli Çaydam 0000-0003-0558-9400
Proje Numarası	2018-237
Erken Görünüm Tarihi	27 Nisan 2024
Yayımlanma Tarihi	30 Nisan 2024
Kabul Tarihi	19 Mart 2024
Yayımlandığı Sayı	Yıl 2024 Sayı: 22

Kaynak Göster

JAMA	Arpacı P, Dedeli Çaydam Ö. Is the Bioimpedance Method Sufficient in Evaluating the Nutritional Status of Patients Receiving Hemodialysis Treatment?. IGUSABDER. 2024;:40–61.

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