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1.
Medicine (Baltimore) ; 103(14): e37679, 2024 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-38579083

RESUMO

Malnutrition is a common problem among hemodialysis patients that increases morbidity and mortality and decreases the quality of life. This study aimed to assess the prevalence of malnutrition and associated factors and survey the consumption of energy and several nutrients among hemodialysis patients. A prospective observational study with a cross-sectional design was conducted on 76 patients on hemodialysis therapy at Nguyen Tri Phuong Hospital, Ho Chi Minh City, Vietnam, for 2 months (from May to July 2022). Dialysis malnutrition score was used to determine patients' nutritional status. Data about their biochemical parameters were retrieved from records with the newest results. Among the 76 patients, 38 (50.0%) were female. The mean age of the patients was 55.0 ±â€…13.5 years. Based on the dialysis malnutrition score, 56 (73.7%) patients had mild to moderate malnutrition, while 2 (2.6%) had severe malnutrition. The average energy intake was 21.5 kcal/kg/day, with only 3.9% meeting the recommended intake. The average protein intake was 1.0 g/kg/day, and about 10.5% of participants complied with the recommended protein level. In addition, the majority of patients did not reach the recommendations for sodium (56.6%), potassium (88.2%), phosphate (75.0%), and calcium (82.9%). We found a significant association between patients' occupation (P < .05), dialysis vintage (P < .001), and malnutrition status. Malnutrition is widespread among Vietnamese hemodialysis patients, which necessitates regular assessment and monitoring. We recommend paying more attention to the nutritional status of patients who are unemployed, retired, or stopped working and those with ≥ 5 years of hemodialysis.


Assuntos
Desnutrição , Diálise Renal , Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Masculino , Estudos Transversais , Diálise Renal/efeitos adversos , Vietnã/epidemiologia , Prevalência , Qualidade de Vida , Avaliação Nutricional , Desnutrição/epidemiologia , Desnutrição/etiologia , Estado Nutricional
2.
Medicine (Baltimore) ; 103(36): e39563, 2024 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-39252268

RESUMO

Malnutrition is common among older inpatients and can lead to severe consequences such as disability, assisted living, increased mortality, and prolonged hospital stays. Given the rapidly aging population in Vietnam, limited data is available regarding the nutritional status of the geriatric. This research aimed to determine the prevalence of malnutrition and associated factors among the hospitalized elderly. A prospective observational study with a cross-sectional design was conducted on 108 older inpatients at University Medical Center in Ho Chi Minh City, Vietnam. Patients aged 60 years or older admitted to the hospital were recruited. Malnutrition was assessed using a validated Mini Nutritional Assessment Short Form. Sociodemographic characteristics were measured using interview-administered questionnaires. Data about patients' biochemical parameters were retrieved from records with the newest results. Among 108 hospitalized patients (mean age 74.6 ±â€…9.8 years; 50% female), 72.2% of patients had malnutrition (n = 78) while 27.8% had normal nutritional status (n = 30). Age group, education level, cohabitation, serum albumin, hand-drip strength, physical inactivity, and frailty were associated with malnutrition. The prevalence of malnutrition in the elderly accounts for a very high proportion. Nutritional status assessment is essential for the elderly; therefore, more attention should be paid to those risk factors in old age health care in order to improve medical outcomes.


Assuntos
Hospitalização , Desnutrição , Avaliação Nutricional , Estado Nutricional , Humanos , Feminino , Masculino , Desnutrição/epidemiologia , Estudos Transversais , Idoso , Vietnã/epidemiologia , Idoso de 80 Anos ou mais , Prevalência , Fatores de Risco , Estudos Prospectivos , Hospitalização/estatística & dados numéricos , Avaliação Geriátrica/métodos , Pessoa de Meia-Idade
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