The impact of nutritional status on health‑related quality of life in hemodialysis patients
Metadatos
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Nature
Date
2022-02-22Referencia bibliográfica
Visiedo, L... [et al.]. The impact of nutritional status on health-related quality of life in hemodialysis patients. Sci Rep 12, 3029 (2022). [https://doi.org/10.1038/s41598-022-07055-0]
Résumé
Malnutrition is frequent in hemodialysis (HD) patients. Nutritional deficiencies may negatively impact
quality of life (QOL). This study examines the utility of the Malnutrition-Inflammation Score (MIS)
in detecting nutritional risk (NR) and assesses the correlation between nutritional status and QOL
in dialysis patients upon starting a nutritional intervention program (NIP). One hundred and twenty
patients were included in this cross-sectional study. The MIS was used to detect NR and the Kidney
Disease Quality of Life (KDQOL-SF) instrument version 1.2 was used to assess QOL. 62% of patients
were found to be at NR (MIS > 5). Nutritional status was significantly correlated with all generic
QOL sub-scales. On a multiple linear regression analysis, malnutrition showed the highest level of
explanation in the Kidney Disease Summary Component which explained 28.9% of the variance; the
Physical Component Summary which explained 33% of the variance; and the Mental Component
Summary which explained 21.5% of the variance. Malnutrition was found to be the most significant
predictor of impaired scores on the KDQOL-SF. The use of MIS to identify patients at NR and a
nutritional assessment to detect malnutrition in its early stages are important given the effects a NIP
can have on improving QOL in HD patients.