Monitoring of Nutritional Status in Geriatric Patients on Continuous Ambulatory Peritoneal Dialysis
Introduction: Elderly patients undergoing continuous ambulatory peritoneal dialysis (CAPD) are a high-risk group for malnutrition which occurs due to various reasons and contributes to increased morbidity and mortality. Evaluation of nutritional status in these patients helps in the identification o...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Journal of the Indian Academy of Geriatrics |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jiag.jiag_34_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850193545194897408 |
|---|---|
| author | Nagalakshmi Tandalam Delhi Nagaraj Racharla Kameswari Gali Geetha Kandarapu Kiranmayi S. Vinapamula R. Ram Vishnubhotla Sivakumar |
| author_facet | Nagalakshmi Tandalam Delhi Nagaraj Racharla Kameswari Gali Geetha Kandarapu Kiranmayi S. Vinapamula R. Ram Vishnubhotla Sivakumar |
| author_sort | Nagalakshmi Tandalam |
| collection | DOAJ |
| description | Introduction:
Elderly patients undergoing continuous ambulatory peritoneal dialysis (CAPD) are a high-risk group for malnutrition which occurs due to various reasons and contributes to increased morbidity and mortality. Evaluation of nutritional status in these patients helps in the identification of malnutrition and its subsequent management.
Materials and Methods:
Thirty patients undergoing CAPD were included. Nutritional status was assessed using subjective global assessment (SGA), anthropometric parameters, 24-h dietary recall, and biochemical parameters serum urea, creatinine, total protein, albumin, calcium, phosphorous, alkaline phosphatase, and hemoglobin. The patients were further categorized as well nourished and mild-moderately nourished based on SGA score for comparing the study parameters.
Results:
The mean age of the study population was 65.73 ± 5.41 years. Based on the overall SGA score, 14 patients (47%) were well nourished (Group 1) and 16 patients (53%) were mild to moderately nourished (Group 2). All the anthropometric measurements performed except the midarm muscle circumference were found to be lower in Group 2 patients when compared to Group 1 patients; however, the difference was not statistically significant. 24 h dietary recall data of the two nutritional status groups did not show a significant difference between the mean daily calorie as well as carbohydrate, protein, and fat intake. Serum albumin, total protein, calcium, phosphorous, and hemoglobin levels were lower in Group 2 patients than in Group 1 patients although the difference was not statistically significant.
Conclusions:
The study emphasizes the importance of identification and management of malnutrition in geriatric CAPD patients to protect them from the risk of progression to malnutrition-inflammation-atherosclerosis syndrome. |
| format | Article |
| id | doaj-art-a12df4ec0e024882aaa28cb79befffa3 |
| institution | OA Journals |
| issn | 0974-3405 0974-2484 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Geriatrics |
| spelling | doaj-art-a12df4ec0e024882aaa28cb79befffa32025-08-20T02:14:15ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Geriatrics0974-34050974-24842025-01-012113910.4103/jiag.jiag_34_24Monitoring of Nutritional Status in Geriatric Patients on Continuous Ambulatory Peritoneal DialysisNagalakshmi TandalamDelhi Nagaraj RacharlaKameswari GaliGeetha KandarapuKiranmayi S. VinapamulaR. RamVishnubhotla SivakumarIntroduction: Elderly patients undergoing continuous ambulatory peritoneal dialysis (CAPD) are a high-risk group for malnutrition which occurs due to various reasons and contributes to increased morbidity and mortality. Evaluation of nutritional status in these patients helps in the identification of malnutrition and its subsequent management. Materials and Methods: Thirty patients undergoing CAPD were included. Nutritional status was assessed using subjective global assessment (SGA), anthropometric parameters, 24-h dietary recall, and biochemical parameters serum urea, creatinine, total protein, albumin, calcium, phosphorous, alkaline phosphatase, and hemoglobin. The patients were further categorized as well nourished and mild-moderately nourished based on SGA score for comparing the study parameters. Results: The mean age of the study population was 65.73 ± 5.41 years. Based on the overall SGA score, 14 patients (47%) were well nourished (Group 1) and 16 patients (53%) were mild to moderately nourished (Group 2). All the anthropometric measurements performed except the midarm muscle circumference were found to be lower in Group 2 patients when compared to Group 1 patients; however, the difference was not statistically significant. 24 h dietary recall data of the two nutritional status groups did not show a significant difference between the mean daily calorie as well as carbohydrate, protein, and fat intake. Serum albumin, total protein, calcium, phosphorous, and hemoglobin levels were lower in Group 2 patients than in Group 1 patients although the difference was not statistically significant. Conclusions: The study emphasizes the importance of identification and management of malnutrition in geriatric CAPD patients to protect them from the risk of progression to malnutrition-inflammation-atherosclerosis syndrome.https://journals.lww.com/10.4103/jiag.jiag_34_2424-h dietary recallcontinuous ambulatory peritoneal dialysismalnutritionsubjective global assessment |
| spellingShingle | Nagalakshmi Tandalam Delhi Nagaraj Racharla Kameswari Gali Geetha Kandarapu Kiranmayi S. Vinapamula R. Ram Vishnubhotla Sivakumar Monitoring of Nutritional Status in Geriatric Patients on Continuous Ambulatory Peritoneal Dialysis Journal of the Indian Academy of Geriatrics 24-h dietary recall continuous ambulatory peritoneal dialysis malnutrition subjective global assessment |
| title | Monitoring of Nutritional Status in Geriatric Patients on Continuous Ambulatory Peritoneal Dialysis |
| title_full | Monitoring of Nutritional Status in Geriatric Patients on Continuous Ambulatory Peritoneal Dialysis |
| title_fullStr | Monitoring of Nutritional Status in Geriatric Patients on Continuous Ambulatory Peritoneal Dialysis |
| title_full_unstemmed | Monitoring of Nutritional Status in Geriatric Patients on Continuous Ambulatory Peritoneal Dialysis |
| title_short | Monitoring of Nutritional Status in Geriatric Patients on Continuous Ambulatory Peritoneal Dialysis |
| title_sort | monitoring of nutritional status in geriatric patients on continuous ambulatory peritoneal dialysis |
| topic | 24-h dietary recall continuous ambulatory peritoneal dialysis malnutrition subjective global assessment |
| url | https://journals.lww.com/10.4103/jiag.jiag_34_24 |
| work_keys_str_mv | AT nagalakshmitandalam monitoringofnutritionalstatusingeriatricpatientsoncontinuousambulatoryperitonealdialysis AT delhinagarajracharla monitoringofnutritionalstatusingeriatricpatientsoncontinuousambulatoryperitonealdialysis AT kameswarigali monitoringofnutritionalstatusingeriatricpatientsoncontinuousambulatoryperitonealdialysis AT geethakandarapu monitoringofnutritionalstatusingeriatricpatientsoncontinuousambulatoryperitonealdialysis AT kiranmayisvinapamula monitoringofnutritionalstatusingeriatricpatientsoncontinuousambulatoryperitonealdialysis AT rram monitoringofnutritionalstatusingeriatricpatientsoncontinuousambulatoryperitonealdialysis AT vishnubhotlasivakumar monitoringofnutritionalstatusingeriatricpatientsoncontinuousambulatoryperitonealdialysis |