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Int J Med Sci 2011; 8(7):628-634. doi:10.7150/ijms.8.628

Research Paper

Comparison of Nutritional Parameters among Adult and Elderly Hemodialysis Patients

Gülperi Çelik1✉, Bahar Oc2, Inci Kara2, Mümtaz Yılmaz3, Ali Yuceaktas4, Seza Apiliogullari2

1. Department Internal Medicine, Division of Nephrology, Faculty of Medicine, Selcuk University, Konya, Turkey.
2. Department of Anesthesia and Intensive Care, Faculty of Medicine, Selcuk University, Konya, Turkey.
3. Department Internal Medicine, Division of Nephrology, Kütahya State Hospital, Kütahya, Turkey.
4. Department of Anesthesia and Intensive Care, Education and Research Hospital, Konya, Turkey.

Abstract

Aim: The aim of this study was to compare the nutritional biochemical parameters, prealbumin levels, and bioimpedance analysis parameters of adult and elderly hemodialysis (HD) patients.

Methods: This prospective cross-sectional study included 50 adult HD patients (42.0 % female). Nutritional status was assessed by post-dialysis multifrequency bioimpedance analysis (BIA), serum prealbumin and other nutritional biochemical parameters.

Results: Mean age of patients was 57.4±15.1 years (range: 30-83 years) and mean dialysis duration was 68.3 ± 54.5 months (range: 3-240 months). When the patients were divided into two groups according to age of patients (<65 and ≥65), prealbumin (p=0.003), blood urea nitrogen (BUN) (p=0.000), serum creatinine (p=0.013), albumin (p=0.016), protein catabolic rate per normalized body weight (nPCR) (p=0.001), intracellular water (ICW)/total body weight (0.003) , body fat mass (p00.000), lean body mass (p=0.031), lean dry mass (p=0.001), illness marker (p=0.005), basal metabolism (p=0.007), body mass index (BMI) (p=0.028), body fat mass index (BFMI) (p=0.000), fat free mass index (FFMI) (p=0.040) values were significantly different between the groups. In the elderly patients (age ≥65), body fat mass, illness marker, BMI, BFMI were higher compared to adult patients (age <65). Additionally, in the elderly patients, prealbumin, BUN, creatinine, albumin, nPCR, ICW/ total body weight, lean body weight, lean dry weight, basal metabolism and FFMI were lower than adult patients.

Conclusions: Our results indicate that BFMI were higher, albumin, prealbumin, nPCR and lean body mass and FFMI were lower in elderly patients compared to adults. These results imply that elderly HD patients may be prone sarcopenic obesity and may require special nutritional support.

Keywords: Body composition analysis, bioelectric impedance, lean body mass, intracellular fluid, elderly hemodialysis patients, protein energy malnutrition.

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How to cite this article:
Çelik G, Oc B, Kara I, Yılmaz M, Yuceaktas A, Apiliogullari S. Comparison of Nutritional Parameters among Adult and Elderly Hemodialysis Patients. Int J Med Sci 2011; 8(7):628-634. doi:10.7150/ijms.8.628. Available from http://www.medsci.org/v08p0628.htm