Analysis of Nutritional Status in Patients with Chronic Kidney Disease from Stage 1 to 4_West China Medical Journal

Authors：

 DiaoYongshu ¹ , MaDengyan ¹ , ChenYi ¹ , LiuYuan ²

1. Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Nutrition;West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

Chronic kidney disease; Nutrition; Body composition analysis; Body mass index

DOI：

10.7507/1002-0179.20160018

Video：

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Objective To collect the nutrition data in patients with chronic kidney disease (CKD) from stage 1 to 4 and provide the basis for further intervention by analyzing the specific problems of the patients. Methods A total of 132 CKD patients from stage 1 to 4 were enrolled between December 2012 and December 2013. Nutritionists used inbodyS10ww as a body composition analyzer to test the patients. The data from inbodyS10ww and laboratory indexes were analyzed on marasmus, overweight and obesity, risk of malnutrition, malnutrition, anemia and hypoalbuminemia. Results The percentage of marasmus in those CKD patients was 3.0%, overweight and obesity was 39.4%, the risk of malnutrition was 22.7%, malnutrition was 19.7%, anemia was 34.1%, and hypoalbuminemia was 9.8%. Conclusion Our search shows that combining the application of anthropometry and laboratory indexes can evaluate the nutritional status of patients with CKD. The most common nutritional problems in CKD patients include malnutrition, overweight and obesity, risk of malnutrition, and anemia. As for hypoalbuminemia, it is low in early CKD patients.

Citation： DiaoYongshu, MaDengyan, ChenYi, LiuYuan. Analysis of Nutritional Status in Patients with Chronic Kidney Disease from Stage 1 to 4. West China Medical Journal, 2016, 31(1): 72-74. doi: 10.7507/1002-0179.20160018 Copy

1.	顾勇. 慢性肾脏病患者高血压的控制[J]. 中华内科杂志, 2011, 50(7):537-538.
2.	邵春海, 朱云, 刘景芳, 等. 低蛋白饮食对3/4期慢性肾脏病患者肾功能及营养状况的影响[J]. 中华临床营养杂志, 2009, 17(6): 339-342.
3.	任伟, 王艳. 慢性肾脏病患者高血压的治疗[J]. 安徽医学, 2012, 33(3):366-367.
4.	娄探奇, 叶增纯. 从临床指南的演变看慢性肾脏病患者的血压管理[J]. 中华高血压杂志, 2012, 20(7):613-615.
5.	周蓉, 蒋更如. 慢性肾脏病患者营养状态分析[J]. 中国基层医药, 2010, 17(2):179-181.
6.	Kopple JD, Greene T, Chumlea WC, et al. Relationship between nutritional status and the glomerular filtration rate:results from the MDRD Study[J]. Kidney Int, 2000, 57(4):1688-1703.
7.	汤晓静, 陈伟. 慢性肾脏病营养治疗的实施和监控[J]. 临床肾脏病杂志, 2010, 10(12):538-540.
8.	Levey AS, Eckardt K, Tsukamoto Y, et al. Definition and classification of chronic kidney disease:a position statement from Kidney Disease:Improving Global Outcomes (KDIG)[J]. Kidney Int, 2005, 67(6):2089-2100.
9.	α酮酸制剂在肾内科应用专家协作组. 慢性肾脏病蛋白营养治疗共识[J]. 中华肾脏病杂志, 2005, 21(7):3.
10.	中国肥胖问题工作组. 中国成人超重和肥胖症预防与控制指南(节录)[J]. 营养学报, 2004, 26(1):1-4.
11.	蒋朱明, 陈伟, 朱赛楠, 等. 我国东、中、西部大城市三甲医院营养不良(不足)、营养风险发生率及营养支持应用状况调查[J]. 中国临床营养杂志, 2008, 16(6):335-337.
12.	Lochs H, Allison SP, Meier R, et al. Introductory to the ESPEN guidelines on enteral nutrition:terminology, definitions and general topics[J]. Clin Nutr, 2006, 25(2):180-186.
13.	葛均波, 徐永健. 内科学[M]. 8版. 北京:人民卫生出版社, 2013:543-548.
14.	Cooper BA, Bartlety LH, Aslani A, et al. Validity of subjection global assessment as a nutritional marker in end-stage renal disease[J]. Am J Kidney Dis, 2002, 40(1):126-132.
15.	连璐, 王洁, 蔡东联. 不同营养评价方法的比较[J]. 中国中医药资讯, 2010, 2(7):60-62.
16.	郑法雷, 刘燕萍. 慢性肾脏病营养治疗:共识与问题[J]. 临床肾脏病杂志, 2010, 10(12):532-533.
17.	沈雯雯, 刘志红, 陈慧梅, 等. 肥胖相关性肾病:体重指数与蛋白尿的关系[J]. 肾脏病与透析肾移植杂志, 2009, 18(6):504-512, 547.
18.	方仕, 麦海妍, 卢味, 等. 868例住院患者营养风险筛查及营养支持应用状况[J]. 中国公共卫生, 2010, 26(5):574-575.
19.	蒋朱明, 于康, 朱赛楠, 等. 我国东、中、西部中小医院住院患者营养不良(不足)、营养风险、超重和肥胖发生率及营养支持应用状况调查(中期小结)[J]. 中国临床营养杂志, 2008, 16(6): 338-340.
20.	路凌, 陈强, 武军. 147例维持性血液透析患者营养状况的调查及评估[J]. 吉林医学, 2011, 32(5):910-912.

1. 顾勇. 慢性肾脏病患者高血压的控制[J]. 中华内科杂志, 2011, 50(7):537-538.
2. 邵春海, 朱云, 刘景芳, 等. 低蛋白饮食对3/4期慢性肾脏病患者肾功能及营养状况的影响[J]. 中华临床营养杂志, 2009, 17(6): 339-342.
3. 任伟, 王艳. 慢性肾脏病患者高血压的治疗[J]. 安徽医学, 2012, 33(3):366-367.
4. 娄探奇, 叶增纯. 从临床指南的演变看慢性肾脏病患者的血压管理[J]. 中华高血压杂志, 2012, 20(7):613-615.
5. 周蓉, 蒋更如. 慢性肾脏病患者营养状态分析[J]. 中国基层医药, 2010, 17(2):179-181.
6. Kopple JD, Greene T, Chumlea WC, et al. Relationship between nutritional status and the glomerular filtration rate:results from the MDRD Study[J]. Kidney Int, 2000, 57(4):1688-1703.
7. 汤晓静, 陈伟. 慢性肾脏病营养治疗的实施和监控[J]. 临床肾脏病杂志, 2010, 10(12):538-540.
8. Levey AS, Eckardt K, Tsukamoto Y, et al. Definition and classification of chronic kidney disease:a position statement from Kidney Disease:Improving Global Outcomes (KDIG)[J]. Kidney Int, 2005, 67(6):2089-2100.
9. α酮酸制剂在肾内科应用专家协作组. 慢性肾脏病蛋白营养治疗共识[J]. 中华肾脏病杂志, 2005, 21(7):3.
10. 中国肥胖问题工作组. 中国成人超重和肥胖症预防与控制指南(节录)[J]. 营养学报, 2004, 26(1):1-4.
11. 蒋朱明, 陈伟, 朱赛楠, 等. 我国东、中、西部大城市三甲医院营养不良(不足)、营养风险发生率及营养支持应用状况调查[J]. 中国临床营养杂志, 2008, 16(6):335-337.
12. Lochs H, Allison SP, Meier R, et al. Introductory to the ESPEN guidelines on enteral nutrition:terminology, definitions and general topics[J]. Clin Nutr, 2006, 25(2):180-186.
13. 葛均波, 徐永健. 内科学[M]. 8版. 北京:人民卫生出版社, 2013:543-548.
14. Cooper BA, Bartlety LH, Aslani A, et al. Validity of subjection global assessment as a nutritional marker in end-stage renal disease[J]. Am J Kidney Dis, 2002, 40(1):126-132.
15. 连璐, 王洁, 蔡东联. 不同营养评价方法的比较[J]. 中国中医药资讯, 2010, 2(7):60-62.
16. 郑法雷, 刘燕萍. 慢性肾脏病营养治疗:共识与问题[J]. 临床肾脏病杂志, 2010, 10(12):532-533.
17. 沈雯雯, 刘志红, 陈慧梅, 等. 肥胖相关性肾病:体重指数与蛋白尿的关系[J]. 肾脏病与透析肾移植杂志, 2009, 18(6):504-512, 547.
18. 方仕, 麦海妍, 卢味, 等. 868例住院患者营养风险筛查及营养支持应用状况[J]. 中国公共卫生, 2010, 26(5):574-575.
19. 蒋朱明, 于康, 朱赛楠, 等. 我国东、中、西部中小医院住院患者营养不良(不足)、营养风险、超重和肥胖发生率及营养支持应用状况调查(中期小结)[J]. 中国临床营养杂志, 2008, 16(6): 338-340.
20. 路凌, 陈强, 武军. 147例维持性血液透析患者营养状况的调查及评估[J]. 吉林医学, 2011, 32(5):910-912.

West China Medical Journal

Analysis of Nutritional Status in Patients with Chronic Kidney Disease from Stage 1 to 4

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