ESPEN 2022 Late Breaking Abstracts
Topic: Nutrition and chronic disease
Abstract Submission Identifier: ESPEN22-LB-2151
HANDGRIP STRENGTH, ALBUMIN CONCENTRATION AND PROTEIN INTAKE IN PATIENTS OF HEMODIALYSIS AT HOSPITAL PRESIDENTE ESTRELLA UREÑA IN SANTIAGO, DOMINICAN REPUBLIC
R. Rodriguez Rojas*, 1, M. Cabrera Veras 1
1Nutrition, Hospital Presidente Estrella Urena, Santiago, Dominican Republic
Rationale: Sixty-nine patients from the hemodialysis unit at Hospital Presidente Estrella Ureña were evaluated during the month of May 2022. The variables of sex, age, nutritional status, calorie and protein intake, levels of albumin and comorbidities were compared to the patients' dynamometry before and after dialysis sessions.
Methods: A descriptive cross-sectional study was conducted by the primary source. The analysis was performed in a Microsoft Excel spreadsheet and the SPSS statistical package. A confidence level of 95% was adopted.
Results: 66% of the male population evaluated had a low dynamometry. A mere 33% of the patients classified as under weight had a low dynamometry in contrast to 68% of those who were at a normal weight. In relation to comorbidities, 80% of the patients who had hypertension and diabetes also had a low dynamometry. Only 40% of the patients with a low calorie intake had a normal dynamometry and 64% of those with a low level of albumin also had a dynamometry that was not altered.
Conclusion: As in other investigations, the dynamometry was not related to the levels of albumin nor were major levels of dynamometry registered in patients who were at a normal weight, overweight or obese versus those who were under weight. Of the population that was in the study, those with a low level of dynamometry were of an older age. The dynamometry before and after the hemodialysis remained unchanged and the changes in dynamometry affected males and females in the same manner. There was no relation found between the albumin level and the low level of dynamometry and finally, there was no relation found between the calorie and protein intake and the low dynamometry level.
References: Kalantar-Zadeh K, Ikizler TA, Block G, Avram, M, Kopple JD. Malnutrition-inflammation complex syndrome in dialysis patients: causes and consequences. Am J Kidney Dis. 2003;42(5):864-81Fouque D, Kalantar-Zadeh K, Kopple J, Cano, N, Chauveau P, Cuppari L, et al. A proposed nomenclature and diagnostic criteria for protein–energy wasting in acute and chronic kidney disease. Kidney Int. 2008;73(4):391-8.Kaysen GA, Stevenson FT, Depner TA. Determinants of albumin concentration in hemodialysis patients. Am J Kidney Dis. Vol 29, No 5 (May), 1997: pp 658-668Leal VO, Stockler-Pinto MB, Farage NE, et al. Handgrip strength and its dialysis determinants in hemodialysis patients. Nutrition journal 27 (2011) 1125–1129
Disclosure of Interest: None Declared
Keywords: Albumin, Chronic kidney disease, Dynamometer, Hemodialysis, Protein intake