Journal of Renal Nutrition
Volume 19, Issue 4 , Pages 275-282 , July 2009

Malnutrition, Anthropometric, and Biochemical Abnormalities in Patients With Diabetic Nephropathy

  • S. Mahaboob Khan, MSc

      Affiliations

    • Department of Biochemistry, Government Home Science College, Chandigarh, India
    • Corresponding Author InformationAddress reprint requests to Mahaboob Khan S., Department of Biochemistry, Government Home Science College, Sector 10 D, Chandigarh 160 010, India.
    • ,
  • Sandhu Chandanpreet, MSc

      Affiliations

    • Department of Biochemistry, Government Home Science College, Chandigarh, India
    • ,
  • Krishan Kewal, PhD

      Affiliations

    • Department of Anthropology, Panjab University, Chandigarh, India
    • ,
  • D'Cruz Sanjay, MD

      Affiliations

    • Department of Medicine, Government Medical College and Hospital, Chandigarh, India
    • ,
  • Kashyap Jeet Ram, MD

      Affiliations

    • Department of Medicine, Government Medical College and Hospital, Chandigarh, India
    • ,
  • Sachdeva Atul, MD

      Affiliations

    • Department of Medicine, Government Medical College and Hospital, Chandigarh, India

References 

  1. Ramachandran A, Viswanathan M, Mohan V. Epidemiology of NIDDM in Indians. J Assoc Physicians India. 1993;1(Suppl):1–4
  2. Sharma P, Mishra S. Metabolic syndrome: early identification may prevent type II diabetes and cardiovascular disease. Indian J Clin Biochem. 2007;22:1–3
  3. Johnsen BK, Andersen PK, Deckert T. The effect of proteinuria on relative mortality in type I (insulin dependent) diabetes mellitus. Diabetologia. 1985;28:590–596
  4. O'Bryan GT, Hostetter TH. The renal hemodynamic basis of diabetic nephropathy. Semin Nephrol. 1997;17:93–100
  5. Nelson RG, Bennett PH, Beck GJ, et al. Diabetic Renal Disease Study Group: development and progression of renal disease in Pima Indians with non-insulin dependent diabetes mellitus. N Engl J Med. 1996;335:1636–1642
  6. Parving HH, Rossing P. Calcium antagonists and the diabetic hypertensive patient. Am J Kidney Dis. 1993;21:47–52
  7. Klemens R, Angela G, Sabine H, et al. Diabetic nephropathy in 27,805 children, adolescents, and adults with type 1 diabetes: effect of diabetes duration, A1C, hypertension, dyslipidemia, diabetes onset and sex. Diabetes Care. 2007;30:2523–2528
  8. Eberhard R. Diabetic nephropathy. Saudi J Kidney Dis Transplant. 2006;17:481–490
  9. Perkins BA, Krolewski AS. Early nephropathy in type 1 diabetes: a new perspective on who will and who will not progress. Curr Diabetes Rep. 2005;5:455–463
  10. Nitya N, Aggarwal HK, Sharma M. Recent advances in management of diabetic nephropathy. J Indian Acad Clin Med. 2001;1:79–84
  11. Krolewski AS, Canessa M, Warram JH, et al. Predisposition to hypertension and susceptibility to renal disease in insulin-dependent diabetes mellitus. N Engl J Med. 1988;318:140–145
  12. Johnsen BK, Kreiner S. Proteinuria value as a predictor of cardiovascular mortality in insulin dependent diabetes mellitus. Br Med J [Clin Res]. 1987;294:1651–1654
  13. Zimmermann J, Schram L, Melzer E, et al. Cardiovascular risk factors in diabetic nephropathy. Med Klin. 1997;92:74–78
  14. Anderson AR, Christianisen JS, Andersen JK, et al. Diabetic nephropathy in type I (insulin dependent) diabetes; an epidemiological study. Diabetologia. 1983;25:496–501
  15. Knowles HCJ. Long term juvenile diabetes treated with unmeasured diet. Trans Assoc Am Physicians. 1997;84:95–101
  16. Chumlea WC. Anthropometric assessment of nutritional status in renal disease. J Ren Nutr. 1997;7:176–181
  17. Fenton SS, Johnston N, Delmore T, et al. Nutritional assessment of continuous ambulatory peritoneal dialysis patients. ASAIO J. 1987;33:650–653
  18. Young GA, Kopple JD, Lindholm B, et al. Nutritional assessment of continuous ambulatory peritoneal dialysis patients: an international study. Am J Kidney Dis. 1991;17:462–471
  19. Enia G, Sicuso C, Alati G, et al. Subjective global assessment of nutrition in dialysis patients. Nephrol Dial Transplant. 1993;8:1094–1098
  20. Jones CH, Newstead CG, Will EJ, et al. Assessment of nutritional status in CAPD patients: serum albumin is not a useful measure. Nephrol Dial Transplant. 1997;12:1406–1413
  21. Julien JP, Combe C, Lasseur C. Subjective global assessment of nutrition: a useful diagnostic tool for nurses?. EDTNA ERCA J. 2001;27:193–196
  22. Lawson JA, Lazarus R, Kelly JJ. Prevalence and prognostic significance of malnutrition in chronic renal insufficiency. J Ren Nutr. 2001;11:16–22
  23. Cooper BA, Bartlett LH, Aslani A, et al. Validity of subjective global assessment as a nutritional marker in end-stage renal disease. Am J Kidney Dis. 2002;40:126–132
  24. Cupisti A, D'Alessandro C, Morelli E, et al. Nutritional status and dietary manipulation in predialysis chronic renal failure patients. J Ren Nutr. 2004;14:127–133
  25. Desbrow B, Bauer J, Blum C. Assessment of nutritional status in hemodialysis patients using patient-generated subjective global assessment. J Ren Nutr. 2005;15:211–216
  26. Pifer TB, McCullough KP, Port FK, et al. Mortality risk in hemodialysis patients and changes in nutritional indicators: DOPPS. Kidney Int. 2002;62:2238–2245
  27. Churchill D, Taylor WD, Keshaviah PR. Adequacy of dialysis and nutrition in continuous peritoneal dialysis: association with clinical outcomes. Canada-USA (CANUSA) Peritoneal Dialysis Study Group. J Am Soc Nephrol. 1996;7:198–207
  28. Visser R, Dekker FW, Boeschoten EW, et al. Reliability of the 7-point subjective global assessment scale in assessing nutritional status of dialysis patients. Adv Perit Dial. 1999;15:222–225
  29. Jones CH, Wolfenden RC, Wells LM. Is subjective global assessment a reliable measure of nutritional status in hemodialysis?. J Ren Nutr. 2004;14:26–30
  30. Qureshi AR, Alvestrand A, Danielsson A, et al. Factors predicting malnutrition in hemodialysis patients: a cross-sectional study. Kidney Int. 1998;53:773–782
  31. Stenvinkel P, Heimburger O, Paultre F, et al. Strong association between malnutrition, inflammation, and atherosclerosis in chronic renal failure. Kidney Int. 1999;55:1899–1911
  32. Amaresan MS, Geetha R. Early diagnosis of CKD and its prevention. J Assoc Physicians India. 2008;56:41–46
  33. Jeejebhoy KN. Nutritional assessment. Nutrition. 2000;16:585–590
  34. David EC, Michael MM. Current concepts in nutritional assessment. Arch Surg. 2002;137:42–45
  35. Detsky AS, Baker JP, O'Rourke K, et al. Predicting nutrition-associated complications for residents undergoing gastrointestinal surgery. JPEN J Parenter Enteral Nutr. 1987;11:440–446
  36. Enia G, Sicuso C, Alati G, et al. Subjective global assessment of nutrition in dialysis residents. Nephrol Dial Transplant. 1993;8:1094–1098
  37. Hasse J, Strong S, Gorman MA, et al. Subjective global assessment: alternative nutrition assessment technique for liver transplant candidates. Nutrition. 1993;9:339–343
  38. Steiber AL, Kalantar-Zadeh K, Secker D, et al. Subjective global assessment in chronic kidney disease: a review. J Ren Nutr. 2004;14:191–200
  39. Katrina C, Susan A, Judith B, et al. Critical review of nutrition assessment tools to measure malnutrition in chronic kidney disease. Nutr Diet. 2007;64:23–30
  40. WHO Expert Consultation 2004 . Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–163
  41. Frisancho AR. Triceps skin fold and upper arm muscle size norms for assessment of nutritional status. Am J Clin Nutr. 1974;27:1052–1057
  42. Snehalata C, Vijay V, Ramachandran A. Cut-off values for normal anthropometric variables in Asian Indian adults. Diabetes Care. 2003;26:1380–1384
  43. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low density lipoprotein cholesterol in plasma, without the use of preparative centrifuge. Clin Chem. 1972;18:499–502
  44. Pupim LB, Ikizler TA. Assessment and monitoring of uremic malnutrition. J Ren Nutr. 2004;14:6–19
  45. Pipim LB, Cuppari L. Malnutrition in end-stage renal disease: beyond inadequate nutrient intake. Nephrol News Issues. 2003;17:66–71
  46. Lowrie EG, Lew NL. Death risk in hemodialysis patients: the predictive value of commonly measured variables and an evaluation of death rate differences between facilities. Am J Kidney Dis. 1990;15:458–482
  47. Stenvinkel P, Barany P, Chung SH, et al. A comparative analysis of nutritional parameters as predictors of outcome in male and female ESRD patients. Nephrol Dial Transplant. 2002;17:1266–1274
  48. Kalantar-Zadeh K, Abbott KC, Salahudeen AK, et al. Survival advantages of obesity in dialysis patients. Am J Clin Nutr. 2005;81:543–554
  49. Burrowes JD, Larive B, Chertow GM, et al. Self-reported appetite, hospitalization and death in haemodialysis patients: findings from the Hemodialysis (HEMO) Study. Nephrol Dial Transplant. 2005;20:2765–2774
  50. Thorburn AW. Prevalence of obesity in Australia. Obes Rev. 2005;6:187–189
  51. Ash S, Campbell KL, MacLaughlin H, et al. Evidence based practice guidelines for nutritional management of chronic kidney disease. Nutr Diet. 2006;63(Suppl):S35–S45
  52. Gibbs J, Cull W, Henderson W, et al. Preoperative serum albumin level as a predictor of operative mortality and morbidity: results from the National VA Surgical Risk Study. Arch Surg. 1999;34:36–42
  53. Blake PG, Flowerdew G, Blake RM, et al. Serum albumin in patients on continuous ambulatory peritoneal dialysis—predictors and correlations with outcomes. Am Soc Nephrol. 1993;31:1501–1508
  54. Mears E. Linking serum prealbumin measurements to managing a malnutrition clinical pathway. J Clin Ligand Assay. 1999;22:296–303
  55. Bernstein LH, Lenkhardt-Fairfield CJ, Pleban W, et al. Usefulness of data on albumin and prealbumin concentrations in determining effectiveness of nutritional support. Clin Chem. 1989;35:271–274
  56. Bernstein LH, Pleban W. Prealbumin in nutritional evaluation. Nutrition. 1996;12:255–259
  57. Klein S, Kinney J, Jeejeebhoy K, et al. Nutrition support in clinical practice: review of published data and recommendations for future research directions. JPEN J Parenter Enteral Nutr. 1997;21:133–155
  58. Woodrow G, Oldroyd B, Smith M, et al. Measurement of body composition in chronic renal failure: comparison of skinfold anthropometry and bioelectrical impedance with dual energy x-ray absorptiometry. Eur J Clin Nutr. 1996;50:295–301
  59. Szeto CC, Kong J, Wu AKL, et al. The role of lean body mass as a nutritional index in Chinese peritoneal dialysis patients—comparison of creatinine kinetics method and anthropometric method. Perit Dial Int. 2000;20:708–714
  60. Heimburger O, Qureshi AR, Blanner B, et al. Hand-grip muscle strength, lean body mass and plasma proteins as markers of nutritional status in patients with advanced renal failure. Am J Kidney Dis. 2000;36:1213–1225
  61. Wang AYM, Sea MMM, Ho ZSY, et al. Evaluation of handgrip strength as a nutritional marker and prognostic indicator in peritoneal dialysis patients. Am J Clin Nutr. 2005;81:79–86
  62. Tayyem RF, Mrayyan MT. Malnutrition and anthropometric and biochemical abnormalities in end-stage renal disease patients. Saudi Med J. 2007;28:1575–1581

PII: S1051-2276(09)00048-X

doi: 10.1053/j.jrn.2009.01.026

Journal of Renal Nutrition
Volume 19, Issue 4 , Pages 275-282 , July 2009

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