Table 7.
Nutritional outcomes associated with anorexia and appetite hormones in HD patients.
Associations | References |
---|---|
Poor Appetite | |
BMI, MAC, MAMC, and MAMA | Bossola et al., 2011 [167]; Sahathevan et al., 2015 [148] |
Muscle mass as per BCM, LTM, and LBM index measures | Ekramzadeh et al., 2014 [166]; Sahathevan et al., 2015 [148]; Oliveira et al., 2015 [100] |
Serum albumin, serum prealbumin and nPCR/nPNA |
Molfino et al., 2015 [177]; Oliveira et al., 2015 [100]; Bossola et al., 2011 [167]; Kalantar-Zadeh et al., 2004 [163] |
hsCRP | Sahathevan et al., 2015 [148]; Kalantar-Zadeh et al., 2004 [163] |
DMS, MIS and PG-SGA | Sahathevan et al., 2015 [148] |
Ekramzadeh et al., 2014 [66]; Kalantar-Zadeh et al., 2004 [163] | |
GNRI | Oliveira et al., 2015 [100] |
Overall food intake of < 50% | Molfino et al., 2015 [177] |
DEI and DPI | Sahathevan et al., 2015 [148] |
Ghrelin | |
BMI | Mafra et al., 2010 [175] |
Serum albumin and nPNA | Perez-Fontan et al., 2004 [178] |
MIS | Vanita et al., 2016 [170] |
SGA | Perez-Fontan et al., 2004 [178] |
Leptin | |
BMI, leptin | Montazerifar et al., 2015 [173] |
Serum albumin, leptin | Montazerifar et al., 2015 [173] |
DMS and MIS, leptin | Kursat et al., 2010 [179]; Ko et al., 2020 [172] |
Abbreviations: BCM, body cell mass; BMI, body mass index; DEI, dietary energy intake; DMS, Dialysis Malnutrition Score; DPI, dietary protein intake; GNRI, Geriatric Nutritional Risk Index; HD, hemodialysis; hsCRP, high-sensitivity C-reactive protein; LBM, lean body mass; LTM, lean tissue mass; MAMA, mid-arm muscle area; MAC, mid-arm circumference; MAMC, mid-arm muscle circumference; MIS, malnutrition–inflammation score; nPCR, normalized protein catabolic rate; nPNA, normalized protein nitrogen appearance, PG-SGA, patient-generated subjective global assessment; SGA, subjective global assessment. Notes: decreased trend; increased trend.