Assessment Of Nutritional Status Of Hemodialysis Patients And Its Associated Factors Using Subjective Global Assessment In Iran

Abstract

Background: The aim of this study was to assess the nutritional status of hemodialysis patients and its
associated factors using subjective global assessment (SGA) in Iran.
Methods: The study was a cross-sectional study that was carried out on 250 hemodialysis patients
referred to Imam Reza hospital of Kermanshah city (Iran) in 2016. The data collection tool was a twopart questionnaire related to nutritional status of hemodialysis patients using the Subjective Global
assessment (SGA) method. To evaluate the association between nutritional status and its associated
factors, Univariate and multiple linear regression analysis were employed then crude and adjusted β
with 95% confidence interval were calculated. The data were analyzed by SPSS 22 and P-Value <0.05
was considered as a significant level.
Results: The means (S.D) of age and weight of patients under study were 44.89 (13.90) and 52.50
(7.54); respectively. Also, 56.8% (142) of patients were male and 43.2% (108) were women. In this
study, 5.6% (14) and 94.4% (236) of the patients had a normal nutritional status and 94.4% mild to
moderate nutritional status ; respectively. The results of multiple linear regression analysis showed that
weight, sex, education, patient's employment status, duration of hemodialysis, hemodialysis per week
and membership in APRP and taking supplementary medications have a significant statistical
association with the nutritional status of hemodialysis patients (P-Value <0.05).
Conclusion: Given that the nutritional status was mild to moderate in the most hemodialysis patients;
therefore, accurate and proper diet planning and nutrition counseling to patients can be helpful and
effective.