Pre-intern Medical Officer, Kidney Disease Treatment and Research Centre, ... Lecturer in Medicine, Faculty of Medicine, University of Kelaniya, SRI LANKA.
PP 21
PROTEIN ENERGY MALNUTRITION IN PATIENTS WITH CHRONIC KIDNEY DISEASE IN SRI LANKA Dassanayake R 1Consultant
1 T,
Gunarathne R M C
2 L,
Gunasekara V C D
2 G , De
Silva S
3 T
Nephrologist and 2Pre-intern Medical Officer, Kidney Disease Treatment and Research Centre, Teaching Hospital, Anuradhapura, 3Consultant Physician and Senior Lecturer in Medicine, Faculty of Medicine, University of Kelaniya, SRI LANKA
2 kg/m .
INTRODUCTION Worldwide, there is a higher prevalence of protein energy malnutrition (PEM) among patients with chronic kidney disease (CKD), compared to the general population. Biomarkers of under nutrition are associated with worse outcomes in CKD, and strongly predict mortality. Adequate nutrition, and even overnutrition may have a protective role in CKD, and obesity has been linked to greater survival in virtually all CKD stages. Our objectives were to – determine the prevalence of PEM in patients with CKD assess the relationship between PEM and age, sex and stage of CKD
METHODS CKD patients >18 years attending Nephrology Clinics of the Kidney Disease Treatment and Research Centre st at Teaching Hospital, Anuradhapura, Sri Lanka, from 1 st to 31 August 2014 were recruited. Patients on dialysis or after renal transplantation were excluded. CKD was defined using KDIGO guidelines. With informed written consent Body Mass Index (BMI), Mid Arm Circumference (MAC) and Triceps Skin-fold Thickness (TSFT) were measured by standard means. Age, sex and the most recent eGFR were recorded, and su je ts’ knowledge about protein intake was assessed using a questionnaire.
