Evaluate the characteristic of the malnutrition, inflammation, atherosclerosis (MIA) syndrome in patients with end-stage renal disease (ESRD) who were in predialysis

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Abstract

Objective: to evaluate the characteristic of the malnutrition, inflammation, atherosclerosis (MIA) syndrome in patients with end-stage renal disease (ESRD) who were in predialysis; relations between MIA syndrome and the outcome.

Subjects and methods: A descriptive, cross-sectional study on 51 patients with end-stage renal disease (ESRD) who were in predialysis. Inflammatory marker (hs CRP) and nutritional parameters (albumin, prealbumin, BMI) were determined. Carotid atherosclerosis was investigated by ultrasonographically evaluated carotid intima-media thickness (CIMT).

Results: The prevalence of malnutrition was 47.1%, inflammation was 80.4% and atherosclerosis was 62.7%. Malnourished patients had higher hs CRP level (9.00±11.47 vs 3.06±4.95 mg/L, p<0.05) compared with well-nourished patients. Inflammated patients had elevated IMT and a higher prevalence of carotid plaque. There was not relation between nutritional markers and atherosclerosis. The outcome was 80% in patients who had more than two risk factors.

Conclusion: There were a relation between malnutrition, inflammation, atherosclerosis and outcome in patients end-stage renal disease (ESRD) who were in predialysis

https://doi.org/10.38103.30.9

References

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Qureshi AR et al (2002), "Inflammation, Malnutrition, and ardiac Disease as Predictors of Mortality in Hemodialysis Patients", J Am Soc Nephrol, 13, pp. 286-193.

Kaysen GA, Stevenson FT (1997), "Determinants of albumin concentration in hemodialysis patients", Am J Kidney Dis, 29(5), pp. 658-68.

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Stenvinkel P et al (2000), "Are there two types of malnutrition in chronic renal failure? Evidence for relationships between malnutrition, inflammation and atherosclerosis ( syndrome)", Nephrol Dial Transplant, 15(7), pp. 953-60

Published 07-09-2015
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Issue No. 30 (2015)
Section Original article
DOI 10.38103.30.9
Keywords hội chứng suy dinh dưỡng viêm- xơ vữa (hội chứng MIA), bệnh thận mạn (BTM) malnutrition, inflammation, atherosclerosis syndrome (MIA syndrome), end-stage renal disease (ESRD)

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Ngo Thi Khanh Trang, & Hoang Bui Bao, Nguyen Hoang Son, Ho Dang Dung. (2015). Evaluate the characteristic of the malnutrition, inflammation, atherosclerosis (MIA) syndrome in patients with end-stage renal disease (ESRD) who were in predialysis. Journal of Clinical Medicine Hue Central Hospital, 7(30), 67–72. https://doi.org/10.38103.30.9