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SÜBJEKTİF GLOBAL DEĞERLENDİRME HEMODİYALİZ HASTALARINDA BESLENME DURUMUNU DEĞERLENDİRMEDE GÜVENİLİR BİR ÖLÇÜT DEĞİLDİR

SUBJECTIVE GLOBAL ASSESSMENT IS NOT A RELIABLE INDEX IN ASSESSING THE NUTRITIONAL STATUS OF PATIENTS ON HAEMODIALYSIS

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
Subjective global assessment (SAG) is accepted as a reliable method in assessing the nutritional status of a patient on haemodialysis. A total of 34 patients participated in the study (18 male, 16 female, mean age (yrs) = 58,7 ± 15,3, mean duration on haemodialysis treatment (yrs) = 3,98 ± 3,54). Compared to those of fourteen patients with mild malnutrition (SGA-B), the antrophometric measurements of well-nourished patients (SGA-A, n:20) were found better. The serum levels of intact parathyroid hormone and phosphorus of patients in SGA-A group were significantly higher, compared to those of SGA-B group. But, there were not any statistically significant differences between the levels of several biochemical parameters (serum albumin, cholesterol, transferin, ferritine), when compared two groups. SGA data did not correlate well with biochemical parameters. We concluded that SGA results were not concordant with biochemical nutrition parameters and SGA was not capable in assessing the nutritional status of patient on haemodialysis treatment
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Abstract (Original Language): 
Sübjektif global değerlendirme (SGD) diyaliz hastalarının nutrisyonel durumunun belirlenmesinde güvenilir bir metod olarak kabul edilmektedir. Bu çalışmada amaç, SGD'nin biyokimyasal beslenme parametreleriyle korelasyonunu araştırmaktır. Bu çalışmaya hemodiyaliz programında olan 34 hasta [18 erkek, 16 kadın, yaş (yıl) = 58,7 ± 15,3, hemodiyalizde geçen süre (yıl) = 3,98 ± 3,54 ] alınmıştır. SGD ile belirlenen iyi beslenmiş (SGD-A, n:20) ve hafif-orta dereceli malnutrisyonlu (SGD-B, n:14) hasta grupları incelendiğinde, SGD-A hastaların antropometrik ölçüm değerleri SGD-B hastalardan anlamlı olarak daha yüksektir. SGD-B hastalarda intact-parathormon ve fosfor düzeyleri SGD-A hastalara göre anlamlı olarak daha yüksek bulunmuştur. Buna karşın bu iki grup arasında biyokimyasal parametreler açısından (serum albumin, kolesterol, transferrin, ferritin düzeyleri) anlamlı fark bulunmamıştır. Ayrıca SGD sonuçlarının biyokimyasal parametrelerle korelasyon göstermediği saptanmıştır. Sonuç olarak, SGD bulguları özellikle biyokimyasal beslenme parametreleri ile uyum göstermemekte ve hemodiyaliz hastalarının beslenme durumunun belirlenmesinde yeterli bilgi vermemektedir.
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  • 3
134-140
  • Turkish

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