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Sürekli Ayaktan Periton Diyalizi Hastalarında Beslenme ve Antropometrik Ölçümlerin Anemi Durumuna Göre Değerlendirilmesi

Evaluation of the Nutritional Status and Anthropometric Measurements in Continuous Ambulatory Peritoneal Dialysis (CAPD) Patients According to the Anemia Status

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Abstract (2. Language): 
Nutritional biochemical markers such as serum albumin and anthropometric measurements such as BMI are valid and useful tools in assessing the nutritional status in dialysis. Forty-two patients on CAPD therapy were enrolled in the study. Anemic patients and patients who were at target hematocrit levels were evaluated by nutritional parameters and anthropometry. Gender, age, duration of CAPD, dialysis adequacy, educational and eco¬; nomic status had significant affect on BMI and serum albumin. I There were positive significant correlations between hematocrit i levels and BMI (r=0.331, p=0.0032), and FM (r=0.383, p=0.012), and MAMC (r=0.365, p=0.017) and serum albumin levels (r=0.416, p=0.006). Achieving target hematocrit levels may improve BMI and MAMC, but not biochemical parameters.
Abstract (Original Language): 
Serum albümin i gibi biyokimyasal beslenme belirteçleri ve vücut kitle indeksi (VKİ) gibi antropometrik ölçümler diyalizde beslenme durumunu değerlendirmede yararlı ve ulaşılabilir araçlardır. SAPD tedavisi uygulanan 42 hasta çalışmaya alındı. Anemik ve hedef hematokrit değerine sahip olan hastalar beslenme parametreleri ve antropometri ile değerlendirildi. Cinsiyet, yaş, SAPD süresi, diyaliz yeterliliği, beslenme ve ekonomik durum VKİ ve serum albü-min düzeyleri üzerinde etkili bulundu. Hematokrit düzeyleri ile VKİ |r=0.331, p=0.0032), yağ kitlesi {r=0.383, p=0.012), orta kol çapı (r-0.365, p=0.017) ve serum albumin düzeyleri (r=0.416, p=0.006) arasında pozitif korelasyon bulundu. Hedef hematokrit düzeylerine ulaşmak VKİ ve orta kol çevresinde düzelme sağlayabilir; ancak biyokimyasal belirteçlerde böyle bir düzelme sağlanamaz.
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Türk Nefroloji Diyaliz ve Transplantasyon
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