Evaluation of Nutritional Status of Haemodialysis Patients Using Malnutrition Inflammation Score

Background: One of the common problems of maintenance dialysis patients is malnutrition especially Protein-Energy Malnutrition (PEM) and several studies have revealed that PEM is associated with increased morbidity, mortality, and impaired quality of life. The aim of this work was to evaluate the nutritional status in hemodialysis patients using malnutrition inflammation score (MIS).

Methods: This cross-sectional study was carried out on 100 patients on regular hemodialysis. Patients were classified in to two groups according to MIS status; group A which were well nourished and group B which were malnourished. Patients included were subjected to; through history taking, laboratory investigations [CBC, Blood glucose level, Kidney function, Livre function tests, Lipid profile (cholesterol- triglycerides-HDL-LDL), Sodium-Potassium- phosphorus, C-reactive protein, ESR, Iron study (serum iron-serum ferritin-total iron binding capacity)], malnutrition-inflammation questionnaire and malnutrition-inflammation score.

Results: There was a statistically significant difference regarding blood hemoglobin, TIBC, creatinine, sodium, HDL, ESR, and CRP between two groups as they all decreased in group B more than group A, except CRP and ESR, creatinine and HDL they increased in group B more than group A (P value <0.05).

Conclusions: It is important to incorporate MIS in the care of hemodialysis patients for early detection of malnutrition and for medical nutrition therapy to optimize patients' nutritional status for better outcomes.