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conferenceseries
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Volume 9
Journal of Nutrition & Food Sciences
ISSN: 2155-9600
Clinical Nutrition 2019
March 04-06, 2019
March 04-06, 2019 | Barcelona, Spain
24
th
International Conference on
Clinical Nutrition
A longitudinal study on nutritional assessment and care of Continuous Ambulatory Peritoneal Dialysis
(CAPD) patients
Merina E Alex, Preethi, Vijayashree, Georgi Abraham and Milly Mathew
Institute of Kidney Diseases, Urology & Organ Transplantation - Madras Medical Mission, India
Introduction
: Malnutrition inevitably accompanies Chronic Kidney Disease (CKD) and dialysis. This in turn
would be associated to higher mortality rate in dialysis patients. In case of PD it has been estimated to be 18–50%.
Early nutritional assessment and treatment in PD patients leads to overall better outcome, better quality of life and
increased longevity.
Objectives
: The objective of the study is to assess the nutritional status of the CAPD patients, initiate nutrition
therapy and reassess the nutritional status at three months interval to find out the impact of medical nutrition
therapy.
Methodology
: Forty CAPD patients were assessed for their nutritional status at the initiation of therapy. Nutritional
assessment was done using anthropometric assessment including body composition analysis, bio chemical
observations such as serum albumin, hemoglobin, serum iron, total iron binding capacity, diet history and
Malnutrition Inflammation Score (MIS). Based and the nutritional status patients were prescribed and educated on
nutritional needs as per the national kidney foundation’s requirements. Nutritional assessment was repeated after
three months of period and the changed were studied.
Results & Discussions
: During the initial assessment the malnutrition inflammation score revealed 32% of the
CAPD population were well nourished, 54% mild to moderately and 13% severely malnourished. After 3 months
of nutrition therapy the MIS showed 34% were well nourished 60% were mild to moderately malnourished and 6%
were severely malnourished. This is evident by the increase in the average protein mass (15.27 to 22.8 kg), skeletal
muscle mass (21.6 to 22.8 kg), body cell mass (26 to 26.8), mid arm muscle circumference (21.9 to 24). There was no
increase in serum albumin levels with the average of 3.2 g/dl.
Conclusion
: Early identification and treatment of malnutrition may improve nutritional status and patient outcome
in CAPD.
maie_nassar@yahoo.co.ukJ Nutr Food Sci 2019, Volume 9
DOI: 10.4172/2155-9600-C2-093