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Volume 3, Issue 3 (Suppl) J Kidney, an open access journal
ISSN:2472-1220 Kidney & Nephrology 2017
August 28-30, 2017
August 28-30, 2017 Philadelphia, USA
15th Annual Congress on
Kidney: Nephrology & Therapeutics
Nutritional status assessment in dialysis patients
Ravi Shankar Bonu
Manipal Hospitals, India
Nutritional status assesment in dialysis patients is very important since malnutrtion in dialysis is common and increases
morbidity and mortality.The commonly used mehtods such as; BMI, anthropometry are not accurate for assessing the
nutritional status in dialysis patients because of their altered fluid status. However, adding subjective global assessment (SGA)
or malnutrition inflammatory score (MIS) to anthropmetry may provide better information. The fat mass, fat free mass (lean
body mass) are the two most important parameters of nutrition and can be abnormal even with normal body weight in
dialysis patients. DEXA scan, CT, MRI which are relatively simple methods to perform but involve expertise to analyze the
data are a bit more expensive and expose patients to ionizing radiation. More accurate methods such as dueterium oxide and
total body potassium estimation are complex, and used as advanced tools. Bioimpedance analysis (BIA), a relatively simpler,
cheaper, bedside and user freindly tool has become more popular in the recent past in assesing the nutritional status in dialysis
patients. In our expereince, bioimpedance analysis yielded body composition parameters which correlated well with BMI and
anthropometric parameters in a subset of our dialysis patients. In addition, we found that subjective global assesment is also
a less expensive method and provided nutritional as well as functional status in our dialysis patients. We conclude that, in our
experience, bioimpedance analysis and subjective global assessment are simple tools and are complimenary to anthropometry
for nutritional assesment in dialysis patients.
Biography
Ravi Shankar Bonu has completed his MBBS from Andhra Medical College, Vishakapatnam, Andhra Pradesh, India. He did his MD in Internal Medicine from
PGIMER, Chandigarh, India. He has done DM (Nephrology) training at Osmania General Hospital, Hyderbad, India. He also had a short stint at Toronto General
Hospital, Toronto, Canada in 2007. Currently, he is a Senior Consultant at Manipal Group of Hospitals, Bangalore, India. He has 20 years of experiene in
Nephrology and has been a Teacher for Nephrology Trainining Programme in India and he has publications in national and international journals
Ravi Shankar Bonu, J Kidney 2017, 3:3 (Suppl)
DOI: 10.4172/2472-1220-C1-002