Anthropometric Assessment Of Magnitude Of Malnutrition And Severity Among Hemodialysis Patients In Selected Governmental Hospitals Addis Ababa Ethiopia

Background : Chronic kidney disease is a worldwide public health problem and one of the chronic nonrncommunicable diseases which affects over 500 million people worldwide. End stage renal disease refersrnto a state of advanced chronic kidney disease, where lifelong dialysis or kidney transplantation isrnnecessary to sustain a reasonable quality of life and survival. Malnutrition is common and the major riskrnfactor of mortality of hemodialysis patients. Anthropometry, edema- free weight, body mass index, andrnsubjective global assessment are valid and clinically useful tools for overall nutritional assessment. rnObjective : To assess magnitude of malnutrition among hemodialysis patients using upper armrnanthropometry in selected Addis Ababa Governmental hospitals, Addis Ababa, Ethiopia rnMethods and Materials : Institution based cross sectional study was conducted from May 1 tornSeptember 30, 2018 on a total of 80 patients from dialysis units of three selected Addis AbabarnGovernmental Hospitals. Nutritional status was assessed by Anthropometric and biochemicalrnmeasurements. The ISRNM criteria were used to diagnose Malnutrition. The data was entered into Epirndata 3.1 and analyzed using IBM SPSS Statistics version 21. The results were summarized in the form ofrnproportions and tables. Analysis was carried out to determine the relationship between dependent andrnindependent variables.Means between groups were compared by Independent t-test. rnResult: The mean age was 38.91±13.00 years with a sex ratio of 1.67 in favor of men. The mean Bodyrnmass index was computed 20.31±3.73kg/mrn2rn, mean Mid upper arm circumference (20.37±2.40 cm), meanrnMid upper arm muscle circumference (19.408± 3.449 cm), and the mean arm muscle area was (31.4±rn9.58 cmrn2rn). The study revealed that Malnutrition was noted in 15% of the patients according to ISRNMrncriteria of malnutrition or protein energy wasting, while 30% of the female patients were malnourished.rnBMI and other upper arm anthropometric measurements were significantly correlated with each other andrnwith ISRNM parameter. rnConclusion : Malnutrition is high among maintenance hemodialysis patients in Addis Ababa and it wasrnmore common in female patients than their male counterparts. The upper arm anthropometricrnmeasurements were significantly correlated with ISRNM and, with each other in describing the nutritionalrnstatus of the maintenance hemodialysis patients and can be helpful in determining nutritional status.

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