Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Kronik Böbrek Hastalarında Beslenme Durumunun ve Malnütrisyon İnflamasyon Skorunun Belirlenmesi: Kesitsel Bir Araştırma
Nutritional Status in Chronic Renal Patients and Determination of Malnutrition Inflammation Score: A Cross-Sectional Study
Semra TÜRKOĞLUa, Feray ÇAĞIRAN YILMAZa
aFırat Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, Elazığ, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(3):678-84
doi: 10.5336/healthsci.2022-88994
Article Language: TR
Full Text
ÖZET
 Amaç: Dünyada ve ülkemizde böbrek hastalarının sayısı gittikçe artmaktadır. Tedavideki gelişmelere rağmen bu hasta grubunda mortalite hâlâ yüksektir. Mortaliteyi etkileyen faktörlerin başında protein enerji malnütrisyonunun ve buna bağlı olarak gelişen inflamasyonun geldiği artık bilinmektedir. Bu kesitsel çalışma ile kronik böbrek hastalarının beslenme durumları ve malnütrisyon inflamasyon skorlarının belirlenmesi amaçlanmaktadır. Gereç ve Yöntemler: Bu çalışmada, Fırat Üniversitesi Hastanesi Nefroloji Kliniğine ve Elazığ ilinde bulunan özel bir diyaliz merkezine başvuran 18-65 yaş arası 70 hasta incelenmiştir. Hastaların sosyodemografik özellikleri, beslenme alışkanlıkları ve fiziksel aktivite durumları anket formu yöntemi ile besin tüketim kayıtları ise 24 saatlik hatırlatma yöntemi ile alınmıştır. Hastaların antropometrik ölçümleri araştırmacılar tarafından kayıt edilmiştir. Ayrıca hastalara malnütrisyon inflamasyon skoru (MİS) ölçeği uygulanmıştır. Bulgular: Yaş ortalamaları 50,8±13,4 yıl olan hastaların ortalama MİS'lerinin 8,3±4,7 ve %61,4'ünün malnütrisyonlu olduğu bulunmuştur. Malnütrisyonlu hastaların vücut ağırlığının, boy uzunluğunun, beden kitle indeksi değerlerinin, bel, kalça ve üst orta kol çevrelerinin, malnütrisyonlu olmayan hastalara kıyasla daha düşük olduğu belirlenmiştir (p0,05). Sonuç: MİS ile hastaların antropometrik ölçümleri ve bazı kan parametreleri arasında doğrusal bir ilişki olması sebebiyle MİS'in kronik böbrek hastalarında kullanılması doğru bir yaklaşım olacaktır. Bu çalışmada, beslenme durumu ve MİS arasında istatistiksel olarak anlamlı bir ilişki bulunmamıştır. Beslenme durumunun MİS ile arasındaki ilişkinin daha iyi anlaşılabilmesi için geniş kapsamlı çalışmaların yapılması önerilmektedir.

Anahtar Kelimeler: Kronik böbrek hastalığı; beslenme; malnütrisyon inflamasyon skoru; malnütrisyon; inflamasyon
ABSTRACT
 Objective: The number of kidney patients is increasing in the world and in our country. Despite advances in treatment, mortality is still high in this patient group. It is now known that protein energy malnutrition and associated inflammation are the leading factors affecting mortality. With this cross-sectional study, it is aimed to determine the nutritional status and malnutrition inflammation scores of patients with chronic kidney disease. Material and Methods: In this study, 70 patients between the ages of 18- 65 who applied to Fırat University Hospital Nephrology Clinic and a private dialysis center in Elazığ were examined. Sociodemographic characteristics, nutritional habits and physical activity status of the patients were obtained with the questionnaire method, and food consumption records were obtained with the 24-hour reminder method. Anthropometric measurements of the patients were recorded by the researchers. In addition, malnutrition inflammation score (MIS) scale was applied to the patients. Results: The mean age of the patients was 50.8±13.4, mean MIS scores were 8.3±4.7 and 61.4% were found to be malnourished. It was determined that the body weight, height, body mass index values, waist, hip and upper middle arm circumferences of the patients with malnutrition were lower than the patients without malnutrition (p0.05). Conclusion: Since there is a linear relationship between the MIS score and the anthropometric measurements of the patients and some blood parameters, it would be a correct approach to use the MIS score in patients with chronic kidney disease. In this study, no statistically significant relationship was found between nutritional status and MIS score. In order to better understand the relationship between nutritional status and MIS, it is recommended to conduct extensive studies.

Keywords: Chronic kidney disease; nutrition; malnutrition inflammation score; malnutrition; inflammation
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