P752 - ASSESSMENT OF THE NUTRITIONAL STATUS OF HEMODIALYSIS PATIENTS ACCORDING TO DIALYSIS MALNUTRITION SCORE AND ITS RELATIONSHIP WITH GASTROINTESTINAL SYMPTOMS

P752

ASSESSMENT OF THE NUTRITIONAL STATUS OF HEMODIALYSIS PATIENTS ACCORDING TO DIALYSIS MALNUTRITION SCORE AND ITS RELATIONSHIP WITH GASTROINTESTINAL SYMPTOMS

R. M. Atan^1,*, M. Alpaslan²

¹Nutrition and Dietetics, Bandırma Onyedi Eylül University, Balıkesir, ²Nutrition and Dietetics, Tekirdağ Namık Kemal University, Tekirdağ, Türkiye

Rationale: Malnutrition and gastrointestinal (GI) symptoms are common in hemodialysis (HD) patients. Dialysis Malnutrition Score (DMS) is a practical tool for rapid assessment of nutritional status. The aim of this study was to assess the nutritional status of HD patients using the DMS and to examine its relationship with GI symptoms such as abdominal pain, reflux, diarrhea, indigestion and constipation.

Methods: This cross-sectional study included 88 patients enrolled in a maintenance HD programme in a state hospital. The malnutrition risk was defined as DMS≥14. Anthropometric measurements, biochemical parameters, malnutrition inflamation score (MIS) and 3-day food record were collected. GI symptoms were evaluated with the gastrointestinal symptom rating scale (GSRS). Statistical significance level was accepted as p<0.05.

Results: The mean age of the participants was 56.9±8.1 years and 67.0% were male. 38.6% of HD patients were at malnutrition risk according to the DMS. Constipation and reflux were the most common GI symptoms. Body mass index, waist circumference, upper-middle arm circumference, creatinine and albumin levels were significantly lower (p<0.05), MIS and total iron binding capacity were significantly higher (p<0.05) in HD patients with malnutrition risk. Moreover, dietary carbohydrate and fiber intakes were significantly lower (p<0.05). A significant positive correlation was found between the DMS and abdominal pain (r=0.349, p<0.001) and the total GSRS score (r=0.262, p<0.05).

Conclusion: DMS provided valuable insights in the assessment of the nutritional status of HD patients. In addition, there was a positive correlation between DMS and GI symptoms. Large-scale studies investigating the relationship between malnutrition and GI symptoms may contribute to improve the efficacy of HD treatment.

Disclosure of Interest: None declared