Comparison of the Population-specific Mini-Nutritional Assessment, Subjective Global Assessment, and Serum Albumin Level in Hemodialysis Patients

Abstract

PP-31-137 Background/Aims: This study aims to apply the Mini-Nutritional Assessment (MNA) with population-specific anthropometric modifications and Subjective Global Assessment (SGA) in hemodialysis patients and compare their association with serum albumin level, anthropometric and health parameters. Methods: This study was conducted in Hemodialysis Unit of E-Da hospital in Kaohsiung, Taiwan in 2007. A total of 80 hemodialysis patients were evaluated concomitantly their nutritional status by the MNA and SGA. Results: Nearly 1% and 34% of hemodialysis patients were at malnutrition and at risk of malnutrition classified by MNA version I and II, while nearly 8% and 36% of hemodialysis patients were at malnutrition and at risk of malnutrition classified by SGA. MNA version I and II scores correlated positively with albumin, creatinine, body mass index, mid-arm circumferences, calf circumferences, appetite, and negatively with number of medicine use (all P < 0.05). Serum albumin level was not associated with any anthropometric, serum, and health parameters. MNA version II had better association with nutritional biomarkers and better reflected health status of hemodialysis patients than MNA version I, SGA, and serum albumin level. Conclusion: Both the modified versions of MNA can evaluate nutritional risk of hemodialysis patients in Taiwan. MNA version II that modified population-specific anthropometric cut values coupled without body mass index measurement can better reflect nutritional and health status of hemodialysis patients than MNA version I and SGA.