Investigating the complex relationship and influencing factors of frailty on nutritional status in maintenance hemodialysis patients.

Fengxue Yang, Linfang Zhu, Bing Cao, Bo Peng, Zhongqing Yuan, Li Zeng, Yuting Hang, Huaihong Yuan
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Abstract

Introduction: Given the high prevalence and significant challenges of frailty, a state of increased vulnerability to adverse health outcomes, among maintenance hemodialysis (MHD) patients, this cross-sectional study aimed to investigate its prevalence and explore its association with nutritional status and other relevant factors.

Methods: The study involved 290 MHD patients with an average age of 52.98 ± 13.65 years. Frailty assessments, nutritional evaluations, and medical status measurements were performed. Data analysis involved descriptive statistics, correlation analyses, and multivariate logistic regression.

Results: Among the patients, 70.3% were identified with frailty (16.9% frail, 53.4% pre-frail). Frailty was more prevalent in female patients compared to males and correlated positively with age, marital status, caregiving needs, comorbidities, dialysis duration, and higher nutritional risk scores. Negative correlations were observed with serum albumin, hemoglobin, body weight, and height.

Conclusion: A significant prevalence of frailty was found in MHD patients, with notable associations to various demographic, clinical, and nutritional factors.

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研究虚弱与维持性血液透析患者营养状况的复杂关系和影响因素。
导言:衰弱是一种更容易出现不良健康后果的状态,鉴于衰弱在维持性血液透析(MHD)患者中的高患病率和重大挑战,本横断面研究旨在调查其患病率,并探讨其与营养状况和其他相关因素的关系:研究涉及 290 名 MHD 患者,平均年龄为 52.98 ± 13.65 岁。研究人员进行了虚弱评估、营养评估和医疗状况测量。数据分析包括描述性统计、相关性分析和多变量逻辑回归:结果:70.3%的患者被确认为体弱(16.9%体弱,53.4%前期体弱)。与男性相比,女性患者更容易出现虚弱,并且与年龄、婚姻状况、护理需求、合并症、透析时间和较高的营养风险评分呈正相关。与血清白蛋白、血红蛋白、体重和身高呈负相关:结论:在血液透析患者中发现,体弱的发生率很高,与各种人口、临床和营养因素有明显的关联。
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