Association of the malnutrition-inflammation score with physical function and functional disability in elderly patients with chronic kidney disease.

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2023-01-01 DOI:10.6133/apjcn.202303_32(1).0009
Wenling Wang, Shuang Liang, Xinru Guo, Ye Wang, Xiangmei Chen, Guangyan Cai
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引用次数: 1

Abstract

Background and objectives: To describe nutritional status and inflammation of elderly patients with chronic kidney disease and to confirm the association between a Malnutrition-Inflammation Score and physical func-tion and functional disability.

Methods and study design: A total of 221 chronic kidney disease patients (aged ≥60 years) were included. A Malnutrition-Inflammation Score was used to assess malnutrition and inflammation. Physical function was assessed using the SF-12. Functional status was evaluated using basic activities of daily living and instrumental activities of daily living.

Results: Thirty percent of participants had a Malnutrition-Inflammation Score ≥6, which denoted poor nutritional status. Participants with a Malnutrition-Inflammation Score ≥6 had decreased concentration of hemoglobin, albumin, prealbumin, handgrip strength and walking speed and increased concentration of inflammatory markers, including CRP, IL-6 and fibrinogen. Physical function and physical component summary were lower and basic activities of daily living dependence and instrumental activities of daily living dependence were higher among patients with higher Malnutrition-Inflammation Score than those with a lower Malnutrition-Inflammation Score. The Malnutrition-Inflammation Score was an independent risk factor for physical function and instrumental activities of daily living dependence.

Conclusions: The elderly chronic kidney disease patients with a high Malnutrition-Inflammation Score had a decreased physical function and an increased risk of functional instrumental activities of daily living dependence.

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老年慢性肾病患者营养不良-炎症评分与身体功能和功能障碍的关系
背景和目的:描述老年慢性肾病患者的营养状况和炎症,并证实营养不良-炎症评分与身体功能和功能障碍之间的关联。方法和研究设计:共纳入221例慢性肾病患者(年龄≥60岁)。营养不良-炎症评分用于评估营养不良和炎症。使用SF-12评估身体功能。通过日常生活的基本活动和日常生活的工具活动来评估功能状态。结果:30%的参与者营养不良-炎症评分≥6,这表明营养状况不佳。营养不良-炎症评分≥6的参与者血红蛋白、白蛋白、前白蛋白、握力和步行速度浓度降低,炎症标志物(包括CRP、IL-6和纤维蛋白原)浓度升高。营养不良-炎症评分高的患者的身体功能和身体成分总结较低,日常生活依赖的基本活动和日常生活依赖的工具活动高于营养不良-炎症评分低的患者。营养不良-炎症评分是身体功能和日常生活依赖工具活动的独立危险因素。结论:营养不良-炎症评分高的老年慢性肾病患者身体功能下降,日常生活依赖的功能性工具活动风险增加。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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