A New Method for Evaluating Nutritional Status in Hemodialysis Patients: Phase Angle

Abstract

Chronic kidney disease is a public health problem with an increasing prevalence in our country and in the world. Individuals with end-stage chronic kidney disease receive dialysis or renal transplantation therapy to maintain their lives. Hemodialysis is the most preferred option among renal replacement therapies. Despite advances in hemodialysis therapy, malnutrition is a common condition in patients receiving hemodialysis therapy. Malnutrition in hemodialysis patients is associated with increased morbidity and mortality. Detection of malnutrition is essential for improving clinical outcomes in hemodialysis patients. There is no gold standard method for determining nutritional status. Many different methods are used in the assessment of nutrition in patients with end-stage chronic renal failure. Bioelectrical impedance analysis, which is used in the assessment of body composition, is one of these methods. The phase angle value determined by bioelectrical impedance analysis is an indicator of cell membrane damage and body cell mass. The phase angle is an objective value used to evaluate nutritional status. The phase angle is seen as a useful parameter for assessing nutritional status in hemodialysis patients. This review, it is aimed to explain the phase angle measured with a bioelectrical impedance analyzer and to evaluate the relationship of the phase angle with nutritional status in patients receiving hemodialysis treatment.

Keywords

• Hemodialysis
• nutrition
• phase angle

Hemodiyaliz Hastalarında Beslenme Durumunun Değerlendirilmesinde Yeni Bir Yöntem: Faz Açısı

Abstract

Kronik böbrek hastalığı ülkemizde ve dünyada prevalansı giderek artan bir halk sağlığı problemidir. Son dönem böbrek yetmezliğine sahip bireyler yaşamlarını devam ettirebilmek için diyaliz veya renal transplantasyon tedavisi almaktadır. Hemodiyaliz, renal replasman tedavileri arasında en fazla tercih edilen seçenektir. Hemodiyaliz tedavisindeki gelişmelere rağmen malnütrisyon hemodiyaliz tedavisi alan hastalarda görülen yaygın bir durumdur. Hemodiyaliz hastalarında görülen malnütrisyon artmış morbidite ve mortalite ile ilişkilidir. Malnütrisyonun saptanması hemodiyaliz hastalarında klinik sonuçların iyileştirilmesi için gereklidir. Beslenme durumunun belirlenmesinde altın standart bir yöntem bulunmamaktadır. Son dönem böbrek yetmezliği yaşayan hastalarda beslenmenin değerlendirilmesinde birçok farklı yöntem kullanılmaktadır. Vücut kompozisyonunun değerlendirilmesinde kullanılan biyoelektrik impedans analizi bu yöntemlerden bir tanesidir. Biyoelektrik impedans analizi ile belirlenen faz açısı değeri, hücre membran hasarının ve vücut hücre kütlesinin bir göstergesidir. Faz açısı beslenme durumunun değerlendirilmesi için kullanılan objektif bir değerdir. Faz açısı, hemodiyaliz hastalarında beslenme durumunu saptanması için yararlı bir parametre olarak görülmektedir. Bu derleme ile biyoelektrik impedans analiz cihazıyla ölçülen faz açısını açıklamak, hemodiyaliz tedavisi alan hastalarda faz açısının beslenme durumuyla olan ilişkisini değerlendirmek amaçlanmaktadır.

Keywords

• beslenme
• faz açısı
• Hemodiyaliz

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