Efficiency of The Nutrition Alert Form Compared to The Malnutrition Inflammatory Score for Malnutrition Evaluation in End-Stage Renal Disease Patients with Regular Hemodialysis

Authors

  • Aphichat Chatkrailert Division of Nephrology, Department of Internal Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand, 60th Anniversary HRH Maha Chakri Sirindhorn Hemodialysis Center, Thammasat University Hospital, Thailand, Research Group in Nephrology and Renal Replacement Therapy, Faculty of Medicine, Thammasat University, Thailand
  • Suthiya Anumas Chulabhorn International College of Medicine, Thammasat University, Pathum Thani, Thailand, 60th Anniversary HRH Maha Chakri Sirindhorn Hemodialysis Center, Thammasat University Hospital, Thailand, Research Group in Nephrology and Renal Replacement Therapy, Faculty of Medicine, Thammasat University, Thailand
  • Ekkapong Surinrat Division of Nephrology, Department of Internal Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
  • Montira Kheinlikit 60th Anniversary HRH Maha Chakri Sirindhorn Hemodialysis Center, Thammasat University Hospital, Thailand
  • Pawinee Suriya 60th Anniversary HRH Maha Chakri Sirindhorn Hemodialysis Center, Thammasat University Hospital, Thailand
  • Nattaya Seetadee 60th Anniversary HRH Maha Chakri Sirindhorn Hemodialysis Center, Thammasat University Hospital, Thailand

Keywords:

malnutrition, end-stage renal disease, hemodialysis, nutrition alert form, malnutrition inflammatory score

Abstract

Introduction: Nutrition Alert Form (NAF) has been recommended as an assessment tool for malnutrition, including end-stage renal disease patients (ESRD) undergoing regular hemodialysis (HD) by The Society of Parenteral and Enteral Nutrition of Thailand (SPENT). However, NAF was primarily created for evaluating hospitalized patients and has never been validated in ESRD patients undergoing regular HD.

Materials and Methods: We conducted a cross-sectional study enrolling 131 ESRD patients with regular HD in Thammasat University Hospital, Thailand. The data were collected between January 2021 and March 2021. The primary outcome was to evaluate NAF efficiency as a diagnostic tool in ESRD patients by applying MIS as the reference. The secondary outcome was the most appropriate NAF cut point to diagnose malnutrition compared to MIS.

Results: In terms of malnutrition diagnosis, MIS was supposed as a reference for NAF, and the threatened
value for the further nutritional intervention of NAF was at least at level B (≥ 6), and MIS was at least at level C (≥ 6). The sensitivity and the specificity of NAF were 87.32% and 28.33%. NAF was significantly correlated with MIS with the coefficient of determination value of 36.13%, p < 0.001 (95%CI 0.47 – 0.76). The appropriate cut point of NAF as an assessment tool was NAF 8 (sensitivity 69.01% and specificity 73.33%). 

Conclusion: Regarding ESRD with regular HD, NAF correlates significantly with MIS. The appropriate cut point of NAF to diagnose malnutrition is 8.

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Published

2023-12-25

How to Cite

Chatkrailert, A., Anumas, S., Surinrat, E. ., Kheinlikit, M., Suriya, P., & Seetadee, N. . (2023). Efficiency of The Nutrition Alert Form Compared to The Malnutrition Inflammatory Score for Malnutrition Evaluation in End-Stage Renal Disease Patients with Regular Hemodialysis. Thai JPEN วารสารโภชนบำบัด, 31(2), 1–12. Retrieved from https://he02.tci-thaijo.org/index.php/ThaiJPEN/article/view/261027

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Vol. 31 No. 2 (2566): กรกฎาคม-ธันวาคม 2566

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Research article

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