(P25-004-25) Nutritional Status of Patients Undergoing Hemodialysis and Peritoneal Dialysis in Saudi Arabia: Cross-Sectional Single-Center Study

Objectives: This study aimed to assess the nutritional status of hemodialysis (HD) and peritoneal dialysis (PD) patients and to determine the factors associated with malnutrition.

Methods: This cross-sectional single-center observational study aimed to comprehensively evaluate the nutritional status of HD and PD patients and investigate contributing factors at the dialysis center of the King Fahad Armed Forces Hospital in Jeddah, Saudi Arabia. Malnutrition was assessed using the modified subjective global assessment (M-SGA). The M-SGA includes detailed medical history and physical examination. Other patient characteristics, such as sociodemographic features, health status, hand grip strength, 24-hour dietary recall, and biochemical measurements, were also determined. 200 (81.6%) patients were undergoing HD, and 45 (18.4%) were undergoing PD.

Results: Of the 245 patients, 233 (95.10%) had mild malnutrition and five (2.04%) had moderate malnutrition. None of the patients had severe malnourishment. PD (P=0.023, 95% C.I 0.23-0.307), female gender (P < 0.001, 95% C.I -2.95 to -0.93), number of dialysis years (P=0.001, 95% C.I 0.07 to 0.24), average hand grip strength (P < 0.001, 95% C.I -0.10 to -0.03), and average skin fold thickness (P < 0.001, 95% C.I -0.12 to -0.04) showed significant association with the dialysis malnutrition score.

Conclusions: Malnutrition is common in ESRD patients undergoing HD and PD. Age, PD, income, long vintage of renal replacement therapy, HGS, and TSF significantly affected DMS. DMS, HGS, and TSF could be integrated into nutritional assessments in the future to create a comprehensive tool for predicting nutritional status. A comprehensive treatment plan for individuals with ESRD undergoing dialysis should consider all of these factors to minimize the development of malnutrition.

Funding Sources: Funding information is not available.