Accuracy and Utility of Estimating Lean Body Mass and Nutritional Status in Patients with Chronic Kidney Disease on Long-Term Hemodialysis Using Anthropometric Skinfold Thickness Measurements

Khai Gene Leong, Jia Lian Chee, Amalia Karahalios, Annabelle Shelley, Kim Wong

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Malnutrition is common in patients on hemodialysis (prevalence of 30% to 50%) and is associated with higher mortality. Lean body mass (LBM) assessment is an accurate way of assessing nutritional status. The dual-energy X-ray absorptiometry (DEXA) scan is a reliable method in assessing body compositions and LBM; however, it is expensive and largely inaccessible. Anthropometric skinfold thickness measurement (ASFM) is useful in assessing LBM. It is cheaper and accessible, but underutilized clinically. The subjective global score (SGA) is a well-established method of assessing nutritional status. All three methods of assessing nutritional status were compared. In this pilot observational study, there was a significant correlation between LBM% estimated by DEXA and ASFM (mean difference -1.46% [95% CI -4.09 to 1.18]; LOA -14.0 to 11.1). Nutritional status by SGA could only detect those severely malnourished when using LBM% by ASFM as comparison. Our study demonstrated that ASFM is a useful method of assessing LBM and nutritional status, which can be easily utilized clinically.
Original languageEnglish
Pages (from-to)35-40
Number of pages6
JournalNephrology Nursing Journal
Volume45
Issue number1
Publication statusPublished - 1 Jan 2018
Externally publishedYes

Keywords

  • anthropometric measurements
  • DEXA
  • lean body mass
  • nutritional status
  • subjective global analysis

Cite this

@article{83cbebbef71547f7a7768bccb50d0ffe,
title = "Accuracy and Utility of Estimating Lean Body Mass and Nutritional Status in Patients with Chronic Kidney Disease on Long-Term Hemodialysis Using Anthropometric Skinfold Thickness Measurements",
abstract = "Malnutrition is common in patients on hemodialysis (prevalence of 30{\%} to 50{\%}) and is associated with higher mortality. Lean body mass (LBM) assessment is an accurate way of assessing nutritional status. The dual-energy X-ray absorptiometry (DEXA) scan is a reliable method in assessing body compositions and LBM; however, it is expensive and largely inaccessible. Anthropometric skinfold thickness measurement (ASFM) is useful in assessing LBM. It is cheaper and accessible, but underutilized clinically. The subjective global score (SGA) is a well-established method of assessing nutritional status. All three methods of assessing nutritional status were compared. In this pilot observational study, there was a significant correlation between LBM{\%} estimated by DEXA and ASFM (mean difference -1.46{\%} [95{\%} CI -4.09 to 1.18]; LOA -14.0 to 11.1). Nutritional status by SGA could only detect those severely malnourished when using LBM{\%} by ASFM as comparison. Our study demonstrated that ASFM is a useful method of assessing LBM and nutritional status, which can be easily utilized clinically.",
keywords = "anthropometric measurements, DEXA, lean body mass, nutritional status, subjective global analysis",
author = "Leong, {Khai Gene} and Chee, {Jia Lian} and Amalia Karahalios and Annabelle Shelley and Kim Wong",
year = "2018",
month = "1",
day = "1",
language = "English",
volume = "45",
pages = "35--40",
journal = "Nephrology Nursing Journal",
issn = "1526-744X",
number = "1",

}

Accuracy and Utility of Estimating Lean Body Mass and Nutritional Status in Patients with Chronic Kidney Disease on Long-Term Hemodialysis Using Anthropometric Skinfold Thickness Measurements. / Leong, Khai Gene; Chee, Jia Lian; Karahalios, Amalia; Shelley, Annabelle; Wong, Kim.

In: Nephrology Nursing Journal, Vol. 45, No. 1, 01.01.2018, p. 35-40.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Accuracy and Utility of Estimating Lean Body Mass and Nutritional Status in Patients with Chronic Kidney Disease on Long-Term Hemodialysis Using Anthropometric Skinfold Thickness Measurements

AU - Leong, Khai Gene

AU - Chee, Jia Lian

AU - Karahalios, Amalia

AU - Shelley, Annabelle

AU - Wong, Kim

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Malnutrition is common in patients on hemodialysis (prevalence of 30% to 50%) and is associated with higher mortality. Lean body mass (LBM) assessment is an accurate way of assessing nutritional status. The dual-energy X-ray absorptiometry (DEXA) scan is a reliable method in assessing body compositions and LBM; however, it is expensive and largely inaccessible. Anthropometric skinfold thickness measurement (ASFM) is useful in assessing LBM. It is cheaper and accessible, but underutilized clinically. The subjective global score (SGA) is a well-established method of assessing nutritional status. All three methods of assessing nutritional status were compared. In this pilot observational study, there was a significant correlation between LBM% estimated by DEXA and ASFM (mean difference -1.46% [95% CI -4.09 to 1.18]; LOA -14.0 to 11.1). Nutritional status by SGA could only detect those severely malnourished when using LBM% by ASFM as comparison. Our study demonstrated that ASFM is a useful method of assessing LBM and nutritional status, which can be easily utilized clinically.

AB - Malnutrition is common in patients on hemodialysis (prevalence of 30% to 50%) and is associated with higher mortality. Lean body mass (LBM) assessment is an accurate way of assessing nutritional status. The dual-energy X-ray absorptiometry (DEXA) scan is a reliable method in assessing body compositions and LBM; however, it is expensive and largely inaccessible. Anthropometric skinfold thickness measurement (ASFM) is useful in assessing LBM. It is cheaper and accessible, but underutilized clinically. The subjective global score (SGA) is a well-established method of assessing nutritional status. All three methods of assessing nutritional status were compared. In this pilot observational study, there was a significant correlation between LBM% estimated by DEXA and ASFM (mean difference -1.46% [95% CI -4.09 to 1.18]; LOA -14.0 to 11.1). Nutritional status by SGA could only detect those severely malnourished when using LBM% by ASFM as comparison. Our study demonstrated that ASFM is a useful method of assessing LBM and nutritional status, which can be easily utilized clinically.

KW - anthropometric measurements

KW - DEXA

KW - lean body mass

KW - nutritional status

KW - subjective global analysis

UR - http://www.scopus.com/inward/record.url?scp=85051999185&partnerID=8YFLogxK

M3 - Article

VL - 45

SP - 35

EP - 40

JO - Nephrology Nursing Journal

JF - Nephrology Nursing Journal

SN - 1526-744X

IS - 1

ER -