Malnutrition-Inflammation Score VS Phase Angle in the Era of GLIM Criteria: A Cross-Sectional Study among Hemodialysis Patients in UAE
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Malnutrition-Inflammation Score (MIS)
2.3. Malnutrition Using the Global Leadership Initiative on Malnutrition (GLIM) Criteria
2.4. Phase Angle (PhA)
2.5. Statistical Analysis
3. Results
3.1. Patients’ Characteristics
3.2. Concordance of GLIM with MIS and PhA
3.3. Strength of Agreement between the GLIM Criteria vs. the MIS, and the GLIM Criteria vs. PhA
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Total n = 70 | |
Mean (SD) | |
Age (years) | 54.61 (12.79) |
BMI (kg/m2) | 27.22 (6.48) |
PhA (°) | 4.66 (1.21) |
MIS | 9.40 (3.07) |
FMI (kg/m2) | 10.15 (5.00) |
SMM (kg) | 19.67 (6.44) |
Fat (kg) | 26.70 (12.57) |
Median (IQR) | |
FFMI (kg/m2) | 17.09 (3.33) |
FFM (kg) | 42.92 (15.14) |
TBW (L) | 32.15 (11.4) |
ECW (L) | 15.20 (4.7) |
N (%) | |
Gender: Male | 43 (61.4) |
Comorbidities * Diabetes Hypertension Cardiovascular Diseases Others | 46 (65.71) 62 (88.57) 28 (40.00) 37 (52.86) |
Dialysis Vintage <1 year 1–4 years >4 years | 5 (7.14) 35 (50.00) 30 (42.86) |
Malnourished as per GLIM Criteria | 38 (54.29) |
Stage 1: Moderate Malnutrition | 12 (31.58) |
Stage 2: Severe Malnutrition | 26 (68.42) |
Malnourished as per the MIS (>10) | 34 (48.57) |
Criterion | MIS > 10 | PhA ≤ 5.7° |
---|---|---|
Sensitivity (%) | 39.47 | 86.84 |
Specificity (%) | 71.87 | 35.48 |
Positive predictive value (%) | 50.0 | 62.63 |
Negative predictive value (%) | 62.5 | 68.68 |
Positive likelihood ratio (LR+) | 1.40 | 1.35 |
Negative likelihood ratio (LR−) | 0.84 | 0.37 |
K value (p) | 0.202 (0.089) | 0.234 (0.029) |
Area under the curve (AUC) | 0.691 | 0.614 |
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Karavetian, M.; Salhab, N.; Rizk, R.; Poulia, K.A. Malnutrition-Inflammation Score VS Phase Angle in the Era of GLIM Criteria: A Cross-Sectional Study among Hemodialysis Patients in UAE. Nutrients 2019, 11, 2771. https://doi.org/10.3390/nu11112771
Karavetian M, Salhab N, Rizk R, Poulia KA. Malnutrition-Inflammation Score VS Phase Angle in the Era of GLIM Criteria: A Cross-Sectional Study among Hemodialysis Patients in UAE. Nutrients. 2019; 11(11):2771. https://doi.org/10.3390/nu11112771
Chicago/Turabian StyleKaravetian, Mirey, Nada Salhab, Rana Rizk, and Kalliopi Anna Poulia. 2019. "Malnutrition-Inflammation Score VS Phase Angle in the Era of GLIM Criteria: A Cross-Sectional Study among Hemodialysis Patients in UAE" Nutrients 11, no. 11: 2771. https://doi.org/10.3390/nu11112771