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Introduction: Patients with significant impairment in their nutritional status. Our study is aimingat evaluating the nutritional status based onclinical and biological parameters. Patient and method: This is aprospective, cross-sectional, descriptive and analytical study carried out intwo departments of nephrology-dialysis in Niger from 1 December 2014 to 31March 2015. The assessment of nutritionalstatus relied on the Body Mass Index BMI, albuminemia, serum phosphate, hemoglobin, CRP, urea, creatinine levels.Results: Sixty-five patients wereinvolved in the study. The mean age was 44.35 ± 13 years with a sexratio of 2.09 in favor of men and an average dialysis duration of 43.47 ± 36.55months. The mean BMI was 21.60 ± 4.47 kg-m2. Undernutrition was noted in 19patients 29.23%, hypoalbuminemia was found in 13 patients, C-reactive protein CRP level was high in 11 patients. In comparative analysis according to the BMI, several parameters were significantly related to undernutrition: hypo-albuminemia, hyperphosphatemia,high CRP, hyperazotemia, anorexia, MUAC, comorbidities, central venous catheter. Conclusion: Theprognostic value of undernutrition in chronic hemodialysis patients fosters early recognition and management of allnutritional disturbances in these patients. Assessment andmonitoring of nutritional status in chronic hemodialysis require the simultaneous determination of severalmarkers in order to weight the limits of each of the criteria taken in isolation.

KEYWORDS

Nutrition, Hemodialysis, Niger

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Moussa, H. , Tondi, Z. , Kane, Y. , Sani, M. , Abdou, I. , Touré, I. , Illa, A. and Omar, A. 2016 Assessing the Nutritional Status of Hemodialysis Patients in Sub-Saharan Africa: Experience of Two Hemodialysis Centers in Niger. Open Journal of Nephrology, 6, 161-166. doi: 10.4236-ojneph.2016.64021.





Author: Hassan Diongole Moussa1*, Zeinabou Maiga Moussa Tondi2, Yaya Kane3, Mahamane Aminou Mahamane Sani2, Ide Abdou2, Illiassou Touré4

Source: http://www.scirp.org/



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