eprintid: 3865 rev_number: 8 eprint_status: archive userid: 2 dir: disk0/00/00/38/65 datestamp: 2022-10-04 23:30:04 lastmod: 2022-10-04 23:30:05 status_changed: 2022-10-04 23:30:04 type: article metadata_visibility: show creators_name: Orozco González, Nelly creators_name: Márquez-Herrera, Roxana M. creators_name: Cortés-Sanabria, Laura creators_name: Cueto-Manzano, Alfonso M. creators_name: Gutiérrez-Medina, Margarita creators_name: Gómez-García, Erika F. creators_name: Rojas-Campos, Enrique creators_name: Paniagua-Sierra, José R. creators_name: Martín del Campo, Fabiola creators_id: nelly.orozco@unini.edu.mx creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: title: Severity of protein-energy wasting and obesity are independently related with poor quality of life in peritoneal dialysis patients ispublished: pub subjects: uneat_bm divisions: uninimx_produccion_cientifica full_text_status: public keywords: Protein-energy wasting; Malnutrition; Obesity; Quality of life; Peritoneal dialysis abstract: Protein-energy wasting (PEW) and poor health-related quality of life (HRQoL) are independently associated with morbi-mortality in continuous ambulatory peritoneal dialysis (CAPD). PEW may reduce HRQoL; however, we hypothesized HRQoL is affected differentially by PEW degrees or by individual criteria of nutritional status. Aim To evaluate HRQoL according to PEW severity and nutritional status indicators in CAPD. This is a cross-sectional study in 151 patients. Subjective global assessment (SGA) was employed, and nutritional status classified as normal, mild-moderate PEW, and severe PEW. HRQoL was evaluated using Kidney Disease Quality of Life Short Form™, including physical (PCS), mental (MCS) and kidney disease (KDCS) components, and their subscales. Dietary intake, anthropometric and biochemical variables were measured. Forty-six percent of patients were well-nourished, 44% had mild-moderate PEW, and 10% severe PEW. Compared with well-nourished patients, those with mild-moderate (p = 0.06) and severe (p = 0.005) PEW had lower HRQoL score [68 (52–75), 55 (45–72), 46 (43–58), respectively]. PCS, MCS, and KDCS and their subscales had lower values as PEW was more severe. Patients with obesity and hypoalbuminemia had significantly lower HRQoL overall and component scores than their counterparts. Dietary intake was not associated with quality of life. In multivariate analysis obesity, PEW (by SGA), hypoalbuminemia, and low educational level predicted poor HRQoL (χ2 58.2, p < 0.0001). As conclusion, PEW severity was related with worse HRQoL, either as overall score or in every component or subscale in CAPD patients. Poor HRQoL was predicted independently by PEW severity and obesity; additional predictors were hypoalbuminemia and low education. date: 2022 publication: Nefrología (English Edition) volume: 42 number: 2 pagerange: 186-195 id_number: doi:10.1016/j.nefroe.2022.05.003 refereed: TRUE issn: 20132514 official_url: http://doi.org/10.1016/j.nefroe.2022.05.003 access: open language: en citation: Artículo Materias > Biomedicina Universidad Internacional Iberoamericana México > Investigación > Producción Científica Abierto Inglés Protein-energy wasting (PEW) and poor health-related quality of life (HRQoL) are independently associated with morbi-mortality in continuous ambulatory peritoneal dialysis (CAPD). PEW may reduce HRQoL; however, we hypothesized HRQoL is affected differentially by PEW degrees or by individual criteria of nutritional status. Aim To evaluate HRQoL according to PEW severity and nutritional status indicators in CAPD. This is a cross-sectional study in 151 patients. Subjective global assessment (SGA) was employed, and nutritional status classified as normal, mild-moderate PEW, and severe PEW. HRQoL was evaluated using Kidney Disease Quality of Life Short Form™, including physical (PCS), mental (MCS) and kidney disease (KDCS) components, and their subscales. Dietary intake, anthropometric and biochemical variables were measured. Forty-six percent of patients were well-nourished, 44% had mild-moderate PEW, and 10% severe PEW. Compared with well-nourished patients, those with mild-moderate (p = 0.06) and severe (p = 0.005) PEW had lower HRQoL score [68 (52–75), 55 (45–72), 46 (43–58), respectively]. PCS, MCS, and KDCS and their subscales had lower values as PEW was more severe. Patients with obesity and hypoalbuminemia had significantly lower HRQoL overall and component scores than their counterparts. Dietary intake was not associated with quality of life. In multivariate analysis obesity, PEW (by SGA), hypoalbuminemia, and low educational level predicted poor HRQoL (χ2 58.2, p < 0.0001). As conclusion, PEW severity was related with worse HRQoL, either as overall score or in every component or subscale in CAPD patients. Poor HRQoL was predicted independently by PEW severity and obesity; additional predictors were hypoalbuminemia and low education. metadata Orozco González, Nelly; Márquez-Herrera, Roxana M.; Cortés-Sanabria, Laura; Cueto-Manzano, Alfonso M.; Gutiérrez-Medina, Margarita; Gómez-García, Erika F.; Rojas-Campos, Enrique; Paniagua-Sierra, José R. y Martín del Campo, Fabiola mail nelly.orozco@unini.edu.mx, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR (2022) Severity of protein-energy wasting and obesity are independently related with poor quality of life in peritoneal dialysis patients. Nefrología (English Edition), 42 (2). pp. 186-195. ISSN 20132514 document_url: http://repositorio.unini.edu.mx/id/eprint/3865/1/1-s2.0-S2013251422000669-main.pdf