Cianciaruso B, Brunori G, Kopple JD, et al.
Cross-sectional comparison of malnutrition in continuous
ambulatory peritoneal dialysis and hemodialysis patients
Am J Kidney Dis
(Sep) 26:475-486 1995
Two hundred 224 CAPD patients and 263 HD patients from 8 public
hospitals in Italy who were apparently randomly selected, were invited
to undergo nutritional assessment. The only exclusions were change in
treatment modality, amputation, or recent hospitalization. Mean
weekly Kt/V was 2.0 in CAPD and 4.1 in HD. Mean ages were 60 and 56
for CAPD and HD patients, respectively, with only 9% and 5% diabetics.
Skinfold thickness, cholesterol, triglycerides, and glucose were
higher in CAPD patients and they were heavier, whereas mid-arm
circumference, total protein, and transferrin levels were similar, and
serum albumin was 0.4 g/dl lower. Using the Subjective Global
Nutritional Assessment (SGNA), a higher proportion of CAPD patients
(42%) were "malnourished" than of HD patients (30%). Most of this
malnutrition was mild, and was age-dependent, being found primarily in
patients < 60 years of age. The incidence of malnutrition was similar
at age 70, and actually reversed in the elderly (> 76 years of age).
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