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Nutritional status assessed from anthropometric measures in the HEMO study
Wm Cameron Chumlea1, Johanna Dwyer, Carol Bergen
1Department of Community Health, Wright State University, S.O.M., Lifespan Health Research Center, Kettering, OH 45420, USA. cameron.chumlea@wright.edu
Summary
Hemodialysis patients in the HEMO Study showed lower fat and muscle mass compared to the general population, with variations by sex, race, and diabetes status. These anthropometric indicators help assess nutritional status in this group.
Area of Science:
- Clinical Nutrition
- Renal Medicine
- Anthropometry
Background:
- Anthropometric methods are crucial for assessing nutritional status in renal disease patients.
- The Hemodialysis (HEMO) Study provides a valuable dataset for evaluating nutritional markers.
Purpose of the Study:
- To present baseline cross-sectional data on anthropometric indicators of nutritional status.
- To assess fat and lean tissue stores in hemodialysis patients.
Main Methods:
- Utilized standardized anthropometric measures (weight, BMI, skinfolds, circumferences) in 1,000 hemodialysis patients.
- Employed univariate statistics and compared findings with national reference data (NHANES II).
- Included patients aged 18-80, on chronic hemodialysis for at least 3 months, with specific renal clearance and body weight criteria.
Main Results:
- Hemodialysis patients exhibited lower average weight, adipose tissue, and muscle tissue compared to healthy individuals.
- Nutritional status varied significantly by sex, race, dialysis duration, and presence of comorbid conditions.
- Patients with diabetes were found to be overweight based on BMI.
Conclusions:
- The HEMO Study data establish a clinical reference for anthropometric assessment in hemodialysis patients under 85 kg.
- These findings highlight the importance of monitoring nutritional status in this population.
- Anthropometric indicators can effectively identify nutritional differences in hemodialysis patients.