Evaluation of Nutritional Status and Quality of Life in Hemodialysis Patients: Traditional Review

OpenAlex İngilizce

The assessment of nutritional status in patients with Chronic Renal Failure (CRF) is crucial for the early diagnosis and management of malnutrition, a common complication arising from the dietary and fluid restrictions imposed by the hemodialysis (HD) process. Various measurement tools have been developed for clinical use to evaluate malnutrition, each differing in their target populations and applications. Among these, the Subjective Global Assessment – 7P (SGD-7P) and the Malnutrition Inflammation Score (MIS) are widely utilized in HD patients due to their comprehensive scope, ease of application without specialized equipment, and short administration time. These tools effectively assess nutritional status and detect malnutrition, making them essential components of patient evaluation. Beyond nutritional concerns, HD significantly impacts the physical, psychological, and socioeconomic well-being of individuals, often leading to a decline in overall quality of life. The advanced age of many HD patients further affects their ability to perform daily activities and maintain independence, contributing to poorer health outcomes and increased susceptibility to complications and mortality. In this context, the Kidney Disease Quality of Life Scale-36 (KDQOL-36) serves as a valuable tool for evaluating quality of life, providing critical insights into patients' well-being. The combined use of SGD-7P, MIS, and KDQOL-36 enhances the accuracy of patient assessments, enabling a more comprehensive evaluation of both nutritional status and quality of life. Regular monitoring of these parameters facilitates the early detection of malnutrition and allows for timely interventions, ultimately reducing the risk of mortality and improving clinical patient outcomes.