2026-04-13T04:15:29Zhttps://recercat.cat/oai/requestoai:recercat.cat:11351/94502025-10-24T08:28:46Zcom_2072_451660com_2072_378040col_2072_451662
2025-10-24T08:28:46Z
urn:hdl:11351/9450
Prevalence of Protein-Energy Wasting in Dialysis Patients Using a Practical Online Tool to Compare with Other Nutritional Scores: Results of the Nutrendial Study
Arias Guillen, Marta
Coll, Elisabeth
COLLADO NIETO, SILVIA
Carreras, Jordi
Betancourt , loreley
Romano, Barbara
DUARTE, VERONICA
Diàlisi
Desnutrició
Inflamació
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Chemistry Techniques, Analytical::Dialysis
DISEASES::Nutritional and Metabolic Diseases::Nutrition Disorders::Malnutrition
DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Inflammation
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::técnicas de química analítica::diálisis
ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::inflamación
ENFERMEDADES::enfermedades nutricionales y metabólicas::trastornos nutricionales::desnutrición
Diàlisi; Puntuació d'inflamació de desnutrició; Valoració nutricional
Diálisis; Puntuación de inflamación de desnutrición; Valoración nutricional
Dialysis; Malnutrition inflammation score; Nutritional assessment
This cross-sectional study aims to explore the prevalence of protein-energy wasting (PEW) in dialysis patients in Catalonia, Spain, using a new and practical online tool which enables rapid calculation and comparison with other nutritional scores.
Methods: A web tool (Nutrendial) was created to introduce different variables and automatically calculate PEW, Malnutrition inflammation Score (MIS) and Subjective Global Assessment (SGA) in 1389 patients (88% in haemodialysis (HD)), 12% in peritoneal dialysis (PD) from different regions of Catalonia.
Results: A prevalence of 23.3% (26% HD, 10.2% PD) of PEW was found, with a mean MIS score of 6 and SGA score of C in 7% of the patients. ROC analysis showed MIS as the best nutritional score to diagnose PEW (AUC 0.85). Albumin delivered lower diagnostic precision (AUC 0.77) and sensitivity (66%). A cut off point of 7 (86% sensitivity and 75% specificity) for MIS and 3.7 mg/dL for albumin were found to predict the appearance of PEW in this population. SGA B or C showed an 87% sensitivity and 55% specificity to diagnose PEW. Very low nutritional intervention (14%) was recorded with this tool in patients with PEW.
Conclusions: This new online tool facilitated the calculation of PEW, enabling different professionals-including nephrologists, dieticians and nurses-to efficiently obtain insights into the nutritional status of the Catalonian dialysis population and implement the required nutritional interventions. MIS is the score with more sensitivity to diagnose PEW.
2025-10-24T08:28:46Z
2025-10-24T08:28:46Z
2023-05-03T09:46:19Z
2023-05-03T09:46:19Z
2022-08-17
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://hdl.handle.net/11351/9450
Nutrients;14(16)
https://doi.org/10.3390/nu14163375
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
MDPI
Scientia