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Table 2 Nutritional markers as per appetite ratings

From: Assessing protein energy wasting in a Malaysian haemodialysis population using self-reported appetite rating: a cross-sectional study

Variable

Overall (Mean ± SD)b

Self-reported appetite ratings

P-valuec

Very Good (n = 34) Median (IQR)

Good (n = 87) Median (IQR)

Fair (n = 78) Median (IQR)

Poora (n = 6) Median (IQR)

Anthropometry and physical status

Weight (kg)

58.51 ± 14.0

68.50d, e (54.40–72.00)

58.40d, f (49.10–66.90)

54.40e, f (45.98–60.50)

54.20 (45.33–62.28)

<0.001

BMI (kg/m2)

23.16 ± 4.71

25.80d, e (23.26–27.30)

22.49d (19.47–26.76)

21.76e (19.11–24.85)

21.12 (19.30–24.46)

0.002

MAC (cm)

27.06 ± 3.77

28.55d (24.98–30.23)

28.60e (24.80–30.85)

25.85d, e (23.38–28.35)

25.25 (22.24–27.40)

0.003

TSF (mm)

14.04 ± 5.95

14.00d (11.58–19.58)

13.00 (9.70–18.70)

11.95d (8.90–16.75)

12.50 (9.17–14.30)

NS

MAMC (cm)

22.83 ± 3.66

23.76d (21.58–25.63)

23.09e (20.79–26.13)

21.02d, e (19.52–24.40)

19.53 (18.51–23.98)

0.017

MAMA (cm2)

33.74 ± 13.62

34.89d (27.77–42.27)

32.50e (25.18–44.32)

28.23d, e (22.53–37.58)

23.01 (19.47–36.05)

0.032

LTM (kg)

31.14 ± 9.18

35.30d, e (29.53–37.53)

30.70f (23.95–39.85)

28.10d, f (23.05–33.85)

24.90e (22.93–30.83)

0.004

FM (kg)

19.89 ± 9.56

23.05 (14.75–28.58)

19.40 (11.15–26.05)

16.60 (13.08–24.23)

18.05 (11.35–25.73)

NS

HGS (kg)

16.91 ± 7.79

17.00 (12.00–22.50)

16.00 (12.00–24.00)

16.00 (10.00–20.00)

13.00 (8.00–16.00)

NS

Serum chemistry

Urea (mmol/L)

19.55 ± 6.27

20.10d (16.30–24.93)

19.70e, f (17.30–23.50)

18.05e, g (15.30–23.13)

15.10d, f, g (9.60–16.75)

0.007

Creatinine (μmol/L)

864 ± 238

903d, e (801–1121)

901f, g (743–1078)

822d, f (690–946)

743e, g (505–833)

0.005

Albumin (g/L)

37.87 ± 4.72

38.00 (34.50–41.00)

38.00 (35.00–42.00)

37.00 (34.75–41.00)

35.00 (32.25–42.25)

NS

Total protein (g/L)

75 ± 6

76 (72–82)

75 (70–78)

74 (71–79)

76 (67–79)

NS

Hemoglobin (g/dL)

10.96 ± 1.71

10.70 (9.45–12.10)

11.40 (10.10–12.30)

10.8 (9.90–11.83)

10.45 (7.18–12.70)

NS

hsCRP (mg/L)

8.24 ± 17.92

3.34d (1.92–5.64)

4.63e (1.16–8.48)

3.16f (1.33–7.89)

15.17 d, e, f (10.18–65.05)

0.016

Dietary assessment

Energy (kcal/day)

1390 ± 384

1617d ,e, f (1222–1766)

1408d, g (1151–1638)

1311e, h (1084–1552)

857f, g, h (599–1340)

0.002

Protein (g/day)

56.17 ± 21.26

61.91d, e, f (50.92–76.51)

54.28d, g (43.27–67.65)

51.72e, h (38.24–70.31)

29.5f, g, h (19.92–36.80)

0.001

Energy (kcal/kg IBW)

23.12 ± 6.94

22.81d (18.02–27.18)

21.98e (18.57–27.22)

23.62f (18.43–27.53)

14.34 d, e, f (11.69–19.82)

0.049

Protein (g/day IBW)

0.94 ± 0.39

0.89d (0.65–1.25)

0.85e (0.69–1.08)

0.87f (0.66–1.19)

0.45d, e, f (0.39–0.65)

0.010

EI:BMR

1.07 ± 0.30

1.03d (0.84–1.30)

1.02e (0.86–1.30)

1.07f (0.87–1.24)

0.66d, e, f (0.54–0.89)

0.039

Nutritional status measures

DMS score

11.91 ± 2.66

10.50d, f (10.00–13.00)

11.00e, g (10.00–13.00)

12.00d, e (10.00–14.00)

14.00f, g (12.50–18.25)

<0.001

MIS score

6.55 ± 3.22

4.50d, f (3.00–6.25)

6.00e, g (4.00–8.00)

7.00d, e (5.00–9.00)

9.50f, g (7.00–11.50)

<0.001

Quality of life measures

SF-36 PCS

64.36 ± 16.65

68.70d (60.25–75.50)

75.00e (60.00–80.00)

61.25d, e (47.75–68.70)

69.35 (28.50–74.25)

<0.001

SF-36 MCS

70.42 ± 15.16

76.95d, f (71.53–84.50)

78.00e (67.00–83.40)

68.15d, e (54.92–74.00)

69.27f (60.90–73.45)

<0.001

SF-36 Total score

70.49 ± 15.67

76.16d (71.20–82.22)

80.04e (66.92–85.25)

64.66d, e (53.44–75.85)

74.07 (49.78–79.88)

<0.001

  1. Abbreviations: BMI Body Mass Index; DMS Dialysis Malnutrition Score; EI:BMR energy intake to basal metabolic rate ratio; FM fat mass; HGS hand grip strength; hsCRP high-sensitivity C-reactive protein; LTM lean tissue mass; MAC mid-arm circumference; MAMA mid-arm muscle area; MAMC mid-arm muscle circumference; MIS Malnutrition Inflammation Score; NS not significant; SF-36 short-form (36-item) questionnaire; SF-36 MCS SF-36 mental health score; SF-36 PCS SF-36 physical health score; TSF triceps skinfold
  2. aThe number of patients in 'very poor' rating was very few (n = 2). Therefore data from 'very poor' and 'poor' ratings were merged
  3. bMean ± SD are provided for overall data. Appetite ratings data are reported as median with interquartile range (IQR)
  4. cKruskal-Wallis testing analysed significance across appetite ratings, Dunn post-hoc testing was carried for pair-wise comparisons between appetite ratings
  5. d, e, f, g, h same superscripts across appetite ratings indicate data were significantly different
  6. All P-values <0.05 were indicative of significance