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Table 1 The French PEW score in comparison with PEW criteria proposed by the ISRNM expert panel

From: Effect of intradialytic oral nutritional supplementation on nutritional markers in malnourished chronic hemodialysis patients: prospective randomized trial

Category

ISRNM criteria

French PEW score criteria

Biochemical

  
 

Serum albumin < 3.8 g/dl

Serum albumin ≤ 3.8 g/dl

 

Serum prealbumin < 30 mg/dl

 
 

Serum cholesterol < 100 mg/dl

 

Body mass

  
 

BMI < 23 kg/m2

BMI ≤ 23 kg/m2

 

Unintentional weight loss: >5% or > 10% in 3 and 6 months, respectively

 
 

Body fat < 10%

 

Muscle mass

  
 

Losses of > 5% or > 10% in 3 and 6 months, respectively

Serum creatinine/BSA ≤ 3.8 mg/dl/m2

 

MUAMC reduction > 10% below the median of the reference population

 
 

Creatinine appearance

 

Dietary intake

  
 

low DPIa <0.8 g/kg/day

nPNA ≤ 0.8 g/kg/day

 

low DEI < 25 kcal/kg/day

 
  1. aCan be assessed using a dietary diary or nPNA calculation
  2. Abbreviations: PEW: protein energy wasting; ISRNM: international society of renal nutrition and metabolism; BMI: body mass index; MUAMC: mid upper arm muscle circumference; BSA: body surface area; DPI: dietary protein intake; DEI: dietary energy intake; nPNA: normalized protein nitrogen appearance