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- Title
Pros and Cons of Body Mass Index as a Nutritional and Risk Assessment Tool in Dialysis Patients.
- Authors
Carrero, Juan Jesús; Avesani, Carla Maria
- Abstract
Obesity is a problem of serious concern among chronic kidney disease ( CKD) patients; it is a risk factor for progression to end-stage renal disease and its incidence and prevalence in dialysis patients exceeds those of the general population. Obesity, typically assessed with the simple metric of body mass index ( BMI), is considered a mainstay for nutritional assessment in guidelines on nutrition in CKD. While regular BMI assessment in connection with the dialysis session is a simple and easy-to-use monitoring tool, such ease of access can lead to excess-of-use, as the value of this metric to health care professionals is overestimated. This review examines BMI as a clinical monitoring tool in CKD practice and offers a critical appraisal as to what a high or a low BMI may signify in this patient population. Topics discussed include the utility of BMI as a reflection of body size, body composition and body fat distribution, diagnostic versus prognostic performance, and consideration of temporal trends over single assessments.
- Subjects
METABOLIC disorders; HEMODIALYSIS; BODY weight; KIDNEY diseases; CHRONIC diseases
- Publication
Seminars in Dialysis, 2015, Vol 28, Issue 1, p48
- ISSN
0894-0959
- Publication type
Article
- DOI
10.1111/sdi.12287