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PP191-SUN: Assessment of Food and Nutritional Status of Pregnant Women in Algeria
Nutritional assessment Methods: We evaluated 103 patients (50 men) with stage 5 CKD (mean time on dialysis 4.63±3.64 years), with mean age 44.8±13.9 years. Nutritional screening was performed with three nutritional screening tools, namely Subjective Global Assessment (SGA), Dialysis Malnutrition Score (DMS) and by a modified form of the Malnutrition Inflammation Score (mMIS) which excluded the value of total iron binding capacity from the calculation of the score. Values range is 7 35 for DMS and 0 27 for mMIS, with higher values indicative of malnutrition. The validity of these nutritional screening tools on detecting malnutrition was evaluated by the statistical method of triads. Results: None of our patients were found in severe risk of malnutrition according to SGA. Mean values for mMIS and DMS were 3.85±2.22 and 11.18±2.24 respectively. According to our analysis mMIS was found to have the highest validity [Validity Coefficient (VCMIS ) = 0.963, 95% CI: 0.927 0.999]. DMS was also found to be more valid than SGA (VCDMS = 0.801, 95% CI: 0.724 0.878 vs VCSGA = 0.583, 95% CI: 0.488 0.678). Conclusion: The nutritional screening tools mMIS and DMS were found to have higher validity compared to the SGA. This leads to the conclusion that nutritional screening tools designed specifically for renal patients should be used for the detection of malnutrition in this group of patients. Their higher validity may be attributed to the fact that they include data that could more accurately identify CKD patients at risk of malnutrition. Disclosure of Interest: None Declared.
PP191-SUN ASSESSMENT OF FOOD AND NUTRITIONAL STATUS OF PREGNANT WOMEN IN ALGERIA F. Tebbani1 , H. Oulamara1 . 1 Nutrition Department, Nutrition, Food and Food Technologies Institute, Constantine, Algeria Rationale: The aim of our work is the study of pregnant women food and nutritional status at three regions of eastern Algeria (Batna, Constantine and Guelma) in 2013. Methods: We have realized a cross-sectional survey on 270 pregnant women at term. The data collected have concerned feeding practices (eating habits and various changes accompanied by gestation), weight gain, pregnancy complications and socio-economic characteristics of the studied women. Results: The main results indicate that the average level of education is predominant and concerns 50.37% of women and 66.66% of husbands. A percentage of 65.54% of women suffer of various complications (21.85% of hypertension and 26.66% of anemia). A percentage of 16.66% of women report marrying a close relative. During pregnancy, 27.2% of women have excess weight gain and 32.57% have a poor weight gain. The majority of women take three main meals, 58.52% added a snack in the morning and/or afternoon. A percentage of 49.26% of women of the study provide efforts to improve their eating habits. The majority of women (73.7%) have had between 3 and 7 antenatal visits during pregnancy, 4.07% have had 1 2 prenatal visits and 0.74% have never consulted. Conclusion: The results show that many pregnant women lack information on the need of a good nutritional monitoring and a healthy lifestyle for the success of pregnancy. To correct deficits of this behavior, nutrition education programs from the beginning of pregnancy are needed. Disclosure of Interest: None Declared.
S91 PP192-SUN COMPARISON BETWEEN DXA AND TWO MODELS OF BIOELECTRICAL IMPEDANCE ANALYSIS FOR DETERMINATION OF BODY COMPOSITION IN HEMODIALYSIS THAI PATIENTS K. Jayanama1 , S. Putadechakun1 , S.A.-O. Vallipakorn2 , C. Sritara3 , S. Kantachuvesiri4 , P. Shantavasinkul1 , S. Komindr1 . 1 Nutrition and Biochemical Medicine, 2 Section for Clinical Epidemiology and Biostatistics, 3 Department of radiology, 4 Nephrology, Ramathibodi Hospital, Bangkok, Thailand Rationale: The body composition assessment of hemodialysis patients (HD) is important for early nutritional care to prevent mortality. The use of Dual energy x-ray absorptiometry (DXA) in HD is clinically limited. Bioelectrical impedance analysis (BIA) is accessible and has been proven for its validity in healthy population. The accuracy of BIA Thai HD has not been validated. The aims of this study were to compare the agreement of BIA with DXA in measurement of the body composition and intended to create equations depending on the results of BIA and DXA for calculation of fat mass (FM) and fat-free mass (FFM) in Thai HD. Methods: Thirty six adults on regular maintenance hemodialysis for at least 3 months prior to the study were recluded in a cross-sectional study. Body compositions were measured by standard anthropometry, BIA and DXA methods after hemodialysis session. The Pearson’s correlation coefficient and the Bland and Altman analysis were used to see the correlation and compare the agreement between the measurement techniques. Results: The correlation coefficients of body composition between DXA and InBody S10 were strong (FM: r = 0.84, %BF: r = 0.79, FFM: r = 0.86) and were also between DXA and InBody 720 (FM: r = 0.90, %BF: r = 0.84, FFM: r = 0.87). Both BIA methods revealed significantly lower FM than DXA. InBody 720 showed higher reading of FFM than DXA. The differences of FM, %BF and FFM between DXA and InBody S10 were smaller than those between DXA and InBody 720. Conclusion: The measurement of the body composition in Thai HD with DXA and both BIA methods were highly correlated and had small mean differences (lower with InBody S10). In HD, BIA methods can be used to monitor FFM (mainly muscle mass) and FM. Study with larger sample size to create the equations for the FFM and FM from BIA is in progress (to be presented in the meeting). Disclosure of Interest: K. Jayanama Grant/Research Support from: research grant of Faculty of Medicine Ramathibodi Hospital, Mahidol University., S. Putadechakun: None Declared, S. vallipakorn: None Declared, C. Sritara: None Declared, S. Kantachuvesiri: None Declared, P. Shantavasinkul: None Declared, S. Komindr: None Declared.
PP193-SUN TRACE ELEMENTS STATUS IN PATIENTS REFERRED TO GASTROSTOMY FOR PROLONGED ENTERAL NUTRITION C.A. Santos1 , J. Fonseca1 , on behalf of GENE Enteral Nutrition Group. 1 GENE Enteral Nutrition Group, Hospital Garcia de Orta, Lisboa, Portugal Rationale: Dysphagia may occur in the setting of a neurological disorder or an obstructive disease. Whatever the underlying disease, dysphagia reduces the oral intake by decreasing swallow efficacy and safety, leading to depletion
PP191-SUN ASSESSMENT OF FOOD AND NUTRITIONAL STATUS OF PREGNANT WOMEN IN ALGERIA F. Tebbani1 , H. Oulamara1 . 1 Nutrition Department, Nutrition, Food and Food Technologies Institute, Constantine, Algeria Rationale: The aim of our work is the study of pregnant women food and nutritional status at three regions of eastern Algeria (Batna, Constantine and Guelma) in 2013. Methods: We have realized a cross-sectional survey on 270 pregnant women at term. The data collected have concerned feeding practices (eating habits and various changes accompanied by gestation), weight gain, pregnancy complications and socio-economic characteristics of the studied women. Results: The main results indicate that the average level of education is predominant and concerns 50.37% of women and 66.66% of husbands. A percentage of 65.54% of women suffer of various complications (21.85% of hypertension and 26.66% of anemia). A percentage of 16.66% of women report marrying a close relative. During pregnancy, 27.2% of women have excess weight gain and 32.57% have a poor weight gain. The majority of women take three main meals, 58.52% added a snack in the morning and/or afternoon. A percentage of 49.26% of women of the study provide efforts to improve their eating habits. The majority of women (73.7%) have had between 3 and 7 antenatal visits during pregnancy, 4.07% have had 1 2 prenatal visits and 0.74% have never consulted. Conclusion: The results show that many pregnant women lack information on the need of a good nutritional monitoring and a healthy lifestyle for the success of pregnancy. To correct deficits of this behavior, nutrition education programs from the beginning of pregnancy are needed. Disclosure of Interest: None Declared.
S91 PP192-SUN COMPARISON BETWEEN DXA AND TWO MODELS OF BIOELECTRICAL IMPEDANCE ANALYSIS FOR DETERMINATION OF BODY COMPOSITION IN HEMODIALYSIS THAI PATIENTS K. Jayanama1 , S. Putadechakun1 , S.A.-O. Vallipakorn2 , C. Sritara3 , S. Kantachuvesiri4 , P. Shantavasinkul1 , S. Komindr1 . 1 Nutrition and Biochemical Medicine, 2 Section for Clinical Epidemiology and Biostatistics, 3 Department of radiology, 4 Nephrology, Ramathibodi Hospital, Bangkok, Thailand Rationale: The body composition assessment of hemodialysis patients (HD) is important for early nutritional care to prevent mortality. The use of Dual energy x-ray absorptiometry (DXA) in HD is clinically limited. Bioelectrical impedance analysis (BIA) is accessible and has been proven for its validity in healthy population. The accuracy of BIA Thai HD has not been validated. The aims of this study were to compare the agreement of BIA with DXA in measurement of the body composition and intended to create equations depending on the results of BIA and DXA for calculation of fat mass (FM) and fat-free mass (FFM) in Thai HD. Methods: Thirty six adults on regular maintenance hemodialysis for at least 3 months prior to the study were recluded in a cross-sectional study. Body compositions were measured by standard anthropometry, BIA and DXA methods after hemodialysis session. The Pearson’s correlation coefficient and the Bland and Altman analysis were used to see the correlation and compare the agreement between the measurement techniques. Results: The correlation coefficients of body composition between DXA and InBody S10 were strong (FM: r = 0.84, %BF: r = 0.79, FFM: r = 0.86) and were also between DXA and InBody 720 (FM: r = 0.90, %BF: r = 0.84, FFM: r = 0.87). Both BIA methods revealed significantly lower FM than DXA. InBody 720 showed higher reading of FFM than DXA. The differences of FM, %BF and FFM between DXA and InBody S10 were smaller than those between DXA and InBody 720. Conclusion: The measurement of the body composition in Thai HD with DXA and both BIA methods were highly correlated and had small mean differences (lower with InBody S10). In HD, BIA methods can be used to monitor FFM (mainly muscle mass) and FM. Study with larger sample size to create the equations for the FFM and FM from BIA is in progress (to be presented in the meeting). Disclosure of Interest: K. Jayanama Grant/Research Support from: research grant of Faculty of Medicine Ramathibodi Hospital, Mahidol University., S. Putadechakun: None Declared, S. vallipakorn: None Declared, C. Sritara: None Declared, S. Kantachuvesiri: None Declared, P. Shantavasinkul: None Declared, S. Komindr: None Declared.
PP193-SUN TRACE ELEMENTS STATUS IN PATIENTS REFERRED TO GASTROSTOMY FOR PROLONGED ENTERAL NUTRITION C.A. Santos1 , J. Fonseca1 , on behalf of GENE Enteral Nutrition Group. 1 GENE Enteral Nutrition Group, Hospital Garcia de Orta, Lisboa, Portugal Rationale: Dysphagia may occur in the setting of a neurological disorder or an obstructive disease. Whatever the underlying disease, dysphagia reduces the oral intake by decreasing swallow efficacy and safety, leading to depletion