Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South Africa

Introduction Malnutrition is a global phenomenon and may be contributing to the increasing size of the hemodialysis (HD) population in South Africa and is affecting morbidity and clinical outcomes. Our study assessed whether transferrin could be a possible marker for malnutrition in the HD populatio...

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Main Authors: Sherilene Benjamin, Alain Assounga
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Renal Failure
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Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2024.2337292
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author Sherilene Benjamin
Alain Assounga
author_facet Sherilene Benjamin
Alain Assounga
author_sort Sherilene Benjamin
collection DOAJ
description Introduction Malnutrition is a global phenomenon and may be contributing to the increasing size of the hemodialysis (HD) population in South Africa and is affecting morbidity and clinical outcomes. Our study assessed whether transferrin could be a possible marker for malnutrition in the HD population.Methods Clinical parameters (including skinfold thickness and mid-upper arm circumference [MUAC]) and laboratory markers (including transferrin and hemoglobin) were measured during a six-month period in a sample of 59 HD patients.Results Linear regression analysis showed that MUAC (p = 0.027) as well as skinfold thickness (p = 0.021) had a significant association with transferrin levels within the HD participants. There was no significant association between transferrin levels or MUAC with hemoglobin levels (p = 0.075). Furthermore, the study found that decreased transferrin levels (< 2.15 g/dL to 3.80 g/dL) were closely related to malnutrition in the malnutrition distribution groups within the study, with 97.7% of HD participants being classified in one of the malnutrition groups.Conclusion Thus, transferrin levels are a valuable marker for malnutrition within the HD patient population and can be included along with clinical assessment parameters such as MUAC and skinfold thickness as primary indicators for malnutrition.
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spelling doaj-art-603b1bb395f441a8870c92d2e879738a2025-01-23T04:17:49ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492024-12-0146110.1080/0886022X.2024.2337292Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South AfricaSherilene Benjamin0Alain Assounga1Department of Biomedical and Clinical Technology, Durban University of Technology, Durban, South AfricaDepartment of Nephrology, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South AfricaIntroduction Malnutrition is a global phenomenon and may be contributing to the increasing size of the hemodialysis (HD) population in South Africa and is affecting morbidity and clinical outcomes. Our study assessed whether transferrin could be a possible marker for malnutrition in the HD population.Methods Clinical parameters (including skinfold thickness and mid-upper arm circumference [MUAC]) and laboratory markers (including transferrin and hemoglobin) were measured during a six-month period in a sample of 59 HD patients.Results Linear regression analysis showed that MUAC (p = 0.027) as well as skinfold thickness (p = 0.021) had a significant association with transferrin levels within the HD participants. There was no significant association between transferrin levels or MUAC with hemoglobin levels (p = 0.075). Furthermore, the study found that decreased transferrin levels (< 2.15 g/dL to 3.80 g/dL) were closely related to malnutrition in the malnutrition distribution groups within the study, with 97.7% of HD participants being classified in one of the malnutrition groups.Conclusion Thus, transferrin levels are a valuable marker for malnutrition within the HD patient population and can be included along with clinical assessment parameters such as MUAC and skinfold thickness as primary indicators for malnutrition.https://www.tandfonline.com/doi/10.1080/0886022X.2024.2337292Transferrintransferrin saturationmalnutritionhemodialysiserythropoietin
spellingShingle Sherilene Benjamin
Alain Assounga
Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South Africa
Renal Failure
Transferrin
transferrin saturation
malnutrition
hemodialysis
erythropoietin
title Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South Africa
title_full Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South Africa
title_fullStr Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South Africa
title_full_unstemmed Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South Africa
title_short Transferrin levels are associated with malnutrition markers in hemodialysis patients in KwaZulu-Natal, South Africa
title_sort transferrin levels are associated with malnutrition markers in hemodialysis patients in kwazulu natal south africa
topic Transferrin
transferrin saturation
malnutrition
hemodialysis
erythropoietin
url https://www.tandfonline.com/doi/10.1080/0886022X.2024.2337292
work_keys_str_mv AT sherilenebenjamin transferrinlevelsareassociatedwithmalnutritionmarkersinhemodialysispatientsinkwazulunatalsouthafrica
AT alainassounga transferrinlevelsareassociatedwithmalnutritionmarkersinhemodialysispatientsinkwazulunatalsouthafrica