Hemodialysis specific nutrition screening tool (hd-nut): Validity and reliability assesment for turkey

• Ayfer Beyaz Coşkun ^[1] ; Emine Elibol ^[2] ; Fatih Genç ^[3] ; Pınar Koçkaya ^[1]
  1. [1] Fırat University

     Fırat University

     Turquía

     
  2. [2] Yıldırım Beyazıt University

     Yıldırım Beyazıt University

     Turquía

     
  3. [3] Department of Internal Medicine. Elazığ Fethi Sekin City Hospital. Elazığ, Turkey

  Mostrar afiliaciones +
• Localización: Nutrición hospitalaria: Órgano oficial de la Sociedad Española de Nutrición Clínica y Metabolismo (SENPE), ISSN-e 1699-5198, ISSN 0212-1611, Vol. 42, Nº. 5, 2025, págs. 950-955
• Idioma: inglés
• DOI: 10.20960/nh.05707
• Títulos paralelos:
  • Herramienta de detección nutricional específica para hemodiálisis (hd-nut):: Evaluación de la validez y la fiabilidad para turquía
• Texto completo no disponible (Saber más ...)
• Resumen
  • español

    Antecedentes y objetivos: este estudio tuvo como objetivo evaluar la validez y la fi abilidad de la herramienta de cribado nutricional específi ca para hemodiálisis (HD-NUT), una nueva herramienta de cribado nutricional específi ca para hemodiálisis para Turquía.

    Métodos: se comparó la HD-NUT para evaluar la desnutrición con la herramienta de cribado universal de la desnutrición (MUST) y la evaluación global subjetiva (SGA) en 165 pacientes adultos de dos unidades de diálisis. El estado nutricional se evaluó mediante mediciones antropométricas y la opinión de la enfermera se evaluó mediante una encuesta.

    Resultados: se encontró que la HD-NUT era más sensible que la MUST para identifi car mayores riesgos de desnutrición y proporcionar orientación dietética. El coefi ciente V de Cramer fue de 0,445 entre MUST y HD-NUT, y de 0,487 entre SGA y HD-NUT, lo que indica compatibilidad con las variables de otras herramientas de cribado. Se encontraron concordancias signifi cativas entre MUST y HD-NUT (Kappa = 0,409, p = 0,000) y entre SGA y HD-NUT (Kappa = 0,290, p = 0,000).

    Conclusiones: la HD-NUT es una herramienta de detección nutricional válid

  • English

    Background and aims: this study aimed to evaluate the validity and reliability of the Hemodialysis Specifi c Nutrition Screening Tool (HD-NUT), a new hemodialysis-specifi c nutrition screening tool for Turkey.

    Methods: HD-NUT was compared for assessing malnutrition with the Malnutrition Universal Screening Tool (MUST) and Subjective Global Assessment (SGA) in 165 adult patients across two dialysis units. Nutritional status was evaluated using anthropometric measurements and the nurse’s opinion was assessed via a survey.

    Results: HD-NUT was found to be more sensitive than MUST in identifying increased risks of malnutrition and providing dietary guidance. The Cramer V coeffi cient was 0.445 between MUST and HD-NUT, and 0.487 between SGA and HD-NUT, and indicating compatibility with variables in other screening tools. Signifi cant agreements were found between MUST and HD-NUT (Kappa = 0.409, p = 0.000) and between SGA and HD-NUT (Kappa = 0.290, p = 0.000).

    Conclusions: HD-NUT is a valid and reliable nutritional screening tool when used by specialist nurses experienced in dialysis units for hemodialysis patients in Turkey.

• Referencias bibliográficas
  • 1. Liyanage T, Ninomiya T, Jha V, Neal B, Patrice HM, Okpechi I, et al. Worldwide access to treatment for end-stage kidney disease: a systematic...
  • 2. GBD Chronic Kidney Disease Collaboration. Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis...
  • 3. Fiaccadori E, Lombardi M, Leonardi S, Rotelli CF, Tortorella G, Borghetti A. Prevalence and clinical outcome associated with pre-existing...
  • 4. Hogg RJ, Furth S, Lemley KV, Portman R, Schwartz GJ, Coresh J, et al. National Kidney Foundation’s kidney disease outcomes quality initiative...
  • 5. Steiber A, Leon JB, Secker D, McCarthy M, McCann L, Serra M, et al. Multicenter study of the validity and reliability of subjective global...
  • 6. Mueller C, Compher C, Ellen DM, American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical...
  • 7. Van Bokhorst-de van der Schueren MAE, Guaitoli PR, Jansma EP, de Vet HCW. Nutrition screening tools: does one size fit all? A systematic...
  • 8. Kalantar-Zadeh K, Block G, McAllister CJ, Humphreys MH, Kopple JD. Appetite and inflammation, nutrition, anemia, and clinical outcome in...
  • 9. Jackson HS, MacLaughlin HL, Vidal-Diez A, Banerjee D. A new renal inpatient nutrition screening tool (Renal İNUT): a multicenter validation...
  • 10. Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional...
  • 11. Bendich A. Fundamentals of nutrition and geriatrics syndromes. Bales CW, Ritchie CS, Wellman NS (Ed). Handbook of Clinical Nutrition and...
  • 12. Ella M, Russell C, Stratton R, Todorovic V, Evans L, Farrer K. The “MUST” Explanatory Booklet. A guide to the ‘Malnutrition Universal...
  • 13. Lawson CS, Campbell KL, Dimakopoulos I, Dockrell MEC. Assessing the validity and reliability of the MUST and NST nutrition screening tools...
  • 14. Jones JM. Reliability of nutritional screening and assessment tools. Nutrition 2004;20(3):307-11. DOI: 10.1016/j.nut.2003.11.012
  • 15. Sahathevan S, Khor B-H, Ng H-M, Gafor AHA, Daud ZAM, Mafra D, et al. Understanding development of malnutrition in hemodialysis patients:...
  • 16. van Bokhorst-de van der Schueren MAE, Guaitoli PR, Jansma EP, de vet HCW. Nutrition screening tools: does one size fit all? A systematic...
  • 17. Devolder I, Verleysen A, Vijt D, Vanholder R, Biesen WV. Body composition, hydration, and related parameters in hemodialysis versus peritoneal...
  • 18. Bossola M, Muscaritoli M, Tazza L, Panocchia N, Liberatori M, Giungi S, et al. Variables associated with reduced dietary intake in hemodialysis...
  • 19. Bryman A, Cramer D. Quantitative data analysis with SPSS 12 and 13: A guide for social scientists. Routledge, London and New York; 2004.
  • 20. Sim J, Wright CC. The Kappa statistic in reliability studies: Use, interpretation, and sample size requirements. Physical Therapy and...