Prevalencia de malnutrición en pacientes ambulatorios con enfermedad renal crónica en hemodiálisis, aplicando los criterios GLIM en el Hospital de Especialidades Teodoro Maldonado Carbo de la ciudad Guayaquil, durante periodo julio del año 2024 y febrero 2025.

Abstract

Introduction: The present investigation describes the prevalence of malnutrition in patients with chronic kidney disease (CKD) undergoing hemodialysis at the Teodoro Maldonado Carbo Specialty Hospital in Guayaquil, relating the demographic variables and their influence on nutritional status. Objective: To determine the prevalence of malnutrition in patients with chronic kidney disease by applying the GLIM criteria at the Teodoro Maldonado Carbo Specialty Hospital in Guayaquil in 2024. Methodology: The study is observational, descriptive, and cross-sectional in a sample of 60 patients. Results: The results indicated that 65% of the patient’s presented malnutrition, with moderate malnutrition predominating (45%). A significant correlation was found between malnutrition and advanced age, as well as the presence of diabetes mellitus. The analysis of the 24-hour record demonstrated that the entire sample exhibited diminished food intake. Regarding the phenotypic criteria, it should be noted that patients with a normal BMI also showed a significant percentage of weight loss and reduced muscle mass. Conclusion: It was concluded that there is a notable correlation with malnutrition and increased age, as well as with the diagnosis of DM. In contrast, sex did not appear to significantly influence malnutrition. The number of comorbidities could have a relevant association with the severity of malnutrition. Although there is no direct linear correlation. Advanced age was a predominant factor for lower food consumption. An interrelation was found between the loss of muscle mass and advanced age.