ArticleInternational journal for equity in health2025
Malnutrition among patients with end-stage renal disease in war 2024: the role of healthcare access, dialysis, gender, and economic disparities.
Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk prediction models for malnutrition in dialysis patients in China: a systematic review and meta-analysis.Renal failure · 2026Pooled it
- Effects of a structured nutrition education program on dialysis adequacy and clinical outcomes in maintenance hemodialysis patients.Frontiers in nutrition · 2026Article
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7 authors.
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Abstract
backgroundEnd-stage renal disease patients on haemodialysis are at risk of malnutrition, leading to poor clinical outcomes. This multifaceted issue is expected to worsen due to the ongoing war and displacement crisis. This study aimed to identify the prevalence and factors that contribute to malnutrition among these patients in northern Sudan.
methodsThis cross-sectional study recruited 141 patients from four public haemodialysis centres in the Northern State by cluster sampling. Socioeconomic and clinical data were collected through interviews. Nutritional status was assessed using Subjective Global Assessment (SGA), while healthcare access was evaluated based on Penchansky and Thomas model. Descriptive, bivariate and multivariate analyses were performed using the Statistical Package for Social Science (SPSS) v21, with the statistical significance set at p-value < 0.05.
resultsMost of the patients were males (68.1%), and the mean age was 52 ± 14.5 years. Mild to moderate malnutrition was observed in 44% of the patients, and severe malnutrition in 4.3%. Female gender (OR = 2.29, 95% CI = 1.04–5.07) and dialysis duration over 5 years (OR = 2.95, 95% CI = 1.16–7.51) predicted malnutrition. Better healthcare access was associated with better nutritional status (p-value < 0.05). Lower income, urban residence, hypertension, and cardiopathy were linked to worse nutritional scores.
conclusionThe study reveals a high prevalence of malnutrition in haemodialysis patients, with a significant contribution of iatrogenic factors, symptomatic burden, healthcare access, and socio-economic disparities. We recommend an integrated healthcare approach that addresses regular nutritional monitoring, symptom management, and socio-economic support.
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