Evidence map›Paper›PMID 42248908›Full record

ArticleScientific reports2026

The effect of comorbidity and frailty on dietary intake and protein losses in end-stage kidney disease patients undergoing peritoneal dialysis.

Haalah Shaaker, Simon Eaton, Andrew Davenport

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Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Haalah ShaakerDivision of Medicine, University College London, London, UK. haalah.shaaker.21@ucl.ac.uk.
Simon EatonGreat Ormond Street Institute of Child Health, University College London, London, UK.
Andrew DavenportCentre for Kidney & Bladder Health, Royal Free Hospital, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

End-stage kidney disease (ESKD) patients are advised to follow restricted diets, increasing their risk of malnutrition. We aimed to determine whether co-morbidity and frailty affected dietary intake or protein losses in ESKD patients treated with peritoneal dialysis (PD). We assessed 42 PD patients (mean age 62 ± 16 years) for malnutrition, using the Global Leadership Initiative in Malnutrition (GLIM) criteria, 24-hour dietary recall, bioimpedance, and hand grip strength (HGS), and measured effluent dialysate nitrogen losses. The malnutrition rate was 43%, significantly associated with heart failure (HF) odds ratio (OR) 22.6 (95% Confidence Interval (CI):2.0-259.5, p = 0.012) and low appendicular lean mass index (ALMI) OR 0.13 (95% CI:0.03-0.55, p = 0.006). Sarcopenia was associated with lower dietary protein intake (DPI) (p < 0.05), and decreased protein losses (p < 0.05), whereas Frailty was associated with older age (p < 0.001), greater malnutrition risk (p < 0.05) and reduced HGS (p < 0.05). Diabetic patients also had higher malnutrition risk (p < 0.01). HF was associated with male gender (p < 0.05), and lower body fat (p < 0.05). Increasing numbers of older more co-morbid ESKD patients are being treated with PD, and those with sarcopenia, frailty, diabetes, and HF are at an increased risk of malnutrition. These findings highlight the need for more individualized nutritional assessments.

Indexed as

Dietary ProteinsFrailtyKidney Failure, ChronicMalnutritionPeritoneal DialysisAgedComorbidityFemaleHand StrengthHumansMaleMiddle AgedNutritional StatusSarcopeniaDietary ProteinsEnd stage kidney diseaseFrailtyMalnutritionNutrition intakePeritoneal dialysisSarcopenia

Identifiers

PMID42248908
PMCPMC13482466

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.