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Accepted manuscript

Turkish Version of The Renal Inpatient Nutrition Screening Tool: Validity and Reliability for Hemodialysis Patients

Published online by Cambridge University Press:  13 December 2024

Nursena ERSOY Open the ORCID record for Nursena ERSOY [Opens in a new window] ,
Emine KARADEMİR Open the ORCID record for Emine KARADEMİR [Opens in a new window] ,
Ebru BAYRAK Open the ORCID record for Ebru BAYRAK [Opens in a new window] ,
Muslu Kazım KÖREZ Open the ORCID record for Muslu Kazım KÖREZ [Opens in a new window]  and
Hülya YARDIMCI Open the ORCID record for Hülya YARDIMCI [Opens in a new window]
Nursena ERSOY*
Affiliation:
Postal Address: Ankara University Institute of Health Sciences, Dışkapı Campus Şehit Ömer Halisdemir Boulevard 06110 Dışkapı ANKARA, E-mail: [email protected]
Emine KARADEMİR
Affiliation:
Postal Address: Niğde Ömer Halisdemir University Faculty of Health Sciences, Department of Nutrition and Dietetics, Bor/NIGDE/TURKEY, E-mail: [email protected]
Ebru BAYRAK
Affiliation:
Postal Address: Selçuk University Faculty of Health Sciences, Department of Nutrition and Dietetics, Alaeddin Keykubat Campus 299/1 42250 Selçuklu/KONYA/TURKEY, E-mail: [email protected]
Muslu Kazım KÖREZ
Affiliation:
Postal Address: Selçuk University Faculty of Health Sciences, Department of Biostatistic, Alaeddin Keykubat Campus 299/1 42250 Selçuklu/KONYA/TURKEY, E-mail: [email protected]
Hülya YARDIMCI
Affiliation:
Postal Address: Ankara University Faculty of Health Sciences, Department of Nutrition and Dietetics, Fatih Street. Tepebaşı District, No:197/A, 06300 Kecioren-ANKARA/TURKEY, ORCID:, E-mail: [email protected]
*
Corresponding author: Nursena ERSOY (MSc), Postal Address: Ankara University Institute of Health Sciences, Dışkapı Campus Şehit Ömer Halisdemir Boulevard 06110 Dışkapı ANKARA, ORCİD: 0000-0003-4327-0775, Phone Number: +90 (312) 381 23 50-6545, E-mail: [email protected]
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Abstract

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The aim of this study was to analyze the validity and reliability of the Turkish version of the Renal Inpatient Nutrition Screening Tool (Renal iNUT) for hemodialysis patients.

The Renal Inpatient Nutrition Screening Tool (Renal iNUT) and the Malnutrition Universal Screening Tool (MUST) were used in adult hemodialysis patients at two different centers to identify malnutrition. The Subjective Global Assessment (SGA), regarded as the gold standard for nutritional status assessment, was utilized for comparison. Structural validity was assessed using biochemical values and anthropometric measurements, while reliability was assessed using repeated the Renal iNUT assessment. Of the 260 patients admitted, 42.3% were malnourished (SGA score was B or C). According to the Renal iNUT, 59.6% of the patients were at increased risk for malnutrition (score ≥1) and 3.8% required referral to a dietitian (score ≥2). According to the MUST, 13.1% the of patients were at increased risk for malnutrition and 8.5% required referral to a dietician. The Renal iNUT was found to be more sensitive in detecting increased risk of malnutrition in hemodialysis patients compared with the MUST (59.6% versus 13.1%). According to the SGA, the sensitivity of the Renal iNUT is higher compared to the MUST (89% and 45%, respectively). Kappa-assessed reliability of the Renal iNUT was 0.48 (95% CI, 0.58-0.9) and a moderate concordance was observed. The Renal iNUT is a valid and reliable nutritional screening tool for evaluating hemodialysis patients to determine their nutritional status. The use of the Renal iNUT by dieticians will contribute to the identification of malnutrition and its treatment.

Keywords

Chronic kidney diseaseHemodialysisMalnutritionRenalNutritional Assessment
Type
Research Article
Information
British Journal of Nutrition , Accepted manuscript , pp. 1 - 21
Copyright
© The Authors 2024