Beberashvili et al reported the Objective Score for Nutrition Dialysis (OSND) for evaluating the nutritional status of a patient undergoing dialysis. The authors are from Tel Aviv University and Assaf Harofeh Medical Center in Israel.
Parameters:
(1) weight loss in the past 3-6 months
(2) body mass index (BMI) in kg per square meter
(3) triceps skinfold thickness in mm
(4) mid-arm circumference in cm
(5) serum transferrin mg/dL
(6) serum albumin g/dL
(7) serum total cholesterol in mg/dL
(8) sex
|
Parameter |
Sex |
Finding |
Points |
|
weight loss |
male |
< 5% |
4 |
|
|
male |
5 to 10% |
2 |
|
|
male |
> 10% |
1 |
|
|
female |
< 5% |
4 |
|
|
female |
5 to 10% |
2 |
|
|
female |
> 10% |
1 |
|
BMI |
male |
>= 19 |
4 |
|
|
male |
16.5 to 18.9 |
2 |
|
|
male |
< 16.5 |
1 |
|
|
female |
>= 20 |
4 |
|
|
female |
17 to 19.9 |
2 |
|
|
female |
< 17 |
1 |
|
triceps skinfold |
male |
>= 12.5 |
4 |
|
|
male |
10 to 12.4 |
2 |
|
|
male |
< 10 |
1 |
|
|
female |
>= 16.5 |
4 |
|
|
female |
13.2 to 16.4 |
2 |
|
|
female |
< 13.2 |
1 |
|
mid-arm circumference |
male |
>= 25.3 |
4 |
|
|
male |
20.2 to 25.2 |
2 |
|
|
male |
< 20.2 |
1 |
|
|
female |
>= 23.2 |
4 |
|
|
female |
18.6 to 23.1 |
2 |
|
|
female |
< 18.6 |
1 |
|
serum transferrin |
male |
>= 150 |
4 |
|
|
male |
120 to 149 |
2 |
|
|
male |
< 120 |
1 |
|
|
female |
>= 150 |
4 |
|
|
female |
120 to 149 |
2 |
|
|
female |
< 120 |
1 |
|
serum albumin |
male |
>= 3.5 |
6 |
|
|
male |
3.1 to 3.4 |
3 |
|
|
male |
< 3.1 |
0 |
|
|
female |
>= 3.5 |
6 |
|
|
female |
3.1 to 3.4 |
3 |
|
|
female |
< 3.1 |
0 |
|
serum cholesterol |
male |
> 200 |
6 |
|
|
male |
150 to 200 |
3 |
|
|
male |
< 150 |
0 |
|
|
female |
> 200 |
6 |
|
|
female |
150 to 200 |
3 |
|
|
female |
< 150 |
0 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 5
• maximum score: 32
• The higher the score the more normal the nutritional status.
• Overall survival is worse for patients with worse nutritional status.
|
Total Score |
Nutritional Status |
|
28 to 32 |
normal |
|
23 to 27 |
moderate |
|
5 to 22 |
low (poor) |
Specialty: Nutrition
