XXI. International Congress on
Renal Nutrition and Metabolism

P121
Associations of Obesity, Sarcopenia, and Sarcopenic Obesity with Chronic Kidney Disease Development in the Elderly Population
Young Su Joo, Seung Hyeok Han, Tae-Hyun Yoo, Shin-Wook Kang, Jung Tak Park; Seoul, Republic of Korea, Philadelphia, United States

P122
Effect of prebiotic, probiotic and synbiotic supplementation on protein-energy wasting in people with chronic kidney disease: a systematic review and meta-analysis
Daniela Viramontes Horner, Fabiola Martin del Campo-López, Maarten Taal; Derby, United Kingdom, Guadalajara, Mexico

P123
Early malnutrition and sarcopenia in ADPKD: Organomegaly as a GFR-independent risk factor
Matteo Brambilla Pisoni, Kristiana Kola, Michele Paolisi, Pierpaolo Bianca, Sara Farinone, Rodolfo Fernando Rivera, Chiara Livia Lanzani, Giuseppe Vezzoli, Paolo Manuta, Maria Teresa Sciarrone Alibrandi; Milan, Italy, Desio, Italy

P124
Preserving graft survival while reversing malnutrition: High-protein low-nitrogen diet with ketoanalogues in a kidney transplant recipient
Andreana De Mauri, Valeria Borioli, Marilena Gregorini, Maria Antonietta Grignano, Ion Lisenco, Alessia Locorcio, Valentina Portalupi, Elisa Margiotta, Nicoletta Serpieri, Francesca Castoldi, Federica Cappelli, Riccardo Caccialanza, Teresa Rampino; Pavia, Italy

P125
Longitudinal Association Between Bone Loss and Muscle Wasting in Hemodialysis Patients
Jwa-Kyung Kim; Anyang-si, Republic of Korea

P126
Frailty in hemodialysis patients: an observational study and systematic review of the literature
Paolo Sipari, Luca Piscitani, Lorenzo Ottavio Di Pietro, Irene Scopacasa, Marilena Tunno; L´Aquila, Italy

P127
Malnutrition Remains Significantly Underdiagnosed in the Chronic Kidney Disease Population
Kirk Kerr, Jillian Hyttenhove, Katie Robinson; Columbus, United States

P128
Structural and functional assessment of sarcopenia in advanced CKD: risk of misclassification using single diagnostic tools
Elena Tanzarella, Matteo Brambilla Pisoni, Pietro Gatto, Giuseppe Vezzoli, Filippo Mascher, Paolo Manunta, Lorenzo Cocchini, Maria Teresa Sciarrone Alibrandi, Nadia Edvige Foligno, Alessandro Barruscotti, Chiara Livia Lanzani, Marco Simonini; Milan, Italy

P129
Malnutrition Screening in Hemodialysis: Two-Year Survival
Melanie Gomes, Joana Jesus, Joana Breda, Ana Valente, Cristina Antunes; Lisboa, Portugal

P130
Driving better patient outcomes in dialysis through strategic dietetic services
Anne Snelson, Jenny Wei, Stephanie Greco, Sajani Wijekoon, Marcus Connor, Susannah King, Raisa Shaikh, Lillian King; Melbourne, Australia

P131
Kidney and Cardiovascular Outcomes of SGLT2 Inhibitors as Add-On Therapy to Metformin in Frail Patients with Type 2 Diabetes
Jin Hyeog Lee, Jung Tak Park; Incheon, Republic of Korea, Seoul, Republic of Korea

P132
Integrated Application of Nutritional and Functional Tools for the Detection of Sarcopenia in Advanced Chronic Kidney Disease: A Chilean Experience
Macarena Arancibia García, Mercedes Cofre, Alondra Frias, Evelyn Gonzalez, Pablo Molina; Santiago, Chile, Talca, Chile, Valencia, Spain

P133
Effects of a simple combined resistance-aerobic exercise approach on maintenance hemodialysis patients with sarcopenia
Rongshao Tan, Jiaqi Li, Yun liu, Shuhuan Hu, Chunlei Li, Shilin Xu, Xiaoshi Zhong; Guangzhou, People's Republic of China

P134
Plant-based low-protein diet for preventing malnutrition?inflammation complex syndrome in adults with CKD: a single-centre preliminary experience
Tonia Di Lorenzo, Antonio Pisani, Maria Amicone, Eleonora Riccio, Capuano Ivana; Naples, Italy

P135
Improving Malnutrition Detection in Patients on Hemodialysis: The Role of Mid-Upper Arm Circumference–Adjusted Body Mass Index in the SARC-HD Cohort
Maryanne Silva, Marvery Duarte, Dário Mondini, Henrique Disessa, Daiana Bundchen, Catiussa Colling, Rodrigo Krug, Bruna Sant Helena, Maristela Bohlke, Maycon Reboredo, Heitor Ribeiro, Jacqueline Caramori, Carla Maria Avesani; Botucatu, Brazil, Brasília, Brazil, Campinas, Brazil, Bauru, Brazil, Araranguá, Brazil, Porto Alegre, Brazil, Cruz Alta, Brazil, Joinville, Brazil, Pelotas, Brazil, Juiz de Fora, Brazil, Stockholm, Sweden

P136
The prevalence of malnutrition, protein-energy wasting, sarcopenia, and sarcopenic obesity in Dutch hemodialysis patients: a multicenter study
Manon de Geus; Rotterdam, The Netherlands

P137
Metabolic impact and nutritional safety of Low-Protein Diet in advanced Chronic Kidney Disease: Preliminary Prospective findings
Elena Tanzarella, Matteo Brambilla Pisoni, Pietro Gatto, Nadia Edvige Foligno, Maria Teresa Sciarrone Alibrandi, Lorenzo Cocchini, Alessandro Barruscotti, Paolo Manunta, Sindi Uruci, Giuseppe Vezzoli, Chiara Livia Lanzani, Marco Simonini; Milan, Italy

P138
Beyond Body Weight: Assessing Sarcopenia, Sarcopenic Obesity, and Nutritional Status in Chronic Kidney Disease at Tygerberg Hospital, South Africa
Zarina Ebrahim, Janicke Visser, Valentine Khumalo, Nazeema Esau, Carl Lombard; Cape Town, South Africa

P139
Performance of Malnutrition-Inflammation Score (MIS) versus the PhilSPEN modified Subjective Global Assessment (mSGA) in identifying malnutrition among hemodialysis patients: Evidence from a prospective single-center study in the philippines
Leandro Espino, Michelle Katherine Chu, Marie Dominique Gloria, Mary Rose Bisquera; Makati City, Philippines

P140
Downregulation of the hypoxia response in skeletal muscle of people with chronic kidney disease
Daniela Picciotto, Daniela Verzola, Michela Saio, Elisa Russo, Lucia Maccio, Valentina Zanetti, Francesca Viazzi, Giacomo Garibotto, Giuliano Brunori; Genova, Italy, Trento, Italy

P141
Malnutrition in maintenance hemodialysis: Prevalence, patterns, and clinical implications in Bangladesh
Shakil Ahmed, Tanjina Rahman, Zulfitri Azuan Mat Daud; Selangor, Malaysia, Dhaka, Bangladesh

P142
Sarcopenia has a dynamic trajectory over 12 months in patients on hemodialysis: the SARC-HD cohort study
Maryanne Silva, Marvery Duarte, Otávio Nóbrega, Barbara Vogt, Fábio Vieira, Jéssica Rodrigues, Jacqueline Monteiro, Dário Mondini, Henrique Disessa, Rodrigo Krug, Bruna Sant Helena, Daiana Bundchen, Maristela Bohlke, Angélica Adamoli, Antônio Inda-Filho, Marco Uchida, Maycon Reboredo, Heitor Ribeiro; Botucatu, Brazil, Brasília, Brazil, Uberlândia, Brazil, Campinas, Brazil, Bauru, Brazil, Cruz Alta, Brazil, Joinville, Brazil, Araranguá, Brazil, Pelotas, Brazil, Porto Alegre, Brazil, Juiz de Fora, Brazil

P143
Use of Essential Amino Acids and Ketoanalogues in Hemodialysis Patients with Protein Energy Wasting
Sandra Papalini, Fatma Cossetti, Eleonora Albanese, Laura Pettorini, Arianna Ceravolo, Victor Manuel Aguilar Pineda, Emma Espinosa; Roma, Italy, Ancona, Italy

P144
Prozessgesteuerte Ernährungstherapie verbessert die Lebensqualität und das klinische Ergebnis unterernährter Hämodialysepatienten
Mats Lukas Wiese, Anja Merschjann; Ibbenbüren, Germany

P145
Hospitalisation, malnutrition and frailty: a case study and personal perspective
Helena Jackson; London, United Kingdom

P146
Impact of Nutritional Status on the Progression of Aortic Calcification in Maintenance Hemodialysis Patients
Myo Thant, Nyein Ko, Myat Kyaw, Thet Aung, Khin Pyar; Yangon, Myanmar

P147
Dynapenic obesity in Chronic Kidney Disease: Divergent Roles of Adiposity and Muscle Mass
Roberta Di Martino, Elisabetta Salomone, Luigi Leopaldi, Sandro Gentile, Carmine Romano, Domenico Di Landro, Ersilia Satta; Torre del Greco, Italy, Scisciano, Italy, Atripalda, Italy, Roma, Italy, San Giuseppe Vesuviano, Italy

P148
Physical activity is associated with protein energy wasting, frailty and psychological distress in patients with chronic kidney disease without renal replacement therapy: a cross-sectional study
Estefnia Becerril-Herrera, Luis A Enriquez-Gutiérrez, Kenya Contreras-Islas, Olynka Vega-Vega, Angeles Vargas-Martínez, Rodolfo Rincón-Pedrero, Paola Miranda-Alatriste, Ángeles Espinosa-Cuevas; Ciudad de México, Mexico, Mexico City, Mexico