Dietary Practice among the Patients with End Stage Renal Disease undergoing Maintenance Haemodialysis (original) (raw)
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A dietary survey in Indian hemodialysis patients
Journal of Renal Nutrition, 1999
Malnutrition is a common problem in maintenance hemodialysis (MHD) patients, and compromised intake is an important cause. There is no information available about the nutrient intakes of MHD patients in India. The nutrient intakes of 106 MHD patients were studied cross-sectionally and on follow-up. A 24-hour recall was used on 4 consecutive days. After 2 months on dialysis, the mean energy intake was 29 t 6.6 kcal/kg ideal body weight (IBW) and the mean protein intake was .93 2 .39 g/kg IBW (high biological value [HBV] protein 49% + 8.5%). Dietary deficiency of both protein and calories was present in 64.9%. Intake was better on nondialysis days compared with dialysis days, and in women and older patients. On follow-up there was no significant increase in food intake up to 6 months. After that, the total calorie intake increased significantly with a disproportionate drop in high biological value protein consumed and appeared to be derived predominantly from carbohydrate food (mean kcal/kg, 37 2 6.9; mean protein g/kg, 0.96 2 0.19; ratio of HBV protein to total protein consumed, .42 ? .09). In summary this study showed suboptimal energy and protein intake in an MHD population. Intakes were further compromised on dialysis days, and with increasing time spent on dialysis, the quality of nutrient intake became poorer. o 1999 by the National Kidney Foundation, Inc.
Nutritional Status, Dietary Practices and Biochemical Parameters of Hemodialysis Patients in Riyadh
Journal of High Institute of Public Health
Background: Malnutrition is an evident problem in 40-50% of patients with end-stage renal disease (ESRD). Aim: The aim of the present study was to assess the nutritional status and dietary practices of maintenance hemodialysis patients at Prince Salman Center for Kidney Diseases in Riyadh (PSCKD). Subjects and methods: A cross-sectional study was conducted in (PSCKD) for 120 hemodialysis patients who agreed to participate in the study. Malnutrition score was used to quantify the degree of malnutrition. Two parameters from anthropometric and clinical manifestation data were used. Dietary practice score was measured. Results: the data showed that 79.2% of cases had normal nutritional status, while only 6.7% had moderate malnutritional status. Only 18.3% of them had good dietary practices while 65% had fair level. In patients with normal nutritional status, the body mass index (BMI) (29.57±10.34 vs. 17.19±1.80), mean weight (70.38±15.98 vs. 48.04±9.66), dry weight (68.537±15.55 vs.46.188±7.93), mean albumin (35.50±3.63 vs. 35.07±4.06) and low density cholesterol (1.94±1.10vs1.25±0.52) were significantly higher than in moderately malnourished patients. In patients with normal nutritional status, the mean body height (154.67±9.47vs. 162.63±9.87), mean urea level (64.16±18.65 vs. 67.14±22.90) and mean creatinine level (750.94±271vs.926.63±358.79) were significantly lower than in moderately malnourished patients. Patient' age, marital status were significant predictors for nutritional status. Patients aged > 50 years had 8 times the chance to develop malnutrition compared to those < 50 years. Single patients had 11 times the chance of getting malnutrition compared to married. These differences were statistically significant. (OR=8.213, 11.158, P=0.014, 0.011) respectively. Conclusion: Patient and nutrition education must be employed to hemodialysis for recommended dietary needs and for follow up of biochemical parameters.
A Study on Nutritional Intake in Maintenance of Hemodialysis Patients
https://ijshr.com/IJSHR\_Vol.4\_Issue.2\_April2019/IJSHR\_Abstract.0017.html, 2019
Background: When kidneys no longer work, the lives of many individuals with End Stage Renal Disease have been prolonged by dialysis. The most challenging component of dialysis treatment is the need to adhere to a complicated and restrictive dietary regimen. Aim: The present study has been done to assess the nutrient intake of the patients. Methodology: It was a cross-sectional study conducted at Dialysis unit of Yashoda Hospitals, Secunderabad on 100 hemodialysis patients. The tools used for the data collection were Anthropometry, medical information, 24-hr dietary recalls on dialysis day and on non-dialysis day and food frequency. Results: The food intake was evaluated and compared to recommended intake. The mean intake of energy was 1381.33±170.5 kcal/day which is lower than the recommendations; only 61% of RDA was met by the patients. The average protein, fat and carbohydrate intake were also lower than the recommendations. The micronutrients requirements were within the normal range except phosphorus. When compared within the days the intake was high on dialysis day than on non-dialysis day. Conclusion: Hence, it is concluded that, the nutrient intake was less than the recommendations; dietician has an important role in providing nutritional education to the patients to improve the nutrient intake. Keywords: Kidneys, Hemodialysis, Diet, Food intake
DIETARY INTAKE AND NUTRITIONAL STATUS IN HEMODIALYSIS PATIENTS
Irjp, 2019
This study was conducted on 50 CKD-5 patients during the year 2016-17, considered stable from, 3 months of regular dialysis at least 2 times in a week dialysis centre in MLB, Medical College Jhansi. Dietary intake was estimated by 24-hour recall and analysed after 30 days three times the average dietary intake of 1580.5±164 kcal/day; carbohydrate 204.3±19.0 gm/day; lipid, 49.0±4.6 gm/day, protein 54.0±4.8 gm/day. The significant prevalence was observed for the inadequacy of calories intake and other nutrients. Hemodialysis patients had a lower intake of fruit (77%), vegetable (56%) and dairy products (70%) exchange whereas they had normal intake of oils/fats (95%) and sugars/sweets (97%). This study the reveals that the patient suffered from CKD with dialysis phase were observed loss of appetite and inadequate dietary intake than the recommended, lead to malnutrition, susceptible to various life style diseases and high risk of morbidity.
Development of Dietary Guidelines for Persons undergoing Haemodialysis
Food occupies the consciousness of all living beings and it is all the more prominent concern among individuals with chronic illness. This fact can be easily understood by analysing the content of most of the patients' queries to the health care professionals that are centered on dietary intake i.e. what food stuffs they can eat and which all they should avoid. As the result of many restrictions in their dietary intake, they feel a loss of control over life that can lead to poor life satisfaction and depression. Methods: A cross sectional survey was conducted among 50 chronic kidney failure patients those who are undergoing maintenance haemodialysis in the dialysis unit of Kasturba Hospital, using a purposive sampling technique. A semi structured interview schedule was used to assess their knowledge and practice of dietary intake. Results: None of the subjects had a clear view on actual renal diet and 40% believed there is no need of any dietary modifications, 100% believed it is difficult to adhere to dietary restrictions and only 78% practiced some kind of dietary modifications. Based on the identified need, dietary guideline for persons undergoing haemodialysis was developed and validated with the experts.
Knowledge and Practice of Dietary Management in Patient Undergoing Hemodialysis
Indian Journal of Public Health Research & Development, 2020
The kidney plays an essential function in one's body by eliminating nitrogenous waste products. Loss of renal function gives rise to uremia, which is a progressive increase in the level of the metabolites of protein breakdown circulating in the blood 1. Dialysis is a process used to extract a nitrogenous substance from blood and to remove excess water. It usually carried out three times a week for 3-4 hours. During the process, kidneys are not able to get rid of enough waste products and fluid from the blood and body 2. Diet is essential. Patient must have the right amount of protein, fluids, calories,vitamins and minerals each day. Malnutrition is common in dialysis patients and closely related to morbidity. Therefor assessment of nutritional status and nutritional, management of dialysis patients play a central role in every day Nephrological practices 3 Methodology: A descriptive survey design is adopted for this study. The participants were 30 hemodialysis patients who met the inclusion criteria were selected as the sample. The tool was prepared to assess knowledge and practice regarding dietary regulation in hemodialysis patients. Results: The findings shown that majority of the samples (70%) were males, 90% of subjects were not having the history of kidney disease in their family and with regards to the years of having the history of Chronic Kidney Disease (46.7%) were diagnosed to have CKD with less than 6 yrs. According to the level of knowledge regarding dietary management (10%) of the subjects had poor knowledge, (73.3%) of the subjects had average knowledge, (16.7%) of the subjects had good knowledge. With regards to the management of dietary regulation, 50% of patients scored between the ranges 10-13, in their practices were beneficial, and 50% of patients scored between the ranges 13-16 in their practices were non-beneficial. Chi-square test was used to find out the association between the knowledge and practices, and the results showed that there is no statistically significant relationship between knowledge and practices at 0.05 level of significance (P>0.05). Discussion: The purpose of the health care system is to provide quality services, and communication is the best way to gain patients satisfaction. Thus results of this study, shows that there is no relationship between knowledge and practice of hemodialysis patients regarding dietary regulations.
Malnutrition in Chronic Kidney Disease Patients- a Study at a Tertiary Care Hospital
Journal of Medical Sciences, 2022
ABSTRACTObjective To determine the prevalence of malnutrition in patients with chronic kidney disease Materials and MethodsThis descriptive study was conducted at department of Nephrology, Lady Reading HospitalPeshawar from (start date) to (end date). CKD patients aging 20 to 80 years were enrolled and assessed for malnutrition using MNA® Score. Patients with MNA® 0 to 7 were labelled as malnourished. Data was analyzed using SPSS version 23.Results170 CKD patients were enrolled. 118 patients were male and 58 females. Male to female ratio was 2:1. Malnutrition was observed in 65 patients (38.2%). Malnutrition was significantly associated with age of the patient (p = 0.05) and duration of CKD (p = <0.001).ConclusionMalnutrition is a significant finding in CKD patients on haemodialysis. Patients with prolonged illness and advanced age are more likely to have it. CKD patients should be assessed for malnutrition.Key WordsChronic kidney disease (CKD), Malnutrition, Haemodialysis.
Assessment of Nutritional Needs for Patients Undergoing Hemodialysis
Port Said Scientific Journal of Nursing, 2016
Background: Chronic kidney disease (CKD) is a prevalent chronic condition and the incidence of End-Stage Renal Disease (ESRD) is expected to continue to climb in the coming decade. CKD has significant health and a lifestyle implication for those affected, including increased risk of cardiovascular disease, malnutrition and is a public health burden particularly in those patients who progress to end stage renal failure or ESRD. This study aimed to: assess nutritional needs for patients undergoing hemodialysis. A descriptive design was applied in the current study. The study was conducted at hemodialysis department at El-Hussein university hospital in Cairo and at Port Said hospitals disturbed as following, Port Said General Hospital and Port-Fouad General Hospital. A convenience sample of 100 patients undergoing hemodialysis was included. Three tools were used for data collection; Structured interview questionnaire, Dietary assessment questionnaire and Nutritional needs assessment questionnaire. Results of the study revealed that, more than three quarters of studied HD patients (80%) have abnormalities of nutritional parameters and there are a statically significances between sociodemographic variables, some of nutritional needs and dietary habits whereas (p< 0.05). Conclusion: abnormalities of nutritional parameters are over prevalent than expected by analysis of dietary food intake. The current study recommended that, dietetic counseling is very important in HD patients, as well as a reevaluation of the type of dietary protein and energy requirements.
GSC Advanced Research and Reviews, 2020
Assessing dietary habits and nutritional status in patients with end stage kidney disease (ESKD) treated with maintenance hemodialysis (HD) plays a crucial role in the prevention of protein energy malnutrition. The aim of this study was, on one hand, to assess nutritional status and dietary intake of HD patients in comparison with the guidelines recommendations and, on the other hand, to determine the characteristics of those who didn't meet their nutritional needs. In a sample of 156 HD patients (70 women and 86 men), clinical data, anthropometric measurements and two 24 hour dietary recalls were collected to evaluate the nutritional status and dietary intake. The results showed that based on the Body Mass Index (BMI), appropriate nutritional status was reported for only 60.6% of the patients. The mean energy intake was 1904.98 ±592.50 kcal per day, only 16.8% of participants were found compliant regarding the recommended intake of energy density; about 33 % met the recommended minimum of 1.2g/kg of protein per day and only 36.5% have adequate fiber consumption. The protein and energy density were negatively correlated with age, BMI and waist circumference. No patients achieved the recommendations concerning the saturated fat intake. In conclusion, the study data report that a high proportion of dialysis patients did not meet current renal specific dietary requirements and that the diet quality is considered poor. These results call the attention to individual dietetic counseling and promotion of a global dietary approach in hemodialysis patients in order to improve clinical outcomes and the quality of life of chronic kidney patients.
NUTRITIONAL STATUS ASSESSMENT OF HEMODIALYSIS PATIENTS AT REHMAN MEDICAL INSTITUTE PESHAWAR
A study was conducted to assess the nutritional status of hemodialysis patients visiting Rehman Medical Institute, Peshawar. A total of 66 subjects from both sexes having mean age 49.61±15.28 years undergoing hemodialysis were enrolled for the study. Information regarding disease history and associated comorbidities were collected from patient's files. Nutritional status was assessed by anthropometric measurements using body mass index (BMI). The biochemical results including kidney profile, serum electrolytes and hemoglobin were recorded from the patient's files. Dietary data was obtained by using 24-hour dietary recall and food frequency questionnaire. The results indicated that age, familial predisposition, hypertension, diabetes and heart disease increased the risk for renal failure. Renal failure was more prevalent among male than in female. Actual intake of calories, protein, fats and minerals was lower than the recommended intake for hemodialysis patients. More than 50 percent of patient on hemodialysis were at risk of malnutrition. Malnutrition was related to low nutrient intake. This study suggests that assessment of nutritional status and nutritional management of hemodialysis patients play a central role in preventing malnutrition.