The nutritional status and nutrition habits in a group of patients with end stage renal failure treated with hemodialysis

Małgorzata Moszak; Marcin Andrzej Kucharski; Ewelina Kondracka; Marain Grzymisławski

doi:10.20883/159

Authors

Małgorzata Moszak Department of Gastroenterology, Human Nutrition and Internal Diseases, Poznan University of Medical Sciences, Poland
Marcin Andrzej Kucharski Department of Gastroenterology, Human Nutrition and Internal Diseases, Poznan University of Medical Sciences, Poland
Ewelina Kondracka Department of Gastroenterology, Human Nutrition and Internal Diseases, Poznan University of Medical Sciences, Poland
Marain Grzymisławski Department of Gastroenterology, Human Nutrition and Internal Diseases, Poznan University of Medical Sciences, Poland

DOI:

https://doi.org/10.20883/159

Keywords:

nutrition, hemodialysis, malnutirion

Abstract

Aim. The aim of the study was to assess the nutritional status and nutrition habits in a group of patients with end stage renal failure treated with hemodialysis.
Material and Methods. The study group consisted of 50 patients treated with hemodialysis, including 16 women and 34 men. The average age of researched patients was 67.02 ± 10.71 years. We used an authorial questionnaire in the research, which contained questions about feeding behavior and nutritional status. In addition, patients underwent anthropometric measurements.
Results. The research revealed that the nutritional status of patients with chronic kidney disease treated with hemodialysis was poor. The supply of energy, carbohydrates, protein and dietary fiber in the studied group were 1583.41 ± 379.55 kcal, 222.68 ± 55.08 g, 63.75 ± 15.25 g and 55.75 ± 18.55 g respectively, which were all below the standard daily requirement. The deficiencies of magnesium, iron and vitamins were also observed. More than half of respondents (52%) ate only 3 meals a day.
Conclusions. The results of research show that both – nutritional state and eating habits of patients were abnormal and deviated from the dietary recommendations for this group of patients. Changes of the nutrition will positively influence the nutritional state of patients, as well as improve their quality and length of life.

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References

Aparicio M, Cano N, Chauveau P, Azar R, Canaud B, Flory A et al. Nutritional status of hemodialysis patients: a French National Cooperative Study. Nephrol Dial Transplant. 1999;14:1679–1686.

Carrero JJ. Identification of patients with eating disorders: clinical and biochemical signs of appetite loss in dialysis patients. J Ren Nutr. 2009;19:10–15.

Kuhlmann MK, Kribben A, Wittwer M, Hörl W. OPTA – malnutrition in chronic renal failure. Nephrol Dial Transplant. 2007;22(suppl 3):13–19.

Stenvinkel P, Heimburger O, Lindholm B, Kaysen GA, Bergström J. Are there two types of malnutrition in chronic renal failure? Evidence for relationships between malnutrition, inflammation and atherosclerosis (MIA syndrome). Nephrol Dial Transplant. 2000;15:953–960.

Kaysen GA. The microinflammatory state in uremia: causes and potential consequences. J Am Soc Nephrol. 2001;12:1549.

Zygmuntowicz M, Olszanecka-Glinianowicz M, Chudek J. Niedożywienie u chorych dializowanych. Nefrologia i Dializoterapia Polska. 2010;4:214–217.

Rutkowski B. Leczenie nerkozastępcze. Lublin: Czelej; 2007; p. 564–566.

Daugirdas JT, Blake PG, Ing Todd S. In: Podręcznik dializoterapii. 2nd ed. Lublin, Czelej 2008; p. 301–304.

Cano N, Aparicio M, Brunori G, Carrero JJ, Cianciaruso B, Fiaccadori E et al. ESPEN Guidelines on Enteral Nutrition: Adult Renal Failure. Clin Nutr. 2009;28:401–414.

Fouque D, Vennegoor M, ter Wee P, Wanner C, Basci A, Canaud B, Haage P, Konner K, Kooman J, Martin-Malo A, Pedrini L, Pizzarelli F, Tattersall J, Tordoir J, Vanholder R. EBPG guideline on nutrition. Nephrol Dial Transplant. 2007;22(Suppl 2):45–87.

Rutkowski B, Małgorzewicz S, Łysiak-Szydłowska W. Grupa Ekspertow: Stanowisko dotyczące rozpoznawania oraz postępowania w przypadku niedożywienia dorosłych chorych z przewlekłą chorobą nerek. Forum Nefrol. 2010;3:138–142.

Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW. Body-mass index and mortality in a prospective cohort of US. adults. N Engl J Med. 1999;341:1097.

Freedman DM, Ron E, Ballard-Barbash R, Doody MM, Linet MS. Body mass index and all-cause mortality in a nationwide US cohort. Int J Obes. 2006;30:822.

Leavey SF, McCullough K, Hecking E, Goodkin D, Port FK, Young EW. Body mass index and mortality in 'healthier' as compared with 'sicker' haemodialysis patients: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS). Nephrol Dial Transplant. 2001;16(12):2386–2394.

Chazot C, Gassia JP, Di Benedetto A, Cesare S, Ponce P, Marcelli D. Is there any survival advantage of obesity in Southern European haemodialysis patients? Nephrol Dial Transplant. 2009;24:2871.

Fleischmann E, Teal N, Dudley J, May W, Bower JD, Salahudeen AK. Influence Of excess weight on mortality and hospital stay in. 1346 hemodialysis patients. Kidney Int. 1999;55:1560.

Kardasz M, Ostrowska L, Stefańska E, Małyszko J. Ocena zawartości wybranych składników mineralnych w dziennych racjach pokarmowych pacjentów hemodializowanych. Problemy Higieny i Epidemiologii. 2011;92(2):272–277.

Morais AAC, Silva MAT, Faintuch J, Vidigal EJ, Costa RA, Lyrio DC et al. Correlation of nutritional status and food intake in hemodialysis patients. Clinics. 2005;60(3):185–192.

Rocco MV, Paranandi L, Burrowes JD, Cockram DB, Dwyer JT, Kusek JW et al. Nutritional status in the HEMO Study cohort at baseline. Hemodialysis.Am J Kidney Dis. 2002;39(2):245–256.

Lou LM, Campos B, Gimero JA, Caverni A, Boned B. Main dietary intake deficits in hemodialysis patients: approach to a health dietary model based on the Mediterranean diet. Nefrologia. 2007;27(1):38–45.

Alshatwi AA, Alshmary A, Al-Khalifa A. Nutritional Assessment of Hemodialysis Patients. Journal of Medical Sciences. 2007;7(2):294–298.

Małgorzewicz S, Lichodziejewska-Niemierko M, Rutkowski R, Łysiak-Szydłowska W. Ocena sposobu żywienia pacjentów z przewlekłą niewydolnością nerek w okresie leczenia nerkozastępczego. Żyw Człow i Metab. 2004;31(3):211–218.

Yasuda G, Shibata K, Takizawa T, Ikeda Y, Tokita Y, Umemura S et al. Prevalence of constipation in continous ambulatory peritoneal dialysis patients and comparison with hemodialysis patients. Am J Kidney Diseases. 2002;39(6):1292–1299.

Kucharska E, Bober J, Bogacka A, Woś M. Ocena żywienia pacjentów z przewlekłą niewydolnością nerek leczonych hemodializą. Bromatologia i Chemia Toksykologiczna. 2008;41:161–167.

Gajewska D, Narojek L, Ostrowska M, Kuczek B. Spożycie wybranych składników mineralnych przez pacjentów ze schyłkową niewydolnością nerek leczonych dializami. Bromat Chem Tooksykol. 2005;Supl.:57–61.

Szpakowska-Wohn A, Kolarzyk E, Lang-Młynarska D, Wójtowicz B. Ocena realizacji zaleceń dietetycznych przez pacjentów ze schyłkową niewydolnością nerek leczonych dializoterapią. Problemy Higieny i Epidemiologii. 2006;87(3):221–227.

Rzeszotarski J, Walasek L, Ligocki P. Analiza spożycia wapnia, fosforu i magnezu w diecie chorych z przewlekłą niewydolnością nerek leczonych hemodializami. J Elementol. 2005;10(4):1009–1016.