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Analysis of nutrition and nutritional status of haemodialysis patients
Rocz Panstw Zakl Hig. 2018; 69(2):165-174.RP

Abstract

Background

Chronic kidney disease (CKD) is a common disease of civilization where nutrition is part of the treatment. Diet therapy is difficult as it is necessary to control the intake of: energy, protein and minerals – Na, K, Ca and P in the daily food rations (DFR).

Objective

The aim of the study was to assess the nutritional status and diets of haemodialysis (HD) patients.

Material and method

The study involved 141 haemodialysis patients, at the average age of 65.9. The patients were divided into groups taking into consideration their sex and diagnosis for diabetes. The information on the diets were collected using a 7-day dietary recall. In the DFRs the amount of energy and 22 nutrients were calculated. Obtained results were compared with requirements for HD patients.

Results

Appropriate nutritional status (measured with BMI) was reported for majority of women (70.6%) and almost half of men, however, excessive weight was recognized in every third female patient and more than half male patients, and type I obesity was noted in 7.8% of men. The analysis of the results showed that diets of all examined patients were deficient in energy and protein (except women with diabetes), whereas the consumption of fat was appropriate in both groups of women. The recommendations with respect to the amount of cholesterol were met but dietary fibre was too low. Intake of vitamins B1, D, C, folates and Ca and Mg was lower and intake of vitamin B12 was higher than recommended.

Conclusions

Assessment of the coverage of the demand on nutrients in HD patients should not be based on the analysis of their nutritional status (BMI) only but also on the analysis of diets, especially in case of diabetes.

Authors+Show Affiliations

West Pomeranian University of Technology in Szczecin, Faculty of Food Sciences and Fisheries Department of the Fundamentals of Human Nutrition, Szczecin, PolandWest Pomeranian University of Technology in Szczecin, Faculty of Food Sciences and Fisheries Department of the Fundamentals of Human Nutrition, Szczecin, PolandWest Pomeranian University of Technology in Szczecin, Faculty of Food Sciences and Fisheries Department of the Fundamentals of Human Nutrition, Szczecin, PolandWest Pomeranian University of Technology in Szczecin, Faculty of Food Sciences and Fisheries Department of the Fundamentals of Human Nutrition, Szczecin, PolandWest Pomeranian University of Technology in Szczecin, Faculty of Food Sciences and Fisheries Department of the Fundamentals of Human Nutrition, Szczecin, Poland

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29766695

Citation

Bogacka, Anna, et al. "Analysis of Nutrition and Nutritional Status of Haemodialysis Patients." Roczniki Panstwowego Zakladu Higieny, vol. 69, no. 2, 2018, pp. 165-174.
Bogacka A, Sobczak-Czynsz A, Kucharska E, et al. Analysis of nutrition and nutritional status of haemodialysis patients. Rocz Panstw Zakl Hig. 2018;69(2):165-174.
Bogacka, A., Sobczak-Czynsz, A., Kucharska, E., Madaj, M., & Stucka, K. (2018). Analysis of nutrition and nutritional status of haemodialysis patients. Roczniki Panstwowego Zakladu Higieny, 69(2), 165-174.
Bogacka A, et al. Analysis of Nutrition and Nutritional Status of Haemodialysis Patients. Rocz Panstw Zakl Hig. 2018;69(2):165-174. PubMed PMID: 29766695.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Analysis of nutrition and nutritional status of haemodialysis patients AU - Bogacka,Anna, AU - Sobczak-Czynsz,Anna, AU - Kucharska,Elżbieta, AU - Madaj,Małgorzata, AU - Stucka,Katarzyna, PY - 2018/5/17/entrez PY - 2018/5/17/pubmed PY - 2018/8/21/medline KW - chronic kidney disease KW - haemodialysis KW - nutrition KW - nutritional status SP - 165 EP - 174 JF - Roczniki Panstwowego Zakladu Higieny JO - Rocz Panstw Zakl Hig VL - 69 IS - 2 N2 - Background: Chronic kidney disease (CKD) is a common disease of civilization where nutrition is part of the treatment. Diet therapy is difficult as it is necessary to control the intake of: energy, protein and minerals – Na, K, Ca and P in the daily food rations (DFR). Objective: The aim of the study was to assess the nutritional status and diets of haemodialysis (HD) patients. Material and method: The study involved 141 haemodialysis patients, at the average age of 65.9. The patients were divided into groups taking into consideration their sex and diagnosis for diabetes. The information on the diets were collected using a 7-day dietary recall. In the DFRs the amount of energy and 22 nutrients were calculated. Obtained results were compared with requirements for HD patients. Results: Appropriate nutritional status (measured with BMI) was reported for majority of women (70.6%) and almost half of men, however, excessive weight was recognized in every third female patient and more than half male patients, and type I obesity was noted in 7.8% of men. The analysis of the results showed that diets of all examined patients were deficient in energy and protein (except women with diabetes), whereas the consumption of fat was appropriate in both groups of women. The recommendations with respect to the amount of cholesterol were met but dietary fibre was too low. Intake of vitamins B1, D, C, folates and Ca and Mg was lower and intake of vitamin B12 was higher than recommended. Conclusions: Assessment of the coverage of the demand on nutrients in HD patients should not be based on the analysis of their nutritional status (BMI) only but also on the analysis of diets, especially in case of diabetes. SN - 0035-7715 UR - https://www.unboundmedicine.com/medline/citation/29766695/Analysis_of_nutrition_and_nutritional_status_of_haemodialysis_patients L2 - http://wydawnictwa.pzh.gov.pl/roczniki_pzh/download-article?id=1234 DB - PRIME DP - Unbound Medicine ER -