Nutritional assessment concerning anthropometric, demographic, and food frequency questionnaires of hemodialysis patients in Sargodha, Pakistan
Main Article Content
Keywords
Abstract
Hemodialysis is a process in which the blood is resected using a dialysis apparatus and a specific strainer known as dialyzer. Poor nutritional status is common among hemodialysis patients, but only a few studies are found on how hemodialysis is affected by other factors in the local environment. The aim of this study was to find out hemo-dialysis patients’ nutritional status and the factors that influence it. A total of 100 hemodialysis individuals (50 patients and 50 volunteers) was enrolled in this study. Anthropometry and biochemical assays, as well as nutrition assessments, were used as additional evaluation methods. According to multiple linear regression analysis, malnutrition is linked to older age, poor and lean body mass, and higher body mass index. Factors, such as interdialytic weight gain, insufficient calorie and protein consumption, and existence of morbidities, are considered along with inflammation. This study was performed at various hospitals of Sargodha district in Pakistan. Various variables of hemodialysis patients’ poor nutritional status are changeable, and these must be considered when developing and implementing effective intervention programs for this vulnerable group. Nutritional health status of hemodialysis patients was evaluated using Food Frequency Questionnaire (FFQ), concerning multiple factors, such as demographics, anthropometrics, body composition, vital signs, clinical manifestations, dietary intake, edema on the feet, triceps skin fold thickness, mild arm circumference, hand grip strength, and micronutrients. FFQs showed the overall effect of hemodialysis. Further statistical calculations and studies were conducted using SPSS, Minitab 8.1 for descriptive analysis tests for demographic features, and analysis of variance ANOVA.
References
Araujo D., Davids K. and Hristovski R. 2006. The ecological dynamics of decision making in sport. Psychol. Sport and Exercise. 7(6): 653–676. 10.1016/j.psychsport.2006.07.002
Bogacka A., Sobczak-Czynsz A., Kucharska E., Madaj M. and Stucka K. 2018. Analysis of nutrition and nutritional status of hemodialysis patients. Rocz Panstw Zakl Hig. 69(2): 165–174. http://wydawnictwa.pzh.gov.pl/roczniki_pzh/
Bossola M.D.S.E., Viola A., Leo A., Carlomagno G., Monteburini T., Cenerelli S., Santarelli S., Boggi R., Miggiano G., Vulpio C., Mele C. and Tazza L. 2014. Dietary intake of trace elements, minerals, and vitamins of patients on chronic hemodialysis. Int Urol Nephrol. 46: 809–815. 10.1007/s11255-014-0689-y
Birajdar N., Anandh U., Premlatha S. and Rajeshwari G. 2019. Hand grip strength in patients on maintenance hemodialysis: An observational cohort study from India. Indian J Nephrol. 29(6): 393–397. 10.4103/ijn.IJN_251_18
Cases A. and Coll E. 2002. Chronic hypotension in the dialysis patient. J Nephrol. 15(4): 331–335.
Stevenson, J., Tong, A., Campbell, K.L., Craig, J.C. and Lee, V.W. 2018. Perspectives of healthcare providers on the nutritional management of patients on haemodialysis in Australia: an interview study. 10.1136/bmjopen-2017-020023
Dai L., Mukai H., Lindholm B., Heimbürger O., Barany P., Stenvinkel P. and Qureshi A.R. 2017. Clinical global assessment of nutritional status as a predictor of mortality in chronic kidney disease patients. PLoS One. 12(12): 1–17. 10.1371/journal.pone.0186659
El-dien A.E.D., Kotb M. and Eldeen H.M.M. 2019. Prevalence of malnutrition in hemodialyzed chronic renal failure patients and its relation with the patient outcome. 30(3): 46–50.
Fiaccadori E., Sabatino A., Barazzoni R., Carrero J.J., Cupisti A., De Waele E., Jonckheer J., Singer P. and Cuerda C. 2021. ESPEN guideline on clinical nutrition in hospitalized patients with acute or chronic kidney disease. Clin Nutrit. 40(4): 1644–1668. 10.1016/j.clnu.2021.01.028
Gibson R.S. 1990. Assessment of iron status. In: Principles of nutritional assessment, 2nd edition. Oxford University Press, New York, NY, pp. 349–376.
Kim M.S. and Lee Y.S. 2005. Effects of soy isoflavone and/or estro gen treatments on bone metabolism in ovariectomized rats. J. Med. Food. 8(4): 439–445. 10.1089/jmf.2005.8.439
Kramer H., Jimenez E.Y., Brommage D., Vassalotti J., Montgomery E., Steiber A. and Schofield M. 2018. Medical nutrition therapy for patients with non–dialysis-dependent chronic kidney disease: barriers and solutions. J Acad Nutr Diet. 118(10): 1958–1965. 10.1016/j.jand.2018.05.023
Lim H.-S., Kim H.-S., Kim J.K., Park M. and Choi S.J. 2019. Nutritional status and dietary management according to hemodialysis duration. Clin Nutr Res. 8(1): 28. 10.7762/cnr.2019.8.1.28
Magnani R. 1997. Sampling guide: Food and nutrition technical assistance project (FANTA). Academy for Educational Development, Washington, DC, 46 p.
Mahmood S. and Butt M.S. 2011. Vitamin A fortification; indispensable during pregnancy and lactation: Efficacy studies of vitamin A fortified cookie in pregnant and lactating women. LAP LAMBERT Academic Publishing, Saarbrücken, Germany. ISBN-13: 978-3-8443-3223-0
Moussa H.D., Tondi Z.M.M., Kane Y., Sani M.A.M., Abdou I., Touré I., Illa A. and Omar A.E. 2016. Assessing the nutritional status of hemodialysis patients in sub-Saharan Africa: experience of two hemodialysis centers in Niger. Open J Nephro. 06(04): 161–166. 10.4236/ojneph.2016.64021
Perlman R.L, Finkelstein F.O, Liu L, et al. 2005. Quality of life in chronic kidney disease (CKD): a cross-sectional analysis in the Renal Research Institute-CKD study. Am J Kidney Dis. 45: 658–666. 10.1053/j.ajkd.2004.12.021
Phosphorus P. and Fluid S. n.d. Diet for hemodialysis. April 2022, 1–12.
Quddoos M.Y., Mahmood S., Yaqoob M., Murtaza M.A., Zahra S.M., ud Din G.M. and Mustafa S. 2022. The effects of natural and synthetic calcium utilization on quality parameters of cookies. Appl Food Res. 2(1): 100093. 10.1016/j.afres.2022.100093
Rachida M, Mohamed M, Mohammed El Ayachi and Rekia B. 2020. Assessment of nutritional status, dietary intake, and adherence to dietary recommendations in hemodialysis patients. GSC Adv Res Rev. 3(2): 9–019. 10.30574/gscarr.2020.3.2.0030
Rizvi, N., & Baig, M. (2020). Nutritional status of patients on maintenance hemodialysis as assessed by mini nutritional assessment survey-short form and anthropometric measurements. Pakistan J Kidney Diseases. 4(2): 249–253. 10.53778/pjkd4268
Sahathevan S., Khor B.H., Ng H.M., Gafor A.H.A., Daud Z.A.M., Mafra D. and Karupaiah T. 2020. Understanding development of malnutrition in hemodialysis patients: a narrative review. Nutrients. 12(10): 1–30. (MDPI AG) 10.3390/nu12103147
Steel R.G.D., Torrie J.H. and Dickey D.A. 1997. Principles and procedures of statistics: A biometrical approach, 3rd edition. McGraw Hill, New York, NY.
Stern A., Sachdeva S., Kapoor R., Singh J. and Sachdeva S. 2014. High blood pressure in dialysis patients: cause pathophysiology, influence on morbidity, mortality, and management. J Clin Diag Res (JCDR). 8(6): ME01. 10.7860/JCDR/2014/8253.4471
Stevenson J., Tong A., Campbell K.L., Craig J.C., Lee V.W. 2018. Perspectives of healthcare providers on the nutritional management of patients on hemodialysis in Australia: an interview study. BMJ Open. 8(3): e020023. 10.1136/bmjopen-2017-020023
United States Renal Data System (USRDS). 2014. Annual data report: epidemiology of kidney disease in the United States. usrds.org [online]. Available at: http://www.usrds.org/adr.aspx.
United States Renal Data System (USRDS). 2018. Annual data report: Atlas of chronic kidney disease and end-stage renal disease in the United States. National Institutes of Health, National Institue of Diabetes and Digestive and Kidney Disease, Bethesda, MD. Available at: https://www.usrds.org/2018/view/v2_01.aspx (accessed September 5, 2019).
Visiedo L., Rey L., Rivas F., López F., Tortajada B., Giménez R. and Abilés J. 2022. The impact of nutritional status on health-related quality of life in hemodialysis patients. Sci Rep. 12(1): 3029. 10.1038/s41598-022-07055-0
Wardani N.W.S., Budiyasa D.G.A., Sudhana I.W. and Widiana I.G.R. 2019. Nutritional status using ISRNM criteria and MIS of chronic hemodialysis patients at Sanjiwani Gianyar General Hospital. J Phy Conf Ser. 1157(4): 42132. 10.1088/1742-6596/1157/4/042132
Wolfson M. and Strong C. 1996. Assessment of nutritional status in dialysis patients. Adv Renal Replac Ther. 3(2): 174–179. 10.1016/S1073-4449(96)80058-6
Yoke Mun C., Mohd Shariff Z., Lim Thiam Seong C. and Bak Leong G. 2019. Factors associated with poor nutritional status among hemodialysis patients in Malaysia. Mal J Med Health Sci 15(SP1): 77–83.
Žulič H. and Marentič V.M. 2016. Assessment of the nutritional status of dialysis patients in dialysis center Novo Mesto. Clin Nutrit ESPEN. 14: 46. 10.1016/j.clnesp.2016.04.010
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Agreement with Authors
Before publication, after the acceptance of the manuscript, Authors have to sign a Publication Agreement with "Italian Journal of Food Science", granting and assigning to "Italian Journal of Food Science" the perpetual right to distribute the work free of charge by any means and in any parts of the world, including the communication to the public through the journal website.
License for Published Contents
http://creativecommons.org/licenses/by-nc-nd/4.0/