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ABSTRACT
Year : 2018  |  Volume : 4  |  Issue : 4  |  Page : 113

Use of nutritional supplements in end-stage kidney disease patients on maintenance hemodialysis


1 Dietician, Department of Nutrition, SVT College of Home Sciences, Mumbai, Maharashtra, India
2 Director, Department of Nephrology, Global Hospital, Mumbai, Maharashtra, India

Date of Web Publication19-Sep-2019

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrnm.jrnm_29_19

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How to cite this article:
Shinde D, Patel Z, Shah B. Use of nutritional supplements in end-stage kidney disease patients on maintenance hemodialysis. J Renal Nutr Metab 2018;4:113

How to cite this URL:
Shinde D, Patel Z, Shah B. Use of nutritional supplements in end-stage kidney disease patients on maintenance hemodialysis. J Renal Nutr Metab [serial online] 2018 [cited 2019 Oct 21];4:113. Available from: http://www.jrnm.in/text.asp?2018/4/4/113/267199




  Introduction Top


Protein-energy malnutrition is common in patients with end-stage kidney disease (ESKD) on maintenance hemodialysis due to multiple factors. The aim of the study was to evaluate the palatability and the effect of oral nutritional supplementation on nutritional status as assessed from anthropometry and biochemical parameters.


  Methods Top


The study comprised 20 patients from the Dialysis Department of Global Hospital, Mumbai. All the variants were comparable (age, etiology, body mass index [BMI], and albumin). These patients were randomly assigned to treatment and control groups. A detailed questionnaire was used to obtain details regarding personal information, food frequency, and 24-h diet recall. Anthropometry and biochemical parameters were also recorded. Patients in the treatment group were advised to supplement along with their regular routine diet for 3 months. Patient's nutritional status was evaluated at the beginning, during, and at the end of the study period. Analysis was performed using SPSS software (version 16.0, 2007, SPSS Inc., Chicago, IL, USA). A P < 0.05 was considered statistically significant.


  Results Top


The results demonstrated that the patients on hemodialysis were malnourished. Of the total patients, 55% showed mild-to-moderate malnutrition as per the subjective global assessment. The patients who received supplementation achieved their nutritional needs. Their BMI increased, and later, it was stable, whereas the control group showed a drop in BMI over the study period. Improvement was also seen in serum albumin levels in the treatment group.


  Conclusion Top


The study shows that oral nutritional supplementation in ESKD patients on maintenance hemodialysis improves the nutritional status of the patients. A longer study is necessary to confirm the results of this short-term study.






 

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