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ABSTRACT
Year : 2018  |  Volume : 4  |  Issue : 4  |  Page : 118

Fluid and nutrition assessment in hemodialysis patients: A comparative study


1 Paramedic Staff, Dialysis Center, Apex kidney Care Hospital, Mumbai, Maharashtra, India
2 Director, Dialysis Center, Apex kidney Care Hospital, Mumbai, Maharashtra, India
3 Consultant, Dialysis Center, Apex kidney Care 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_32_19

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How to cite this article:
Rachana, Rajesh K, Paras D, Virendra G, Shah MA, Kothari J, Viswanath B, Shrirang B. Fluid and nutrition assessment in hemodialysis patients: A comparative study. J Renal Nutr Metab 2018;4:118

How to cite this URL:
Rachana, Rajesh K, Paras D, Virendra G, Shah MA, Kothari J, Viswanath B, Shrirang B. Fluid and nutrition assessment in hemodialysis patients: A comparative study. J Renal Nutr Metab [serial online] 2018 [cited 2019 Dec 13];4:118. Available from: http://www.jrnm.in/text.asp?2018/4/4/118/267202




  Background Top


Dialysis patients are highly prone to fluctuations in fluid status. Protein-energy malnutrition and muscle wasting are important, under-recognized, and complex problems in the end-stage renal disease and dialysis population. Clearly, we need better ways to measure, define, and stratify these patients in clinical practice and find more effective ways to treat them.


  Aim Top


The main aim of this study was to compare the dry weight obtained by machines with dry weight established by a senior technician and a dialysis physician. The secondary aim was to compare nutritional status obtained by machines with that from dialysis malnutrition score (DMS) score assessed by renal dietician.


  Methods Top


Forty-three patients undergoing thrice a week hemodialysis were subjected to body composition analysis through three different machines pre- and post-dialysis. All the three machines were functioning on multi-frequency bioelectrical impedance analysis. The dry weight obtained through machines was compared with that given by senior dialysis technician and dialysis physician. DMS grade analyzed by renal dietitian was compared with the nutritional status (muscle mass and fat mass) obtained through three machines.


  Results Top


The dry weight observed postdialysis was comparable across all the study groups. The DMS grades provided by the DMS scale were superior in analyzing nutritional status dialysis as it encompasses several issues like change in food intake, type of diet intake - liquid diet/semi-solid diet/solid diet, etc., comorbidities and dialysis vintage which are not present in bioelectrical impedance machines.


  Conclusion Top


The clinical assessment provides a near-accurate estimation of dry weight as well as nutritional status.






 

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Background
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