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Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 23-27

Evaluation of nutritional status among patients undergoing hemodialysis: A single-center study

1 Dietician, Dietetics and Food Service Management, Kapoor's Kidney and Urostone Centre Pvt. Ltd., Chandigarh, India
2 Senior Consultant Nephrologist, Max Super Specialty Hospital, Mohali, Punjab, India

Correspondence Address:
Dr. Gurvinder Randhawa
Dietetics and Food Service Management, Kapoor's Kidney and Urostone Centre Pvt. Ltd., Sector 46D, Chandigarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jrnm.jrnm_19_19

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Background: Protein–energy malnutrition (PEM) is a highly prevalent problem affecting the survival of hemodialysis (HD) patients. This study evaluated the nutritional status of HD patients using various assessment methods. Methods: Nutritional status of HD patients was evaluated using assessment tools such as 3-day diet recall, subjective global assessment (SGA), and biochemical and anthropometric measurements. Further, correlation analysis was performed between nutritional marker (serum albumin) and other study variables such as hemoglobin (Hb), protein–calorie intake, and type of diet consumed by the patients. Results: Data from 40 adult patients (aged 22–74 years) on HD were analyzed. The results of our study showed the overall good nutritional status of HD patients. According to SGA ratings, majority of the patient population (82%) was in well-nourished state. Despite lower intake of proteins and calories, serum albumin levels were found to be within normal limits. No significant correlation was found between serum albumin levels and other study parameters, namely, protein intake/kg body weight (BW)/day (r = 0.056, P = 0.73), calorie intake/kg BW/day (r = −0.053, P = 0.74), and Hb levels (r = 0.27, P = 0.18). However, body mass index showed moderately positive correlation with triceps skinfold (r = 0.35, P = 0.03). Further, no significant relationship was observed between the type of diet consumed and serum albumin levels (P > 0.05). Conclusion: The results suggest overall good nutritional status and absence of relationship between nutritional marker, serum albumin, and PEM in HD patients.

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