Characteristics in Nutritional Status of Patients on Hemodialysis and Continuous Ambulatory Peritoneal Patients in Chonbuk Area.
- Author:
Seon Hyeong KIM
1
;
Sook Bae KIM
Author Information
1. Department of Food Science and Human Nutrition, Chonbuk National University, Jeonju, Korea.
- Publication Type:Original Article
- Keywords:
dialysis;
malnutrition;
hemodialysis;
continuous ambulatory peritoneal dialysis;
nutritional assessment
- MeSH:
Arm;
Dialysis;
Dietary Proteins;
Humans;
Incidence;
Jeollabuk-do*;
Kidneys, Artificial;
Lymphocytes;
Malnutrition;
Nutrition Assessment;
Nutritional Status*;
Peritoneal Dialysis, Continuous Ambulatory;
Prevalence;
Renal Dialysis*;
Serum Albumin;
Skin;
Transferrin
- From:The Korean Journal of Nutrition
2003;36(4):397-404
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The present study was designed to compare the nutritional status of hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) patients. Subjects were 58 HD patients (male/female = 29/29) and 33 CAPD patients (male/female=23/10) undergoing dialysis treatment in Artificial Kidney Unit of Chonbuk National University Hospital. For nutritional assessment, %IBW (ideal body weight), %TSF (tricep skin fold), %MAC (mid arm circumference), %MAMC (mid arm muscle circumference), serum albumin, serum transferrin, TLC (total lymphocyte count), SGA (subjective global assessment) and estimated energy and protein intakes by 1-month food frequency method were used. Between HD and CAPD group, mean age (50+/-12 vs. 52+/-12 yr), dialysis durations (37+/-36 vs. 30+/-26 mon), dietary energy intakes (28.3+/-9.0 vs. 28.8+/-8.6 kcal/kg/day), dietary protein intakes (1.1+/-0.4 vs. 1.2+/-0.3 g/kg/day) and incidence of co-morbid conditions (69.0% vs. 69.7%) were not significantly different. Data by using SGA showed a higher incidence of malnutrition in CAPD patients (45.6%) than in HD patients (36.2%). %IBW (p<0.001), %TSF (p<0.001) and %MAC (p<0.001) were higher in CAPD patients than were in HD patients. But serum albumin (p<0.001) and transferrin (p<0.001) were significantly lower in CAPD patients than were in HD patients. A higher incidence of malnutrition was shown in CAPD Patients than in HD Patients due to different dialysis type. A significant finding was that CAPD showed protein deficient malnutrition and HD did calorie deficient malnutrition. It suggests that an adequate dietary intake considering dialysis type prevents a prevalence of malnutrition.
