DIETARY INTERVENTION AND PROTEIN SUPPLEMENTATION IN CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS

Authors

  • Cheenam B Fortis Escorts HospitalLovely Professional University
  • Leena P

Abstract

ABSTRACT
Objective: The present study was conducted with the aim to assess and analyze the nutritional status of patients (>30yrs) undergoing haemodialysis.
Method: 50 subjects were enrolled in the study (32 males and 18 females). Various biochemical parameters such as Sodium, Potassium, Creatinine,
Phosphorus, Albumin etc along with amount of calorie and protein intake were compared pre and post nutritional counseling and protein
supplementation for 30 days during ongoing haemodialysis.
Result: Short term implication showed a significant statistical difference in the biochemical parameters. Adequate dietary counseling along with oral
nutritional supplementation given during haemodialysis improved the nutritional status of malnourished Chronic Kidney Disease patient. About 81%
of the patients showed proficient response whereas the remaining 18% showed a moderate improvement in their nutritional status.
Conclusion: Patients undergoing haemodialysis commonly develop protein-energy malnutrition which is associated with poor survival. Special
nutritional care is required for the dialysis patient to improve the net protein anabolism.
Keywords: Hemodialysis, Protein, Chronic kidney disease, Nutritional status, Malnutrition.

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Author Biography

Cheenam B, Fortis Escorts HospitalLovely Professional University

PhD Scholar, Sr. Dietitian

References

REFERENCES

Zeier M. Risk of mortality in patients with end-stage renal disease: The role of malnutrition and possible therapeutic implications. Horm Res 2002;58 Suppl 3:30-4.

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National Kidney Foundation. Kidney disease outcomes quality initiative

Fig. 1: The increase in the calorie intake and comparison to the ideal requirement

Fig. 2: The increase in the protein intake and comparison to the ideal requirement

Table 2: Depicting the macronutrient requirements for the HD patients[16]

Macronutrients and fiber

DPI

2 g/kg/day (at least 50% of high biological value)

DEI

Kcal/kg/day

Total fat

-30% of total energy intake

Carbohydrates

-55% of total energy intake (especially complex carbohydrates)

Total fiber

-25 g/day

DPI: Dietary protein intake, DEI: Daily energy intake, HD: Hemodialysis

Table 3: Depicting the micronutrient requirement by the HD patients[16]

Minerals and water (range of intake)

Sodium

-2000 mg/day

Potassium

-2750 mg/day

Phosphorus

-1000 mg/day

Calcium

<1000 mg/day

Magnesium

-300 mg/day

Iron

-18 mg/day

Water

Usually 750-1500 ml/day

HD: Hemodialysis

Table 4: Depicting the changes in the anthropometric and biochemical parameters of the subjects

Parameters

Male

Female

Pre

Post

Pre

Post

Body weight (kg)

±4.5

5±4.5

6±3

1±3

BMI (kg/m2)

5±1.5

9±1.5

3±1.5

9±1.5

Sodium

6±0.5

3±0.5

2±0.5

5±0.5

Potassium

8±0.5

5±0.5

1±0.5

9±0.5

Phosphorus

6±0.5

5±0.5

3±0.5

4±0.5

Serum albumin (g/L)

89±0.2

44±0.2

94±0.2

36±0.2

Creatinine (mg/dl)

4±1.5

5±1.5

1±1.2

6±1.2

Cholesterol (mg/dl)

8±45

±45

±45

±45

Triglycerides (mg/dl)

1±50

±50

4±50

6±50

BMI: Body mass index

Asian J Pharm Clin Res, Vol 8, Issue 4, 2015, 230-232

Cheenam and Leena

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Published

01-07-2015

How to Cite

B, C., and L. P. “DIETARY INTERVENTION AND PROTEIN SUPPLEMENTATION IN CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 8, no. 4, July 2015, pp. 230-2, https://mail.innovareacademics.in/journals/index.php/ajpcr/article/view/6581.

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