Nutritional Status, Dietary Practices and Biochemical Parameters of Hemodialysis Patients in Riyadh

Al-Muammar, May; Fetohy, Ebtisam

doi:10.21608/jhiph.2011.20155

Nutritional Status, Dietary Practices and Biochemical Parameters of Hemodialysis Patients in Riyadh

Document Type : Original Article

Authors

May Al-Muammar ¹
Ebtisam Fetohy ²

¹ Community Health Department, College of Applied Medical Sciences, King Saud University, Saudi Arabia

² Health Administration and Behavioral Sciences department, High Institute of Public Health, Alexandria University, Egypt

10.21608/jhiph.2011.20155

Abstract

Background: Malnutrition is an evident problem in 40-50% of patients with end-stage renal disease (ESRD). Objective: The aim of the present study was to assess the nutritional status and dietary practices of maintenance hemodialysis patients at Prince Salman Center for Kidney Diseases in Riyadh (PSCKD). Methods: A cross-sectional study was conducted in (PSCKD) for 120 hemodialysis patients who agreed to participate in the study. Malnutrition score was used to quantify the degree of malnutrition. Two parameters from anthropometric and clinical manifestation data were used. Dietary practice score was measured. Results: the data showed that 79.2% of cases had normal nutritional status, while only 6.7% had moderate malnutritional status. Only 18.3% of them had good dietary practices while 65% had fair level. In patients with normal nutritional status, the body mass index (BMI) (29.57±10.34 vs 17.19±1.80), mean weight (70.38±15.98 vs 48.04±9.66), dry weight (68.537±15.55 vs 46.188±7.93), mean albumin (35.50±3.63 vs 35.07±4.06) and low density cholesterol (1.94±1.10 vs 1.25±0.52) were ignificantly higher than in moderately malnourished patients. In patients with normal nutritional status, the mean body height (154.67±9.47 vs 162.63±9.87), mean urea level (64.16±18.65 vs. 67.14±22.90) and mean creatinine level (750.94±271 vs 926.63±358.79) were significantly lower than in moderately malnourished patients. Patient' age, marital status were significant predictors for nutritional status. Patients aged > 50 years had 8 times the chance to develop malnutrition compared to those Conclusion: Patient and nutrition education must be employed to hemodialysis for recommended dietary needs and for follow up of biochemical parameters.

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