NUTRITIONAL STATUS AND INTAKE PATTERN IN A GROUP OF ESRD SPANISH PATIENTS

Abstract

The nutritional status of the ESRD patients is a crucial issue in the disease progression, that´s the reason why the patient nutritional education is so important.Our objective is to evaluate the change in the nutritional status in a group of ESRD patients after a personalized nutritional education program. Method Longitudinal case study of 103 patients who took part in a nutritional educational program over six months (personalized diet, education and oral supplementation). Results: See below Table 1.: Table 1 WELL-NOURISHED UNDERNOURISHED Before After Before After N(%) 58,3% 79,6% 41,7% 20,4% Albumin (g/dl) 3,79±0,2 3,79±0,3 3,3±0,5 3,5±0,4⁎ Prealbumin (mg/dl) 32,86±5,2 33,85±5,6 28,1±5,2 28,6±3,3 Potassium 4,8±0,7 4,6±0,4* 4,8±0.67 4,6±0,5 Cholesterol (mg/dl) 181,6±50,72 167,02±41,02* 177,37±38,8 175,1±37,1 Energy intake (kcal) 1859,0±324,1 1571,5±219** 1794,1±482,1 1797,7±414,3 Protein intake(g) 69,7±15,3 55,6±12,8, ** 69,7±18,3 54,26±10,6, ** Weight (kg) 77,5±12,3 74,2±11, ** 65,7±13,9 65,6±12,4 BMI 29,3±4,5 28,1±4,1, ** 25,76±5,17 25,75±4,6 Conclusion: The undernourished patients percentage (reflected by the albumin and prealbumin increase) decrease after the nutritional program. The well-nourished patients drop his weight and protein intake