Nutritional Indicators and Some Related Factors in Hemodialysis Patients Referred to Hospitals Covered by Alborz University of Medical Science, Summer 91

Abstract

Background: Protein-energy malnutrition is one of the most complicated, multifactorial and prevalent phenomenon in hemodialysis patients and is directly related to increased mortality in this patients. This research conducted for assessment of nutritional indicators and some related factors in hemodialysis patients referred to hospitals covered by Alborz University of medical science in summer 91. Methods: This cross-sectional study was conducted on 210 hemodialysis patients. Anthropometry indicators (BMI, TSF, MAMC and MAC), biochemical parameters (albumin and creatinin), protein and energy intake was measured with 24-hour recall. FP ΙΙ and SPSS (version 12) was used for analysis of data. Results: On the base of results insufficiency of energy and protein intake in this patients was reported very high (respectively 93.8% and 82.8%). Also depletion of fat and structural protein storage was reported 38.2% and 84.5% respectively in these patients. Malnutrition on the base of MAMC was high in men (P=0.04) and on the base of TSF in women (P= 0.001) significantly. Relation of age with anthropometry indicators and albumin was also significant. Conclusion: Malnutrition is prevalent and severe problem in hemodialysis patients. Comprehensive and continues assessment of nutritional states of these patients and reflection of results for education and facility of servicing are recommended.

Keywords

• Albumin
• Hemodialysis
• Malnutrition
• MAMC