J Korean Diet Assoc.  2017 Feb;23(1):1-13. 10.14373/JKDA.2017.23.1.1.

A Prospective Study on Nutritional Status and Nutrient Intake of Hemodialysis Patients Based on Coexistence of Diabetes

• Oh YS
• Ann JY
• Kim MH
• Choe SJ
• Jeong JC

• KMID: 2370995
• DOI: http://doi.org/10.14373/JKDA.2017.23.1.1

Abstract

It is well known that malnutrition is a predictor of mortality in hemodialysis patients. The number of diabetic nephropathy patients is increasing rapidly. This study aimed to investigate nutritional status and nutrient intake according to the presence of diabetes among hemodialysis patients. The nutritional intake and general characteristics of outpatients at Ajou University Hospital (24 with diabetes and 30 without diabetes) were investigated between July and September 2015. Patients' general data were collected, and nutritional status by Patient-Generated Subjective Global Assessment (PG-SGA) was evaluated. Nutrient intakes were assessed according to 3-day food records. There was no significant difference regarding body weight between the two groups. However, the non-diabetic group showed a better nutritional status by Patient-Generated Subjective Global Assessment (PG-SGA) (5.2±4.4 vs. 8.0±4.3 score, non-diabetics vs. diabetics, P<0.05). There was no difference in daily calorie intake (1,473.9±370.5 vs. 1,503.8±397.5 kcal) and protein intake (60.3±19.7 vs. 65.6±20.5 g) in those with diabetes. Intakes of vegetables protein, sodium, potassium, vitamin C, folic acid and fiber were significantly higher in the diabetic group compared to those of the non-diabetic group. There was no difference in daily nutrient intake between the hemodialysis weekday and weekend groups. The non-diabetic group had higher calorie and sodium intakes per meal in the hemodialysis weekday group, but the difference was not significant. Based on these results, intervention should be performed to improve nutritional status in consideration of diabetes and dietary patterns.

Keyword

hemodialysis patient; nutritional status; 3-day food records; diabetes mellitus

MeSH Terms

Ascorbic Acid
Body Weight
Diabetes Mellitus
Diabetic Nephropathies
Folic Acid
Humans
Malnutrition
Meals
Mortality
Nutritional Status*
Outpatients
Potassium
Prospective Studies*
Renal Dialysis*
Sodium
Vegetables
Ascorbic Acid
Folic Acid
Potassium
Sodium