Naslov
ASSESSMENT OF NUTRITIONAL STATUS AND NUTRITIONAL HABITS IN PATIENTS ON HEMODIALYSIS

Autori
Brake, Lars

Vrsta, podvrsta i kategorija rada
Ocjenski radovi, diplomski rad, diplomski

Fakultet
Medicinski fakultet

Mjesto
Split

Datum
21.07

Godina
2020

Stranica
53

Mentor
Božić, Joško

Ključne riječi
Renal Insufficiency Chronic, Renal Dialysis, Nutritional Status

Sažetak
Objectives: CKD is a pathological condition characterized by a progressive decline of renal function. It frequently results in ESRD which will require HD. The aim of this study was to assess nutritional status and adherence to Mediterranean diet in patients on hemodialysis treatment. Materials and methods: The study included the 55 patients on HD treatment for at least 6 months that were older than 18 years. Venous blood samples were taken for evaluation of laboratory parameters. All study subjects underwent physical examination and anthropometric measuring. In the anamnesis, information regarding dietary habits was taken. During clinical examination, all patients underwent measuring for body fat percentage estimation, BMI, DMS and MIS. The DMS and MIS scores were assessed using standardized questionnaires. Results: The male, the female and the total group significantly differed in BMI (25.1 ± 4.2 vs. 23.1 ± 6.5 vs. 24.4 ± 5.2 kg/m2, P=0.026) and waist circumference (102.0 ± 9.1 vs. 93.5 ± 14.4 vs. 98.9 ± 11.9 cm, P=0.025) with these parameters being higher in the male group. There was no significant difference in laboratory parameters in the different groups of the study population. Nobody was adherent to the Mediterranean diet in the study population according to the guidelines for MDSS (>13.5 total score). Women presented with a significantly higher MIS score (7 (5-9.5), P=0.038). There was a significant negative correlation between BMI and MIS score (r=-0.498, P<0.001) and waist circumference and MIS score (r=-0.432, P=0.001). Additionally, there was a significant negative correlation between BMI and DMS score (r=-0.499, P<0.001) and waist circumference and DMS score (r=-0.318, P=0.018). Next, there was a significant positive correlation between duration of HD and DMS score (r=0.433, P<0.001). There was a significant negative correlation between body fat percentage and total MIS score (r=-0.270, P=0.046) and body fat percentage and total MIS score (r=-0.328, P=0.015). Conclusion: Patients on HD had a low adherence to Mediterranean diet. Patients on hemodialysis had high MIS and DMS scores. There was a negative correlation between MIS and DMS scores and body fat percentage in patients on hemodialysis treatment. Women had a higher percentage of body fat, MIS and DMS scores in comparison with men on hemodialysis.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA