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NUTRITIONAL STATUS OF HOME HEMODIALYSIS PATIENTS
Author(s) -
TALEMAITOGA A. S.,
SANDERS B. A.,
HINTON D.,
LYNN K. L.
Publication year - 1989
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1989.tb00267.x
Subject(s) - medicine , anthropometry , wasting , percentile , malnutrition , vitamin , calorie , protein–energy malnutrition , vitamin d and neurology , hemodialysis , statistics , mathematics
We studied the nutritional status of 32 patients (23 men), aged 50 (SD14) yr, on home hemodialysis (HHD) for one‐138 months. No formal dietary restrictions were imposed. Anthropometric measurements were made using standard techniques, diet assessed by three‐day dietetic diary and interview and plasma concentrations of nutrients were measured. Mean caloric intake was 29.4 (SD 10.7) kcal/kg; 24 (75%) patients had lower energy intakes than recommended for normals. Protein, vitamin C and folate intakes were above recommended minimum safe intakes. Intakes were less than recommended for calcium in four (13%) patients, iron in one (3%) and vitamin B 12 in two (6%). One‐third of both sexes had body mass indices (kg/m 2 ) <25th percentile for normals, but none was <80% of ideal bodyweight. Arm muscle circumference was <10th percentile for normals in six men and three women. Triceps skin fold thickness was <10th percentile in four men (17%) and five women (55%). No anthropometric measurements were correlated with energy, protein or fat intake. Biochemical measurements were not useful in predicting protein intake. Neither nutritional intake nor anthropometric measurements were correlated with the duration of HHD. There was little evidence of malnutrition and wasting in this group of well rehabilitated HHD patients.