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Hydration and nutritional status in patients on home‐dialysis—A single centre study
Author(s) -
Li Janet S.C.,
Chan John Y.H.,
Tai Mandy M.Y.,
Wong So M.,
Pang S.M.,
Lam Fanny Y.F.,
Chu Carmen H.M.,
Ching Chris S.Y.,
Wong Joseph H.S.,
Chak W.L.
Publication year - 2018
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/jorc.12240
Subject(s) - medicine , malnutrition , dialysis , peritoneal dialysis , diabetes mellitus , dialysis therapy , hemodialysis , univariate analysis , multivariate analysis , pediatrics , endocrinology
SUMMARY Background Over‐hydration (OH) and malnutrition are prevalent among patients on dialysis therapy. The prevalence of OH and malnutrition as well as the risk factors associated with OH and malnutrition in our patients on home peritoneal dialysis (PD) and home haemodialysis (HD) are examined. Design and Methods This was a cross‐sectional study. The hydration and nutritional status of the study groups were assessed by a Body Composition Monitor. Patients who were stable on home dialysis therapy for over one year were invited to participate. Univariate and multivariate analyses were performed to identify associated factors and determine the predictors of OH and malnutrition, respectively. Results Eighty‐eight patients (41 PD and 47 home HD) were recruited. A 32.95% of our patients on home dialysis therapy were in OH status. There was a significance difference in the prevalence of hydration status between patients on PD and home HD (p = 0.014), as overhydration was more common in patients on PD than home HD (46.34 vs. 21.28%). Dehydration was more common in patients on home HD than PD (29.79 vs. 9.76%). Male gender, decreasing haemoglobin level and presence of diabetes mellitus (DM) were risk factors of OH on multivariable analysis. There was no significance difference in the prevalence of malnutrition between patients on PD and home HD (p = 0.27). Increasing Fat Tissue Index (FTI), height and patients on PD therapy were at higher risk of malnutrition. Conclusion OH and malnutrition were prevalent patients on home dialysis therapy.