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International Urology and Nephrology

, Volume 50, Issue 4, pp 755–762 | Cite as

Nutritional status in short daily hemodialysis versus conventional hemodialysis patients in China

  • Jielong Jiang
  • Lijun Ni
  • Wei Ren
  • Xiaowan Zhou
  • Keliang Su
  • Lihua Wang
  • Lei Lan
  • Wei Chen
  • Yuanbo Wu
Nephrology - Original Paper
  • 82 Downloads

Abstract

Purpose

Malnutrition is the main determinant of mortality and morbidity in maintenance hemodialysis patients. In many countries except for China, it has been reported that short daily hemodialysis (SDHD) could improve nutritional status. We will report here the nutritional results obtained in the SDHD therapy period compared with conventional hemodialysis (cHD) therapy period in Chinese patients.

Methods

This study compared 29 SDHD patients (SDHD group), each patient served as his own control, with 30 cHD patients (cHD group) serving as the parallel controls. The hematologic parameters, anthropometric measurements, modified quantitative subjective global assessment (MQSGA) score, weekly standard Kt/V (std Kt/V) and average daily intake of protein were measured at baseline (SDHD0 or cHD0 period), at 3 months (SDHD1 or cHD1 period) and at 6 months (SDHD2 or cHD2 period).

Results

The average daily intake of protein, dry weight, body mass index, mid-arm circumference, mid-arm muscle circumference, serum albumin, prealbumin, cholesterol, hemoglobin, weekly std Kt/V values at SDHD2 were higher than the corresponding values at SDHD0 (p < 0.05, p < 0.05, p < 0.001, p < 0.05, p < 0.05, p < 0.05, p < 0.001, p < 0.05, p < 0.05, p < 0.001 and p < 0.001, respectively). Meanwhile, the average daily intake of protein, serum albumin, prealbumin, cholesterol, hemoglobin, weekly std Kt/V values at SDHD2 were higher than the corresponding values at cHD2 (p < 0.05, p < 0.001, p < 0.05, p < 0.05, p < 0.001 and p < 0.001, respectively), whereas the MQSGA score at SDHD2 was lower than the score at SDHD0 and cHD0 (p < 0.05, respectively).

Conclusions

SDHD may improve the nutritional status compared with cHD in Chinese patients undergoing maintenance hemodialysis.

Keywords

Short daily hemodialysis Hemodialysis Nutritional status Quality of life End-stage renal disease 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

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Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  • Jielong Jiang
    • 1
  • Lijun Ni
    • 1
  • Wei Ren
    • 1
  • Xiaowan Zhou
    • 1
  • Keliang Su
    • 1
  • Lihua Wang
    • 1
  • Lei Lan
    • 1
  • Wei Chen
    • 1
  • Yuanbo Wu
    • 2
  1. 1.Department of NephrologyThe First Affiliated Hospital of University of Science and Technology of China, Anhui Provincial HospitalHefeiChina
  2. 2.Department of NeurologyThe First Affiliated Hospital of University of Science and Technology of China, Anhui Provincial HospitalHefeiChina

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