Nutritional status in short daily hemodialysis versus conventional hemodialysis patients in China
- 82 Downloads
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.
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).
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).
SDHD may improve the nutritional status compared with cHD in Chinese patients undergoing maintenance hemodialysis.
KeywordsShort daily hemodialysis Hemodialysis Nutritional status Quality of life End-stage renal disease
Compliance with ethical standards
Conflict of interest
The authors declare that they have no competing interests.
- 7.Punal RJ, Sanchez-Iriso E, Ruano-Ravina A, Varela LM, Sanchez-Guisande D, Gonzalez-Rodriguez L, Herrero JA, Barril G, Maduell F, Hernandez J, Otero A, Bajo MA, Sanchez R (2009) Short daily versus conventional hemodialysis quality of life: a cross-sectional multicentric study in Spain. Blood Purif 28:159–164CrossRefGoogle Scholar
- 19.Ekramzadeh M, Mazloom Z, Jafari P, Ayatollahi M, Sagheb MM (2015) Major barriers responsible for malnutrition in hemodialysis patients: challenges to optimal nutrition. Nephrourol Mon 6:e23158Google Scholar
- 20.Kooshki A, Samadipour E, Akbarzadeh R (2017) The association between serum C-reactive protein and macronutrients and antioxidants intake in hemodialysis patients. J Med Life 8:43–46Google Scholar
- 23.Rattanasompattikul M, Molnar MZ, Zaritsky JJ, Hatamizadeh P, Jing J, Norris KC, Kovesdy CP, Kalantar-Zadeh K (2012) Association of malnutrition-inflammation complex and responsiveness to erythropoiesis-stimulating agents in long-term hemodialysis patients. Nephrol Dial Transpl 28:1936–1945CrossRefGoogle Scholar