Characteristics in Nutritional Status of Patients on Hemodialysis and Continuous Ambulatory Peritoneal Patients in Chonbuk Area
Seon-Hyeong KIM; Sook-Bae KIM.
The Korean Journal of Nutrition
; : 397-404, 2003.
Artículo
en Ko
| WPRIM | ID: wpr-647887
The present study was designed to compare the nutritional status of hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) patients. Subjects were 58 HD patients (male/female = 29/29) and 33 CAPD patients (male/female=23/10) undergoing dialysis treatment in Artificial Kidney Unit of Chonbuk National University Hospital. For nutritional assessment, %IBW (ideal body weight), %TSF (tricep skin fold), %MAC (mid arm circumference), %MAMC (mid arm muscle circumference), serum albumin, serum transferrin, TLC (total lymphocyte count), SGA (subjective global assessment) and estimated energy and protein intakes by 1-month food frequency method were used. Between HD and CAPD group, mean age (50+/-12 vs. 52+/-12 yr), dialysis durations (37+/-36 vs. 30+/-26 mon), dietary energy intakes (28.3+/-9.0 vs. 28.8+/-8.6 kcal/kg/day), dietary protein intakes (1.1+/-0.4 vs. 1.2+/-0.3 g/kg/day) and incidence of co-morbid conditions (69.0% vs. 69.7%) were not significantly different. Data by using SGA showed a higher incidence of malnutrition in CAPD patients (45.6%) than in HD patients (36.2%). %IBW (p<0.001), %TSF (p<0.001) and %MAC (p<0.001) were higher in CAPD patients than were in HD patients. But serum albumin (p<0.001) and transferrin (p<0.001) were significantly lower in CAPD patients than were in HD patients. A higher incidence of malnutrition was shown in CAPD Patients than in HD Patients due to different dialysis type. A significant finding was that CAPD showed protein deficient malnutrition and HD did calorie deficient malnutrition. It suggests that an adequate dietary intake considering dialysis type prevents a prevalence of malnutrition.
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