Nutritional Assessment of Patients under Hemodialysis in King Faisal Hospital in Makkah, Saudi Arabia
Samaa S. El-Soadaa1, Amany M. Abdelhafez1&2 Seham E. Zahran1&3
1 Department of Clinical Nutrition, Faculty of Applied Medical Sciences, Umm Al-Qura University, Saudi Arabia.
2 Department of Public Health, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
3 Department of Food Hygiene and Control, Animal Health research Institute, Egypt.firstname.lastname@example.org
Abstract: Background: The most common problem in chronic renal failure patients is malnutrition which can be secondary to poor nutrients intake, increase losses or increase in protein catabolism. Objectives: to assess the nutritional status of a sample of hemodialysis patients (HDP) attending King Faisal Hospital in Makkah, Saudi Arabia. Subjects and methods: A cross-sectional study was conducted included 40 hemodialysis patients (24 females, 16 males), attending the hemodialysis center in King Faisal Hospital. A pretested interview questionnaire was used to collect demographic, medical, and dietary histories. Anthropometric indices were recorded for each patient. Serum phosphorus, calcium, total proteins, albumin, cholesterol, and creatinine were obtained from patients, files. Results: Among the studied patients 40% were males and 60% were females. Dietary assessment showed that, patient, daily intake of all macro and micronutrients (except vitamin A) was <90% of the average nutritional requirements. Regarding percentiles of anthropometric measurements as indicators of malnutrition ; 35%, 20%, 32.5%, 32.5% of the patients had a weight for age, triceps skinfoldthickness (TSF), mid-arm muscle circumference (MAMC), and mid-upper arm muscle area (MAMA) less than the 5th percentile respectively. Biochemical assessment among the studied patients shows that, all patients were anemic,22.5% of patients had serum phosphorus of >1.94 mmol/L, 20.0% had serum total protein <64 g/L, 75.0% with serum calcium of ≤ 2.37,100% with BUN >28.5 mmol/L, 72.5% with albumin <40 g/L, and 55.0% with serum creatinine of < 884 µmol/L. Conclusion: malnutrition is common in (HDP), rendering them at high risk of mortality and morbidity.Improvement of nutritional status of patients on maintenance hemodialysis is needed. Every patient needs an intensive nutritional counseling based on an individualized plan of care to maintain adequate nutrients intake.
[Samaa S. El-Soadaa, Amany M. Abdelhafez, Seham E. Zahran. Nutritional Assessment of Patients under Hemodialysis in King Faisal Hospital in Makkah, Saudi Arabia. J Am Sci 2013;9(6):317-326]. (ISSN: 1545-1003).http://www.jofamericanscience.org. 37
Key words: Nutritional assessment- Hemodialysis- Nutrients intake – Malnutrition. Full Text 37