Nutritional Asse
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.[email protected]
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
