Malnutrition is a significant problem linked to higher mortality rates in maintenance hemodialysis (MHD) patients. Low protein intake, high phosphorus intake, high phosphorus to protein ratio (PPR), decreased lean body mass (LBM) and poor nutrition education on these topics are associated with malnutrition in the population. Provision of meals during dialysis and modified nutrition education to combat these issues have not been well described in hypoalbuminemic MHD patients.
Participants were adult, hypoalbuminemic (albumin < 4.0 g/dL) hemodialysis patients who participated in a randomized, controlled study with provision of meals during dialysis and modified nutrition education. Pre- and post-study, a registered dietitian (RD) assessed LBM by dual-energy x-ray absorptiometry (DEXA), and determined protein and phosphorus intake by a 3-day food record. Blood draws to measure serum albumin occurred at the patient’s dialysis center. No significant difference was found in serum albumin, PPR, dietary intake or LBM when comparing treatment and control patients pre- and post-study.
|Commitee:||Gray, Virginia, Wang, Long|
|School:||California State University, Long Beach|
|Department:||Family and Consumer Sciences|
|School Location:||United States -- California|
|Source:||MAI 55/02M(E), Masters Abstracts International|
|Keywords:||Chronic kidney disease, Hemodialysis, Hypoalbuminemia, Nutrition, Phosphorus, Protein|
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