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Nutritional status in hemodialysis and chronic kidney disease (CKD) patients in district Lahore, Pakistan. a comparative cross sectional study

Saima Batool, Ahmed Bilal, Aurang Zeb, Muhammad Zia Shahid, Muhammad Imran, Tabussam Tufail, Muzzamal Hussain

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Int. J. Biosci.16(4), 1-11, April 2020

DOI: http://dx.doi.org/10.12692/ijb/16.4.1-11


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The core objective of this research was to compare the nutritional status of hemodialysis and chronic kidney disease patients visiting Mayo Hospital and Shalamar Hospital, Lahore. For the purpose A total of 180 patients age range from 18-75 years were selected for the nine months comparative cross sectional study. The sample was selected from the two hospitals in Lahore namely, Mayo Hospital and Shalamar Hospital, Lahore. The data was collected through questionnaire and analyzed through statistical software SPSS version 22.The results showed that among 180 participants, the prevalence of anemia between the age group of 31-43 years report 42.2% cases of ESRD and age group 18-30 years report 36.7% of CKD cases, was high in lower class people hemodialysis (ESRD) 44.4% and 56.7% CKD, in middle class the prevalence was 42.2% ESRD, CKD 32.2% and in upper class the prevalence of anemia was 13.3% and 10% in ESRD and CKD respectively. The prevalence of anemia was high among ESRD male 61.1% participants than CKD male 51.1% participants. Grade 3 (severe anemia) was significant in both groups ESRD 43.3% and in CKD 48.9%. Conclusively, the results declared that anemia was more prevalent in ESRD and hypoalbuminemia in CKD patients, in low socioeconomic status and in people who were less educated. Males were highly affected from this disorder than females. The risk factors included were stress, depression, anxiety, family history, dietary restrictions and the type of diet.


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Nutritional status in hemodialysis and chronic kidney disease (CKD) patients in district Lahore, Pakistan. a comparative cross sectional study

Abbott KC, Agodoa LY. 2001. Etiology of bacterial septicemia in chronic dialysis patients in the United States. Clinical nephrology 2, 124-131.

Albayrak Cosar A, Cinar Pakyuz S. 2016. Scale development study: The Fluid Control in Hemodialysis Patients. Japan Journal of Nursing Science 1, 174-182. https://doi.org/10.1111/jjns.12083

Anees M, Mumtaz A, Ibrahim M, Shaheen SM, Asghar A. 2010. Effect of Anemia and Hyperhomocysteinemia on mortality of patients on Hemodialysis. Iranian journal of kidney diseases 4, 60.

Babitt JL, Lin HY. 2012. Mechanisms of anemia in CKD. Journal of the American Society of Nephrology. 10, 1631-1634. https://doi.org/10.1681/ASN.2011111078

Cano N, Fernandez JP, Lacombe P, Lankester M, Pascal S, Defayolle M, Saingra S. 1987. Statistical selection of nutritional parameters in hemodialyzed patients. Kidney international. Supplement 22, S178.

Cavanaugh KL, Wingard RL, Hakim RM, Eden S, Shintani A, Wallston KA, Ikizler TA. 2010. Low health literacy associates with increased mortality in ESRD. Journal of the American Society of Nephrology 21, 1979-1985. https://doi.org/10.1681/ASN.2009111163

Cherikh WS, Young CJ, Kramer BF, Taranto SE, Randall HB, Fan PY. 2011. Ethnic and gender related differences in the risk of end‐stage renal disease after living kidney donation. American Journal of Transplantation 11, 1650-1655. https://doi.org/10.1111/j.1600-6143.2011.03609.x

Foley RN, Parfrey PS, Harnett JD, Kent GM, Murray DC, Barre PE. 1996. Hypoalbuminemia, cardiac morbidity, and mortality in end-stage renal disease. Journal of the American Society of Nephrology 7, 728-736.

Garrity BH, Kramer H, Vellanki K, Leehey D, Brown J, Shoham DA. 2016. Time trends in the association of ESRD incidence with area‐level poverty in the US population. Hemodialysis International. 20, 78-83. https://doi.org/10.1111/hdi.12325

Glassock RJ, Warnock DG, Delanaye P. 2017. The global burden of chronic kidney disease: estimates, variability and pitfalls. Nature Reviews Nephrology 2, 104. https://doi.org/10.1038/nrneph.2016.163

Green JA, Mor MK, Shields AM, Sevik MA, Palevsky PM, Fine MJ, Weisbord SD. 2012. Renal provider perceptions and practice patterns regarding the management of pain, sexual dysfunction, and depression in hemodialysis patients. Journal of palliative medicine 15, 163-167.

Green JA, Mor MK, Shields AM, Sevik MA, Palevsky PM, Fine MJ, Weisbord SD. 2012. Renal provider perceptions and practice patterns regarding the management of pain, sexual dysfunction, and depression in hemodialysis patients. Journal of palliative medicine 15, 163-167. https://doi.org/10.1089/jpm.2011.0284

Harford R, Clark MJ, Norris KC, Yan G. 2016. Relationship between Age and pre-End Stage Renal Disease Care in Elderly Patients Treated with Hemodialysis. Nephrology nursing journal: journal of the American Nephrology Nurses’ Association 43, 101.

Ito H, Takeuchi Y, Ishida H, Otawa A, Shibayama A, Antoku S, Togane M. 2010. Mild anemia is frequent and associated with micro‐and macroangiopathies in patients with type 2 diabetes mellitus. Journal of diabetes investigation 1, 273-278. https://doi.org/10.1111/j.2040-1124.2010.00060.x

Jessani S, Bux R, Jafar TH. 2014. Prevalence, determinants, and management of chronic kidney disease in Karachi, Pakistan-a community based cross-sectional study. BMC nephrology 1, 90. https://doi.org/10.1186/1471-2369-15-90

Kidney Disease Outcomes Quality Initiative. 2000. Clinical practice guidelines for nutrition in chronic renal failure. American Journal of Kidney Diseases 35(2), S1-S140?

Laghari ZA, Baig NM, Memon F, Panhwar F, Qambarani MR, Palh ZA. 2017. Correlation of BMI and MUAC with anemia among Sindh University Students, Jamshoro, Pakistan. Sindh University Research Journal-SURJ (Science Series) 49, 553-556.

Li S, Foley RN Collins AJ. 2004. Anemia, hospitalization, and mortality in patients receiving peritoneal dialysis in the United States. Kidney international 5, 1864-1869. https://doi.org/10.1111/j.1523-1755.2004.00584.x

Liakopoulos V, Krishnan M, Stefanidis I. Savaj S, Ghareeb S, Musso C, Oreopoulos DG. 2004. Improvement in uremic symptoms after increasing daily dialysate volume in patients on chronic peritoneal dialysis with declining renal function. International urology and nephrology 3, 437-443. https://doi.org/10.1007/s11255-004-8788-9

Liu Y. 2006. Renal fibrosis: new insights into the pathogenesis and therapeutics. Kidney international. 2, 213-217. https://doi.org/10.1038/sj.ki.5000054

Lowrie EG, Lew NL. 1992. Commonly measured laboratory variables in hemodialysis patients: Relationships among them and to death risk. In Seminars in nephrology 12, 276-283. Elsevier.

Lu JL, Kalantar-Zadeh K, Ma JZ, Quarles LD, Kovesdy CP. 2014. Association of body mass index with outcomes in patients with CKD. Journal of the American Society of Nephrology. 25, 2088-2096. https://doi.org/10.1681/ASN.2013070754

National KF. 2006. KDOQI clinical practice guidelines and clinical practice recommendations for anemia in chronic kidney disease. American journal of kidney diseases: the official journal of the National Kidney Foundation. 3. https://doi.org/10.1053/j.ajkd.2006.03.010

Pessoa NRC, Linhares FMP. 2015. Hemodialysis patients with arteriovenous fistula: knowledge, attitude and practice. Escola Anna Nery 1, 73-79. http://dx.doi.org/10.5935/1414-8145.20150010

Piccoli GB, Soragna G, Mezza E, Putaggio S, Motta D, Gai M, Vaggione S. 2003. Lost to follow-up: the bottleneck of early referral to renalunits?. Medical Science Monitor 9, 493-499.

Rivara MB, Ravel V, Kalantar-Zadeh K, Streja E, Lau WL, Nissenson AR, Mehrotra R. 2015. Uncorrected and albumin-corrected calcium, phosphorus, and mortality in patients undergoing maintenance dialysis. Journal of the American Society of Nephrology 26, 1671-1681. https://doi.org/10.1681/ASN.2014050472\

Sampaio MS, Ruzany F, Dorigo DM, Suassuna JHR. 2012. Phosphate mass removal during hemodialysis: a comparison between eKT/V-matched conventional and extended dialysis. American journal of nephrology 36, 121-126. https://doi.org/10.1159/000338675

Skikne BS, Punnonen K, Caldron PH, Bennett MT, Rehu M, Gasior GH, Southwick PC. 2011. Improved differential diagnosis of anemia of chronic disease and iron deficiency anemia: a prospective multicenter evaluation of soluble transferrin receptor and the sTfR/log ferritin index. American journal of hematology 86, 923-927. https://doi.org/10.1002/ajh.22108

Snyder JJ, Foley RN, Gilbertson DT, Vonesh EF, Collins AJ. 2004. Hemoglobin levels and erythropoietin doses in hemodialysis and peritoneal dialysis patients in the United States. Journal of the American Society of Nephrology 15, 174-179. https://doi.org/10.1097/01.ASN.0000102475.94185.54

Spiegel DM, Breyer JA. 1994. Serum albumin: a predictor of long-term outcome in peritoneal dialysis patients. American journal of kidney diseases 2, 283-285. https://doi.org/10.1016/S0272-6386(12)80985-1

Sridhar NR, Josyula S. 2013. Hypoalbuminemia in hemodialyzed end stage renal disease patients: risk factors and relationships-a 2 year single center study. BMC nephrology 14, 242. https://doi.org/10.1186/1471-2369-14-242

Stohlman F, Rath CE, Rose JC. 1954. Evidence for a humoral regulation of erythropoiesis: Studies on a patient with polycythemia secondary to regional hypoxia. Blood 7, 721-733.

Tamadon MR, Zahmatkesh M. 2015. World kidney day 2015. Journal of Parathyroid Disease 2, 34-6.

Waheed AA, Pedraza F, Lenz O, Isakova T. 2013. Phosphate control in end-stage renaldisease: barriers and opportunities. Nephrology dialysis transplantation 28, 2961-2968. https://doi.org/10.1093/ndt/gft244.

Wong CS, Hingorani S, Gillen DL, Sherrard DJ, Watkins SL, Brandt JR, Stehmann Breen CO. 2002. Hypoalbuminemia and risk of death in pediatric patients with end-stage renal disease. Kidney international 61, 630-637. https://doi.org/10.1046/j.1523-1755.2002.00169.x

Young EW, Albert JM, Satayathum S, Goodkin DA, Pisoni RL, Akiba T, Port FK. 2005. Predictors and consequences of altered mineral metabolism: the Dialysis Outcomes and Practice Patterns Study. Kidney international 3, 1179-1187. https://doi.org/10.1111/j.1523-1755.2005.00185.x

Zalai D, Szeifert L, Novak M. 2012. Psychological distress and depression in patients with chronic kidney disease. In Seminars in dialysis. Oxford, UK: Blackwell Publishing Ltd. 4, 428-438.


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