Assessment of nutritional status and its impact on quality of life of patients on maintenance hemodialysis
Journal Title: International Journal of Medical and Health Sciences - Year 2015, Vol 4, Issue 2
Abstract
Background: Malnutrition and anorexia are frequent complications in patients on maintenance hemodialysis (MHD) significantly affecting their quality of life, resulting in high morbidity and mortality. A study was conducted to assess the association between anorexia, nutritional status and quality of life. Materials and methods: 90 patients (55 males and 35 females; age range of 25 to 73 years; mean age 52.62 ± 11.7 years) undergoing twice/thrice weekly MHD for six months and above were assessed for self reported appetite using first three questions of Appetite and Diet Assessment tool (ADAT). Anthropometry and Subjective global assessment – Dialysis Malnutrition Scale (SGA-DMS) to were used to assess the nutritional status, and Health survey for dialysis patients Short Form (SF) -36 questionnaire to assess the health related quality of life. Results: Based on SGA-DMS, 54.4 % were moderate to severely malnourished, 31% were mild to moderately malnourished and 14.4% were well nourished. The self reported appetite was fair and poor in 38%, good in 48% and very good in 14% patients. The total mean score of the physical component of quality of life was 40.64 ± 10.79, mental component was 37.57 ± 13.19 and the overall mean quality of life was 39.02 ± 11.9. There was a negative correlation between nutritional status and components of quality of life (P<0.0001). Conclusion: The poorer the appetite, lower was the anthropometry, poorer was the nutritional status and significantly poorer was the quality of life (P < 0.0001). Identification and measures to ameliorate the appetite and nutritional status of the MHD patients would improve their health related quality of life and reduce morbidity and mortality. KEYWORDS: Nutrition, Anthropometry, Hemodialysis, Quality of life.
Authors and Affiliations
N. Vanitha Rani, S. Kavimani, P. Soundararajan, D. Chamundeeswari, Kannan Gopal
Keywords
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