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A difference between day and night

protein intake improves after the transition from conventional to frequent nocturnal home hemodialysis

A difference between day and night

protein intake improves after the transition from conventional to frequent nocturnal home hemodialysis

Samenvatting

BACKGROUND: Malnutrition is an important cause of the excessive morbidity and mortality rate of dialysis patients. Frequent nocturnal home hemodialysis (NHHD) has many benefits compared with conventional thrice-weekly hemodialysis (CHD), due to the virtual absence of dietary restrictions and a much higher overall dialysis efficiency. In this observational study, we investigated whether these benefits of NHHD translate into an improved nutritional intake, with a special emphasis on protein intake. METHODS: We prospectively assessed the effect of the transition of CHD to NHHD on nutritional intake (5-day dietary intake journal), normalized protein catabolic rate, and anthropometric parameters in 15 consecutive patients who started NHHD in our center between 2004 and 2009 and completed at least 8 months of follow-up. Data were collected before the transition from CHD to NHHD and 4 and 8 months after the transition. RESULTS: Protein intake, as measured by both dietary intake journal and normalized protein catabolic rate, increased significantly after the transition from CHD to NHHD. Accordingly, phosphate intake increased significantly; however, serum phosphate levels did not increase, despite negligible phosphate binder use during NHHD. Body mass index and upper arm muscle circumference did not change significantly. CONCLUSION: The transition from CHD to NHHD has a positive effect on nutritional intake, in particular, protein intake. NHHD should be considered in malnourished patients on CHD.

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OrganisatieHanzehogeschool Groningen
LectoraatHealthy Ageing, Allied Health Care and Nursing
Gepubliceerd inJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation W.B. Saunders Ltd, Vol. 22, Uitgave: 3, Pagina's: 365-372
Datum2012-05
TypeArtikel
ISSN1051-2276
DOI10.1053/j.jrn.2011.08.010
TaalEngels

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