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Effects of Nutrition Education on Nutritional Status of Hemodialysis Patients  

양정례 (창원대학교 생활과학연구소)
서혜정 (마산삼성병원 영양과)
김양하 (이화여자대학교 식품영양학과)
Publication Information
Journal of Nutrition and Health / v.36, no.7, 2003 , pp. 749-758 More about this Journal
Abstract
Malnutrition is a common problem in patients undergoing maintenance hemodialysis (HD) and compromised food intake is an important cause. Malnutrition is one of the important factors influencing mortality in these patients. This study was conducted to evaluate the effectiveness of nutrition education at improving nutritional status of 23 Korean HD patients (mean : 48.6 $\pm$ 10.4 years, men : 8, women : 15). Anthropometric indices, nutrient intakes, and biochemical blood indices were measured before and after a 6-month nutrition education intervention. Anthropometric indices such as percent ideal body weight [PIBW (%)], body fat, body mass index (BMI), mid-arm circumference (MAC), mid-arm muscle circumference (MAMC), and calculated arm muscle area (CAMA) of subjects were within the normal range and not changed by nutrition education. Subjective global assessment (SGA) was significantly increased (p < 0.05) after nutrition education. Intake of total energy, carbohydrate, lipid, Ca, and vitamin B1 was increased significantly (p < 0.05) but intake of phosphorus, potassium, and sodium was decreased (p < 0.05). The serum concentrations of albumin, total protein, and Ca were significantly increased (p < 0.05), but levels of P and K were decreased (p < 0.05) after the intervention. These findings suggest that nutrition education for HD patients can be effective for positively changing nutrient intakes, leading to improvements in blood indices and nutritional status.
Keywords
hemodialysis patient; nutrition education; nutrients intake; nutritional status; subjective global assessment;
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Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kim EM, Na MY, Park MS, Paek HJ. Guidelines for clinical and nutritional management. Revised edition. Korean J Dietition, 1999
2 Guidelines for clinical and nutritional management(Revised edition) /
[ Kim,E.M.;Na,M.Y.;Park,M.S.;Paek,H.J. ] / Korean J Dietition
3 The USRDS Dialysis Morbidity and Mortality Study: Wave 2 United States Renal Data System /
[ USRDS ] / Am J Kidney Dis   DOI
4 Method for assessing nutritional status of patients with renal failure /
[ Blumenkrantz,M.J.;Kopple,J.D.;Gutman,R.A.;Chan,Y.K.;Barbour,G.L.;Roberts,C.;Shen,F.H.;Gandhi,V.C.;Tucker,C.T.;Curtis,F.K.;Cobum,J.W. ] / Am J Clin Nutr
5 Nutrition knowledge and food intake /
[ Wardle,J.;Parmenter,K.;Waller,J. ] / Appetite   DOI   ScienceOn
6 Predictive value of functional status for mortality in patients on maintenance hemodialysis /
[ Ifudu,O.;Paul,H.R.;Homel,P.;Friedman,E.A. ] / Am J Nephrol   DOI   ScienceOn
7 The problems of Hemodialysis /
[ Bang,B.K. ] / Korean J Medical
8 A study of factors affected morality of chronic hemodialysis patients /
[ Woo,H.J. ] / Jungang University Graduate, Master thesis
9 Clinical and nutritional guideline for health and medical persons /
[] / Asan Fundmental
10 Dietary compliance of chronic haemodialysis patients /
[ Blackburn,S.L. ] / J Am Diet Assoc
11 Amemia in patients with chronic renal failure on hemodialysis /
[ Ahn,S.C.;Choi,S.O.;Shin,S.J.;Kim,H.Y.:Han,B.G.;Lee,Y.K.;Shim,Y.H.;Lee,K.H. ] / Korean J Nephrol
12 /
[] / Recommended dietary allowance for Koreans(6th ed)
13 The Korean Society of Nephrorology. The Knowlege of chronic renal failure for its patients /
[] / Korean J Nephrorol
14 Nutritional intervention in the treatment of chronic renal failure /
[ Rodriquez,D.J.;V.M.Hanter ] / NCNA
15 Prealbumin is the best nutritional predictor of survival in hemodialysis and peritoneal dialysis /
[ Sreedhara,R.;Avram,M.M.;Blanco,M.;Batish,R.;Mittman,N. ] / Am J Kid Dis   DOI   ScienceOn
16 Effectiveness of a phosphrus education program for dialysis patient /
[ Prowant,B.F.;L.P.Ryan;R.J.Sataiowich;L.M.Schmidt;A.MurryBell;J.M.Kenndy;B.L.Baker ] / ANNA Journal
17 /
[ Yoo,S.Y.;Jo,Y.W.;Lee,T.W. ] / Analysis of effectiveness of nutritional manage in hemodialysis patients, Korean Nutrition Society spring forum June
18 In-Depth review: Malnutrition in hemodialysis patients /
[ Raymond,M.;K.a.Kim;Nathan;Levin(et al.) ] / Am J Kidney DIS
19 /
[ ADA ] / Manual of Clinical DIetetics(5th ed.)
20 Malnutrition in hemodialysis patients /
[ Hakim,R.M.;Levin,N. ] / Am J Kid Dis
21 /
[ Cho,Y.W.;Kim,K.B. ] / Nutritional education of medical area in Korea, Korean Nutrition Society Spring forum
22 Renal replacement therapy in Korea /
[ Ahn,S.U.;Choi,E.J. ] / Korean J Nephrol
23 Total Iron-binding capacity-estimated transferrin correlates with the nutritional subjective global assessment in hemodialysis patients /
[ Zadeh,K.;Kleiner,M.;Dunne,E.;Ahern,K.;Nelson,M.;Koslowe,R.;Luft,F.C. ] / Am J Kidney Dis   DOI   ScienceOn
24 Dialysis patients' understanding of nutritional advice /
[ McCloskey,C.;Clarke,J.;Rayner,H. ] / J Renal Nutr   DOI   ScienceOn
25 Advisory council: NKF-DOQI clinical proctice guideline for peritoneal dialysis adequacy /
[ NKF-DOQI ] / Am J Kid Dis
26 Advantages, problems and clinical solutions of urea dynamic force /
[ Koo,W.S.;Bang,B.K. ] / Korean J Nephrol
27 /
[ Am Diet Assoc ] / Renal Nutrition Forum
28 Which diet for which renal failure: Making sense of the options /
[ Beto,J.A. ] / J Am Diet Assoc   DOI   ScienceOn
29 Role of transferrin measurement in monitoring iron status during recombinant human erythropoietin therapy /
[ Rosenberg,M.E. ] / Dial Transplant
30 Effect of energy intake on nutritional status in maintenance hemodialysis patients /
[ Slomovits,L.A.;Monteon,F.J.;Grosvenor,M.;Laidlaw,S.A.;Kopple,J.D. ] / Kidney Int   DOI   ScienceOn
31 What is subjective global assessment of nutritional status? /
[ Detsky,A.S.;Mc,Laughlin,J.R.;Baker,J.P.;Johnston,N.;Whittaker,S.;Mendelson,R.A.;Jeejeebhoy,K.N. ] / J Parent Nutr and Ent   DOI   ScienceOn
32 /
[ Zeman,F.J. ] / Clinical Nutrition and Dietetics
33 A study of bone marrow finding and the CFU-CM culture before and after renal transplantation /
[ Kim,M.J. ] / Korean J Internal Medicine
34 Nutrition intervention program of the modification of diet in renal disease study: A self-management approach /
[ Gillis,B.P.;Caggiula,A.W.;Chiavacci,A.T.;Coyne,T.;Doroshenko,L.;Milas,N.C.;Nowalk,M.P.;Scherch,L.K. ] / J Am Diet Assoc   DOI   ScienceOn
35 Clinical observations on renal ostedysthrophy /
[ Kim,H.C.;Kim,O.B.;Suh,S.J. ] / Korean J Internal Medicine
36 Survival of Hemodialysis Patients /
[ Shin,Y.T. ] / Korean J Nephrol
37 /
[ Zazra,J.J. ] / Renal Nutrition Forum
38 The stategic plan of the nutrition education intervention for improving nutritional status and reducing nutrition related disease /
[ Park,D.Y. ] / Korean J Food Sci Nutr   과학기술학회마을
39 A study on the nutritional status of chronic renal failure patients in hemodialysis /
[ Cho,H.H.;N/A.;Lee,J.Y.;Yoon,K.W.;Lee,H.W.;Kim,K.D. ] / Korean J Internal Medicine
40 Effect of dietary phosphate restriction on renal function and detorioration /
[ Alfrey,A.C. ] / Am J Clin Nutr
41 /
[ Kim,H.C.;Park,S.B. ] / Clinical Nephrology
42 Meal managements according to theraphy methods of chronic renal failure /
[ Um,Y.R. ] / Nephrosis Nurse
43 Subjective global assessment of nutrition in dialysis patients /
[ Enia,G.;Sicuso,C.;Alati,G.;Zoccali,C. ] / Nephrol Dial Transplant
44 Correlates of poor appetite among hemodialysis patients /
[ Ohri-Vachaspati,P.;Sehgal,A.R. ] / J Ren Nutr   DOI   ScienceOn
45 Effectiveness of a phosphrus education program for dialysis patient /
[ Prowant,B.F.;Ryan,L.P.;Sataiowich,R.J.;Schmidt,L.M.;A.,Murrybell;J.M.Kenndy;B.L.Baker ] / ANNA Journal
46 Assessment of nutritional status /
[ Taylor,K.B.;Anthony,L.E. ] / Clinical Nutrition
47 /
[ Lewis,S.M. ] / Pathophysology of chronic renal failure
48 Dietetic Theraphy of Chronic Renal Failure /
[ Han DS ] / Korean J Internal Medicine
49 Dietetic Theraphy of Chronic Renal Failure /
[ Han,D.S. ] / Korean J Internal Medicine
50 Evaluation of Nutritional Status and Changes of Biochemical Parameters According to Protein Intake Levels in Hemodialysis Patients /
[ Yoo,H.S.;Woo,H.J.;Kang,E.T.;Jo,Y.W. ] / Korean J Nephrol
51 Nutritional assessment of the hemodialysis patients /
[ Kim,S.M.;Lee,Y.S.;Cho,D.K. ] / Korean J Nutr
52 Noncompliance to haemodialysis dietary regimes: Literature review and treatment recommendations /
[ Finn,P.E.;Alcorn,J.D. ] / Rehabil Psychol