Nutritional status of hemodialysis patients /Ines Panjkota Krbavčić, Ivica Vrdoljak, Martina Bituh, Ivana Rumora Samarin, Anja Vukomanović, Mia Duvnjak.
Nutritional status of hemodialysis patients /Ines Panjkota Krbavčić, Ivica Vrdoljak, Martina Bituh, Ivana Rumora Samarin, Anja Vukomanović, Mia Duvnjak.
Sažetak

Hemodialysis patients are vulnerable population group and they, among other, should take special care on food and fluid intake with emphasis on energy, potassium, phosphorus, sodium and protein intake. The nutritional status of patients (n=14) was assessed through measurement of body weight, body height, upper arm circumference, lower leg circumference and handgrip dynamometry; as well as selected biochemical parameters: urate concentration, calcium and phosphate levels, total protein, creatinine, albumin and globulin ratio and C-reactive protein; and dietary assessment method: 3-day food record (3DD). Using range between 18.5 and 24.9 kg/m2 as cut-off, 35.7 and 57% of patients were classified as adequately nourished and overweight, respectively. According to results of 3DD, most of the subjects are supposed to align their micro- and macro- nutrients intake with the recommendations, with emphasis on the increasing intake of protein and energy as well as on decreasing intake of potassium, phosphorus, sodium and energy.; Pacijenti na hemodijalizi su osjetljiva skupina bolesnika koji u prehrani posebnu pažnju trebaju obratiti na unos nutrijenata i tekućine s naglaskom na ukupan unos energije, kalija, fosfora, natrija i proteina. U ovom radu provedena je procjena nutritivnog statusa 14 pacijenata mjerenjem (I) antropometrijskih parametara: tjelesne mase i visine, opsega nadlaktice i lista te dinamometrije šake; (II) biokemijskih parametara u serumu: koncentracija urata, kalcija i fosfata, ukupnih proteina, albumina, kreatinina, C-reaktivnog proteina te omjer albumina i globulina; kao i primjenom (III) dijetetičke metode: trodnevni dnevnik prehrane (3DD). Istraživanje je pokazalo da je 57% uključenih ispitanika imalo prekomjernu tjelesnu masu, dok ih je 35,7% bilo adekvatno uhranjeno. Prema rezultatima provedenog 3DD-u vidljivo je da bi većina ispitanika svoj unos makro i mikronutrijenata trebala uskladiti s preporukama, a poseban naglaska stavlja se na povećavanje unosa proteina i energije te smanjivanje unosa kalija, fosfora i natrija.