Improved nutrition after conversion to nocturnal home haemodialysis

Abstract: BACKGROUND: Protein-energy malnutrition is a frequently observed problem in hemodialysis patients. Nocturnal home hemodialysis (NHHD; 6 3 8 hours during the night) seems to improve patient outcomes, including nutritional state.

METHODS:

In a single-center, prospective, nonrandomized study, the effects of NHHD on various aspects of nutrition in 14 hemodialysis patients during 1 to 2 years were investigated, using dietary records, appetite questionnaires, laboratory tests, and patient data.

RESULTS:

Appetite, body weight, and energy and protein intakes improved. Patients could drink more. Serum phosphate, calcium, and potassium intake increased. Laboratory results remained excellent, without , without phosphate-binding agents or potassium-binding resins. However, fat intake also increased, with a risk for overweight status.

CONCLUSIONS:

Nocturnal home hemodialysis has a positive effect on nutritional state