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
Referentie
Sikkes, M. E., Kooistra, M. P., Weijs, P. J. M. 'Improved nutrition after conversion to nocturnal home haemodialysis'. In: J Ren Nutr. 2009 Nov;19(6):494-9.].