Hogeschool van Amsterdam

Urban Vitality

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.


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.


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.


Nocturnal home hemodialysis has a positive effect on nutritional state


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.].

Gepubliceerd door  Kenniscentrum Bewegen, Sport en Voeding 1 november 2009


nov 2009