DIETARY INTERVENTION AND PROTEIN SUPPLEMENTATION IN CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS

摘要

Objective: The present study was conducted with the aim to assess and analyze the nutritional status of patients (>30yrs) undergoing haemodialysis. Method: 50 subjects were enrolled in the study (32 males and 18 females). Various biochemical parameters such as Sodium, Potassium, Creatinine, Phosphorus, Albumin etc along with amount of calorie and protein intake were compared pre and post nutritional counseling and protein supplementation for 30 days during ongoing haemodialysis. Result: Short term implication showed a significant statistical difference in the biochemical parameters. Adequate dietary counseling along with oral nutritional supplementation given during haemodialysis improved the nutritional status of malnourished Chronic Kidney Disease patient. About 81% of the patients showed proficient response whereas the remaining 18% showed a moderate improvement in their nutritional status. Conclusion: Patients undergoing haemodialysis commonly develop protein-energy malnutrition which is associated with poor survival. Special nutritional care is required for the dialysis patient to improve the net protein anabolism.