Journal of Nutrition and Health

  • 제33권2호
  • /
  • Pages.179-185
  • /
  • 2000
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  • 2288-3886(pISSN)
  • /
  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
권호 표지

혈액투석중인 만성신부전환자의 영양상태에 관한 연구

Nutritional Assessment of the Hemodialysis Patients

  • 김성미 (계명대학교 식품영양학전공)
  • 발행 : 2000.03.01
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초록

This study investigated the nutritional status of 33 hemodialysis patients. Their weight, height, triceps and mid-arm circumference were measured and their dietary intake and blood profiles evaluated. The subjects were 57.1$\pm$11.9 years old. The energy intakes of men and women were 61% and 68% of RDA, respectively. The men and women's intake of protein was 0.93g/IBWkg/d and 0.99g/IBWkg/d, respectively. According to the distribution of BMI, 22.2% of the men and 73.3% of the women were underweight. A total of 5.6% of the men were overweight, versus none of the women. The serum albumin levels of the men and women were 3.56 and 3.52g/dl, respectively. The serum cholesterol levels of the men and women were 134.1 and 148.5mg/dl, respectively. The subjects were divided into three groups according to the level of albumin, and their intakes of nutrients were compared with one another. The group with high levels of albumin did not show higher energy and protein intake than the other groups but the serum total protein level was significantly higher. When the nutritional status of the patients was evaluated by weight and serum albumin level, 6.0% of them showed kwashiorkor-type malnutrition and 75.8% of them showed mild malnutrition.

키워드

참고문헌

  1. Medicine an illustrated history Medicine an illustrated history Lyons AS;Petrucelli JR
  2. Nephrology Ra ST
  3. Biographical dictionary of medicine Bendiner J;Bendiner E
  4. Am J Nephrol v.18 Predictive value of functional status for mortality in patients on maintence hemodialysis Ifudu O;Paul HR;Homel P;Friedman EA
  5. Kidney Int v.43 Nutrition and adequacy of dialysis. How do hemodialysis and CAPD compare? Bergstorm J;Lindholm B
  6. Am J Kidney Dis v.26 Mechanisms causing muscle loss in chronic renal failure Reaich D;Price SR;England BK;Mitch WE
  7. Clinical Nutrition Shibata SO
  8. Am J Kid Dis v.21 no.2 Malnutrition in hemodialysis patients Hakim RM;Levin N
  9. Am J Kid Dis v.15 no.5 Death risk in hemodialysis patients: The Predictive value of commonly measured variables and an evaluation of death rate differences between facilities Lowrie EG;Lew NL
  10. Clinical Chemistry(2nd ed.) Burtis CA;Ashwood ER
  11. Clin Chem v.26 A coupled-enzyme equilibrium method for measuring urea in serum Sampson EJ;Baird MA;Burtis CA
  12. Clinical laboratory methods Baner JD
  13. Biochem Biophys Acta v.320 The determination of inorganic orthophosphate in biological systems Atkinson A;Gatenby AD;Lowe AG
  14. Clin Chem v.29 A peroxidase-coupled method for the colorimetric determination of serum triglycerides McGown MW;Artiss JD;Strandbergh DR
  15. Clin Chem v.20 Enzymatic determination of total serum cholesterol Allin CC;Poon LS;Chan CGS;Richmond W;Fu PC
  16. Clin Chem v.18 Estimation of low density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge Friedewald WT;Levy RI;Fredtickson DS
  17. Clin Chem v.28 Dextran sulfate Mg precipitation procedure for quantitation of high density lipoprotein cholesterol Warnick GR;Benderson J;Albers JJ
  18. Korean Nutriton v.31 no.9 Nutritional assessment of the continuous ambulatory peritoneal dialysis patients Kim SM;Lee YS;Cho DK
  19. Hemoglobin Standard Science v.127 Cannan RK
  20. Hematocrit in clinical diagnosis by laboratory methods Daivison I;Nelson DA
  21. Am J Kidney Dis v.16 no.1 Anthropometric norms for the dialysis population Nelson EE;Hong CD;Pesce AL(et al.)
  22. Recommended dietary allowances for Koreans(6th ed.)
  23. Kidney Int v.35 Effect of energy intake on nutritional status in maintenance hemodialysis patients Slomovits LA;Monteon FJ;Grosvenor M;Laidlaw SA;Kopple JD
  24. Biomed Environ Sci v.9 no.2 Nutritional status in chronic hemodialysis patients Komindr S;Thirawitayakom J;Taechangam S;Puchaiwatananon O;Songchisomboon S;Domrongkitchaiporn S
  25. Am J Clin Nutr v.34 Cross-sectional and longitudinal nutritional measurements in maintenance hemodialysis patients Thunberg BJ;Swamy AP;Cestero RVM
  26. Clinical Nutrition and Dietetics Zeman FJ
  27. Am J Clin Nutr v.52 IGF-1, a maker of undernutrition in hemodialysis patients Jacob V;Le Carpentier JE;Salzano S;Naylor V;Wilde G;Brown CB;EL Nahas AM
  28. J Intern Med v.226 Nutritional status and mortality of patients on regular dialysis therapy Marckmann P
  29. Kidney Int v.23 no.s13 Assessment of nutritional status of the National Cooperative Study population Schoenfeld PY;Henry RR;Laird NM;Roxe DM
  30. Am J Clin Nutr v.51 Energy supplementation and the nutritional status of hemodialysis patients Allman MA;Stewart PM;Tiller DJ(et al.)
  31. Am J Kidney Dis v.26 Why are dialysis patients malnourished? Bergstrom J
  32. Kidney Int v.24 no.s16 Malnutrition as the main factor in morbidity and mortality of hemodialysis patients Acciardo SR;Moore SW;Latour Pa
  33. J Am Soc Nephrol v.6 Initiation of dialysis Hakim RM;Lazarus JM
  34. Am J Kidney Disease v.31 no.1 Nutritional considerations and the indications for dialysis Mitch WE;Maroni BJ
  35. Korean J Nephr v.16 no.2 Basal serum biochemical markers as a predictor of survival in patients undergoing hemodialysis Song KS;Lee SW;Kwon KH;Jeon JB;Bae SK;Chi DH;Kim MJ
  36. Korean J Nephrol v.13 no.4 Anemia in patients with chronic renal failure on hemodialysis Ahn SC;Choi SO;Shin SJ;Kim HY;Han BG;Lee YK;Shim YH;Lee KH
  37. J Clin Invest v.67 Effects of parathyroid hormone on erythropoiesis Meytes D;Bogin E;Ma C
  38. Handbook of clinical nutrition Kim YH