CORRELATION BETWEEN HEMODIALYSIS ADEQUACY WITH NUTRIONAL STATUS OF PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS

Authors

  • Ajeng Sulistianing Utami Medical Student, Faculty of Medicine, University of Mataram
  • I Gede Yasa Asmara Teaching Staff, Department of Internal Medicine, Faculty of Medicine, University of Mataram
  • Deasy Irawati Teaching Staff, Department of Public Health, Faculty of Medicine, University of Mataram

DOI:

https://doi.org/10.29303/jku.v10i3.472

Keywords:

Chronic Kidney Disease, Hemodialysis Adequacy, Nutritional Status, Body Mass Index, Serum Albumin Level

Abstract

Background: The quality of hemodialysis (HD) is one of the predictor factors of mortality and morbidity in patients with CKD 5. Increasing the adequacy of hemodialysis that can be evaluated from dosage’s sufficiency and effectivity, also can reduce the risk of having complications and side effects to certain organs. One of the complications that can be appeared is malnutrition. The aim of this research is to study the correlation between hemodialysis adequacy with CKD stage 5 patient’s nutritional status.

Method: This research was held on August until September 2020 in Hemodialysis Unit of RSUD Kota Mataram. The research was a cross-sectional approach. There were 51 sample that are fit the inclusion and exclusion criterias. The data collection was done by recording the patients medical records. HD adequacy was assessed by patient's Kt/V and nutritional status was assessed by BMI parameter and patient's serum albumin level. The correlation test that was used in this research is Spearman correlation test to determine the correlation between variables.

Result: In this research, sample’s mean age was 55,1 years old with 51% male and 49% female. The analysis correlation that was determined by using Spearman correlation test showed that, the correlation between HD adequacy and patient’s BMI was p=0.967 and r=0.006 and the correlation between HD adequacy and patient’s serum albumin level was p=0.662 and r=0.063.

Conclusion: There was no significant correlation between HD adequacy and patient’s nutritional status.

Key Words: Chronic Kidney Disease, Hemodialysis Adequacy, Nutritional Status, Body Mass Index, Serum Albumin Level

References

1. Akobeng, A. K., 2016. Understanding Type I and Type II Errors, Statistical Power and Sample Size. 3 March.
2. Anderson, J., Peterson, K., Bourne, D. & Boundy, E., 2018. Evidence Brief: Use of Intradialytic Parenteral Nutrition (IDPN) to Treat Malnutrition in Hemodialysis Patients. Evidence-based Synthesis Program, March.
3. Bawazir, L. A. A., 2020. Limitations of Serum Albumin Level as A Marker of Nutritional Status in Hemodialysis Patients. 9(1), pp. 149-154.
4. Bharadwaj, S. et al., 2014. Malnutrition: Laboratory Markers vs Nutritional Assessment. Gastroenterol Rep. (Oxf), 4(4).
5. Dahlan, S., 2014. Statistik Untuk Kedokteran Dan Kesehatan. Edisi 6 ed. Jakarta: Salemba Medika.
6. Departemen Kesehatan RI, 2003. Petunjuk Teknis Pemantauan Status Gizi Orang Dewasa dengan Indeks Massa Tubuh (IMT). [Online] ?Available at: http://www.depkes.go.id/index.php. vw=2&id=A-137
7. Dewantari, E., Taruna , A., Anggraini, P. & Dilangga, P., 2015. Hubungan Adekuasi Hemodialisis dengan Asupan Makanan dan Indeks Massa Tubuh Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di RSUD Abdul Moeloek Bandar Lampung.
8. Erken, E. et al., 2016. The Effect of Hemodialysis on Balance Measurements and Risk of Fall. Int Urol Nephrol, 6 August, 48(10), p. 1706.
9. Gunes, F., 2013. Medical Nutrition Therapy for Hemodialysis Patients. [Online] Available at: http://dx.doi.org/10.5772/53473
10. Henriques, V. T. et al., 2013. Increase in BMI Over Time Is Associated With Fluid Overload and Signs of Wasting in Incident Peritoneal Dialysis Patients. Journal of Renal Nutrition, May.23(3).
11. Hill, N. R. et al., 2016. Global Prevalence of Chronic Kidney Disease – A Systematic Review and Meta-Analysis. PLOS ONE, 6 July.p. 8.
12. IRR, 2018. 11th Report Of Indonesian Renal Registry, s.l.: s.n.
13. Kaya, T. et al., 2016. Relationship Between The Target Dose for Hemodialysis Adequacy and Nutritional Assessment. Ann Saudi Med 2016, 2(36), p. 121.
14. KDIGO, 2012. Kidney DiseaseImproving Global Outcome (KDIGO) 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. [Online] Available at: https://kdigo.org/wp-content/uploads/2017/02/KDIGO_2012_CKD_GL.pdf
15. Kittiskulnam, P. et al., 2016. Misclassification of Obesity by Body Mass Index Among Patients Receiving Hemodialysis. Am J Kidney Dis., April, 67(4), pp. 709-711.
16. Lahner , C. R., 2019. Adult Weight Measurement: Decoding The Terminology Used in Literature. South African Journal of Clinical Nutrition, 32(2), pp. 28-31.
17. Lajuck, K. S., Moeis, E. S. & Wongkar, M. C. P., 2016. Status gizi pada pasien penyakit ginjal kronik stadium 5 yang menjalani hemodialisis adekuat dan tidak adekuat. Jurnal e-Clinic (eCl), Juli-Desember .4(2).
18. National Kidney Fundation, 2015. Kidney Disease Outcomes Quality Initiative (KDOQI): Update of the KDOQI Clinical Practice Guideline for Hemodialysis Adequacy. p. 52.
19. Nunes, F. T. et al., 2008. Dialysis Adequacy and Nutritional Status of Hemodialysis Patients. s.l.:Hemodialysis International.
20. Rosmalia, L. & Kusumadewi, S., 2018. Sistem Pendukung Keputusan Klinis Untuk Menentukan Jenis Gangguan Psikologi Pada Pasien Gagal Ginjal Kronis (GGK) yang Menjalani Terapi Hemodialisa. JURNAL INFORMATIKA UPGRIS, 4(1), p. 12.
21. Weaving, G., Batstone, G. F. & Jones, R. G., 2016. Age and Sex Variation in Serum Albumin Concentration: An Observational Study. Annals of Clinical Biochemistry, 53(1), pp. 106-111

Downloads

Published

2021-12-09

How to Cite

Ajeng Sulistianing Utami, Asmara, I. G. Y., & Irawati, D. (2021). CORRELATION BETWEEN HEMODIALYSIS ADEQUACY WITH NUTRIONAL STATUS OF PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS. Jurnal Kedokteran, 10(3), 502–508. https://doi.org/10.29303/jku.v10i3.472

Issue

Section

Research

Most read articles by the same author(s)

<< < 1 2