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Nutritional status in short daily hemodialysis versus conventional hemodialysis patients in China

  • Nephrology - Original Paper
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Abstract

Purpose

Malnutrition is the main determinant of mortality and morbidity in maintenance hemodialysis patients. In many countries except for China, it has been reported that short daily hemodialysis (SDHD) could improve nutritional status. We will report here the nutritional results obtained in the SDHD therapy period compared with conventional hemodialysis (cHD) therapy period in Chinese patients.

Methods

This study compared 29 SDHD patients (SDHD group), each patient served as his own control, with 30 cHD patients (cHD group) serving as the parallel controls. The hematologic parameters, anthropometric measurements, modified quantitative subjective global assessment (MQSGA) score, weekly standard Kt/V (std Kt/V) and average daily intake of protein were measured at baseline (SDHD0 or cHD0 period), at 3 months (SDHD1 or cHD1 period) and at 6 months (SDHD2 or cHD2 period).

Results

The average daily intake of protein, dry weight, body mass index, mid-arm circumference, mid-arm muscle circumference, serum albumin, prealbumin, cholesterol, hemoglobin, weekly std Kt/V values at SDHD2 were higher than the corresponding values at SDHD0 (p < 0.05, p < 0.05, p < 0.001, p < 0.05, p < 0.05, p < 0.05, p < 0.001, p < 0.05, p < 0.05, p < 0.001 and p < 0.001, respectively). Meanwhile, the average daily intake of protein, serum albumin, prealbumin, cholesterol, hemoglobin, weekly std Kt/V values at SDHD2 were higher than the corresponding values at cHD2 (p < 0.05, p < 0.001, p < 0.05, p < 0.05, p < 0.001 and p < 0.001, respectively), whereas the MQSGA score at SDHD2 was lower than the score at SDHD0 and cHD0 (p < 0.05, respectively).

Conclusions

SDHD may improve the nutritional status compared with cHD in Chinese patients undergoing maintenance hemodialysis.

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Author notes

  1. Jielong Jiang, Lijun Ni and Wei Ren have contributed equally to this work and should be considered co-first authors.

Authors and Affiliations

  1. Department of Nephrology, The First Affiliated Hospital of University of Science and Technology of China, Anhui Provincial Hospital, Hefei, 230001, China

    Jielong Jiang, Lijun Ni, Wei Ren, Xiaowan Zhou, Keliang Su, Lihua Wang, Lei Lan & Wei Chen

  2. Department of Neurology, The First Affiliated Hospital of University of Science and Technology of China, Anhui Provincial Hospital, 17, Lujiang Road, Hefei, 230001, Anhui, China

    Yuanbo Wu

Authors
  1. Jielong Jiang
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Correspondence to Yuanbo Wu.

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Jiang, J., Ni, L., Ren, W. et al. Nutritional status in short daily hemodialysis versus conventional hemodialysis patients in China. Int Urol Nephrol 50, 755–762 (2018). https://doi.org/10.1007/s11255-018-1804-2

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  • DOI: https://doi.org/10.1007/s11255-018-1804-2

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