Department, Faculty of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, Palestine.
Department of Nutrition and Food Technology, Faculty of Agriculture and Veterinary Medicine, An-Najah National University, Tulkarm, West Bank PO. Box 7, Palestine.
Clin Nutr ESPEN. 2024 Oct;63:768-775. doi: 10.1016/j.clnesp.2024.08.012. Epub 2024 Aug 22.
Intradialytic eating practices is a subject of debate among hemodialysis patients and is associated with a variety of clinical implications. This study aimed to investigate eating practices during hemodialysis and their influence on health outcome, including various symptoms experienced during dialysis, intradialytic hypotension, dialysis adequacy, and malnutrition.
A cross-sectional study was conducted on hemodialysis patients. A structured questionnaire was used to collect information related to sociodemographic, medical history, lifestyle, dialysis, and eating practices. The occurrence of intradialytic hypotension was determined according to the patients' blood pressure measured at the beginning and end of the session, and dialysis adequacy was determined based on the ultrafiltration rate of the patients. Malnutrition was evaluated using renal inpatient screening tool (renal iNUT), and biochemical data was recruited from the patient's hospital records.
A total of 260 hemodialysis patients participated in this study. The mean age was 51.29 ± 15.92, and half of the participants were females. The findings showed no significant association between intradialytic eating practices and symptoms developed during dialysis session, intradialytic hypotension, or malnutrition (p > 0.05). According to Chi-square test, a statistically significant association was found between eating practices and dialysis adequacy (p = 0.037), hemoglobin level (p < 0.001), and phosphorous level (p = 0.003).
Eating practices were not associated with symptoms that developed during dialysis sessions, intradialytic hypotension, or malnutrition, according to our findings. However, findings reveal that it is possible that eating practices may affect the adequacy of dialysis.
血液透析患者的透析中进食行为是一个有争议的话题，与各种临床意义相关。本研究旨在调查血液透析期间的进食行为及其对健康结果的影响，包括透析过程中经历的各种症状、透析中低血压、透析充分性和营养不良。
本研究为横断面研究，纳入了血液透析患者。使用结构化问卷收集与社会人口学、病史、生活方式、透析和进食行为相关的信息。根据患者在透析开始和结束时的血压测量结果，确定透析中低血压的发生情况，根据患者的超滤率确定透析充分性。使用肾脏住院筛查工具（renal iNUT）评估营养不良，从患者的医院记录中招募生化数据。
本研究共纳入了 260 名血液透析患者，平均年龄为 51.29 ± 15.92 岁，其中一半为女性。研究结果显示，透析中进食行为与透析过程中出现的症状、透析中低血压或营养不良之间无显著关联（p > 0.05）。根据卡方检验，发现进食行为与透析充分性（p = 0.037）、血红蛋白水平（p < 0.001）和磷水平（p = 0.003）显著相关。
根据我们的研究结果，透析中进食行为与透析过程中出现的症状、透析中低血压或营养不良之间无关联。然而，研究结果表明，进食行为可能会影响透析的充分性。
