Kumar H, Safdar N, Naqvi S A
Kidney Centre, Jinnah Postgraduate Medical Centre, Karachi.
J Pak Med Assoc. 1994 Dec;44(12):277-9.
Nutritional assessment was carried out on fifty haemodialyzed patients by demographic, anthropometric, biochemical and dietary indices. The mean age of the patients was 49 years with a male to female ratio of 2.3:1. The duration of dialysis ranged from 6 to 40 months with a mean of 25 months. Fifty percent of the patients were moderately nourished based on their body weight 44%, body mass index 40% and mid-arm circumference 66%. Seventy percent patients had albumin and total proteins within the normal range. Blood urea nitrogen, creatinine, cholesterol, potassium and phosphorus did not significantly change from the previous reports. The calorie and protein intake in 60-70% cases was less than recommended. Overall there was a tendency to calorie and to a lesser degree protein malnutrition in our patients. It is suggested that preventing malnutrition by economical, aggressive and ongoing dietary intervention may minimize malnutrition in haemodialyzed patients.
通过人口统计学、人体测量学、生化和饮食指标对50例血液透析患者进行了营养评估。患者的平均年龄为49岁，男女比例为2.3:1。透析时间为6至40个月，平均为25个月。根据体重，50%的患者营养状况中等；根据体重指数，这一比例为44%；根据上臂围，这一比例为66%。70%的患者白蛋白和总蛋白在正常范围内。血尿素氮、肌酐、胆固醇、钾和磷与之前的报告相比没有显著变化。60 - 70%的病例中热量和蛋白质摄入量低于推荐值。总体而言，我们的患者有热量营养不良的趋势，蛋白质营养不良的程度较轻。建议通过经济、积极和持续的饮食干预来预防营养不良，这可能会使血液透析患者的营养不良情况降至最低。
