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Date Published: 25/01/2025
Abstract Views: 823
Views PDF: 223
DOI: 10.58490/ctump.2025i83.3185
Issue
No. 83 (2025)
Section
Article
How to Cite
Nguyen, T. H. T., Cao, T. H. H., Lam, T. H., & Quach, T. S. (2025). NUTRITIONAL STATUS OF PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING DIALYSIS AT THE NEPHROLOGY - UROLOGY - DIALYSIS DEPARTMENT, CAN THO CITY GENERAL HOSPITAL IN 2024. Cantho Journal of Medicine and Pharmacy, 83, 98-104. https://doi.org/10.58490/ctump.2025i83.3185

NUTRITIONAL STATUS OF PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING DIALYSIS AT THE NEPHROLOGY - UROLOGY - DIALYSIS DEPARTMENT, CAN THO CITY GENERAL HOSPITAL IN 2024

Thi Hong Tuyen Nguyen1, , Thi Huynh Hoa Cao2, Thanh Hiep Lam3, Thanh Sang Quach4
1 Can Tho University of Medicine and Pharmacy
2 Can Tho City General Hospital
3 Toan Y Cosmetic Dentistry Co., Ltd., Dong Thap Province
4 Rach Gia City Medical Center, Kien Giang Province

Main Article Content

Abstract

Background: Patients with chronic kidney disease undergoing regular dialysis experience a decrease in protein levels and reduced energy reserves in the liver, which can easily lead to malnutrition. Objectives: To determine the prevalence of malnutrition and some related factors in patients undergoing regular dialysis. Materials and methods: A cross-sectional study was conducted on 220 patients and their caregivers who were undergoing regular dialysis at Can Tho


City General Hospital from March to April 2024. Results: The prevalence of malnutrition based on body mass index (BMI < 18.5) was 29.5%, while the prevalence of malnutrition based on serum albumin levels was 30.4%. Several factors increased the prevalence of malnutrition in patients with chronic kidney disease undergoing regular dialysis: patients over 60 years old, education levels of lower secondary school or below, poor and near-poor economic status, dialysis duration over 4 hours, and patients without a restricted diet or nutritional counseling (p < 0.05). Conclusion: The rate of malnutrition is high among patients with chronic kidney disease undergoing regular dialysis. Improving dietary habits and receiving nutritional counseling may reduce the prevalence of malnutrition in these patients.

Keywords

nutritional status, malnutrition, chronic kidney disease, regular dialysis

Article Details

References

1. Sezer S, Bal Z, Tutal E, et al. Long-term oral nutrition supplementation improves outcomes in malnourished patients with chronic kidney disease on hemodialysis. JPEN Journal of parenteral and enteral nutrition. 2014. 38(8), 960-5, DOI: 10.1177/0148607113517266.
2. Xie L, Wang B, Jiang C, et al. BMI is associated with the development of chronic kidney diseases in hypertensive patients with normal renal function. Journal of hypertension. 2018.36(10), 2085-91, 10.1097/hjh.0000000000001817.
3. Trần Khánh Thu. Thực trạng chăm sóc dinh dưỡng tại bệnh viện đa khoa tỉnh Thái Bình và kết quả can thiệp dinh dưỡng cho người bệnh thận nhân tạo chu kỳ. Trường Đại học Y Hà Nội. 2017.
4. Nguyễn Văn Tuấn. Nghiên cứu tình trạng dinh dưỡng ở người bệnh bệnh thận mạn giai đoạn cuối chạy thận chu kỳ tại bệnh viện hữu nghị đa khoa Nghệ An. Tạp chí Y học Việt Nam. 2021.504(1), 243-7, https://doi.org/10.51298/vmj.v504i1.877.
5. Hoàng Hạ Vi, Đoàn Thị Mỹ Hạnh, Đặng Thị Thùy Trang, et al. Tình trạng dinh dưỡng của bệnh nhân chạy thận nhân tạo dưới 70 tuổi đang được quản lý tại bệnh viện đa khoa Hà Đông năm 2022. Tạp chí Dinh dưỡng và Thực phẩm. 2022. 18, 57-62, https://doi.org/10.56283/18590381/306.
6. Levin A, Hemmelgarn B, Culleton B, et al. Guidelines for the management of chronic kidney disease. CMAJ. 2008. 179(11), 1154-62, 10.1503/cmaj.080351.
7. Nguyễn Công Thành, Nguyễn Thị Hương Lan, Nguyễn Huy Bình, et al. Tình trạng dinh dưỡng và một số yếu tố liên quan của người bệnh suy thận mạn chưa lọc máu điều trị nội trú tại Bệnh viện Đa khoa Xanh Pôn năm 2018. Tạp chí Nghiên cứu Y học. 2021. 144(8), 264-75, https://doi.org/10.52852/tcncyh.v144i8.411.
8. Kalantar-Zadeh K, Fouque D. Nutritional Management of Chronic Kidney Disease. The New England journal of medicine. 2017. 377(18), 1765-76, 10.1056/NEJMra1700312.
9. Kim SM, Jung JY. Nutritional management in patients with chronic kidney disease. The Korean journal of internal medicine. 2020. 35(6), 1279-90, 10.3904/kjim.2020.408.
10. Lee SW, Kim YS, Kim YH, et al. Dietary Protein Intake, Protein Energy Wasting, and the Progression of Chronic Kidney Disease: Analysis from the KNOW-CKD Study. Nutrients. 2019. 11(1), DOI: 10.3390/nu11010121.
11. Darmon N, Drewnowski A. Does social class predict diet quality?. The American journal of clinical nutrition. 2008. 87(5), 1107-17, DOI: 10.1093/ajcn/87.5.1107.
12. Shoham DA, Vupputuri S, Kshirsagar AV. Chronic kidney disease and life course socioeconomic status: a review. Advances in chronic kidney disease. 2005. 12(1), 56-63, DOi:
10.1053/j.ackd.2004.10.007.