영양교육과 규칙적인 운동이 혈액투석환자의 영양상태와 삶의 질 및 피로도에 미치는 효과

Abstract

ABSTRACT The purpose of this study was to investigate the effects of a nutrition education and exercise on nutritional status in hemodialysis patients, with regard to quality of life (QoL), and fatigue. The subjects were divided into two groups : an educated (E) group (11 men and 9 women) and a non-educated (NE) group (7 men and 22 women). The educated group received a nutrition education and a regular exercise program for 3 months. Data on anthropometric indices and biochemical parameters were obtained from medical records. Dietary hab-its and nutrient intake were assessed through questionnaires and three-day food records. QoL (through the SF-36 questionnaire) and fatigue (measured by a visual analogue scale questionnaire) were assessed before and after the interventions. Dietary habit scores regarding food variety and fluid intake control significantly in-creased (P＜0.05) after the nutrition education. Furthermore, the intake of total energy, carbohydrates, Fe, and vitamin A significantly increased (P＜0.05). Vitamin C intake also significantly increased (P＜0.01). Hb levels decreased whereas TG levels increased in the NE group. BUN levels decreased in the E group. After the nu-trition education, QoL aspects, such as feelings of pain and general health, and the total score significantly increased (P＜0.05) and the level of fatigue score decreased (P＜0.01). The results of this study indicate that nutrition education and exercise for hemodialysis patients provides changes in dietary habit, daily nutrient in-take, biochemical parameters, QoL, and the level of fatigue. Therefore, nutrition education and exercise help improve nutritional status and QoL.