Abstract
Aim : Nutritional deficiencies and metabolic syndrome (MS) is challenge in chronic kidney disease patients with peritoneal dialysis(PD). This study was planned in order to assess the nutritional status and metabolic syndrome in PD patients. Methods: This study was performed on clinically stable patients that were undergoing PD therapy. Energy and nutrient intakes were determined with consequently three days dietary record. The statement of MS was identified according to MS criteria adopted for PD patients. Results: The prevalence of MS was found 64.3%. The mean duration of PD in with-MS(35.4±25.23mo.) was lower than without-MS(44.3±30.99mo.) (p>0.05). Patients with MS had significantly greater systolic/diastolic blood pressure and lower high-density-lypoprotein cholesterol levels (HDL-C) (p<0.05). According to the body mass index (BMI), the 83.3% of patients’ with-MS and 30% without-MS were found overweight and body fat mass was significant higher in patients with-MS(p<0.05). The mean daily protein intakes per kilograms of body weight determined lower with-MS patients (0.8±0.25g/kg) than without-MS (0.9±0.29 g/kg). Conclusion: The prevalence of MS is remarkably high. The daily dietary energy and protein intakes were found under the recommended levels. Inadequate energy and protein intake increase loss of muscle mass and also excessive energy intake leads to obesity. Monitoring of nutritional status of PD patients is important both in prevention and progression of MS.
Highlights
Body weight in peritoneal diyaliz (PD) patients was measured either with a dry abdomen or with PD dialysate in abdomen minus X kg (X is the volume in liters of PD dialysate infused)
The measurement was performed in right hand and foot at four electrodes at the supine position after patients emptied their dialysis solutions; extracellular water (ECW), intracellular water (ICW), and total body water (TBW) contents
The metabolic syndrome (MS) prevalence was not different according to the gender (p
Summary
Patients This study was performed on twenty eight clinically stable patients that were undergoing PD therapy at Gazi University Hospital, Ankara which is capital of Turkey. Body weight in PD patients was measured either with a dry abdomen or with PD dialysate in abdomen minus X kg (X is the volume in liters of PD dialysate infused). Percentage of total body fat, fat-free mass and volume status of the individuals was performed using a Quadscan 4000 multi-frequency bioimpedance analyzer (BIA). BIA is reliable, repetitive, not invasive, simple, portable and relatively inexpensive technique to assess the fluid status and body composition for this patients [20]. The measurement was performed in right hand and foot at four electrodes (frequencies 5, 50, 100, and 200 kHz) at the supine position after patients emptied their dialysis solutions; extracellular water (ECW), intracellular water (ICW), and total body water (TBW) contents. The pvalue of less than 0.05 was considered to show a statistically significant result
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