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ĐÁNH GIÁ KHẨU PHẦN ĂN VÀ MỐI LIÊN QUAN VỚI CHỈ SỐ BMI CỦA BỆNH NHÂN THẬN NHÂN TẠO CHU KỲ TẠI BỆNH VIỆN QUÂN Y 103
Main Article Content
Abstract
ASSESSMENT OF DIETARY AND FOOD HABITS OF END-STAGE RENAL DISEASE ON MAINTANANCE HEMODIALYSIS AT MILITARY HOSPITAL 103
Summary
Objectives: Survey on dietary intake and evaluate the relationship between body mass index and the level of energy and protein in the diet of end-stage renal disease on dialysis patients.
Subjects: 100 patients undergo maintanance hemodialysis at Military Hospital 103.
Method: cross-sectional study
Results:
The average dietary energy intake (DEI) of end-stage kidney patients on dialysis is 23.6(17.9-32.3) kcal/kg/day, lower than the level recommended by ESPEN. The average dietary protein intake (DPI) is 1.1(0.8-1.5) g/kg/day, below ESPEN's nutritional recommendations for end-stage kidney dialysis patients. The group of chronic kidney disease patients on dialysis with normal BMI accounts for the highest proportion (60%), followed by the overweight and obese group (29%) and the lowest is the group with chronic malnutrition (11%).
DPI (g/kg/24h) of female patients (1.2 (0.9-1.7)) was higher than male patients (1.1 (0.8-1.4)) with p <0.05. DPI (g/kg/24h) of patients with BMI<23 (1.2 (0.9-1.6)) is higher than that of patients with BMI>=23 (1.0 (0.7-1.2)).
Frequently consumed foods are: red meat (13.16 times), vegetables (12.16 times), poultry (2.87 times), and fruit (2.54 times). Less commonly used foods are: fish (1.47 times), eggs (1.33 times), milk (1.31 times), soybeans (0.68 times).
Patients with BMI≥23 had a lower odds of meeting the recommended DEI level (OR=0.123; p=0.047) and DPI level (OR=0.309; p=0.018) than the group with BMI<23.
Conclusions:
The diet of hemodialysis patients does not meet recommended levels of energy and protein. Foods that provide proteins with high biological value are not commonly used. End-stage kidney dialysis patients with high BMI are at risk of reducing their daily energy and protein intake compared to the recommendations.
Keywords: maintenance hemodialysis (MHD), End-stage Renal disease (ESRD), dietary, food habit.
Article Details
Keywords
Lọc máu chu kỳ, Bệnh thận mạn giai đoạn cuối, Khẩu phần ăn, Thói quen ăn uống
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