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논문분류	춘계학술대회 초록집
제목	Dialysis patients' variations in nutritional status and hand strength before and after dialysis treatment
저자	Munkh-Od Battsogt
출판정보	2024; 2024(1):
키워드
초록	Objectives: Numerous techniques are employed by researchers in clinical and academic settings to assess nutrient loss. One such efficient and cost-effective method is the measurement of handgrip strength (HGS). In our country, there has been a lack of research on nutritional status during dialysis treatment. This study aims to examine the variations in handgrip strength before and after dialysis treatment and explore its association with nutritional status and general physical well-being among patients undergoing maintenance hemodialysis for end-stage renal disease (ESRD) with diabetes. Methods: A cross-sectional study was conducted on 102 individuals with diabetes undergoing maintenance hemodialysis (MHD) for ESRD at the First State Central Hospital of Mongolia in 2023. Handgrip strength (HGS) and body weight measurements were assessed both before and after dialysis treatment. Results: Among the 102 participants, 65.1% (n=65) were male, with a mean age of 51.2 ± 14.8 years and an average HD duration of 4.6 ± 4.1 years. The mean body weight change was 4.22 kg (ranging from 0-17 kg), a significant indicator of overall body condition. Those with substantial changes in body weight showed less variation in HGS before and after dialysis. For male participants with a body weight decrease of up to 5 kg, HGS increased from 22 kg to 28 kg, while those with a body weight decrease exceeding 5 kg experienced a decline in HGS from 48 to 28 kg. Additionally, a positive correlation was found between HGS and midarm circumference (Spearman’s correlation coefficient, r=0.126, p=0.001), suggesting HGS as a potential indicator of nutritional status. Conclusions: Monitoring handgrip strength before and after dialysis emerges as a valuable tool to assess patients' general health and nutritional status.
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