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논문분류	춘계학술대회 초록집
제목	Comparison of Actual Dietary Intakes in Hemodialysis Patients:A Prospective Observational Study
저자	JIEUN Lee, Dong-Ryeol Ryu, Hyung jung Oh, Mijung Lee, Youngeun Kwon, Jung-Tak Park, Jungpyo Lee, Jung-Hyun Kim
출판정보	2019; 2019(1):
키워드	hemodialysis \| subjective global assessment \| well-nourished \| poorly nourished \| 7-day dietary research
초록	Although appropriate dietary adjustments in hemodialysis (HD) patients are important, most HD patients have difficulty adhering to dietary therapy due to the stress of a restricted-food diet or loss of appetite, which eventually leads to malnutrition and other complications. The actual dietary intakes among HD patients stratified by nutritional status have not yet been studied. In total, 111 HD patients from five dialysis centers were stratified into 2 groups based on subjective global assessment (SGA): the well-nourished group vs. the poorly-nourished group. The 7-day dietary intakes and food behaviors of the two groups were compared. Logistic regression analysis was performed to reveal the factors associated with the poorly-nourished status. The enrolled HD patients consumed an average of 23.44 kcal/kg/day and 0.92 g/kg/day of protein. However, they also consumed an average of 3285 mg/day of sodium, 1856.91 mg/day of potassium, and 760.61 mg/day of phosphorus. The poorly-nourished group ate out and ate fried food significantly more frequently than the well-nourished group. More frequent eating out, more frequent fried food consumption, and lower serum albumin level were significantly associated with the poorly-nourished status. These findings demonstrate the differences in actual dietary intake patterns and food behaviors of well- and poorly-nourished HD patients. However, further research should be performed on HD patients to design customized nutritional education, consultations, and dietary management.
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