| 초록 |
Malnutrition is the most common kind of problems in maintenance hemodialysis patients. Investigation for some clinical factors that related to malnutrition has been widely done, but investigation for non-clinical factor is still limited. Socio-demographic factors is one of non-clinical factors that may influence patient’s nutritional status. We aim to acknowledge the association between socio-demographic factors with dietary intake and nutritional status in hemodialysis patients. This observational research with cross-sectional study design was conducted in dialysis unit Universitas Gadjah Mada Hospital on January 2019. We involved 73 hemodialysis patients and collected information regarding socio-demographic characteristic (age, sex, education level, ethnic, religion, occupation, marital status, and monthly income), nutrition intake (energy and protein) using form 24-hours recall, anthropometry data (Body Mass Index/BMI and Mid Upper Arm Circumference/MUAC), and physical data using handgrip strength (HGS) dynamometer. Prevalence of underweight among participants was 13.7% based on BMI. Adequate energy intake was found in only 37.0% of all participants, while adequate protein intake was 20.5%. Socio-demographic factors was not significantly associate with BMI, MUAC, and energy-protein intake. The only factors that related to nutritional status based on BMI was education level (p=0.009) and based on MUAC were gender (p=0.003) and occupation (p=0.034). The mean of energy intake was significantly higher among male (p=0.010) and adult participant (p=0.031), while protein intake was significantly higher solely among adult participant (p=0.048). We found that male, adult, javanese ethnic, worked participants and higher income had strong handgrip mean value (p=0.016; 0.045; 0.008; 0.009 and 0.043, respectively). Gender, education level and occupation are related to nutritional status based on BMI and MUAC. Dietary intake is significantly higher among male and adult participant. The HGS is higher in male, adult, javanese ethnic, employed participants and higher income. |