Hacer ALATAŞ, Hilal YILDIRAN, Ahmet YALÇIN

Hemodiyaliz tedavisi alan hastalarda besin alımı ile malnütrisyon inflamasyon skoru arasındaki ilişki

Amaç: Bu çalışmanın amacı hemodiyaliz hastalarının besin tüketimlerini inceleyerek, beslenme durumlarının malnütriyon inflamasyon skoru ile ilişkisini değerlendirmektir. Gereç ve Yöntem: Çalışma 18-65 yaş arası toplam 49 (25 erkek, 24 kadın) hemodiyaliz hastasıyla yapılmıştır. Araştırmacı tarafından hastaların vücut kompozisyonları biyoempedans cihazı ile ölçülmüş, malnutrisyon inflamasyon skoru (MİS) anketi uygulanmış, üç günlük besin tüketimleri alınmıştır. Bulgular: Yaş ortalamaları 47,6±11,39 yıl olan hastaların ortalama MİS skorları 11,3±4,10 olup %85.7’si malnutrisyonludur. Hastaların; 23.1±10.53 kcal/kg/gün enerji, 0,83±0,39 g/kg/gün protein aldıkları saptanmıştır. Erkek hastaların %80’i, kadın hastaların %83,7’si Uluslararası Böbrek Vakfı’na (NKF) göre yetersiz enerji almaktadır. Erkek hastaların %84’ü, kadın hastaların tamamı NKF’ye göre yetersiz protein almaktadır. Hastaların günlük almış oldukları tiamin, riboflavin, niasin, B6 vitamini, folik asit, C vitamini, çinko, demir, kalsiyum miktarı NKF önerilerinin altındadır. Hastaların BKİ ve vücut kompozisyonları arasında ise negatif yönlü anlamlı bir korelasyon bulunmuştur. Sonuç: Hastaların günlük enerji, protein ve bazı besin ögesi alımları hemodiyaliz hastaları için önerilen değerlerden oldukça düşük olması ile dikkat çekicidir. Yüksek MİS skoru yetersiz enerji ve besin ögesi alımıyla gelişen malnutrisyonla ilişkili olabilir.

The relationship between food intake and malnutrition inflammation score in patients receiving hemodialysis treatment

Purpose: The aim of this study is to evaluate the relationship between nutritional status and malnutrition inflammation score by examining the food consumption of hemodialysis patients. Materials and Methods: The study was carried out in 49 hemodialysis patients (25 male, 24 female) in 18-65 years. The body composition of the patients was measured with a bioimpedance device, the malnutrition inflammation score (MIS) questionnaire was applied, and their food consumption for three days was taken by the researcher. Results: The mean age of the patients was 47.6 ± 11.39 years, MIS was11.3 ± 4.10 and 85.7% of them were malnourished. It was found that the patients received 23.1±10.53 kcal/kg/day energy and 0.83±0.39 g/kg/day protein. According to the National Kidney Foundation (NKF), 80% of male patients and 83.7% of female patients receive insufficient energy. The 84% of male patients and all female patients take insufficient protein according to NKF. Daily intake of thiamine, riboflavin, niacin, vitamin B6, folic acid, vitamin C, zinc, iron and calcium was below the NKF recommendations. A significant negative correlation was found between BMI and body composition of the patients. Conclusion: It is remarkable that the daily energy, protein and some nutrient intake of the patients was quite lower than the values recommended for hemodialysis patients. High MIS may be associated with malnutrition due to insufficient energy and nutrient intake.

Keywords:

Malnutrition inflammation, nutrition, hemodialysis,

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