Effect of Dietary Counseling on Protein Energy Wasting in Hemodialysis Patients
Journal Title: IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS) - Year 2018, Vol 13, Issue 1
Abstract
Protein Energy Wasting (PEW) is a state of decreased body stores of protein energy in the most advanced stages of chronic kidney disease maintaining hemodialysis. The main objective of this study is to assess the PEW in hemodialysis patients and to reduce the mortality rate and to improve the patient quality of life by providing dietary counselling through information leaflets. It is a hospital based concurrent interventional study was conducted for a period of six months on 60 hemodialysis patients having PEW in chronic renal failure condition. Patient demographics and laboratory data like Albumin, Cholesterol, BMI, Hemoglobin, Muscle mass was periodically collected and reviewed. Patient information leaflets, diet chart was provided along with counselling at baseline and during follow-ups. These study results were analyzed by descriptive statistical analysis like Student t-test to find out the significance of study parameters at baseline and follow-ups. The parameters like Albumin, Cholesterol, BMI, Hemoglobin, Muscle mass were increased after providing nutritional counselling in CKD patients. Finally it was concluded that, Patients undergoing hemodialysis are at high risk for developing PEW. Early detection and conducting effective dietary counselling was found to be more effective and beneficial for CKD patients in reducing the risk of PEW.
Authors and Affiliations
Dr. S. Parveen, ,S. Padmakar, S. Vijaya lakshmi, S. MD Yaseen shahzadi, Shaik Fouzia, Dr. K. B. Yadavendra Reddy
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