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- 저자 : ( Seir Han Kim ) (검색결과 1 건)
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( Eun Jung Kang ),( Won Sun Hwang ),( Ka Young Jung ),( Min Jeong Lee ),( Seir Han Kim ),( Sun Jung Choe ),( Gyu Tae Shin ),( Heung Soo Kim ),( Inw Hee Park ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Protein-Energy malnutrition is prevalent in hemodialysis (HD) patients. Although International Dietetics and Nutrition Terminology (IDNT) is effective tool for the nutritional diagnosis, IDNT has been rarely used to HD patients so far in Korea. In present study, we applied IDNT to HD patients and evaluated correlation of the IDNT results to other clinical parameters. Methods: Adult patients on HD for more than 3 months were recruited from single tertiary center. A clinical dietitian carried out individual interview of all patients and made nutritional diagnosis using nutritional diagnostic codes of IDNT. Dietary data were obtained by 24-hour recall method of usual meal of the day before HD. Demographic and clinical data were also analyzed. Results: Total 90 patients were included. 28 patients (31.1%) were diagnosed as normal nutritional status. 5 patients (5.6%) were malnutrition (NI-5.2), 19 patients (21.1%) were inadequate protein-energy (NI-5.3) and 38 patients (42.2%) were inadequate protein (NI-5.7.1). There were signifi cant difference among normal group, inadequate protein-energy group and inadequate protein group in the body mass index (BMI) (23.9±3.0, 19.3±2.4, 22.0±2.7, p=.001), blood urea nitrogen (68.2±16.8, 52.7±14.2, 54.6±14.4, p=.001), ratio of dry-weight to standard weight (1.1±0.1, 0.9±0.1, 1.0±0.1, p<0.001), ratio of actual to recommended protein intake (1.0±0.1, 0.7±0.1, 0.8±0.1, p<0.001), and ratio of actual to recommended energy intake (1.1± 0.1, 0.8±0.1, 1.0±0.1, p<0.001). There was no signifi cant difference in serum albumin, nPCR and interdialytic weight gain. When we classifi ed patients according to BMI or nPCR, high BMI or nPCR group showed higher proportion of normal nutritional status. Conclusions: Nutritional diagnosis by IDNT was signifi cantly correlated with weight maintenance and recommended protein and energy intake. The higher BMI or nPCR were associated normal nutritional status. IDNT is thought to be effective diagnostic tool for HD patients.
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