Improved Nutrition After Conversion to Nocturnal Home Hemodialysis
published online 21 July 2009.
Background
Protein-energy malnutrition is a frequently observed problem in hemodialysis patients. Nocturnal home hemodialysis (NHHD; 6×8hours during the night) seems to improve patient outcomes, including nutritional state.
Methods
In a single-center, prospective, nonrandomized study, the effects of NHHD on various aspects of nutrition in 14 hemodialysis patients during 1 to 2 years were investigated, using dietary records, appetite questionnaires, laboratory tests, and patient data.
Results
Appetite, body weight, and energy and protein intakes improved. Patients could drink more. Serum phosphate, calcium, and potassium intake increased. Laboratory results remained excellent, without phosphate-binding agents or potassium-binding resins. However, fat intake also increased, with a risk for overweight status.
Conclusions
Nocturnal home hemodialysis has a positive effect on nutritional state.
∗Dianet Dialysis Centers, Utrecht, The Netherlands
†Department of Nutrition and Dietetics, School of Sports and Nutrition, Hogeschool van Amsterdam, University of Applied Science, Amsterdam, The Netherlands
Address reprint requests to M. Ellen Sikkes, RD, Dianet Dialysis Centers, Brennerbaan 130, 3524 BN Utrecht, The Netherlands.
ABSTRACT