Nutritional Status and Quality of Life among Hemodialysis Patients in Malaysia

Md. Yusop, Nor Baizura (2007) Nutritional Status and Quality of Life among Hemodialysis Patients in Malaysia. Masters thesis, Universiti Putra Malaysia.

[img] PDF
636Kb

Abstract

Hemodialysis treatment provides progressive improvement in decreasing the risk of mortality and mobility. However, insufficient hemodialysis treatment and hemodialysis related complications tend to decrease patient’s nutritional status and overall quality of life. The objective of this cross-sectional study was to determine the nutritional status and quality of life among hemodialysis patients. A total of 90 subjects were recruited from Hospital Kuala Lumpur and dialysis centres of the National Kidney Foundation of Malaysia. Data on socioeconomics, demography, medical history, hemodialysis treatment and nutritional status were collected. Anthropometry assessment included weight, height, mid-arm circumference and mid-arm muscle circumference, skin fold thicknesses at four sides (biceps, triceps, subscapular and suprailliac), calf circumference and bioimpedance assessment. Subjective Global Assessment was conducted. Biochemical indices including renal function test, liver function test, glucose test, electrolytes, lipid profile, hemoglobin and hematocrit were ascertained. Information on dietary intake were collected using 24-hour diet recall and one-day food record. Information on appetite level and eating habits were collected. Kidney Disease Quality of Life Short Form was used to determine quality of life of the subjects. Subjects comprised 48.9% males and 51.1% females. The sample size predominately Chinese (n=62, 68.9%), followed by Malays (n=19, 21.1%), Indians (n=7, 7.8%) and others (n=2, 22.0%). The mean age of subjects was 49.7 ± 14.1. Approximately 30% of the subjects achieved the recommended body mass index for hemodialysis patients. Approximately 80% and 34% of the subjects had triceps skinfold and mid-arm circumference less than 50th percentiles, respectively. Approximately 48% subjects had serum albumin level lower than 4.0 mg/dL. About 58.6% had elevated serum phosphate (> 1.6 mmol/L). For lipid profile, 28.8% subjects had elevated total cholesterol (> 5.2 mmol/L), 71.1% had serum cholesterol of less than 5.2 mmol/L. The mean total energy and protein intake was 26.8 ± 7.0 kcal/kg and 1.0 ± 0.3 g/kg, respectively. Results of the Kidney Disease Quality of Life Short Form analysis showed that the highest score was for dialysis staff encouragement (75.28 ± 23.55). The lowest score was for work status (27.78 ± 34.4). In the General Linear Model univariate analysis, blood flow was found to contribute to complication of the kidney, while calf circumference and mid-arm muscle circumference were predictors for the support and satisfaction of the treatment, blood flow, serum albumin, serum creatinine and protein intake were predictors for the physical health composite. As for mental health composite, diabetes was the only contributory factor. Multivariate regression showed similar results were obtained with exception of treatment support and satisfaction. In conclusion, low blood flow, diabetes, increased serum calcium and low serum creatinine had an impact on quality of life of the subjects. Longitudinal study is required to determine the cause and effect mechanism between the associated factors and quality of life.

Item Type:Thesis (Masters)
Subject:Nutritional Status
Chairman Supervisor:Dr. Chan Yoke Mun, PhD
Call Number:FPSK(M) 2008 7
Faculty or Institute:Faculty of Medicine and Health Science
ID Code:7152
Deposited By: Nurul Hayatie Hashim
Deposited On:10 Jun 2010 02:49
Last Modified:27 May 2013 07:33

Repository Staff Only: item control page

Document Download Statistics

This item has been downloaded for since 10 Jun 2010 02:49.

View statistics for "Nutritional Status and Quality of Life among Hemodialysis Patients in Malaysia "


Universiti Putra Malaysia Institutional Repository

Universiti Putra Malaysia Institutional Repository is an on-line digital archive that serves as a central collection and storage of scientific information and research at the Universiti Putra Malaysia.

Currently, the collections deposited in the IR consists of Master and PhD theses, Master and PhD Project Report, Journal Articles, Journal Bulletins, Conference Papers, UPM News, Newspaper Cuttings, Patents and Inaugural Lectures.

As the policy of the university does not permit users to view thesis in full text, access is only given to the first 24 pages only.