BACKGROUND: Protein-energy malnutrition is a frequently observed problem in hemodialysis patients. Nocturnal home hemodialysis (NHHD; 6 x 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.
BACKGROUND: Protein-energy malnutrition is a frequently observed problem in hemodialysis patients. Nocturnal home hemodialysis (NHHD; 6 x 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.
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Authors: Karin J R Ipema; Simone Struijk; Annet van der Velden; Ralf Westerhuis; Cees P van der Schans; Carlo A J M Gaillard; Wim P Krijnen; Casper F M Franssen Journal: PLoS One Date: 2016-06-20 Impact factor: 3.240
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